The Australasian Professional Society on Alcohol and other Drugs

Current Issue

July 2023, Volume 42, Issue 5

The July 2023 issue features a special section on ‘Drinking in the home’. This includes an editorial and papers on Australians who use alcohol home delivery services; expert stakeholders’ views on the potential nature and impacts of autonomous alcohol home delivery; what drinking in the home entail for younger and older Finns; home drinking during and post-COVID-19 and the silence on domestic violence; patterns and perceptions of solitary home alcohol consumption in an Australian convenience sample; home drinking practices among middle-class adults in midlife during the COVID-19 pandemic; a latent class analysis of drinking patterns and alcohol consumption levels following initial COVID-19 restrictions in Australia, New Zealand and the United Kingdom; and whether Australian adolescents with permission to drink at home engage in different alcohol use behaviours and experience more harms than those without such permission.

Other alcohol-based research addressed the impact of tableside ordering technologies on alcohol sales to the intoxicated; women's alcohol consumption in the early parenting period and influences of socio-demographic and domestic circumstances; trends in alcohol expenditure in Australia; trends in and factors associated with parental provision of alcohol to minors in Western Australia; characteristics associated with buying alcohol to-go and for delivery during the first year of the COVID-19 pandemic; and why stigma matters in addressing alcohol harm.

This issue included papers on tobacco and nicotine replacement therapies, with research on how patients and staff in an opioid agonist treatment service view smoking cessation medications and e-cigarettes; the tobacco industry's uses of science for public relations purposes; and common adverse events of electronic cigarettes compared with traditional nicotine replacement therapies. There is also a commentary on how nicotine vaping should be regulated in Australia, with comments from Bullen, Laking and Walker, Gartner and a response from the original authors.

A collection of papers from Canada and America focus on cannabis and legalisation, discussing youth emergency department visits for cannabis-related disorders and poisoning; access to the legal cannabis market in Canada following non-medical cannabis legalisation; whether the cannabis recreational use law affected traffic crash outcomes in Toronto; age, period and cohort effects on time trends in monthly cannabis use in adult population; and self-reported THC content and associations with perceptions of feeling high. A German paper also looks at the prices of flower and resin in cannabis social clubs.

Other research in this issue focuses on a range of topics, including COVID-19 vaccine attitudes and facilitators among people in Australia who inject drugs; media reporting on alcohol and other drugs in Australia and the Mindframe guidelines; temporary abstinence challenges; the impact of organisational factors on treatment outcomes for those seeking alcohol or other drug treatment; and health outcomes and service use patterns associated with co-located outpatient mental health care and alcohol and other drug specialist treatment.


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Comprehensive Reviews

A systematic review of quality of life and health-related quality of life as outcomes in substance and behavioural addictions
Andrew Dyer, Jan R. Böhnke, David Curran, Katie McGrath, Paul Toner
13 July 2023 | DOI:


Original Papers

Using ADAPT-ITT framework to tailor evidence-based interventions for addressing methamphetamine use among methadone patients in Vietnam
Le Minh Giang, Nguyen Thu Trang, Dinh Thanh Thuy, Hoa H. Nguyen, Nguyen Bich Diep, Hoang Thi Hai Van, Thai Thanh Truc, Cathy J. Reback, Michael Li, Do Van Dung, Steve Shoptaw
23 August 2023 | DOI:

Alcohol relapse prevention health care after alcohol withdrawal in New South Wales prisons, Australia: A patient file review
Yichao Liang, Jillian Roberts, Katherine Conigrave, Sobi Kim, Michael F. Doyle
22 August 2023 | DOI:

What impacts the acceptability of wearable devices that detect opioid overdose in people who use opioids? A qualitative study
Basak Tas, Hollie Walker, Will Lawn, Faith Matcham, Elena V. Traykova, Rebecca A. S. Evans, John Strang
19 August 2023 | DOI:

Illicit drugs in the emergency department: Can we determine on clinical grounds if patients are intoxicated? Results from the Western Australian Illicit Substance Evaluation (WISE) study
David McCutcheon, Jessamine Soderstrom, Mohan Raghavan, Francois Oosthuizen, Bianca Douglas, Sally Burrows, Jennifer L. Smith, Daniel Fatovich
16 August 2023 | DOI:

Alcohol-related sexual harassment in the workplace: A between and within industry analysis
Ingeborg Lund, Inger Synnøve Moan, Torleif Halkjelsvik
14 August 2023 | DOI:

Learnings from a prison-based drug treatment program on planning for release: A qualitative study
Bebe D’Souza, Tony Butler, Anthony Shakeshaft, Ivan Calder, Katherine Conigrave, Michael Doyle
13 August 2023 | DOI:

Trend over time on knowledge of the health effects of cigarette smoking and smokeless tobacco use in Bangladesh: Findings from the International Tobacco Control Policy Evaluation Bangladesh Surveys
Eva Naznin, Johnson George, Pete Driezen, Kerrin Palazzi, Olivia Wynne, Nigar Nargis, Geoffrey T. Fong, Billie Bonevski
11 August 2023 | DOI:

Development and validation of a Chinese Drinking Expectancies Questionnaire for young adults: A Hong Kong study
Rufina H. W. Chan, Dong Dong, Ka-Chun Chong, Jean H. Kim
11 August 2023 | DOI:

Evaluating the prevalence of current hepatitis C infection and treatment among Aboriginal and Torres Strait Islander peoples who inject drugs in Australia: The ETHOS engage study
Steven Hobday, Heather Valerio, Troy Combo, Robert Monaghan, Clarke Scott, David Silk, Carolyn Murray, Phillip Read, Charles Henderson, Louisa Degenhardt, Carla Treloar, Gregory J. Dore, Jason Grebely, Marianne Martinello, on behalf of the ETHOS Engage Study Group
9 August 2023 | DOI:

Shifts in the Australian public's opinions towards alcohol policies: 2004–2019
Alexandra Torney, Robin Room, Heng Jiang, Michael Livingston, Sarah Callinan
31 July 2023 | DOI:

Dose–response relationship between alcohol consumption and workplace absenteeism in Australia
Melvin Barrientos Marzan, Sarah Callinan, Michael Livingston, Heng Jiang
30 July 2023 | DOI:

Substance use trajectories among emerging adult Black men: Risk factors and consequences
Elizabeth Kwon, Assaf Oshri, Tamika C. B. Zapolski, Heather Zuercher, Steven M. Kogan
24 July 2023 | DOI:

Within-person associations between alcohol use and memory lapses among middle-aged and older adults
Sara E. Miller, Jacqueline A. Mogle, Ashley N. Linden-Carmichael, David M. Almeida
19 July 2023 | DOI:

Methamphetamine and emerging drugs of concern: A training needs analysis of Australian alcohol and other drug helplines
Florence Bascombe, Krista J. Siefried, Brendan Clifford, Stacey Child, Rick Loos, Hazel Sgouras, Lynn Stevens, Hollie Wilson, Nadine Ezard
15 July 2023 | DOI:

Low rates of prescribing alcohol relapse prevention medicines in Australian Aboriginal Community Controlled Health Services
Gemma Purcell-Khodr, James H. Conigrave, K. S. Kylie Lee, Julia Vnuk, Katherine M. Conigrave
9 July 2023 | DOI:

Association between prescription drug monitoring programs use mandates and prescription stimulants received by Medicaid enrollees
Christian Gunadi, Yuyan Shi
4 July 2023 | DOI:

Health-care practitioner use of prescription drug monitoring programs in clinical practice in Australia: A qualitative study
Dimi Hoppe, Chaojie (George) Liu, Hanan Khalil
4 July 2023 | DOI:

