Services noted that it was <strong>of</strong>ten hard to treat <strong>methamphetam<strong>in</strong>e</strong> withdrawal. One AOD worker noted:“There’s not much we can do for them, except symptomatic treatment...there’s nopharmacotherapy.”The above quote focused on the longer-term challenges <strong>of</strong> stay<strong>in</strong>g <strong>of</strong>f <strong>methamphetam<strong>in</strong>e</strong>. However,many workers noted that a period <strong>in</strong> a withdrawal unit tended to be a positive circuit breaker.Initially, clients may be <strong>of</strong>fered a tricyclics anti-depressant to reduce rac<strong>in</strong>g thoughts and help themsleep <strong>in</strong> the first few days <strong>in</strong> treatment. A big focus is build<strong>in</strong>g the therapeutic relationship <strong>in</strong> arelatively short period <strong>of</strong> time.“In the second week the work gets done deal<strong>in</strong>g with core issues and triggers such as abuse, bully<strong>in</strong>g,grief and loss and the family dynamic”.A withdrawal service <strong>of</strong>fered supports to their clients after release <strong>in</strong>clud<strong>in</strong>g encourag<strong>in</strong>g them andtheir families to contact after-hours if they needed support or were <strong>in</strong> crisis. Upon be<strong>in</strong>g discharged,the service ensured young people had access to wrap around supports (youth workers, AODcounsellors) with<strong>in</strong> their local region.SummaryMany services spoken to felt challenged by the high levels <strong>of</strong> <strong>methamphetam<strong>in</strong>e</strong> use with<strong>in</strong>communities. Services provid<strong>in</strong>g a response to <strong>methamphetam<strong>in</strong>e</strong> related crisis (such as psychosis),were particularly overwhelmed.52
7.8. Component five – discussions with <strong>methamphetam<strong>in</strong>e</strong> usersCurrent use patternsOf the eight people <strong>in</strong>terviewed, five reported no longer us<strong>in</strong>g <strong>methamphetam<strong>in</strong>e</strong>, but hadexperienced problematic use <strong>in</strong> the previous 12 months. These people had very little positive to sayabout their experience with <strong>methamphetam<strong>in</strong>e</strong>, say<strong>in</strong>g “it’s just a waste <strong>of</strong> money”, and “ice friesyour bra<strong>in</strong>, while speed just gives you a really big buzz.”Of the three people who were currently us<strong>in</strong>g <strong>methamphetam<strong>in</strong>e</strong>, one descried himself as addicted –but tried now to only use on the weekends. Another said he was a frequent user, and Tasha, 42,described her use as “regularly occasionally - or occasionally regularly”. Five <strong>of</strong> the eight had <strong>in</strong>jected<strong>methamphetam<strong>in</strong>e</strong>.Reasons for us<strong>in</strong>g iceMethamphetam<strong>in</strong>e users and their families were asked a series <strong>of</strong> questions relat<strong>in</strong>g to why theyused/had used ice, <strong>in</strong>clud<strong>in</strong>g any perceived benefits.Changes <strong>in</strong> availability <strong>of</strong> other drugsMost said that ice had replaced speed, with Jordon, 37, say<strong>in</strong>g ice was ‘so much better than thespeed we used to get, you just don’t know what’s <strong>in</strong> speed. Ice ... you know what you’re gett<strong>in</strong>g... it’salways good. It’s just strong, it’s got no cutters <strong>in</strong> it”.Methamphetam<strong>in</strong>e’s ability to keep people awake, and <strong>in</strong>crease productivity were listed as beneficial,for example:“You get more bang for your buck, it lasts longer... [compared to speed]... you can get focused, areable to do a lot <strong>of</strong> jobs and achieve a lot. I do believe I have some form <strong>of</strong> ADHD so it focuses me...you can stay on task... it will prolong awakeness (sic) if required” Tasha, 42.William, 20, said it helped him stay and ”you can keep do<strong>in</strong>g more th<strong>in</strong>gs”, and along with Xavier, 18,not<strong>in</strong>g it was an escape from reality and a “no fear drug”.History <strong>of</strong> substance useBoth young men from regional <strong>Victoria</strong> people <strong>in</strong>terviewed for the study had a history <strong>of</strong> poly druguse. William said that before us<strong>in</strong>g <strong>methamphetam<strong>in</strong>e</strong> he:“dabbled <strong>in</strong> all the [drugs] I can th<strong>in</strong>k <strong>of</strong>. I’ve dabbled <strong>in</strong> coca<strong>in</strong>e, used ice, hero<strong>in</strong> based pills, ecstasy,cannabis... and if I was us<strong>in</strong>g party drugs I’d be dr<strong>in</strong>k<strong>in</strong>g heavily”It was a similar story for Xavier who had tried coca<strong>in</strong>e, MDMA and a range <strong>of</strong> other drugs.Predom<strong>in</strong>antly however, he:“Smoked dope and [had] taken pills... and dr<strong>in</strong>k<strong>in</strong>g pretty heavily... I’ve used hero<strong>in</strong> before... smokedit.”53