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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 2010 HTM file
Naltrexone and combined behavioral intervention effects on trajectories of drinking in the COMBINE study
Reanalysis of the largest US study of medication-based alcoholism treatment confirms that either naltrexone or psychological therapy improved outcomes more than medical care and placebos, while the two in combination or acamprosate added little. It also revealed previously invisible benefits when certain types of patients received certain treatments.
STUDY 2011 HTM file
Randomized controlled trial of a brief intervention for unhealthy alcohol use in hospitalized Taiwanese men
Even dependent drinkers among Taiwanese hospital patients substantially cut back their drinking after being identified and offered brief advice, findings from a study which provides one of the most convincing demonstrations yet that brief intervention can work in this setting.
Getting patients to take their medication is a major issue across medicine. This US alcohol treatment study enhanced compliance with treatment through a novel and manageable approach combining brief motivational interviewing with structured clinical counselling involving feedback on the patient's real-time pill-taking record.
STUDY 2010 HTM file
Clinical outcomes of a brief motivational intervention for heavy drinking mandated college students: a pilot study
Is being caught and disciplined all it takes to get heavy drinkers who violate university drinking rules to cut back? According to this US study, the discipline process does work, but adding brief motivational-style advice makes a worthwhile extra impact.
STUDY 2009 HTM file
The alliance in motivational enhancement therapy and counseling as usual for substance use problems
Rarely has counselling been so deeply analysed as in this US study of mainly alcohol and cocaine dependent patients. The far-reaching implications are that some counsellors generate relationships with clients which feed through to better outcomes – but also that the 'best' relationship builders are not on average the most effective.
STUDY 2012 HTM file
Four-year outcomes from the Early Re-Intervention (ERI) experiment using recovery management checkups (RMCs)
Chicago studies have shown that quarterly check-ups on former patients can identify need and pave the way for treatment re-entry. Though extra substance use/problem reductions were modest, these remained significant four years after the patients started treatment. Issue for the UK: how does this square with the stress on lasting treatment exit?
REVIEW 2011 HTM file
Implementing evidence-based psychosocial treatment in specialty substance use disorder care
Does implementing evidence-based psychosocial therapies actually lead to the intended practice changes and do these make things better for the clients? From this review, most clearly when the whole organisation is enrolled in the effort and training is bolstered by systematic and expert continuing supervision.
DOCUMENT 2013 HTM file
Sometimes best to break the rules
Motivational interviewing’s ‘Do not dos’ like avoiding confrontation were intended to sidestep the traps which provoke clients to dig in their heels or disengage. Imagine then the upset of discovering that in certain circumstances, the opposite is the case; the explanation appeared to lie in coming across as ‘genuine’.
DOCUMENT 2013 HTM file
When confrontation was challenged
Focus is on a seminal study from motivational interviewing’s originator which more than any other heightened the profile of the therapist’s interpersonal style in substance use counselling, seeming to confirm that heavy drinkers react best to non-confrontational nudging rather than the more bludgeoning style typical of the time.
STUDY 2010 HTM file
Effect of motivational interviewing on reduction of alcohol use
At Californian methadone clinics, group education sessions led by a nurse and focused on the risks of aggravating hepatitis infection led to the same substantial reductions in drinking as one-to-one or group motivational interviewing conducted by highly trained counsellors, offering a cost-effective means to reduce alcohol-related risks.
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