Recent bulletins from the Findings drug and alcohol bank:
English treatment systems perform at least as well as other countries on a number of measures, but have a considerably higher rate of drug-related deaths than elsewhere in Europe. As well as pursuing harm reduction and recovery, this Public Health England report stresses the importance of social integration as an objective.
For Britain 12-step fellowships offer a way to reconcile shrunken resources with the desire to get more patients safely out of treatment. Accounting for the self-selection bias which has obscured AA’s impacts, this synthesis of US trials finds that attending more meetings after treatment boosts abstinence. Why then is research equivocal on whether promoting attendance significantly improves drink-related outcomes?
In psychosocial therapies, the enactment of the client-worker relationship is the treatment. Structured around Carl Rogers’ classic formulation of the “necessary and sufficient conditions” for therapeutic progress, this cell in the Alcohol Treatment Matrix focuses on whether some therapists are more successful because they more strongly forge ‘therapeutic’ relationships. We highlight seminal studies which seemed to validate Rogers’ framework, and ask: Are these conditions all that is needed? And does being genuine sometimes mean contradicting other Rogerian mandates?
Revisited to fill gaps in analyses of key studies in the treatment matrices, this English study of alcohol interventions led by primary care practice nurses found no significant advantage for a structured brief intervention over standard advice. It was an early warning that real-world programmes mounted by practice rather than research staff often fail to make a significant difference.
To mark International Women’s Day 2017, Findings pulled together a collection of interventions captured in the Effectiveness Bank that focus on women including.