TREATMENT 2006 <627>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 16928266
Status PubMed-not-MEDLINE
Authors Vederhus JK. Kristensen O.
Authors Full Name Vederhus, John-Kare. Kristensen, Oistein.
Institution
Addiction Unit, Sorlandet Hospital, Kristiansand, Norway. john-kare.vederhus@sshf.no
Title
High effectiveness of self-help programs after drug addiction therapy.[Reprint of
Tidsskr Nor Laegeforen. 2005 Oct 20;125(20):2798-801; PMID: 16244684]
Source
BMC Psychiatry. 6:35, 2006.
Journal Name
BMC Psychiatry
Other ID
Source: NLM. PMC1574294
Country of Publication
England
Abstract
BACKGROUND: The self-help groups Alcoholics Anonymous (AA) and Narcotics
Anonymous (NA) are very well established. AA and NA employ a 12-step program and are
found in most large cities around the world. Although many have argued that these
organizations are valuable, substantial scepticism remains as to whether they are actually
effective. Few treatment facilities give clear recommendations to facilitate participation, and
the use of these groups has been disputed. The purpose of this study was to examine
whether the use of self-help groups after addiction treatment is associated with higher rates of
abstinence. METHODS: One hundred and fourteen patients, 59 with alcohol dependency and
55 with multiple drug dependency, who started in self-help groups after addiction treatment,
were examined two years later using a questionnaire. Return rate was 66%. Six (5%) of the
patients were dead. RESULTS: Intention-to-treat-analysis showed that 38% still participated
in self-help programs two years after treatment. Among the regular participants, 81% had
been abstinent over the previous 6 months, compared with only 26% of the non-participants.
Logistic regression analysis showed OR = 12.6, 95% CI (4.1-38.3), p < 0.001, for participation
and abstinence. CONCLUSION: The study has several methodological problems; in
particular, correlation does not necessarily indicate causality. These problems are discussed
and we conclude that the probability of a positive effect is sufficient to recommend
participation in self-help groups as a supplement to drug addiction treatment. PREVIOUS
PUBLICATION: This article is based on a study originally published in Norwegian: Kristensen
O, Vederhus JK: Self-help programs in drug addiction therapy. Tidsskr Nor Laegeforen 2005,
125:2798-2801.
Publication Type Journal Article.
Date of Publication 2006
Year of Publication 2006
Volume 6
Page 35
TREATMENT 2006 <894>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 16939654
Status MEDLINE
Authors Secker B. Goldenberg MJ. Gibson BE. Wagner F. Parke B. Breslin J. Thompson A. Lear JR. Singer
PA.
Authors Full Name Secker, Barbara. Goldenberg, Maya J. Gibson, Barbara E. Wagner, Frank. Parke, Bob.
Breslin, Jonathan. Thompson, Alison. Lear, Jonathan R. Singer, Peter A.
Institution
Joint Centre for Bioethics,
barbara.secker@utoronto.ca.
University
of
Toronto,
88
College
Street,
Toronto,
Ontario,
Canada.
Title
Just regionalisation: rehabilitating care for people with disabilities and chronic
illnesses.
Source
BMC Medical Ethics. 7:E9, 2006.
Journal Name
BMC Medical Ethics
Other ID
Source: KIE. 129497
Source: NLM. PMC1569849
Country of Publication
England
Abstract
BACKGROUND: Regionalised models of health care delivery have important implications for
people with disabilities and chronic illnesses yet the ethical issues surrounding disability and
regionalisation have not yet been explored. Although there is ethics-related research into
disability and chronic illness, studies of regionalisation experiences, and research directed at
improving health systems for these patient populations, to our knowledge these streams of
research have not been brought together. Using the Canadian province of Ontario as a case
study, we address this gap by examining the ethics of regionalisation and the implications for
people with disabilities and chronic illnesses. The critical success factors we provide have
broad applicability for guiding and/or evaluating new and existing regionalised health care
strategies. DISCUSSION: Ontario is in the process of implementing fourteen Local Health
Integration Networks (LHINs). The implementation of the LHINs provides a rare opportunity to
address systematically the unmet diverse care needs of people with disabilities and chronic
illnesses. The core of this paper provides a series of composite case vignettes illustrating
integration opportunities relevant to these populations, namely: (i) rehabilitation and services
for people with disabilities; (ii) chronic illness and cancer care; (iii) senior's health; (iv)
community support services; (v) children's health; (vi) health promotion; and (vii) mental
health and addiction services. For each vignette, we interpret the governing principles
developed by the LHINs - equitable access based on patient need, preserving patient choice,
responsiveness to local population health needs, shared accountability and patient-centred
care - and describe how they apply. We then offer critical success factors to guide the LHINs
in upholding these principles in response to the needs of people with disabilities and chronic
illnesses. SUMMARY: This paper aims to bridge an important gap in the literature by
examining the ethics of a new regionalisation strategy with a focus on the implications for
people with disabilities and chronic illnesses across multiple sites of care. While Ontario is
used as a case study to contextualize our discussion, the issues we identify, the ethical
principles we apply, and the critical success factors we provide have broader applicability for
guiding and evaluating the development of - or revisions to - a regionalised health care
strategy.
General Note 45 refs. KIE Bib: health care; health care/foreign countries
Publication Type Journal Article.
Date of Publication 2006
Year of Publication 2006
Volume 7
Page E9
TREATMENT 2006 <895>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 16939945
Status MEDLINE
Authors Mazlan M. Schottenfeld RS. Chawarski MC.
Authors Full Name Mazlan, Mahmud. Schottenfeld, Richard S. Chawarski, Marek C.
Institution
Substance Abuse Center, Muar, Malaysia. melaun@yahoo.com
Title
New challenges and opportunities in managing substance abuse in Malaysia.
Source
Drug & Alcohol Review. 25(5):473-8, 2006 Sep.
Journal Name
Drug & Alcohol Review
Country of Publication
England
Abstract
Until recently, Malaysia has lagged behind in the treatment of drug addiction and related
disorders, despite experiencing severe drug problems. By the end of 2004, 234,000 heroin
users or heroin-dependent individuals had been registered in the official government registry,
but other estimates exceed 500,000 for heroin abusers in the country. Amphetamine-type
stimulant abuse is also increasing and of considerable public and government concern.
Among the population of drug users, HIV and other infectious diseases rates are very high. In
the Western Pacific regions, Malaysia has the second highest HIV prevalence (after Vietnam)
among adult populations (0.62%) and the highest proportion of HIV cases resulting from
injection drug use (76.3%). Drug use and related disorders exert a heavy burden on the
country's health care and legal systems. Historically, drug abusers were rehabilitated
involuntarily in correctional, rather than health-care, facilities. This primarily criminal treatment
approach had limited effectiveness which led to widespread public dissatisfaction and the
recent introduction of medical treatments for addiction. Naltrexone was introduced in 1999;
buprenorphine was introduced in 2001 and methadone in 2003. Agonist maintenance
programmes were embraced rapidly by the medical community in Malaysia. Currently, over
30,000 opiate-dependent patients are treated with agonist maintenance treatments by more
than 500 medical practitioners in Malaysia. Despite these recent advances, treatments for
amphetamine-type stimulant abuse or dependence are underdeveloped, and diversion of
agonist medications is an emerging concern.
