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Has enough high-quality evidence accumulated over the past five years to improve confidence in the effectiveness of residential treatment?
Evidence gathered over the last decade affirms the greater effectiveness of therapeutic communities in prison versus other treatment models, and highlights improved recidivism and drug use outcomes when the prison regimen is reinforced by community aftercare on release.
On the important national indicator of completing treatment and not returning for treatment in the following six months, inpatient and residential treatments for alcohol use disorders in England appeared to be effective half the time. Longer duration of treatment and ongoing care were associated with a greater likelihood of successfully completing treatment.
MATRIX CELL 2018 HTM file
Drug Treatment Matrix cell E4: Treatment systems; Psychosocial therapies
Seminal and key studies on local, regional and national systems for effectively and cost-effectively providing psychosocial therapies and the place of those therapies within these systems. Asks whether mutual aid groups can bridge the widening gap between resources and recovery ambitions, whether residential rehabilitation should be a last resort, and how tightly commissioners should specify services.
Systematically applying simple prompts and motivators can improve aftercare attendance and help sustain progress made during initial residential treatment, offering a way to preserve the benefits of the investment made by patients, services and funders.
For the first time in a prison setting a randomised trial rigorously compared intensive residential therapeutic community treatment to outpatient counselling. Confounding expectations, the US prison for problem drug users which hosted the study gained nothing in terms of preventing recidivism by allocating even high-risk prisoners to the more intensive treatment.
Early US study uncovered for the Alcohol Treatment Matrix found a Rogerian client-centred therapy characterised by non-directive, empathic listening beneficially changed self-perceptions of alcohol-dependent patients and reduced relapse compared to approaches based on learning theory or psychoanalysis.
HOT TOPIC 2017 HTM file
Residential rehabilitation: the high road to recovery?
‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Asks whether residential rehabilitation is particularly suited to today’s abstinence-based recovery ambitions, and whether nevertheless these services are under threat, treated as a last resort rather than a front-line option.
DOCUMENT 2012 HTM file
Quality standard for drug use disorders
Official UK quality standards on the treatment of adults for problems related to the use of illegal drugs, intended be used to plan and deliver services to provide the best possible care.
HOT TOPIC 2016 HTM file
Is it futile to match alcohol treatments to the patient?
‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Even if overall one type of therapy for problem drinking is no better than another, surely this is just because certain therapies worked best with certain patients? Expectations that ‘matching’ would lead to improved outcomes were dashed in what was intended to be the definitive test, but it would be premature entirely to dismiss the idea.
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