rachael wargent the cairns institute, james cook university

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Measuring Client Satisfaction in a new Therapeutic Community for Aboriginal and Torres Strait Islander People recovering from Drug and Alcohol Addiction

The value of embedding culture in to Therapeutic Communities for alcohol and other drug dependenciesRachael WargentThe Cairns Institute, James Cook University

1Shanty Creek TC

Community commenced March 2012north of Cairns near MareebaCurrently 19 residentsBoth men and womenAdults over 18 yearsLength of stay up to 9 months

Nationally, alcohol and cannabis remain the most common principal drugs of use.It is highest among those aged 35-44 years.In 2008, 17% of Aboriginal and Torres Strait Islander people aged 15 years and over reported chronic drinking and 37% reported binge drinking, in the previous 12 month period. Hospital admission rates of Indigenous people for conditions caused by drugs other than tobacco and alcohol are over twice those among non-Indigenous Australians. Some EvidenceDiscussion started in 2010JCU developed a methodology to evaluate a TC in north QueenslandPartnership JCU, QDAC and Lives Lived WellIdentified as a highly needed service for Aboriginal and Torres Strait Islanders in the north

BackgroundMost of staff are Aboriginal and or Torres Strait IslandClinical, Case workers, grounds men, cooks, cleaners administrationOn countryMens and womens spacesArt and craftLocal AMSShanty Creek TC

Modified for Aboriginal and Torres Strait Islander peopleContribute to the social, economic and wellbeing of peopleContribute to the evidence base for culturally appropriate D&A treatment servicesPurposeMethodology

Multifaceted research frameworks:

Participatory Action ResearchQualitativeQuantitativeGEM Growth and Empowerment MeasureClient Satisfaction SurveyEthicsThis project has been allocated ethics approval Number H44527Developed an evaluation framework for CQI with staff4 main Indicators:Cultural DomainWellbeing GainHealth GainGovernance and Management3 rounds of CQI, 1 done next one due this month

Continuous Quality ImprovementMeasuring Wellbeing

GEM developed to measure empowerment and wellbeing

Family Wellbeing Program

Client Feedback


Service enhancementDaily ProgramsStaff evaluation

Improve facilities

Improve Wellbeing of Clients

Where to next.?Implications for resultsReferences:

D Gray & Wilkes, 2010Bailie, Si, O'Donoghue, & Dowden, 2007; Cornwall & Jewkes, 1995.Haswell, M., Kavanagh, D., Tsey, K., Reilly, L., Cadet-James, Y., Laliberte, A., Doran, C. (2010).Australian Bureau of Statistics (ABS), 2010.Thank you!Rachael.Wargent1@jcu.edu.au