ISSN Print 0959-5236
Publication Type Journal Article. Research Support, N.I.H., Extramural.
Date of Publication 2006 Sep
Year of Publication 2006
Issue/Part 5
Volume 25
Page 473-8
TREATMENT 2006 <897>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 16922291
Status MEDLINE
Authors Gallagher J. O'Gara C. Sessay M. Luty J.
Authors Full Name Gallagher, John. O'Gara, Colin. Sessay, Mohammed. Luty, Jason.
Institution
Anglia Ruskin University, Chelmsford, Essex.
Title
Nurse prescribing in addiction services: client benefits. [Review] [14 refs]
Source
Nursing Standard. 20(48):42-4, 2006 Aug 9-15.
Journal Name
Nursing Standard
Country of Publication
England
Abstract
Recent changes to prescribing regulations mean that nurse independent prescribers and
supplementary prescribers are now able to prescribe any licensed medicine for conditions
within their competence, including some controlled drugs. This article discusses the
anticipated benefits of these prescribing changes for patients receiving treatment for
substance misuse. [References: 14]
ISSN Print 0029-6570
Publication Type Journal Article. Review.
Date of Publication 2006 Aug 9-15
Year of Publication 2006
Issue/Part 48
Volume 20
Page 42-4
TREATMENT 2006 <912>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 16719909
Status MEDLINE
Authors Khazaal Y. Zullino DF.
Authors Full Name Khazaal, Yasser. Zullino, Daniele Fabio.
Institution
Department of Psychiatry, Mood and Anxiety Disorders Unit, Echallens 9, 1004 Lausanne, Switzerland.
yasser.khazaal@chuv.ch
Title
Topiramate in the treatment of compulsive sexual behavior: case report.
Source
BMC Psychiatry. 6:22, 2006.
Journal Name
BMC Psychiatry
Other ID
Source: NLM. PMC1479803
Country of Publication
England
Abstract
BACKGROUND: Among the multiple mechanisms of action of topiramate, AMPA/kainate
antagonism may be particularly interesting for the treatment of disorders characterized by
conditioned cognitive and behavioral cue reactivity. CASE PRESENTATION: We report the
case of a patient consulting primarily for obesity and cue triggered snacking, who responded
well on topiramate at doses up to 50 mg. Coincidentally he reported on an improvement of
compulsive nonparaphilic sexual behaviors (consumption of prostitution), which was also
strongly triggered by environmental cues. Both addictive behaviors (snacking and
consumption of prostitution) reoccurred after discontinuation of topiramate and again
responded reintroduction of the drug. CONCLUSION: The present case report of topiramate's
effect on comorbid obesity and nonparaphilic addiction could be interpreted as a further
indication that topiramate acts on the common pathway underlying conditioned behaviors and
seems to be a treatment of behavioral disorders associated with environmental cues.
Publication Type Case Reports. Journal Article.
Date of Publication 2006
Year of Publication 2006
Volume 6
Page 22
TREATMENT 2006 <915>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 16753647
Status MEDLINE
Authors Robertson PJ. Haitana TN. Pitama SG. Huriwai TT.
Authors Full Name Robertson, Paul J. Haitana, Tracy N. Pitama, Suzanne G. Huriwai, Terry T.
Institution
National Addiction Centre (NAC) and Maori/Indigenous Health Institute (MIHI), Christchurch School of Medicine and
Health Sciences, University of Otago, New Zealand. paul.robertson@chmeds.ac.nz
Title
A review of work-force development literature for the Maori addiction treatment field
in Aotearoa/New Zealand. [Review] [53 refs]
Source
Drug & Alcohol Review. 25(3):233-9, 2006 May.
Journal Name
Drug & Alcohol Review
Country of Publication
England
Abstract
Maori, like Indigenous Australians and other indigenous people world-wide, are
simultaneously over-represented among those presenting with addiction-related problems
and under-represented within various health professions. Providing the opportunity for
individuals and whanau (family/extended family) to work with ethnically matched health
workers is likely to increase service accessibility and to improve treatment outcomes. In New
Zealand, a number of initiatives have been instigated to increase the capacity of the Maori
health work-force and reduce related barriers to treatment. This article provides an analysis of
relevant literature and policy documents, and identifies five strategic imperatives currently
informing work-force development in the Maori alcohol and other drug (AOD) and gambling
treatment sector. [References: 53]
ISSN Print 0959-5236
Publication Type Journal Article. Review.
Date of Publication 2006 May
Year of Publication 2006
Issue/Part 3
Volume 25
Page 233-9
TREATMENT 2006 <917>
Database Ovid MEDLINE(R) In-Process & Other Non-Indexed Citations and Ovid MEDLINE(R)
Unique Identifier 16724604
Status MEDLINE
Authors McClelland G.
Authors Full Name McClelland, Garielle.
Institution
University of Bradford.
Title
Caring for problem drug users.
Source
Nursing Times. 102(20):26-8, 2006 May 16-22.
Journal Name
Nursing Times
Country of Publication
England
Abstract
In the U.K. approximately four million people use at least one illicit drug each year. One
million of them use Class A drugs, such as heroin and crack cocaine (European Association
for the Treatment of Addiction, 2003). Accurate statistics reflecting the precise numbers of
drug users are difficult to quantify, partly because many drug users do not access services
and partly because of the multiple definitions of problem drug use. However, it is estimated
that there are approximately 287,670 problem drug users in England (U.K. Focal Point, 2004).
ISSN Print 0954-7762
Publication Type Journal Article.
Date of Publication 2006 May 16-22
Year of Publication 2006
Issue/Part 20
Volume 102
Page 26-8
TREATMENT 2006 <376>
Database EMBASE
Accession Number 2006606382
Authors Barnett P.G. Masson C.L. Sorensen J.L. Wong W. Hall S.
Institution
(Barnett, Wong, Hall) Department of Psychiatry, University of California, San Francisco, CA, United States.
(Barnett) Veterans Affairs Palo Alto Health Care System, Stanford University, Menlo Park, CA, United States.
(Masson, Sorensen) Department of Psychiatry, University of California, San Francisco, San Francisco General
Hospital, San Francisco, CA, United States.
(Barnett) Veterans Affairs Health Economics Resource Center, 795 Willow Road 152, Menlo Park, CA 94025,
United States.
Country of Publication
United Kingdom
Title
Linking opioid-dependent hospital patients to drug treatment: Health care use and
costs 6 months after randomization.
Source
Addiction. 101(12)(pp 1797-1804), 2006. Date of Publication: Dec 2006.
