The impact of disinvestment on alcohol and drug treatment delivery and outcomes: a systematic review

Abstract Background In the context of substantial financial disinvestment from alcohol and drug treatment services in England, our aim was to review the existing evidence of how such disinvestments have impacted service delivery, uptake, outcomes and broader health and social implications. Methods W...

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Autores principales:	Suzie Roscoe, Jennifer Boyd, Penny Buykx, Lucy Gavens, Robert Pryce, Petra Meier
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e2e24adc7b7949c6a5682549597b0cb5
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spelling	oai:doaj.org-article:e2e24adc7b7949c6a5682549597b0cb52021-11-28T12:12:12ZThe impact of disinvestment on alcohol and drug treatment delivery and outcomes: a systematic review10.1186/s12889-021-12219-01471-2458https://doaj.org/article/e2e24adc7b7949c6a5682549597b0cb52021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12219-0https://doaj.org/toc/1471-2458Abstract Background In the context of substantial financial disinvestment from alcohol and drug treatment services in England, our aim was to review the existing evidence of how such disinvestments have impacted service delivery, uptake, outcomes and broader health and social implications. Methods We conducted a systematic review of quantitative and qualitative evidence (PROSPERO CRD42020187295), searching bibliographic databases and grey literature. Given that an initial scoping search highlighted a scarcity of evidence specific to substance use treatment, evidence of disinvestment from publicly funded sexual health and smoking cessation services was also included. Data on disinvestment, political contexts and impacts were extracted, analysed, and synthesized thematically. Results We found 20 eligible papers varying in design and quality including 10 related to alcohol and drugs services, and 10 to broader public health services. The literature provides evidence of sustained disinvestment from alcohol and drug treatment in several countries and a concurrent decline in the quantity and quality of treatment provision, but there was a lack of methodologically rigorous studies investigating the impact of disinvestment. Conclusions This review identified a paucity of scientific evidence quantifying the impacts of disinvestment on alcohol and drug treatment service delivery and outcomes. As the global economy faces new challenges, a stronger evidence base would enable informed policy decisions that consider the likely public health impacts of continued disinvestment.Suzie RoscoeJennifer BoydPenny BuykxLucy GavensRobert PrycePetra MeierBMCarticlePublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Public aspects of medicine RA1-1270
spellingShingle	Public aspects of medicine RA1-1270 Suzie Roscoe Jennifer Boyd Penny Buykx Lucy Gavens Robert Pryce Petra Meier The impact of disinvestment on alcohol and drug treatment delivery and outcomes: a systematic review
description	Abstract Background In the context of substantial financial disinvestment from alcohol and drug treatment services in England, our aim was to review the existing evidence of how such disinvestments have impacted service delivery, uptake, outcomes and broader health and social implications. Methods We conducted a systematic review of quantitative and qualitative evidence (PROSPERO CRD42020187295), searching bibliographic databases and grey literature. Given that an initial scoping search highlighted a scarcity of evidence specific to substance use treatment, evidence of disinvestment from publicly funded sexual health and smoking cessation services was also included. Data on disinvestment, political contexts and impacts were extracted, analysed, and synthesized thematically. Results We found 20 eligible papers varying in design and quality including 10 related to alcohol and drugs services, and 10 to broader public health services. The literature provides evidence of sustained disinvestment from alcohol and drug treatment in several countries and a concurrent decline in the quantity and quality of treatment provision, but there was a lack of methodologically rigorous studies investigating the impact of disinvestment. Conclusions This review identified a paucity of scientific evidence quantifying the impacts of disinvestment on alcohol and drug treatment service delivery and outcomes. As the global economy faces new challenges, a stronger evidence base would enable informed policy decisions that consider the likely public health impacts of continued disinvestment.
format	article
author	Suzie Roscoe Jennifer Boyd Penny Buykx Lucy Gavens Robert Pryce Petra Meier
author_facet	Suzie Roscoe Jennifer Boyd Penny Buykx Lucy Gavens Robert Pryce Petra Meier
author_sort	Suzie Roscoe
title	The impact of disinvestment on alcohol and drug treatment delivery and outcomes: a systematic review
title_short	The impact of disinvestment on alcohol and drug treatment delivery and outcomes: a systematic review
title_full	The impact of disinvestment on alcohol and drug treatment delivery and outcomes: a systematic review
title_fullStr	The impact of disinvestment on alcohol and drug treatment delivery and outcomes: a systematic review
title_full_unstemmed	The impact of disinvestment on alcohol and drug treatment delivery and outcomes: a systematic review
title_sort	impact of disinvestment on alcohol and drug treatment delivery and outcomes: a systematic review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e2e24adc7b7949c6a5682549597b0cb5
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The impact of disinvestment on alcohol and drug treatment delivery and outcomes: a systematic review

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