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.
Quick Facts
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)
- Authors:
- Black, Emma, Bruno, Raimondo(4), 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
- Database ID:
- RTHC-04418
Evidence Hierarchy
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.
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Cite This Study
https://rethinkthc.com/research/RTHC-04418APA
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.