Abstract
Aims: To conduct an economic evaluation of the first 6 months' trial of treatment vouchers
and case management for opioid-dependent hospital patients. Design: Randomized clinical
trial and evaluation of administrative data. Setting: Emergency department, wound clinic, inpatient units and methadone clinic in a large urban public hospital. Participants: The study
randomized 126 opioid-dependent drug users seeking medical care. Interventions:
Participants were randomized among four groups. These received vouchers for 6 months of
methadone treatment, 6 months of case management, both these interventions, or usual
care. Findings: During the first 6 months of this study, 90% of those randomized to vouchers
alone enrolled in methadone maintenance, significantly more than the 44% enrollment in
those randomized to case management without vouchers (P < 0.001). The direct costs of
substance abuse treatment, including case management, was $4040 for those who received
vouchers, $4177 for those assigned to case management and $5277 for those who received
the combination of both interventions. After 3 months, the vouchers alone group used less
heroin than the case management alone group. The difference was not significant at 6
months. There were no significant differences in other health care costs in the 6 months
following randomization. Conclusion: Vouchers were slightly more effective but no more costly
than case management during the initial 6 months of the study. Vouchers were as effective
and less costly than the combination of case management and vouchers. The finding that
vouchers dominate is tempered by the possibility that case management may lower medical
care costs. copyright 2006 Society for the Study of Addiction.
ISSN 0965-2140
Publication Type Journal: Article
Journal Name Addiction
Volume 101
Issue Part 12
Page 1797-1804
Year of Publication 2006
Date of Publication Dec 2006
TREATMENT 2006 <377>
Database EMBASE
Accession Number 2006606377
Authors Robertson J.R. Raab G.M. Bruce M. McKenzie J.S. Storkey H.R. Salter A.
Institution
(Robertson) Division of Community Health Sciences, University of Edinburgh, Edinburgh, United Kingdom.
(Bruce, McKenzie) Community Drug Problems Service, Edinburgh, United Kingdom.
(Raab, Storkey) School of Community Health, Napier University, Edinburgh, United Kingdom.
(Salter) School of Population Health and Clinical Practice, University of Adelaide, Adelaide, SA, Australia.
(Robertson) Muirhouse Medical Group, 1 Muirhouse Avenue, Edinburgh EH4 4PL, United Kingdom.
Country of Publication
United Kingdom
Title
Addressing the efficacy of dihydrocodeine versus methadone as an alternative
maintenance treatment for opiate dependence: A randomized controlled trial.
Source
Addiction. 101(12)(pp 1752-1759), 2006. Date of Publication: Dec 2006.
Abstract
Aim: The aim of this study is to define the efficacy of dihydrocodeine as an alternative to
methadone in the maintenance treatment of opiate dependence. Design: A pragmatic openlabel randomized controlled study of patients recommended for opiate maintenance treatment
to test equivalence of the two treatment options with follow-up continuing for up to 42 months
after recruitment. Setting: Assessment at either Edinburgh's Community Drug Problem
Service or at two general practitioner practices with specialist drug community psychiatric
nurses, then with shared care follow-up. Participants: Two hundred and thirty-five subjects
(168 male, 67 female) with opiate dependence syndrome were recruited. Subjects selected
were suitable for opiate maintenance treatment. Routine treatment was offered throughout.
Intervention: Patients were randomized to receive either methadone mixture 1 mg/ml or
dihydrocodeine, 30 mg or 60 mg tablets. Measurements: The primary outcome measure was
retention in treatment. Eight secondary outcomes included total illicit opiate use, reported
crime, physical health, mental health, injecting drug use, overdoses, selling drugs and being
in education or work. Measures were compared over 42 months follow-up. Findings: There
was no difference in groups for retention in treatment at follow-up and there was improvement
in all secondary outcomes from baseline. No significant difference in outcomes was found
between randomized groups over time. Compliance with randomized treatment differed by
randomized group and was affected by experiences in custody during follow-up. Those
randomized to dihydrocodeine were more likely to switch treatments. Conclusions: These
results, combined with existing clinical experience, provide evidence that dihydrocodeine is a
viable alternative to methadone as a maintenance treatment for opiate dependence. Indirect
comparisons with other studies show dihydrocodeine (and methadone) to be superior to
placebo. copyright 2006 The Authors.
ISSN 0965-2140
Publication Type Journal: Article
Journal Name Addiction
Volume 101
Issue Part 12
Page 1752-1759
Year of Publication 2006
Date of Publication Dec 2006
TREATMENT 2006 <381>
Database EMBASE
Accession Number 2007265019
Authors Hesse M. Broekaert E. Fridell M. Rapp R.C. Vanderplasschen W.
Institution
(Hesse) Centre for Alcohol and Drug Research, Kobmagergade 26 E, Kobenhavn C 1150, Denmark.
Country of Publication
United Kingdom
Title
Case management for substance use disorders.
Source
Cochrane Database of Systematic Reviews. (4), 2006. Article Number: CD006265. Date of
Publication: 2006.
Abstract
This is the protocol for a review and there is no abstract. The objectives are as follows: (1)
To assess whether case management reduces substance use and improves quality of life
compared with other forms of treatment, including "treatment as usual", standard community
treatment, other psychosocial interventions or waitlist controls; (2) To evaluate whether case
management links patients with the services they need and whether this linkage is related to
the effects of case management. (3) To study whether other potential mediating variables
(e.g. length or model of case management, retention in treatment, use of pharmacotherapy)
affect case management-outcomes. Copyright copyright 2006 The Cochrane Collaboration.
Published by John Wiley & Sons, Ltd.
ISSN 1469-493X
Publication Type Journal: Review
Journal Name Cochrane Database of Systematic Reviews
Issue Part 4
Year of Publication 2006
Date of Publication 2006
TREATMENT 2006 <382>
Database EMBASE
Accession Number 2007327508
Authors Kivity O.
Country of Publication
United Kingdom
Title
Individualising treatments in a group setting by combining hand and auricular microacupuncture systems.
Source
European Journal of Oriental Medicine. 5(3)(pp 20-25), 2006. Date of Publication: 2006.
Abstract
ECIWO is an acronym for Embryo Containing the Information of the Whole Organism. This
is a discussion of a flexible protocol using the ECIWO micro-acupuncture system on the
second metacarpal. This simple diagnostic and treatment method is applied together with
minimal auricular therapy to provide a flexible protocol for individualising the treatment of both
addictions and general health problems in a group setting.
ISSN 1351-6647
Publication Type Journal: Article
Journal Name European Journal of Oriental Medicine
Volume 5
Issue Part 3
Page 20-25
Year of Publication 2006
Date of Publication 2006
TREATMENT 2006 <384>
Database EMBASE
Accession Number 2007334057
Authors Pollio D.E. North C.S. Eyrich K.M. Foster D.A. Spitznagel E.L.
Institution
(Pollio) George Warren Brown School of Social Work, Washington University, United States.
(Pollio, Foster) Department of Psychiatry, Washington University School of Medicine, United States.
(North) Department of Psychiatry, University of Texas Medical Center, United States.
