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HOT TOPIC 2017 HTM file
Promoting recovery through employment

One of our hot topics offering background and analysis on important issues which sometimes generate heated debate. Employment is seen as the key to lasting recovery, but how realistic is it for people whose lifestyles have revolved around using and obtaining drugs?

REVIEW 2010 HTM file
Research Review: The effectiveness of multidimensional family therapy in treating adolescents with multiple behavior problems – a meta-analysis

Review finds multidimensional family therapy more effective than group therapies and other psychosocial therapies, particularly among adolescents with severe substance use and other behavioural problems.

STUDY 2014 HTM file
For whom does prison-based drug treatment work? Results from a randomized experiment

For the first time in a prison setting a randomised trial rigorously compared intensive residential therapeutic community treatment to outpatient counselling. Confounding expectations, the US prison for problem drug users which hosted the study gained nothing in terms of preventing recidivism by allocating even high-risk prisoners to the more intensive treatment.

DOCUMENT 2017 HTM file
Young people’s statistics from the National Drug Treatment Monitoring System (NDTMS) 1 April 2015 to 31 March 2016

The diminishing youth treatment caseload in England is increasingly dominated by under-18s primarily being treated for cannabis use problems as the numbers of primary problem drinkers falls away to just 15% of the caseload.

STUDY 2016 HTM file
Adult substance misuse statistics from the National Drug Treatment Monitoring System (NDTMS) 1 April 2015 to 31 March 2016

For the second time the annual accounting of the treatment caseload in England combines records of drug and alcohol use treatment, registering a continuing fall in total numbers and decreasing success with opiate users, while the treatment of drinkers appears to be improving.

STUDY 2012 HTM file
An evaluation of the Option 2 intensive family preservation service

In Wales Option 2 works intensively over a few weeks with substance using parents whose children are at serious risk – serious enough for imminent care proceedings. This second evaluation confirmed that the cost-saving service helps keep children with their families without inadvertently harming the children.

REVIEW 2013 HTM file
The comparative effectiveness of outpatient treatment for adolescent substance abuse: A meta-analysis

Multi-prong therapies centred on the family emerge as probably the most effective in this comprehensive and careful synthesis of the results of trials of non-residential programmes for substance using teenagers – but do the outcomes warrant the extra costs?

REVIEW 2014 HTM file
Estimating the efficacy of Alcoholics Anonymous without self-selection bias: an instrumental variables re-analysis of randomized clinical trials

12-step fellowships offer a way to reconcile shrunken resources with the desire to get more patients safely out of treatment. Accounting for the self-selection bias which has obscured AA’s impacts, this synthesis of US trials finds that attending more meetings after treatment boosts abstinence. Why then is research equivocal on whether promoting attendance improves drink-related outcomes?

STUDY 1957 HTM file
A study of three types of group psychotherapy with hospitalized male inebriates

Early US study uncovered for the Alcohol Treatment Matrix found a Rogerian client-centred therapy characterised by non-directive, empathic listening beneficially changed self-perceptions of alcohol-dependent patients and reduced relapse compared to approaches based on learning theory or psychoanalysis.

STUDY 2008 HTM file
Still hard to find reasons for matching patients to therapies

The UK Alcohol Treatment Trial has confounded expectations that a motivational approach would be preferable for unmotivated or hostile patients, while supportive social networks would be particularly important for patients lacking these to begin with.

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