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Table 1 Orana Haven treatment program logic

From: 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

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