Improving Access to Hard-to-Reach Services: A Soft Entry Approach to Drug and Alcohol Services for Rural Australian Aboriginal Communities

Allan, Julaine; Campbell, Michele

doi:10.1080/00981389.2011.581745

Cited by 24Indigenous Health, Education, and RightsSubstance Abuse Treatment and OutcomesHomelessness and Social Issues

Improving Access to Hard-to-Reach Services: A Soft Entry Approach to Drug and Alcohol Services for Rural Australian Aboriginal Communities

Allan, Julaine, Campbell, Michele·2011·Social Work in Health Care

DOI 10.1080/00981389.2011.581745

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Abstract

Australian Aboriginal communities are concerned about drug- and alcohol-related harms in their communities. There are a significantly higher proportion of substance problems experienced by Aboriginal Australians than non-Indigenous Australians. Ways to address these problems are limited by racial barriers to mainstream services, especially in the rural context. Soft entry was an approach designed to increase Aboriginal Australians' access to Drug & Alcohol (D&A) services. The approach was designed to put control over when and how D&A interventions were delivered in the hands of the community and individuals within it by giving them ready access to a human services worker with specialist knowledge. Quantitative and qualitative evaluation methods found that soft entry substantially increased the number of Aboriginal and non-Aboriginal women accessing drug and alcohol services. It fundamentally shifted the power relationship between counselors and community, providing opportunities to develop a non-stigmatizing trustful rapport to facilitate discussion of harmful substance use. The challenges for drug and alcohol counselors were the slow unpredictability of the approach and the need for highly skilled and responsive communication techniques. However, the factor most likely to improve access to services, once trust is developed, is regular and frequent attendance at the service delivery site.

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A 'soft entry' program where community substance abuse counselors offered themselves to an Aboriginal community-led program increased Aboriginal women's treatment engagement.
“a “soft entry” program in which community-based substance abuse counselors offered themselves as a resource to a program led by the aboriginal communities in Australia improved the engagement of aboriginal women in treatment.58”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [58]
Partnership approaches shift power dynamics, which may matter especially for Indigenous communities with colonization histories.
“This partnership approach creates a shift in the power dynamic that may be particularly important for indigenous communities that have faced a history of colonization.58”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [58]

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Authors: Allan, J., & Campbell, M.
Corresponding author: Allan, Julaine
ORCID: Allan, Julaine
Venue: Social Work in Health Care
Publisher: Informa UK Limited
Published: 2011-07
Volume: 50
Issue: 6
Pages: 443-465
ISSN: 0098-1389 (ISSN-L)
1541-034X
DOI: 10.1080/00981389.2011.581745
OpenAlex: W2074755616
Cited by: 24
References: 63
Citations by year: 2026: 1 · 2025: 4 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 1 · 2019: 1 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 2
FWCI: 1.97
Type: journal article
Language: en
Open access: closed
Locations: Social Work in Health Care (publishedVersion)
PubMed (publishedVersion)
Research Bank (Australian Catholic University) (submittedVersion)
Topics: Social Sciences › Health › Indigenous Health, Education, and Rights
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
Keywords: Aboriginal Australians, drug and alcohol services, access to services, rural communities, substance use, racial barriers, community-based intervention, trust and rapport, service attendance
MeSH terms: Alcoholism, Counseling, Female, Health Services Accessibility, Health Services, Indigenous, Humans, Male, New South Wales, Rural Population, Substance Abuse Treatment Centers, Substance-Related Disorders, Social Stigma

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Improving Access to Hard-to-Reach Services: A Soft Entry Approach to Drug and Alcohol Services for Rural Australian Aboriginal Communities

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