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Along with people who use illicit drugs, it is important to consider the perspectives of other key groups who are often involved in the help\u2010seeking and recovery process. This study aimed to examine the perceived barriers to help\u2010seeking for people who use crystal methamphetamine (\u2018ice\u2019) among key groups (people who use crystal methamphetamine, families and friends, health workers) as well as the general community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional online survey open to all Australian residents (aged \u226518\u2009years) was conducted November 2018\u2013March 2019. Four key groups of interest were recruited to examine and compare perceived barriers to help\u2010seeking for crystal methamphetamine use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants (<jats:italic>n<\/jats:italic>\u2009=\u20092108) included: people who use\/have used crystal methamphetamine (<jats:italic>n<\/jats:italic>\u2009=\u2009564, 39%), health workers (<jats:italic>n<\/jats:italic>\u2009=\u2009288, 26.8%), affected family\/friends (<jats:italic>n<\/jats:italic>\u2009=\u2009434, 13.7%) and general community (<jats:italic>n<\/jats:italic>\u2009=\u2009822, 20.6%). People who used crystal methamphetamine demonstrated increased odds of reporting attitudinal (OR 1.35; 1.02\u20131.80) or structural (OR 1.89; 1.09\u20133.27) barriers, or a previous negative help\u2010seeking experience (OR 2.27; 1.41\u20133.66) compared to knowledge barriers. Health workers demonstrated decreased odds of reporting attitudinal compared to knowledge barriers (OR 0.69; 0.50\u20130.95).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Perceived barriers to seeking help for crystal methamphetamine use differed among key groups involved in treatment and recovery. Acknowledging and addressing the mismatches between key groups, through targeted interventions may better support people to seek help for crystal methamphetamine use.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13897","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T06:10:10Z","timestamp":1720159810000},"page":"1929-1939","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Perceived barriers to help\u2010seeking for people who use crystal methamphetamine: Perspectives of people with lived experience, family members and health workers"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2494-4391","authenticated-orcid":false,"given":"Steph","family":"Kershaw","sequence":"first","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8452-364X","authenticated-orcid":false,"given":"Matthew","family":"Sunderland","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7322-9091","authenticated-orcid":false,"given":"Anna","family":"Grager","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1335-1382","authenticated-orcid":false,"given":"Louise","family":"Birrell","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9698-6198","authenticated-orcid":false,"given":"Hannah","family":"Deen","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6305-2623","authenticated-orcid":false,"given":"Nicola C.","family":"Newton","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3656-4655","authenticated-orcid":false,"given":"Lexine A.","family":"Stapinski","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8319-9366","authenticated-orcid":false,"given":"Katrina E.","family":"Champion","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4252-5572","authenticated-orcid":false,"given":"Frances","family":"Kay\u2010Lambkin","sequence":"additional","affiliation":[{"name":"Hunter Medical Research Institute  Newcastle Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6744-463X","authenticated-orcid":false,"given":"Maree","family":"Teesson","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2460-6862","authenticated-orcid":false,"given":"Cath","family":"Chapman","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,4]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"United Nations Office on Drugs and Crime.World Drug Report 2020. 2020."},{"key":"e_1_2_9_3_1","unstructured":"Australian Institute of Health and Welfare. 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