Hot topic search results

You have found 85 entries after clicking the GO button or a search link in a hot topic. Starting with the most recently added or updated entries, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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HOT TOPIC 2021 HTM file
‘Dangerous data’: drinking after dependence

First cracked in 1960s London, the orthodoxy that abstinence is the only feasible treatment goal for ‘alcoholics’ seemed shattered in 1973 by evidence that even physically dependent patients could learn to drink in moderation. Controversy was fierce, reaching the US Congress, TV networks and the courts. Explore the history and contested research behind an issue facing every dependent drinker starting treatment.

MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell E4: Treatment systems; Psychosocial therapies

Key studies on systems for effectively and cost-effectively providing psychosocial therapies, and the roles of those therapies within the overall treatment system. Focus is on examining the research credentials of guidance from NICE and mutual aid’s potential to bridge the gap between diminished resources and heightened recovery ambitions.

MATRIX CELL 2020 HTM file
Drug Treatment Matrix cell E4: Treatment systems; Psychosocial therapies

Seminal and key studies on local, regional and national systems for effectively and cost-effectively providing psychosocial therapies and the place of those therapies within these systems. Asks whether mutual aid groups can bridge the widening gap between resources and recovery ambitions, whether residential rehabilitation should be a last resort, and how tightly commissioners should specify services.

MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell B4: Practitioners; Psychosocial therapies

Key studies on the impact of the practitioner in psychosocial therapies for alcohol dependence. Structured around Carl Rogers’ classic account of the prerequisites of effective psychotherapy.

MATRIX CELL 2020 HTM file
Drug Treatment Matrix cell E3: Treatment systems; Medical treatment

Seminal and key studies relating to local, regional and national systems for effectively and cost-effectively providing medical interventions and treatment in medical settings. Highlights a simple innovation which transformed detoxification recyclers into typical patients, asks if you agree with an expert group’s vision of what a good quality service looks like, and questions whether Britain is making progress on organising care for mentally ill problem drug users.

REVIEW 2019 HTM file
A meta-analysis of the efficacy of case management for substance use disorders: a recovery perspective

How does an intervention designed to enhance coordination and continuity of services, known as ‘case management’, compare to treatment as usual? Is there any evidence to suggest that it can directly or indirectly improve recovery outcomes?

MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell E2: Treatment systems; Generic and cross-cutting issues

Seminal and key studies on local, regional and national systems for effectively and cost-effectively providing treatment. Explores whether payment by results stifles patient-centred practice or stretches services beyond comfort zones, the surprising results of a randomised trial of service-improvement mechanisms, and the multiple answers to how many drinkers should be in treatment. See the remaining four cells in row 2 of the matrix for more on generic features of medical and psychosocial therapies.

STUDY 2015 HTM file
The impact of paying treatment providers for outcomes: difference-in-differences analysis of the ‘payment by results for drugs recovery’ pilot

A flagship drug treatment policy initiative appears to have backfired in England, where the government’s pilot payment-by-results schemes seem to have led to fewer successful completions of treatment and more prospective patients declining treatment.

STUDY 1962 HTM file
The abstinent alcoholic

Classic description of the patient who has sustained abstinence after treatment but is still unhappy, unfulfilled and/or nervously hanging on – in other words, not really ‘recovered’. They formed the majority of patients seen at Connecticut’s alcohol clinics in the 1950s who were not drinking at follow-up.

DOCUMENT 2017 HTM file
Better care for people with co-occurring mental health and alcohol/drug use conditions: a guide for commissioners and service providers

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.

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