A quiet revolution is unfolding within the worlds of addiction treatment and recovery support. This revolution is founded on new understandings of the nature of substance use disorders and their management. It calls for shifting the treatment of severe and persistent alcohol and other drug (AOD) problems from an emergency room model of acute care (AC) to a model of sustained recovery management (RM).
Knowles was convinced that adults learned differently to children - and that this provided the basis for a distinctive field of enquiry. His earlier work on informal adult education had highlighted some elements of process and setting. Similarly, his charting of the development of the adult education movement in the United States had helped him to come to some conclusions about the shape and direction of adult education. What he now needed to do was to bring together these elements. The mechanism he used was the notion of andragogy.
Motivational interviewing is a well-known, scientifically tested method of counselling clients developed by Miller and Rollnick and viewed as a useful intervention strategy in the treatment of lifestyle problems and disease.
An evaluation of a pilot study delivering Screening and Brief Interventions (SBIs) in a young people's sexual health service has shown positive results through a number of findings. The Place, in Sandyford, Glasgow and Clyde, piloted the scheme using a grant from AERC after a needs assessment showed alcohol was a significant factor for many of those attending the clinic.
This review is a critical appraisal of the evidence base for the treatments available for people with alcohol problems. The review covers interventions ranging from simple advice and mutual aid to intensive specialist treatment. It has been written to inform Models of Care for Alcohol Misusers (MoCAM), which provides a model framework and standards for the commissioning and development of local integrated treatment systems for alcohol misuse.
How directive the therapist is in the face of client resistance is emerging as one of the strongest and most consistent influences on the outcomes of therapy. There is no one right answer - it all depends on the client, in particular on how much they perceive and react against threats to their autonomy.