(Eyrich) School of Social Administration, Temple University, United States.
(Spitznagel) Department of Mathematics and Biostatistics, Washington University, United States.
(Pollio) Department of Psychiatry and Social Work, Washington University, Campus Box 1196, St Louis, MO 631304899, United States.
Country of Publication
United Kingdom
Title
A comparison of agency-based and self-report methods of measuring services across
an urban environment by a drug-abusing homeless population.
Source
International Journal of Methods in Psychiatric Research. 15(1)(pp 46-56), 2006. Date of
Publication: 2006.
Abstract
The purpose of this paper is to advance the methodology for studying service assessment
by comparing self-report and agency-generated methods. This study compares 30-day selfreported service use for homeless individuals (N = 229) randomly recruited from a single
urban environment (St Louis, Missouri) with similar data collected from a broad array of
service agencies providing homeless, substance abuse and outpatient mental health services
across the same environment. Comparisons were made between self-report and agencybased data on shelter use, outpatient mental health service use (case management,
psychiatric treatment, group therapy), outpatient substance abuse service use (case
management, counselling, group therapy) and drop-in/day treatment use. Consistently low
levels of kappa scores (all under 0.4) and correlation coefficients (only shelter use
demonstrated significant agreement) were found. Findings demonstrated that the two
methods of collecting service data are generally not concordant at the individual level. Certain
demographic characteristics (increased age, being male, non-white ethnicity) and diagnoses
(cocaine abuse/dependence, mania, schizophrenia) were associated with decreased
reliability between the two methods of data collection. The two methods of assessment
appeared to capture overlapping but not identical information. Each method of assessment
has different utility to researchers and providers wishing to assess service use. Copyright
copyright 2006 John Wiley & Sons, Ltd.
ISSN 1049-8931
Publication Type Journal: Article
Journal Name International Journal of Methods in Psychiatric Research
Volume 15
Issue Part 1
Page 46-56
Year of Publication 2006
Date of Publication 2006
TREATMENT 2006 <395>
Database EMBASE
Accession Number 2007021191
Authors Wild T.C. Cunningham J.A. Ryan R.M.
Institution
(Wild) Centre for Addiction, Mental Health Research Laboratory, University of Alberta, 13-133 Clinical Sciences
Building, Edmonton, Alta. T6G 2T3, Canada.
(Cunningham) Centre for Addiction and Mental Health, Canada.
(Cunningham) University of Toronto, Canada.
(Ryan) University of Rochester, United States.
Country of Publication
United Kingdom
Title
Social pressure, coercion, and client engagement at treatment entry: A selfdetermination theory perspective.
Source
Addictive Behaviors. 31(10)(pp 1858-1872), 2006. Date of Publication: Oct 2006.
Abstract
Research on coercion in addiction treatment typically investigates objective sources of social
pressure among legally mandated clients. Little research has examined the impact of clients'
perceptions of social pressures in generalist addiction services. Clients seeking substance
abuse treatment (N = 300; 221 males and 79 females; M age = 36.6 years) rated the extent to
which treatment was being sought because of coercive social pressures (external motivation;
alpha = .89), guilt about continued substance abuse (introjected motivation; alpha = .84), or a
personal choice and commitment to the goals of the program (identified motivation; alpha =
.85). External treatment motivation was positively correlated with legal referral, social network
pressures to enter treatment, and was inversely related to problem severity. In contrast,
identified treatment motivation was positively correlated with self-referral and problem
severity, and was inversely related to perceived coercion (ps < .05). Hierarchical multiple
regression analyses showed that referral source (i.e., mandated treatment status), legal
history, and social network pressures did not predict any of 6 measures of client engagement
at the time treatment was sought. However, treatment motivation variables accounted for
unique variance in these outcomes when added to each model (DeltaR²s = .06.23, ps < .05). Specifically, identified treatment motivation predicted perceived benefits of
reducing substance use, attempts to reduce drinking and drug use, as well as self (and
therapist) ratings of interest in the upcoming treatment episode (betas = .18-.31, ps < .05).
Results suggest that the presence of legal referral and/or social network pressures to quit, cut
down, and/or enter treatment does not affect client engagement at treatment entry. copyright
2006 Elsevier Ltd. All rights reserved.
ISSN 0306-4603
Publication Type Journal: Article
Journal Name Addictive Behaviors
Volume 31
Issue Part 10
Page 1858-1872
Year of Publication 2006
Date of Publication Oct 2006
TREATMENT 2006 <405>
Database EMBASE
Accession Number 2007009695
Authors Britton R.M. Scott J.
Institution
(Britton, Scott) Department of Pharmacy and Pharmacology, University of Bath, Bath, United Kingdom.
(Britton) Department of Pharmacy and Pharmacology, University of Bath, Claverton Down, Bath, BA2 7AY, United
Kingdom.
Country of Publication
United Kingdom
Title
Community pharmacy services to drug misusers in the south west of England:
Results of the 2003-2004 postal survey.
Source
International Journal of Pharmacy Practice. 14(4)(pp 235-241), 2006. Date of Publication:
Dec 2006.
Abstract
Objectives: To quantify current levels of methadone dispensing and supervised consumption
for the treatment of drug misuse in community pharmacies in the south west of England. To
compare 2003-2004 data to estimates made in 1995. Setting: All community pharmacies in
the strategic health authority areas of Avon, Gloucestershire and Wiltshire; Dorset and
Somerset; and South West Peninsula (n = 903). Method: A self-completion postal
questionnaire was addressed to the 'pharmacist in charge', with up to three reminders.
Descriptive data were collected on demography and drug misuse services provided by the
pharmacist. Key findings: An overall response rate of 78.3% (707/903) was achieved. Of all
respondents, 69.2% (n = 489) dispensed methadone for the treatment of drug misuse, and
70.1% of these pharmacies (n = 343) reported providing a supervised methadone
consumption service. The total number of clients receiving methadone through pharmacies in
the south west was 3427, with a mean number of 7.0 clients per pharmacy; 49.5% of all
clients receiving methadone had their daily doses supervised by the pharmacist. The majority
of prescriptions issued for methadone (72.9%, n = 2503) were from general practice.
Conclusions: The majority of pharmacies (69.2%) in south west England dispense methadone
and other drugs to drug misusers with just under half of the clients (49.5%) receiving their
methadone by supervised consumption. copyright 2006 The Authors.
ISSN 0961-7671
Publication Type Journal: Article
Journal Name International Journal of Pharmacy Practice
Volume 14
Issue Part 4
Page 235-241
Year of Publication 2006
Date of Publication Dec 2006
TREATMENT 2006 <423>
Database EMBASE
Accession Number 2007004565
Authors Hammerbacher M. Lyvers M.
Institution
(Hammerbacher, Lyvers) Department of Psychology, Bond University, Gold Coast, QLD, Australia.
Country of Publication
United Kingdom
Title
Factors associated with relapse among clients in Australian substance disorder
treatment facilities.
Source
Journal of Substance Use. 11(6)(pp 387-394), 2006. Date of Publication: Dec 2006.
