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. Effectiveness Bank Additions (31 May 2019) 7 p.

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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:Evidence resource
Drug Type:Alcohol or other drugs in general
Intervention Type:AOD disorder, AOD disorder treatment method, Psychosocial treatment method, Rehabilitation/Recovery
Source:Drug and Alcohol Findings
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:View
Subjects:HJ Treatment method > Psychosocial treatment method
HJ Treatment method > Counselling
J Health care, prevention and rehabilitation > Patient care management
J Health care, prevention and rehabilitation > Treatment and maintenance > Treatment factors
J Health care, prevention and rehabilitation > Treatment and maintenance > Patient attitude toward treatment
T Demographic characteristics > Counsellor / Therapist

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