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STUDY 2009 HTM file
Evidence-based practice? The National Probation Service's work with alcohol-misusing offenders
This report on work in England and Wales describes a system creatively grappling with a huge drink problem among offenders, but one undermined by lack of evidence about what works and by under-resourcing linked to a dispute over whether health or probation should bear the core funding burden.
STUDY 2009 HTM file
Translating effective web-based self-help for problem drinking into the real world
Combining a randomised trial with a 'real-world' test, studies of the Dutch Drinking Less programme have gone further than any others to establish the beneficial impacts of web-based alcohol self-help interventions.
STUDY 2006 PDF file 113Kb
Recently attempting suicide one of the strongest indicators for residential treatment
In this US study most patients benefited to roughly the same degree from residential and non-residential programmes, but those who had recently attempted suicide responded dramatically better to residential programmes, doing even better than the other patients.
REVIEW 2006 PDF file 174Kb
Antidepressants curb depression but add little to strong 'talking therapies'
A trio of reviews of trials of antidepressants in the treatment of depressed alcohol or drug dependent patients have clarified that they do help the severely depressed, but also that they add little to psychosocial approaches such as cognitive-behavioural therapy.
STUDY 2006 PDF file 171Kb
Matching resources to needs is key to achieving 'wrap-around' care objectives
Linking treatment intake assessments to a computerised guide to local welfare and medical services transformed the assessments from redundant paperwork into a practical route to the reintegration services being advocated in Britain – and treatment completion rates doubled.
STUDY 2006 PDF file 161Kb
Warning sign aftercare for drinkers improves attendance and avoids relapse
Graduates from a British intensive day programme for alcohol dependence were trained to analyse why they had last relapsed in order to recognise and cope with the warning signs. The result was fewer relapses without significantly increased health and treatment costs.
STUDY 2006 PDF file 169Kb
Soup kitchen turned into therapeutic setting
A successful group therapy programme at a large New York soup kitchen shows that welfare services with high concentrations of problem substance users can be transformed from environments which impede recovery into ones which promote it.
STUDY 2006 PDF file 164Kb
UK trial bolsters case for well-supervised alcohol therapy
This major British trial found that an alcohol dependence therapy designed to improve on short motivational approaches led to no greater benefits for patients or cost-savings for society. Instead the study has been used to argue that alcohol treatment overall saves money.
STUDY 2006 PDF file 172Kb
Adjust therapist directiveness to client resistance
Persuasive evidence from the US Project MATCH alcohol treatment trial that a non-directive therapeutic style suits clients prone anger or defensiveness or who like to take control, and more structured and directive approaches suit those who welcome being given a lead.
REVIEW 2010 HTM file
A meta-analysis of motivational interviewing: twenty-five years of empirical studies
Better than 'treatment as usual' but not than other specific therapies are the headlines from the most comprehensive synthesis of motivational interviewing studies to date. Along the way are insights in to the equivocal value of manuals and of feeding back assessment results to patients.
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