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Health and social characteristics of clients reporting amphetamine type substance use at entry to public alcohol and other drug services in New South Wales, Australia, 2016–2019
Journal article   Open access   Peer reviewed

Health and social characteristics of clients reporting amphetamine type substance use at entry to public alcohol and other drug services in New South Wales, Australia, 2016–2019

Emma Black, Kristie Mammen, Rachel M. Deacon, Nadine Ezard, Llewellyn Mills, Adrian J. Dunlop, Mark Montebello, David Reid, Steven Childs, Raimondo Bruno, …
Drug and Alcohol Review, Vol.42(2), pp.389-400
2023
PMID: 36524444
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Drug and Alcohol Review - 2022 - Black - Health and social characteristics of clients reporting amphetamine type substance2.17 MBDownloadView
Published Version Open Access CC BY-NC-ND V4.0

Abstract

amphetamine type stimulants drug and alcohol treatment electronic medical records mthamphetamine routine outcome monitoring
Introduction Amphetamine type substances (ATS) are commonly used by Australian alcohol and other drug service entrants. We describe demographic characteristics, patterns of ATS and other substance use, health and social conditions among clients entering New South Wales (NSW) public alcohol and other drug services. Methods Retrospective cohort of 13,864 records across six health districts (2016–2019) for clients seeking substance use treatment. These districts service approximately 44% of the NSW population aged 15 years and over. Multivariate analysis was conducted on a subsample for whom full data were available (N = 9981). Data included NSW Minimum Data Set for drug and alcohol treatment services and Australian Treatment Outcomes Profile items. Results Over the preceding 4 weeks, 77% (n = 10,610) of clients (N = 13,864) reported no recent ATS use, 15% (n = 2109) reported ‘low frequency’ (1–12 days) and 8% (n = 1145) ‘high frequency’ (13–28 days) use. ATS use was most common among people attending for ATS or opioids as primary drug of concern. A multinomial regression (N = 9981) identified that clients reporting recent arrest (aOR 1.74, 95% CI 1.36, 2.24), higher cannabis use frequency (aOR 1.01, 95% CI 1.00, 1.02), lower opioid use frequency (aOR 0.98, 95% CI 0.97, 0.99) and poorer quality of life (aOR 0.91, 95% CI 0.86, 0.97) were more likely to report ‘high frequency’ rather than ‘low frequency’ ATS use. Discussion and Conclusions People who use ATS experience health and social issues that may require targeted responses. These should be integrated across all services, not only for clients with ATS as principal drug of concern.

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