Ann M Roche

Ann M Roche
Flinders University · National Centre for Education and Training on Addiction

PhD

About

249
Publications
44,098
Reads
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4,094
Citations
Citations since 2017
45 Research Items
1657 Citations
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Introduction
Professor Ann Roche is Director of the National Centre for Education and Training on Addiction (NCETA), Flinders University. She has over 40 years’ experience in public health as a researcher, educator, and policy analyst and has held academic posts at the University of Sydney, the University of Newcastle, Queensland University and Finders University. Her research goals over the past 30 years have been to improve responses to alcohol and other drug-related problems through innovative organisational and behaviour change initiatives with a particular focus on research translation and dissemination.
Additional affiliations
September 2000 - present
Flinders University
Position
  • Managing Director

Publications

Publications (249)
Article
Australian's cocaine use is at record levels. Large increases occurred between 2016-2019, with significant increases predominately found among employed Australians. Patterns, and prevalence of workers' cocaine use were examined using the 2016 and 2019 National Drug Strategy Household Survey data via frequency analyses. Logistic regression modelling...
Article
Patterns, prevalence and predictors of past year cannabis use were examined by industry and occupation groups through secondary analyses of Australia’s triennial National Drug Strategy Household Surveys (2010, 2013, 2016, 2019). Frequency analyses examined cannabis prevalence. Logistic regression models estimated adjusted effects of demographics on...
Article
Full-text available
Alcohol and other drugs (AOD) work is rewarding and demanding, creating challenges for workforce sustainability. This study examined two key occupational groups within the AOD workforce: nurses and counsellors. Cross-sectional data from an Australian online survey of the AOD workforce was analysed to identify the socio-demographic and organisationa...
Article
Introduction Australian workers’ daily tobacco smoking over time was examined by industry, and occupation, to identify factors associated with high/low prevalence. Methods Secondary analyses of 2007, 2010, 2013 and 2016 National Drug Strategy Household Surveys were undertaken (pooled n=49,395). Frequency analyses informed subsequent modelling of s...
Article
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The alcohol and other drugs (AOD) sector has shown strong progress with regard to recognition, professionalism and international programs of training and credentialing. Yet little is known regarding the professional development (PD) needs of AOD workers, nor how these needs differ across career stages. Australian AOD workers (N = 812) from the gove...
Article
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Objectives This brief report describes a survey design process undertaken in collaboration with industry stakeholders from government, non-government and other applied fields. This account highlights fundamental and contested issues of knowledge creation in research, situated within the broader contemporary context of social change addressing inequ...
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Objective: To map patterns and prevalence of daily smoking among employed Australians over time. Methods: Data from four waves of the triennial National Drug Strategy Household Survey (2007, 2010, 2013 and 2016) were used to assess daily smoking. Frequency analyses and significance testing examined smoking prevalence by sex, age, state, remoteness,...
Article
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Background: Globally, there is growing concern regarding workers’ illicit drug use and its implications for health and workplace safety. Young workers in male-dominated industries, such as construction, may be more susceptible to illicit drug use, risky drinking and its associated harms. Purpose/objectives: To investigate drug use and perceptions o...
Article
Introduction There is growing interest in the role of the non‐government sector in the alcohol and other drug (AOD) service delivery system. This study examined the demographic profile of AOD workers in the non‐government (NGO) compared to government sector, to ascertain their professional development needs, job satisfaction, retention and turnover...
Article
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Introduction: Alcohol and other drug (AOD) work can be highly meaningful and satisfying, but also intense and highly demanding. This combination often creates significant strain for workers. Mirroring this complexity, this study considered the predictors and outcomes of the concurrent experience of burnout and engagement in AOD workers. The Job De...
Article
Objective: Older workers are increasingly prevalent in health and human services, including the alcohol and other drug (AOD) sector. Their turnover intentions have important implications for service system stability and retention. Methods: Descriptive and regression analyses of survey data examined age-related differences (<50, ≥50 years old) in...
Article
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Issues addressed Recent reductions in young people’s risky alcohol use have been widely documented but have not been examined among employed youth. Young workers’ risky drinking may have corresponded with increased illicit drug use. This study investigated these issues. Methods Secondary analyses were conducted for 15‐24 year old Australian worker...
Article
Background: Mental health problems are prevalent in male-dominated industries such as construction, where suicide rates are higher than the population average and help-seeking is typically low. Objective: To examine psychological distress in Australian construction workers and its relationship with help seeking via two hypothesised mediators: co...
Article
Objective To identify strengths and challenges faced by alcohol and other drug (AOD) non-government (NGO) workers in New South Wales (NSW), Australia to inform future workforce planning initiatives. Methods An online survey assessed workers’ demographics, organizational characteristics, health and wellbeing. Results Respondents (N = 294) were mai...
Article
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Objectives: Alcohol consumption and harms among older people are increasing. We examined different demographic characteristics and drinking patterns among an older population. Methods: Secondary analyses of nationally representative Australian data; subjects aged 50+ years ( N = 10,856). Two-step cluster analysis was performed to identify demograph...
Article
Background: Effective delivery of alcohol and other drug (AOD) treatment is reliant on a skilled, experienced, and satisfied workforce. The need to recruit and train workers is universally acknowledged. It is equally important to retain staff, given global shortages of health and human services workers. As few studies have investigated predictors o...
Article
Introduction and Aims Globally, there is growing concern regarding workers' alcohol use and its implications for health, wellbeing and workplace safety. Male‐dominated industries are more susceptible to risky alcohol consumption and its associated harms. This paper investigated the patterns, prevalence and predictors of risky drinking among constru...
Article
