‘Rehab works!’ by David McCartney

Here’s another excellent post from Scotland’s Dr David McCartney on the Recovery Review blog.

‘When it comes to trying to improve access to residential rehabilitation in Scotland, one thing I’ve heard too often from doubters is: ‘there’s no evidence that rehab works’. Ten years ago I was hearing the same thing about mutual aid, which was recently (at least in terms of Alcoholics Anonymous) found to be as effective, if not more effective, than commonly delivered psychological interventions.

There are a some problems with the ‘there’s no evidence that it works’ line. The first is that even if we accept the faulty premise that there is a poor evidence base, this is often taken as evidence that rehab doesn’t work, which is illogical. The second problem is that while there is evidence, some people don’t know about it or, for a variety of reasons, choose to dismiss it. What we can say is that the evidence base is weighted towards some areas (e.g., medical interventions) at the expense of others. The third issue for me is that while we need to find ways to balance the evidence base, we will not find more evidence if we’re not looking for it.

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Learning About Addiction Treatment, Part 9

In my fourth blog post focusing on what I learnt from the treatment agency BAC O’Connor back in 2004, I focus on treatment outcomes and two short client cases. The first blog in this series can be found here.

In the year prior to our visit, 231 clients accessed the BAC day care programme. A total of 87% of these clients had been involved with the criminal justice system; many, possibly most, were prolific offenders. 90% of the clients were unemployed, whilst 28% were officially classed as homeless. However, the latter percentage was realistically 67%, since 14% were due to be evicted for arrears or ASB (Anti-Social Behaviour), while 25% were staying with friends or relatives on a temporary basis and did not have a permanent home.

Of these 231 clients, two-thirds completed the programme drug-free. This was a very successful outcome, given the ‘challenging’ nature of the clients entering the programme. 52% of the clients attended aftercare on a regular basis. BAC was not in a position to track long-term outcomes at the time of our visit, but they were trying to set up a project to do so.

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