Welcome to Effectiveness Bank alerts from Drug and Alcohol Findings, alerting you to site updates
and new evaluation research. This bulletin lists the latest documents added to the Effectiveness
Bank. Entries make no attempt to validate facts or interpretations or to offer a critical
commentary, and the documents have not been selected for their particular merit and relevance to
Britain.

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MORE KEYS TO RECOVERY
The last seven reports from a high-level task force convened by the American Psychological
Association. The task force commissioned reviews synthesising research on the relationships between
client progress and how therapists relate to their clients. While not specific to substance use, the
reviews offer comprehensive, evidence-based recommendations on how to maximise the benefits of
psychosocial therapy. Their conclusions will be fundamental to promoting recovery in addiction
treatment. Note: This was the second set of reviews to emerge from the task force. For the first set
which aimed to identify effective ways of adapting psychotherapy to the individual patient, see this
Findings bulletin:
http://findings.org.uk/docs/bulletins/CAB_11_03_11.php

To view entries click on a link or paste it in to your web browser address box, being sure to enter
the whole address. This link:
http://findings.org.uk/docs/bulletins/CAB_27_05_11.php
takes you to the bulletin as a whole which lists all 13 articles. Links below take you to your
chosen entry.

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AGREEING THE WHAT AND HOW OF THERAPY
Finds that outcomes improve the more clients and therapists agree on goals and methods and form
collaborative working relationships to implement those agreements. The findings support deep patient
involvement in deciding treatment goals and methods.
http://findings.org.uk/count/downloads/download.php?file=Tryon_GS_2.cab

SHOW WARMTH, RESPECT AND AFFIRMATION
Finds outcomes improve the more therapists are consistently warm and show high regard for their
clients. Given the stigma and low regard attached to addiction and addicts, these findings have
important implications for promoting recovery.
http://findings.org.uk/count/downloads/download.php?file=Farber_BA_1.cab

BE PROFESSIONAL BUT ALSO BE HUMAN AND BE YOURSELF
Finds that in the (mainly Western) cultures where these studies have been done, outcomes improve the
more therapists are seen as genuine by their clients and relating to them human to human rather than
as an authority figure.
http://findings.org.uk/count/downloads/download.php?file=Kolden_GG_2.cab

FEEDBACK ON CLIENT PROGRESS RESCUES THOSE HEADING FOR FAILURE
Finds outcomes improve (and clients doing poorly can be rescued) when therapists get real-time
feedback on patient progress and the client-therapist relationship. Providers may want to consider
one of the evaluated systems or an alternative.
http://findings.org.uk/count/downloads/download.php?file=Lambert_MJ_1.cab

GET BACK ON TRACK WHEN THINGS GO WRONG
Finds that repairing breakdowns or ruptures in the alliance between therapist and client improves
outcomes, and that rupture repair training makes a difference, especially in the
cognitive-behavioural approaches commonly used in addiction treatment.
http://findings.org.uk/count/downloads/download.php?file=Safran_JD_2.cab

KNOWING YOURSELF HELPS YOU UNDERSTAND THE CLIENT
Finds that therapists with the self-awareness and other abilities to recognise, understand and use
their reactions to clients, even when these are driven by the internal conflicts of the therapist
themself, do better therapy and have more satisfied clients.
http://findings.org.uk/count/downloads/download.php?file=Hayes_JA_1.cab

DRAWING THE THREADS TOGETHER
Draws conclusions and makes recommendations based on the preceding research syntheses on effective
therapeutic relationships and how to match therapeutic style to different patients. Though not
specific to substance use, this work will be critical to the recovery agenda for addiction
treatment.
http://findings.org.uk/count/downloads/download.php?file=Norcross_JC_7.cab

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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 Effectiveness Bank is supported by the Alcohol Education and Research Council
(http://www.aerc.org.uk).
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