Ice in the Outback: the epidemiology of amphetamine-type stimulant-related hospital admissions and presentations to the emergency department in Hedland, Western Australia

Monahan, Caitriona; Coleman, Mathew

doi:10.1177/1039856218762307

Cited by 12 publications

(12 citation statements)

References 6 publications

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“…The hospitalisation rates and harms associated with misuse of amphetamine‐type stimulants (included under F15 in ICD‐10) are increasing in rural and remote areas, but retrieval rates for people with F15‐related diagnoses accounted for only 15 mental health‐related retrievals, or 8% of substance misuse‐related specific diagnoses. Some amphetamine‐type stimulant users may have been diagnosed with multiple substance misuse (F19), the most frequent substance misuse‐related diagnosis, as multiple substance misuse and dependence is common in this group.…”

Section: Discussionmentioning

confidence: 99%

“…Rates of suicide and of mental health problems are higher in rural and remote regions than in metropolitan areas of Australia . The misuse of psychostimulant drugs, including amphetamine and methamphetamine, is also widespread in rural and remote locations, and a disproportionate number of hospital presentations related to amphetamine‐type stimulants are by Indigenous people in rural and remote Australia …”

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confidence: 99%

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Aeromedical retrievals of people for mental health care and the low level of clinical support in rural and remote Australia

Gardiner¹,

Coleman

Teoh

et al. 2019

Medical Journal of Australia

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Aeromedical retrievals of people for mental health care and the low level of clinical support in rural and remote Australia

Gardiner¹,

Coleman

Teoh

et al. 2019

Medical Journal of Australia

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“…Furthermore, the findings may not be generalizable to other settings although higher rates of amphetamine use in rural towns might have an even greater impact on over-burdened services. 8…”

Section: Discussionmentioning

confidence: 99%

Amphetamine use and psychiatric admissions: a 10-year perspective

Nathani

Morris

Glozier

et al. 2021

Australas Psychiatry

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Objective: We aimed to (i) describe the 10-year trend in admissions associated with amphetamine use, (ii) describe the distinguishing characteristics of people with an amphetamine-related diagnosis (ARD) and (iii) examine predictors of repeated admissions among people with an ARD. Method: We conducted a retrospective cohort study. We (i) counted the number of admissions with an ARD and evaluated any trends, and using univariate and multivariate tests, (ii) compared those who had an ARD with those who did not and (iii) compared those with an ARD who had one, two to four, and five or more admissions. Results: Admissions associated with amphetamine use increased between 2009 and 2015. Those with an ARD had significant differences in demographics, diagnosis and pattern of service use relative to those without an ARD. Amongst those with an ARD, a higher number of admissions was positively associated with a schizophrenia diagnosis but inversely associated with a transient psychotic disorder diagnosis. Conclusions: The increase in admissions associated with amphetamine use indicates that people with an ARD posed major demands on inpatient services. Targeting amphetamine treatment to those with psychotic disorders, both schizophrenia and transient psychotic disorders, may reduce hospital-related costs and re-admissions.

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“…In Australia, it is only available in illicit forms and cannot be prescribed by medical practitioners. More frequent use of the drug coupled with increased rates of co-occurring other substance use and poor access to support in primary care has resulted in increased hospital emergency department presentations [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Mandatory treatment for methamphetamine use in Australia

Coleman

Ridley

Christmass³

2021

Subst Abuse Treat Prev Policy

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Background In 2016, following a flurry of government inquiries and taskforces including calls for mandatory treatment regimes, the Australian community nominated methamphetamine as the drug most likely to be associated as a problem substance. Mandatory treatment for alcohol and other drug problems in Australia consists of broadly two mechanisms compelling a person into treatment: involuntary treatment or civil commitment regimes; and coercive treatment regimes, usually associated with the criminal justice system. This paper aims to provide a review of the evidence for mandatory treatment regimes for people who use methamphetamines. Methods Using a narrative review methodology, a comprehensive literature and citation search was conducted. Five hundred two search results were obtained resulting in 41 papers that had cited works of interest. Results Small, but robust results were found with coercive treatment programs in the criminal justice system. The evidence of these programs specifically with methamphetamine use disorders is even less promising. Systematic reviews of mandatory drug treatment regimes have consistently demonstrated limited, if any, benefit for civil commitment programs. Despite the growing popular enthusiasm for mandatory drug treatment programs, significant clinical and ethical challenges arise including determining decision making capacity in people with substance use disorders, the impact of self determination and motivation in drug treatment, current treatment effectiveness, cost effectiveness and unintended treatment harms associated with mandatory programs. Conclusion The challenge for legislators, service providers and clinicians when considering mandatory treatment for methamphetamines is to proportionately balance the issue of human rights with effectiveness, safety, range and accessibility of both existing and novel mandatory treatment approaches.

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Ice in the Outback: the epidemiology of amphetamine-type stimulant-related hospital admissions and presentations to the emergency department in Hedland, Western Australia

Abstract: This study showed a disproportionally high burden of ATS-related harm among Aboriginal people. The number of ATS-related ED presentations and inpatient admissions increased significantly over the study period.

Cited by 12 publications

References 6 publications

Aeromedical retrievals of people for mental health care and the low level of clinical support in rural and remote Australia

Aeromedical retrievals of people for mental health care and the low level of clinical support in rural and remote Australia

Amphetamine use and psychiatric admissions: a 10-year perspective

Mandatory treatment for methamphetamine use in Australia

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