Ye Xuan, Phillips Leighlan, Morrison Caity, Zhuang Jo, Chapman Brit, Portogallo Hannah, Hodge Michael, Linden Jo, Branchflower Antigone, Harvey Craig, Lundin Robert M
Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia.
Mental Health Services, Alcohol and Other Drugs Integrated Treatment Team, Mildura Base Public Hospital, Mildura, VIC, Australia.
Front Med (Lausanne). 2025 Aug 29;12:1512703. doi: 10.3389/fmed.2025.1512703. eCollection 2025.
Alcohol and Other Drugs (AOD) usage remains high globally and in Australia and results in a high amount of morbidity and mortality in our community. The Australian AOD workforce comprises a highly diverse range of healthcare professionals. Since medical doctors and AOD roles without specific credentials have already been covered in the literature, this review summarizes on the other direct patient facing roles in the AOD multidisciplinary team. We focused on harm reduction workers, peer workers, social workers, pharmacists, occupational therapists, psychologists, nurses and nurse practitioners. The findings of this review show that previous non-specific roles such as peer and harm reduction workers are developing into their distinct disciplines with their own specific training. Experienced clinicians in their field such as nurse practitioners and senior pharmacists are given increasingly more scope of practice that aligns with medical practitioners. However, there is still limited research to some established disciplines such as the role occupational therapy and social work. Future research should focus on how these roles can be fully utilized in the AOD multidisciplinary team.
酒精和其他药物(AOD)的使用在全球和澳大利亚仍然很普遍,并且在我们的社区中导致了大量的发病率和死亡率。澳大利亚的AOD工作队伍由高度多样化的医疗保健专业人员组成。由于文献中已经涵盖了没有特定资质的医生和AOD角色,本综述总结了AOD多学科团队中其他直接面对患者的角色。我们重点关注减少伤害工作者、同伴工作者、社会工作者、药剂师、职业治疗师、心理学家、护士和执业护士。本综述的结果表明,以前诸如同伴和减少伤害工作者等非特定角色正在发展成为具有各自特定培训的独特学科。该领域经验丰富的临床医生,如执业护士和资深药剂师,被赋予了越来越多与医生相一致的执业范围。然而,对于一些既定学科,如职业治疗和社会工作的作用,研究仍然有限。未来的研究应侧重于如何在AOD多学科团队中充分利用这些角色。