{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T22:52:00Z","timestamp":1785192720696,"version":"3.55.0"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,10,30]],"date-time":"2014-10-30T00:00:00Z","timestamp":1414627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["633504"],"award-info":[{"award-number":["633504"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction and Aims<\/jats:title><jats:p>The high prevalence of trauma exposure and post\u2010traumatic stress disorder (<jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>) among clients of alcohol and other drug (<jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content>) services is well documented. Less is known, however, about the impact this has on workers who assess and treat such clients. The aim of this study was to examine the prevalence and correlates of secondary traumatic stress (<jats:styled-content style=\"fixed-case\">STS<\/jats:styled-content>) among <jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content> workers in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Methods<\/jats:title><jats:p>An anonymous web\u2010based survey was undertaken and completed by 412 <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralian <jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content> workers. The questionnaire assessed current levels of trauma training, extent of exposure to clients with a history of trauma history, <jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content> workers' own history of trauma exposure and <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>, and current <jats:styled-content style=\"fixed-case\">STS<\/jats:styled-content>. Analyses compared individuals who currently met criteria for experiencing <jats:styled-content style=\"fixed-case\">STS<\/jats:styled-content> with those who did not.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Despite the high volume of traumatised clients accessing <jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content> services, less than two\u2010thirds of <jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content> workers reported having ever received trauma training. The prevalence rate of <jats:styled-content style=\"fixed-case\">STS<\/jats:styled-content> was 19.9% and was independently predicted by a higher traumatised client workload, fewer hours of clinical supervision, and stress and anxiety levels of the worker.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>The findings highlight the importance of providing adequate trauma training and clinical supervision to <jats:styled-content style=\"fixed-case\">AOD<\/jats:styled-content> workers in order to maintain their health and welfare and ensure optimal treatment to clients with <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>. <jats:italic>[Ewer PL, Teesson M, Sannibale C, Roche A, Mills KL. The prevalence and correlates of secondary traumatic stress among alcohol and other drug workers in Australia.<\/jats:italic> Drug Alcohol Rev<jats:italic> 2014]<\/jats:italic><\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12204","type":"journal-article","created":{"date-parts":[[2014,10,30]],"date-time":"2014-10-30T07:03:22Z","timestamp":1414652602000},"page":"252-258","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":50,"title":["The prevalence and correlates of secondary traumatic stress among alcohol and other drug workers in <scp>A<\/scp>ustralia"],"prefix":"10.1111","volume":"34","author":[{"given":"Philippa L.","family":"Ewer","sequence":"first","affiliation":[{"name":"National Drug and Alcohol Research Centre University of New South Wales  Sydney Australia"},{"name":"NHMRC Centre of Research Excellence in Mental Health and Substance Use University of New South Wales  Sydney 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