{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:10:56Z","timestamp":1790784656394,"version":"4.1.0"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To argue that contemporary addiction psychiatry, particularly in private and mixed-sector practice, is best understood as an integrative clinical craft rather than a narrow detoxification or prescribing role.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Addiction psychiatrists increasingly work in rooms where trauma, ambivalence, psychiatric comorbidity, physical illness, family distress, medication complexity, social adversity, and crisis arrive together. Good care requires more than technical knowledge. It requires trauma-informed engagement, careful listening, psychotherapy fluency, formulation, medical competence, boundaries and system navigation, and social formulation. Private-sector settings can make a useful contribution to training because they often provide continuity, planned care, multidisciplinary work, outpatient follow-up, exposure to newer treatments, and the everyday realities of private practice. Psychiatric training should therefore move beyond episodic exposure to withdrawal management and help trainees develop the relational, social, medical, and practical skills needed for integrated addiction care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261493835","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:47:33Z","timestamp":1790653653000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Wearing many hats: The art of addiction psychiatry in private practice"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3183-9047","authenticated-orcid":false,"given":"Wole","family":"Akosile","sequence":"first","affiliation":[{"name":"University of Queensland"},{"name":"New Farm Clinic"},{"name":"University of the Sunshine Coast"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Cementon","sequence":"additional","affiliation":[{"name":"Parkville Youth Mental Health and Wellbeing Service"},{"name":"University of Melbourne"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavita","family":"Seth","sequence":"additional","affiliation":[{"name":"Fiona Stanley Hospital"},{"name":"The Hollywood Clinic"},{"name":"University of Western Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basanth","family":"Kenchaiah","sequence":"additional","affiliation":[{"name":"St Vincent\u2019s Hospital"},{"name":"Delmont Private Hospital"},{"name":"Goulburn Valley Health"},{"name":"Australian Deprescribing Network"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_3_5_2_2","volume-title":"Addiction psychiatry","author":"Royal Australian and New Zealand College of Psychiatrists","unstructured":"Royal Australian and New Zealand College of Psychiatrists. Addiction psychiatry. Melbourne: RANZCP. Available at: https:\/\/www.ranzcp.org\/training-exams-and-assessments\/advanced-training\/addiction-psychiatry. (accessed 7 2026)."},{"key":"e_1_3_5_3_2","volume-title":"Guidelines on the management of co-occurring alcohol and other drug and mental health conditions in alcohol and other drug treatment settings","author":"Marel C","year":"2022","unstructured":"Marel C, Siedlecka E, Fisher A, et al. Guidelines on the management of co-occurring alcohol and other drug and mental health conditions in alcohol and other drug treatment settings. 3rd ed. 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Melbourne: RANZCP, 2024."},{"key":"e_1_3_5_11_2","volume-title":"Spravato: australian prescription medicine decision summary","author":"Therapeutic Goods Administration","year":"2021","unstructured":"Therapeutic Goods Administration. Spravato: australian prescription medicine decision summary. Canberra: Australian Government Department of Health, 2021."},{"key":"e_1_3_5_12_2","volume-title":"PBS listing changes effective 1","author":"Royal Australian and New Zealand College of Psychiatrists","year":"2025","unstructured":"Royal Australian and New Zealand College of Psychiatrists. PBS listing changes effective 1. Melbourne: RANZCP, 2025."},{"key":"e_1_3_5_13_2","volume-title":"NSW alcohol and other drugs workforce strategy 2024-2032","author":"NSW Ministry of Health","year":"2024","unstructured":"NSW Ministry of Health. NSW alcohol and other drugs workforce strategy 2024-2032. 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