Welcome to Effectiveness Bank alerts from Drug and Alcohol Findings announcing site updates and
evaluation research with important practice implications. Issue 14 of the Drug and Alcohol Findings
magazine first published in 2006 is now being made available as free downloadable PDFs (Adobe
Acrobat files). Below are the first three Nuggets, each analysing an evaluation study with important
practice implications.
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ADJUST THERAPIST DIRECTIVENESS TO CLIENT RESISTANCE
Persuasive evidence from the US Project MATCH alcohol treatment trial that a non-directive
therapeutic style suits clients prone anger or defensiveness or who like to take control, and more
structured and directive approaches suit those who welcome being given a lead.
http://findings.org.uk/count/downloads/download.php?file=nug_14_1.pdf
ONGOING SUPPORT ENCOURAGES EUROPEAN GPs TO ADVISE HEAVY DRINKERS
Screening and brief intervention for risky drinking is a major plank in the English alcohol
strategy. A WHO trial in six countries including England has shown that personal contact and ongoing
support are needed to encourage even modest levels of intervention by GPs.
http://findings.org.uk/count/downloads/download.php?file=nug_14_2.pdf
LOW OPIATE OVERDOSE RATE ON NALTREXONE IMPLANTS
Short-acting opiate blockers are associated with high overdose rates when heroin-dependent patients
stop taking them. This Australian study suggests that a product intended to block opiates for six
months can overcome that problem, though patients may resort to sedatives instead.
http://findings.org.uk/count/downloads/download.php?file=nug_14_3.pdf
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Drug and Alcohol Findings is managed by DrugScope, Alcohol Concern and the National Addiction
Centre, the two leading UK drug and alcohol information charities and its leading clinical/research
centre. The project is supported by the J. Paul Getty Jr. Charitable Trust
(http://www.jpgettytrust.org.uk) and the Pilgrim Trust (http://www.thepilgrimtrust.org.uk).
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