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Treatment services do not have to adopt, or ask patients to adopt, the belief system on which 12-step groups are founded in order to effectively encourage patients to tap in to the social support offered by these groups and improve their chances of sustained abstinence.
IN PRACTICE 2005 PDF file 813Kb
Wet day centres in Britain part 2: Care Control Challenge
Part 2 of our mini-series on wet day centres in Britain will ring bells not just for alcohol workers but also for drug workers in needle exchanges and drop-in services. Maureen Crane and Tony Warnes analyse what it takes to work productively in one of the most challenging of settings.
SERIES OF ARTICLES 2005 PDF file 1935Kb
Wet day centres in Britain
In drug and alcohol services, it doesn't get more difficult than this – offering street drinkers a place where they can start to reverse years of deterioration, without having first to stop drinking.
Comprehensive and thoughtful review of the UK-relevant literature warns that services which impose rigid and unrealistic expectations of abstinence or independent living on homeless addicts would deny treatment and housing to vulnerable adults with complex needs.
STUDY 2005 PDF file 170Kb
'Real-world' studies show that medications do suppress heavy drinking
Three trials found that drugs commonly used to treat alcohol dependence improve outcomes for an appreciable minority of patients, even under conditions close to normal practice. Together they offer clues to who benefits most from each medication.
IN PRACTICE 2005 PDF file 1242Kb
Wet day centres in Britain part 1: planning and setting up
Solid guidance based on a detailed analysis of UK centres offering street drinkers a place where they can start to reverse years of deterioration without having first to stop drinking. In this extraordinarily difficult task, good planning is key.
STUDY 2003 PDF file 188Kb
Naltrexone helps heavy drinkers gain control
In Spain naltrexone helped young regular binge drinkers cut back, potentially extending its role from alcoholics seeking treatment at specialist clinics to problem drinkers identified in other settings such as primary care.
REVIEW 2002 PDF file 174Kb
Convincing evidence that acamprosate and naltrexone help prevent alcohol relapse
Despite patchy results in individual studies, two meta-analyses which combined findings from rigorous trials have confirmed that acamprosate and naltrexone help prevent relapse after detoxification from alcohol. See extended text for further studies.
STUDY 2001 PDF file 99Kb
Naltrexone prevents return to heavy drinking
The British study which provided the largest test to date of naltrexone in the treatment of alcohol dependence. In conditions typical of NHS alcohol treatment centres, it confirmed that taken as directed, the drug reduces alcohol consumption.
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