By Philip Bean, Teresa Nemitz

Britain, like nearly all over else, has a burgeoning drug challenge. discovering methods of facing this challenge is an immense platform of presidency coverage and greatly has been made from the effect of therapy on drug clients. Drug therapy: What Works? is a leading edge survey of the newest advancements in those remedies, and it units out to invite a number of the the most important questions within the remedy of drug abusers; including:* Which remedies paintings with what varieties of abusers?* What are the major symptoms of most probably success?* Does coercion paintings or needs to therapy be freely entered into? * Is drug trying out a necessary backup for winning treatment?Featuring contributions from a few the top figures during this box, Drug therapy: What Works? may be crucial studying for college students, teachers and execs learning drug remedy within the parts criminology, social coverage and drugs.

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Extra resources for Drug Treatment: What Works?

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2000) The Rebirth of Rehabilitation; Promises and Perils of Drug Court, Washington, DC: National Institute of Justice. , Fleming, P. and Hedley, N. (1980) ‘Evaluation of Heroin Maintenance in a Controlled Trial’, Archives of General Psychiatry 37: 877–84. HM Government (1998) Tackling Drugs to Build a Better Britain; the Government’s 10 Year Strategy for Tackling Drug Misuse, Cm. 3945, London: The Stationery Office. Lipton, D. S. (1995) The Effectiveness of Treatment for Drug Abusers under Criminal Justice Supervision, Washington, DC: National Institute of Justice.

It is recommended that maintenance prescribing of injectable heroin or methadone should only be undertaken in accordance with certain principles including: • • ensuring such substitute prescribing is part of ‘an integrated package of care’ (p. 4) tailored to the needs of the individual patient; patients who do not respond to oral methadone maintenance treatment should be offered other options, in steps starting with ‘optimised higher dose oral methadone or buprenorphine maintenance treatment, then injectable methadone or injectable heroin maintenance (perhaps in combination with oral preparations)’.

Slogans about the dangers of coercion are inappropriate in their way. The authors make the point that the field must move beyond this oversimplified binary question; coercion, they say, is a multidimensional phenomenon. They suggest three areas for further research. The first is to determine to what extent the patient’s perception of coercion differs from that of the criminal justice agencies; that is, to what extent does the patient’s internal motivation for treatment correspond to the objective external forces?

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