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Evidence Supporting Treatment: The Effectiveness of Interventions for Illicit Drug Use
Bibliografi
Author:
Henry-Edwards, Sue
;
Gowing, Linda
;
Proudfoot, Heather
;
Stokes, Julie
(Editor);
Teesson, Maree
Bahasa:
(EN )
Penerbit:
Australian National Council on Drugs
Tempat Terbit:
Woden ACT
Tahun Terbit:
2001
Jenis:
Research Report
Fulltext:
Evidence supporting treatment.pdf
(3.59MB;
0 download
)
Abstract
The research information summarised by this report is drawn from existing major reviews of the effectiveness of clinical interventions for illicit drugs supplemented by consideration of significant studies undertaken after the completion of those reviews and published before March 2001. This approach was chosen to enable a comprehensive review of research evidence to be compiled within a limited timeframe, because it provided an unbiased basis for determining what studies to include, and is transparent to anyone who might wish to build on or update the review in the future. This report is presented in two sections: a summary, and detailed findings. The summary comprises two components: a table that provides a brief overview of treatment effectiveness (‘In a nutshell …’), and an executive summary. The headings used in the executive summary reflect the main section headings in the body of the report. For explanation of any of the statements made in the executive summary, refer to the equivalent section of the main report. The body of the report is in five sections. The first section, ‘Introduction’, presents the background to the review and discusses the methodology used. The second section, ‘Illicit drug use in Australia’, provides information on patterns of use of illicit drugs. The third section, ‘Treatment principles’, outlines concepts underlying treatment interventions and describes the types of treatment approach covered by this review. Section four presents the findings of the review of research literature that was the primary purpose of this project. Findings are presented firstly according to the main type of treatment approach (‘Making contact and engaging users’, ‘Detoxification’, ‘Pharmacological treatment’, ‘Psychosocial therapies’). In general, findings are presented within each of these sections according to the drug of dependence (opioids, psychostimulants and cannabis). The exceptions are ‘Making contact and engaging users’ and ‘General drug-free treatment approaches’ (within the ‘Psychosocial therapies’ section) as these types of intervention tend not to be directed at particular drugs of dependence. The report includes three appendices: (1) Further reading, which identifies sources of additional information on the delivery of treatment interventions for illicit drug users; (2) Glossary of terms; and (3) Information on pharmaceutical drugs referred to in the review, including identification of those drugs that are not currently available in Australia. From an Australian point of view the most significant studies excluded from this review are those being undertaken as part of the National Evaluation of Pharmacotherapies for Opioid Dependence (NEPOD). Commenced in 1998, and coordinated by the National Drug and Alcohol Research Centre (NDARC), NEPOD aims to contribute to a national program designed to develop and implement a range of effective evidence-based and best practice treatment options for individuals who are opioid-dependent. The project is collaborative involving clinicians and researchers in New South Wales, Victoria, Queensland, South Australia, Western Australia and the Australian Capital Territory. In all, 16 outcome studies and 11 pilot and observational studies have been included, involving a total of 1300 individuals. Results from NEPOD will be of particular interest to those working in the field, as they will provide an Australian perspective on effective treatments for opioid abuse. Although release is imminent, the results from this important study were not available at the time this report was finalised. Further information on NEPOD can be obtained from the NDARC website (go to www.med.unsw.edu.au/ndarc and follow the links to NEPOD).
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