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An interactive computer program may offer a way to overcome the shortage of trained cognitive-behavioural therapists; supplementing routine counselling by program access twice a week reduced substance use by a third at a US counselling service dealing mainly with cocaine and alcohol users [Drug and Alcohol Findings, UK]
Further demonstration from a US research team that relatively intensive case management support does help welfare applicants overcome substance use problems, but in this case only those not already managed through substitute prescribing [Drug and Alcohol Findings, UK]
Motivational interviews are not universally beneficial or at worst neutral; sometimes they make things worse. In this US study they helped ambivalent patients make the most of their treatment but impeded the recovery of those already committed to change. Print publication 2005 [Drug and Alcohol Findings, UK]
