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On several measures, the few drug dependent patients who accessed aftercare after treatment in Scotland in the early 2000s did better than the majority who chose to or were left to fend on their own – but could this be attributed to the aftercare, or would they have done well anyway?
Guidance to funding authorities on how to construct a local pattern of services from England's special health authority tasked to improve the availability, capacity and effectiveness of drug misuse treatment.
STUDY 2010 HTM file
A review of alcohol services for offenders in the North East region
Problem drinking offenders in north east England benefit from creative partnership working, but still this report baldly states that, "for 'alcohol only' prisoners, an alcohol care pathway does not exist"; low-level intervention in prison is followed by minimal support on release.
Abstinence and recovery characterised by employment are priority UK policy objectives to which the extension of mutual aid is considered a major route. This US study illustrates that both the route and the objectives are not just compatible with, but may be promoted by opiate maintenance prescribing.
Why do AA members join on-line groups which meet 'virtually' over the internet rather than or as well as face-to-face groups? Based on his own experiences and interviews with other members, an AA member supplies some answers, among which are the enrichment provided by international perspectives.
STUDY 2010 HTM file
Alcohol services in prisons: an unmet need
Prison inspections and surveys of prisoners and staff in England reveal a "depressing picture" of "very limited" services for problem drinking inmates, which leave them with poor prospects on release.
REVIEW 2011 HTM file
Adapting psychotherapy to the individual patient: Stages of change
Prochaska and DiClemente's stages of change reliably predict how well psychotherapy patients will do based on their initial stage, but no relevant studies were found on whether matching therapy to the patient's initial stage of change improves outcomes.
STUDY 2006 PDF file 114Kb
Self-help groups: transformation from helped to helper promotes recovery
Two US studies of drinkers and cocaine dependents respectively suggest that an identity transformation from someone capable only of receiving help to someone who makes a contribution by helping others is key to the impact of 12-step mutual groups.
STUDY 2006 PDF file 172Kb
Adjust therapist directiveness to client resistance
Persuasive evidence from the US Project MATCH alcohol treatment trial that a non-directive therapeutic style suits clients prone anger or defensiveness or who like to take control, and more structured and directive approaches suit those who welcome being given a lead.
Treatment services do not have to adopt, or ask patients to adopt, the belief system on which 12-step groups are founded in order to effectively encourage patients to tap in to the social support offered by these groups and improve their chances of sustained abstinence.
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