Examining the association between psychological distress and alcohol use in Australian adolescents over a period of declining consumption
Natalie Cerocchi, Yvette Mojica-Perez, Michael Livingston, Shalini Arunogiri, Amy Pennay, Sarah Callinan
3 July 2023 | DOI:


Brief Reports



Engaging families and parent advocates in research on substance use and drug policy reform: Guiding principles from a Canadian community-academic partnership
Rebecca J. Haines-Saah, Heather Morris, Petra Schulz, Emily Jenkins, Elaine Hyshka
22 August 2023 | DOI:


Letters to the Editor

A call for concern: Frailty in middle-aged adults with alcohol use disorder
Ripley J. Corbett, Sarah K. Blakemore, Erica G. Martin, Lauren A. Monds, Mark E. Montebello
16 August 2023 | DOI:


Upcoming Special Section - How substance use is portrayed in digital media and what impacts can it have

Do you ‘like’ problems? The linkage between college students' interactions with alcohol-related content on social media and their alcohol-related problems
Mai-Ly N. Steers, Megan Strowger, Angela B. Tanygin, Rose Marie Ward
4 August 2023 | DOI:

A qualitative analysis of adolescents' perspectives on peer and influencer alcohol-related posts on social media
Erin Corcoran, Hannah Doucette, Jennifer E. Merrill, Melissa Pielech, Gabriela López, Amy Egbert, Shimei Nelapati, Joy Gabrielli, Suzanne M. Colby, Kristina M. Jackson
2 August 2023 | DOI:

Understanding and preventing the advertisement and sale of illicit drugs to young people through social media: A multidisciplinary scoping review
Ashly Fuller, Marie Vasek, Enrico Mariconti, Shane D. Johnson
31 July 2023 | DOI:

Following social media influencers who share alcohol-related content is associated with college drinking
Megan Strowger, Rachel Ayala Guzman, Rachel B. Geyer, Rose Marie Ward, Abby L. Braitman
29 May 2023 | DOI:

Exposure to media with alcohol-related content across young adulthood: Associations with risky drinking and consequences among high-risk 2- and 4-year college students
Scott Graupensperger, Brian H. Calhoun, Anne M. Fairlie, Christine M. Lee
29 March 2023 | DOI:

The impact of sexual scripts in brand-generated cannabis social media posts on sex-related cannabis expectancies: Does body appreciation moderate effects?
Jessica Fitts Willoughby, Stacey J. T. Hust, Leticia Couto, Jiayu Li, Soojung Kang, Christina Griselda Nickerson, Ron Price, Sandy Tlachi-Munoz
18 March 2023 | DOI:

Rolling through TikTok: An analysis of 3,4-methylenedioxymethamphetamine-related content
Jai Whelan, Geoffrey E. Noller, Ryan D. Ward
14 March 2023 | DOI:

What is the hype on #MedicinalCannabis in the United States? A content analysis of medicinal cannabis tweets
Carmen C. W. Lim, Tianze Sun, Coral Gartner, Jason Connor, Marco Fahmi, Wayne Hall, Sam Hames, Daniel Stjepanović, Gary Chan, Janni Leung
21 February 2023 | DOI:

Subjective norms as a mediator between exposure to online alcohol and marijuana content and offline use among adolescents
Julie V. Cristello, Dana M. Litt, Matthew T. Sutherland, Elisa M. Trucco
14 February 2023 | DOI:

Content and sentiment analysis of gabapentinoid-related tweets: An infodemiology study
Stephanie Mathieson, Mary O'Keeffe, Adrian C. Traeger, Giovanni E Ferreira, Christina Abdel Shaheed
20 December 2022 | DOI:

Alcohol corporations and the metaverse: Threats to public health?
Taisia Huckle, Sally Casswell
29 October 2022 | DOI:


Upcoming Special Section - Youth drinking trends

Mind the gap! Gender differences in alcohol consumption among Swedish ninth graders 1989–2021
Jonas Raninen, Mats Ramstedt, Siri Thor, Jukka Törrönen
11 July 2023 | DOI:

