High risk alcohol-related trauma among the Aboriginal and Torres Strait Islanders in the Northern Territory

Jayaraj, Rama; Thomas, Mahiban; Thomson, Valerie; Griffin, Carolyn; Mayo, Luke; Whitty, Megan; d’Abbs, Peter; Nagel, Tricia

doi:10.1186/1747-597x-7-33

Cited by 22 publications

(23 citation statements)

References 37 publications

(38 reference statements)

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“…As per the Health and Welfare of Australia's Aboriginal and Torres Strait Islander People's report, high risk alcohol consumption was estimated based on the largest quantity of alcohol consumed in a single day during a fortnight (Australian Bureau of Statistics [ABS], 2013). Indigenous alcohol abuse is also highly prevalent in Australia (ABS, 2010;Chikritzhs, Heale, & Webb, 2000;Chikritzhs & Pascal, 2004), New Zealand (''About Indigenous People, '' 2007;National Drug Strategy, 2001), and Canada (ABS, 2013). Alcohol abuse was noted to be highest among Native American or Alaska Natives in the 12 to 17 years age group in 2000.…”

Section: Introductionmentioning

confidence: 98%

Epidemiology, Etiology, and Motivation of Alcohol Misuse Among Australian Aboriginal and Torres Strait Islanders of the Northern Territory: A Descriptive Review

Ramamoorthi

Jayaraj

Notaras

et al. 2015

Journal of Ethnicity in Substance Abuse

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The per capita alcohol consumption of the Northern Territory, Australia, is second highest in the world, estimated 15.1 liters of pure alcohol per year. Alcohol abuse is a major public health concern among Aboriginal and Torres Strait Islander people in Australia. The Aboriginal and Torres Strait Islanders in the Northern Territory consume approximately 16.9 liters of pure alcohol per year. This descriptive review is based on current published and grey literature in the context of high risk alcohol use, with a special focus on the epidemiological, etiological, and social factors, to predict alcohol misuse among the Australian Aboriginal and Torres Strait Islanders in Northern Territory. The methodology involved a descriptive search on PubMed, Northern Territory government reports, health databases, and Web sites with an emphasis on the etiology and epidemiology of high-risk alcohol consumption among the Australian Aboriginal and Torres Strait Islanders of the Northern Territory. This review has its own limitations because it does not rely on systematic review methodologies. However, it presents real data on the motives for binge drinking and alcohol-related violent assaults of this vulnerable population. Alcohol abuse and alcohol-related harms are considerably high among the rural and remote communities where additional research is needed. High-risk alcohol misuse within Australian Aboriginal and Torres Strait Islanders communities often leads to a series of physical and social consequences. This review highlights the need for culturally appropriate intervention approaches focusing on alcohol misuse among the Aboriginal and Torres Strait Islanders population of the Northern Territory.

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Section: Introductionmentioning

confidence: 98%

Epidemiology, Etiology, and Motivation of Alcohol Misuse Among Australian Aboriginal and Torres Strait Islanders of the Northern Territory: A Descriptive Review

Ramamoorthi

Jayaraj

Notaras

et al. 2015

Journal of Ethnicity in Substance Abuse

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“…Further, it has been reported that most of the assaults against women in remote NT communities are perpetrated by a drunken husband or other family member. Alcohol-related facial trauma is common, with an estimated 350 cases per year admitted to the Maxillofacial Surgery Unit of the Royal Darwin Hospital (RDH) [11,12]. Many of these admissions, approximately 80% are of Indigenous people [12].…”

Section: Introductionmentioning

confidence: 99%

“…Alcohol-related facial trauma is common, with an estimated 350 cases per year admitted to the Maxillofacial Surgery Unit of the Royal Darwin Hospital (RDH) [11,12]. Many of these admissions, approximately 80% are of Indigenous people [12]. Therefore, there is an urgent need for an effective and culturally appropriate intervention to address binge drinking and alcohol-related harm in this group.…”

