Literature DB >> 29541869

Correction to: The development of a healing model of care for an Indigenous drug and alcohol residential rehabilitation service: a community-based participatory research approach.

Alice Munro1, Anthony Shakeshaft2, Anton Clifford2,3.   

Abstract

Upon publication of the original article (Munro et al., 2017), the authors noticed the following errors.

Entities:  

Year:  2018        PMID: 29541869      PMCID: PMC5852122          DOI: 10.1186/s40352-018-0061-x

Source DB:  PubMed          Journal:  Health Justice        ISSN: 2194-7899


Correction

Upon publication of the original article (Munro et al., 2017), the authors noticed the following errors: A few words are missing in the conclusion of the Abstract. It needs to read: Conclusion: The description of the CBPR process and the Healing Model of Care provides one possible solution about how to provide better care for the large and growing population of Indigenous people with substance misuse issues On page 4, at the top of the page: “Step 1: Effective engagement…” should be “Step 1: Initial engagement...” On page 5, in the middle of first column, the start of the sentence “The semi-structured interviews used ‘yarning’ approach” should be: “The semi-structured interviews used a research ‘yarning’ approach” On page 6, in the section with the sub-heading “Healing through culture and country”, “red centre of circle” should be: “in the centre circle” Table The “Aftercare” core treatment component at the bottom of column b is missing “b. Intervention” should instead read “b. Treatment” Please see the corrected Table 1 below.
Table 1

Orana Haven treatment program logic

a. Client areas of needb. Treatmentc. Mechanisms of changed. Process measurese. Outcomes*
Core treatment componentsFlexible activities
Primary client areas of need: 1. Risky substance use2. Poor quality of life3. Poor cultural connectionHealing through culture and country- Being on country/spiritualty- Developing kinships- Making artefacts, fishing bush medicineReconnecting clients to culture and country via activities and strong relationshipsNo. of clients engaged in regular cultural activities Primary outcomes: 1. Reduced substance misuse (AUDIT/DUDIT* / IRIS* clean urines)2. Increased quality of life (WHOQoL-BREF*)3. Increased connection to culture (GEM*)
Case management- Referrals to local health services and visiting specialists- Working with corrections- File notes / assessments- Client transportClients engaged in the program via positive therapeutic alliance between staff and clientsReferrals to AMS to external health and other social servicesNo. of clients staying in the program for 3 or more mthsNo. of Aboriginal Health Checks/other referralsNo. of kms of transport
Secondary client areas of need: 4. Co-occurring mental illness5. Criminal justice involvement6. Chronic physical health needs7. Tobacco use8. Unemployed / limited educationTherapeutic activities- One-on-one counselling- AA, morning, psychoeducational groups- Informal counsellingImproving client quality of lifeIncreased understanding of substance misuse (e.g. triggers) and personal strategies (e.g. motivations, goals, timeout) for reducing misuseNo. of clients maintaining abstinence 3 months post dischargeNo. of external counselling sessions provided Secondary outcomes: 4. Reduced psychological distress (IRIS* / K10*)5. Reduction in recidivism (Pre/post criminal justice data)6. Improved physical health (Pre/post Aboriginal health check outcomes)7. Reduction in smoking (RBD Scale* / self-report* / CO levels*)8. Improvement in employment and education (3mth follow-up data)
Life skills- Develop daily routine- Positive role-modelling- Redevelop personal responsibility- Vocational courses- Literacy / communication skillsReconnecting clients to culture and countryRelearning daily routine and structure to maintain a healthy lifestyle after dischargeLearning and developing work-ready and communication skillsNo. of vocational-related courses completedNo. of clients achieving individualised life skills goals
Time out from substances- Improve physical wellbeing (eg. sleep routine / nutrition)- Improve mental / spiritual wellbeing- Smoking cessationIdentify and engage in positive alternative activities to substance use to learn how to take time out from substance substancesNo. of clients engaging in regular exercise / cultural activitiesNo. of clients quitting or reducing smoking
Aftercare support- Referrals to services post-discharge (eg. ACCHOs)- Provide a list of support services in client’s community (eg. AA)- Ongoing phone contactContinue to access treatment and care required to maintain improved health and wellbeing post dischargeDeveloping aftercare program post discharge from treatmentNo. of clients maintaining abstinence/not involved in crime post dischargeNo. of clients participating in aftercare (eg. phone calls, assessments, visits)

*Measured at admission, mid, discharge and 3mths post discharge from the OH program

The second sentence of the Discussion should be: “The Healing Model of Care proposed in this paper is based on the premise that successful treatment in a remote Indigenous drug and alcohol residential rehabilitation service will improve clients’ quality of life and cultural connectedness which will, in turn, be strongly associated with sustained reductions in their risky substance use.” On page 10, the following sentence requires two corrections: “We recognise other outcome measures, namely the World Health Organization Quality of Life – BREF (abbreviated version; WHOQoL-BREF) is not currently validated for use with Indigenous peoples, but given that health education and behaviour studies are tested for validity and reliability inconsistently (Berry et al., 2013) and there have been no measures designed and validated for use within Indigenous drug and alcohol residential rehabilitation settings, the authors consider this a pivotal area for future research (Stephens et al., 2013; James et al., 2017, under review).” the first mention of “is” should be “are” The reference “Barry et al., 2013” should be “Berry et al. 2013” In the References section, the word “Islander” in the term “Aboriginal and Torres Strait Islander” also should be capitalised. The following references in the reference list need this change to be made: AIHW, 2017; DOHA, 2013; Doyle et al., 2015 Doyle et al., This also needs a capital “N” in “NSW” Gould et al., 2014; Heffernan et al., 2016; NH&MRC, 2013; NIDAC, 2014; QSA, 2008. Marmot, 2011. This also needs a capital “I” in “Indigenous” Orana Haven treatment program logic *Measured at admission, mid, discharge and 3mths post discharge from the OH program
  1 in total

1.  The development of a healing model of care for an Indigenous drug and alcohol residential rehabilitation service: a community-based participatory research approach.

Authors:  Alice Munro; Anthony Shakeshaft; Anton Clifford
Journal:  Health Justice       Date:  2017-12-04
  1 in total
  1 in total

1.  Understanding the client characteristics of Aboriginal residential alcohol and other drug rehabilitation services in New South Wales, Australia.

Authors:  Douglas B James; K S Kylie Lee; Tania Patrao; Ryan J Courtney; Katherine M Conigrave; Anthony Shakeshaft
Journal:  Addict Sci Clin Pract       Date:  2020-07-29
  1 in total

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