Alcohol and other drug use among Aboriginal and Torres Strait Islander and non-Aboriginal and Torres Strait Islander men entering prison in New South Wales

Doyle, Michael; Butler, Tony; Shakeshaft, Anthony; Guthrie, Jill; Reekie, Jo; Schofield, Peter W.

doi:10.1186/s40352-015-0027-1

Cited by 14 publications

(14 citation statements)

References 10 publications

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“…However, it also highlighted the need for different service responses to address these challenges for Indigenous people (Doyle et al 2015). One critical first step in developing such services is understanding patterns of AOD service utilisation before incarceration and the extent and types of substance use diagnosis in this population.…”

Section: Introductionmentioning

confidence: 99%

Substance use disorders among Aboriginal and Torres Strait Islander people in custody: a public health opportunity

Heffernan

Davidson²,

Andersen³

et al. 2016

Health Justice

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BackgroundTo describe the prevalence, type, and mental health correlates of substance use disorders in a large sample of incarcerated Indigenous Australians.MethodsAn epidemiological survey of the mental health of Indigenous people in custody in the state of Queensland, Australia was conducted using culturally informed methods. The prevalence, type and mental health correlates of substance use disorders were determined using a diagnostic interview and questionnaire.ResultsIn a sample of 396 Indigenous people (331 males, 65 females) the prevalence of any substance use disorder was 66%. Alcohol dependence (males 47%, females 55%) was the most common type of substance use disorder, followed by cannabis dependence (males 20%, females 26%). Mental illness (anxiety, depression and psychotic disorder), and lifetime suicide thoughts and attempts, were significantly more likely among those with a substance use disorder. The majority of the sample reported intoxication with alcohol (70%) and/or other drugs (51%) at the time of arrest. Most individuals (87%) had not accessed alcohol and other drug services in the 12 months prior to custody.ConclusionsSubstance dependence was common in this sample and was associated with other forms of mental health adversity, yet most individuals reported no access to health services prior to incarceration. Effectively responding to substance dependence for Indigenous Australians is a public health and criminal justice priority. Culturally capable alcohol and other drug treatment services in custody and in the community are critical, and should be co-located and coordinated with mental health services.

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Section: Introductionmentioning

confidence: 99%

Substance use disorders among Aboriginal and Torres Strait Islander people in custody: a public health opportunity

Heffernan

Davidson²,

Andersen³

et al. 2016

Health Justice

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“…However, findings from other indigenous population based studies support the notion of high impulsivity in indigenous people. Doyle et al (2015) recorded that 42% of non-indigenous inmates and 53% of indigenous inmates screened positive for impulsive personality [ 52 ]. A Commission for Children and Young People and Child Guardian Queensland (2009) report noted that suicide impulsivity is frequently reported more among aboriginal youth than the wider Australian youth population [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

Explaining suicide attempt with personality traits of aggression and impulsivity in a high risk tribal population of India

Singh

Rao

2018

PLoS ONE

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IntroductionSuicide is a spectrum of behavior including suicide ideation and suicidal attempt and is undoubtedly the outcome of the interaction of several factors. The role of two main constructs of human nature, aggression and impulsivity, has been discussed broadly in relation to suicide, as endophenotypes or traits of personality, in research and in clinical practice across diagnoses. The objective of our study was to assess impulsive and aggressive behaviors among primitive people of the Idu Mishmi tribe, who are known for high suicide completer and attempter rates.MethodsThe study group was comprised of 177 unrelated Idu Mishmi participants divided into two sets: 39 suicide attempters and 138 non-attempters. Data on demographic factors and details of suicide attempts were collected. Participants completed a set of instruments for assessment of aggression and impulsivity traits.ResultsIn the Idu Mishimi population we screened (n = 177), 22.03% of the individuals had attempted suicide, a high percentage. The suicide attempters also showed a significant sex difference: 35.9% were male and 64.10% were female (p = .002*). The suicide attempters (A) scored significantly higher than non-attempters (NA) on aggression (A = 23.93,NA = 18.46) and impulsivity (A = 75.53,NA = 71.59, with p value = 0.05). The trait impulsiveness showed a significantly higher difference (F (1, 117) = 7.274) in comparison to aggression (F (1, 117) = 2.647), suggesting a profound role of impulsiveness in suicide attempts in the Idu Mishmi population. Analysis of sub-traits of aggression and impulsivity revealed significant correlations between them. Using different models, multivariate logistic regression implied roles of gender (OR = 1.079 (0.05)) and impulsiveness (OR = 3.355 (0.013)) in suicide attempts.ConclusionResults demonstrate that gender and impulsivity are strong risk factors for suicide attempts in the Idu Mishmi population.

