Key stakeholders' perspectives of illicit drug use and associated harms in the Northern Territory of Australia.

IF 4 2区 社会学 Q1 SUBSTANCE ABUSE Harm Reduction Journal Pub Date : 2024-09-20 DOI:10.1186/s12954-024-01092-w
Bryce Brickley, Samuel Moore, Noemi Tari-Keresztes, Anthea Brand, Madeleine Bower, Jason G Bonson, Alice McEntee, Ashlea J Bartram, Nataly Bovopoulos, Skye McPhie, Craig Martin, Cassandra Wright, Jacqueline Bowden, James A Smith
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Abstract

Background: In the Northern Territory (NT) of Australia, there are significant evidence gaps about illicit drug use and harms, despite having established monitoring and reporting systems. This paper reports on illicit drug use, associated harms, contributing factors, service needs and priorities in the NT from the perspective and experiences of key stakeholders engaged in providing services for, or advocating on behalf of, people who use illicit drugs in the NT.

Methods: Face-to-face and online qualitative interviews were conducted with stakeholders across urban and remote locations in the NT. Key stakeholders were service providers, including acute and primary care clinicians, representatives of Aboriginal community controlled health organisations, lived experience advocates, peak body representatives and public health executives. Qualitative data were analysed thematically.

Results: Four researchers interviewed 21 participants across urban (62%), and remote areas (38%) of the NT. Themes identified were: (1) Illicit drug use and harms are diverse and distinct; (2) Client support needs are complex and influenced by co-morbidities, socio-demographic and cultural factors; (3) Priority population sub-groups need targeted strategies; (4) Local service strengths can be further developed and enhanced; (5) Local services need better resourcing; (6) Invest in progressive legislative and policy reforms; and (7) Improve routine monitoring and evaluation.

Conclusions: Key stakeholders described illicit drug use, harms and contributing factors, which provided insights into the local challenges. Participants emphasised that clients have complex care needs, and further investment into targeted strategies are required to improve service engagement with priority groups. Service needs included greater understanding the role of dual diagnosis and its implementation and enhancing integrated and collaborative care in both primary health and acute care contexts. The voices of people with lived experience captured in this paper must inform local strategy and policy development relating to illicit drug use, in alignment with national strategy.

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主要利益相关者对澳大利亚北部地区非法药物使用及相关危害的看法。
背景:在澳大利亚北部地区(NT),尽管已经建立了监测和报告系统,但有关非法药物使用和危害的证据仍存在很大差距。本文从为北部地区非法药物使用者提供服务或代表他们进行宣传的主要利益相关者的角度和经验出发,报告了北部地区的非法药物使用情况、相关危害、诱因、服务需求和优先事项:对北部地区城市和偏远地区的利益相关者进行了面对面和在线定性访谈。主要利益相关者包括服务提供者(包括急诊和初级保健临床医生)、原住民社区控制的健康组织代表、生活经验倡导者、高峰机构代表和公共卫生管理人员。对定性数据进行了专题分析:四名研究人员对北部地区城市(62%)和偏远地区(38%)的 21 名参与者进行了访谈。确定的主题有(1) 非法药物的使用和危害具有多样性和独特性;(2) 客户的支持需求非常复杂,并受到并发症、社会人口和文化因素的影响;(3) 重点人群亚群需要有针对性的策略;(4) 当地服务的优势可以进一步发展和增强;(5) 当地服务需要更好的资源配置;(6) 投资于渐进的立法和政策改革;以及 (7) 改进日常监测和评估:主要利益相关方介绍了非法药物的使用、危害和诱因,从而深入了解了当地面临的挑战。与会者强调,吸毒者有复杂的护理需求,需要进一步投资于有针对性的战略,以改善对重点人群的服务。服务需求包括更好地了解双重诊断的作用及其实施,以及在初级保健和急症护理中加强综合协作护理。本文所记录的有生活经验者的声音必须与国家战略保持一致,为地方制定有关非法药物使用的战略和政策提供依据。
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来源期刊
Harm Reduction Journal
Harm Reduction Journal Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.90
自引率
9.10%
发文量
126
审稿时长
26 weeks
期刊介绍: Harm Reduction Journal is an Open Access, peer-reviewed, online journal whose focus is on the prevalent patterns of psychoactive drug use, the public policies meant to control them, and the search for effective methods of reducing the adverse medical, public health, and social consequences associated with both drugs and drug policies. We define "harm reduction" as "policies and programs which aim to reduce the health, social, and economic costs of legal and illegal psychoactive drug use without necessarily reducing drug consumption". We are especially interested in studies of the evolving patterns of drug use around the world, their implications for the spread of HIV/AIDS and other blood-borne pathogens.
期刊最新文献
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