Risk and restraint—The key to understanding the decreasing use of alcohol for young people in high income countries?
Amy Pennay, Gabriel Caluzzi, Michael Livingston, Sarah MacLean
11 July 2023 | DOI:

Geographies of alcohol and generation: Examining the decline in youth drinking in England through a spatial lens
Laura Fenton, Hannah Fairbrother, Victoria Whitaker, Madeleine Henney, Abigail Kate Stevely, John Holmes
4 July 2023 | DOI:

Understanding youth drinking decline: Similarity and change in the function and social meaning of alcohol use (and non-use) in adolescent cohorts 20 years apart
Jude Ball, Michaela A. Pettie, Loleseti Poasa, Gillian Abel
24 May 2023 | DOI:

Changes in co-use of alcohol and cannabis among Nordic adolescents in the 21st century: Results from the European School Survey Project on Alcohol and Other Drugs study
Kirsimarja Raitasalo, Ingeborg Rossow, Inger Synnøve Moan, Elin K. Bye, Johan Svensson, Siri Thor, Ola Ekholm, Veronica Pisinger, Ársæll Arnarsson, Kim Bloomfield
24 April 2023 | DOI:

Psychosocial correlates of drinking transitions: A longitudinal study among adolescents in Sweden
Lars Sjödin, Patrik Karlsson, Jonas Raninen
28 February 2023 | DOI:


Upcoming Special Section - Vale Jude Byrne

Increasing linkage to hepatitis C care following trauma-informed rehabilitation: An education and quality improvement project among women
Agustina Crespi, Rafique Van Uum, Helen Lathouris, Chelsea Masterman, Kody Muncaster, Kayla Gaete, Camelia Capraru, Hemant Shah, Jordan J. Feld, Mia J. Biondi
13 July 2023 | DOI:

Factors associated with hepatitis C treatment uptake among females of childbearing age in New South Wales, Australia: A population-based study
Heather Valerio, Maryam Alavi, Alison D. Marshall, Behzad Hajarizadeh, Janaki Amin, Matthew Law, Shane Tillakeratne, Jacob George, Louisa Degenhardt, Jason Grebely, Gail V. Matthews, Gregory J. Dore
30 May 2023 | DOI:


Drug and Alcohol Review - Clinician's Corner

DAR Front Cover

Substance use, health and recovery capital





The co-occurrence of mental and physical health conditions among people presenting to treatment for substance use disorders is well established. Although there has been substantial research and policy investment to improving the way mental health needs are managed by the alcohol and other drug (AOD) workforce, this has not been the case for addressing physical health comorbidities and health-risk behaviours. In our study, we collate previous research offering some insight on the factors that may contribute to a more passive approach to physical health within AOD treatment services.  Given the impact of poor physical health on the life expectancy, treatment outcomes and increased risk of relapse among people living with substance use disorders, it is important to understand how the AOD workforce and individuals attending treatment view physical health in the process of transitioning away for AOD use.

Our research [1] involved interviews with both clients receiving treatment and staff working within AOD treatment services. Data analysis was informed by recovery capital frameworks [2], which have increasingly gained currency within the AOD sector, providing a useful construct for recovery-oriented treatment models. Recovery capital frameworks are used to identify sources of ‘capital’ that may contribute negatively or positively to an individual’s overall capacity to overcome problematic substance use. The construct has been used extensively to build and reinforce social and community resources for sustained recovery [3,4]. Relative to other sources of recovery capital, physical health has received little research attention [5-7].

Our study found that physical health was perceived to have a multifarious role in the process of AOD recovery that extended beyond the absence of pathology. Opportunities to address physical health needs or make changes to health-related behaviours facilitated knowledge and skill acquisition, fun, social connection and autonomy among those in treatment. Additionally, improvements to physical health were considered by participants to ameliorate sources of negative recovery capital such as chronic pain, boredom, social isolation and symptoms associated with compromised mental health.

