Drug and alcohol review最新文献_第3页

Assessing the Early Impact of the Change in the Kava Importation Policy in Australia. 评估澳大利亚卡瓦进口政策变化的早期影响。

IF 2.6 3区医学

Drug and alcohol review Pub Date : 2025-09-16 DOI: 10.1111/dar.70039

Winifred Asare-Doku, Amy Peacock, Stella Settumba, Tammy Abbott, Kate Wilson, Adam Craig, Jioji Ravulo, George Economidis, Litea Meo-Sewabu, Catherine D'Este, Poshan Thapa, Christopher Doran, Sally Nathan, Emily Waller, Trevor Satour, Lorraine Tulele, Michael Farrell, Anthony Shakeshaft

引用次数: 0

Activity-Based Funding in Alcohol and Other Drug Treatment Services: Clinical Staff Perspectives and Practice Implications. 酒精和其他药物治疗服务中基于活动的资助：临床工作人员的观点和实践意义。

IF 2.6 3区医学

Drug and alcohol review Pub Date : 2025-09-15 DOI: 10.1111/dar.70033

Ciara Smyth, Kaniz Fatema, Kylie Valentine, Raquel Lowe, Brett Ross, Eltham Cook, Gilbert Whitton

{"title":"Activity-Based Funding in Alcohol and Other Drug Treatment Services: Clinical Staff Perspectives and Practice Implications.","authors":"Ciara Smyth, Kaniz Fatema, Kylie Valentine, Raquel Lowe, Brett Ross, Eltham Cook, Gilbert Whitton","doi":"10.1111/dar.70033","DOIUrl":"https://doi.org/10.1111/dar.70033","url":null,"abstract":"Introduction: Many drug health services receive activity-based funding (ABF), which is reliant on accurate data collection to ensure appropriate reimbursement and quality care. This article reports results of a qualitative study commissioned by NSW Health about drug health services clinical staff's experiences in meeting ABF data entry requirements.Methods: Semi-structured interviews were conducted with drug health services clinical staff (n = 10) to investigate their experiences in meeting ABF data entry requirements.Results: Participants identified some benefits of an ABF model, but they described many technical and conceptual barriers to complying with ABF data reporting requirements. These included making frequent data entry errors, activity categories not aligning with their interpretation of the work they did, and not always knowing what activities attracted funding.Discussion and conclusions: Practical measures to improve compliance include training and quality assurance opportunities, enhanced managerial and administrative support, database enhancements and increased collaboration between clinicians and technicians. Implementing these measures could result in more accurate funding for services and improve patient care.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145063529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Buprenorphine Adherence Trajectories and Their Impact on Opioid Overdose and Healthcare Costs. 丁丙诺啡依从性轨迹及其对阿片类药物过量和医疗费用的影响。

IF 2.6 3区医学

Drug and alcohol review Pub Date : 2025-09-11 DOI: 10.1111/dar.70035

Olajumoke A Olateju, Tyler Varisco, Scott Weiner, Douglas Thornton

{"title":"Buprenorphine Adherence Trajectories and Their Impact on Opioid Overdose and Healthcare Costs.","authors":"Olajumoke A Olateju, Tyler Varisco, Scott Weiner, Douglas Thornton","doi":"10.1111/dar.70035","DOIUrl":"https://doi.org/10.1111/dar.70035","url":null,"abstract":"Introduction: Buprenorphine is effective for opioid use disorder (OUD), yet adherence remains suboptimal. This study aimed to identify adherence trajectories, explore their predictors, and assess their association with opioid overdose risk and healthcare costs.Methods: A retrospective cohort study was conducted using the Merative MarketScan Commercial Database, which includes a nationally representative sample of individuals with private, employer-sponsored health insurance in the United States. We included adults (≥ 16 years) with OUD who initiated and completed at least 30 consecutive days of buprenorphine treatment between July 2017 and June 2019, with a 180-day follow-up. Group-based trajectory modelling identified distinct adherence patterns. Multinomial logistic regression examined predictors of adherence trajectories. A discrete-time survival model estimated the association between adherence and opioid overdose risk, while generalised linear models assessed healthcare costs. Sensitivity analyses, including E-value calculations, evaluated residual confounding.Results: Among the 5107 individuals (median [Q1-Q3] age in years: 37 [26-47]; 3185 [62.4%] male), three distinct buprenorphine adherence trajectories were identified in the follow-up period: consistent adherence (CA, 49.5%), slow-declining adherence (SDA, 28.0%) and rapidly-declining adherence (RDA, 22.5%) trajectory groups. The mean (95% CI) time to buprenorphine discontinuation among all beneficiaries was 153 (151-155) days. Compared to the CA group, SDA and RDA groups had 2.74 (95% CI 2.71-2.77) and 3.81 (95% CI: 3.76-3.86) times higher opioid overdose risk and $13,670 (95% CI $7644-$19,695) and $19,431 (95% CI $13,632-$25,229) higher healthcare spending, respectively.Discussion and conclusions: Consistent adherence to buprenorphine was associated with a lower risk of opioid overdose and reduced healthcare expenditures.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145033091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Short-Term Impacts of Decriminalisation of Personal Possession of Select Illegal Drugs on Drug Poisonings in British Columbia, Canada (2015-2023). 加拿大不列颠哥伦比亚省个人持有部分非法药物合法化对药物中毒的短期影响（2015-2023）。

