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Even in a largely 12-step oriented programme, this US study showed that persistent and practical efforts can modestly strengthen 12-step group involvement after treatment and improve outcomes.
REVIEW 2005 PDF file 826Kb
Self help: don't leave it to the patients
Keith Humphreys and colleagues report on a workgroup of US experts on substance abuse self-help organisations. Main conclusion: self-help groups are too valuable to leave to chance. They should be actively promoted and facilitated by treatment services and policymakers.
REVIEW ABSTRACT 2009 HTM file
Peer-based addiction recovery support: history, theory, practice, and scientific evaluation
This monograph is likely to become the handbook for the growing peer-based recovery movement in the UK. For administrators, the approaches it reviews offer a way to reconcile decreasing per-patient resources with a policy agenda now focused on reintegration and recovery.
STUDY 2005 PDF file 118Kb
Therapist directiveness is an important influence on outcomes
One of the few 'matches' found by the huge US Project MATCH alcohol treatment trial was that motivational therapy bettered CBT for clients prone to anger. One of the clinics has shown why – because motivational therapists were less directive.
By selecting clients at the very edge of ethically requiring referral to residential care, this US study confirms that unless there are pressing contraindications, intensive non-residential options deliver equivalent outcomes. Often of course, there ARE pressing contraindications.
Reanalysis of the huge US Project MATCH alcohol treatment trial confirms that patients with pro-drinking social circles gained greater remission in drink problems when 'matched' to a therapy focused on generating a social circle (in the form of AA) with the opposite characteristics.
STUDY 2008 HTM file
Style not content key to matching patients to therapeutic approaches
Analysis of videoed therapy sessions from a Project MATCH alcohol treatment trial clinic showed that whether therapists appropriately adjusted their interpersonal style to the patient mattered more than which therapy they practised.
STUDY 2001 PDF file 300Kb
Brief motivational therapy minimises health care costs except among more problematic drinkers
In the US Project MATCH alcohol treatment trial, relatively brief motivational interviewing resulted in lower health care costs overall but costs incurred by poor prognosis patients were reduced most by the two more intensive (CBT and 12-step) therapies.
STUDY 2000 PDF file 179Kb
Mutual support helps sustain treatment gains
Three reports from the Los Angeles Target Cities Project suggest that attendance at mutual aid groups acts in synergy with formal treatment for stimulant dependence to improve and sustain outcomes.
STUDY 2000 PDF file 150Kb
Quality drug counselling can be at least as effective as professional psychotherapy
A major US government attempt to refine drug-free treatments for cocaine addiction confounded expectations by showing that well structured counselling approaches can better professionally delivered psychotherapies.
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