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IN PRACTICE 2000 PDF file 414Kb
Gone but not forgotten
Two small British alcohol projects overcame the obstacles and tested their performance against the bottom line - what happens to clients when they leave. Their experience is a challenge to others; it can be done, so why do so few agencies do it?
STUDY 2000 PDF file 104Kb
'Wet shelter' becomes home for street drinkers
After an uncertain start, an experimental project based in London's East End safely housed long-term rough sleepers unwilling to stop drinking, connecting them to medical and other services whilst allowing drinking on the premises.
STUDY 2000 PDF file 118Kb
Confidence helps resist a return to drinking
A Scottish study suggests that severely alcoholic men lacking social supports for a drink-free life can be trained to resist a return to heavy drinking, as long as they are helped to feel sufficiently confident in their abilities.
REVIEW 2000 PDF file 108Kb
Not just for the patients: community health and safety benefit from alcohol treatment
A review by two leading researchers convincingly argues that treating heavy drinkers not only helps the patients but also reduces the overall level of alcohol-related problems across a community, particularly the burden of liver disease.
REVIEW 2000 PDF file 104Kb
Injuries reduced even when interventions do not stop problem drinkers drinking
An unusually thorough attempt to garner all the available evidence leads to the tentative conclusion that interventions with problem drinkers can reduce injuries and deaths even when this is not the aim and when drinking itself seems unaffected.
STUDY 1999 PDF file 216Kb
Cost effectiveness of alcohol treatment improved by cutting inpatient stays
This well designed British study showed that outcomes need not suffer when inpatient stays for alcohol treatment are more than halved (but treatment intensity is maintained), with consequent improvements in cost-effectiveness.
STUDY 1999 PDF file 224Kb
Stepped care for drinkers yet to prove itself
The first evaluation of 'stepped care' for heavy drinkers found no added benefit from offering further treatment to those who did not respond to initial therapy, but the study was not a definitive refutation of this cost-saving approach.
REVIEW 1999 PDF file 841Kb
How brief can you get?
Three pioneering British studies dating back to the late '70s showed that alcohol problems could be reduced without intensive (and expensive) treatments. The implications were and remain immense, the controversy fierce.
IN PRACTICE 1999 PDF file 292Kb
Are we right to spend more?
Commissioners in London wanted to know if they were getting value for money from extending residential and day care stays for substance dependent clients. To find out they trialed the Christo Inventory, a new quick and simple monitoring tool.
STUDY 1999 PDF file 175Kb
US study establishes optimal durations for drug detoxification and rehabilitation
A new computerised network which tracked clients across the Boston treatment system revealed cut-off points beyond which greater retention in residential or outpatient treatment was not associated with higher rates of treatment completion.
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