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“…The significant increase in clients referred from the criminal justice system is consistent with the reported 77% increase between 2000 and 2015 in the number of adult Aboriginal prisoners , and the disproportionately high prevalence of substance misuse among prisoners . In Australia, for example, 84% of prisoners reported illicit drug use, 58% reported harmful alcohol consumption and 61% reported being under the influence of substances at the time they committed their current offence . Numerous reports have advocated for an increase in the availability of culturally responsive diversionary programs from prison to residential treatment settings .…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, it is likely that cultural components will be optimally effective if they are tailored to the specific characteristics of clients admitted to Aboriginal residential rehabilitation services [26,33,34,42]. Despite the need to define client characteristics, a systematic review of studies of Aboriginal residential treatment services from New Zealand, Canada, the USA and Australia, published between 2000 and 2016, identified only eight studies that systematically described their clients [11,41,[43][44][45][46][47][48], of which three [10,41,49] were Australian [43]. Consequently, this paper has three aims.…”

Section: Introductionmentioning

confidence: 99%

Understanding remote Aboriginal drug and alcohol residential rehabilitation clients: Who attends, who leaves and who stays?

Munro

Shakeshaft

Breen

et al. 2018

Drug and Alcohol Review

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Introduction and AimsAboriginal residential rehabilitation services provide healing for Aboriginal people who misuse substances. There is limited available research that empirically describes client characteristics of these services. This study examined 5 years of data of a remote Aboriginal residential rehabilitation service.Design and MethodsRetrospective analysis of 329 client admissions to Orana Haven Drug and Alcohol Rehabilitation Centre from 2011 to 2016. Multinomial and binary logistic regressions were conducted to identify trends in the data.ResultsThere were 66 admissions recorded annually, of which most identified as Aboriginal (85%). Mean length of stay was 56 days, with one in three (36%) discharging within the first month. A third (32%) completed, 47% self‐discharged and 20% house‐discharged from the program. Client age significantly increased over time (P = 0.03), with most aged from 26 to 35. Older clients were significantly more likely to readmit (P < 0.002) and stay longer than 90 days (P = 0.02). Most clients were referred from the criminal justice system, significantly increasing from 79% (2011–2012) to 96% (2015–2016) (P < 0.001) and these clients were more likely to self‐discharge (P < 0.01). Among a subset of clients, most (69%) reported concerns with polysubstance use and half (51%) reported mental illness.Discussion and ConclusionsThe current study makes a unique contribution to the literature by empirically describing the characteristics of clients of a remote Aboriginal residential rehabilitation service to more accurately tailor the service to the client's needs. Key recommendations include integrating these empirical observations with staff and client perceptions to co‐design a model of care, standardise data collection, and routinely following‐up clients to monitor treatment effectiveness.

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Alcohol and other drug use among Aboriginal and Torres Strait Islander and non-Aboriginal and Torres Strait Islander men entering prison in New South Wales

Cited by 14 publications

References 10 publications

Substance use disorders among Aboriginal and Torres Strait Islander people in custody: a public health opportunity

Substance use disorders among Aboriginal and Torres Strait Islander people in custody: a public health opportunity

Explaining suicide attempt with personality traits of aggression and impulsivity in a high risk tribal population of India

Understanding remote Aboriginal drug and alcohol residential rehabilitation clients: Who attends, who leaves and who stays?

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