Home > Alcohol Matrix cell E4: Treatment systems - psychosocial therapies.

Drug and Alcohol Findings. (2017) Alcohol Matrix cell E4: Treatment systems - psychosocial therapies. London: Drug and Alcohol Findings. 4 p.

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The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level. 

What is cell E4 about?

The roles of ‘psychosocial’ therapies in systems for treating problem drinking implemented across an area. In particular, their role in creating a cost-effective mix of services ranging from brief advice and counselling to extended therapies and residential care which offers patients/clients attractive access points and appropriate options for moving between services or using them in parallel. In this they are critical because in Britain treatment for alcohol dependence usually consists entirely of psychosocial support. Drugs are almost universally used to ease withdrawal in inpatient units, but in 2013/14 in England, of the 101,782 drinkers treated in non-residential community settings, just 16% were prescribed a medication.

Creating a local treatment system involves commissioning, contracting and purchasing decisions to meet local needs in the context of resource constraints and national policy. At this level, research is rarely of the ‘gold standard’ randomised controlled trial format. Whole treatment systems are not easily manipulated by researchers based on a toss of a coin, leaving us largely reliant on studies of how things work out naturally. These have to grapple with multiple influences and differences between areas which obscure the impacts of the features researchers are attempting to pin down as causal factors in outcomes. Such studies will often include but not focus on psychosocial services, making the corresponding cell on treatment systems as a whole of relevance also to this cell.

Item Type:Evidence resource
Drug Type:Alcohol
Intervention Type:Education and training, Psychosocial treatment method
Source:Drug and Alcohol Findings
Date:April 2017
Pages:4 p.
Publisher:Drug and Alcohol Findings
Corporate Creators:Drug and Alcohol Findings
Place of Publication:London
EndNote:View
Subjects:B Substances > Alcohol
HJ Treatment method > Psychosocial treatment method
HJ Treatment method > Treatment outcome
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
J Health care, prevention and rehabilitation > Health care delivery
J Health care, prevention and rehabilitation > Health care programme or facility
J Health care, prevention and rehabilitation > Health care administration
J Health care, prevention and rehabilitation > Health care administration > Health care quality control
MP-MR Policy, planning, economics, work and social services > Organisational development
MP-MR Policy, planning, economics, work and social services > Organisational development > Workforce / staff skills and training

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