‘It was a nice day … a beautiful day’: an analysis of relapse into substance misuse among Indigenous drinkers

Authors

  • ROSA ALATI,

    Corresponding author
    1. School of Social Science, University of Queensland, Australia
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      Rosa Alati MappSc, School of Social Science, University of Queensland, Michie Building QLD 4072, Australia;

  • PRANEE LIAMPUTTONG,

    1. School of Public Health, Latrobe University, Bundoora, Australia
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      Pranee Liamputtong PhD, Associate Professor, School of Public Health, Latrobe University, Bundoora, Australia;

  • CHRIS PETERSON

    1. School of Nursing, Monash University, Frankston, Australia
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      Pranee Liamputtong PhD, Associate Professor, School of Public Health, Latrobe University, Bundoora, Australia;


  • 6

    Chris Peterson PhD, Senior Research Fellow, School of Nursing, Monash University, Frankston, Australia.

School of Social Science, University of Queensland, Michie Building, QLD 4072, Australia, Tel: 07 32552101 or 0414 580622; E-mail: rosalati@ozemail.com.au

Abstract

This paper presents results from a study investigating relapse prevention options for indigenous clients of alcohol and drug intervention services. The study has 63 ‘stories’ collected through a survey of nine substance misuse services. An adapted version of the Marlatt Relapse Prevention Model was developed to interview clients who had quit drinking but later relapsed into heavy use. The study identified situations influencing the decision to quit, obstacles and dilemmas arising during periods of abstinence, and major triggers associated with relapse into substance misuse. The paper analyses these major triggers and discusses the crucial issues of motivation to quit and maintenance of abstinence. The community environments where indigenous drinkers use alcohol strongly influence successful or unsuccessful attempts to quit. Relapse prevention should be part of a range of public health strategies for tackling substance misuse problems with Indigenous drinkers, and should be included at the minimal intervention level.

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