Cannabis was the primary concern for 15% of people entering drug treatment in New South Wales

Among 14,087 people entering publicly funded drug treatment in New South Wales, cannabis was the primary drug of concern for 15%, and most treatment seekers regardless of primary substance reported poor psychological health and quality of life.

Black, Emma et al.·The Medical journal of Australia·2023·Moderate EvidenceProspective Cohort
RTHC-04418Prospective CohortModerate Evidence2023RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Prospective Cohort
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

Of 14,087 treatment entrants, alcohol was the primary concern for 43%, opioids for 22%, amphetamine-type stimulants for 18%, cannabis for 15%, and cocaine for 2%. Two-thirds were male, half were aged 20-39, and large proportions reported poor psychological health (47-59%), poor physical health (32-44%), and poor quality of life (43-52%). Polysubstance use was common, particularly among opioid and stimulant groups. Daily tobacco use ranged from 53-82% across groups.

Key Numbers

14,087 treatment entrants; 66.5% male; 86.7% Australian-born; cannabis primary concern for 2,098 (15%); poor psychological health: 47-59%; poor physical health: 32-44%; poor quality of life: 43-52%; daily tobacco: 53-82%

How They Did This

Baseline analysis of a prospective cohort study using Australian Treatment Outcomes Profile assessments and electronic medical records from six NSW local health districts/networks, covering treatment entries from July 2016 to June 2019.

Why This Research Matters

This is one of the largest Australian studies characterizing people entering public drug treatment, showing that cannabis treatment seekers have high rates of social disadvantage and poor health comparable to those seeking help for other substances.

The Bigger Picture

The high prevalence of polysubstance use and poor health across all primary drug groups suggests that treatment services need comprehensive, holistic approaches rather than substance-specific programs.

What This Study Doesn't Tell Us

Limited to publicly funded treatment services in one Australian state. People who do not seek treatment are not represented. Self-reported health measures may not reflect clinical assessments. Cannabis group characteristics may differ in other countries.

Questions This Raises

  • ?How do treatment outcomes compare across primary drug groups?
  • ?Do cannabis treatment seekers have different long-term trajectories than those presenting for other substances?

Trust & Context

Key Stat:
15% of 14,087 treatment seekers listed cannabis as primary concern
Evidence Grade:
Large prospective cohort from multiple health districts with standardized assessment tools, though limited to one Australian state and publicly funded services.
Study Age:
Published 2023 using 2016-2019 data
Original Title:
Substance use, socio-demographic characteristics, and self-rated health of people seeking alcohol and other drug treatment in New South Wales: baseline findings from a cohort study.
Published In:
The Medical journal of Australia, 219(5), 218-226 (2023)
Database ID:
RTHC-04418

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-ControlFollows or compares groups over time
This study
Cross-Sectional / Observational
Case Report / Animal Study

Enrolls participants and follows them forward in time.

What do these levels mean? →

Frequently Asked Questions

How common is cannabis as a reason for seeking drug treatment?

In this Australian study, cannabis was the primary drug of concern for 15% of 14,087 people entering publicly funded treatment, making it the fourth most common reason after alcohol (43%), opioids (22%), and amphetamines (18%).

What health problems do cannabis treatment seekers have?

Like those seeking treatment for other substances, cannabis treatment seekers reported high rates of poor psychological health (47-59%), poor physical health (32-44%), and poor quality of life (43-52%). Most also used tobacco daily.

Read More on RethinkTHC

Cite This Study

RTHC-04418·https://rethinkthc.com/research/RTHC-04418

APA

Black, Emma; Bruno, Raimondo; Mammen, Kristie; Mills, Llewellyn; Siefried, Krista J; Deacon, Rachel M; Shakeshaft, Anthony; Dunlop, Adrian J; Ezard, Nadine; Montebello, Mark; Childs, Steven; Reid, David; Holmes, Jennifer; Lintzeris, Nicholas. (2023). Substance use, socio-demographic characteristics, and self-rated health of people seeking alcohol and other drug treatment in New South Wales: baseline findings from a cohort study.. The Medical journal of Australia, 219(5), 218-226. https://doi.org/10.5694/mja2.52039

MLA

Black, Emma, et al. "Substance use, socio-demographic characteristics, and self-rated health of people seeking alcohol and other drug treatment in New South Wales: baseline findings from a cohort study.." The Medical journal of Australia, 2023. https://doi.org/10.5694/mja2.52039

RethinkTHC

RethinkTHC Research Database. "Substance use, socio-demographic characteristics, and self-r..." RTHC-04418. Retrieved from https://rethinkthc.com/research/black-2023-substance-use-sociodemographic-characteristics

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.