Barriers and enablers to the provision of alcohol treatment among Aboriginal Australians: A thematic review of five research projects

Gray, Dennis, Wilson, Mandy, Allsop, Steve, Saggers, Sherry, Wilkes, Edward and Ober, Coralie (2014) Barriers and enablers to the provision of alcohol treatment among Aboriginal Australians: A thematic review of five research projects. Drug and Alcohol Review, 33 5: 482-490. doi:10.1111/dar.12137


Author Gray, Dennis
Wilson, Mandy
Allsop, Steve
Saggers, Sherry
Wilkes, Edward
Ober, Coralie
Title Barriers and enablers to the provision of alcohol treatment among Aboriginal Australians: A thematic review of five research projects
Journal name Drug and Alcohol Review   Check publisher's open access policy
ISSN 0959-5236
1465-3362
Publication date 2014-09-01
Year available 2014
Sub-type Article (original research)
DOI 10.1111/dar.12137
Volume 33
Issue 5
Start page 482
End page 490
Total pages 9
Place of publication Chichester, West Sussex, United Kingdom
Publisher Blackwell Publishing
Collection year 2015
Language eng
Formatted abstract
Introduction and Aims
To review the results of five research projects commissioned to enhance alcohol treatment among Aboriginal Australians, and to highlight arising from them.

Design and Methods
Drafts of the papers were workshopped by project representatives, final papers reviewed and results summarised. Lessons arising were identified and described.

Results
While the impact of the projects varied, they highlight the feasibility of adapting mainstream interventions in Aboriginal Australian contexts. Outcomes include greater potential to: screen for those at risk; increase community awareness; build capacity and partnerships between organisations; and co-ordinate comprehensive referral networks and service provision.

Discussion
Results show a small investment can produce sustainable change and positive outcomes. However, to optimise and maintain investment, cultural difference needs to be recognised in both planning and delivery of alcohol interventions; resources and funding must be responsive to and realistic about the capacities of organisations; partnerships need to be formed voluntarily based on respect, equality and trust; and practices and procedures within organisations need to be formalised.

Conclusions
There is no simple way to reduce alcohol-related harm in Aboriginal communities. However, the papers reviewed show that with Aboriginal control, modest investment and respectful collaboration, service enhancements and improved outcomes can be achieved. Mainstream interventions need to be adapted to Aboriginal settings, not simply transferred. The lessons outlined provide important reflections for future research. [Gray D, Wilson M, Allsop S, Saggers S, Wilkes E, Ober C. Barriers and enablers to the provision of alcohol treatment among Aboriginal Australians: A thematic review of five research projects.
Keyword Alcohol
Aboriginal
Screening
Brief Interventions
Treatment
Health Services
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Public Health Publications
 
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