{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T05:05:28Z","timestamp":1739423128422,"version":"3.37.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"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":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>This study examines alcohol and other drug (AOD) service providers' perceptions of the most important variables (client complexity and demographic) for determining treatment need and intensity of intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Online cross\u2010sectional survey of <jats:italic>N<\/jats:italic>\u2009=\u2009188 clinicians\/service managers working in AOD services across metropolitan and regional\/rural New South Wales, Australia. Participants ranked the importance of demographic and family factors, substance use, physical health, mental health, functioning and activities of daily living and youth\u2010specific variables in identifying treatment need (five\u2010point Likert scales).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>More than 90% of participants ranked 43 out 56 potential variables as \u2018very important\u2019\/\u2018essential\u2019 in identifying treatment need. The 10 variables most ranked as \u2018very important\u2019\/\u2018essential\u2019 were \u2018pregnant or breastfeeding\u2019 (95.2%), \u2018suicide\/self\u2010harm\u2019 (95.2%), \u2018overdose risk\u2019 (94.7%), \u2018abuse\/neglect\u2019 (among youth\/adolescent populations; 94.1%), \u2018mental health severity\u2019 (93.6%), \u2018dependent children\u2019 (93.1%), \u2018co\u2010existing mental health concerns\u2019 (93.0%), \u2018hospitalisations due to mental health\u2019 (92.5%), \u2018child protection concerns\u2019 (among youth\/adolescent populations; 92.2%) and \u2018disability\u2019 (91.5%). The 10 variables most commonly ranked as \u2018slightly important\u2019\/\u2018not at all important\u2019 included \u2018citizenship\u2019 (63.3%), \u2018sex\u2019 (59.6%), \u2018country of birth\u2019 (54.8%), \u2018highest education\u2019 (50.0%), \u2018sexual orientation\u2019 (44.1%), \u2018relationship status\u2019 (33.5%), \u2018gender\u2019 (31.4%), \u2018transport\u2019 (28.2%), \u2018employment\u2019 (23.9%) and \u2018refugee status\u2019 (24.0%). Some ratings differed by geographic location (metropolitan vs. regional\/rural) and job role (allied health worker, nurse, doctor or manager).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>This study provides insight into service providers' perceptions of treatment need and intensity associated with a range of client factors. It is a first step towards improvements in routine data collections that are used to inform treatment planning.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13952","type":"journal-article","created":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T02:05:46Z","timestamp":1729562746000},"page":"195-225","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["New South Wales alcohol and other drug service providers' perceptions of the relative importance of client variables for determining treatment need"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3800-7673","authenticated-orcid":false,"given":"Briony","family":"Larance","sequence":"first","affiliation":[{"name":"School of Psychology University of Wollongong  Wollongong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0200-5684","authenticated-orcid":false,"given":"Isabella","family":"Ingram","sequence":"additional","affiliation":[{"name":"School of Psychology University of Wollongong  Wollongong Australia"},{"name":"School of Psychology and Public Health La Trobe University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chloe","family":"Haynes","sequence":"additional","affiliation":[{"name":"School of Psychology University of Wollongong  Wollongong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lexi","family":"Buckfield","sequence":"additional","affiliation":[{"name":"Centre for Alcohol and Other Drugs New South Wales Ministry of Health  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Choon Wee Melvin","family":"Goh","sequence":"additional","affiliation":[{"name":"School of Psychology University of Wollongong  Wollongong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0500-1865","authenticated-orcid":false,"given":"Peter J.","family":"Kelly","sequence":"additional","affiliation":[{"name":"School of Psychology University of Wollongong  Wollongong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2020-215975"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2014.07.004"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.13027"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12871"},{"volume-title":"Clinical Care Standards: Alcohol and Other Drug Treatment, NSW Ministry of Health, Editor","year":"2020","author":"NSW Health","key":"e_1_2_10_6_1"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.2.184"},{"volume-title":"Alcohol and Other Drug Treatment Services National Minimum Data Set: Data Collection Manual 2022\u201323","year":"2022","author":"Australian Institute of Health and Welfare","key":"e_1_2_10_8_1"},{"key":"e_1_2_10_9_1","unstructured":"NSW Ministry of Health.Data dictionary and collection requirements for the NSW minimum data set for alcohol and drug treatment services New South Wales Ministry of Health Editor. 2015: North Sydney Australia."},{"key":"e_1_2_10_10_1","unstructured":"NSW Ministry of Health.Non\u2010Admitted Patient Data Collection NSW Ministry of Health Editor. 2018: North Sydney Australia."},{"key":"e_1_2_10_11_1","unstructured":"LintzerisN MammenK HolmesJ DeaconR MillsL BlackE et al.Australian Treatment Outcomes Profile (ATOP) Manual 1: Using the ATOP with Individual clients.2020."},{"key":"e_1_2_10_12_1","unstructured":"Network of Alcohol and Other Drug Agencies.Client Outcome Measures 2018. 30 July 2022. 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