The Grog mob: Lessons from an evaluation of a multi-disciplinary alcohol intervention for Aboriginal clients

Objectives: To evaluate a 12-month trial of an evidence-based non-residential treatment program for Indigenous clients with alcohol problems, offering three streams of care: pharmacotherapy, psychological and social support. Methods: Process evaluation of program implementation; outcome evaluation o...

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Main Authors: D'Abbs, P., Togni, S., Rosewarne, C., Boffa, John
Format: Journal Article
Published: 2013
Online Access:http://hdl.handle.net/20.500.11937/20903
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author D'Abbs, P.
Togni, S.
Rosewarne, C.
Boffa, John
author_facet D'Abbs, P.
Togni, S.
Rosewarne, C.
Boffa, John
author_sort D'Abbs, P.
building Curtin Institutional Repository
collection Online Access
description Objectives: To evaluate a 12-month trial of an evidence-based non-residential treatment program for Indigenous clients with alcohol problems, offering three streams of care: pharmacotherapy, psychological and social support. Methods: Process evaluation of program implementation; outcome evaluation of client outcomes. Results: Implementation: despite constraints of time and remoteness, the trial demonstrated the feasibility of implementing such a program. The medical stream generated fewer pharmacotherapy prescriptions than expected. The most active stream was the psychological therapy stream. Outcomes: between March 2008 and April 2009, 129 clients were referred to the program, of whom 49 consented to have de-identified data used for the evaluation. Of these, 19 clients received one or more streams of care, 15 of whom (78.9%) subsequently stopped or reduced drinking. However, among the remaining 30 consenting clients who had not received an intervention, 70.0% also reported stopping or reducing drinking. The evidence of program effectiveness is therefore equivocal and evaluation over a longer period is required. Conclusion and implications: The trial demonstrated the viability of, and demand for, evidence-based non-residential treatment for Indigenous clients with alcohol problems. Reasons behind an apparent reluctance among GPs to prescribe pharmacotherapy for Indigenous clients, and steps to overcome this, need further attention. © 2013 The Authors. ANZJPH © 2013 Public Health Association of Australia.
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spelling curtin-20.500.11937-209032017-09-13T13:49:38Z The Grog mob: Lessons from an evaluation of a multi-disciplinary alcohol intervention for Aboriginal clients D'Abbs, P. Togni, S. Rosewarne, C. Boffa, John Objectives: To evaluate a 12-month trial of an evidence-based non-residential treatment program for Indigenous clients with alcohol problems, offering three streams of care: pharmacotherapy, psychological and social support. Methods: Process evaluation of program implementation; outcome evaluation of client outcomes. Results: Implementation: despite constraints of time and remoteness, the trial demonstrated the feasibility of implementing such a program. The medical stream generated fewer pharmacotherapy prescriptions than expected. The most active stream was the psychological therapy stream. Outcomes: between March 2008 and April 2009, 129 clients were referred to the program, of whom 49 consented to have de-identified data used for the evaluation. Of these, 19 clients received one or more streams of care, 15 of whom (78.9%) subsequently stopped or reduced drinking. However, among the remaining 30 consenting clients who had not received an intervention, 70.0% also reported stopping or reducing drinking. The evidence of program effectiveness is therefore equivocal and evaluation over a longer period is required. Conclusion and implications: The trial demonstrated the viability of, and demand for, evidence-based non-residential treatment for Indigenous clients with alcohol problems. Reasons behind an apparent reluctance among GPs to prescribe pharmacotherapy for Indigenous clients, and steps to overcome this, need further attention. © 2013 The Authors. ANZJPH © 2013 Public Health Association of Australia. 2013 Journal Article http://hdl.handle.net/20.500.11937/20903 10.1111/1753-6405.12122 unknown
spellingShingle D'Abbs, P.
Togni, S.
Rosewarne, C.
Boffa, John
The Grog mob: Lessons from an evaluation of a multi-disciplinary alcohol intervention for Aboriginal clients
title The Grog mob: Lessons from an evaluation of a multi-disciplinary alcohol intervention for Aboriginal clients
title_full The Grog mob: Lessons from an evaluation of a multi-disciplinary alcohol intervention for Aboriginal clients
title_fullStr The Grog mob: Lessons from an evaluation of a multi-disciplinary alcohol intervention for Aboriginal clients
title_full_unstemmed The Grog mob: Lessons from an evaluation of a multi-disciplinary alcohol intervention for Aboriginal clients
title_short The Grog mob: Lessons from an evaluation of a multi-disciplinary alcohol intervention for Aboriginal clients
title_sort grog mob: lessons from an evaluation of a multi-disciplinary alcohol intervention for aboriginal clients
url http://hdl.handle.net/20.500.11937/20903