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Beliefs and attitudes of drug and alcohol clinicians when considering referral of Aboriginal clients to involuntary drug and alcohol treatment: A qualitative study.
Lee, K S Kylie; Bullen, Lynette M; Zheng, Catherine; Dawson, Angela; Munro, Alice; Conigrave, Katherine M.
Afiliación
  • Lee KSK; NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
  • Bullen LM; The Edith Collins Centre (Translational Research in Alcohol Drugs and Toxicology), Sydney Local Health District, Sydney, Australia.
  • Zheng C; National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, Australia.
  • Dawson A; Burnet Institute, Melbourne, Australia.
  • Munro A; Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia.
  • Conigrave KM; Involuntary Drug and Alcohol Treatment Unit, Western NSW Local Health District, Orange, Australia.
Drug Alcohol Rev ; 42(1): 169-180, 2023 01.
Article en En | MEDLINE | ID: mdl-36194535
ABSTRACT

INTRODUCTION:

Involuntary drug and alcohol treatment occurs in many countries and its role is often controversial. This can be a particular concern in relation to First Nations or other culturally distinct populations. This study explores beliefs and attitudes of drug and alcohol clinicians when considering referral of Aboriginal Australians to involuntary drug and alcohol treatment in New South Wales (NSW), Australia.

METHODS:

The Involuntary Drug and Alcohol Treatment program (IDAT) is legislated by the NSW Drug and Alcohol Treatment Act 2007. There are two IDAT units-in urban (Sydney, four beds) and regional NSW (Orange, eight beds). NSW Health drug and alcohol clinicians who had referred clients to IDAT between 2016 and 2018 were invited to participate in a semi-structured 11 interview. Eleven clinicians (n = 2, male) from six local health districts (urban through to remote) agreed to participate. A descriptive qualitative analysis of responses was conducted.

RESULTS:

Two key themes summarised the beliefs and attitudes that clinicians reported influencing them when considering referral of Aboriginal Australians to involuntary drug and alcohol treatment in NSW (i) dilemma between saving someone's life and being culturally safe; and (ii) need for holistic wrap-around care. DISCUSSION AND

CONCLUSIONS:

Almost all clinicians were worried that being in IDAT would further erode their Aboriginal client's autonomy and be retraumatising. Strategies are needed to support the involvement of Aboriginal-specific services in IDAT processes and ensure local support options for clients on discharge. Future research should examine the effectiveness, acceptability and feasibility of involuntary drug and alcohol treatment programs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Relacionados con Sustancias / Aborigenas Australianos e Isleños del Estrecho de Torres / Servicios de Salud del Indígena Tipo de estudio: Qualitative_research Límite: Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Drug Alcohol Rev Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2023 Tipo del documento: Article País de afiliación: Australia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Relacionados con Sustancias / Aborigenas Australianos e Isleños del Estrecho de Torres / Servicios de Salud del Indígena Tipo de estudio: Qualitative_research Límite: Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Drug Alcohol Rev Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2023 Tipo del documento: Article País de afiliación: Australia