Cookie Settings
Skip Page Header

Home > Therapy ‘toolbox’ helps rescue poorly recovering patients at London maintenance clinic.

Drug and Alcohol Findings. (2019) Therapy ‘toolbox’ helps rescue poorly recovering patients at London maintenance clinic. London: Drug and Alcohol Findings.

[img]
Preview
PDF (Therapy ‘toolbox’)
127kB

URL: https://findings.org.uk/PHP/dl.php?file=Marsden_J_...


Instead of a set programme, a clinic in London tried offering methadone or buprenorphine patients still using heroin or cocaine a selection from a suite of well-supported psychological interventions tailored to the patient and then systematically re-tailored in the light of how they responded. It worked – but did it work well enough, and would the findings be replicated in more typical circumstances?

 

Key points from summary and commentary

  • A personalised psychosocial intervention was trialled for opioid-dependent patients being prescribed methadone or buprenorphine on a maintenance basis but who were still using heroin or cocaine.
  • Distinct from most other trials of additional psychosocial therapies, instead of a set programme, in this trial the interventions were selected from a ‘toolbox’ to match the patient’s needs and preferences and adapted in the light of how they responded.
  • Compared to usual treatment, among patients randomly allocated to this approach there were greater reductions in heroin and cocaine use and improvements in health-related quality of life, making the interventions cost-effective according to some accepted yardsticks. However, these findings which emerged in relatively ideal rather than typical circumstances.
Item Type
Report
Publication Type
International, Report
Drug Type
All substances
Intervention Type
General / Comprehensive, Treatment method, Psychosocial treatment method, Rehabilitation/Recovery
Date
31 May 2019
Pages
7 p.
Publisher
Drug and Alcohol Findings
Corporate Creators
Drug and Alcohol Findings
Place of Publication
London
Number
31 May 2019
EndNote

Repository Staff Only: item control page

×

We’d welcome your feedback!

Please participate in a very brief survey so we can improve your experience of using this website.

No Thanks . Don't take survey Take Survey . Survey opens in new tab