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SERIES OF ARTICLES 2006 PDF file 6115Kb
Manners Matter

Five-part series not so much on what treatment services do, but how they do it. Conclusion: the same human qualities which make life better outside treatment make it better within - empathy, understanding, respect, responsiveness, caring persistence.

REVIEW 2006 PDF file 1464Kb
Motivational arm twisting: contradiction in terms?

Part 4 of the Manners Matter series asks whether motivational interviewing can overcome the hostile prison environment and the distrust of youngsters, drink drivers and other offenders pressured into counselling by the criminal justice system.

REVIEW 2006 PDF file 797Kb
My way or yours?

Do you bristle when someone else takes the lead or gladly take a back seat? In therapy too, directiveness matters, and in a surprisingly consistent way. Part 5 of the Manners Matter series unpicks the common thread from the literature.

STUDY 2006 PDF file 172Kb
Adjust therapist directiveness to client resistance

Persuasive evidence from the US Project MATCH alcohol treatment trial that a non-directive therapeutic style suits clients prone anger or defensiveness or who like to take control, and more structured and directive approaches suit those who welcome being given a lead.

STUDY 2006 PDF file 164Kb
UK trial bolsters case for well-supervised alcohol therapy

This major British trial found that an alcohol dependence therapy designed to improve on short motivational approaches led to no greater benefits for patients or cost-savings for society. Instead the study has been used to argue that alcohol treatment overall saves money.

STUDY 2006 PDF file 169Kb
Soup kitchen turned into therapeutic setting

A successful group therapy programme at a large New York soup kitchen shows that welfare services with high concentrations of problem substance users can be transformed from environments which impede recovery into ones which promote it.

STUDY 2006 PDF file 170Kb
Naltrexone aids primary care alcohol treatment

Findings from the large-scale US COMBINE study add to accumulating evidence that the drug naltrexone is a valuable therapeutic enhancement for the kind of dependent drinkers and the kind of treatments suited to primary care settings.

STUDY 2006 PDF file 106Kb
Improving continuity of care in a public addiction treatment system with clinical case management

In Philadelphia intensive case management created the kind of post-detoxification continuity of care which dramatically cut repeated admissions for detoxification, increased the numbers able to be treated, and offered patients a better chance of gaining lasting stability.

REVIEW 2005 PDF file 813Kb
The motivational hallo

Part 3 of the Manners Matter series investigates motivational interviewing, the most influential counselling style in addiction treatment. At first we couldn't believe what we'd found - but it really has worked best without a manual.

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.


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