Abstract
Factors associated with relapse to problematic alcohol or illicit drug use were examined in
104 clients enrolled in treatment programmes for substance disorders. Participants were
assessed by retrospective self-report questionnaires to explore the roles of family dysfunction,
mood states, primary drug of dependence, demographic variables and various other factors in
relation to relapse episodes. Consistent with previous studies, the most commonly cited
reason for relapse was negative mood states, followed by external pressure to use, desire for
positive mood states, and social/family problems. Reasons for relapse did not differ between
clients whose primary drug of dependence was heroin, methamphetamine, or alcohol.
Methamphetamine abusers and participants in the drug court programme had the fewest
relapses. Co-morbid psychological disorders were most commonly diagnosed in the alcoholic
group, followed by the methamphetamine group and the heroin group. General family
functioning retrospectively improved from time of last relapse to time of testing. Results are
consistent with previous work and suggest that relapse factors are remarkably similar across
different types of drug dependence.
ISSN 1465-9891
Publication Type Journal: Article
Journal Name Journal of Substance Use
Volume 11
Issue Part 6
Page 387-394
Year of Publication 2006
Date of Publication Dec 2006
TREATMENT 2006 <430>
Database EMBASE
Accession Number 2007003790
Authors Chassler D. Lundgren L. Lonsdale J.
Institution
(Chassler, Lundgren, Lonsdale) Boston University, School of Social Work, Boston, MA, United States.
(Chassler) 264 Bay State Road, Boston, MA 02215, United States.
Country of Publication
United Kingdom
Title
What factors are associated with high-frequency drug treatment use among a racially
and ethnically diverse population of injection drug users?
Source
American Journal on Addictions. 15(6)(pp 440-449), 2006. Date of Publication: Nov 2006.
Abstract
This study explored the frequency of drug treatment utilization by 36,081 injection drug users
(IDUs) in Massachusetts, 1996-2002. A number of multiple and logistic regression analyses
examined the relationship between demographic characteristics, parental status, level of and
type of drug use, history of mental health treatment use, types of drug treatment entered, and
the number of times an IDU had entered drug treatment for the seven-year time period.
Homelessness, using heroin as the primary drug of choice, and health insurance status were
all associated with number of treatments entered. Logistic regression analysis identified that
health insurance was a key factor associated with more frequent treatment: those with private
health insurance were ten times more likely to be in the 90th percentile (12-107 entries) with
respect to number of treatment entries. Copyright copyright American Academy of Addiction
Psychiatry.
ISSN 1055-0496
Publication Type Journal: Article
Journal Name American Journal on Addictions
Volume 15
Issue Part 6
Page 440-449
Year of Publication 2006
Date of Publication Nov 2006
TREATMENT (PAIN) 2006 <454>
Database EMBASE
Accession Number 2006601443
Authors Griffiths R.J. Justins D.M.
Institution
(Griffiths, Justins) South East Thames Training Programme, London, United Kingdom.
(Griffiths, Justins) St Thomas' Hospital, London, United Kingdom.
Country of Publication
United Kingdom
Title
Perioperative management of pain.
Source
Surgery. 24(10)(pp 325-328), 2006. Date of Publication: 01 Oct 2006.
Abstract
Unrelieved acute pain can produce undesirable psychological, physiological and
socioeconomic consequences. The safe and effective delivery of pain relief during the
perioperative period is the responsibility of practitioners involved in acute care and is
achievable using existing drugs and techniques. Pain intensity should be measured routinely
and regularly after surgery. Treatment regimens should be selected for each patient. The
potential benefits of an analgesic regimen must be balanced against the potential risks. Each
institution must provide adequate staffing levels and a safe environment to guarantee good
pain relief and to prevent harm. The basis of high-quality control of pain is that clinicians listen
to their patients and respond appropriately to reports of unrelieved pain. copyright 2006
Elsevier Ltd. All rights reserved.
ISSN 0263-9319
Publication Type Journal: Review
Journal Name Surgery
Volume 24
Issue Part 10
Page 325-328
Year of Publication 2006
Date of Publication 01 Oct 2006
TREATMENT 2006 <519>
Database EMBASE
Accession Number 2006490356
Authors McKay J.R.
Institution
(McKay) University of Pennsylvania, Treatment Research Centre, 3900 Chestnut Street, Philadelphia, PA 19104,
United States.
Country of Publication
United Kingdom
Title
Continuing care in the treatment of addictive disorders.
Source
Current Psychiatry Reports. 8(5)(pp 355-362), 2006. Date of Publication: Oct 2006.
Abstract
Newer models of continuing care in the addictions are designed to improve the long-term
management of substance use disorders by engaging patients into flexible, or "adaptive,"
treatment algorithms that change in focus and intensity as symptoms wax and wane over
time. This article describes some of these newer approaches to the management of
substance use disorders and presents recent research on their effectiveness. Findings
suggest the following: 1) Continuing care interventions of a year or longer are more like to
show significant positive effects; 2) Continuing care treatments that are less burdensome to
patients appear to promote higher rates of sustained engagement; 3) More structured and
intensive continuing care may be more effective for patients with severe substance
dependence and associated problems and for those who fail to achieve reasonable progress
while in the initial phase of treatment; and 4) Use of medications as part of continuing care is
increasing. Copyright copyright 2006 by Current Science Inc.
ISSN 1523-3812
Publication Type Journal: Review
Journal Name Current Psychiatry Reports
Volume 8
Issue Part 5
Page 355-362
Year of Publication 2006
Date of Publication Oct 2006
TREATMENT 2006 <526>
Database EMBASE
Accession Number 2006476895
Authors Nabitz U. Schramade M. Schippers G.
Institution
(Nabitz) Amsterdam Institute for Addiction Research, Academic Medical Center University of Amsterdam,
Amsterdam, Netherlands.
(Schramade) The Jellinek Centre, Innovation and Prevention Departement, Postbox 3907, 1001 AS Amsterdam,
Netherlands.
(Schippers) Amsterdam Institute for Addiction Research, Academic Medical Center University of Amsterdam,
Amsterdam, Netherlands.
(Nabitz) AIAR Jellinek Centre, Postbox 3907, 1001 AS Amsterdam, Netherlands.
Country of Publication
United Kingdom
Title
Evaluating treatment process redesign by applying the EFQM Excellence Model.
Source
International Journal for Quality in Health Care. 18(5)(pp 336-345), 2006. Date of
Publication: Oct 2006.
Abstract
Objective. To evaluate a treatment process redesign programme implementing evidencebased treatment as part of a total quality management in a Dutch addiction treatment centre.
