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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.
REVIEW ABSTRACT 2009 HTM file
Peer-based addiction recovery support: history, theory, practice, and scientific evaluation
This monograph is likely to become the handbook for the growing peer-based recovery movement in the UK. For administrators, the approaches it reviews offer a way to reconcile decreasing per-patient resources with a policy agenda now focused on reintegration and recovery.
STUDY 2005 PDF file 149Kb
Addressing medical and welfare needs improves treatment retention and outcomes
In this US treatment study, receiving services matched to need was associated with greater reductions in illegal drug use, supporting calls for services to address not just dependence but also medical, psychological, social, housing, and vocational needs.
STUDY 2008 HTM file
Toward cost-effective initial care for substance-abusing homeless
Offering homeless, unemployed people seeking treatment for cocaine dependence access to housing and paid employment if they stay drug-free is a powerful incentive, but adding intensive counselling helps maintain abstinence once the incentives end.
STUDY 2004 PDF file 156Kb
Prison treatment in Scotland fails to impress
The first published findings from the national Scottish drug treatment evaluation highlighted the relative inadequacy and ineffectiveness of treatment inside as opposed to outside prison.
STUDY 2008 HTM file
Self-financing resident-run houses maintain recovery after treatment
A US recovery model has proved its effectiveness in a rare randomised trial of a mutual aid intervention. The self-financing structure may help overcome restrictions on the supply and duration of residential rehabilitation in the UK.
STUDY 2001 PDF file 99Kb
How dependent drug users in Scotland avoided relapse
Scottish study provides valuable clues to where anti-relapse interventions might focus. Predated by many years the recovery era in British policy but laid some of the foundations for its shift in emphasis from the psychological or biochemical grip of addiction to lifestyle change which breaks with the past satisfyingly enough to forge a positive, non-addict identity and prevent relapse.
STUDY 2000 PDF file 104Kb
'Wet shelter' becomes home for street drinkers
After an uncertain start, an experimental project based in London's East End safely housed long-term rough sleepers unwilling to stop drinking, connecting them to medical and other services whilst allowing drinking on the premises.
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