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Alcohol & Drugs

Drug treatment and recovery in the UK

Dame Carol Black’s Review of Drugs provides a detailed overview of treatment and the factors associated with ensuring recovery from dependence.

Alcohol & Drugs

Inspirado – The Recovery Board Game

Inspirado is a board game used as an interactive brief intervention tool to support players gain an understanding of recovery and behaviour change.

Alcohol & Drugs

Payment by Results and Drug Recovery

Some reported that PbR created opportunities for increased creativity and flexibility in the way in which services were designed and delivered. PbR had also encouraged a greater emphasis on monitoring and reviewing the progress of those in treatment. However the emphasis on measuring progress solely in terms of the PbR outcomes was both extremely costly and time-consuming but also had the potential to alter and

On Probation

Swift and Certain Justice

In my view, implementing rapid sanctions alone is unlikely to promote reduced drug use or offending. Desistance and recovery rarely involve a simple, linear path to success. If every relapse is met with 5 days in custody, it is hard to envisage how offenders will achieve the long term stability and abstinence required to build a personally fulfilling and law-abiding lifestyle.

Alcohol & Drugs

Drug treatment helps recovery but is not enough on its own

Measuring drug recovery is problematic, to say the least. Recovery from drug dependence is, like desistance from crime, rarely a linear process and typically includes lapse and relapse over many years. Different people choose different recovery goals: some people remain abstinent from all substances for life; others continue to use occasionally; or replace drug dependence with a reliance on alcohol.

Payment by Results

The 3rd Commandment of Payment by Results: Thy metrics shall be simple

Complexity is almost always the enemy of effective PbR because it inevitably results in unintended consequences. Concern about possible unintended consequences results in worries about gaming the system which, equally inevitably, results in additional measures being taken to address these concerns which involves further complexity which…, well, you get the picture. In this post, I want to make the case for simple, robust measures to assess how effective PbR schemes are in meeting their outcomes.

Payment by Results

The 2nd Commandment of payment by results: Thy outcomes shall be few

Most payment by results pilot schemes are targeted at entrenched social problems. These problems – troubled families, long term unemployment, re-offending and drug dependency – are complex by nature. They require a coordinated response which addresses a wide range of issues. PbR funded interventions are a natural commissioning approach to tackle complex problems. However, PbR schemes quickly run into trouble when the outcomes themselves become complex.

Payment by Results

How should we measure recovery from addiction?

Measuring recovery The biggest challenge of the drug recovery payment by results pilots has been agreeing a simple but robust measurement system to report on whether

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