IF 2.6 3区医学

Drug and alcohol review Pub Date : 2025-09-11 DOI: 10.1111/dar.70036

Sameer Imtiaz, Sami Aftab Abdul, Huan Jiang, Cayley Russell, Farihah Ali, Iesha Henderson, Bernard Le Foll, Tara Elton-Marshall, Brooke Kinniburgh, Jürgen Rehm

{"title":"The Short-Term Impacts of Decriminalisation of Personal Possession of Select Illegal Drugs on Drug Poisonings in British Columbia, Canada (2015-2023).","authors":"Sameer Imtiaz, Sami Aftab Abdul, Huan Jiang, Cayley Russell, Farihah Ali, Iesha Henderson, Bernard Le Foll, Tara Elton-Marshall, Brooke Kinniburgh, Jürgen Rehm","doi":"10.1111/dar.70036","DOIUrl":"https://doi.org/10.1111/dar.70036","url":null,"abstract":"Introduction: Canada is in the midst of a crisis featuring drug poisonings. Decriminalisation of personal possession of select illegal drugs was implemented in British Columbia, Canada on 31 January 2023 as one element of a public health response to reduce drug-related harms. We evaluated the short-term impacts of decriminalisation on paramedic responses to opioid poisonings and drug poisoning deaths to detect if there were early signals of change.Methods: We sourced population-based monthly counts of drug poisonings from the provincial emergency services provider and coroners service to compute total and sex-specific age-standardised rates per 100,000 (January 2015-December 2023 [97 months pre-decriminalisation and 11 months post-decriminalisation]). Generalised additive models in an interrupted time series design were used to evaluate the short-term impacts of decriminalisation on rates of paramedic responses to opioid poisonings and drug poisoning deaths.Results: Decriminalisation was not associated with an immediate effect (β [95% confidence interval; CI] -0.078 [-0.318, 0.163]) or trend change (β [95% CI] -0.022 [-0.082, 0.037]) in the total rate of paramedic responses to opioid poisonings, nor was it associated with an immediate effect (β [95% CI] -0.165 [-0.477, 0.147]) or trend change (β [95% CI] -0.010 [-0.082, 0.062]) in the total rate of drug poisoning deaths. These findings were consistent after stratification by sex.Discussion and conclusions: Decriminalisation of select illegal drugs was not associated with significant changes in drug poisonings in the first 11 months of its implementation. However, the direction of effects was encouraging from a public health standpoint.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145039326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the Determinants of Use of the Australian Guide to Diagnosis of Fetal Alcohol Spectrum Disorder: Informing the Review, Development and Dissemination of New National Clinical Practice Guidelines. 了解使用澳大利亚胎儿酒精谱系障碍诊断指南的决定因素：为新的国家临床实践指南的审查、发展和传播提供信息

IF 2.6 3区医学

Drug and alcohol review Pub Date : 2025-09-07 DOI: 10.1111/dar.70030

Natasha Reid, Jayden Logan, Yasmine Wong, Zachary Munn, Chelsea Vanderpeet, Nicole Hayes

