EFFECTIVENESS BANK Bulletin 8 January 2013
Latest additions to the Effectiveness Bank start with another study showing that focusing on drugs
is not always the way to reduce their use. After this, three US studies of some of the most
disadvantaged treatment populations in the industrialised west. For the non-compliant heroin addicts
of Baltimore, a tough-love mixture of sanctions and support ending in them losing their methadone
prescriptions if they failed to comply. Suitable counterparts in the Bronx were instead trusted to
manage their own induction on to substitute medication, while abused and traumatised female
substance users in a Californian prison benefited from a programme which root-and-branch recognised
their differences from men and their difficult histories. To view the whole bulletin click the
button below or scroll down and click titles for individual analyses.
To view the whole bulletin click this link:
http://findings.org.uk/docs/bulletins/Bull_08_01_13.php
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ENFORCING YOUTH SMOKING BAN ALSO REDUCED DRINKING AND DRUG USE
In Illinois in the USA, randomly allocating towns to enforce laws against youth smoking in public
led not just to fewer young people smoking but also fewer drinking or using and being offered
illegal drugs. Did anti-tobacco policing spill-over to create an environment unfriendly to youth
drinking and illegal drug use?
http://findings.org.uk/count/downloads/download.php?file=Jason_LA_10.cab
TOUGH LOVE FOR BALTIMORE'S NON-COMPLIANT METHADONE PATIENTS
Heroin addicts in Baltimore who still used drugs heavily despite being on methadone were sent to a
special clinic for intensified care reinforced by sanctions and incentives and eventual discharge if
still they failed to comply. Tough love perhaps, but does it really make sense to intensify
compliance requirements on patients already not complying?
http://findings.org.uk/count/downloads/download.php?file=Neufeld_KJ_3.txt
BRONX HEROIN ADDICTS MANAGE THEIR OWN BUPRENORPHINE INDUCTION
Can the heroin addicts of the Bronx in New York be trusted to themselves manage at home one of the
most tricky phases of buprenorphine maintenance treatment - the induction? In this study they and
their primary care doctors agreed most could, and they were right; they did as well as patients
inducted at the clinic. The upshot was greater convenience and time-saving all round.
http://findings.org.uk/count/downloads/download.php?file=Sohler_NL_1.cab
RARE RANDOMISED TRIAL FINDS FEMALE PRISONERS BENEFIT FROM GENDER-SPECIFIC TREATMENT
From the USA, a rare randomised controlled trial of prison-based substance use treatment for women
finds substantial benefits from replacing a standard prison therapeutic community programme with one
based on extensive trauma-informed and gender-responsive elements, delivered in an entirely
woman-only environment.
http://findings.org.uk/count/downloads/download.php?file=Messina_N_7.txt
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