Lee Kim San Kylie, Dawson Angela, Conigrave Katherine M
Discipline of Addiction Medicine, Sydney Medical School, University of Sydney, Sydney, Australia.
Drug Alcohol Rev. 2013 Nov;32(6):618-26. doi: 10.1111/dar.12068. Epub 2013 Aug 23.
Support groups are typically offered as part of specialist alcohol or other drug treatment. However, their usefulness with Indigenous Australians has not been examined. This paper provides a profile of Aboriginal women attending an inner city outpatient alcohol and other drug treatment service, insight into how effective women and staff perceive the support group to be at meeting their needs and suggestions for improvements.
Structured interviews were conducted with 24 Aboriginal female clients of an outpatient treatment service and with 21 staff from across that service and the local Aboriginal Medical Service. Client interviews also assessed alcohol consumption and mental health risk (Indigenous Risk Impact Screen).
Clients reported social and health indicators illustrating disadvantage and complex needs. Most clients and staff perceived the group to be useful and easily accessible. The participants discussed positive elements including opportunities for shared experience in a non-judgemental environment, practical support and health education. Staff reported how the safe, relaxed environment of the group helped with early identification of issues and user-friendly pathways for treatment access. Suggested improvements included greater involvement from Aboriginal staff and community members and enhanced communication with other staff.
Clients and staff recognised the usefulness of the group, including the opportunities it provided for socialisation and early intervention. Comprehensive research is needed to determine the types and sources of support that best assist Aboriginal women with substance use disorders.
互助小组通常作为专业酒精或其他药物治疗的一部分提供。然而,其对澳大利亚原住民的效用尚未得到检验。本文介绍了在内城区门诊酒精和其他药物治疗服务机构就诊的原住民女性的情况,深入探讨了女性和工作人员认为互助小组在满足她们需求方面的效果如何,以及改进建议。
对一家门诊治疗服务机构的24名原住民女性客户以及该服务机构和当地原住民医疗服务机构的21名工作人员进行了结构化访谈。对客户的访谈还评估了酒精消费和心理健康风险(原住民风险影响筛查)。
客户报告的社会和健康指标显示出不利处境和复杂需求。大多数客户和工作人员认为该小组有用且易于参与。参与者讨论了积极因素,包括在无评判环境中分享经验的机会、实际支持和健康教育。工作人员报告说,小组安全、轻松的环境有助于早期发现问题以及提供方便用户的治疗途径。建议的改进措施包括增加原住民工作人员和社区成员的参与度,以及加强与其他工作人员的沟通。
客户和工作人员认识到该小组的有用性,包括它提供的社交和早期干预机会。需要进行全面研究以确定最能帮助患有物质使用障碍的原住民女性的支持类型和来源。