What treatment means in practice: An analysis of the delivery of evidence-based interventions in criminal justice drug treatment services in Birmingham, England

Best, David; Day, Ed; Morgan, Bill; Oza, Tina; Copello, Alex; Gossop, Michael

doi:10.3109/16066350802447090

Cited by 18 publications

(19 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Behavioural couples therapy and family based interventions were also associated with reductions in illicit drug use but relapse prevention and standard cognitive behavioural therapy did not appear to be effective 18. This goes against reported routine practice in UK specialist treatment agencies19 20 where contingency management or family therapies are rarely reported.…”

Section: Does Adding Psychosocial Therapy To Ost Improve Outcomes?mentioning

confidence: 75%

“…Lilly and colleagues found that the extent to which staff can deploy the ‘counsellor’ role is limited by patients’ perceptions of them as the ‘gatekeeper’ to methadone 25. Recent work in Birmingham highlights that only about a quarter of clinical contact time is spent delivering what workers perceive as a structured psychosocial intervention, with the remainder of the time devoted to case management activities, signposting other services and other administrative tasks 20. Increasing caseloads, limited training and insufficient clinical supervision have compounded these issues.…”

Section: What Can Be Done To Improve Outcomes In England?mentioning

confidence: 99%

See 1 more Smart Citation

Maximising the treatment outcomes of opioid substitution treatment

Day

2010

Evid Based Mental Health

View full text Add to dashboard Cite

Section: Does Adding Psychosocial Therapy To Ost Improve Outcomes?mentioning

confidence: 75%

Section: What Can Be Done To Improve Outcomes In England?mentioning

confidence: 99%

Maximising the treatment outcomes of opioid substitution treatment

Day

2010

Evid Based Mental Health

View full text Add to dashboard Cite

“…They are encouraged to use a variety of techniques, and some will have been exposed to the goal setting and SBNT techniques as part of their continuing professional development. Our research group conducted one of the few published studies describing routine treatment in OST services in Birmingham [29]. Meetings with patients occurred between weekly and fortnightly, and lasted an average of 45 minutes.…”

Section: Methodsmentioning

confidence: 99%

“…Prior to the commencement of the trial the elements that comprise ‘standard treatment’ in drug services at both project sites will be evaluated based on the methodology of previous research [29]. Ten clinical cases will be selected at random from each site.…”

Section: Methodsmentioning

confidence: 99%

Pilot study of a social network intervention for heroin users in opiate substitution treatment: study protocol for a randomized controlled trial

Day

Copello

Seddon

et al. 2013

Trials

Self Cite

View full text Add to dashboard Cite

BackgroundResearch indicates that 3% of people receiving opiate substitution treatment (OST) in the UK manage to achieve abstinence from all prescribed and illicit drugs within 3 years of commencing treatment, and there is concern that treatment services have become skilled at engaging people but not at helping them to enter a stage of recovery and drug abstinence. The National Treatment Agency for Substance Misuse recommends the involvement of families and wider social networks in supporting drug users’ psychological treatment, and this pilot randomized controlled trial aims to evaluate the impact of a social network-focused intervention for patients receiving OST.Methods and designIn this two-site, early phase, randomized controlled trial, a total of 120 patients receiving OST will be recruited and randomized to receive one of three treatments: 1) Brief Social Behavior and Network Therapy (B-SBNT), 2) Personal Goal Setting (PGS) or 3) treatment as usual. Randomization will take place following baseline assessment. Participants allocated to receive B-SBNT or PGS will continue to receive the same treatment that is routinely provided by drug treatment services, plus four additional sessions of either intervention. Outcomes will be assessed at baseline, 3 and 12 months. The primary outcome will be assessment of illicit heroin use, measured by both urinary analysis and self-report. Secondary outcomes involve assessment of dependence, psychological symptoms, social satisfaction, motivation to change, quality of life and therapeutic engagement. Family members (n = 120) of patients involved in the trial will also be assessed to measure the level of symptoms, coping and the impact of the addiction problem on the family member at baseline, 3 and 12 months.DiscussionThis study will provide experimental data regarding the feasibility and efficacy of implementing a social network intervention within routine drug treatment services in the UK National Health Service. The study will explore the impact of the intervention on both patients receiving drug treatment and their family members.Trial registrationTrial Registration Number: ISRCTN22608399ISRCTN22608399 registration: 27/04/2012Date of first randomisation: 14/08/2012

show abstract

“…Although there is recognition that people may well need more than what is on offer in statutory drug services in the United Kingdom (a fortnightly chat with a drug worker lasting for 45 minutes on average and a prescription of methadone or buprenorphine; Best, Day, 2009), this is often not seen as the job of drug workers or drug services. Although there has been a longstanding movement to place the client in charge of their care plan, the recovery model requires professionals to take a further step to work alongside their clients in a coaching role.…”

Section: Uk Recovery Academy and W Whitementioning

confidence: 99%

Recovery and Straw Men: An Analysis of the Objections Raised to the Transition to a Recovery Model in UK Addiction Services

Best

Bamber

Battersby

et al. 2010

Journal of Groups in Addiction & Recovery

Self Cite

View full text Add to dashboard Cite

In both Scotland and England, the current drug strategies (HM Government, 2008;Scottish Government, 2008) have demonstrated a clear commitment to an integrated recovery-oriented model of treatment for drug problems, which represents a significant change in focus toward a more person-centered and individualized philosophy for the delivery of drug treatment in the United Kingdom. This change has met with some resistance from a range of professionals in the United Kingdom, and the purpose of the article is to make explicit these concerns and objections, classify them, and examine their foundations. A group of UK academics, policymakers, and practitioners, who met under the auspices of the UK Recovery Academy, agreed to collate a list of objections to the viability of recovery approaches in the addiction field and to assess the merits of each concern. This process resulted in a total of 26 objections that are reviewed. The article concludes with an overview of the questions remaining unanswered in the United Kingdom and an assessment of the position of the "recovery movement" in the UK addictions field.

show abstract

What treatment means in practice: An analysis of the delivery of evidence-based interventions in criminal justice drug treatment services in Birmingham, England

Cited by 18 publications

References 17 publications

Maximising the treatment outcomes of opioid substitution treatment

Maximising the treatment outcomes of opioid substitution treatment

Pilot study of a social network intervention for heroin users in opiate substitution treatment: study protocol for a randomized controlled trial

Recovery and Straw Men: An Analysis of the Objections Raised to the Transition to a Recovery Model in UK Addiction Services

Contact Info

Product

Resources

About