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STUDY 2009 HTM file
Relating counselor attributes to client engagement in England

The most wide-ranging investigation of the organisational health of British treatment services found clients engaged best when services fostered communication, participation and trust among staff, had a clear mission, but were open to new ideas and practices.

ABSTRACT 2008 HTM file
An intervention for treating alcohol dependence: relating elements of medical management to patient outcomes in primary care

In a programme intended to simulate primary care management of alcohol dependence, what made the difference to patients was how far the clinician maintained confident optimism and responded to the patient rather than strictly adhering to the treatment manual.

STUDY 2009 HTM file
Improving 24-month abstinence and employment outcomes for substance-dependent women receiving Temporary Assistance For Needy Families with intensive case management

Intensive, long-term case management coordinating treatment and other services helped US 'welfare mothers' overcome their drug problems and gain full time employment.

REVIEW 2008 HTM file
Alcohol misuse: tackling the UK epidemic

Report from Britain's trade union and professional association for doctors reviewing the extent and consequences of problem drinking in the UK and making recommendations for government action and evidence-based policies.

REVIEW 2008 HTM file
Diagnosis and management of alcohol use disorders

Clinical guidance for UK health care professionals on managing alcohol problems based on a review of British and international official guidance and major systematic reviews and research syntheses.

STUDY 2004 PDF file 153Kb
Naltrexone helps GPs and practice nurses manage alcohol dependence

Further indications that naltrexone can aid the treatment of dependent drinkers in primary care settings have come from a US trial which tested the efficacy of the drug allied with the kind of consultations normally undertaken by GPs and practice nurses.

STUDY 2004 PDF file 117Kb
Outcomes maintained when UK alcohol unit cut day programme from ten to six weeks

First a Liverpool alcohol treatment unit cut inpatient stays from eight to four weeks, then cut its day programme from ten to six weeks. In both cases there was no significant reduction in the proportion of patients with good drinking outcomes.

STUDY 2004 PDF file 166Kb
Dual diagnosis add-on to mental health services improves outcomes

A unique British study has found that treatment-resistant schizophrenic patients benefit from additional integrated substance use/mental health therapy, which may also save costs by reducing the need for inpatient care.

STUDY 2007 HTM file
Day hospital and residential addiction treatment: randomized and nonrandomized managed care clients

By selecting clients at the very edge of ethically requiring referral to residential care, this US study confirms that unless there are pressing contraindications, intensive non-residential options deliver equivalent outcomes. Often of course, there ARE pressing contraindications.

META-ANALYSIS 2008 HTM file
Distinctions without a difference: direct comparisons of psychotherapies for alcohol use disorders

After combining results from studies comparing talking therapies for alcohol problems, this ingenious analysis finds any structured approach grounded in an explicit model as good as any other. Researchers have, it's argued, been looking in the wrong direction for therapy's active ingredients.

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