Matrix search results

You have found 363 entries after clicking on a search link (usually the MORE information link) in a matrix cell. Starting with analyses of the most recently published documents, 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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HOT TOPIC 2021 HTM file
‘Dangerous data’: drinking after dependence

First cracked in 1960s London, the orthodoxy that abstinence is the only feasible treatment goal for ‘alcoholics’ seemed shattered in 1973 by evidence that even physically dependent patients could learn to drink in moderation. Controversy was fierce, reaching the US Congress, TV networks and the courts. Explore the history and contested research behind an issue facing every dependent drinker starting treatment.

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.

MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell E2: Treatment systems; Generic and cross-cutting issues

Seminal and key studies on local, regional and national systems for effectively and cost-effectively providing treatment. Explores whether payment by results stifles patient-centred practice or stretches services beyond comfort zones, the surprising results of a randomised trial of service-improvement mechanisms, and the multiple answers to how many drinkers should be in treatment. See the remaining four cells in row 2 of the matrix for more on generic features of medical and psychosocial therapies.

MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell D4: Organisational functioning; Psychosocial therapies

Key studies on how treatment organisations affect implementation and effectiveness of psychosocial therapies. Explores the effects of high staff turnover, how to reduce it, and the importance of services being ready for change, and asks whether change driven by money rather than humanitarian mission is just as good for patients.

MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell C2: Management/supervision; Generic and cross-cutting issues

Key studies on management and supervision across psychosocial and medical treatments of problem drinking. Highlights that “Manners Matter”, focuses on staff recruitment, queries the ubiquitous stages of change model, and details the fascinating history of the most controversial issue in alcohol treatment: whether to insist dependent drinkers try for abstinence. See the rest of row 2 of the matrix for more on features common to psychosocial and medical treatments.

REVIEW 2020 HTM file
Controlled drinking – non-abstinent versus abstinent treatment goals in alcohol use disorder: a systematic review, meta-analysis and meta-regression

Comprehensive review and amalgamation of findings from studies enabling a comparison of controlled drinking versus abstinence as treatment goals concludes that even among diagnosably dependent drinkers, neither has the advantage in promoting low-risk (non-)drinking.

MATRIX CELL 2020 HTM file
Effectiveness Bank Alcohol Treatment Matrix cell D2: Organisational functioning; Generic and cross-cutting issues

Key studies on the how the characteristics and functioning of treatment organisations affect implementation and effectiveness. Learn to see organisational context as part of treatment and about two evidence-based US quality improvement resources, and consider what makes treatment services engaging and how they could extend engagement into long-term continuing care. See the remaining four cells in row 2 of the matrix for more on generic features of medical and psychosocial therapies.

HOT TOPIC 2020 HTM file
How many drinkers should be in treatment?

One of our selection of hot topics – important issues which sometimes generate heated debate over the facts or their interpretation. What proportion of England’s problem drinkers might be in treatment, how far does that fall short of the number who should be – and how do we judge ‘should’? The proportion varies to a surprising degree depending on assumptions about who needs treatment.

MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell E4: Treatment systems; Psychosocial therapies

Key studies on systems for effectively and cost-effectively providing psychosocial therapies, and the roles of those therapies within the overall treatment system. Focus is on examining the research credentials of guidance from NICE and mutual aid’s potential to bridge the gap between diminished resources and heightened recovery ambitions.

MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell C4: Management/supervision; Psychosocial therapies

Seminal and key studies on management and supervision in psychosocial therapies. Focus is on evidence of the need for post-training ‘coaching’ and for letting therapists know how their clients are doing – especially when they are doing badly.

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