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National Collaborating Centre for Mental Health (UK). Drug Misuse: Psychosocial Interventions. Leicester (UK): British Psychological Society (UK); 2008. (NICE Clinical Guidelines, No. 51.)

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Drug Misuse: Psychosocial Interventions.

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Table 53Summary evidence table for trials of case management for people who misuse drugs*

Intensive referral versus standard care for people not in formal drug treatmentCase management versus standard care for people not in formal drug treatment
Total no. of trials (total no. of participants) 2 RCTs (N = 286)8 RCTs (N = 2,623)
Study ID STRATHDEE2006
ZANIS1996
COVIELLO2006
MARTIN1993
MEJTA1997
MORGENSTERN2006
NEEDELS2005: Study 1
NEEDELS2005: Study 2
SALEH2002
SORENSEN2005
Evidence profile table number (Appendix 16) Table A16–29Table A16–28
Overall quality of evidence ModerateModerate
Durations of abstinence Drug-free days per month:
SMD −0.13 (−0.47 to 0.20), K = 1, N = 140
Point abstinence at follow-up Cannabis: RR 1.14 (0.97 to 1.35), K = 3, N = 1,538
Cocaine: RR 1.26 (0.81 to 1.98), K = 3, N = 1,538
Opioids: RR 1.34 (0.63 to 2.87), K = 2, N = 192
All drugs: RR 1.16 (0.59 to 2.31), K = 2, N = 565
Initiation of treatment Started any treatment:
RR 2.92 (0.52 to 16.35), K = 2, N = 286
Started any treatment: RR 1.34 (1.04 to 1.72), K = 4, N = 2,028
Time taken to enter treatment:
SMD −1.63 (−1.88 to −1.37), K = 1, N = 316
Retention in treatment In treatment at follow-up:
RR 1.20 (0.84 to 1.74), K = 3, N = 1,530
Completed at least one outpatient programme: RR 1.92 (1.35 to 2.72), K = 1, N = 302
Retained in any treatment for at least 3 months: RR 2.29 (1.55 to 3.39), K = 1, N = 302
Time retained in treatment:
SMD −0.93 (−1.16 to −0.70), K = 1, N = 316
*

RR > 1 favours intervention, negative SMD values favour intervention.

From: 8, PSYCHOLOGICAL INTERVENTIONS

Copyright © 2008, The British Psychological Society & The Royal College of Psychiatrists.

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