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HOT TOPIC 2020 HTM file
The complexity and challenge of ‘dual diagnosis’
One of our hot topics offering background and analysis on important issues which sometimes generate heated debate. Whether to focus on mental health problems or substance use problem when the patient exhibits both is long-standing conundrum which still puzzles today’s treatment services. Arising with as many as three-quarters of the drug treatment caseload, deciding how to respond is a is a major issue.
DOCUMENT 2016 HTM file
Guidelines on the management of co-occurring alcohol and other drug and mental health conditions in alcohol and other drug treatment settings
Updated guidelines funded by the Australian government recommend universal mental health screening for people accessing substance use services, and say that mental health issues do not pose an “insurmountable barrier” to effective substance use treatment.
STUDY 2010 HTM file
Computer-assisted cognitive rehabilitation for the treatment of patients with substance use disorders: a randomized clinical trial
Researchers have long suspected that pre-existing or drug/alcohol-induced cognitive deficits prevent patients making the most of treatments which rely on complex verbal communications and understandings. For the first time this US study has shown that psychological exercises to remedy these deficits do improve outcomes by helping patients get to grips with treatment.
REVIEW 2018 HTM file
Interventions to reduce the negative effects of alcohol consumption in older adults: a systematic review
The first review to focus on alcohol interventions for older people found some evidence that psychosocial interventions such as counselling and brief advice were effective, but the studies lacked sufficient detail to determine which elements of the interventions might be having an effect.
DOCUMENT 2019 HTM file
Canadian guidelines on alcohol use disorder among older adults
What Canadian experts judged to be the best clinical practice around the prevention, assessment, and treatment of alcohol use disorders in older people.
STUDY 2012 HTM file
The effect on reconviction of an intervention for drink-driving offenders in
the community
This study of a cognitive-behavioural course for convicted drink-drivers in England and Wales found no evidence that it reduced the reconviction rate, another disappointing finding on this widely implemented family of crime- reduction approaches.
OFFCUT 2001 PDF file 108Kb
US best practice and evidence-based treatment guides
Treatment Improvement Protocol expert consensus statements on best practice and evidence-based therapy manuals available free of charge from US government web sites.
IN PRACTICE 2003 PDF file 601Kb
Much more than outcomes
The principles behind this treatment monitoring system developed in Leeds remain relevant: grounded in a theory of addiction, it can accommodate the shifting priorities of politicians or commissioners without threatening its scientific integrity.
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.
DOCUMENT 2011 HTM file
Alcohol dependence and harmful alcohol use quality standard
From the UK health service standard-setting agency, a concise statement of 13 practices which constitute high quality health care for problem drinkers and good practice in identifying and advising hazardous drinkers - standards which may be used to assess and reward providers and health service commissioning authorities.
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