{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T17:57:09Z","timestamp":1790013429466,"version":"4.0.1"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2015,5,5]],"date-time":"2015-05-05T00:00:00Z","timestamp":1430784000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This research aimed to identify challenges encountered by young people from refugee backgrounds with co-existing mental health (MH) and alcohol and other drug (AOD) problems (comorbidity) and sought to compare the perspectives of refugee youth and service providers in a metropolitan region of Adelaide, South Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Semi-structured interviews were conducted with two groups of participants: young people from refugee backgrounds (African, Afghan, Bhutanese) and workers from MH, AOD and refugee support services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The refugee youth reported that the biggest difficulty they face once they develop MH and AOD problems is social disconnectedness. They lacked awareness that services are available to support them. In contrast, clinicians rated difficulty accessing and receiving culturally competent comorbidity care as the greatest challenge. Other reported challenges were relatively consistent across both groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study has implications for how we engage these young people in services, prioritise areas of care and effectively treat and support refugee youth experiencing comorbidity. These findings emphasise the need for a combined therapeutic casework approach, addressing needs such as social connectedness, housing, education and employment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1039856215584512","type":"journal-article","created":{"date-parts":[[2015,5,5]],"date-time":"2015-05-05T20:41:12Z","timestamp":1430858472000},"page":"293-299","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Merging perspectives: obstacles to recovery for youth from refugee backgrounds with comorbidity"],"prefix":"10.1177","volume":"23","author":[{"given":"Miriam","family":"Posselt","sequence":"first","affiliation":[{"name":"PhD Candidate, Discipline of Psychiatry, University of Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Procter","sequence":"additional","affiliation":[{"name":"Professor, Mental Health Nursing, University of South Australia, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte","family":"de Crespigny","sequence":"additional","affiliation":[{"name":"Professor, Drug and Alcohol Nursing, University of Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherrie","family":"Galletly","sequence":"additional","affiliation":[{"name":"Professor, Discipline of Psychiatry, University of Adelaide, South Australia; Ramsay Health Care, Adelaide, SA, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,5,5]]},"reference":[{"key":"bibr1-1039856215584512","volume-title":"Settlement reporting facility","author":"Department of Immigration and Border Protection","year":"2014"},{"key":"bibr2-1039856215584512","volume-title":"Are refugees at increased risk of substance misuse?","author":"Sowey H","year":"2005"},{"key":"bibr3-1039856215584512","volume-title":"Global health risks: mortality and burden of disease attributable to selected major risks","author":"World Health Organization [WHO]","year":"2009"},{"key":"bibr4-1039856215584512","volume-title":"2010\u20132013 series of national drug strategy household surveys","author":"National Drug Strategy","year":"2013"},{"key":"bibr5-1039856215584512","volume-title":"National survey of mental health and wellbeing","author":"Australian Bureau of Statistics","year":"2007"},{"key":"bibr6-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1132"},{"key":"bibr7-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.084764"},{"key":"bibr8-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1007\/s10567-010-0081-0"},{"key":"bibr9-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.2008.01912.x"},{"key":"bibr10-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60051-2"},{"key":"bibr11-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1080\/j.1440-1614.2006.01766.x"},{"key":"bibr12-1039856215584512","volume-title":"Australian guidelines for the treatment of acute stress disorder and posttraumatic stress disorder","author":"Australian Centre for Posttraumatic Mental Health","year":"2013"},{"key":"bibr13-1039856215584512","doi-asserted-by":"publisher","DOI":"10.3109\/10826081003793920"},{"key":"bibr14-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1080\/02791072.1987.10472382"},{"key":"bibr15-1039856215584512","volume-title":"Drugs in a multicultural community: an assessment of involvement","author":"Beyer L","year":"2000"},{"key":"bibr16-1039856215584512","volume-title":"National comorbidity project","author":"Teesson M","year":"2001"},{"key":"bibr17-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0089359"},{"key":"bibr18-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.09.029"},{"key":"bibr19-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2012.06.018"},{"key":"bibr20-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1037\/a0035172"},{"key":"bibr21-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1097\/WTF.0b013e328341315f"},{"key":"bibr22-1039856215584512","volume-title":"Khat use in Somali, Ethiopian and Yemeni communities in England: issues and solutions","author":"Havell C","year":"2004"},{"key":"bibr23-1039856215584512","volume-title":"Facilitating the transition to employment for refugee young people","author":"Centre for Multicultural Youth","year":"2014"},{"key":"bibr24-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2014.09.011"},{"key":"bibr25-1039856215584512","doi-asserted-by":"crossref","first-page":"39","DOI":"10.36251\/josi23","volume":"2","author":"Couch J","year":"2011","journal-title":"JoSI"},{"key":"bibr26-1039856215584512","volume-title":"Wealth of all nations: identification of strategies to assist refugee young people in transition to independence","author":"Coventry L","year":"2002"},{"key":"bibr27-1039856215584512","volume-title":"Australia\u2019s homeless youth: a report of the national youth commission inquiry into youth homelessness","author":"National Youth Commission","year":"2008"},{"key":"bibr28-1039856215584512","volume-title":"A contributing life: the 2012 national report card on mental health and suicide prevention","author":"National Mental Health Commission","year":"2012"},{"key":"bibr29-1039856215584512","volume-title":"Trauma and recovery: the aftermath of violence\u2014from domestic abuse to political terror","author":"Herman JL","year":"1992"},{"key":"bibr30-1039856215584512","first-page":"160","volume-title":"Treating complex traumatic stress disorders in children and adolescents: scientific foundations and therapeutic models","author":"Lanktree C","year":"2013"},{"key":"bibr31-1039856215584512","doi-asserted-by":"publisher","DOI":"10.1177\/0004867413511996"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1039856215584512","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1039856215584512","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1039856215584512","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:46:44Z","timestamp":1777376804000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1039856215584512"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,5]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["10.1177\/1039856215584512"],"URL":"https:\/\/doi.org\/10.1177\/1039856215584512","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,5]]}}}