Impacts-of-methamphetamine-in-Victoria-Community-Assessment-Penington-Institute

Recommendations

Info

provision of wrap around services being in place to support individuals and families is particularlyimportant.It is apparent that strategies for communities to better understand this, particularly those in ruralareas, need to be evidence based, but be operationalised locally in a real and meaningful sense. Thisalso applies to the need for local-led formal responses, such as counselling and treatment andnecessary inter-agency referrals..It is essential that communities have access to evidence-based information that encompasses thespectrum of methamphetamine-related harm from occasional use to problematic use. Workers whospoke about the needs of families noted that a range of supports were required to assist them to helptheir loved one, as well as supporting them in making decisions, such as involvement of childprotection.Collaboration was essential for effectively responding, in a timely fashion, to client and families’needs. This is especially true when a drug use is outside of an agency’s core business, reinforcing theneed for local level task-forces that consider alcohol and drug use more broadly and have flexibility tofocus on a matter such as methamphetamine as early as possible.The Waste Water Analysis showed that prevalence of methamphetamine use in the regional and ruralareas sampled was lower, on a population basis, than in metropolitan Melbourne, and higher onweekends. However, methamphetamine was certainly present in regional and rural areas. This findinghighlights the possibility that effects of problematic methamphetamine use may be more visible andfelt upon regional and rural communities than in Melbourne. Again, this is most likely anotherqualitative difference between a methamphetamine ‘problem’ than the more customary opioidmisuse.WWA has the potential to be used across Victoria to monitor and show changes in licit and illicit druguse over time. For this to be most effective sampling would need to occur more frequently andpotentially across more sites.This assessment presents an important question concerning methamphetamine. Is the apparentincreased availability, and attractiveness to many people, just a drug market trend, or is it morestructural and perhaps longer term? If it is to be longer term, and there is a possibility it may be, thenfundamental structural changes to response systems predominantly geared for alcohol, cannabis andopiates need to be made.64
References1. Fitch C, Stimson GV, Rhodes T, Poznyak V. Rapid assessment: an international review ofdiffusion, practice and outcomes in the substance use field. Social Science & Medicine2004,59:1819-1830.2. WHO. Rapid Assessment and Response Technical Guide. In. Edited by G.V.Stimson CFaTR.Geneva: World Health Organisation; 2003.3. Australian Crime Commission. Illlicit Drug Data Report 2011–12. In. Canberra: ACC; 2012.4. McKetin R, Kaye SS, Clemens KJ, Hermens D, Peter MM. Chapter 70 - MethamphetamineAddiction. In: Principles of Addiction: Comprehensive Addictive Behaviours and DisordersVolume 1. San Diego: Academic Press; 2013. pp. 689-698.5. Fitch C, Rhodes T, Stimson GV. Origins of an epidemic: the methodological and politicalemergence of rapid assessment. International Journal of Drug Policy 2000,11:63-82.6. Rhodes T, Fitch C, Stimson GV, Kumar MS. Rapid assessment in the drugs field. InternationalJournal of Drug Policy 2000,11:1-11.7. Rhodes T, Stimson GV, Fitch C, Ball A, Renton A. Rapid assessment, injecting drug use, andpublic health. The Lancet 1999,354:65-68.8. WHO. The Rapid Assessment and Response guide on injecting drug use. In. Edited byG.V.Stimson CFaTR. Geneva: World Health Organisation; 1998.9. Prichard J, Hall W, de Voogt P, Zuccato E. Sewage epidemiology and illicit drug research: Thedevelopment of ethical research guidelines. Science of The Total Environment 2013,472:550-555.10. Lai FY, Ort C, Gartner C, Carter S, Prichard J, Kirkbride P, et al. Refining the estimation ofillicit drug consumptions from wastewater analysis: Co-analysis of prescriptionpharmaceuticals and uncertainty assessment. Water Research 2012,45:4437-4448.11. Prichard J, Yin Lai F, Kirkbride P, Bruno R, Ort C, Carter S, et al. Measuring drug use patternsin Queensland through wastewater analysis. In: Trends and Issues in crime and criminaljustice. Canberra: Australian Crime Commission; 2012.12. ACC. Illicit Drug Data Report 2011-2012. In. Canberra: Australian Crime Commission; 2013.13. Degenhardt L, Roxburgh A, Black E, Bruno R, Campbell G, Kinner S, et al. The epidemiologyof methamphetamine use and harm in Australia. Drug Alcohol Rev. 2008 May;27(3):243-52.doi: 10.1080/09595230801950572. 2008.14. United Nations Office on Drugs and Crime. Drug Policy and Results in Australia. In. Vienna;2008.15. Topp L, Degenhardt L, Kaye S, Darke S. The emergence of potent forms ofmethamphetamine in Sydney, Australia: A case study of the IDRS as a strategic early warningsystem. Drug and Alcohol Review 2002,21:341-348.16. Degenhardt L, Roxburgh A, Black E, Bruno R, Campbell G, Kinner S, et al. The epidemiologyof methamphetamine use and harm in Australia. Drug and Alcohol Review 2008,27:243-252.65
Page 1 and 2:
IMPACTS OF METHAMPHETAMINEIN VICTOR
Page 4 and 5:
CONTENTSACKNOWLEDGEMENTS 61. EXECUT
Page 6 and 7:
AcknowledgementsPenington Institute
Page 8 and 9:
communications interventions. Local
Page 10 and 11:
3. IntroductionMethamphetamine is a
Page 12 and 13:
Component Four: In-depth interviews
Page 14 and 15: That ABS analysis looked at 2010. I
Page 16 and 17: attribute poor health status to the
Page 18 and 19: Family relationshipsMethamphetamine
Page 20 and 21: Development of coalitions of suppor
Page 22 and 23: Table 2: Annual median purity of me
Page 24 and 25: Victoria accounted for the greatest
Page 26 and 27: methamphetamine-related offences ha
Page 28 and 29: 6.2.5. Data from Ambulance Victoria
Page 30 and 31: Table 8: Ambo Project summary of ca
Page 32 and 33: A homelessness worker in the Hume r
Page 34 and 35: Methamphetamine becoming cheaper:Al
Page 36 and 37: Compared with other substances, a n
Page 38 and 39: Many people noted that methamphetam
Page 40 and 41: “Indigenous communities are hard
Page 42 and 43: Services noted that methamphetamine
Page 44 and 45: An AOD worker noted that, in relati
Page 46 and 47: drug and alcohol stuff and the depr
Page 48 and 49: Police7.7. Impacts on service syste
Page 50 and 51: A leading addiction specialist base
Page 52 and 53: Services noted that it was often ha
Page 54 and 55: One of the respondents said he gene
Page 56 and 57: For both young men it was the escal
Page 58 and 59: Deciding to seek helpFor both Xavie
Page 60 and 61: 8. Drug testing populations: Waste
Page 62 and 63: Table 10: Number of doses consumed
Page 66 and 67: 17. Australian Institute of Health
Page 68 and 69: 52. McKetin R, Lubman D, Lee N, Ros
Page 70 and 71: 87. Iversen J, Chow S, Maher L. Aus
show all

Impacts-of-methamphetamine-in-Victoria-Community-Assessment-Penington-Institute

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?