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Effectiveness Bank bulletin 23 April 2015
More UK evidence that harm reduction services have saved many injectors from hepatitis C, more US evidence favouring long-term post-treatment monitoring, how best to safeguard expectant opioid-dependent mothers and their babies, and a surprising negative result for a popular family of psychosocial therapies.
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

Services protect Scottish injectors from hepatitis C
National survey of injectors attending services supplying injecting equipment suggests methadone maintenance plus an abundant supply of needles and syringes has helped protect Scottish injectors from infection by hepatitis C.
Also see similar UK-wide analysis.

Proactive monitoring promotes post-prison treatment re-entry
US trial extended research on regular, proactive post-treatment monitoring to an all-female caseload leaving prison. For them too, the checkups promoted treatment re-entry, itself associated with reduced substance use and injecting.
Also see this analysis of earlier trials of the same checkup system.

What’s the best treatment for pregnant opioid-dependent women?
It probably depends on the outcome being focused on, found reviewers who searched for randomised trials involving pregnant opioid-dependent women which tested a maintenance treatment such as methadone maintenance against an alternative (or no) treatment.

Psychosocial therapies do not augment naltrexone for alcohol dependence
If a an alcohol-dependent patient is being prescribed the relapse-prevention medication naltrexone, does it help to supplement medical care with cognitive-behavioural therapies? On average, no, was the conclusion of this synthesis of studies.

Sent by the Drug and Alcohol Findings Effectiveness Bank to alert you to site updates and UK-relevant evaluations of drug/alcohol interventions. Managed by Alcohol Concern, the National Addiction Centre and Alcohol Research UK. Supported by Alcohol Research UK, the Society for the Study of Addiction, and the J. Paul Getty Jr. Charitable Trust.
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