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You have found 363 entries after clicking on a search link (usually the MORE information link) in a matrix cell. Sorted by the main topic addressed, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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STUDY 2010 HTM file
Planned and unplanned discharge from alcohol services in Scotland, 2004–2008

In the mid-2000s over 50% of terminated alcohol treatment episodes in Scotland ended with the client or patient dropping out. Considerable variation between regions suggests there is room for improvement and with it improvement in the cost effectiveness of services.

STUDY 2011 HTM file
Reducing the impact of alcohol-related harm to Londoners – how well are we doing?

Seven years after the first alcohol harm reduction strategy for England, this audit finds treatment access and brief intervention work has progressed in London but funding is often precarious and GP services are surprisingly under-developed.

STUDY 2011 HTM file
South East Alcohol Innovation Programme: evaluation report

In the south east of England a bidding exercise spawned a spate of short-term innovative projects to reduce alcohol-related harm, from which five models were assessed as most promising and taken forward for further implementation and assessment the following year – a rapid and intensive test bed from which others can learn as well.

REVIEW 2011 HTM file
A policy-oriented review of strategies for improving the outcomes of services for substance use disorder patients

Improving performance of substance use disorder treatment systems is no easy matter and one prone to unintended consequences. All the more welcome then is guidance from leading US experts with top-level experience in the UK and the USA; their favourite tactic, rewarding services for patient progress during treatment, is featured in UK payment-by-results schemes.

STUDY 2012 HTM file
Advancing recovery: implementing evidence-based treatment for substance use disorders at the systems level

In the US homeland of competition and private health care, it was cooperation and coordination which led to the introduction of new medications and innovations to promote continuing care – plus the exercise of regulatory and financial muscle and the salutary experience of senior staff who placed themselves in the patient's shoes.

STUDY 2010 HTM file
Does meeting the HEDIS substance abuse treatment engagement criterion predict patient outcomes?

This first major multi-modality test of a treatment engagement indicator widely used as a quality control yardstick in the USA found it was only very weakly related to patient improvement seven months after starting treatment, confirmation that simple measures of what happens during treatment struggle to capture what really makes treatment effective.

STUDY 2011 HTM file
Performance-based contracting within a state substance abuse treatment system: a preliminary exploration of differences in client access and client outcomes

In 2007–08 the US state of Maine introduced a new scheme directly linking funding for outpatient treatment services to performance in terms of waiting times and retention, but financial and service delivery impacts were negligible. Were the incentives too weak, or were services already doing as well as they could?

STUDY 2012 HTM file
Delivering service quality in alcohol treatment: a qualitative comparison of public and private treatment centres by service users and service providers

This small English study poses fundamental questions about alcohol treatment services: whether private services suffer from an ‘empathy gap’ and NHS services from poor systems; whether opening up treatment choice to patients with a record of bad decision-making is a good thing; and whether there can be universal criteria for what counts as quality provision.

DOCUMENT 2014 HTM file
How many drinkers should be in treatment?

Depending on the criteria, Britain’s performance in ensuring needy drinkers enter treatment can look anywhere from an abysmal 7% to an excellent 40%. Does where you draw the line depend on how you want to portray Britain’s performance?

STUDY 2014 HTM file
Assessing the availability of and need for specialist alcohol treatment services in Scotland

Evidence that in 2012 Scotland’s alcohol treatment caseload equated to about 1 in 4 of the country’s alcohol-dependent adults, over three times the 1 in 14 ratio in England, partly a consequence of extra funding accompanying Scotland’s 2009 national alcohol strategy. Evidence too of a peer-based recovery orientation taking root.

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