Method. Quality management was monitored over a period of more than 10 years in an
addiction treatment centre with 550 professionals. Changes are evaluated, comparing the
scores on the nine criteria of the European Foundation for Quality Management (EFQM)
Excellence Model before and after a major redesign of treatment processes and ISO
certification. Results. In the course of 10 years, most intake, care, and cure processes were
reorganized, the support processes were restructured and ISO certified, 29 evidence-based
treatment protocols were developed and implemented, and patient follow-up measuring was
established to make clinical outcomes transparent. Comparing the situation before and after
the changes shows that the client satisfaction scores are stable, that the evaluation by
personnel and society is inconsistent, and that clinical, production, and financial outcomes are
positive. The overall EFQM assessment by external assessors in 2004 shows much higher
scores on the nine criteria than the assessment in 1994. Conclusion. Evidence-based
treatment can successfully be implemented in addiction treatment centres through treatment
process redesign as part of a total quality management strategy, but not all results are
positive. copyright 2006 Oxford University Press.
ISSN 1353-4505
Publication Type Journal: Article
Journal Name International Journal for Quality in Health Care
Volume 18
Issue Part 5
Page 336-345
Year of Publication 2006
Date of Publication Oct 2006
TREATMENT 2006 <530>
Database EMBASE
Accession Number 2006470225
Authors Vederhus J.-K. Kristensen O.
Institution
(Vederhus, Kristensen) Addiction Unit, Sorlandet Hospital, Kristiansand, Norway.
Country of Publication
United Kingdom
Title
High effectiveness of self-help programs after drug addiction therapy.
Source
BMC Psychiatry. 6, 2006. Article Number: 35. Date of Publication: 23 Aug 2006.
Abstract
Background: The self-help groups Alcoholics Anonymous (AA) and Narcotics Anonymous
(NA) are very well established. AA and NA employ a 12-step program and are found in most
large cities around the world. Although many have argued that these organizations are
valuable, substantial scepticism remains as to whether they are actually effective. Few
treatment facilities give clear recommendations to facilitate participation, and the use of these
groups has been disputed. The purpose of this study was to examine whether the use of selfhelp groups after addiction treatment is associated with higher rates of abstinence. Methods:
One hundred and fourteen patients, 59 with alcohol dependency and 55 with multiple drug
dependency, who started in self-help groups after addiction treatment, were examined two
years later using a questionnaire. Return rate was 66%. Six (5%) of the patients were dead.
Results: Intention-to-treat-analysis showed that 38% still participated in self-help programs
two years after treatment. Among the regular participants, 81% had been abstinent over the
previous 6 months, compared with only 26% of the non-participants. Logistic regression
analysis showed OR = 12.6, 95% Cl (4.1-38.3), p < 0.001, for participation and abstinence.
Conclusion: The study has several methodological problems; in particular, correlation does
not necessarily indicate causality. These problems are discussed and we conclude that the
probability of a positive effect is sufficient to recommend participation in self-help groups as a
supplement to drug addiction treatment. copyright 2006 Vederhus and Kristensen; licensee
BioMed Central Ltd.
ISSN 1471-244X
Publication Type Journal: Article
Journal Name BMC Psychiatry
Volume 6
Year of Publication 2006
Date of Publication 23 Aug 2006
TREATMENT 2006 <536>
Database EMBASE
Accession Number 2006464258
Authors Quaglio G. Lugoboni F. Pattaro C. Montanari L. Lechi A. Mezzelani P. Des Jarlais D.C.
Institution
(Quaglio, Lugoboni, Mezzelani) Medical Service for Addictive Disorders, Department of Internal Medicine, University
of Verona, Italy.
(Pattaro) Unit of Epidemiology and Medical Statistics, Department of Medicine and Public Health, University of
Verona, Italy.
(Pattaro) Unit of Genetic Epidemiology, Institute of Genetic Medicine, EURAC Research, Bolzano/Bozen, Italy.
(Montanari) European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Lisbon, Portugal.
(Lechi) Department of Internal Medicine, University of Verona, Italy.
(Des Jarlais) Edmond de Rothschild Foundation Chemical Dependency Institute, Beth Israel Medical Center, New
York City, United States.
Country of Publication
United Kingdom
Title
Patients in long-term maintenance therapy for drug use in Italy: Analysis of some
parameters of social integration and serological status for infectious diseases in a
cohort of 1091 patients.
Source
BMC Public Health. 6, 2006. Article Number: 216. Date of Publication: 23 Aug 2006.
Abstract
Background: Heroin addiction often severely disrupts normal social functioning. The aims of
this multi-centre study of heroin users in long-term replacement treatment were: i) to provide
information on aspects of social condition such as employment, educational background,
living status, partner status and any history of drug addiction for partners, comparing these
data with that of the general population; ii) to assess the prevalence of hepatitis, syphilis and
HIV, because serological status could be a reflection of the social conditions of patients
undergoing replacement treatment for drug addiction; iii) to analyse possible relationships
between social conditions and serological status. Methods: A cross-sectional study was
carried out in sixteen National Health Service Drug Addiction Units in northern Italy. The data
were collected from February 1, 2002 to August 31, 2002. Recruitment eligibility was:
maintenance treatment with methadone or buprenorphine, treatment for the previous six
months, and at least 18 years of age. In the centres involved in the study no specific criteria
or regulations were established concerning the duration of replacement therapy. Participants
underwent a face-to-face interview. Results: The conditions of 1091 drug treatment patients
were evaluated. The mean duration of drug use was 14.5 years. Duration was shorter in
females, in subjects with a higher educational background, and in stable relationships. Most
(68%) had completed middle school (11-14 years of age). Seventy-nine percent were
employed and 16% were unemployed. Fifty percent lived with their parents, 34% with a
partner and 14% alone. Males lived more frequently with their parents (55%), and females
more frequently with a partner (60%). Sixty-seven percent of male patients with a stable
relationship had a partner who had never used heroin. HCV prevalence was 72%, HBV
antibodies were detected in 42% of patients, while 30% had been vaccinated; 12.5% of
subjects were HIV positive and 1.5% were positive for TPHA. Conclusion: A significant
percentage of heroin users in treatment for opiate addiction in the cohort study have
characteristics which indicate reasonable integration within broader society. We posit that the
combination of effective treatment and a setting of economic prosperity may enhance the
social integration of patients with a history of heroin use. copyright 2006 Quaglio et al;
licensee BioMed Central Ltd.
ISSN 1471-2458
Publication Type Journal: Article
Journal Name BMC Public Health
Volume 6
Year of Publication 2006
Date of Publication 23 Aug 2006
TREATMENT 2006 <541>
Database EMBASE
Accession Number 2006460105
Authors Secker B. Goldenberg M.J. Gibson B.E. Wagner F. Parke B. Breslin J. Thompson A. Lear J.R. Singer P.A.
Institution
(Secker, Goldenberg, Gibson, Wagner, Parke, Breslin, Thompson, Lear, Singer) Joint Centre for Bioethics,
University of Toronto, 88 College Street, Toronto, Ont., Canada.
(Secker) Toronto Rehabilitation Institute, 550 University Avenue, Toronto, Ont., Canada.
(Goldenberg) Department of Philosophy, Michigan State University, 503 South Kedzie Hall, East Lansing, MI,
United States.
