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Effectiveness Bank | ||
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Effectiveness Bank bulletin 10 April 2015 | ||
Selection starts with studies of a core brief intervention approach to help restrain student drinking, moving to a core concept in recovery from addiction, and finally, two controversial extensions of harm reduction – prescribing methadone in prisons, and for years prescribing heroin addicts the drug to which they have become addicted. |
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The Alcohol and Drug Treatment Matrices: core research selected and explored Alcohol matrix for alcohol brief interventions and treatment Drug matrix for harm reduction and treatment in relation to illegal drugs |
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Support for brief intervention for heavy-drinking students | ||
Synthesis of randomised trials of one of the most widely implemented approaches to heavy-drinking among college students finds it does reduce drinking and related problems, but compared to what is unclear, and none of the individual trials was convincing. | ||
UK study measures key ‘recovery capital’ concept |
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Measuring ‘recovery capital’ forces researchers to get to grips with what these critical resources are which help an individual attain and sustain recovery. A questionnaire tested in the UK has made a promising start, though some of the questions seem to assess recovery itself. | ||
Prison methadone reduces HIV risk behaviours |
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Prescribing methadone to heroin-dependent prisoners seems to reduce injecting and the sharing of injecting equipment, but no study has yet tested whether this leads to the expected reduction in HIV infections, and some condemn such programmes as squandering a chance to break free of opiate-type drugs. | ||
Also see this analysis for more on the wider impacts of opiate substitute prescribing in prisons and on UK policy. | ||
Extended heroin prescribing can rescue methadone failures |
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Unless there are compelling contraindications, results of extended treatment in the Dutch heroin prescribing trials suggest treatment should be continued as long as possible for heroin-addicted patients who do not do well on methadone but improve on heroin. | ||
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