{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T03:40:45Z","timestamp":1777434045223,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Investigator Initiated Research Grant From Janssen"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Describe patterns of substance use and comorbid conditions among clinic attenders in homeless shelters in Sydney.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Retrospective cohort study of 2498 people who attended a psychiatric clinic at one of three homeless hostels between February 2008 and May 2020. Multivariable logistic regression was used to identify factors associated with self-reported substance use, psychiatric diagnosis and measures of social function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 2041 of the 2498 (81.7%) reported the harmful use of at least one substance, with alcohol (61.8%), cannabis (50.9%) and stimulant drugs (34.9%) the three most common. Those reporting the regular use of two or more substances (1466, 58.7%) were more likely to have a history of early life and adult trauma, a diagnosis of personality disorder, a criminal conviction, receive the Disability Support Pension, be chronically homeless and sleep in the open.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study found a high rate of polysubstance use among homeless clinic attenders in Sydney, and an increase in the prevalence of substance use compared to previous studies. Substance use is both a cause and a consequence of homelessness, and services to address substance use have to be part of any program to reduce homelessness and sleeping in the open.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562241265221","type":"journal-article","created":{"date-parts":[[2024,7,20]],"date-time":"2024-07-20T01:42:35Z","timestamp":1721439755000},"page":"440-445","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Substance use by homeless clinic attenders in Sydney"],"prefix":"10.1177","volume":"32","author":[{"given":"Kirra","family":"Solterbeck","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health and Human Sciences, Macquarie University, Ryde, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Staples","sequence":"additional","affiliation":[{"name":"School of Psychological Sciences, Faculty of Medicine, Health and Human Sciences, MindSpot, MQ Health, Macquarie University, Ryde, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Logan","family":"Woodman","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health and Human Sciences, Macquarie University, Ryde, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Burns","sequence":"additional","affiliation":[{"name":"Justice Health and Forensic Mental Health Network, Matraville, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Australian Institute of Health Innovation, Faculty of Medicine, Human and Health Sciences, Macquarie University, Ryde, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5172-2781","authenticated-orcid":false,"given":"Olav","family":"Nielssen","sequence":"additional","affiliation":[{"name":"Psychiatry, Faculty of Medicine and Health and Human Sciences, Matthew Talbot Hostel Clinic, Macquarie University, Ryde, NSW, 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