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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.
ABSTRACT 2008 HTM file
An intervention for treating alcohol dependence: relating elements of medical management to patient outcomes in primary care
In a programme intended to simulate primary care management of alcohol dependence, what made the difference to patients was how far the clinician maintained confident optimism and responded to the patient rather than strictly adhering to the treatment manual.
STUDY 2004 PDF file 115Kb
Clues on to how to match clients to therapeutic styles
Convergent clues to how to match clients to therapist styles have emerged from research at a Philadelphia counselling service seeing poor black cocaine users and from an offshoot of Project MATCH involving mainly white, employed dependent drinkers.
STUDY 2003 PDF file 190Kb
How to identify retention-enhancing alcohol counsellors
A Finnish study of problem drinkers offers a practical way to identify retention-enhancing therapists in advance which could be used in recruitment and training.
STUDY 2008 HTM file
Style not content key to matching patients to therapeutic approaches
Analysis of videoed therapy sessions from a Project MATCH alcohol treatment trial clinic showed that whether therapists appropriately adjusted their interpersonal style to the patient mattered more than which therapy they practised.
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