A new bulletin has been published collecting together the latest documents added to the
Effectiveness Bank. This issue has what may be seen as bad news for counsellors: in the USA, 1 in 6
non-specialists typically ended up with clients whose substance use problems were worse, while
specialists in methadone clinics may be dispensable. Then two UK studies dealing with critical
issues: child protection and how to curb the hepatitis C epidemic.
To view the whole bulletin click the following link:
http://findings.org.uk/docs/bulletins/Bull_24_10_11.php
or click the links below to view an entry in the bulletin. If clicking does not work, paste the link
in to your web browser address box, being sure to enter the whole address.
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*revised* 1 IN 6 THERAPISTS MAKE SUBSTANCE USE PROBLEMS WORSE
1 in 6 therapists typically ended up with clients whose substance use problems were significantly
worse than when they started therapy, the highest proportion among the 12 symptom domains assessed
by this large-scale US survey. The findings have far-reaching implications for the training and
monitoring of counsellors and therapists.
http://findings.org.uk/count/downloads/download.php?file=Kraus_DR_1.txt
COUNSELLING NOT ESSENTIAL TO INITIAL IMPACT OF METHADONE MAINTENANCE
Is regular counselling really essential to the effectiveness of methadone maintenance treatment, or
are treatment entry and the power of high-dose methadone enough in themselves for many patients? At
least in the first four months, this US study suggests the latter.
http://findings.org.uk/count/downloads/download.php?file=Schwartz_RP_9.txt
HEPATITIS C CAN BE PREVENTED BY METHADONE PLUS NEEDLE EXCHANGE
For British harm reduction services and for their clients, the importance of this analysis can
hardly be over-estimated. It found recent UK studies consistent with the conclusion that methadone
maintenance plus adequate needle exchange has prevented many hepatitis C infections. Though not
definitive, the findings support calls for exchange to be expanded and methadone treatment
sustained.
http://findings.org.uk/count/downloads/download.php?file=Turner_K_1.txt
PROMISING RESULTS FROM PILOT UK FAMILY DRUG AND ALCOHOL COURT
The first family drug and alcohol court in Britain offers intensive specialist support to parents of
children at risk due to parental substance use problems. Compared to usual care proceedings, the
result in this small-scale pilot study was better parental and child outcomes at lower cost.
http://findings.org.uk/count/downloads/download.php?file=Harwin_J_1.txt
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interventions. Findings is managed by DrugScope, Alcohol Concern and the National Addiction Centre.
The Effectiveness Bank is supported by Alcohol Research UK (formerly the AERC).
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