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REVIEW 2013 HTM file
Quitting drugs: quantitative and qualitative features
Innovative re-analysis of US national surveys reveals that no matter how long ago someone became dependent on an illegal drug or alcohol, their chances of achieving remission remain the same. The findings challenge models which assume that progressive neural, lifestyle or psychological changes increasingly lock someone in to addiction.
The largest recent US national survey of drink and drug problems shows that outside the addiction treatment clinic, remission is the norm and recovery common. After 14 years half the people at some time dependent on alcohol were in remission, a milestone reached for cannabis after six years, and for cocaine after just five.
REVIEW 2012 HTM file
Recovery/remission from substance use disorders: an analysis of reported outcomes in 415 scientific reports, 1868–2011
Positive message of this compendious synthesis of hundreds of studies is that "Recovery is not an aberration achieved by a small and morally enlightened minority of addicted people. If there is a natural developmental momentum within the course of [these] problems, it is toward remission and recovery."
DOCUMENT 2012 HTM file
Improving outcomes and supporting transparency part 1: A public health outcomes framework for England, 2013–2016
Sets out the structure and objectives of the public health system for England effective from April 2013 and how progress against these objectives will be measured, including addiction treatment completions, alcohol-related hospital admissions, and prisoners identified as needing treatment for alcohol/drug problems.
STUDY 2011 HTM file
Quality concerns with routine alcohol screening in VA clinical settings
In the US health care service for ex-military personnel, 61% of patients who screened positive when sent a postal survey did not do so when the same questions were asked by their clinics, casting doubt on the validity of the test in routine practice in a service where the emphasis was more on the quantity than the quality of screening.
STUDY 2010 HTM file
Evaluation of an electronic clinical reminder to facilitate brief alcohol-counseling interventions in primary care
When a patient has screened positive for risky drinking, up pops a computerised prompt to remind the clinician to consider counselling, yet at a service for US ex-military personnel the reminder was rarely used and made no difference to patients' drinking. Why were results so different from those at other clinics?
STUDY 2011 HTM file
Effect of the increase in 'alcopops' tax on alcohol-related harms in young people: a controlled interrupted time series
A tax rise on 'alcopops' was on the agenda in Britain until they fell out of favour among young drinkers. Australia did however increase tax by a huge 70%. This study found no impact on short-term alcohol-related harm among the young revellers of its Gold Coast district, but probably there were broader benefits from reduced drinking.
STUDY 2010 HTM file
Changes in alcohol consumption and beverage preference among adolescents after the introduction of the alcopops tax in Germany
Concern that sweetened alcoholic drinks ('alcopops') seduced adolescents to start drinking more and sooner led Germany to impose a tax rise nearly doubling their price. It dented their consumption among teenage drinkers, but switching to spirits and other products eroded the overall drop in alcohol consumption.
STUDY 2010 HTM file
A comparison of two single-item screeners for hazardous drinking and alcohol use disorder
Can you get away with asking just a single question to identify risky drinkers and even dependent drinkers? When the thresholds are suitably adjusted, asking either about frequency of heavy drinking or maximum single-occasion consumption worked remarkably well in the US general population.
STUDY 2010 HTM file
Cracking down on youth tobacco may influence drug use
In Illinois in the USA, randomly allocating towns to enforce laws against youth smoking in public led not just to fewer youth smoking but also fewer drinking or using and being offered illegal drugs - did anti-tobacco policing spill-over to create an environment unfriendly to drinking and illegal drug use?
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