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STUDY 2009 HTM file
The Drug Treatment Outcomes Research Study (DTORS): final outcomes report

Over 10 years since the last attempt, in 2006 a national study assessed the progress of patients starting drug treatment in England. A year later drug use and crime were down and social costs saved, but wider life improvements were minor compared to treatment costs.

REVIEW 2014 HTM file
Peer recovery support for individuals with substance use disorders: assessing the evidence

For such a widely implemented and widely supported adjunct to formal treatment, the revelation from this review is how little evidence there is for involving former problem substance users in promoting recovery from similar problems – a lack which may simply reflect the paucity of adequate research.

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.

STUDY 2014 HTM file
Monitoring and evaluating Scotland’s alcohol strategy. Fourth annual report

Report evaluating Scotland’s national alcohol strategy concludes that changes to alcohol licensing laws are unlikely to have affected alcohol-related harm, but that the ban on quantity discounts in the off-trade and increased delivery of brief interventions may have contributed to recent declines in alcohol consumption and harms.

STUDY 2014 HTM file
Alcohol treatment in England 2013–14

In England a record 114,920 adults were in specialist alcohol treatment in 2013/14 and nearly 4 in 10 left as planned free of dependence. A good record, but probably still most dependent drinkers who might have benefited from treatment did without it, partly because relatively few found their way there via GPs and emergency departments.

STUDY 2014 HTM file
Assessing the availability of and need for specialist alcohol treatment services in Scotland

Evidence that in 2012 Scotland’s alcohol treatment caseload equated to about 1 in 4 of the country’s alcohol-dependent adults, over three times the 1 in 14 ratio in England, partly a consequence of extra funding accompanying Scotland’s 2009 national alcohol strategy. Evidence too of a peer-based recovery orientation taking root.

STUDY 2012 HTM file
Implementation issues in an innovative rural substance misuser treatment program

Detailed, frank and compelling account of what it takes in the real world (when implementers have to grapple with counsellors and organisations over which they have no control) to introduce a new treatment approach. Key lesson is that each organisation is different; being there, learning about that unique context, and taking it in to account, is what’s needed to give implementation a chance.

STUDY 2014 HTM file
Relative efficacy of mindfulness-based relapse prevention, standard relapse prevention, and treatment as usual for substance use disorders: a randomized clinical trial

Promising signs – but from a single study at a single treatment agency – that integrating Buddhism-inspired mindfulness-based elements creates a more effective supplement to usual (in the US context) 12-step based aftercare than a purely cognitive behavioural approach, helping patients sustain gains from initial intensive treatment.

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.

STUDY 2008 HTM file
Final report on the evaluation of ‘Option 2’

This evaluation of an intensive child protection service for children with substance misusing parents was the first in Britain to recruit an adequate comparison sample, a vital step in assessing effectiveness. Main finding was reduced need for long-term removal from the home.

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