Is rehab effective? The results are in.

This summary of the research evidence provides verification that “that residential rehabilitation is associated with improvements across a variety of outcomes relating to substance use, health and quality of life”. Rehab is linked to improvements in mental health, offending, social engagement, employment, reduction in substance use and abstinence. There is little research that compares rehab with other treatments delivered in the community, but where there is, the evidence suggests that “residential treatment produces more positive outcomes in relation to substance use than other treatment modalities.” The review also suggests that rehab can be more cost-effective over time than other treatments

The ten most important things about addiction (part 2)

The conclusion of the two-parter. Part one is here. Professor Selman’s last five essentials: 6. Different therapies appear to produce similar treatment outcomes. Project MATCH, a huge psychotherapy trial showed similar outcomes for the techniques of motivational enhancement therapy, twelve step facilitation and cognitive behavioural therapy. Other trials including British ones have shown the same results. … Continue reading The ten most important things about addiction (part 2)

Peer Support – does it make a difference?

In many places peer support has been integrated into addiction treatment services, often with enthusiasm. What do we know about the effect of peer support though? In my own service, introduction of a structured peer support programme was associated with a sharp increase in retention (treatment completion) rates – but that’s not evidence in the … Continue reading Peer Support – does it make a difference?

Too expensive? (2015)

I frequently point to health professional recovery programs when discussing the effectiveness of drug-free treatment when it's delivered in the appropriate dose, frequency and duration. They have stellar outcomes. (More details here.) The programs were abstinence-based, requiring physicians to abstain from any use of alcohol or other drugs of abuse as assessed by frequent random … Continue reading Too expensive? (2015)