Format
Book
Publication Date
Published by / Citation
Drug and Alcohol Findings
Original Language

English

Keywords
alcohol
treatment
psychosocial
UKATT
Project MATCH
Dodo bird
guidance
common factors
iatrogenic
residential
therapeutic community
therapist factors
therapeutic relationship
motivational interviewing
cognitive-behavioural therapy
mindfulness
Alcoholics Anonymous
12 steps
implementation
United Kingdom
UK
counselling
case management
community reinforcement approach
network therapy
workforce development
training
clinical supervision
management
workshops
feedback
coaching
fidelity
organisational factors
payment by results
staff turnover
service ethos
workplace environment
mutual aid
aftercare
NICE
commissioning
care coordination
keyworking
service specifications

The Talking Route to Recovery. Effectiveness Bank Alcohol Treatment Matrix Row 4

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THE TALKING ROUTE TO RECOVERY

Time to consolidate the lessons of row 4 of the Alcohol Treatment Matrix, all about therapies in which human interaction is intended to be the main active ingredient - psychosocial or ‘talking’ therapies, the mainstay of alcohol dependence treatment. Via key studies, reviews and guidance, the row walks you through what we know, from the therapies themselves to the influence of practitioners, management, organisational context, and their place in the surrounding treatment system.

See the row highlighted at:
https://findings.org.uk/PHP/dl.php?f=amatrix.php&s=ml&sf=mx&r=4#4
OR
go straight to your chosen cell below.

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CELL A4: TALKING INTERVENTIONS

Introduces the famous ‘Dodo bird’ hypothesis that all bona fide therapies are equivalent. Read about the American Psychological Association’s “impressively wise overview” but question their list of the most important things to do in therapy, and explore the implications of unexpected findings from the largest UK trial.

CELL B4: THE TALKER IN TALKING THERAPIES

Structured around Carl Rogers’ classic account of the prerequisites of effective therapy. Highlights the seminal study that validated empathy, understanding and warmth, and asks, is this really all that’s needed, can being genuine contravene other ‘rules’ of good counselling, and why don’t more studies register therapist effects?

CELL C4: MANAGING THE TALKING ROUTE TO RECOVERY

Starts with leading researchers “bravely questioning” whether their work has been futile, highlights the study which teased out the indirect influence of leaders, then asks whether feedback and ‘coaching’ are the right strategies for producing good clinicians.

CELL D4: THE ORGANISATION IS THE HEALING CONTEXT

Starts with the contention that “organizational climate underlies the entire process of innovation adoption”, then addresses three key issues: Is your service even ready to change? Change driven by money versus mission; just as good for patients? The stultifying effect of high staff turnover and how to reduce it.

CELL E4: PSYCHOSOCIAL THERAPIES IN THE TREATMENT SYSTEM

Focuses on guidance from NICE, England’s gatekeeper to the public provision of health and social care, questioning its interpretation of research and examining its support for care coordination, referral from treatment to mutual aid groups, and the groups themselves. Also, how far should commissioners tie the hands of treatment providers?

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Alcohol Treatment Matrix

Drug Treatment Matrix

About the matrices

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Sent by Drug and Alcohol Findings via a third party mailing list to alert you to site updates and recent UK-relevant evaluations and reviews of drug/alcohol interventions. Refresh of the Alcohol Treatment Matrix is funded by Alcohol Change UK. Findings is also supported by the Society for the Study of Addiction, and advised by the National Addiction Centre.