Getting the (treatment) System Right. Effectiveness Bank Alcohol Treatment Matrix cell E2

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Drug and Alcohol Findings
Publication Date


Key research on improving local alcohol treatment systems, mechanisms for establishing recovery-generating care with diminished resources. Starts with what has become seen as the ‘bible’ of recovery-oriented systems of care, highlights the surprising results of a US randomised trial, then addresses two key issues:
- How many drinkers should be in treatment? What we should the aim be and how to assess whether we have got there. Develops sophisticated understanding of a deceptively simple issue.
- Is payment by results the way out? Out, that is, of the apparent bind that services doing least well may also be least likely to open themselves to improvement. Does funding on the basis of pre-set patient outcomes counter-productively stifle client-centred practice, or stretch services beyond comfort zones?

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One of 25 cells in the Alcohol Treatment Matrix mapping seminal and key research and guidance on alcohol brief interventions and treatment.

“Especially impressive are your use of older pieces of research [in the matrices] which are often forgotten (or not learned!!) by people who have not been around for a long time ... important as I watch old mistakes being repeated.”
Ira Unell, formerly Coordinator, Leicestershire Community Drug and Alcohol Services, England


Sent by Drug and Alcohol Findings to alert you to site updates and recent UK-relevant evaluations and reviews of drug/alcohol interventions. Matrix refresh funded by Alcohol Change UK. Findings is also supported by the Society for the Study of Addiction and advised by the National Addiction Centre.