"I tried to get help about my addiction but he just gave me tablets:" male Aboriginal drug and alcohol rehabilitation clients' experiences and preferences speaking about substance use in primary care

• Published in: BMC family practice Vol. 24; no. 1; pp. 25 - 10
• Main Authors: Farnbach, Sara, Fernando, Jamie, Coyte, Joe, Simms, Matthew, Hackett, Maree L
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 21-01-2023; BioMed Central; BMC
• Subjects: Aboriginal; Adult; Alcohol; Australia; Australian Aboriginal and Torres Strait Islander Peoples; Behavior, Addictive; Care and treatment; Counseling; Data collection; Drug use; Drug withdrawal; Health Services Accessibility; Humans; Male; Males; Native peoples; New South Wales; Oceanic Ancestry Group; Primary Health Care; Rehabilitation; Researchers; Substance abuse; Substance abuse treatment; Substance use disorder; Substance-related disorders; Substance-Related Disorders - rehabilitation; Tablets; New South Wales; Australia; Aboriginal; Substance-related disorders; Australia; Health Services Accessibility; Primary health care; Oceanic Ancestry Group
• ISSN: 2731-4553; 2731-4553; 1471-2296
• DOI: 10.1186/s12875-023-01983-0

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.
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.
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.
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.