Evidence map›Paper›PMID 41964252›Full record

Observational studyAlcohol, clinical & experimental research2026

Using Routinely Collected Data From the Network of Alcohol and Other Drugs Agencies Database to Evaluate the Impact of COVID-19 Lockdowns on Trends in Service Delivery in Outpatient Non-Government Alcohol and Other Drug Treatment Services.

Alison K Beck, Briony Larance, Bradley Wakefield, Laura Robinson, Isabella Ingram, Robert Stirling, Mei L Lee, Leanne Hides, Gabrielle Campbell, Peter J Kelly

Abstract readObservational Study
In one paragraph

Observational study in Alcohol, clinical & experimental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Alison K BeckSchool of Psychology, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-9031-2117
Briony LaranceSchool of Psychology, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia.
Bradley WakefieldThe Statistical Consulting Centre, National Institute for Applied Statistics Research Australia, School of Mathematics and Applied Statistics, University of Wollongong, Wollongong, New South Wales, Australia.
Laura RobinsonSchool of Psychology, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-3409-475X
Isabella IngramSchool of Psychology, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia.
Robert StirlingNetwork of Alcohol and Other Drugs Agencies, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-0596-8286
Mei L LeeNetwork of Alcohol and Other Drugs Agencies, Sydney, New South Wales, Australia.
Leanne HidesNational Centre for Youth Substance Use Research, School of Psychology, the, University of Queensland, St Lucia, Queensland, Australia.
Gabrielle CampbellNational Centre for Youth Substance Use Research, School of Psychology, the, University of Queensland, St Lucia, Queensland, Australia.
Peter J KellySchool of Psychology, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia.

Funding

NSW Ministry of Health via the Network of Alcohol and other Drugs Agencies
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic disrupted face-to-face alcohol and other drug (AOD) treatment services and prompted greater use of telehealth. This study measured the impact of COVID-19 on outpatient treatment episodes before, during, and after stay-at-home orders were introduced.

methodsThis observational study used routinely collected data from community-based non-government AOD services in New South Wales (NSW), Australia across 4 years (209 7-day intervals from January 1, 2019-January 2, 2023). Interrupted time-series analyses with seasonal autoregressive integrated moving average (ARIMA) modeling estimated weekly changes in outpatient treatment episodes associated with stay-at-home (lockdown) orders, including (1) commencements, (2) planned cessations, and (3) unplanned cessations. Episode counts were also examined by gender (male, female), age group (< 25 years, 25-59 years, ≥ 60 years), principal drug of concern (alcohol, amphetamines, cannabinoids, opioids, and other), and location (metropolitan and non-metropolitan).

resultsThere were no significant level or trend changes in the overall number of episode commencements (ARIMA (2,0,0)(1,0,0), lockdown one: β_level = -814.85, p = 0.098; β_slope = 11.14, p = 0.127; lockdown two: β_level = 317.3, p = 0.427; β_slope = -3.47, p = 0.237), planned cessations (ARIMA (1,0,0)(0,0,1), lockdown one: β_level = -142.1, p = 0.66; β_slope = 1.16, p = 0.808; lockdown two: β_level = -199.07, p = 0.432; β_slope = 0.18, p = 0.932), or unplanned cessations (ARIMA (1,0,0), lockdown one: β_level = -92.4, p = 0.717; β_slope = 1.4, p = 0.711; lockdown two: β_level = -121.19, p = 0.563; β_slope = 0.53, p = 0.732) in outpatient non-government AOD services at either lockdown. For subgroups, during lockdown one, commencements per week increased for metropolitan participants (ARIMA (1,0,0) β_level = -725.12, p = 0.024; β_slope = 10.07, p = 0.035) and those with amphetamines (ARIMA(3,0,0)(1,0,0) β_level = -338.44, p = 0.036; β_slope = 4.68, p = 0.05) as their principal drug of concern.

conclusionsThe introduction of COVID-19 lockdown measures did not appear to adversely impact the number of NSW non-government AOD outpatient treatment episodes delivered nor the likelihood of unplanned dropout. Our findings illustrate the likely role of telehealth in sustaining (and for some groups, perhaps temporarily increasing) AOD service provision during the COVID-19 pandemic. This highlights the sector's resilience in sustaining care under challenging circumstances.

Indexed as

AlcoholismAmbulatory CareCOVID-19Substance Abuse Treatment CentersSubstance-Related DisordersAdultDatabases, FactualFemaleHumansMaleMiddle AgedNew South WalesPandemicsSARS-CoV-2TelemedicineCOVID‐19lockdownsubstance use disorderssubstance use treatmenttelehealth

Identifiers

PMID41964252
PMCPMC13069230

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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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.