(Gibson) Department of Physical Therapy, University of Toronto, 500 University Avenue, Toronto, Ont., Canada.
(Wagner) Toronto Community Care Access Centre, 250 Dundas Street West, Toronto, Ont., Canada.
(Parke) Humber River Regional Hospital, 2111 Finch Avenue West, North York, Ont., Canada.
(Breslin) North York General Hospital, 4001 Leslie Street, North York, Ont., Canada.
(Thompson) Centre for Research on Inner City Health, St. Michael's Hospital, 70 Richmond Street East, Toronto,
Ont., Canada.
Country of Publication
United Kingdom
Title
Just regionalisation: Rehabilitating care for people with disabilities and chronic
illnesses.
Source
BMC Medical Ethics. 7, 2006. Article Number: 9. Date of Publication: 29 Aug 2006.
Abstract
Background: Regionalised models of health care delivery have important implications for
people with disabilities and chronic illnesses yet the ethical issues surrounding disability and
regionalisation have not yet been explored. Although there is ethics-related research into
disability and chronic illness, studies of regionalisation experiences, and research directed at
improving health systems for these patient populations, to our knowledge these streams of
research have not been brought together. Using the Canadian province of Ontario as a case
study, we address this gap by examining the ethics of regionalisation and the implications for
people with disabilities and chronic illnesses. The critical success factors we provide have
broad applicability for guiding and/or evaluating new and existing regionalised health care
strategies. Discussion: Ontario is in the process of implementing fourteen Local Health
Integration Networks (LHINs). The implementation of the LHINs provides a rare opportunity to
address systematically the unmet diverse care needs of people with disabilities and chronic
illnesses. The core of this paper provides a series of composite case vignettes illustrating
integration opportunities relevant to these populations, namely: (i) rehabilitation and services
for people with disabilities; (ii) chronic illness and cancer care; (iii) senior's health; (iv)
community support services; (v) children's health; (vi) health promotion; and (vii) mental
health and addiction services. For each vignette, we interpret the governing principles
developed by the LHINs - equitable access based on patient need, preserving patient choice,
responsiveness to local population health needs, shared accountability and patient-centred
care - and describe how they apply. We then offer critical success factors to guide the LHINs
in upholding these principles in response to the needs of people with disabilities and chronic
illnesses. Summary: This paper aims to bridge an important gap in the literature by examining
the ethics of a new regionalisation strategy with a focus on the implications for people with
disabilities and chronic illnesses across multiple sites of care. While Ontario is used as a case
study to contextualize our discussion, the issues we identify, the ethical principles we apply,
and the critical success factors we provide have broader applicability for guiding and
evaluating the development of - or revisions to - a regionalised health care strategy. copyright
2006 Secker et al; licensee BioMed Central Ltd.
ISSN 1472-6939
Publication Type Journal: Article
Journal Name BMC Medical Ethics
Volume 7
Year of Publication 2006
Date of Publication 29 Aug 2006
TREATMENT 2006 <556>
Database EMBASE
Accession Number 2006444732
Authors Luchansky B. Nordlund D. Estee S. Lund P. Krupski A. Stark K.
Institution
(Luchansky, Lund) Looking Glass Analytics, Olympia, WA, United States.
(Nordlund, Estee) Division of Research and Data Analysis, Washington State Department of Social and Health
Services, Olympia, WA, United States.
(Krupski, Stark) Division of Alcohol and Substance Abuse, Washington State Department of Social and Health
Services, Olympia, WA, United States.
(Luchansky) Looking Glass Analytics, 215 Legion Way SW, Olympia, WA 98501, United States.
Country of Publication
United Kingdom
Title
Substance abuse treatment and criminal justice involvement for SSI recipients:
Results from Washington State.
Source
American Journal on Addictions. 15(5)(pp 370-379), 2006. Date of Publication: 01 Oct 2006.
Abstract
This study examined the association between receiving substance abuse treatment and
subsequent criminal justice involvement. The sample consisted of Supplemental Security
Income (SSI) recipients in the state of Washington that were determined to be in need of
treatment. Fifty-two percent of those clients entered substance abuse treatment during the
study period, while 48% did not. Arrests, felony convictions and convictions for less serious
crimes were tracked for 8343 adults for one year following the end of an index treatment
episode. Results showed that entering treatment was associated with reduced risks for each
outcome. In addition, further analyses were conducted just on those entering treatment.
Among that subset of the study population, the completion of treatment and having an
episode of treatment lasting at least 90 days were both associated with reduced criminal
justice risks. These results suggest that efforts to provide substance abuse treatment for SSI
recipients have the potential to provide substantial public benefits. Copyright copyright
American Academy of Addiction Psychiatry.
ISSN 1055-0496
Publication Type Journal: Article
Journal Name American Journal on Addictions
Volume 15
Issue Part 5
Page 370-379
Year of Publication 2006
Date of Publication 01 Oct 2006
TREATMENT 2006 <606>
Database EMBASE
Accession Number 2006382416
Authors Klingemann H. Bergmark A.
Institution
(Klingemann) University of Applied Sciences Bern, School of Social Work (HSA), Institute for Social Planning and
Social Management (ISS), Bern, Switzerland.
(Bergmark) Stockholm University, Addiction Research Group, Department of Social Work, Stockholm, Sweden.
(Klingemann) University of Applied Sciences Bern, School of Social Work (HSA), Institute for Social Planning and
Social Management (ISS), PO Box 6564, CH-3012 Bern, Switzerland.
Country of Publication
United Kingdom
Title
The legitimacy of addiction treatment in a world of smart people.
Source
Addiction. 101(9)(pp 1230-1237), 2006. Date of Publication: Sep 2006.
Abstract
Aim: This paper discusses what type of legitimacy underpins addiction treatment in
contemporary western societies. Method: Broad review of the relevant literature. Conclusions:
The legitimacy of professional interventions and the future of service provision will depend
largely on the relationship between the professional and the lay referral system. These in turn
are intertwined with macro-societal changes. The basic categories in this relationship are, on
one hand, the idea of evidence-based practice (i.e. the notion of using the most accurate
scientific support for the choice of treatment interventions), and on the other hand the
consumer perspective, which conceptualizes addiction treatment as an interactive process
between the treatment provider and the consumer. The acceptance of addiction treatment
depends in most cases on the client who chooses from a whole range of informal and formal
problem solutions. To an extent, experts are thus controlled by their lay counterparts and
need their consent to operate and succeed. This process is complicated by the trend towards
evidence-based practice, which demands transparency and rigorous procedures and carries
with it the basis for distrust in expert knowledge by displaying openly that every statement of
fact is open to revision, and thus, to a certain extent, characterized by uncertainty. copyright
2006 The Authors.
ISSN 0965-2140
Publication Type Journal: Review
Journal Name Addiction
Volume 101
Issue Part 9
Page 1230-1237
Year of Publication 2006
Date of Publication Sep 2006
TREATMENT 2006 <635>
Database EMBASE
Accession Number 2006354906
Authors Kelly J.F. Stout R. Zywiak W. Schneider R.
