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REVIEW 2009 HTM file
Integrated psychological treatment for substance use and co-morbid anxiety or depression vs. treatment for substance use alone: a systematic review of the published literature
Most patients at drug and alcohol services suffer depression and/or anxiety, far too many and usually not severely enough to engage mental health services. Faced with this huge problem, should services offer special mental health therapies, or is substance-focused treatment sufficient?
STUDY 2010 HTM file
Initial preference for drinking goal in the treatment of alcohol problems: II. Treatment outcomes
Data from Britain's largest alcohol treatment trial is used to address possibly the most contentious issue in the field – whether services should offer moderation as well as abstinence goals to dependent clients. 'Let the patient choose' seems the general conclusion.
NOTES 2002 PDF file 166Kb
Residential versus non-residential treatment
Notes on whether and for whom residential care improves on (generally intensive) non-residential alternatives.
STUDY 2009 HTM file
A randomized trial of individual and couple behavioral alcohol treatment for women
Alcohol dependent women experienced more lasting improvements when couples-based therapy embedded therapeutic processes in a lasting relationship with a willing husband or partner, extending an impressive research portfolio for the therapy.
STUDY 2009 HTM file
Changing network support for drinking: Network Support Project 2-year follow-up
Treatment services do not have to adopt, or ask patients to adopt, the belief system on which 12-step groups are founded in order to effectively encourage patients to tap in to the social support offered by these groups and improve their chances of sustained abstinence.
REVIEW 2008 HTM file
Identifying cost-effective interventions to reduce the burden of harm associated with alcohol misuse in Australia
Comprehensive calculations from Australia offer clues to what in countries like the UK would make the biggest dent in alcohol-related harm at the lowest cost; top of the list were alcohol tax rises, advertising bans, licensing controls, and random breath testing.
REVIEW 2009 HTM file
The state of pharmacotherapy for the treatment of alcohol dependence
Review finds some but inconsistent and often modest support for each of the four medications approved by the US administration for the treatment of alcohol dependence: disulfiram; acamprosate; oral naltrexone; and once-monthly, injectable, extended-release naltrexone.
REVIEW ABSTRACT 2009 HTM file
Continuing care research: what we have learned and where we are going
Are alcohol and drug dependence best treated as chronic conditions needing extended care, or should we expect patients to recover and leave treatment? Whatever the answer, this review finds that generally the offer of long-term continuing care leads to better outcomes.
REVIEW 2008 HTM file
Psychosocial interventions for people with both severe mental illness and substance misuse
Latest update from the respected Cochrane review process still finds no reason to advocate replacing conventional care with specialised therapeutic approaches/teams when severe mental illness is complicated by substance use.
STUDY 2005 PDF file 180Kb
Aftercare calls suit less relapse-prone patients
An intensive US outpatient programme found that for less relapse-prone patients, a flexible aftercare regime mixing initial support groups with regular phone calls was at least as effective as entirely face-to-face contact, yet far less time-consuming.
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