Evidence map›Paper›PMID 36169553›Full record

ArticleDrug and alcohol review2023

Putting out the welcome mat-A qualitative exploration of service delivery processes and procedures as barriers to treatment-seeking for people who use alcohol and other drugs.

Leanne Francia, Tina Lam, Amelia Berg, Kirsty Morgan, Michael Savic, Dan I Lubman, Suzanne Nielsen

Open access · hybridAbstract read
In one paragraph

Article in Drug and alcohol review, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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

7 authors at 3 institutions in 1 country.

Leanne FranciaMonash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.ORCID 0000-0002-8211-1075
Tina LamMonash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.ORCID 0000-0002-4902-7293
Amelia BergAssociation of Participating Services Users, Self Help Addiction Resource Centre, Melbourne, Australia.
Kirsty MorganPeninsula Health, Melbourne, Australia.
Michael SavicTurning Point, Eastern Health Clinical School, Melbourne, Australia.
Dan I LubmanTurning Point, Eastern Health Clinical School, Melbourne, Australia.
Suzanne NielsenMonash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.ORCID 0000-0001-5341-1055
Eastern Health · AUMission Australia · AUPeninsula Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere are a range of models and structures that determine features of alcohol and other drug treatment. Despite some structures being long-established, less is known about how specific aspects of service delivery impact treatment-seeking for people who use alcohol and other drugs. This Australian qualitative study explored both people with lived experience of problematic alcohol and other drug use, and health care staff's experiences of service delivery.

methodsThirty-nine semi-structured interviews with people with lived experience and staff from either alcohol and other drug specialist, or broader health-care services, explored experiences of service delivery processes and procedures. Transcripts were thematically analysed and guided by a broad interest in barriers to treatment-seeking.

resultsWithin alcohol and other drug specialist services (i) time spent on wait lists; and (ii) poor implementation of assessment processes were identified barriers to treatment-seeking and engagement. Within broader health-care services (i) organisational expectations around behaviour and engagement; (ii) alcohol and other drugs viewed as separate to service role; and (iii) limited opportunities to informally engage were identified barriers to treatment-seeking. DISCUSSION AND

conclusionsResults suggest opportunities to engage and undertake needs-based care planning are yet to be fully realised, particularly at the intake and assessment stages of alcohol and other drug service delivery; with frequent reassessment resulting in people repeatedly recounting traumatic experiences, often to different people, only to be placed back on wait lists with no support. Within broader health-care services aspects of service delivery may perpetuate stigma that places such people outside the purview of health care.

Indexed as

Substance-Related DisordersAustraliaDelivery of Health CareEthanolHumansPharmaceutical PreparationsSocial StigmaEthanolPharmaceutical Preparationsalcohol and other drug treatmentservice deliverystigmasystemstreatment-seeking

Identifiers

PMID36169553
PMCPMC10947049
OpenAlexW4297459435

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.