{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:05:38Z","timestamp":1790784338570,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"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>Background<\/jats:title>\n                    <jats:p>Substance-use disorders (SUDs) are commonly seen in mental health services (MHSs) but inaccurate identification contributes to their inconsistent care. This study examines routine SUDs identification in Queensland\u2019s adult MHSs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Routine completion of four SUDs identification methods in the statewide electronic health record for MHSs was measured over 4\u00a0years from November 2018. Prevalence of identified substance-use groups, defined for each measure, was measured and compared across sociodemographic groups in 58,724 adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Completion of specific identification measures varied markedly. Each measure identified different proportions of defined substance-use groups. The measures with specific substance prompts, a screening tool and clinical pathway, identified higher prevalence of harmful use than the measures of diagnosis and an outcome measure, which lack specific prompts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Individual SUDs identification processes, including diagnosis, were variably completed, with low screening tool completion. They identified markedly different prevalence, higher for more structured tools. Structured specific screening tools may over-identify risk of SUDs. Care of SUDs in adult MHSs could be improved at individual clinician and service levels by clarifying care pathways to better support delivery of structured processes of screening and brief intervention and to enable targeted assessment and accurate diagnosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261493840","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:48:19Z","timestamp":1790653699000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Identifying substance-use disorders in mental health services: Routine practice across an Australian state"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5065-772X","authenticated-orcid":false,"given":"John","family":"Reilly","sequence":"first","affiliation":[{"name":"Queensland Health"},{"name":"The University of Queensland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lam","sequence":"additional","affiliation":[{"name":"The University of Queensland"},{"name":"Queensland Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3762-1711","authenticated-orcid":false,"given":"Grant","family":"Sara","sequence":"additional","affiliation":[{"name":"The University of Sydney"},{"name":"University of New South Wales"},{"name":"NSW Ministry of Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ed","family":"Heffernan","sequence":"additional","affiliation":[{"name":"The University of Queensland"},{"name":"Queensland Health"},{"name":"Metro North Hospital and Health Service"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291718000223"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0004867414533838"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/00048674251321272"},{"key":"e_1_3_7_5_2","first-page":"000486742413127","article-title":"Comprehensive care processes for substance use disorders in adult mental health services: a systematic review","volume":"0","author":"Reilly J","year":"2025","unstructured":"Reilly J, Meurk C, Sara GE, et al. Comprehensive care processes for substance use disorders in adult mental health services: a systematic review. Aust N Z J Psychiatr 2025; 0: 00048674241312790. https:\/\/doi.org\/10.1177\/00048674241312790","journal-title":"Aust N Z J Psychiatr"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.111.038240"},{"key":"e_1_3_7_7_2","volume-title":"(HHS) USDoHaHS","author":"US Department of HHS Office of the Surgeon General","year":"2016","unstructured":"US Department of HHS Office of the Surgeon General. Facing addiction in America: the surgeon general\u2019s report on alcohol, drugs, and health. In: (HHS) USDoHaHS. Washington DC: U.S: Department of Health and Human Services (HHS), 2016."},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0376-8716(97)01349-5"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-023-02004-5"},{"key":"e_1_3_7_10_2","unstructured":"Royal College of Psychiatrists. College Report CR243 -Co-occurring substance use and mental health disorders (CoSUM). 2025."},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/add.13663"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/00048674221148394"},{"issue":"35","key":"e_1_3_7_13_2","first-page":"20190801","article-title":"Clinical workflow and substance use screening, brief intervention, and referral to treatment data in the electronic health records: a national drug abuse treatment clinical trials network study","volume":"7","author":"Wu LT","year":"2019","unstructured":"Wu LT, Payne EH, Roseman K, et al. Clinical workflow and substance use screening, brief intervention, and referral to treatment data in the electronic health records: a national drug abuse treatment clinical trials network study. EGEMS (Wash DC) 2019; 7(35): 20190801. https:\/\/doi.org\/10.5334\/egems.293","journal-title":"EGEMS (Wash DC)"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001885"},{"key":"e_1_3_7_15_2","volume-title":"Population growth highlights and trends","author":"Government Q","year":"2024","unstructured":"Government Q. Population growth highlights and trends, Queensland. Queensland Government Statistician's Office, 2024."},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2009.03.001"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2007.02114.x"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2013.03.001"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0004867420917443"},{"key":"e_1_3_7_20_2","volume-title":"International classification of diseases and related health problems 10th revision","author":"WHO","year":"2019","unstructured":"WHO. International classification of diseases and related health problems 10th revision. Geneva, Switzerland: World Health Organization, 2019."},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.172.1.11"},{"key":"e_1_3_7_22_2","unstructured":"AMHOCN. Health of the nation outcome scales glossary. (2016 accessed 24\/05\/2024 2024).https:\/\/www.amhocn.org\/__data\/assets\/pdf_file\/0007\/696895\/HoNOS-Glossary-and-rating-sheet-2024.12.10.pdf"},{"key":"e_1_3_7_23_2","volume-title":"International classification of diseases eleventh revision (ICD-11)","author":"WHO","year":"2022","unstructured":"WHO. International classification of diseases eleventh revision (ICD-11). Geneva: Switzerland World Health Organization, 2022."},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/00048674251340214"},{"key":"e_1_3_7_25_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201500081"},{"key":"e_1_3_7_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2019.12.002"},{"key":"e_1_3_7_27_2","doi-asserted-by":"publisher","DOI":"10.3109\/08039488.2010.489954"},{"key":"e_1_3_7_28_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0447.2000.102006432.x"},{"key":"e_1_3_7_29_2","doi-asserted-by":"publisher","DOI":"10.3109\/09540261.2014.977234"},{"key":"e_1_3_7_30_2","volume":"2","author":"Productivity Commission.","unstructured":"Productivity Commission. Mental health (2020), report No.95. Volume 2. https:\/\/www.pc.gov.au\/inquiries-and-research\/mental-health\/report\/","journal-title":"Mental health (2020), report No.95"},{"key":"e_1_3_7_31_2","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.50771"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562261493840","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10398562261493840","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562261493840","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T15:17:55Z","timestamp":1790781475000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10398562261493840"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":30,"alternative-id":["10.1177\/10398562261493840"],"URL":"https:\/\/doi.org\/10.1177\/10398562261493840","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"article-number":"10398562261493840"}}