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You have found 162 entries after clicking the GO button or a search link in a hot topic. Starting with the most recently added or updated entries, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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STUDY 2005 PDF file 145Kb
Screening and motivational interviews work with heroin and cocaine users

Substantial minorities of heroin and cocaine users identified while visiting a US hospital for medical care cut back after assessment and brief motivational counselling, extending the potential of this approach beyond heavy drinkers.

STUDY 2005 PDF file 150Kb
Brief interventions short-change some heavily dependent cannabis users

This large US study demonstrated that dependent cannabis users can benefit from individualised therapy which extends beyond the brief approaches previously found to produce outcomes equivalent to longer treatments.

REVIEW 2008 HTM file
Psychosocial interventions for people with both severe mental illness and substance misuse

Latest update from the respected Cochrane review process still finds no reason to advocate replacing conventional care with specialised therapeutic approaches/teams when severe mental illness is complicated by substance use.

STUDY 2009 HTM file
Counselor skill influences outcomes of brief motivational interventions

Few studies can manage the painstaking analyses needed to identify what makes for successful counselling. This Swiss study broke new ground in dissecting why some brief interventionists had far better results than others with risky drinking A&E patients.

STUDY 2009 HTM file
Results from two randomized clinical trials evaluating the impact of quarterly recovery management checkups with adult chronic substance users

In the USA two studies have shown that quarterly check-ups on former patients help identify the need for and motivate further treatment, but gains in substance use/problem reductions only became evident when improved procedures were introduced, and even then remained modest.

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.

ABSTRACT 2008 HTM file
Improving public addiction treatment through performance contracting: the Delaware experiment

Instead of telling addiction treatment providers what to do to qualify for funding, the US state of Delaware set recruitment and engagement targets and largely left the methods up to the services. Result: more and more engaging treatment without stifling innovation.

STUDY 2005 PDF file 175Kb
Match motivational interviews to the client

Motivational interviews are not universally beneficial or at worst neutral – sometimes they make things worse. In this US study they helped ambivalent patients make the most of their treatment but impeded the recovery of those already committed to change.

STUDY 2005 PDF file 160Kb
Structured nursing advice helps alcohol home detox patients keep staying sober

Restructuring the nursing involved in British home detoxification programmes meant that a year later a third more patients were no longer drinking heavily, creating a highly cost-effective intervention.

REVIEW 2008 HTM file
Systematic review and meta-analyses of strategies targeting alcohol problems in emergency departments: interventions reduce alcohol-related injuries

Combining results from the few available evaluations of emergency department-based alcohol interventions suggests these substantially reduce alcohol-related injuries, but the estimate may not be applicable outside the USA or to all emergency patients.

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