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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.
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 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.
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.
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 HTM file
How does motivational interviewing work? Therapist skill predicts client involvement within motivational interviewing sessions
Analysis of counselling session recordings from therapists trained in motivational interviewing suggests that the important quality of seeming 'genuine' can suffer if training mandates unnaturally withholding normal responses; however, departing from these tenets is risky unless done by a socially skilled therapist.
REVIEW 2005 HTM file
Effectiveness of workshop training for psychosocial addiction treatments: a systematic review
Concludes that retaining psychosocial therapy skills after the popular workshop training format requires follow-up consultation, supervision or feedback. Rather than simply ‘ticking the box’ by sending staff to one-off workshops, the implication is that services must invest much more to be confident the investment has paid off for clients.
STUDY 2004 PDF file 166Kb
Dual diagnosis add-on to mental health services improves outcomes
A unique British study has found that treatment-resistant schizophrenic patients benefit from additional integrated substance use/mental health therapy, which may also save costs by reducing the need for inpatient care.
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