We have a new website go to gov.scot

Research For Recovery: A Review of the Drugs Evidence Base

DescriptionA review of international evidence to support Scotland's National Drugs Strategy, The Road to Recovery. This report presents evidence on effective treatment and recovery from substance misuse.
ISBN978 0 755995059
Official Print Publication DateSeptember 2010
Website Publication DateSeptember 08, 2010

Listen

David Best 1, Andrew Rome 2, Kirstie A. Hanning 2, William White 3, Michael Gossop 4, Avril Taylor 1, Andy Perkins 2
1 University of the West of Scotland, 2 Figure 8 Consultancy Services Ltd., 3 Chestnut Health Systems, Illinois, U.S.A., 4 Institute of Psychiatry, King's College, London

ISBN 978 0 7559 9505 9
ISSN 0950 2254

This document is also available in pdf format (1mb)
DPPAS 10403

CONTENTS

ACKNOWLEDGEMENTS

LIST OF ABBREVIATIONS

EXECUTIVE SUMMARY

CHAPTER 1: INTRODUCTION
RESEARCH PROJECT OVERVIEW
BACKGROUND
AIMS & OBJECTIVES
OVERVIEW OF METHODS
KEY EVIDENTIARY ISSUES

CHAPTER 2: METHODS
SUMMARY OF STUDY METHODS

CHAPTER 3: WHAT IS THE RECOVERY EVIDENCE BASE?
SUMMARY: KEY FINDINGS FROM THE RECOVERY LITERATURE
WHAT WORKS FOR RECOVERY AS A PERSONAL JOURNEY: FOUNDATIONAL PRINCIPLES
Recovery Definition
Recovery and Help-Seeking Behaviours
Natural Recovery
Recovery Prevalence and Predictors
WHAT WORKS IN RELATIONSHIP TO COMMUNITIES OF RECOVERY AND RELATED RECOVERY SUPPORT INSTITUTIONS?
Community Perspectives
Role of Recovery Mutual Aid Group Participation in Long-Term Recovery
WHAT WORKS IN TERMS OF RECOVERY MANAGEMENT AND RECOVERY-ORIENTED SYSTEMS OF CARE?
Measuring Effectiveness of Treatment Systems within a Recovery Model
Attraction and Access of Treatment
Screening, Assessment, and Level of Care Placement
Service Team Composition
Service Relationship/Engagement
Service Dose, Scope and Quality
Assertive Linkage from Treatment to Communities of Recovery
Post-Treatment Monitoring, Support and Early Re-Intervention
Treatment/Recovery Outcomes
THE EVIDENCE BASE FOR RECOVERY IN THE UK

CHAPTER 4: TREATMENT OF DRUG DEPENDENCE AND EVIDENCE OF EFFECTIVENESS
SUMMARY: KEY FINDINGS FROM THE EFFECTIVENESS AND OUTCOMES LITERATURE
PHARMACOLOGICALLY ASSISTED TREATMENTS
Detoxification
Maintenance Treatments
PSYCHOSOCIAL TREATMENTS
LONGITUDINAL TREATMENT OUTCOME STUDIES
The Drug Abuse Reporting Programme ( DARP)
The Treatment Outcome Prospective Study ( TOPS)
The Drug Abuse Treatment Outcome Study ( DATOS)
California Civil Addict Program ( CCAP)
The National Treatment Outcome Research Study ( NTORS)
Drug Treatment Outcomes Research Study ( DTORS)
Australian Treatment Outcome Study ( ATOS)
Research Outcome Study in Ireland Evaluating Drug Treatment Effectiveness ( ROSIE)
Drug Outcome Research in Scotland ( DORIS)
OVERVIEW OF THE TREATMENT OUTCOME STUDIES
BRIDGING THE EFFECTIVENESS GAP: TRANSLATING RESEARCH INTO ROUTINE PRACTICE
FOOTNOTE: ADDRESSING THE GAPS IN THE EVIDENCE BASE

CHAPTER 5: LEARNING FROM PARALLEL FIELDS
SUMMARY: LEARNING FROM PARALLEL FIELDS
MENTAL HEALTH AND RECOVERY
ALCOHOL AND RECOVERY
COMMUNITY ENGAGEMENT AND RECOVERY IN THE COMMUNITY
POSITIVE PSYCHOLOGY AND SOCIAL INCLUSION
CRIMINAL CAREERS AND LONG-TERM DESISTANCE
OVERVIEW AND INTERPRETATION

CHAPTER 6 - ANALYSIS OF THE EVIDENCE CITED IN THE ROAD TO RECOVERY AND LITERATURE REVIEW
SUMMARY: LEARNING FROM THE LITERATURE REVIEW
INTRODUCTION
ANALYSIS OF THE EVIDENCE CITED IN THE ROAD TO RECOVERY
Criminal justice and prisons
Families and children
Prevention and education
Treatment and intervention
Making it work
FINDINGS OF THE LITERATURE REVIEW
CRIMINAL JUSTICE AND PRISONS
Therapeutic Communities ( TCs)
Women Offenders
Other Forms of Coerced Treatment
Recidivism/Relapse/Re-Incarceration
FAMILIES
Family Involvement in the Care of Substance Misusers
Parenting Skills in Treatment
Predictors of Family Separation/Reunification
Pregnancy and Substance Misuse
Adolescence and Substance Misuse
PREVENTION AND EDUCATION
Deprivation and Other Societal Factors Associated with Substance Misuse
Characteristics of Young People Who Misuse Substances
Substance Misuse and Prevention/Education Strategies within Schools and Institutions of Higher Education
Substance Misuse and Prevention/Education Strategies: Family Interventions and Community-Based Work
TREATMENT AND INTERVENTION
Recovery Amongst Substance Misusers with Dual Diagnosis
Substance Misusing Women
Treatment and Service Characteristics
Black and Minority Ethnic ( BME) Groups
Relapse Prevention
Deprivation, Housing and Employment
Non-Treatment Aftercare
Treatment Follow-up and Aftercare
OVERVIEW

CHAPTER 7 - CONSULTATION WITH KEY EXPERTS
SUMMARY: PERCEPTIONS OF THE EXPERT GROUP
THE EVIDENCE BASE IN SCOTLAND
WHAT ARE THE RESEARCH GAPS PERTINENT TO THE ROAD TO RECOVERY?
AREAS FOR FURTHER RESEARCH AND INVESTIGATION
POTENTIAL AREAS FOR FUNDING AND COORDINATING RESEARCH
ASPIRATIONS FOR THE REVIEW
IDENTIFYING THE WAY FORWARD

CHAPTER 8: REVIEW AND CONCLUSIONS
SUMMARY: OVERVIEW OF RECOMMENDED DEVELOPMENTS
WHERE ARE WE NOW?
MEASURING RECOVERY AND TREATMENT EFFECTIVENESS
USING MONITORING DATA AS A CORE BUILDING BLOCK IN RESEARCH
SETTING A RESEARCH AGENDA FOR RECOVERY FROM ADDICTION
DEVELOPING AN EVIDENCE BASE FOR 'WHAT WORKS' IN SCOTTISH ADDICTION TREATMENT AND OTHER AREAS OF INTERVENTION
THE DEVELOPMENT OF AN OVERSIGHT SYSTEM
FUNDING THE WORK OF THE FORUM

REFERENCES

APPENDICES

Appendix 1: Review of documents cited in The Road to Recovery and analysis of their relevance to recovery and the evidence base
Appendix 2: Independent Funding Sources

The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.