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[Consultation draft subject to amendment and correction.] xxx
[Consultation draft subject to amendment and correction.] A long history of heroin prescribing, but a relatively short history of trialling its supervised administration. What has evidence collected over 15 years concluded about this intensive intervention intended for a patient population who would otherwise be considered ‘unresponsive’ to treatment?
MATRIX CELL 2019 HTM file
Alcohol Treatment Matrix cell E1: Treatment systems; Screening and brief intervention
Key studies and reviews on local, regional and national systems for effectively and cost-effectively implementing alcohol screening and brief intervention. See the rest of row 1 of the matrix for more on screening and brief interventions.
For people motivated to reduce or quit their use of cannabis – the most widely used illicit drug in Europe – could a smartphone app provide a promising alternative to face-to-face treatments or public health interventions?
People with co-occurring mental health and substance use problems are often unable to access the care they need. This 2017 guide from Public Health England describes what better care would look like, underpinned by the principles that there is ‘no wrong door’ for accessing support, and it is ‘everyone’s job’ the other side of the door to help.
MATRIX CELL 2019 HTM file
Alcohol Treatment Matrix cell D1: Organisational functioning; Screening and brief intervention
Seminal and key studies on how organisational functioning affects screening and brief intervention. Highlights a striking illustration of the importance of organisational context emerging from the unprecedented implementation drive at the US health care system for ex-military personnel. See the rest of row 1 of the matrix for more on screening and brief interventions.
Has enough high-quality evidence accumulated over the past five years to improve confidence in the effectiveness of residential treatment?
STUDY 2019 HTM file
“We have to put the fire out first before we start rebuilding the house”: practitioners’ experiences of supporting women with histories of substance use, interpersonal abuse and symptoms of post-traumatic stress disorder
Within treatment systems that have tended to underestimate or overlook the importance of ‘trauma-informed’ practice, this study explores how practitioners in England respond to the needs of women with substance use problems, histories of abuse, and symptoms of post-traumatic stress disorder.
STUDY 2016 HTM file
Improving the delivery of brief interventions for heavy drinking in primary health care: outcome results of the Optimizing Delivery of Health Care Intervention (ODHIN) five-country cluster randomized factorial trial
The EU-funded ODHIN trial tested eight strategies to promote screening and brief interventions for risky drinking in primary health care units in five European countries. Results suggested that financial incentives were key but were reinforced by training and support.
Could combinations of three strategies – training and support, financial reimbursement, and the opportunity to refer patients to a website – cost-effectively boost delivery of brief interventions in European primary care? The important aim was to find the best way to narrow the ‘implementation gap’ between the number of patients who could benefit from these interventions and those who receive them.
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