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HOT TOPIC 2017 HTM file
Substance use treatment as part of a ‘wrap-around’ package of care

One of our hot topic essays on important issues which sometimes generate heated debate. Asks whether supplementing addiction treatment with ‘wrap-around’ services is a distraction, or part of the core business of sustainably overcoming addiction. What’s for sure is that mental health, social and material resources, and the wherewithal for social inclusion, are all often lacking in addiction treatment caseloads; but does addressing these promote recovery?

HOT TOPIC 2016 HTM file
‘Recovery’: meaning and implications for treatment

One of our selection of hot topics – important issues which sometimes generate heated debate. Since 2008 the “recovery” objective has been at the heart of British drug treatment policy. Where did it come from and what does it mean for treatment services?

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?

STUDY 1962 HTM file
The abstinent alcoholic

Classic description of the patient who has sustained abstinence after treatment but is still unhappy, unfulfilled and/or nervously hanging on – in other words, not really ‘recovered’. They formed the majority of patients seen at Connecticut’s alcohol clinics in the 1950s who were not drinking at follow-up.

STUDY 2010 HTM file
Alcohol misusers’ experiences of employment and the benefit system

Substantial barriers to employment were revealed by interviews with alcohol service clients in Britain and with staff working in or with treatment agencies. Holistic recovery rather than just completing treatment was the key. Reviews relevant international research.

SERIES OF ARTICLES 2006 PDF file 6115Kb
Manners Matter

Five-part series not so much on what treatment services do, but how they do it. Conclusion: the same human qualities which make life better outside treatment make it better within - empathy, understanding, respect, responsiveness, caring persistence.

STUDY 1999 PDF file 727Kb
Project MATCH: unseen colossus

Aided by the US investigators and British experts, FINDINGS analyses what was intended to be the definitive test of whether different types of alcohol dependent patients benefit from different kinds of psychosocial therapies.

REVIEW 2001 PDF file 594Kb
Cycle of change

Its simplicity is beguiling, but does the ubiquitous Prochaska and DiClemente cycle of change model simply describe the change process, or help predict and accelerate it? Professor Robin Davidson casts a sceptical eye over the evidence.

STUDY 2002 PDF file 178Kb
Non-returners benefit from making initial alcohol treatment assessment into a brief intervention

In Canada a brief motivational intervention integrated into initial assessment substantially reduced drinking among drinkers who did not return for treatment, offering a fail-safe mechanism to cater for early drop-out.

STUDY 2003 PDF file 110Kb
Initial motivational session improves alcohol treatment retention and outcomes

At a US outpatient alcohol service an initial motivational interview was more effective than 'role induction' (informing the patient about the treatment) at encouraging new clients to stay longer and to gain more from the treatment which followed.

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