Show simple item record

dc.contributor.authorLubman, DI
dc.contributor.authorGarfield, JBB
dc.contributor.authorManning, V
dc.contributor.authorBerends, L
dc.contributor.authorBest, D
dc.contributor.authorMugavin, JM
dc.contributor.authorLam, T
dc.contributor.authorBuykx, P
dc.contributor.authorLarner, A
dc.contributor.authorLloyd, B
dc.contributor.authorRoom, R
dc.contributor.authorAllsop, S
dc.date.accessioned2020-12-21T02:31:43Z
dc.date.available2020-12-21T02:31:43Z
dc.date.issued2016-07-19
dc.identifierpii: 10.1186/s12888-016-0956-9
dc.identifier.citationLubman, D. I., Garfield, J. B. B., Manning, V., Berends, L., Best, D., Mugavin, J. M., Lam, T., Buykx, P., Larner, A., Lloyd, B., Room, R. & Allsop, S. (2016). Characteristics of individuals presenting to treatment for primary alcohol problems versus other drug problems in the Australian patient pathways study.. BMC Psychiatry, 16 (1), pp.250-. https://doi.org/10.1186/s12888-016-0956-9.
dc.identifier.issn1471-244X
dc.identifier.urihttp://hdl.handle.net/11343/256963
dc.description.abstractBACKGROUND: People seeking treatment for substance use disorders often have additional health and social issues. Although individuals presenting with alcohol as the primary drug of concern (PDOC) account for nearly half of all treatment episodes to the Australian alcohol and other drug (AOD) service system, previous treatment cohort studies have focused only on the profile of Australian heroin or methamphetamine users. While studies overseas indicate that clients seeking treatment primarily for their drinking are less likely to experience social and economic marginalisation than those seeking treatment primarily for illicit or pharmaceutical drug use, very little research has directly compared individuals presenting with alcohol as the PDOC to those primarily presenting with other drugs as their PDOC. METHODS: Seven hundred and ninety-six participants were recruited at entry to specialist AOD treatment in Victoria and Western Australia, and completed measures of demographic and social factors, substance use, quality of life, service use, and criminal justice involvement. We compared those with alcohol as their PDOC to those with other drugs as their PDOC using Pearson chi-square and Mann-Whitney U tests. RESULTS: Rates of social disadvantage, poor quality of life, high severity of substance dependence, and past-year AOD, mental health, acute health, and social service use were high in all groups. However, participants with alcohol as the PDOC were older; more likely to have an educational qualification; less likely to report criminal justice involvement, housing/homelessness service use, tobacco smoking, or problems with multiple substances; and reported better environmental quality of life; but were more likely to have used ambulance services, than those with other drugs as their PDOC. CONCLUSIONS: While those seeking treatment primarily for alcohol problems appear less likely to suffer some forms of social and economic disadvantage or to use multiple substances than those with a primary drug problem, they experience similarly high levels of substance dependence severity and mental health and AOD service use. These findings reinforce the need for AOD services to integrate or coordinate care with programs that address the many complexities clients frequently present with, while also acknowledging differences between those seeking treatment for alcohol versus other drug problems.
dc.languageeng
dc.publisherSpringer Science and Business Media LLC
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titleCharacteristics of individuals presenting to treatment for primary alcohol problems versus other drug problems in the Australian patient pathways study.
dc.typeJournal Article
dc.identifier.doi10.1186/s12888-016-0956-9
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.source.titleBMC Psychiatry
melbourne.source.volume16
melbourne.source.issue1
melbourne.source.pages250-
dc.rights.licenseCC BY
melbourne.elementsid1236870
melbourne.openaccess.pmchttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4950603
melbourne.contributor.authorRoom, Robin
dc.identifier.eissn1471-244X
melbourne.accessrightsOpen Access


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record