{"title":"Understanding the Determinants of Use of the Australian Guide to Diagnosis of Fetal Alcohol Spectrum Disorder: Informing the Review, Development and Dissemination of New National Clinical Practice Guidelines.","authors":"Natasha Reid, Jayden Logan, Yasmine Wong, Zachary Munn, Chelsea Vanderpeet, Nicole Hayes","doi":"10.1111/dar.70030","DOIUrl":"https://doi.org/10.1111/dar.70030","url":null,"abstract":"Introduction: The Australian Guide to the Diagnosis of fetal alcohol spectrum disorder (FASD), developed in 2016, is currently under review. This study aimed to understand how the Guide is used in practice and identify factors influencing its implementation.Methods: A cross-sectional online survey was conducted with Australian health practitioners involved in the assessment and diagnosis of FASD. The Clinician Guideline Determinants Questionnaire was used. Quantitative data were summarised descriptively and content analysis was applied to open-ended questions.Results: Of 333 survey sessions, 232 participants consented and 136 completed the survey. Most respondents were paediatricians (n = 54, 37%) or psychologists (n = 49, 33%). Although most clinicians felt confident using the Guide, only 44.1% agreed it clearly described the underlying evidence, and just 21% felt it adequately reflected patient preferences. Key enablers included clear, easy-to-follow guidance (n = 45, 36.3%); ease of access (n = 18, 14.5%) and familiarity with the Guide (n = 14, 11.3%). Common barriers were lack of access to appropriate clinicians, time and cost constraints (n = 25, 24.8%); concerns about the evidence base (n = 16, 15.8%); and lack of familiarity or skills (n = 8, 7.9%).Discussion and conclusions: Findings highlight strong clinician engagement with the 2016 Guide but also identify areas for improvement, particularly around evidence transparency and alignment with person-centred care. By engaging with stakeholders and improving guidelines based on clinician feedback, we can improve the quality of care and support for individuals with FASD and their families.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Associated With Alcohol Use Among Individuals Commencing Treatment at Community-Based Outpatient Treatment Centres in Australia. 在澳大利亚社区门诊治疗中心开始治疗的个体中与酒精使用相关的因素。

IF 2.6 3区医学

Drug and alcohol review Pub Date : 2025-09-03 DOI: 10.1111/dar.70034

Jamie Bryant, Anthony Shakeshaft, Nicholas Lintzeris, Paul Haber, Michael Farrell, Joshua Dizon, Megan Freund

{"title":"Factors Associated With Alcohol Use Among Individuals Commencing Treatment at Community-Based Outpatient Treatment Centres in Australia.","authors":"Jamie Bryant, Anthony Shakeshaft, Nicholas Lintzeris, Paul Haber, Michael Farrell, Joshua Dizon, Megan Freund","doi":"10.1111/dar.70034","DOIUrl":"https://doi.org/10.1111/dar.70034","url":null,"abstract":"Introduction: Understanding the characteristics of individuals seeking treatment for alcohol use is essential for developing effective interventions. This study aimed to: (i) describe the characteristics of individuals accessing treatment at Australian outpatient alcohol and other drug (AOD) treatment centres; and (ii) identify characteristics associated with more harmful alcohol use at treatment commencement.Methods: Clients from 34 community-based AOD centres completed surveys on demographic, substance use, health-related quality of life and social characteristics. A linear mixed model and two negative binomial models were used to examine factors associated with higher AUDIT scores (indicting more hazardous or harmful alcohol consumption), frequency of drinking days and heavy drinking days in the last 14 days.Results: Participants (n = 1130) were predominantly male (65%), reported concurrent drug use (62%), self-referred for treatment (57%) and wanted to cease alcohol use completely (42%) or drink moderately (39%). Female gender, unemployment, being a victim or perpetrator of violence, poorer physical and mental health, self-referral and a goal to cease alcohol use were associated with higher AUDIT scores. Those reporting home duties, retirement, disability/carer pension, student or other employment had lower AUDIT scores. Older age, poorer physical and mental health, and treatment in Western Australia and Queensland were associated with more drinking and heavier drinking days. A goal to cease alcohol use was linked to 23% and 17% lower drinking days and heavy drinking days. Self-referral was associated with more heavy drinking days.Discussion and conclusion: Individuals seeking treatment for AOD use have diverse needs that should inform tailored and holistic treatment.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nitrous Oxide Sourcing, Use and Harms: Insights From Australians Who Use Ecstasy/MDMA and Other Illicit Stimulants. 一氧化二氮的来源，使用和危害：从使用摇头丸/MDMA和其他非法兴奋剂的澳大利亚人的见解。

IF 2.6 3区医学

Drug and alcohol review Pub Date : 2025-09-03 DOI: 10.1111/dar.70032

Jodie Grigg, Simon Lenton, Amy Peacock, Jessamine Soderstrom, Cate King, Natalie Thomas, Rachel Sutherland

