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HOT TOPIC 2016 HTM file
Is it futile to match alcohol treatments to the patient?
‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Even if overall one type of therapy for problem drinking is no better than another, surely this is just because certain therapies worked best with certain patients? Expectations that ‘matching’ would lead to improved outcomes were dashed in what was intended to be the definitive test, but it would be premature entirely to dismiss the idea.
STUDY 2015 HTM file
Specialist substance misuse treatment for young people in England 2013–14
Judged by successful completion of treatment, official report documents improved specialist treatment of children with alcohol and drug problems in England. Patient numbers have fallen in line with trends in the general population, though cannabis bucked the general downturn and now dominates the treatment statistics.
This UK study tested the idea that a multi-behaviour healthy living intervention would be more acceptable and more effective among problem drinking patients identified by a screening test than a specific alcohol intervention, but in both options found recruitment and retention challenging.
REVIEW 2014 HTM file
Interventions to reduce substance misuse among vulnerable young people
In this evidence update, the National Institute for Health and Care Excellence assess new evidence relevant to its earlier public health guidance on interventions to reduce substance misuse among vulnerable young people.
REVIEW 2014 HTM file
Alcohol interventions, alcohol policy and intimate partner violence: a systematic review
What constitutes ‘alcohol-related’ domestic abuse, and to what extent can interventions designed to reduce the harms of alcohol also reduce domestic abuse?
STUDY 2013 HTM file
Multidimensional family therapy lowers the rate of cannabis dependence in adolescents: A randomised controlled trial in Western European outpatient settings
Multi-national European trial partially confirms US findings from research led by the programme’s developers that a family therapy which intervenes across a child’s social environment is more effective than alternatives for problem substance using teenagers.
STUDY 2013 HTM file
The Citizenship Project part II: Impact of a citizenship intervention on clinical and community outcomes for persons with mental illness and criminal justice involvement
This US study found that among people with serious mental illness and a history of criminal justice involvement, an intervention intended to foster citizenship through peer mentoring, education and activities, reduced alcohol and drug use and enhanced quality of life and satisfaction with social, leisure and work activities.
REVIEW 2013 HTM file
The comparative effectiveness of outpatient treatment for adolescent substance abuse: A meta-analysis
Multi-prong therapies centred on the family emerge as probably the most effective in this comprehensive and careful synthesis of the results of trials of non-residential programmes for substance using teenagers – but do the outcomes warrant the extra costs?
STUDY 2012 HTM file
Audit of alcohol detoxification at Leeds Addiction Unit
In a specialist hospital unit in Leeds, virtually all the alcohol dependent outpatients completed detoxification and all but a few went on to try to sustain their drinking reductions using the aversive medication disulfiram, indicative of what can be achieved in these settings.
DOCUMENT 2012 HTM file
Substance misuse among young people 2011–12
Documents trends towards more successful specialist treatment of children with alcohol and drug problems in England. Patient numbers have fallen in line with trends among young adult patients and the general population, a sign of fewer drug problems generally, though cannabis bucked the downward trend.
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