Section: Introductionmentioning

confidence: 99%

Prevention of Alcohol-Related Crime and Trauma (PACT): brief interventions in routine care pathway – a study protocol

et al. 2013

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BackgroundGlobally, alcohol-related injuries cause millions of deaths and huge economic loss each year . The incidence of facial (jawbone) fractures in the Northern Territory of Australia is second only to Greenland, due to a strong involvement of alcohol in its aetiology, and high levels of alcohol consumption. The highest incidences of alcohol-related trauma in the Territory are observed amongst patients in the Maxillofacial Surgery Unit of the Royal Darwin Hospital. Accordingly, this project aims to introduce screening and brief interventions into this unit, with the aims of changing health service provider practice, improving access to care, and improving patient outcomes.MethodsEstablishment of Project Governance: The project governance team includes a project manager, project leader, an Indigenous Reference Group (IRG) and an Expert Reference Group (ERG).Development of a best practice pathway: PACT project researchers collaborate with clinical staff to develop a best practice pathway suited to the setting of the surgical unit. The pathway provides clear guidelines for screening, assessment, intervention and referral.Implementation: The developed pathway is introduced to the unit through staff training workshops and associate resources and adapted in response to staff feedback.Evaluation: File audits, post workshop questionnaires and semi-structured interviews are administered.DiscussionThis project allows direct transfer of research findings into clinical practice and can inform future hospital-based injury prevention strategies.

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“…A particular focus of alcohol-related violence involves mandibular fractures [20]. Facial fractures in the NT are close to 120 per 100,000 of population, and in Indigenous people occur at a massive 155 per 100,000 [21].…”

Section: Introductionmentioning

confidence: 99%

“…While there is abundant evidence that brief interventions are effective in the treatment of high-risk drinking [27], there is less research on the impact of brief interventions on alcohol-related violence [20]. …”

Section: Introductionmentioning

confidence: 99%

Study Protocol: Screening and Treatment of Alcohol-Related Trauma (START) – a randomised controlled trial

Jayaraj

Thomas

Kavanagh

et al. 2012

BMC Health Serv Res

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BackgroundThe incidence of mandibular fractures in the Northern Territory of Australia is very high, especially among Indigenous people. Alcohol intoxication is implicated in the majority of facial injuries, and substance use is therefore an important target for secondary prevention. The current study tests the efficacy of a brief therapy, Motivational Care Planning, in improving wellbeing and substance misuse in youth and adults hospitalised with alcohol-related facial trauma.Methods and designThe study is a randomised controlled trial with 6 months of follow-up, to examine the effectiveness of a brief and culturally adapted intervention in improving outcomes for trauma patients with at-risk drinking admitted to the Royal Darwin Hospital maxillofacial surgery unit. Potential participants are identified using AUDIT-C questionnaire. Eligible participants are randomised to either Motivational Care Planning (MCP) or Treatment as Usual (TAU). The outcome measures will include quantity and frequency of alcohol and other substance use by Timeline Followback. The recruitment target is 154 participants, which with 20% dropout, is hoped to provide 124 people receiving treatment and follow-up.DiscussionThis project introduces screening and brief interventions for high-risk drinkers admitted to the hospital with facial trauma. It introduces a practical approach to integrating brief interventions in the hospital setting, and has potential to demonstrate significant benefits for at-risk drinkers with facial trauma.Trial RegistrationThe trial has been registered in Australian New Zealand Clinical Trials Registry (ANZCTR) and Trial Registration: ACTRN12611000135910.

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High risk alcohol-related trauma among the Aboriginal and Torres Strait Islanders in the Northern Territory

Cited by 22 publications

References 37 publications

Epidemiology, Etiology, and Motivation of Alcohol Misuse Among Australian Aboriginal and Torres Strait Islanders of the Northern Territory: A Descriptive Review

Epidemiology, Etiology, and Motivation of Alcohol Misuse Among Australian Aboriginal and Torres Strait Islanders of the Northern Territory: A Descriptive Review

Prevention of Alcohol-Related Crime and Trauma (PACT): brief interventions in routine care pathway – a study protocol

Study Protocol: Screening and Treatment of Alcohol-Related Trauma (START) – a randomised controlled trial

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