Evidence map›Paper›PMID 32727625›Full record

ArticleAddiction science & clinical practice2020

Understanding the client characteristics of Aboriginal residential alcohol and other drug rehabilitation services in New South Wales, Australia.

Douglas B James, K S Kylie Lee, Tania Patrao, Ryan J Courtney, Katherine M Conigrave, Anthony Shakeshaft

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Addiction science & clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Douglas B JamesNational Drug and Alcohol Research Centre, The University of New South Wales, Sydney, NSW, 2052, Australia. d.b.james@student.unsw.edu.au.ORCID 0000-0001-6211-4730
K S Kylie LeeFaculty of Medicine and Health, Addiction Medicine, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, The University of Sydney, Camperdown, NSW, Australia.
Tania PatraoSchool of Public Health, University of Queensland, St Lucia, QLD, Australia.
Ryan J CourtneyNational Drug and Alcohol Research Centre, The University of New South Wales, Sydney, NSW, 2052, Australia.
Katherine M ConigraveFaculty of Medicine and Health, Addiction Medicine, NHMRC Centre of Research Excellence in Indigenous Health and Alcohol, The University of Sydney, Camperdown, NSW, Australia.
Anthony ShakeshaftNational Drug and Alcohol Research Centre, The University of New South Wales, Sydney, NSW, 2052, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAboriginal alcohol and other drug residential rehabilitation (residential rehabilitation) services have been providing treatment in Australia of over 50 years. However, there are no studies in Australia or internationally that document characteristics of clients attending Indigenous residential rehabilitation services worldwide. This is the first multi-site paper to describe key client characteristics of six Indigenous (hereafter Aboriginal Australians as the term recommended by the Aboriginal Health and Medical Research Council of New South Wales) residential rehabilitation services in Australia.

methodsAll recorded client admissions between 1 January 2011 to 31 December 2016 were considered from six operating services in the Australian state of New South Wales. Data collected were classified into categories based on demographics, treatment utilisation, substance use, mental health and quality of life characteristics. Means, median and percentages were calculated (where appropriate).

resultsThere were 2645 admissions across the six services in the study period, with an average of 440 admissions per year across all services. Participants were aged between 26 to 35 years, with fewest participants aged 46 +. Program length ranged from 12 to 52 weeks (mean of 12 weeks). The completion rates and length of stay for each service ranged from less than two to more than 12 weeks. The principal drug of choice was alcohol and amphetamines in half of the services. Not all services used them, but a range of tools were used to measure treatment, substance use and mental health or quality of life outcomes.

conclusionThis study is the first internationally to describe the key features of multiple Aboriginal residential rehabilitation services. The variation in tools used to collect client data made it difficult to compare client characteristics across services. Future research could explore predictors of treatment completion, identify opportunities for standardisation in client assessments and validate cultural approaches of care. These efforts would need to be guided by Aboriginal leadership in each service.

Indexed as

Culturally Competent CareHealth Services, IndigenousSubstance-Related DisordersAdultAgedAustraliaAustralian Aboriginal and Torres Strait Islander PeoplesBehavior TherapyBuprenorphineFemaleHumansMaleMiddle AgedNew South WalesQuality of LifeBuprenorphineAlcoholAmphetaminesDrugIndigenousResidential rehabilitation

Identifiers

PMID32727625
PMCPMC7388208

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