Barriers and enablers to the provision of alcohol treatment among <scp>A</scp>boriginal <scp>A</scp>ustralians: A thematic review of five research projects

Gray, Dennis; Wilson, Mandy; Allsop, Steve; Saggers, Sherry; Wilkes, Edward; Ober, Coralie

doi:10.1111/dar.12137

Cited by 28 publications

(59 citation statements)

References 22 publications

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“…The striking lack of information on culturally competent AOD services for this population stands in stark contrast to the recognition of this as a priority health area for the national campaign to close the health gap between Indigenous and non-Indigenous Australians (Holland 2016). There is knowledge, evidence and proposals about how to achieve success in this area (National Indigenous Drug and Alcohol Council 2014; Gray et al 2014) and it is timely that this becomes a public health priority in Australia.…”

Section: Discussionmentioning

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: Discussionmentioning

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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“…This review only identified thirteen alcohol interventions and included those that examined the effectiveness of strategies [15]. The extent to which an alcohol intervention is successfully disseminated in Indigenous healthcare settings and programs is not only influenced by the effectiveness of strategies designed to increase its uptake by healthcare professionals, but also its acceptability and feasibility for routine delivery to Indigenous Australians [22][23][24], and process of implementation [25][26][27]. Secondly, in 2010 the (then) Australian Government Department of Health and Ageing funded the National Drug Research Institute (NDRI) to undertake a research program to enhance the management and treatment of alcohol-related problems among Indigenous Australians [24].…”

Section: Introductionmentioning

confidence: 99%

“…Secondly, in 2010 the (then) Australian Government Department of Health and Ageing funded the National Drug Research Institute (NDRI) to undertake a research program to enhance the management and treatment of alcohol-related problems among Indigenous Australians [24]. A major outcome of this funding was five research projects examining the dissemination of alcohol interventions in Indigenous health care settings across Australia [24]. The results of these research projects are now published [24], offering an opportunity to extend the scope and update the findings of the 2009 review.…”

Section: Introductionmentioning

confidence: 99%

“…A major outcome of this funding was five research projects examining the dissemination of alcohol interventions in Indigenous health care settings across Australia [24]. The results of these research projects are now published [24], offering an opportunity to extend the scope and update the findings of the 2009 review. Finally, McCalman et al [28] recent overview of the effectiveness of implementation within the Indigenous Australian health literature emphasises the importance of Indigenous leadership, governance and involvement in implementing health interventions to enhance implementation and empower Indigenous communities to lead ongoing implementation efforts [28].…”

Section: Introductionmentioning

confidence: 99%

“…Robust investigation into the acceptability of culturally targeted interventions for 'high-risk' groups would fill a gap in current knowledge. Given the complexity of implementing alcohol interventions, particularly among Indigenous populations, it is crucial that future research addresses the context and cultural setting in which programs are operating, so that multipart needs can be effectively met [3,8,24,26,27,57].…”

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confidence: 99%

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The Dissemination of Alcohol Interventions for Indigenous Australians: A Mixed Studies Review Using Narrative Synthesis

Whitty¹,

Clifford²

2017

J Alcohol Drug Depend

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Issues: Indigenous Australians experience disproportionately high rates of alcohol related harms. The implementation of best evidence alcohol interventions to reduce these harms is therefore a priority. This review synthesises evidence from the peer reviewed literature on factors influencing implementation. Approach:A systematic appraisal of journal articles based on alcohol-related harm reduction interventions for Indigenous Australians with scope for dissemination. This involved a systematic database search, categorisation, data extraction, quality appraisal, and preliminary analysis. A thorough textual analysis of identified papers was carried out using narrative synthesis. Key findings:Thirteen publications met the inclusion criteria. Included studies assessed either: (a) Acceptability/ feasibility of alcohol interventions for implementation in Indigenous-specific healthcare settings and/or delivery to Indigenous Australians (n=7); (b) The effectiveness of strategies designed to improve the uptake/delivery of an alcohol intervention (n=4); or (c) The process of implementing an alcohol intervention with Indigenous Australians (n=2).Implications: Flexibility in study implementation, an emphasis on capacity building and prioritising the reporting of implementation evidence is needed. Conclusion:Overall, the number of dissemination studies focusing on alcohol interventions for Indigenous peoples is low, and their quality varied. Evidence detailing the circumstances for optimal implementation of such interventions is thin, despite the value of this information to future research. This review presents knowledge gained to date on the alcohol interventions considered appropriate and practicable for Indigenous people. Future efforts should reflect greater researcher reflexivity and implementation transparency, and extend measurement of outcomes to health considerations determined to be meaningful by the affected Indigenous people themselves.

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Reducing Harm Through Evidence‐Based Alcohol Policies: Challenges and Options

Giesbrecht¹,

Bosma²,

Reisdorfer³

2019

World Med & Health Policy

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This article examines challenges in implementing and sustaining effective alcohol policies and proposes several strategies to counter them. A narrative review was undertaken of recent publications that document challenges in implementing alcohol policies in various contexts. MEDLINE/PubMed were searched for publications in English between 2011 and 2018. Twenty‐five keywords and 25 scholar names were used in the search. From 1,169 hits, 168 full research papers and commentaries were examined. Eight main groups of challenges were identified: interventions of inadequate dose, support, scope, or fidelity; confounding impacts from alcohol industries and other sectors; uneven implementation or inadequate enforcement; popular policies are largely ineffective and effective policies unpopular; policy decision‐making focusing on short‐range perspectives and skewed to favor commercial interests; low awareness of alcohol as a health risk; challenges in getting information on relevant interventions, local data, and insider information; and insufficient capacity or training to implement a policy. Several strategies are offered to counter these challenges: provide evidence to policymakers: conduct assessment and pilot studies; provide enhanced training on alcohol issues and policy implementation; develop allies; promote strong leadership; use media advocacy; engage voices of those impacted by flawed policies; and promote a comprehensive approach.

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Barriers and enablers to the provision of alcohol treatment among Aboriginal Australians: A thematic review of five research projects

Cited by 28 publications

References 22 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

The Dissemination of Alcohol Interventions for Indigenous Australians: A Mixed Studies Review Using Narrative Synthesis

Reducing Harm Through Evidence‐Based Alcohol Policies: Challenges and Options

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