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*** / McKETIN R. ; KELLY E. ; INDIG D. in Drug and Alcohol Review, 24 (5) (2005)

[article]  in Drug and Alcohol Review > 24 (5) (2005)  - p.433-436 Titre : *** Titre autre langue : Characteristics of treatment provided for amphetamine use in New South Wales, Australia Type de document : Périodique Auteurs : McKETIN R. ; KELLY E. ; INDIG D. Année de publication : 2005 Article en page(s) : p.433-436 Caractéristiques matérielles : fig., tabl. Langues : Anglais (eng) Mots-clés : Thésaurus DEPENDANCE ; TRAITEMENT ; AMPHETAMINES ; ACCES AUX SOINS ; DEMANDE Résumé : The purpose of this study was to examine the types of treatment services provided for amphetamine use, the characteristics of amphetamine treatment clients and the geographic areas most affected by amphetamine treatment provision within New South Wales (NSW), Australia. Data on completed amphetamine treatment episodes were extracted from the NSW Minimum Data Set for Alcohol and Other Drug Treatment Services for the year 2002/03 (n = 4337). The geographic area of treatment presentations was based on the location of the treatment service, and was categorized as metropolitan, regional or rural. Treatment disproportionately affected regional and rural NSW, and treatment clients often presented with concurrent cannabis and/or alcohol problems. Clients were overwhelmingly injecting drug users with poor socio-demographic characteristics. Counselling was the most common treatment service provided, followed by detoxification and residential rehabilitation. Detoxification was usually provided in an in-patient setting, particularly within metropolitan NSW. Compliance with residential rehabilitation was notably poor. In conclusion, the development of appropriate interventions for amphetamine use needs to consider that the majority of treatment recipients will be based in a regional or rural setting, and treating amphetamine users will often involve treatment of concurrent cannabis and alcohol problems. The nature and appropriateness of treatment services provided for amphetamine use needs to be reviewed in detail, and further research is needed into the nature of problematic amphetamine use and factors affecting treatment demand in regional and rural NSW. (Review's abstract). Cote CIRDD : 805014 Thématique : Drogues illicites Bibliographie : 12 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=6147 [article]

*** / BELL J. ; BURRELL T. ; INDIG D. ; GILMOUR S. in Drug and Alcohol Dependence, 81 (1) (2006)

[article]  in Drug and Alcohol Dependence > 81 (1) (2006)  - p.55-61 Titre : *** Titre autre langue : Cycling in and out of treatment ; participation in methadone treatment in NSW, 1990-2002 Type de document : Périodique Auteurs : BELL J. ; BURRELL T. ; INDIG D. ; GILMOUR S. Année de publication : 2006 Article en page(s) : p.55-61 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus ETUDE LONGITUDINALE ; METHADONE ; RETENTION ; TRAITEMENT DE MAINTENANCE Descripteurs géographiques AUSTRALIE Résumé : Background There are few descriptions of patterns of long-term participation in methadone treatment. There has been progressive expansion of methadone maintenance treatment (MMT) in Australia in the last 15 years, and by international standards Australia has a high participation rate in MMT, and has accumulated extensive data on participation. Aim (1) To analyse predictors of retention in treatment (a proxy measure of treatment effectiveness) in three cohorts of people entering public and private methadone treatment, in 1990, 1995, and 2000 in the state of New South Wales (NSW), and to compare retention rates with those reported from recent clinical trials; and (2) to describe the pattern of participation in subsequent treatment and predictors of re-entry. Method Sequential first admissions to MMT for the month of February during 1990, 1995, and 2000, were identified from the NSW Health database. Initial treatment setting (public or private) was identified. Pattern of subsequent participation in treatment of all subjects was also extracted. Descriptive statistics were generated, and predictors of retention in treatment and re-entry to treatment were analysed. Results The sample comprised 342 subjects commencing in private and 135 in public settings. Retention did not differ between settings. At 6 months, 51 % in the current study were retained, compared to 48 % in pooled clinical trials from Australia. There was a significant cohort effect ; at 3 months retention was significantly better in the 1990 cohort, but by 12 months, differences between the year-cohorts were not statistically significant. Most people who left treatment dropped out ; two-thirds subsequently re-entered MMT, often having multiple episodes. Participation in non-continuous treatment was around 45 % for the 5 years after first entering treatment. RESUME INCOMPLET. (Review's abstract). Cote CIRDD : 806066 Thématique : Drogues illicites Bibliographie : 20 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=7991 [article]

*** / LAWRINSON P. ; COPELAND J. ; INDIG D. in Drug and Alcohol Dependence, 80 (1) (2005)

[article]  in Drug and Alcohol Dependence > 80 (1) (2005)  - p.125-133 Titre : *** Titre autre langue : Development and validation of a brief instrument for routine outcome monitoring in opioid maintenance pharmacotherapy services : the brief treatment outcome measure (BTOM) Type de document : Périodique Auteurs : LAWRINSON P. ; COPELAND J. ; INDIG D. Année de publication : 2005 Article en page(s) : p.125-133 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus EVALUATION ; DEPENDANCE ; TEST ; DIAGNOSTIC Résumé : Aim : To develop a brief, multi-dimensional instrument for routine, on-going treatment outcome monitoring in alcohol and other drug (AOD) services in Australia and examine the underlying psychometric properties. This study focuses on opioid maintenance pharmacotherapy (OMP) services. Design : Researcher-administered test-retest interviews and clinician administered interviews. Setting : The test-retest interviews took place in two private and two public OMP clinics in Sydney, Australia. The clinician-administered interviews took place in 37 metropolitan, rural and prison OMP services in New South Wales, Australia. Participants : One hundred and sixty current OMP clients for the test-retest interviews and 2004 clients commencing OMP treatment for the clinician-administered interviews. Measures : Thirty-two items across the domains of dependence, blood-borne virus exposure risk, drug use, health/psychological functioning and social functioning. Findings : The internal reliability of the brief treatment outcome measure (BTOM) is satisfactory. Retest reliabilities for the scales and drug use scores are good to excellent indicating their consistency with multiple measurements across time and different interviewers and concurrent validation of BTOM scales with analogous scales from similar instruments yielded acceptable agreement. Average completion times of the BTOM were 14,5 min, when administered in a research context and 21 min in a clinical context. Conclusions : A brief, valid and reliable questionnaire has been developed for monitoring treatment outcome over the range of OMP services. The BTOM contains a core set of outcome measures, which can be easily adapted for integration into routine clinical practice across the range of AOD services. (Review's abstract). Cote CIRDD : 806038 Thématique : Drogues illicites Bibliographie : 31 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=6133 [article]

