{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T07:17:10Z","timestamp":1760426230472,"version":"3.40.5"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Despite recommendations for ambulatory withdrawal programs appearing in many contemporary alcohol and other drug treatment guidelines, to date there have been few studies exploring such programs from client and service stakeholder perspectives. The aim of this study was to explore both individual and service stakeholder perceptions of a nurse practitioner\u2010led ambulatory withdrawal service on the Gold Coast, Queensland, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were obtained from three groups: clinicians with knowledge of the service (<jats:italic>n<\/jats:italic>\u2009=\u20096); relatives of clients who had used the service (<jats:italic>n<\/jats:italic>\u2009=\u20092); and clients who had used the service (<jats:italic>n<\/jats:italic>\u2009=\u200910) using a Qualitative Descriptive design. Salda\u00f1a's (Salda\u00f1a, <jats:italic>The coding manual for qualitative researchers<\/jats:italic>. 2013) structural coding framework was used to analyse and code data into themes, with the study reported in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist (Tong et al. <jats:italic>Int J Qual Health Care<\/jats:italic> 2017;19:349\u201357).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants noted advantages of the nurse practitioner\u2010led ambulatory withdrawal service, including rapid availability of admission to the service and a person\u2010centred approach. Compared with other ambulatory withdrawal options, clients valued the ability to remain in their own environment, however participants suggested greater follow\u2010up after withdrawal, with the potential of a home visiting service for greater client engagement and treatment retention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Findings provide evidence to suggest that nurse practitioner\u2010led ambulatory withdrawal services are an acceptable option for a proportion of clients who need rapid access to services when they wish to make changes to their alcohol and\/or other drug use. Furthermore, they can provide person\u2010centred care for comorbid physical and mental ill health occurring in addition to psychosocial issues associated with alcohol and\/or other drug use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13870","type":"journal-article","created":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T02:06:12Z","timestamp":1717466772000},"page":"1787-1797","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Client and stakeholder perceptions of a novel, nurse practitioner\u2010led alcohol and other drug ambulatory withdrawal service"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7457-3221","authenticated-orcid":false,"given":"Adam","family":"Searby","sequence":"first","affiliation":[{"name":"School of Nursing &amp; Midwifery Institute for Health Transformation, Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dianna","family":"Burr","sequence":"additional","affiliation":[{"name":"School of Nursing &amp; Midwifery Institute for Health Transformation, Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol","family":"Reid","sequence":"additional","affiliation":[{"name":"School of Health University of the Sunshine Coast  Sunshine Coast Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren","family":"Smyth","sequence":"additional","affiliation":[{"name":"Queensland Injectors Health Network  Gold Coast Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Hynes","sequence":"additional","affiliation":[{"name":"Queensland Injectors Health Network  Gold Coast Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Fenech","sequence":"additional","affiliation":[{"name":"Queensland Injectors Health Network  Gold Coast Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Merollini","sequence":"additional","affiliation":[{"name":"School of Health University of the Sunshine Coast  Sunshine Coast Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanine","family":"Young","sequence":"additional","affiliation":[{"name":"School of Health University of the Sunshine Coast  Sunshine Coast Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH13014"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.51254"},{"key":"e_1_2_11_4_1","unstructured":"HoC AdcockL.Inpatient and outpatient treatment programs for substance use disorder: a review of clinical effectiveness and guidelines. 2017. 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