You have found 52 entries after clicking on a search link (usually the MORE information link) in a matrix cell. Sorted by the main topic addressed, 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 2008 HTM file
Reducing alcohol harm: health services in England for alcohol misuse
Official audit of work by the Department of Health and NHS to address the health effects of alcohol misuse. Describes a system whose infrastructure is clearly inadequate compared to the size of the task, but one recently taking steps in the right direction.
ABSTRACT 2008 HTM file
Improving public addiction treatment through performance contracting: the Delaware experiment
Instead of telling addiction treatment providers what to do to qualify for funding, the US state of Delaware set recruitment and engagement targets and largely left the methods up to the services. Result: more and more engaging treatment without stifling innovation.
REVIEW 2011 HTM file
A policy-oriented review of strategies for improving the outcomes of services for substance use disorder patients
Improving performance of substance use disorder treatment systems is no easy matter and one prone to unintended consequences. All the more welcome then is guidance from leading US experts with top-level experience in the UK and the USA; their favourite tactic, rewarding services for patient progress during treatment, is featured in UK payment-by-results schemes.
STUDY 2012 HTM file
Advancing recovery: implementing evidence-based treatment for substance use disorders at the systems level
In the US homeland of competition and private health care, it was cooperation and coordination which led to the introduction of new medications and innovations to promote continuing care – plus the exercise of regulatory and financial muscle and the salutary experience of senior staff who placed themselves in the patient's shoes.
STUDY 2011 HTM file
Performance-based contracting within a state substance abuse treatment system: a preliminary exploration of differences in client access and client outcomes
In 2007–08 the US state of Maine introduced a new scheme directly linking funding for outpatient treatment services to performance in terms of waiting times and retention, but financial and service delivery impacts were negligible. Were the incentives too weak, or were services already doing as well as they could?
MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell D4: Organisational functioning; Psychosocial therapies
Key studies on how treatment organisations affect implementation and effectiveness of psychosocial therapies. Explores the effects of high staff turnover, how to reduce it, and the importance of services being ready for change, and asks whether change driven by money rather than humanitarian mission is just as good for patients.
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.
MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell E4: Treatment systems; Psychosocial therapies
Key studies on systems for effectively and cost-effectively providing psychosocial therapies, and the roles of those therapies within the overall treatment system. Focus is on examining the research credentials of guidance from NICE and mutual aid’s potential to bridge the gap between diminished resources and heightened recovery ambitions.
STUDY 2012 HTM file
Audit of alcohol detoxification at Leeds Addiction Unit
In a specialist hospital unit in Leeds, virtually all the alcohol dependent outpatients completed detoxification and all but a few went on to try to sustain their drinking reductions using the aversive medication disulfiram, indicative of what can be achieved in these settings.
REVIEW 2012 HTM file
Computer based alcohol interventions
Worth trying but unproven for the UK and the general population and need evaluating, was the message of this review for the health service in Scotland of computer-based alcohol interventions as possible ways to extend the reach of treatment and of the national brief intervention programme.
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