{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:21:29Z","timestamp":1785496889225,"version":"3.56.0"},"reference-count":38,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,8,31]],"date-time":"2015-08-31T00:00:00Z","timestamp":1440979200000},"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":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Alcohol\u2010related harms cause great concern to <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>boriginal and <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>orres <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>trait <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>slander (<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ndigenous) communities in <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralia as well as challenges to policy makers. Treatment of alcohol use disorders forms one component of an effective public health response. While alcohol dependence typically behaves as a chronic relapsing condition, treatment has been shown to be both effective and cost\u2010effective in improving outcomes. Provision of alcohol treatment services should be based on accurate assessment of treatment need.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>In this paper, we examine the likely extent of the gap between voluntary alcohol treatment need and accessibility. We also suggest potential approaches to improve the ability to assess unmet need.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Existing methods of assessing the treatment needs of <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ndigenous <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralians are limited by incomplete and inaccurate survey data and an over\u2010reliance on existing service use data. In addition to a shortage of services, cultural and logistical barriers may hamper access to alcohol treatment for <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ndigenous <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralians. There is also a lack of services funded to a level that allows them to cope with clients with complex medical and physical comorbidity, and a lack of services for women, families and young people. A lack of voluntary treatment services also raises serious ethical concerns, given the expansion of mandatory treatment programmes and incarceration of <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ndigenous <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ustralians for continued drinking. The use of modelling approaches, linkage of administrative data sets and strategies to improve data collection are discussed as possible methods to better assess treatment need. [Brett J, Lee K, Gray D, Wilson S, Freeburn B, Harrison K, Conigrave K. Mind the gap: what is the difference between alcohol treatment need and access for Aboriginal and Torres Strait Islander Australians? <jats:italic>Drug Alcohol Rev<\/jats:italic> 2016;35:456\u2013460]<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12313","type":"journal-article","created":{"date-parts":[[2015,9,2]],"date-time":"2015-09-02T17:00:44Z","timestamp":1441213244000},"page":"456-460","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Mind the gap: What is the difference between alcohol treatment need and access for <scp>A<\/scp>boriginal and <scp>T<\/scp>orres <scp>S<\/scp>trait <scp>I<\/scp>slander <scp>A<\/scp>ustralians?"],"prefix":"10.1111","volume":"35","author":[{"given":"Jonathan","family":"Brett","sequence":"first","affiliation":[{"name":"University of Sydney  Sydney Australia"},{"name":"Drug Health Services Royal Prince Alfred Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. 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