Mind the gap: What is the difference between alcohol treatment need and access for <scp>A</scp>boriginal and <scp>T</scp>orres <scp>S</scp>trait <scp>I</scp>slander <scp>A</scp>ustralians?

Brett, Jonathan; Lee, K. S. Kylie; Gray, Dennis; Wilson, Scott; Freeburn, Bradley; Harrison, Kristie; Conigrave, Katherine M.

doi:10.1111/dar.12313

Cited by 14 publications

(15 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Colonisation is a root cause, or underpinning social determinant of health for Indigenous peoples, providing the social and political context that drives inequities in the intermediate and proximal determinants of health such as education, health and other systems, employment, housing, interpersonal and institutional racism, discrimination and alcohol use 9–11 . There is a large shortfall in alcohol treatment services for Aboriginal and Torres Strait Islander people, 12 and extensive unmet needs for wider social and emotional wellbeing services 13…”

Section: A Comprehensive Primary Health Care Response To Alcohol‐relamentioning

confidence: 99%

Case study of a decolonising Aboriginal community controlled comprehensive primary health care response to alcohol‐related harm

Freeman

Baum

Mackean

et al. 2019

Australian and New Zealand Journal of Public Health

View full text Add to dashboard Cite

Objective:This paper provides a case study of the responses to alcohol of an Aboriginal Community Controlled Health Service (The Service), and investigates the implementation of comprehensive primary health care and how it challenges the logic of colonial approaches.Methods: Data were drawn from a larger comprehensive primary health care study. Data on actions on alcohol were collected from: a) six-monthly service reports of activities; b) 29 interviews with staff and board members; c) six interviews with advocacy partners; and d) community assessment workshops with 13 service users. Results:The Service engaged in rehabilitative, curative, preventive and promotive work targeting alcohol, including advocacy and collaborative action on social determinants of health. It challenged other government approaches by increasing Aboriginal people's control, providing culturally safe services, addressing racism, and advocating to government and industry. Conclusions:This case study provides an example of implementation of the full continuum of comprehensive primary health care activities. It shows how community control can challenge colonialism and ongoing power imbalances to promote evidence-based policy and practice that support self-determination as a positive determinant for health. Implications for public health:Aboriginal Community Controlled Health Services are a good model for comprehensive primary health care approaches to alcohol control.

show abstract

Section: A Comprehensive Primary Health Care Response To Alcohol‐relamentioning

confidence: 99%

Case study of a decolonising Aboriginal community controlled comprehensive primary health care response to alcohol‐related harm

Freeman

Baum

Mackean

et al. 2019

Australian and New Zealand Journal of Public Health

View full text Add to dashboard Cite

show abstract

“…Alcohol dependence can then erode the strengths of Indigenous Peoples-strong families, strong communities, strong culture, and traditional responsibilities. Concerns have been expressed about Indigenous Peoples' lack of access to appropriate treatment for alcohol dependence [3,4]. One step towards assessing likely treatment need is to have sound estimates of the prevalence of current alcohol dependence.…”

Section: Introductionmentioning

confidence: 99%

What is the prevalence of current alcohol dependence and how is it measured for Indigenous people in Australia, New Zealand, Canada and the United States of America? A systematic review

