{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T17:48:08Z","timestamp":1788976088899,"version":"build-2803163510"},"reference-count":63,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Journal of Australia"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>For many people entering custody, abrupt changes in alcohol or other drug use is associated with the risk of experiencing a withdrawal syndrome. Management of withdrawal from alcohol and other drugs in a custodial setting is complicated by both a limited evidence base and structural barriers to the delivery of best practice healthcare interventions to people in custody.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Recommendations<\/jats:title>\n                    <jats:p>A multidisciplinary expert panel representing all Australian states and territories participated in a modified Delphi process. The process generated 22 recommendations to custodial services, health services and government for the management of withdrawal from alcohol and other drugs in custodial settings across five domains: screening for withdrawal risk; assessment of withdrawal; management of withdrawal; specific considerations for the care of First Nations people; and organisational support. Notable recommendations include using universal and timely assessment for withdrawal at reception to custody; using validated clinical tools and evidence\u2010based interventions to assess and manage withdrawal syndromes; and ensuring that the safest location for withdrawal from alcohol or other drugs is provided.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Changes in Management as a Result of the Statement<\/jats:title>\n                    <jats:p>This statement presents best practice standards for the management of withdrawal from alcohol and other drugs in Australian custodial settings, as informed by evidence and expert consensus. Implementing the recommendations set out in this statement will improve the quality and consistency of withdrawal care provided to people entering Australian custodial settings and reduce harms associated with incarceration for people who use alcohol and other drugs. This statement has been endorsed by the Royal Australasian College of Physicians, the Australasian Professional Society on Alcohol and Other Drugs, the National Prisons Hepatitis Network, the Pharmaceutical Society of Australia and the Australian Injecting and Illicit Drug Users League. The statement is also approved as an Accepted Clinical Resource by the Royal Australian College of General Practitioners.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5694\/mja2.70225","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T05:37:08Z","timestamp":1781156228000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Management of Withdrawal From Alcohol and Other Drugs in Australian Custodial Settings: A Consensus Statement"],"prefix":"10.5694","volume":"224","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6131-5741","authenticated-orcid":false,"given":"Grace","family":"FitzGerald","sequence":"first","affiliation":[{"name":"Drug Health Services Western Health  Footscray Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jocelyn","family":"Chan","sequence":"additional","affiliation":[{"name":"Drug Health Services Western Health  Footscray Victoria Australia"},{"name":"Alcohol and Other Drugs Group Burnet Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon","family":"Cook","sequence":"additional","affiliation":[{"name":"Drug Health Services Western Health  Footscray Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Stoove","sequence":"additional","affiliation":[{"name":"Disease Elimination Program Burnet Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1814-0867","authenticated-orcid":false,"given":"Michael","family":"Curtis","sequence":"additional","affiliation":[{"name":"Disease Elimination Program Burnet Institute  Melbourne Victoria Australia"},{"name":"Justice Health National Drug Research Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5341-1055","authenticated-orcid":false,"given":"Suzanne","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Monash Addiction Research Centre Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2067-4278","authenticated-orcid":false,"given":"Rebecca J.","family":"Winter","sequence":"additional","affiliation":[{"name":"Disease Elimination Program Burnet Institute  Melbourne Victoria Australia"},{"name":"School of Public Health and Preventive Medicine, Faculty of Medicine Nursing and Health Sciences Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thileepan","family":"Naren","sequence":"additional","affiliation":[{"name":"Drug Health Services Western Health  Footscray Victoria Australia"},{"name":"Monash Addiction Research Centre Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"The Health of People in Australia's Prisons 2022","author":"Australian Institute of Health and Welfare","year":"2023"},{"key":"e_1_2_11_3_1","volume-title":"Drug Use Monitoring in Australia: Drug Use Among Police Detainees, 2021","author":"Voce A.","year":"2021"},{"key":"e_1_2_11_4_1","volume-title":"Finding Into the Passing of Veronica Nelson","author":"Coroners Court of Victoria","year":"2023"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.57022\/mjjp9930"},{"key":"e_1_2_11_6_1","volume-title":"Alcohol and Other Drug Withdrawal: Practice Guidelines","author":"Manning V.","year":"2018"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/CXA.0000000000000188"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(21)00050-5"},{"key":"e_1_2_11_9_1","volume-title":"Standards for Health Services in Prisons","author":"National Commission on Correctional Health Care","year":"2018"},{"key":"e_1_2_11_10_1","volume-title":"Clinical Guidelines on Drug Misuse and Dependence Update 2017 Independent Expert Working Group. 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