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Welcome to the Effectiveness Bank Bulletin, a service provided by the Drug and Alcohol Findings
project to alert you to recent evaluation studies with important practice implications. Though
tailored for the UK, this selection will be of international interest.
To view the entries below click on a link or paste in to your web browser's address box, being sure
to enter the whole address. This link
http://findings.org.uk/count/downloads/download.php?file=bulletins/Bull_26_02_09.php
takes you to the bulletin as a whole. The links below take you to your chosen entry.
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ACCREDITATION DRIVES UP US TREATMENT OUTCOMES, COST-CONTAINMENT SYSTEMS DRIVE THEM DOWN
Probably the most reliable such study to emerge from the USA suggests that on-site inspection with
accreditation has substantially improved outcomes, while an externally imposed value-for-money
mandate motivated by cost-containment has even more substantially eroded them.
http://findings.org.uk/count/downloads/download.php?file=Ghose_T_1.txt
INTENSIVE, CONTINUING, HOLISTIC, PRACTICAL SUPPORT HELPS WELFARE MOTHERS ESCAPE DEPENDENCY
Intensive, long-term case management coordinating treatment and other services helped US 'welfare
mothers' overcome their drug problems and gain full time employment. Similar support may be needed
if UK drug dependent claimants are to avoid benefit sanctions and get back to work.
http://findings.org.uk/count/downloads/download.php?file=Morgenstern_J_13.txt
HOUSING AND WORK HELP HOMELESS AND WORKLESS; BENEFITS OF YOKING TO ABSTINENCE LESS CLEAR
Offering homeless, unemployed people housing and paid employment if they stay drug-free is a
powerful incentive, but is it enough to sustain the gains, and does it really help in the longer
term to require abstinence? A probable no to both questions from US studies.
http://findings.org.uk/count/downloads/download.php?file=Milby_JB_6.txt
'AS NEEDED' CONSULTATIONS SAVE GPs TIME AFTER BRIEF ALCOHOL INTERVENTIONS
In Germany, for the first time a randomised study tested whether a set programme of follow-up advice
was needed to bolster feedback to risky drinking primary care patients, or whether outcomes would be
just as good if advice was offered only to those still at risk.
http://findings.org.uk/count/downloads/download.php?file=Bischof_G_10.txt
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