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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.
STUDY 2009 HTM file
Methadone patients in the therapeutic community: a test of equivalency
Are therapeutic communities incompatible with methadone maintenance? Not when staff have been prepared to accept and work with methadone patients and programmes adapted to accommodate them. Then patients stay as long and sustain abstinence from illegal drug use just as well as other residents.
Australian study addressing an issue greatly exercising the UK: do you get greater returns per £ from residential rehabilitation or from substitute prescribing? In terms of reduction in the frequency of heroin use, prescribing was one-and-a-half to three times more cost-effective.
STUDY 2004 PDF file 99Kb
How to transform a poor aftercare attendance record into an excellent one
Through a series of inexpensive or cost-free initiatives each building on the other, researchers at the US Salem Veterans Affairs medical centre transformed its aftercare attendance record and improved substance use outcomes.
STUDY 2004 PDF file 159Kb
Retention is not just about motivation
Being motivated enough to cut drug use before treatment entry leads to better outcomes, but even after taking this in to account, this huge US study found outcomes improved the longer patients stayed in residential or non-residential programmes.
STUDY 2004 PDF file 140Kb
Crack: making and sustaining the break
The first UK follow-up study of service use by crack users revealed that after residential crisis intervention practically none avoided relapse without the aid of follow-on treatment, especially residential rehabilitation and attending mutual aid groups.
STUDY 2003 PDF file 177Kb
Systematic but simple way to determine who needs residential care
In this US study the criteria and the methods used to develop them offer a way to reserve expensive residential rehabilitation for those who need it and to improve treatment completion rates in both residential and non-residential settings.
STUDY 2008 HTM file 9Kb
Helping drug treatment patients find work pays (some) dividends in Scotland
Scotland's DORIS project found that providing employment-related support as part of the addiction treatment package improved the employment prospects of at least a minority of patients.
STUDY 2002 PDF file 1321Kb
The grand design: lessons from DATOS
US drug treatment was under fire, over-stretched and facing the new challenge of crack cocaine when the huge DATOS study set out to test whether it was still delivering benefits, how it worked, and how it could be made better. Truly essential reading.
STUDY 2002 PDF file 431Kb
For crack users, non-residential rehabilitation can match residential
US crack users with no pressing reasons to enter residential versus non-residential rehabilitation did as well in either. Residential care is still needed (see Extended text) for patients it is unsafe or impractical to treat as outpatients.
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