(Indicateurs de traitement : données 2000-2001 des structures de soins pour alcooliques et toxicomanes du New South Wales) / COPELAND J. ; INDIG D. in Drug and Alcohol Review, 23 (2) (2004)

[article]  in Drug and Alcohol Review > 23 (2) (2004)  - p.185-194 Titre : (Indicateurs de traitement : données 2000-2001 des structures de soins pour alcooliques et toxicomanes du New South Wales) Titre autre langue : Patterns and correlates of treatment : findings of the 2000-2001 NSW minimum dataset of clients of alcohol and other drug tratment services Type de document : Périodique Auteurs : COPELAND J. ; INDIG D. Année de publication : 2004 Article en page(s) : p.185-194 Caractéristiques matérielles : fig., tabl. Langues : Anglais (eng) Mots-clés : Thésaurus PSYCHOTROPES ; EVOLUTION ; PRISE EN CHARGE ; DEPENDANCE ; TRAITEMENT ; DEMANDE ; EPIDEMIOLOGIE DESCRIPTIVE ; DISPOSITIF DE SOIN Descripteurs géographiques AUSTRALIE Résumé : The aim of this study was to provide an overview of the first year of the NSW Minimum Dataset for Alcohol and Other Drug Treatment Services data collection, including describing the patterns and correlates of people having received treatment in New South Wales. All closed treatment episodes for the 2000-2001 financial year were included for descriptive, univariate and multivariate analyses. There were 33 459 closed episodes of care in New South Wales in the 2000/2001 financial year. The majority of clients (69%) were male and the mean age was almost 34 years. The majority of treatment is sought for problems related to alcohol (37%) and heroin (33%) use. More than a third (40%) of clients were new to drug and alcohol treatment. Half the clients had a history of injecting drug use with 6.3% of those with heroin as their principal drug of concern, never having injected. The most common main service provided was in-patient withdrawal (26%). Multivariate logistic regression revealed that being older, not homeless, non-indigenous and having heroin as the principal drug of concern predicted receiving out-patient withdrawal management. Analyses of length of stay in residential treatments and number of service contacts in non-residential treatments are reported. The NSW MDS AODTS is a critical information source for policy development, service planning and surveillance. The results of this paper illustrate the utility of the data collection for identifying emerging issues in the patterns of drug use and service delivery for clients with alcohol and other drug problems. (Review's abstract). Cote CIRDD : 804807 Thématique : Drogues illicites Bibliographie : 7 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=6881 [article]

*** / LAWRINSON P. ; COPELAND J. ; INDIG D. in Drug and Alcohol Dependence, 82 (Suppl. 1) (2006)

[article]  in Drug and Alcohol Dependence > 82 (Suppl. 1) (2006)  - p.S95-S102 Titre : *** Titre autre langue : Regional differences in injecting practices and other substance use-related behaviour among entrants into opioid maintenance pharmacotherapy treatment in New South Wales, Australia Type de document : Périodique Auteurs : LAWRINSON P. ; COPELAND J. ; INDIG D. Année de publication : 2006 Article en page(s) : p.S95-S102 Caractéristiques matérielles : tabl. Langues : Anglais (eng) Mots-clés : Thésaurus INJECTION ; POLYCONSOMMATION ; TRAITEMENT DE MAINTENANCE ; COMPORTEMENT Résumé : Background : Investigations of injecting drug users (IDUs) have been conducted largely in urban areas. Those studies that compare rural and urban IDUs often utilise small and possibly unrepresentative samples. Aim : To investigate regional differences in the characteristics of IDUs. Methods : The study compared the demographic, drug use-related, and treatment characteristics of 1045 urban, 213 regional, and 254 rural opioid maintenance pharmacotherapy (OMP) treatment entrants recruited as part of a feasibility study into the implementation of a state-based treatment outcome monitoring system. Results : Participants from regional and rural New South Wales (NSW) were significantly more likely to report sharing of needles and other injection equipment and higher non-opioid drug use and polydrug use than their urban counterparts. In addition, they were more likely to be living with dependent children, to be unemployed, and to be experiencing greater psychological problems than their urban counterparts. Needle sharing also was independently associated with being younger, female, having been arrested, or having non-opioid drugs of concern. Conclusions : Reasons for the higher rates of blood-borne virus (BBV) transmission risk-related behaviour among rural and regional IDUs should be investigated further and considered when planning for the targeted provision of harm reduction activities. (Review's abstract). Cote CIRDD : 806172 Thématique : Drogues illicites Bibliographie : 32 Permalink : http://doc.cirddalsace.fr/index.php?lvl=notice_display&id=8264 [article]