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STUDY 2009 HTM file
A practical clinical trial of coordinated care management to treat substance use disorders among public assistance beneficiaries

Further demonstration from a US research team that relatively intensive case management support does help welfare applicants overcome substance use problems, but in this case only those not already managed through substitute prescribing.

STUDY 2005 PDF file 118Kb
Therapist directiveness is an important influence on outcomes

One of the few 'matches' found by the huge US Project MATCH alcohol treatment trial was that motivational therapy bettered CBT for clients prone to anger. One of the clinics has shown why – because motivational therapists were less directive.

STUDY 2005 PDF file 104Kb
Phone reminders cut 'no shows' by nearly two-thirds

By introducing a phoned reminder, an alcohol treatment clinic in Liverpool cut by nearly two-thirds the number of patients who simply failed to turn up for assessment, avoiding wastage of staff time due to missed appointments.

ABSTRACT 2008 HTM file
Improving public addiction treatment through performance contracting: the Delaware experiment

Instead of telling addiction treatment providers what to do to qualify for funding, the US state of Delaware set recruitment and engagement targets and largely left the methods up to the services. Result: more and more engaging treatment without stifling innovation.

STUDY 2005 PDF file 175Kb
Match motivational interviews to the client

Motivational interviews are not universally beneficial or at worst neutral – sometimes they make things worse. In this US study they helped ambivalent patients make the most of their treatment but impeded the recovery of those already committed to change.

STUDY 2005 PDF file 160Kb
Structured nursing advice helps alcohol home detox patients keep staying sober

Restructuring the nursing involved in British home detoxification programmes meant that a year later a third more patients were no longer drinking heavily, creating a highly cost-effective intervention.

STUDY 2005 PDF file 142Kb
Anti-alcohol drug also reduces cocaine use

US trial shows that when cocaine dependence and heavy drinking are intertwined, prescribing the anti-alcohol medication disulfiram helps resolve both problems, unless patients are so wedded to drink that they stop taking the pills.

STUDY 2005 PDF file 170Kb
'Real-world' studies show that medications do suppress heavy drinking

Three trials found that drugs commonly used to treat alcohol dependence improve outcomes for an appreciable minority of patients, even under conditions close to normal practice. Together they offer clues to who benefits most from each medication.

IN PRACTICE 2005 PDF file 1242Kb
Wet day centres in Britain part 1: planning and setting up

Solid guidance based on a detailed analysis of UK centres offering street drinkers a place where they can start to reverse years of deterioration without having first to stop drinking. In this extraordinarily difficult task, good planning is key.

REVIEW 2008 HTM file
Recovery management and recovery-oriented systems of care: scientific rationale and promising practices

Sweeping, learned but practice-oriented tour-de-force from the US recovery advocate who sees the creation of a recovery-friendly environment as the best way to ensure a lasting resolution of substance use problems with or without abstinence.

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