NEW ISSUE ALERT
DRUG AND ALCOHOL FINDINGS ISSUE 15, Summer 2006
The latest issue of DRUG AND ALCOHOL FINDINGS is now available. To order a copy of issue
15, to subscribe, or for free sample copy and downloads, visit
www.drugandalcoholfindings.org.uk, e-mail [log in to unmask] or
phone DRUG AND ALCOHOL FINDINGS, c/o National Addiction Centre, +44(0)207 848 0437.
FINDINGS packages the latest research on 'what works' drawing out practice-relevant
implications for practitioners, managers, and commissioners in treatment, education,
prevention and criminal justice. It is backed by three leading UK drug and alcohol
charities: DrugScope, Alcohol Concern and the National Addiction Centre.
____________________________________________________
4 THE ROLLESTON LEGACY
The Rolleston report cost just £65 5s 6d but set the tone for British addiction policy for
the next 40 years and still exerts a gravitational influence, legitimising indefinite
opiate maintenance as every doctor's prerogative. Commentary pages 4-5, extracts pages
20-21.
6 NUGGETS Full list below
If counselling bottlenecks delay entry to your methadone programme, try initially just
giving the drug (page 10; ** Free download from www.drugandalcoholfindings.org.uk **).
Important boost for alcohol treatment - it also promotes family and child welfare agendas
(page 12). Naltrexone in the news for good and not so good reasons: depot formulation
lasting months blocks heroin relapse (page 6) but within three months of starting
treatment with the drug taken orally, at least 1 in 100 heroin addicts die in Australia
(page 11). The same medication helps GPs treat alcohol dependent patients (page 7).
Prevention - rare positive findings (pages 9 and 13) indicate importance of thinking
beyond 'how to say no'.
14 thematic review CASE MANAGEMENT
An expert Euro-US collaboration led by Wouter Vanderplasschen from Belgium examines what
in Britain is now seen as the core mechanism for transforming isolated episodes of care
into coherently staged and comprehensive reintegration programmes.
22 thematic review MY WAY OR YOURS?
Do you bristle when someone else takes the lead or gladly take a back seat? In therapy
too, directiveness matters, and in a surprisingly consistent way. Part 5 of the Manners
Matter series from Mike Ashton unpicks the common thread from the literature. ** Free
download from www.drugandalcoholfindings.org.uk **
31 reviews & resources
Accumulated knowledge in condensed form. Latest reviews of the literature, meta-analyses,
and evidence-based resources.
NUGGETS
6 Long-acting depot naltrexone extends opiate abstinence
7 Naltrexone aids primary care alcohol treatment
8 Drink-driving cut by 30-minute talk with hospital patients
8 British study makes a case for buprenorphine as first line heroin detox option
9 Integrated care for dual diagnosis patients betters parallel provision
10 Stripped down methadone prescribing better than leaving patients to wait ** Free
download from www.drugandalcoholfindings.org.uk **
11 Sticking to the therapy manual: a happy medium works best
12 Patient-focused alcohol treatment aids wives and children too
12 Choose peer education groups carefully
13 Effective delivery and positive message works for school-based media campaigns
NUGGETTES
7 1 out of 61 hepatitis C positive treatment clients starts medical treatment
7 Case management links detox patients to treatment, cuts repeat detox burden
9 Harm reduction education successfully extended to illegal drugs
10 Self-help groups: transformation from helped to helper promotes recovery
11 1 in a 100 chance of dying after treatment with heroin-blocking drug
13 Lessons of failure of Scottish scheme to link released prisoners to services
OFFCUTS
26 Escalating liver cirrhosis deaths expose failure of UK alcohol policy
28 Gaps in Britain's harm reduction defences permit minor resurgence in HIV infection
29 Impulse smoking cessation resolutions twice as likely to 'stick' as planned
________________________________________________________
FINDINGS packages the latest research on 'what works' drawing out practice-relevant
implications for practitioners, managers, and commissioners in treatment, education,
prevention and criminal justice. It is backed by three leading UK drug and alcohol
charities: DrugScope, Alcohol Concern and the National Addiction Centre.
|
