AI Article Synopsis

  • This study examines the experiences of Aboriginal males in New South Wales who are undergoing treatment for substance use and their interactions with primary healthcare (PHC) staff regarding their substance use.
  • Through semi-structured interviews, the research involved 20 Aboriginal males, revealing two key themes: the importance of discussing substance use and improving access to PHC services.
  • The findings emphasize the need for culturally appropriate healthcare, staff training, and tailored treatment options to enhance support for Aboriginal males dealing with substance use issues.

Article Abstract

Background: Primary healthcare (PHC) services are crucial in supporting people who use substances. The aims of this study were to explore the experiences of Aboriginal males in NSW in treatment for substance use about speaking about their substance use with PHC staff, and their preferences for accessing PHC about their substance use.

Methods: Semi-structured interviews with residential drug and alcohol rehabilitation treatment service clients. Thematic analysis was used to develop themes inductively and deductively. Two interviews were independently double coded by an Aboriginal researcher and the project was supported by an Aboriginal Advisory Group.

Results: Twenty male adults who self-identified as Aboriginal participated (mean age 27 years). Half reported visiting PHC and talking about their substance use before their residential service stay. Two major themes developed: (1) speaking up about substance use or mental health problems linked with substance use, (2) ways to improve access to PHC about substance use. Although some males were offered treatment, some were not, and others had concerns about the treatments offered.

Conclusion: This research highlights opportunities to improve access and to better support Aboriginal males who use substances in PHC. Focus on culturally appropriate PHC and providing staff with training around substance use and treatment options may improve access. It is important to foster culturally appropriate services, develop PHC staff knowledge around substance use, focus on therapeutic relationships and have a range of treatment options available that can be tailored to individual circumstances.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9863190PMC
http://dx.doi.org/10.1186/s12875-023-01983-0DOI Listing

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