{"title":"Nitrous Oxide Sourcing, Use and Harms: Insights From Australians Who Use Ecstasy/MDMA and Other Illicit Stimulants.","authors":"Jodie Grigg, Simon Lenton, Amy Peacock, Jessamine Soderstrom, Cate King, Natalie Thomas, Rachel Sutherland","doi":"10.1111/dar.70032","DOIUrl":"https://doi.org/10.1111/dar.70032","url":null,"abstract":"Introduction: Increasing harms associated with nitrous oxide use have raised concerns, but limited evidence exists to inform harm reduction. This study aimed to identify how nitrous oxide is sourced, the products/forms used, awareness of health risks, engagement in harm reduction and experience of neurological symptoms.Methods: Data were collected via annual interviews (2021-2023) with cross-sectional convenience samples of Australians who regularly used ecstasy/MDMA and/or other illicit stimulants and reported past 6-month use of nitrous oxide (2021 n = 379; 2022 n = 315; 2023 n = 284).Results: The most commonly reported source of nitrous oxide in the past 6 months was convenience stores, followed by 24/7 delivery services. Sourcing from these retailers was also associated with heavier use. Reported use of larger cylinders (> 8 g) increased from 6% in 2021 to 26% in 2023. While most respondents demonstrated awareness of neurological risk (e.g., brain damage 63%; nerve damage 20%), only one-fifth identified the risk of Vitamin B12 depletion and 17% were unaware of any risks. Almost one-third (30%) reported limiting use per session, 36% limited frequency and 36% took no precautions. Reports of neurological symptoms rose from 5% in 2021 to 14% in 2023 among cross-sectional samples, with few (n ≤ 5) receiving treatment.Discussion and conclusions: Findings suggest increasing use of larger cylinders, alongside increasing neurological harms. Given the evolving regulatory and risk environment, close surveillance of usage and market trends is needed. The findings reinforce the need for balanced regulation and targeted education of retailers, clinicians and consumers to reduce harmful patterns of use and encourage early intervention.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Normalisation of Non-Drinking and Implications for Psycho-Social Problems. 不饮酒的正常化及其对心理社会问题的影响。

IF 2.6 3区医学

Drug and alcohol review Pub Date : 2025-09-03 DOI: 10.1111/dar.70031

Elin K Bye, Ingeborg Rossow, Inger Synnøve Moan

{"title":"Normalisation of Non-Drinking and Implications for Psycho-Social Problems.","authors":"Elin K Bye, Ingeborg Rossow, Inger Synnøve Moan","doi":"10.1111/dar.70031","DOIUrl":"10.1111/dar.70031","url":null,"abstract":"Introduction: A few decades ago, non-drinking was uncommon amongst young people in many countries, and non-drinkers typically reported more psycho-social problems than moderate drinkers. Since then, non-drinking has become common amongst Norwegian adolescents. Considering this normalisation of non-drinking, our study examined: (i) whether psycho-social problems still differ between non-drinkers, moderate drinkers and heavy drinkers; and (ii) whether psycho-social problems differ by parental drinking status amongst non-drinkers and moderate drinkers.Methods: Data stem from the European School Survey Project on Alcohol and Other Drugs (ESPAD). The Norwegian 2024 subsample included 3471 15-16-year-olds. Psycho-social problems included anxiety and depressive symptoms and weak social support from friends and family. Parental drinking status distinguished between families with at least one non-drinking parent and families where both parents were drinkers. Mean values of non-drinkers (46% of the sample) were compared to mean values of moderate (42%) and heavy drinkers (12%) using analysis of variance and F-tests.Results: Compared to moderate drinkers, non-drinkers reported significantly fewer anxiety and depressive symptoms, and significantly better social support from family and friends, whereas heavy drinkers reported significantly more psycho-social problems. Amongst non-drinkers, there was no significant difference in psycho-social problems by parental drinking status. Amongst moderate drinkers, those with non-drinking parents reported significantly poorer support from friends and family than others.Discussion and conclusions: This study lent empirical support to the hypothesis that in a context of normalised non-drinking amongst adolescents, psycho-social deviance amongst non-drinkers is not observed.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alcohol Promotion via User-Generated Content on Instagram and TikTok: A Content Analysis. 通过Instagram和TikTok上的用户生成内容进行酒精促销：一项内容分析。

IF 2.6 3区医学

Drug and alcohol review Pub Date : 2025-09-02 DOI: 10.1111/dar.70027

Alessandro Crocetti, Nichole Lister, Florentine Martino, Jennifer Browne, Kathryn Backholer, Peter Miller, Emma Jane Pristov, Matthew Dunn

