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In Norway, long-term continuity of care by the same adults in a family-like setting outside the home (a specially funded foster home or residential centre) was the key to a better later life for severely troubled young teenage substance users.
STUDY 2011 HTM file
Prison health needs assessment for alcohol problems
What does the Scottish Prison Service need to do to adequately address alcohol problems among inmates? This needs assessment funded by the Scottish Government assesses the size of the problem, identifies the gaps, and recommends ways to plug them based on a review of relevant research.
REVIEW 2010 HTM file
Is the therapeutic community an evidence-based treatment? What the evidence says
By means of this review of prominent North American trials and meta-analyses, a leading researcher in to therapeutic communities tries to settle the issue of whether these effectively and cost-effectively treat addiction, so research can move on to how to make them more effective.
STUDY 2006 PDF file 113Kb
Recently attempting suicide one of the strongest indicators for residential treatment
In this US study most patients benefited to roughly the same degree from residential and non-residential programmes, but those who had recently attempted suicide responded dramatically better to residential programmes, doing even better than the other patients.
STUDY 2005 PDF file 103Kb
Offenders do better in treatment if sanctions credible and clear
Offenders in New York ordered to the same residential therapeutic communities stayed longer and later committed fewer crimes if sent by criminal justice programmes which had credible sanctions and ensured offenders understand these and knew they were being monitored.
STUDY 2005 PDF file 166Kb
Continuity vital after prison treatment
Though the original treatments were diametrically opposed, two long-term follow-up studies have confirmed that post-release continuity is vital to sustain the benefits of treatment in prison.
STUDY 2005 PDF file 195Kb
Abused women gain more from holistic counselling
A major US government project found that women with substance use and mental health problems and traumatised by a history of sexual or physical abuse benefited most from services which offered integrated counselling addressing all these issues.
Further analysis of findings from a US inpatient centre shows that systematically applying simple prompts and motivators especially and substantially improved aftercare attendance among patients with mental health problems, helping sustain progress made during initial treatment.
STUDY 2005 PDF file 149Kb
Addressing medical and welfare needs improves treatment retention and outcomes
In this US treatment study, receiving services matched to need was associated with greater reductions in illegal drug use, supporting calls for services to address not just dependence but also medical, psychological, social, housing, and vocational needs.
STUDY 2004 PDF file 117Kb
Outcomes maintained when UK alcohol unit cut day programme from ten to six weeks
First a Liverpool alcohol treatment unit cut inpatient stays from eight to four weeks, then cut its day programme from ten to six weeks. In both cases there was no significant reduction in the proportion of patients with good drinking outcomes.
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