Effectiveness Bank Matrix Cell: Treatment Systems, Unintended Consequences and Shaky Rationales

Key studies on local systems for effectively and cost-effectively providing drug addiction treatment. Commentary focuses on payment-by-results funding mechanisms (do they impede recovery by paying for it?), crime-reduction as a justification for treatment (was it ever really evidence-based?), and ways to improve treatment systems, especially the core care planning process, based on a little-known English report which went beyond identifying variation in performance to trying to account for it.