Institution
(Kelly) Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
(Stout, Zywiak, Schneider) Decision Sciences Institute, Providence, RI, United States.
(Stout, Schneider) Brown University, Providence, RI, United States.
(Stout, Schneider) Harvard Pilgrim Healthcare, Boston, MA, United States.
(Kelly) Addiction Research Program, Department of Psychiatry, Massachusetts General Hospital, 5 Emerson Place,
Boston, MA 02114, United States.
Country of Publication
United Kingdom
Title
A 3-year study of addiction mutual-help group participation following intensive
outpatient treatment.
Source
Alcoholism: Clinical and Experimental Research. 30(8)(pp 1381-1392), 2006. Date of
Publication: Aug 2006.
Abstract
Background: Addiction-focused mutual-help group participation is associated with better
substance use disorder (SUD) treatment outcomes. However, little has been documented
regarding which types of mutual-help organizations patients attend, what levels of
participation may be beneficial, and which patients, in particular, are more or less likely to
participate. Furthermore, much of the evidence supporting the use of these organizations
comes from studies examining participation and outcomes concurrently, raising doubts about
cause-effect connections, and little is known about influences that may moderate the degree
of any general benefit. Method: Alcohol-dependent outpatients (N = 227; 27% female; M age
= 42) enrolled in a randomized-controlled telephone case monitoring trial were assessed at
treatment intake and at 1, 2, and 3 years postdischarge. Lagged-panel, hierarchical linear
models tested whether mutual-help group participation in the first and second year following
treatment predicted subsequent outcomes and whether these effects were moderated by
gender, concurrent axis I diagnosis, religious preference, and prior mutual-help experience.
Robust regression curve analysis was used to examine dose-response relationships between
mutual-help and outcomes. Results: Mutual-help participation was associated with both
greater abstinence and fewer drinks per drinking day and this relationship was not found to be
influenced by gender, Axis I diagnosis, religious preference, or prior mutual-help participation.
Mutual-help participants attended predominantly Alcoholics Anonymous and tended to be
Caucasian, be more educated, have prior mutual-help experience, and have more severe
alcohol involvement. Dose-response curve analyses suggested that even small amounts of
participation may be helpful in increasing abstinence, whereas higher doses may be needed
to reduce relapse intensity. Conclusions: Use of mutual-help groups following intensive
outpatient SUD treatment appears to be beneficial for many different types of patients and
even modest levels of participation may be helpful. Future emphasis should be placed on
ways to engage individuals with these cost-effective resources over time and to gather and
disseminate evidence regarding additional mutual-help organizations. Copyright copyright
2006 by the Research Society on Alcoholism.
ISSN 0145-6008
Publication Type Journal: Article
Journal Name Alcoholism: Clinical and Experimental Research
Volume 30
Issue Part 8
Page 1381-1392
Year of Publication 2006
Date of Publication Aug 2006
TREATMENT 2006 <671>
Database EMBASE
Accession Number 2006304642
Authors Abdollahnejad M.R.
Institution
(Abdollahnejad) Tehran Therapeutic Community, Tehran, Iran, Islamic Republic of.
(Abdollahnejad) Music Application in the Mental and Physical Health Association (MAMPHA),
Country of Publication
United Kingdom
Title
Music therapy in the Tehran therapeutic community.
Source
Therapeutic Communities: the International Journal for Therapeutic and Supportive
Organizations. 27(1)(pp 147-158), 2006. Date of Publication: Mar 2006.
Abstract
This article reports on research into music therapy activities in the Tehran TC for drug users.
The research was in two parts. The first part looked at the effects of lyric analysis and song
sharing. Clients were initially given a questionnaire about their previous use and choice of
music. A total of 25 sessions were held and clients were asked focused questions at the end
of each one to discover how they had reacted. The second part looked at the effects of
relaxing music on sleep. A total of 30 sessions of relaxing music were held, before bedtime,
and a questionnaire was used to learn how long it took residents to fall asleep, the frequency
of nightmares experienced, and their mood on the following day. Conclusions showed the use
of lyric analysis and song sharing was particularly useful for enabling residents to express
their feelings and thoughts and that relaxing music shortened the time taken to fall asleep and
improved mood on the following day. Finally it was found that the music which substance
abusers had listened to during their addiction had positively affected their relapse and
aggressive consuming.
ISSN 0964-1866
Publication Type Journal: Article
Journal Name Therapeutic Communities: the International Journal for Therapeutic and Supportive Organizations
Volume 27
Issue Part 1
Page 147-158
Year of Publication 2006
Date of Publication Mar 2006
TREATMENT 2006 <733>
Database EMBASE
Accession Number 2006232730
Authors Beattie M. McDaniel P. Bond J.
Institution
(Beattie, Bond) Public Health Institute, Alcohol Research Group, Berkeley, CA, United States.
(Beattie) Alcohol Research Group, 6475 Christie Avenue, Emeryville, CA 94608, United States.
(McDaniel) University of California, San Francisco, Center for Tobacco Control Research and Education, San
Francisco, CA, United States.
Country of Publication
United Kingdom
Title
Public sector managed care: A comparative evaluation of substance abuse treatment
in three counties.
Source
Addiction. 101(6)(pp 857-872), 2006. Date of Publication: Jun 2006.
Abstract
Aims: A study of publicly funded substance abuse treatment systems compared MidState, a
county that reorganized its treatment system using managed care principles, to two other
California counties that took different approaches, NorthState and SouthState. It was
hypothesized that MidState would have better outcomes due to its emphasis on quality of
care. Design: This natural experiment compared the 'experimental' county, MidState, to two
'control' counties, assessing client outcomes following treatment. Administrative and historical
exigencies that may affect system differences were explored in interviews with treatment
program managers and staff. Settings: Comparison counties were selected using treatment
system and county census data, maximizing similarities to enhance internal validity.
Participants: Adult clients (n = 681) were interviewed when beginning treatment and 12
months later (81% response rate). In addition, 50 treatment program managers and staff
members across the three counties were interviewed during the year of client recruitment.
Measurements: Client interviews assessed functioning in the seven Addiction Severity Index
domains - alcohol, drug, psychiatric, legal, employment, medical and family/social. Findings:
Outcomes (differences between baseline and 12 month composite scores) did not differ
between counties in six of seven domains; in the seventh, psychiatric functioning, SouthState
had better outcomes than MidState. Staff interviews indicated generally similar treatment
strategies across counties, with MidState supplying greater oversight and performance
standards. Conclusions: Managed care in public sector treatment generally did not result in
poorer outcomes. Future attention in MidState to the barriers to successful implementation of
individualized treatment, and to dual diagnosis treatment, might bring more positive results.
copyright 2006 Society for the Study of Addiction.
ISSN 0965-2140
Publication Type Journal: Conference Paper
Journal Name Addiction
Volume 101
Issue Part 6
Page 857-872
Year of Publication 2006
Date of Publication Jun 2006