{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:53:55Z","timestamp":1790398435054,"version":"4.1.0"},"reference-count":54,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,5,15]],"date-time":"2013-05-15T00:00:00Z","timestamp":1368576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Indigenous alcohol and other drug (<jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content>) workers' roles are often exhausting, poorly paid and under\u2010recognised. There has been relatively little examination of work\u2010related stressors on their health and well\u2010being. This national study identified Indigenous <jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content> workers' experiences and perspectives on well\u2010being, stress and burnout along with strategies to improve worker well\u2010being.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p>Focus groups were conducted with 121 participants (70 Indigenous, 20 non\u2010Indigenous, 31 unspecified) from metropolitan, rural and remote locations around <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia, selected via a purposive sampling strategy. Audio files and interview notes were analysed to identify key themes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Main themes identified included excessive workloads, extensive demands and expectations, workers' proximity to communities, loss and grief issues, lack of recognition, inadequate rewards, stigma and racism, and Indigenous ways of working. Stressors were compounded by workers' complex personal circumstances, profound levels of loss and grief, and lack of culturally safe working environments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusion<\/jats:title><jats:p>Indigenous workers' stress was exacerbated by close links and responsibilities to their communities and a \u2018dual accountability\u2019, being constantly on call, playing multiple roles, complex personal and professional lives, and needing to interact with multiple agencies. Many Indigenous <jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content> workers had developed mechanisms to deal with work\u2010related pressures and received valued support from their communities. The study identified the importance of workforce strategies to improve Indigenous workers' well\u2010being and reduce stress, including: mutual support networks, training in assertiveness and boundary setting, workloads that take account of Indigenous ways of working, adequate remuneration, supervision and mentorship, and cultural sensitivity training for non\u2010Indigenous workers. <jats:italic>[Roche AM, Duraisingam V, Trifonoff A, Battams S, Freeman T, Tovell A, Weetra D, Bates N. Sharing stories: Indigenous alcohol and other drug workers' well\u2010being, stress and burnout. <\/jats:italic>Drug Alcohol Rev <jats:italic>2013;32:527\u2013535]<\/jats:italic><\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12053","type":"journal-article","created":{"date-parts":[[2013,5,16]],"date-time":"2013-05-16T04:26:43Z","timestamp":1368678403000},"page":"527-535","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Sharing stories: Indigenous alcohol and other drug workers' well\u2010being, stress and burnout"],"prefix":"10.1111","volume":"32","author":[{"given":"Ann M.","family":"Roche","sequence":"first","affiliation":[{"name":"National Centre for Education and Training on Addiction Flinders University  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinita","family":"Duraisingam","sequence":"additional","affiliation":[{"name":"National Centre for Education and Training on Addiction Flinders University  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allan","family":"Trifonoff","sequence":"additional","affiliation":[{"name":"National Centre for Education and Training on Addiction Flinders University  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Battams","sequence":"additional","affiliation":[{"name":"National Centre for Education and Training on Addiction Flinders University  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toby","family":"Freeman","sequence":"additional","affiliation":[{"name":"National Centre for Education and Training on Addiction Flinders University  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Tovell","sequence":"additional","affiliation":[{"name":"National Centre for Education and Training on Addiction Flinders University  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna","family":"Weetra","sequence":"additional","affiliation":[{"name":"National Centre for Education and Training on Addiction Flinders University  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Bates","sequence":"additional","affiliation":[{"name":"National Centre for Education and Training on Addiction Flinders University  Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,5,15]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Living on the edge: social and emotional wellbeing risk and protective factors for serious psychological distress among Aboriginal and Torres Strait Islander people","author":"Kelly K","year":"2009"},{"key":"e_1_2_7_3_1","volume-title":"Australia's Health 2010","author":"Australian Institute of Health and Welfare","year":"2010"},{"key":"e_1_2_7_4_1","volume-title":"The health and welfare of Australia's Aboriginal and Torres Strait Islander peoples","author":"Australian Bureau of Statistics","year":"2010"},{"key":"e_1_2_7_5_1","unstructured":"WilsonM StearneA GrayD SaggersS.The harmful use of alcohol amongst Indigenous Australians.Australian Indigenous HealthInfoNet2010; (4) [serial on the Internet]. 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