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STUDY 2008 HTM file
Concern over abstinence outcomes in Scotland's treatment services
A study of drug (mainly heroin) users starting treatment in 2001 in Scotland revealed what the researchers believed were worryingly low rates of abstinence nearly three years later, but the findings have been widely misinterpreted.
STUDY 2008 HTM file
Self-financing resident-run houses maintain recovery after treatment
A US recovery model has proved its effectiveness in a rare randomised trial of a mutual aid intervention. The self-financing structure may help overcome restrictions on the supply and duration of residential rehabilitation in the UK.
STUDY 2001 PDF file 98Kb
Opiate detoxification: spending more may save long term
British study suggests that inadequately supervised outpatient programmes may be a waste of money and that costly specialist inpatient programmes are not necessarily more costly per abstinent outcome, but methodological flaws cloud the picture.
STUDY 2000 PDF file 581Kb
Force in the sunshine state
Early in the 1960s administrative blunders in California paved the way for what remains the most convincing test of court-ordered treatment. The mistakes created a near-perfect yet natural control group against which to compare outcomes.
STUDY 2000 PDF file 166Kb
Rare attempt to compare cost-effectiveness of different treatments for different clients
Studies of the cost-effectiveness of addiction treatment in Ohio suggest that per $, short intensive programmes deliver the best abstinence returns for severely addicted patients, less intensive outpatient programmes for patients using less frequently.
STUDY 2000 PDF file 167Kb
Cocaine treatment nets benefits for society
Major US national project shows that even the least promising of cocaine dependents can dramatically cut drug use and crime, though it often takes long-term residential care. Less problematic clients generally do just as well in non-residential settings.
STUDY 2000 PDF file 148Kb
English residential rehabilitation services doing well but could do better
A report from the UK National Treatment Outcome Research Study (NTORS) spotlights the achievements of residential services for drug users but more could be done to improve retention and it is unclear how much the treatment had to do with the outcomes.
REVIEW 2000 PDF file 140Kb
Attending AA: encourage but don't coerce
A synthesis of studies which tested Alcoholics Anonymous groups or AA-based residential programmes against formal/no treatment suggests outcomes are similar to other treatments when the drinker chooses these options. Coercion may be counterproductive.
STUDY 2000 PDF file 165Kb
Brief 12-step therapy can work for children too
The limitations of US health insurance permitted this rare quasi-random test of whether 12-step treatment is effective for adolescents dependent mainly on cannabis or alcohol and of whether doing this in a residential setting improves outcomes.
STUDY 2000 PDF file 110Kb
Mandatory aftercare (probably) reduces recidivism after prison treatment
Reduced reoffending after treatment in Texas's first prison-based therapeutic community for drug users depended on completion of a residential aftercare phase, reinforcing the throughcare element of UK prison service plans.
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