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What are the most promising strategies to treat alcohol and drug abuse? What are their medical implications? Despite the enormous resources spent on treating alcoholism and drug dependence, there is still no satisfactory evaluation of their effectiveness or of the cost of the different alternatives. Programs designed to treat substance abuse should be built on a foundation of evidence-based knowledge. Yet it is almost impossible to cope with the increasing amount of scientific literature. This book thus represents a guide through the myriads of articles. The most comprehensive scientific review of its kind, it presents the findings from more than 1,600 studies on the effectiveness of differe...
The Global Agenda for Social Work (2012) calls on social work educators and practitioners who witness the daily realities of personal, social and community challenges to design and strengthen the profile and visibility of social work and to enable social workers to make a stronger contribution to policy development. This volume responds to the need to examine how practitioners respond to this call to address current social realities. It also explores how local practitioners experience current social challenges, and how they respond to them with creative and innovative social work practice. Topics investigated here include the use of a Mindfulness perspective to help people with a substance use disorder, the challenge of dealing with dementia, male juvenile reintegration in Trinidad and Tobago, and the patterns of childhood behaviours, amongst others.
This ebook is a selective guide designed to help scholars and students of social work find reliable sources of information by directing them to the best available scholarly materials in whatever form or format they appear from books, chapters, and journal articles to online archives, electronic data sets, and blogs. Written by a leading international authority on the subject, the ebook provides bibliographic information supported by direct recommendations about which sources to consult and editorial commentary to make it clear how the cited sources are interrelated related. A reader will discover, for instance, the most reliable introductions and overviews to the topic, and the most importan...
Recent years have witnessed large increase in expenditures on antidepressants. This has coincided with the introduction and the widespread use of a new class of antidepressants, the selective serotonin reuptake inhibitors (SSRIs). SSRIs are substantially more expensive than the older tricyclic antidepressants (TCAs), but have a different adverse effect profile and are better tolerated. This study examines the cost-effectiveness of this new class of antidepressants as compared to TCAs in the outpatient treatment of depression. A decision model is built in order to compare three different strategies. The first strategy consists of an SSRI followed by a TCA in case of failure, the second strate...
162 randomized controlled trials that compare selective serotonin reuptake inhibitors (SSRIs) to placebo or other antidepressants were reviewed. Meta-analyses were undertaken to compare 1) efficacy, 2) completion rates, and 3) adverse effects of individual drugs and drug classes. Efficacy was not statistically significantly different among individual SSRIs or between SSRIs as a group and tricyclic antidepressants (TCAs) or other antidepressants. SSRIs were significantly more efficacious than placebo. Completion rates were not statistically significantly different among individual SSRIs or between SSRIs as a group and TCAs or other antidepressants. Completion rates with SSRIs were significant...
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