The Indigenous Health Equity Unit (incorporating Onemda VicHealth Group) has developed a First 1000 Days proposal for the consideration of the Victorian and Commonwealth Governments. Click here to download an article by Kerry Arabena in the Medical Journal of Australia that outlines the scope of the project, and go to The First 1000 Days webpage for more reports and presentations.
Primary health-care responses to methamphetamine use in Australian Indigenous communities, Australian Journal of Primary Health
Sarah MacLean, Angela Harney and Kerry Arabena
Abstract: Crystal methamphetamine (commonly known as ‘ice’) use is currently a deeply concerning problem for some Australian Indigenous peoples and can cause serious harms to individual, families and communities. This paper is intended to support best practice responses by primary health-care staff working with Australian Indigenous people who use methamphetamine. It draws on a systematic search of relevant databases to identify literature from January 1999 to February 2014, providing an overview of prevalence, treatment, education and harm reduction, and community responses. The prevalence of methamphetamine use is higher in Indigenous than non-Indigenous communities, particularly in urban and regional settings. No evidence was identified that specifically related to effective treatment and treatment outcomes for Indigenous Australians experiencing methamphetamine dependence or problematic use. While studies involving methamphetamine users in the mainstream population suggest that psychological and residential treatments show short-term promise, longer-term outcomes are less clear. Community-driven interventions involving Indigenous populations in Australia and internationally appear to have a high level of community acceptability; however, outcomes in terms of methamphetamine use are rarely evaluated. Improved national data on prevalence of methamphetamine use among Indigenous people and levels of treatment access would support service planning. We argue for the importance of a strength-based approach to addressing methamphetamine use, to counteract the stigma and despair that frequently accompanies it.
For more information, please go to http://www.publish.csiro.au/paper/PY14126.htm
A new resource sheet on inhalants, co-authored by Sarah MacLean, has recently been released – click here.
Treatment guidelines, training and information resources about methamphetamine (ice) use for Victorian Aboriginal communities – click here
Systematic Review Data Extraction and Quality Assesment Tool
Click here to see Onemda's Systematic Review Data Extraction and Quality Assesment Tool