Weatherall

Conigrave

et al. 2020

Addict Sci Clin Pract

Self Cite

View full text Add to dashboard Cite

Background Alcohol affects Indigenous communities globally that have been colonised. These effects are physical, psychological, financial and cultural. This systematic review aims to describe the prevalence of current (12-month) alcohol dependence in Indigenous Peoples in Australia, New Zealand, Canada and the United States of America, to identify how it is measured, and if tools have been validated in Indigenous communities. Such information can help inform estimates of likely treatment need. Methods A systematic search of the literature was completed in six electronic databases for reports on current alcohol dependence (moderate to severe alcohol use disorder) published between 1 January 1989–9 July 2020. The following data were extracted: (1) the Indigenous population studied; country, (2) prevalence of dependence, (3) tools used to screen, assess or diagnose current dependence, (4) tools that have been validated in Indigenous populations to screen, assess or diagnose dependence, and (5) quality of the study, assessed using the Appraisal Tool for Cross-Sectional Studies. Results A total of 11 studies met eligibility criteria. Eight were cross-sectional surveys, one cohort study, and two were validation studies. Nine studies reported on the prevalence of current (12-month) alcohol dependence, and the range varied widely (3.8–33.3% [all participants], 3–32.8% [males only], 1.3–7.6% [females only]). Eight different tools were used and none were Indigenous-specific. Two tools have been validated in Indigenous (Native American) populations. Conclusion Few studies report on prevalence of current alcohol dependence in community or household samples of Indigenous populations in these four countries. Prevalence varies according to sampling method and site (for example, specific community versus national). Prior work has generally not used tools validated in Indigenous contexts. Collaborations with local Indigenous people may help in the development of culturally appropriate ways of measuring alcohol dependence, incorporating local customs and values. Tools used need to be validated in Indigenous communities, or Indigenous-specific tools developed, validated and used. Prevalence findings can inform health promotion and treatment needs, including funding for primary health care and specialist treatment services.

show abstract

“…Aboriginal and Torres Strait Islander Australians (here described as Aboriginal Australians) experience 3-8 times the prevalence of alcohol-related illness, injury, and death than the general population (Calabria, Doran, Vos, Shakeshaft, & Hall, 2010). But their barriers to treatment access for alcohol dependence include transport difficulties, fear of discrimination, and lack of culturally secure services (Brett et al, 2016;Conigrave et al, 2012;Gray, Stearne, et al, 2010;Teasdale et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Healing at home: Developing a model for ambulatory alcohol "detox" in an Aboriginal community controlled health service

Brett¹,

Dawson²,

Ivers³

et al. 2017

IJIH

Self Cite

View full text Add to dashboard Cite

Introduction: Indigenous Peoples who have been colonized face a higher burden of harm from alcohol and increased risk of alcohol use disorders. Yet they often also have limited access to alcohol treatment. Limited access to withdrawal management ("detox" in particular) can be a barrier to recovery. Ambulatory or "outpatient" alcohol detox can offer improved treatment access, but no research has examined its feasibility and acceptability in Indigenous populations. Aim: To develop a model for outpatient detox delivered by an Australian Aboriginal community controlled health service (ACCHS), and to describe its feasibility and acceptability. Methods: This report describes a framework for alcohol treatment service development within an ACCHS through community, staff, and client consultation. Thematic analysis of focus groups and phone interviews were used to gain insight into the views and experiences of Aboriginal community stakeholders, service clients, and staff regarding alcohol detox services and the pilot of the outpatient detox program service model. Results: Individual, family, and community support was regarded as key to recovery from alcohol dependence. Outpatient detox was seen as a way of keeping the individual near this support. Reported positive aspects include satisfaction with the approach to care that was considered accessible, holistic, and integrated. Challenges and suggested improvements were identified. Discussion: Outpatient detox within an ACCHS was assessed as feasible and acceptable for carefully selected clients and was reported to aid access to treatment. More clinical experience is needed to fully delineate effectiveness and safety.

show abstract

Mind the gap: What is the difference between alcohol treatment need and access for Aboriginal and Torres Strait Islander Australians?

Cited by 14 publications

References 20 publications

Case study of a decolonising Aboriginal community controlled comprehensive primary health care response to alcohol‐related harm

Case study of a decolonising Aboriginal community controlled comprehensive primary health care response to alcohol‐related harm

What is the prevalence of current alcohol dependence and how is it measured for Indigenous people in Australia, New Zealand, Canada and the United States of America? A systematic review

Healing at home: Developing a model for ambulatory alcohol "detox" in an Aboriginal community controlled health service

Contact Info

Product

Resources

About