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首页> 外文期刊>Drug and alcohol review >Increasing amphetamine use and forensic involvement among clients of three residential Indigenous alcohol and other drug services in Victoria, Australia
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Increasing amphetamine use and forensic involvement among clients of three residential Indigenous alcohol and other drug services in Victoria, Australia

机译：增加澳大利亚维多利亚州三个住宅土着酒精和其他药物服务的客户在澳大利亚的其他药物服务中的使用和法医参与

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Abstract Introduction and Aims Indigenous people seeking residential alcohol and other drug (AOD) rehabilitation in Victoria are most frequently referred to the Ngwala Willumbong Co‐operative (Ngwala). This study aimed to describe socio‐demographic changes in clients of Ngwala’s residential rehabilitation services between 2015 and 2016. Design and Methods Self‐assessment surveys completed upon screening for rehabilitation between May 2015 and November 2016 ( n =?117) were analysed for socio‐demographic data, AOD use and mental health status. Ngwala’s monthly summary reports from January 2015 to December 2016 were analysed to compare primary drugs of concern, proportion of forensic clients assessed and admitted across 2015–2016. Independent t ‐tests and tests of two proportions were used to compare variables between years, with differences considered significant when P 0.05. Results Clients were predominantly Indigenous ( n =?100, 91%), male ( n =?92, 71%) and unemployed ( n =?106, 93%). Most clients ( n =?92, 88%) were at high risk of serious mental illness (by Kessler Psychological Distress Scale). A significantly higher proportion of forensic clients were admitted in 2016 ( n =?221, 60%) compared to 2015 ( n =?158, 43%; P 0.001; 95% confidence interval ?0.24, ?0.10). The mean monthly number of clients listing amphetamines as their primary drug of concern upon assessment was greater in 2016 (21?± 7.19 people) compared to 2015 (12?± 2.78 people; P = 0.01; 95% confidence interval 3.13, 15.37). Discussion and Conclusions These findings suggest the proportion of Indigenous people in AOD treatment with amphetamine use problems or forensic involvement is increasing. These trends should be considered in service design and funding decisions.
机译：摘要介绍和旨在寻求维多利亚州的住宅酒精和其他药物（AOD）康复的土着人民最常被称为Ngwala Worlumbong合作（Ngwala）。本研究旨在描述2015年和2016年间Ngwala住宅康复服务客户的社会人口变化。在2015年5月和2016年11月期间筛选康复后的设计和方法进行了自我评估调查（n =？117），为社会分析人口统计数据，AOD使用和心理健康状况。 Ngwala 2016年1月至2016年12月的月度摘要报告分析以比较主要担心的主要药物，法医客户的比例在2015 - 2016年度评估和录取。独立的T -Tests和两个比例的测试用于比较年之间的变量，当P <时，差异被认为是显着的。 0.05。结果客户主要是本土（n =α100,91％），雄性（n =Δ92,71％）和失业（n = 106,93％）。大多数客户（n = 92,88％）患有严重精神疾病的高风险（Kessler心理痛苦规模）。与2015（n =α221,60％）在2015（n = 158,40％）的比例下，对法医客户的显着比例显着更高（n =Δ221,40％; P <0.001; 0.001; 95％置信区间？0.24，？0.10）。在2016年（21±7.19人）与2015年（12？±2.78人中，21±7.19人的主要关注药物，作为其主要关注药物的客户数目，为他们的主要担忧的人数更大（12？±2.78人; P = 0.01; 95％置信区间3.13,15.37）。讨论和结论这些研究结果表明，在Amphetamine使用问题或法医参与中的AOD治疗中土着人民的比例正在增加。这些趋势应考虑在服务设计和资金决策中。

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