{"title":"Alcohol Promotion via User-Generated Content on Instagram and TikTok: A Content Analysis.","authors":"Alessandro Crocetti, Nichole Lister, Florentine Martino, Jennifer Browne, Kathryn Backholer, Peter Miller, Emma Jane Pristov, Matthew Dunn","doi":"10.1111/dar.70027","DOIUrl":"https://doi.org/10.1111/dar.70027","url":null,"abstract":"Introduction: Alcohol-related user-generated content (UGC)-created by influencers and peers-appears to play a central role in shaping young people's alcohol-related attitudes and behaviours. However, the nature and extent to which UGC facilitates the promotion of alcohol remains under-examined. There is limited evidence on how alcohol companies utilise social media platforms to engage users and incentivise the promotion of their brands and products. Therefore, this study aimed to examine the nature and extent of alcohol promotion via UGC on Instagram and TikTok posts.Methods: This content analysis examined 1848 public user-generated Instagram (n = 1148) and TikTok (n = 700) posts, focusing on major alcohol tags and hashtags over a 7-year period. Posts were systematically coded for account type, sentiment, product placement and indicators of marketing (e.g., sponsorship or undisclosed marketing).Results: Of the posts analysed, 37% originated from influencers accounts. Five percent were identified as sponsored content, while 10% showed characteristics of undisclosed marketing. Half featured alcohol as the main focus, with 64% including branded products. Most posts (78%) expressed pro-brand sentiment, 53% showed positive drinking experiences and 20% portrayed camaraderie. Only 2% contained anti-brand sentiment or depicted negative consequences of alcohol consumption.Discussion and conclusions: The disparity between disclosed (5%) and suspected undisclosed promotional content (10%) highlights transparency and regulatory issues. UGC predominantly carried a celebratory tone, reinforcing a pro-alcohol narrative that influences young users' attitudes towards drinking. Stronger regulatory frameworks, independent monitoring and content transparency tools are urgently needed to mitigate young people's exposure to covert alcohol promotion.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of a Residential Managed Alcohol Program for Aboriginal Peoples Experiencing Homelessness and Alcohol Dependence: Short-Term Impacts of an Australian Trial. 对经历无家可归和酒精依赖的土著居民的住宅管理酒精计划的评估：澳大利亚试验的短期影响。

IF 2.6 3区医学

Drug and alcohol review Pub Date : 2025-09-02 DOI: 10.1111/dar.70025

Kirrilly Thompson, Gianluca Di Censo, Jacqueline Bowden, Neophytos Georgiou, Mark Thompson, Victoria Cock, Blaire Brewerton, Courtney Ryder

{"title":"Evaluation of a Residential Managed Alcohol Program for Aboriginal Peoples Experiencing Homelessness and Alcohol Dependence: Short-Term Impacts of an Australian Trial.","authors":"Kirrilly Thompson, Gianluca Di Censo, Jacqueline Bowden, Neophytos Georgiou, Mark Thompson, Victoria Cock, Blaire Brewerton, Courtney Ryder","doi":"10.1111/dar.70025","DOIUrl":"10.1111/dar.70025","url":null,"abstract":"Introduction: Homelessness and alcohol dependence can be barriers to accessing essential services such as health care, housing, and social supports. Managed alcohol programs (MAP) have emerged as an effective harm reduction strategy for people experiencing homelessness and alcohol dependence. The aim of the present study was to evaluate the short-term impacts of the first MAP run in South Australia outside of COVID-19 restrictions and the first in Australia to be conducted in a healthcare setting. It was designed to be culturally appropriate for Aboriginal and Torres Strait Islander clients.Methods: Descriptive quantitative analysis and an inductive content analysis of case notes for 21 clients who stayed at least one night in the South Australian MAP.Results: Clients were mostly Aboriginal, female, of middle age and managing multiple health conditions. The median stay was 15 nights per client. The MAP contributed to client wellbeing broadly across five interconnected areas: culture, housing, medical support, government system navigation, and the building of capacity, resilience, and social connectedness.Discussion and conclusions: The South Australian MAP provided various interconnected short-term benefits relevant to people experiencing homelessness and alcohol dependence in general and Aboriginal peoples additionally experiencing the on-going impacts of colonisation in particular. This evaluation supports international literature on the value of MAPs as an effective harm reduction approach to co-occurring homelessness and alcohol dependence and strengthens evidence for the feasibility, acceptability, and benefits of MAPs in Australia.","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144946404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0