Healthcare use of drugs and alcohol and the services

Healthcare for Aboriginal alcohol and substance abusers

Alcohol and other drugs abuse has become a big problem to society and it often leads to serious harm. Healthcare for alcohol and drug abusers is the care and services rendered to people with alcohol and drug addiction issues, living both in and out of care facilities. The greatest aim is to reduce the dangers resulting from the use of drugs and alcohol and the services help people struggling with alcohol to stop with alcohol abuse and help to prevent relapsing, to achieve the aim. Reducing alcohol problems promotes the population’s general health status because alcohol abuse is a major contributing factor to the development of various diseases and illnesses. These services are provided through both the private and public facilities across Australia.

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Service models and systems

Aboriginal services offer a package of holistic, culturally-appropriate care, support and treatment to Aboriginal clients, families and communities in order to help with the reduction of problems resulting from alcohol and substance abuse. About 3.3 per 1000 aboriginal people get admitted due to alcohol and substance abuse. (National Indigenous Drug and Alcohol Committee). Cultural beliefs related to the use of alcohol and drugs, such as being ashamed for seeking treatment, being concerned about getting into trouble with the law and fear of losing their children are some additional barriers they face (Australian Government, Department of the Prime Minister and Cabinet).

People may access these services by simply contacting the facilities, showing up by themselves or through referrals. The referrals could be done by family members and friends or by health practitioners (health direct). Once a client contacts a certain facility, they will then figure out whether they are able to cater for that particular person or they would have to refer or recommend another type of facility. They would know whether their services are suitable for the client by interviewing the patient to get the information they need to help them make the final decision.

Once accepted by a facility, they are then referred to a treatment department that is appropriate for their condition. The department will provide a specific treatment provider who will deliver care and services based on the client’s individual treatment and support needs. The treatment provider will then work with the client to undertake comprehensive assessment and treatment planning in a therapeutic setting. Before administering treatment, the client and the care provider both decide whether it is best for the client to receive treatment at their own residence or they would have to be admitted into the facility (GET OFF DRUGS NATURALLY).

Treatment and support services are delivered through ways such as counseling, non-residential withdrawal, residential withdrawal, residential rehabilitation, therapeutic day rehabilitation, residential rehabilitation, care and recovery coordination and pharmacotherapy.

Counselling

Counselling services involve face-to-face and online interaction services for clients and in some cases with their families too. Counselling services may also be done in groups and as well as day-day programs. The one-on-one interactions could range from a simple brief session to prolonged scheduled sessions depending on the clients state of involvement with the issue in question.

Non-residential withdrawal

These services help support people to withdraw from alcohol and other drugs safely and it involves coordinating with other medical services such as both public and private hospitals and clinics.

Residential withdrawal

Residential withdrawal services support clients to withdraw from alcohol and other drugs under supervision in a residential or hospital facility. These services are specifically provided to people who do not have help from family members or their homes are not suitable for non-residential withdrawal.

Therapeutic day rehabilitation

Therapeutic day rehabilitation is another non-residential treatment option which offers an intensive and well-structured program over a period of a few weeks. In addition to counselling, the program focuses on other life skills building elements and general wellbeing such as financial management and healthy diet.

Residential rehabilitation

Residential rehabilitation is a great way of delivering treatment because it ensures safety and support for individuals struggling to overcome their problems or addictions through other programs. Residential rehabilitation focuses on addressing the primary issues that led up to the addiction being worked on. They do interventions through different forms of counselling such as individual and group counselling. They also encourage mutual self-help and peer community, and supported reestablishment into the community.

Care and recovery coordination

There are people with much more complex needs and, care and recovery coordination is a good option for them. This form of service is available to assist people to access appropriate treatment and services. It also involves supporting the clients with planning for their exit from treatment programs and it helps them to access other types of services that can support them with their health and wellbeing and any other methods of support that can help with preventing relapses.

Pharmacotherapy

Pharmacotherapy is a form of recovery which mainly deals with the use of medication to assist within the treatment process. The pharmacotherapy system consists of both community-based providers and specialist services. The specialist pharmacotherapy services deal with provision of services to complex clients. (Victoria state government)

Health system core values

This type of service allows health practitioners to care for their clients with great concern, sensitivity and compassion because the type of patients deal with have sensitive issues and will have to be properly cared for. The care providers connect with their patients and show compassion, which allows the patients to get comfortable and easily opening up to their care providers, maximizing the chances of a successful treatment process.

Health status and vital statistics

The Australian Government-funded Indigenous-specific organizations which care for alcohol and drug abusers provided about 305,000 episodes of care to 49,700 clients, in 2012 to 2013. The organizations with huge numbers of clients under their care caused the increase in episodes, after issuing out their reports for the very first time. Ninety percent of these episodes were provided to the aboriginals. Organizations were fairly distributed according to remoteness with 25% in that were very remote and 17–21% in the rest of the remote areas. According to reports provided by all organisations, alcohol was the major drug of concern. 97% of the organization’s major concern was marijuana, 64% were mostly concerned about tobacco, and about 49%’s principal concern was multiple drug use and amphetamines.

Out of the services provided to the aboriginal clients, about 2,100 were residential care programs, 23,600 were going through the process of becoming sober, residential break and short-term care programs, and 246,300 were both non-residential and aftercare programs (Australian Government, Department of the Prime Minister and Cabinet).

All services can be accessed at different kinds of rehabilitation facilities situated all over Australia. All these target groups are of great importance and improving their health would boost the overall health statistics of the country and the patients will become more efficient in their areas of work. Clients are free to choose where to seek treatment services from, whether it is where they live or away from their areas of residence. This means that catchment boundaries do not limit access to alcohol and other drug services. 

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