TY - JOUR PY - 2015// TI - Social disadvantage and past treatment among clients entering public alcohol and drug services in two Australian states JO - International journal on drug policy A1 - Berends, Lynda A1 - Garfield, Joshua Benjamin Bernard A1 - Manning, Victoria A1 - Buykx, Penny A1 - Lam, Tina A1 - Mugavin, Janette A1 - Larner, Andrew A1 - Room, Robin G. W. A1 - Allsop, Steve A1 - Lubman, Dan I. SP - 88 EP - 90 VL - 29 IS - N2 - BACKGROUND: This study aimed to explore the association between substance use, social disadvantage and past year alcohol and other drug (AOD) treatment among clients entering publically funded AOD services in Victoria and Western Australia, to inform system development.

METHODS: Participants (n=781) completed a structured interview on substance use, social circumstances, and past year service use.

RESULTS: Most participants were severely AOD dependent and a high proportion were recently homeless, receiving welfare benefits, and with criminal justice issues. Previous AOD treatment was common. Logistic regression analysis showed that past year AOD treatment was more frequent among those receiving welfare benefits, with opioids as their primary drug of concern, and using multiple substances.

CONCLUSION: While AOD dependence characterised this treatment group, social disadvantage independently predicted higher rates of prior AOD service use. Specialist AOD treatment systems need capacity to provide or at least work alongside services designed to address social disadvantage.

Language: en

LA - en SN - 0955-3959 UR - http://dx.doi.org/10.1016/j.drugpo.2015.12.018 ID - ref1 ER -