Preventing alcohol-related harm in Aboriginal and Torres Strait Islander communities: The experience of an Aboriginal Community Controlled Health Service in Central Australia

Autor: Boffa J; MBBS, MPH, Chief Medical Officer Public Health, Central Australian Aboriginal Congress, NT; Associate Professor (Adjunct), National Drug Research Institute, Curtin University, Perth, WA. john.boffa@caac.org.au, Tilton E; BA(Hons), Health and Social Policy Consultant, Central Australian Aboriginal Congress, NT, Ah Chee D; GradDipMgt, Chief Executive Officer, Central Australian Aboriginal Congress, NT
Jazyk: angličtina
Zdroj: Australian journal of general practice [Aust J Gen Pract] 2018 Dec; Vol. 47 (12), pp. 851-854.
DOI: 10.31128/AJGP-08-18-4661
Abstrakt: Background: Alcohol-related harm is a significant health and social issue for Aboriginal and Torres Strait Islander communities. Primary healthcare can play a part in preventing these harms.
Objectives: The aim of this paper is to describe three domains for action in preventing alcohol-related harm in Aboriginal and Torres Strait Islander communities: addressing the social and economic determinants of health; supporting population-level action on alcohol availability; and providing culturally safe treatment for individual clients.
Discussion: General practice has a role in treating and preventing illness both on an individual and at a population level. In preventing alcohol-related harm in Aboriginal and Torres Strait Islander communities, this dual role may include screening and brief interventions; referral pathways and access to multidisciplinary care; cultural safety; support for action on alcohol availability; advocacy on the social and economic determinants of health; reorienting general practice towards population health; and support for Aboriginal Community Controlled Health Services.
Databáze: MEDLINE