National Drug Research Institute Preventing Harmful Drug Use in Australia Enhancing The Management of Alcohol-Related Problems Among Indigenous Australians

Dennis GrayNDRI Steve AllsopNDRI Sherry Saggers Edith Cowan University Ted WilkesNDRI Coralie OberQueensland Alcohol & Drug Research Centre & QISMC Violet Bacon Mandy Wilson Program Research Team

To enhance the access of Indigenous Australians to quality treatment for alcohol-related problems Funded by the Australian Government Department of Health and Ageing Research Program Objective

Review of interventions and their application among Indigenous Australians Identification of factors that inhibit/facilitate application Identification of gaps in current knowledge Undertake 5 – 6 research projects to address the gaps Development a set of recommendations for enhancing the management of alcohol-related problems Development of plan for implementation of the recommendations Specific Aims

1.Identification of research priorities and development of specific research proposals 2.Undertake specific intervention research projects 3.Development of a comprehensive set of recommendations for improving treatment and for their implementation. Stages of program development

Establish and convene Program Advisory Committee Identify potential research teams and commission review papers and research proposals Preparation of review papers and research proposals Convene a national workshop to present and discuss proposals Revision of reviews and research proposals Commission research projects Stage 1 objectives

Mr. Andrew Amor – Milliya Rumurra Alcohol and Drug Rehabilitation Centre Dr. Stephen Castle – OATSIH A/Professor Katherine Conigrave – Australasian Chapter of Addiction Medicine, RACP Mr Henry Councillor – Chairperson, NACCHO Dr Lisa Jackson Pulver – Muru Marri Indigenous Health Unit, UNSW Ms Sue Morley – ANCD/NIDAC Ms Jennie Shortt – Drug Strategy Branch, DoHA Steering Committee Members

Screening and assessment Brief interventions Withdrawal management Pharmacotherapies Psychosocial interventions Relapse prevention and management Co-existing mental and physical health problems Shared care/integrated care/case management Identified priority areas

Access to treatment Standards of care and quality assurance The contexts of poly-drug use and co-morbidities Family involvement Issues related to the geographic setting in which treatment is provided Contextual issues to be considered

Included Details of objectives and priority areas Explanation of the process List of requirements Calls of expressions of interest

3 to 5 pages in length including: Project objectives Statement of project benefits and the key result area(s) of the CAP addressed Outline of the proposed methodology Details of collaborative arrangements An indicative one-line budget A summary of previous research experience Contact details of the research team leader Team member CVs as appendices List of requirements

NAACHO – state/territory affiliates – individual ACCHS Indigenous AOD treatment services Professional organisations – APSAD, AIDA AIATIS, University Indigenous Studies Centres CRCAH, University AOD Research Centres Government funding agencies Circulation of calls for EoIs

Seven expressions of interest received Each EoI reviewed by one member of the Advisory Committee and one member of the Research program team Six were selected and project teams were requested – and funded – to develop issues papers on their topics and to prepare research proposals Review of EoIs

Of the six selected, five teams submitted proposals Proposals were sent out for independent review Project teams asked to review proposals in light of reviews Two members of each project team were funded to attend a national workshop to present their proposals Proposals were revised on the basis of workshop feedback and re-submitted Proposal development

Multidisciplinary, self management rehabilitation care plans and case management to improve alcohol treatment for Aboriginal people in Alice Springs – CAAC A community based brief intervention: increasing access to the full range of treatment services for alcohol problems for Aboriginal and Torres Strait Islander Australians – SSWAHS The integration of brief intervention into Aboriginal Community Controlled Health Services in five rural communities in NSW – NDARC Funded research projects

“Where's your country?” “Who are your people?” Asking the right questions when treating problematic alcohol use amongst Indigenous Australians – Winnunga Nimmityjah Health Service, NCEPH Evaluating the management of alcohol-related problems among urban Aboriginal People in Western Australia: using an action research approach to enhance service delivery and collaboration for client care – AADS, Curtin University of Technology Funded research projects

Currently underway and scheduled to be completed at the end of this year Progress on the projects is the subject of the next five presentations in this symposium Stage 2

A workshop is planned for February 2010 Final reports will be presented Groups will work together to make recommendations and to develop a strategy for their implementation Develop plans to build on the program within the participating services and more broadly Stage 3

National Drug Research Institute Preventing Harmful Drug Use in Australia Enhancing The Management of Alcohol-Related Problems Among Indigenous Australians