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Correction to: The development of a healing model of care for an Indigenous drug and alcohol residential rehabilitation service: a community-based participatory research approach

Health & Justice20186:5

https://doi.org/10.1186/s40352-018-0061-x

Received: 21 January 2018

Accepted: 26 January 2018

Published: 14 March 2018

The original article was published in Health & Justice 2017 5:12

Correction

Upon publication of the original article (Munro et al., 2017), the authors noticed the following errors:
  1. 1.

    A few words are missing in the conclusion of the Abstract. It needs to read:

     
Conclusion: The description of the CBPR process and the Healing Model of Care provides one possible solution about how to provide better care for the large and growing population of Indigenous people with substance misuse issues
  1. 2.

    On page 4, at the top of the page: “Step 1: Effective engagement…” should be “Step 1: Initial engagement...”

     
  2. 3.

    On page 5, in the middle of first column, the start of the sentence “The semi-structured interviews used ‘yarning’ approach” should be: “The semi-structured interviews used a research ‘yarning’ approach”

     
  3. 4.

    On page 6, in the section with the sub-heading “Healing through culture and country”, “red centre of circle” should be: “in the centre circle”

     
  4. 5.

    Table

     
  1. a)

    The “Aftercare” core treatment component at the bottom of column b is missing

     
  2. b)

    “b. Intervention” should instead read “b. Treatment”

    Please see the corrected Table 1 below.

     
  1. 6.

    The second sentence of the Discussion should be: “The Healing Model of Care proposed in this paper is based on the premise that successful treatment in a remote Indigenous drug and alcohol residential rehabilitation service will improve clients’ quality of life and cultural connectedness which will, in turn, be strongly associated with sustained reductions in their risky substance use.”

     
  2. 7.

    On page 10, the following sentence requires two corrections: “We recognise other outcome measures, namely the World Health Organization Quality of Life – BREF (abbreviated version; WHOQoL-BREF) is not currently validated for use with Indigenous peoples, but given that health education and behaviour studies are tested for validity and reliability inconsistently (Berry et al., 2013) and there have been no measures designed and validated for use within Indigenous drug and alcohol residential rehabilitation settings, the authors consider this a pivotal area for future research (Stephens et al., 2013; James et al., 2017, under review).”

     
  1. a)

    the first mention of “is” should be “are”

     
  2. b)

    The reference “Barry et al., 2013” should be “Berry et al. 2013”

     
  1. 8.

    In the References section, the word “Islander” in the term “Aboriginal and Torres Strait Islander” also should be capitalised. The following references in the reference list need this change to be made:

     
  • AIHW, 2017;

  • DOHA, 2013;

  • Doyle et al., 2015

  • Doyle et al., This also needs a capital “N” in “NSW”

  • Gould et al., 2014;

  • Heffernan et al., 2016;

  • NH&MRC, 2013;

  • NIDAC, 2014;

  • QSA, 2008.

  • Marmot, 2011. This also needs a capital “I” in “Indigenous”

Table 1

Orana Haven treatment program logic

a. Client areas of need

b. Treatment

c. Mechanisms of change

d. Process measures

e. Outcomes*

Core treatment components

Flexible activities

Primary client areas of need:

1. Risky substance use

2. Poor quality of life

3. Poor cultural connection

Healing through culture and country

- Being on country/spiritualty

- Developing kinships

- Making artefacts, fishing bush medicine

Reconnecting clients to culture and country via activities and strong relationships

No. of clients engaged in regular cultural activities

Primary outcomes:

1. Reduced substance misuse (AUDIT/DUDIT* / IRIS* clean urines)

2. Increased quality of life (WHOQoL-BREF*)

3. Increased connection to culture (GEM*)

Case management

- Referrals to local health services and visiting specialists

- Working with corrections

- File notes / assessments

- Client transport

Clients engaged in the program via positive therapeutic alliance between staff and clients

Referrals to AMS to external health and other social services

No. of clients staying in the program for 3 or more mths

No. of Aboriginal Health Checks/other referrals

No. of kms of transport

Secondary client areas of need:

4. Co-occurring mental illness

5. Criminal justice involvement

6. Chronic physical health needs

7. Tobacco use

8. Unemployed / limited education

Therapeutic activities

- One-on-one counselling

- AA, morning, psychoeducational groups

- Informal counselling

Improving client quality of life

Increased understanding of substance misuse (e.g. triggers) and personal strategies (e.g. motivations, goals, timeout) for reducing misuse

No. of clients maintaining abstinence 3 months post discharge

No. of external counselling sessions provided

Secondary outcomes:

4. Reduced psychological distress (IRIS* / K10*)

5. Reduction in recidivism (Pre/post criminal justice data)

6. Improved physical health (Pre/post Aboriginal health check outcomes)

7. Reduction in smoking (RBD Scale* / self-report* / CO levels*)

8. Improvement in employment and education (3mth follow-up data)

Life skills

- Develop daily routine

- Positive role-modelling

- Redevelop personal responsibility

- Vocational courses

- Literacy / communication skills

Reconnecting clients to culture and country

Relearning daily routine and structure to maintain a healthy lifestyle after discharge

Learning and developing work-ready and communication skills

No. of vocational-related courses completed

No. of clients achieving individualised life skills goals

Time out from substances

- Improve physical wellbeing (eg. sleep routine / nutrition)

- Improve mental / spiritual wellbeing

- Smoking cessation

Identify and engage in positive alternative activities to substance use to learn how to take time out from substance substances

No. of clients engaging in regular exercise / cultural activities

No. of clients quitting or reducing smoking

Aftercare support

- Referrals to services post-discharge (eg. ACCHOs)

- Provide a list of support services in client’s community (eg. AA)

- Ongoing phone contact

Continue to access treatment and care required to maintain improved health and wellbeing post discharge

Developing aftercare program post discharge from treatment

No. of clients maintaining abstinence/not involved in crime post discharge

No. of clients participating in aftercare (eg. phone calls, assessments, visits)

*Measured at admission, mid, discharge and 3mths post discharge from the OH program

Notes

Declarations

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Authors’ Affiliations

(1)
National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
(2)
University of Queensland, Brisbane, Australia

Reference

  1. Munro, A, Shakeshaft, A, Clifford, A. (2017). The development of a healing model of care for an Indigenous drug and alcohol residential rehabilitation service: a community-based participatory research approach. Health & Justice, 5, 12. https://doi.org/10.1186/s40352-017-0056-z.View ArticleGoogle Scholar

Copyright

© The Author(s). 2018

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