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    Substance use outcomes following treatment: Findings from the Australian Patient Pathways Study

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    Authors
    Manning, Victoria
    Garfield, Joshua BB
    Best, David cc
    Berends, Lynda
    Room, Robin
    Mugavin, Janette
    Larner, Andrew
    Lam, Tina
    Buykx, Penny
    Allsop, Steve
    Lubman, Dan I
    Show allShow less
    Affiliation
    Eastern Health, Fitzroy, VIC, Australia
    Monash University, Melbourne, VIC, Australia
    Sheffield Hallam University
    Australian Catholic University, Melbourne, VIC, Australia
    La Trobe University, Melbourne, VIC, Australia
    Stockholm University
    Curtin University, Perth, WA, Australia
    University of Sheffield
    Issue Date
    2016-01-14
    
    Metadata
    Show full item record
    Abstract
    Our understanding of patient pathways through specialist Alcohol and Other Drug treatment and broader health/welfare systems in Australia remains limited. This study examines how treatment outcomes are influenced by continuity in specialist Alcohol and Other Drug treatment, engagement with community services and mutual aid, and explores differences between clients who present with a primary alcohol problem relative to those presenting with a primary drug issue. In a prospective, multi-site treatment outcome study, 796 clients from 21 Alcohol and Other Drug services in Victoria and Western Australia completed a baseline interview between January 2012 and January 2013. A total of 555 (70%) completed a follow-up assessment of subsequent service use and Alcohol and Other Drug use outcomes 12-months later. Just over half of the participants (52.0%) showed reliable reductions in use of, or abstinence from, their primary drug of concern. This was highest among clients with meth/amphetamine (66%) as their primary drug of concern and lowest among clients with alcohol as their primary drug of concern (47%), with 31% achieving abstinence from all drugs of concern. Continuity of specialist Alcohol and Other Drug care was associated with higher rates of abstinence than fragmented Alcohol and Other Drug care. Different predictors of treatment success emerged for clients with a primary drug problem as compared to those with a primary alcohol problem; mutual aid attendance (odds ratio = 2.5) and community service engagement (odds ratio = 2.0) for clients with alcohol as the primary drug of concern, and completion of the index treatment (odds ratio = 2.8) and continuity in Alcohol and Other Drug care (odds ratio = 1.8) when drugs were the primary drugs of concern. This is the first multi-site Australian study to include treatment outcomes for alcohol and cannabis users, who represent 70% of treatment seekers in Alcohol and Other Drug services. Results suggest a substantial proportion of clients respond positively to treatment, but that clients with alcohol as their primary drug problem may require different treatment pathways, compared to those with illicit drug issues, to maximise outcomes.
    Citation
    Manning, V., Garfield, J.B., Best, D., Berends, L., Room, R., Mugavin, J., Larner, A., Lam, T., Buykx, P., Allsop, S. and Lubman, D.I., (2017). 'Substance use outcomes following treatment: findings from the Australian Patient Pathways Study'. Australian & New Zealand Journal of Psychiatry, 51(2), pp.1 77-189.
    Publisher
    SAGE Publications
    Journal
    Australian & New Zealand Journal of Psychiatry
    URI
    http://hdl.handle.net/10545/625362
    DOI
    10.1177/0004867415625815
    Additional Links
    https://journals.sagepub.com/doi/abs/10.1177/0004867415625815
    http://shura.shu.ac.uk/id/eprint/11496
    Type
    Article
    Language
    en
    EISSN
    1440-1614
    ae974a485f413a2113503eed53cd6c53
    10.1177/0004867415625815
    Scopus Count
    Collections
    Department of Social Sciences

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