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STUDY 2010 HTM file
What process research tells us about brief intervention efficacy

The disappointing finding of no impact in a Swiss study of a brief alcohol intervention with risky drinking A&E patients prompted painstaking analyses of why some patients did respond, and why some counsellors had far better results than others.

STUDY 2009 HTM file
From in-session behaviors to drinking outcomes: a causal chain for motivational interviewing

This substudy from the seminal US Project MATCH alcohol treatment trial found evidence for the appealingly simple and plausible conclusions that "What therapists reflect back, they will hear more of," and that promoting talk about change promotes change itself.

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.

REVIEW 2010 HTM file
A meta-analysis of motivational interviewing: twenty-five years of empirical studies

Better than 'treatment as usual' but not than other specific therapies are the headlines from the most comprehensive synthesis of motivational interviewing studies to date. Along the way are insights in to the equivocal value of manuals and of feeding back assessment results to patients.

IN PRACTICE 2005 PDF file 813Kb
Wet day centres in Britain part 2: Care Control Challenge

Part 2 of our mini-series on wet day centres in Britain will ring bells not just for alcohol workers but also for drug workers in needle exchanges and drop-in services. Maureen Crane and Tony Warnes analyse what it takes to work productively in one of the most challenging of settings.

SERIES OF ARTICLES 2005 PDF file 1935Kb
Wet day centres in Britain

In drug and alcohol services, it doesn't get more difficult than this – offering street drinkers a place where they can start to reverse years of deterioration, without having first to stop drinking.

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.

REVIEW ABSTRACT 2009 HTM file
Peer-based addiction recovery support: history, theory, practice, and scientific evaluation

This monograph is likely to become the handbook for the growing peer-based recovery movement in the UK. For administrators, the approaches it reviews offer a way to reconcile decreasing per-patient resources with a policy agenda now focused on reintegration and recovery.

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 2009 HTM file
Relating counselor attributes to client engagement in England

The most wide-ranging investigation of the organisational health of British treatment services found clients engaged best when services fostered communication, participation and trust among staff, had a clear mission, but were open to new ideas and practices.

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