Alcohol & other drugs, mental health & comorbidity: A - NCETA

155 Pages·2009·3.46 MB·English

A
lcohol &
Other Drugs,
Mental Health &
Comorbidity:
A TrAining review
NCETA WORkfORCE DEVElOPMENT REPORT SERiES
Ann M Roche
Vinita Duraisingam
Peina Wang
Amanda Tovell

A
lcohol &
Other Drugs,
Mental Health &
Comorbidity:
A TrAining review
NCETA WORkFORCE DEVElOPMENT REPORT SERiES
Ann M Roche
Vinita Duraisingam
Peina Wang
Amanda Tovell
National Centre for Education and Training on Addiction (NCETA)
Flinders University | November 2008
Citation details
Roche, A. M. Duraisingam, V., Wang, P., Tovell, A. (2008). Alcohol & Other Drugs,
Mental Health & Comorbidity: A Training Review. National Centre for Education and
Training on Addiction (NCETA), Flinders University, Adelaide.
ISBN13: 978 1 876897 19 8
This work is copyright. Apart from any use as permitted under the Copyright Act
1968, no part may be reproduced without prior written permission from the National
Centre for Education and Training on Addiction, available from Level 3B Mark
Oliphant Building, Science Park, Bedford Park, South Australia 5042, Australia.
Any enquiries about or comments on this publication should be directed to:
Professor Ann Roche
National Centre for Education and Training on Addiction (NCETA)
Flinders University
GPO Box 2100 Adelaide 5001
South Australia
Australia
Published by National Centre for Education and Training on Addiction
www.nceta.flinders.edu.au
Design and Layout by Inprint Design
www.inprint.com.au
i
NCETA Workforce Development Report Series
This report is the first in a new series from the National Centre for Education and
Training on Addiction (NCETA) on workforce development (WFD). Various aspects
of WFD are explored in the individual reports in this series.
Reports can be downloaded from the NCETA website www.nceta.flinders.edu.au
or hard copies are available on request.

In addition to this series, NCETA has produced a diverse array of WFD-related
materials (see the NCETA website for details and downloadable copies) that include
the following examples:
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1. Effective Dissemination – A Systematic Review of Implementation Strategies for the AOD Field; 2. Workforce Development 'TIPS' S
– A Resource Kit for the Alcohol and Other Drugs Field; 3. Stress and Burnout – A Prevention Handbook for the Alcohol and Other
Drugs Workforce; 4. Alcohol and Other Drugs: A Handbook for Health Professionals; 5. Illicit Drug Issues – Resource Kit for GP
Trainers; 6. Clinical Supervision Resource Kit: for the Alcohol and Other Drugs field
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Acknowledgements
This report was produced with financial support from the Australian Government
Department of Health and Ageing through its National Comorbidity Initiative (NCI).
The report also makes an important contribution to the Government’s Workforce
Development initiatives. Thanks are extended to the members of the alcohol and other
drugs and mental health fields who provided input into the various phases of the project,
contributed information about courses and comments about workers’ training needs.
Dr John O’Connor, Stacey Appleton and Amy Hallion are thanked for their support in
collecting and organising the data that formed the basis of this project.
iii
P
reface
This report examines alcohol and other • Prevention, harm reduction,
drugs (AOD), mental health (MH) and application of public health principles,
comorbidity (CM) training opportunities epidemiology
currently available in Australia. It was
• Socio-political and economic
undertaken by the National Centre for
perspectives
Education and Training on Addiction
• AOD models and theories
(NCETA) for the Australian Government
Department of Health and Ageing under • Biological, pharmacological and
the National Comorbidity Initiative (NCI). behavioural factors relevant to AOD
• Indigenous and cultural issues,
The NCI aims to improve coordination
integrated approaches, special
across mental health services and alcohol
populations
and other drug treatment services,
develop best practice guidelines for • Clinical assessment, interventions,
service delivery, and increase professional counselling, advocacy
education and training, thereby increasing
• Promoting change, treatment,
the capacity of clinicians and services to
dependence, withdrawal
better meet the needs of people with
• Skill development (Kennedy & Roche,
AOD and MH comorbidity.
2003).
N
In 2002, the National Centre for Education C
The findings of the review presented E
and Training on Addiction (NCETA) T
A
undertook an examination of AOD tertiary here provide an extension of the work W
undertaken in 2002, with a specific focus O
education and training opportunities for R
on comorbidity. k
Australian frontline workers and those F
O
currently working, or seeking to work, in This report also responds to action 3.1 in RC
the AOD field (NCETA, 2002). The 2002 the report to the Australian Government E D
review revealed a growing availability Department of Health and Ageing, EV
E
of multidisciplinary AOD courses and ‘Assisting Alcohol and Other Drugs lO
electives. Common themes in the content (AOD) non-government organisations to PM
of the courses included: better respond to people with comorbid EN
T
AOD and mental health issues’ (Roche R
E
& Pollard, 2007). The action specified in PO
3.1 was to ‘Collate and critique current RT
S
mental health and comorbidity training’. E
R
This report addresses that requirement. iE
S
iv
v
C
ontents
ExECUTiVE SUMMARy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CHAPTER 1: Training in Context . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
The Training Imperative 13
Prevalence 18
Service System Challenges 20
A Diverse Workforce with Diverse Needs 22
Recognition of Workforce Development Needs 24
Training Efficacy 26
Best Practice 28
Core Requirements 29
Australian Qualifications Framework 32
CHAPTER 2: Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Accredited Courses 35
Non-Accredited Courses 36
N
C
Stakeholder Submissions 37 E
T
A
W
CHAPTER 3: Course Details . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 O
R
k
Accredited AOD, MH and CM Courses 40 F
O
R
Non-Accredited AOD, MH and CM Courses 62 C
E
Psychology Courses 76 D
E
V
E
CHAPTER 4: Submissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 lO
P
M
Comorbidity Content 79
E
N
Strengths Identified 80 T R
E
Deficits 80 PO
R
Alcohol and Other Drugs and Mental Health Integration 81 T S
E
R
Rural and Remote Needs 82 iE
S
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CHAPTER 5: Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Comorbidity Courses and Content 85
Alcohol and Other Drugs and Mental Health Courses 86
Delivery Mode 87
Training Guidelines 88
Training Resources 88
Indigenous Content / Courses 89
Psychology Courses 89
Need for a Nationally Coordinated and Consistent Approach 90
REFERENCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
APPENDiCES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Appendix 1: Australian Qualifications Framework (AQF) 95
Appendix 2: Internet Search Sites 103
Appendix 3: Submission Pro-forma 105
Appendix 4: Submissions Received 107
Appendix 5: Accredited AOD Courses 108
Appendix 6: Accredited MH Courses 113
Appendix 7: Accredited CM Courses 120
Appendix 8: Non-Accredited AOD Courses 121
Appendix 9: Non-Accredited Mental Health Courses 123
Appendix 10: Non-Accredited CM Courses 126
Appendix 11: Psychology Courses 127