Reiterating the findings of previous research, our study indicated that failing to address physical health during treatment can pose a significant threat to recovery. In particular, pain and discomfort stemming from poor physical health was considered a risk factor for relapse and the development of iatrogenic addiction to prescription medications. Additionally, unmet health needs were reported to perpetuate mental health conditions and erode hopefulness for the future, both perceived to influence one’s motivation to maintain a drug-free lifestyle. The study provides evidence to dispute the notion that those attending treatment for substance use disorders are uninterested or unmotivated to address their physical health, as has been reported on in previous research [8,9].

The various pathways in which improved physical health was indicated to generate recovery capital suggests that the AOD workforce have a distinct role when it comes to integrating care for the physical health conditions that tend to co-occur with substance use. Akin to strength-based approaches, recovery capital may provide a useful heuristic for the AOD workforce when addressing the physical health needs of their clients. As a construct, recovery capital provides a framework that reorients treatment to the generation of positive recovery capital rather than remaining preoccupied with the adversities that can coincide with the physical health sequalae of substance use [10]. It also provides a straightforward means for formulating ways to ameliorate sources of negative recovery capital, for example, replacing health risk behaviours (e.g., sedentariness, poor diet) with alternatives [11]. The potential of recovery capital to support the AOD workforce in addressing client physical health is yet to be examined but is an area of research that warrants further inquiry.

Briony Osborne1,2, Peter J. Kelly1,2

1School of Psychology, University of Wollongong, Wollongong, Australia

2Illawarra Health and Medical Research Institute, Wollongong, Australia



  1. Osborne B, Kelly PJ. Substance use disorders, physical health and recovery capital: Examining the experiences of clients and the alcohol and other drug workforce. Drug Alcohol Rev. 2023 [Epub ahead of print].
  2. Cloud W, Granfield R. Natural recovery from substance dependency. J Soc Work Pract Addict. 2001;1:83-104.
  3. Laudet AB, White W. What are your priorities right now? Identifying service needs across recovery stages to inform service development. J Subst Abuse Treat. 2010;38:51-9.
  4. Laudet AB, White WL. Recovery capital as prospective predictor of sustained recovery, life satisfaction, and stress among former poly-substance users. Subst Use Misuse. 2008;43:27-54.
  5. Best D, Hennessy EA. The science of recovery capital: where do we go from here? Addiction. 2022;117:1139-45.
  6. Best D, Ivers J-H. Inkspots and ice cream cones: a model of recovery contagion and growth. Addict Res Theory. 2022;30:155-61.
  7. Neale J, Nettleton S, Pickering L. Gender sameness and difference in recovery from heroin dependence: A qualitative exploration. Int J Drug Policy. 2014;25:3-12.
  8. Osborne B, Kelly PJ, Robinson LD, Ivers R, Deane FP, Larance B. Facilitators and barriers to integrating physical health care during treatment for substance use: A socio-ecological analysis. Drug Alcohol Rev. 2021;40:607-16.
  9. Tremain D, Freund M, Bowman J, Wolfenden L, Wye P, Dunlop A, et al. Substance use treatment clinician attitudes to care for chronic disease health risk behaviours and associations of attitudes with care provision. Drug Alcohol Rev. 2020;39:232-7.
  10. Eddie D, Greene M, White W, Kelly J. Medical burden of disease among individuals in recovery from alcohol and other drug problems in the United States: Findings from the National Recovery Survey. J Addict Med. 2019;13:385-95.
  11. Kelly PJ, Baker AL, Fagan NL, Turner A, Deane F, McKetin R, et al. Better health choices: Feasability and preliminary effectiveness of a peer delivered healthy lifestyle intervention in a community mental health setting. Addict Behav. 2020;103:106249.


This article is available Open Access.