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DOCUMENT 2013 HTM file
Rewarding virtue

Can we dispense with counselling, therapy, treatment as we know it, and just punish or deprive patients of rewards when they use substances in undesired ways, and reward them when they behave as we/they would wish? British services are trialling an approach about which many clinicians express major ethical concerns – contingency management.

DOCUMENT 2011 HTM file
Psychosis with coexisting substance misuse: assessment and management in adults and young people

Psychosis plus harmful substance use is a toxic mixture which worsens the prospects of recovery from mental illness. How should it be dealt with, and what are the respective roles of mental health and substance use services? This UK guideline developed by an expert group has some of the answers.

STUDY 2010 HTM file
A brief alcohol intervention for hazardously drinking incarcerated women

Could just two motivational interviewing sessions moderate the drinking of very heavy drinking US women prisoners? The surprise was not that there were few benefits, but that there were some, especially after the reinforcing session usually conducted after the prisoners' release.

STUDY 2008 HTM file
Female drinkers also benefit from couples therapy

The latest in what family therapy experts have called an impressive series of US studies on behavioural couples therapy for substance misuse found that the benefits extended to dependent female drinkers.

STUDY 2010 HTM file
Computer-assisted cognitive rehabilitation for the treatment of patients with substance use disorders: a randomized clinical trial

Researchers have long suspected that pre-existing or drug/alcohol-induced cognitive deficits prevent patients making the most of treatments which rely on complex verbal communications and understandings. For the first time this US study has shown that psychological exercises to remedy these deficits do improve outcomes by helping patients get to grips with treatment.

STUDY 2012 HTM file
Brief intervention for drug-abusing adolescents in a school setting: outcomes and mediating factors

Aged 16 and smoking cannabis or drinking coming up to one day in three, US youngsters identified as substance users by their schools substantially cut back in response to just two motivational counselling sessions, and even more when a third session addressed the parents at home.

STUDY 2012 HTM file
Randomized trial of a reentry modified therapeutic community for offenders with co-occurring disorders: crime outcomes

From the USA, the first randomised trial of a post-prison therapeutic community designed for psychologically disturbed problem substance using offenders found it halved the numbers reimprisoned and did even better when preceded by similar in-prison treatment, confirmation that what happens when people leave prison can be critical.

REVIEW 2012 HTM file
Integrated programs for mothers with substance abuse issues: a systematic review of studies reporting on parenting outcomes

The first systematic review of whether integrated substance use/parenting programmes improve the parenting of problem substance using mothers found remarkably few quality studies, but enough to suggest that such programmes can improve the prospects of often highly at-risk children.

STUDY 2010 HTM file
Naltrexone and combined behavioral intervention effects on trajectories of drinking in the COMBINE study

Reanalysis of the largest US study of medication-based alcoholism treatment confirms that either naltrexone or psychological therapy improved outcomes more than medical care and placebos, while the two in combination or acamprosate added little. It also revealed previously invisible benefits when certain types of patients received certain treatments.

REVIEW 2012 HTM file
Acamprosate for alcohol dependence: a sex-specific meta-analysis based on individual patient data

The first comprehensive analysis of whether acamprosate treatment works as well for alcohol-dependent women as for men definitively concludes that across 22 mainly European trials it has had a virtually identical impact. The analysis also reports the drug's overall impact, finding that it helps prevent heavy drinking as well as fostering abstinence.

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