Summary of key findings from the Drug Treatment Outcomes Research Study (DTORS)

This report summarises the findings from a major national evaluation of drug treatment in England, the Drug Treatment Outcomes Research Study (DTORS). The study comprised a longitudinal survey of outcomes, a qualitative assessment of the factors that impact on effective treatment, and an economic analysis. The full results from each element of the study are available separately. The studys key implications are as follows. Drug treatment is effective in reducing the harmful behaviours associated with problem drug use. The majority of treatment seekers received care-coordinated treatment, expressed satisfaction with their care, were retained in treatment beyond three months, and reported significant and substantial reductions in drug use and offending as well as improvements in social functioning. Regardless of treatment provision and delivery, personal motivation is crucial to successful treatment. A personal deep level of motivation was regarded by treatment seekers and providers as crucial to successful drug treatment. Treatment must be sufficiently flexible to meet the differing needs of treatment seekers. Effective assessment of treatment needs should consider the range of pressures reinforcing an individuals dependency. Meeting the multiple needs of treatment seekers relies on effective multi-agency working. The criminal justice system (CJS) is an equally valid route into drug treatment. The survey found equivalent positive outcomes for CJS and non-CJS referrals. The qualitative interviews with treatment seekers further enhanced this view by finding no apparent differences in levels of motivation between CJS and non-CJS referrals. Drug treatment is cost-beneficial. Drug treatment was estimated to be cost-beneficial. For every £1 spent, an estimated £2.50 was saved and drug treatment was overall found to be cost-beneficial in 80 per cent of cases. (Author' s abstract)