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Critical considerations in responding to crystal methamphetamine use in Australian Aboriginal communities

机译：澳大利亚原住民社区响应晶体甲基苯丙胺用途的批判性考虑因素

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Introduction and Aims. This article identifies factors that participants in a study based in an Australian regional centre believed to be critical to understanding and responding to crystal methamphetamine (ice) use among Aboriginal people. Design and Methods. The study entailed a participatory methodology involving a university and an Aboriginal community controlled organisation. Semi-structured interviews conducted with ice users (n=14), family members (n=6) and workers (n=6) were analysed thematically. Results. Interviewees believed that historical trauma, contemporary disadvantage and racism cohere to produce a market for ice and other drugs within Aboriginal communities. Intense shame prevented some ice users and their families from seeking help, while fear about ice use was exacerbated when suppliers of ice threatened violence. Disconnection from family and community further intensified a sense of isolation and despair. By contrast, family reintegration provided ice users in the study with the strongest motivation for change. Discussion and Conclusions. Although drawing only on a small sample of participants, the study suggests that Aboriginal people's experiences of ice use may have some distinct characteristics, meaning that tailored responses are required. Interventions should address the shame and ameliorate the fear that surround problematic ice use for families and users, provide help to those who feel trapped because of drug debts and relationships with dealers, and support families to maintain contact with ice users where this is manageable. Supports for users to remain connected to family and community are also critical. The effectiveness of family wellbeing interventions as adjuncts to treatment could be evaluated.
机译：介绍和目标。本文确定了参与者在澳大利亚区域中心的研究中的因素，被认为对理解和应对土着人民的水晶甲基苯丙胺（ICE）使用至关重要。设计和方法。该研究涉及涉及大学和土着社区控制组织的参与式方法。分析了用冰用户进行的半结构化访谈（n = 14），家庭成员（n = 6）和工人（n = 6）进行了专题方式。结果。受访者认为，历史创伤，当代劣势和种族主义康乃理，为土着社区内生产冰和其他药物的市场。激烈的羞耻阻止了一些冰用户和他们的家人寻求帮助，而当冰威胁暴力的供应商时，对冰的恐惧得到了加剧。与家庭和社区的断开进一步加剧了孤立和绝望的感觉。相比之下，家庭重返社会为冰用户提供了最强烈的变革动机。讨论和结论。虽然只在参与者样本上绘制，但该研究表明，土着人民的冰使用经验可能具有一些不同的特征，这意味着需要定制的响应。干预措施应该解决羞耻和改善包围家庭和用户的有问题冰的恐惧，为那些被困扰的人提供帮助，因为毒品债务和与经销商的关系，以及支持家庭，以维持这是可管理的冰用户的联系。对用户保持联系到家庭和社区的支持也是至关重要的。可以评估家庭福祉干预措施作为治疗的辅助的有效性。

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