Employee drug use poses a serious risk to health and safety in male-dominated industries yet patterns and determinants of drug use in construction are not well understood. This study assessed prevalence rates and predictors of Australian construction workers’ use of cannabis, cocaine and meth/amphetamine. Workers (N = 511) completed a survey that a...
Article
Background The alcohol and other drugs (AOD) workforce faces multiple challenges including stigma, limited resources, ideological conflicts and complex demands. An engaged, supported and stable workforce is essential for optimal service provision, quality care, effective harm reduction implementation and cost efficiency. However little research has...
Article
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Background Workers with lived experience of problematic alcohol and other drug (AOD) use are increasingly recognized as integral to the AOD field. However, little is known about the prevalence or characteristics of AOD workers with lived experience across the general AOD workforce, in Australia or internationally. This study aimed to (1) investigat...
Article
Introduction and aims: Australia has an ageing population. Given the concomitant increase in the numbers and proportion of risky drinkers among older adults, research examining contributory factors is a priority. The current study examined older adults' estimates of the NHMRC low-risk drinking guidelines, consumption patterns and associated harms...
Article
Introduction and aims: Quality of life (QOL) is increasingly recognised as an important treatment indicator in the alcohol and other drug (AOD) sector, particularly in treatment modalities providing 'whole of life programmes', such as residential rehabilitation. However, it is currently unclear how studies conducted in AOD residential rehabilitati...
Article
While there is a long-standing and commonly held belief that the characteristics of the alcohol and other drug (AOD) workforce and workplace can impact client treatment outcomes, the available literature has not been systematically reviewed to date. Knowing which characteristics may impact treatment outcomes can help maximise workforce development...
Article
Introduction: To identify studies reporting costs arising from tobacco use and detail their 1) economic approaches, 2) health outcomes, and 3) other cost areas included. Methods: PubMed, SCOPUS, Cochrane Library, EconLit, and Google scholar for studies published between 2008 and April 2018 in English. Eligible papers reported tobacco-related costs...
Chapter
This chapter addresses changes in the conceptualization of workforce development and its implications for mental health and addiction1 workers, services, and sectors. First we provide an overview of the background, historical and contextual factors impacting current approaches to workforce development. Next, an examination of systems thinking, serv...
Chapter
Stigma related to alcohol and other drug (AOD) use is highly prevalent in society, including within the workplace. Workers who use AOD in ways contrary to social norms may be subject to negative assumptions regarding their capacity to be valuable employees. As a result, they can experience discrimination in hiring and career progression decisions,...
Article
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A global online survey of Employee Assistance Program (EAP) professionals regarding EAP characteristics and development was conducted. Seventy-four respondents from 25 countries participated. Key developmental drivers identified were consumer demand and industry-based initiatives. EAPs were typically delivered by private “for-profit” organizations....
Article
Globally, there are increasing concerns about the harms associated with methamphetamine use. This paper i) reports on the results of a cost-of-illness (CoI) study that quantified the social costs associated with methamphetamine use in Australia and, ii) drawing on examples from this study, critically examines the general applicability of CoI studie...
Article
Purpose Risky alcohol and other drug (AOD) use is ubiquitous in some workplace cultures, and is associated with considerable risks to health, safety and productivity. A workplace drug and alcohol first aid program was developed to support supervisors and managers to recognize and respond appropriately to AOD problems, increase knowledge of AOD and...
Poster
Full-text available
This systematic review is part of a larger research project named Horizons. More information can be found here: https://ndarc.med.unsw.edu.au/project/alcohol-and-other-drug-treatment-funding-purchasing-and-workforce-empirical-analyses-inform
Article
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Background: There is increasing recognition that the workplace holds potential as an alcohol prevention/intervention setting. However, few robust studies of workplace interventions have been conducted. Research to-date has yielded mixed results. The current study aimed to address this knowledge gap by undertaking a process evaluation of the Workpla...
Article
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Introduction and aims: The workplace holds substantial potential as an alcohol harm reduction and prevention setting. Few studies have rigorously examined strategies to reduce workplace alcohol-related harm. Hence, an in-situ 3 year trial of a comprehensive alcohol harm reduction intervention in Australian manufacturing workplaces was undertaken....
Article
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Purpose Young Australian workers are at elevated risk of mental health and alcohol and other drug related problems. The purpose of this paper is to examine the relationship between alcohol and drug (AOD) use, psychological wellbeing, and the workplace psychosocial environment among young apprentices in the construction industry. Design/methodolog...
Article
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Introduction and aims: Health and community service workers frequently encounter people with alcohol and other drug (AOD) problems in the course of their work, yet few have had training on how to respond effectively. A Drug and Alcohol First Aid workshop was developed by Lyndon, a non-government organisation treatment provider, and delivered to co...
Article
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Academic rigour, journalistic flair If you ask someone what a typical heavy drinker or drug user looks like, they're probably more likely to evoke images of Gen Ys with tattoos and piercings than greying baby boomers. But recent Australian data, outlined in our British Medical Journal editorial today, shows rates of alcohol and drug use are actuall...
Chapter
Recent years have seen increasing research exploring the relationship between stress and alcohol and/or drug use. This chapter provides a review of current research in this area. An overview of the neurobiological mechanisms underlying the stress-substance use association is first provided. A typology of ten different types of stressors is then pro...
Chapter
This chapter addresses changes in the conceptualization of workforce development and its implicationsfor mental health and addiction1 workers, services, and sectors. First we provide an overview of thebackground, historical and contextual factors impacting current approaches to workforce development.Next, an examination of systems thinking, service...
Technical Report
Full-text available
While in recent years many Australian teenagers choose not to drink at all, in 2016 one in five 14-19 year olds still drank at levels that put them at risk of injury, at least once a month (1). Teenagers are particularly vulnerable to alcohol-related harms – 15-19 year olds have the highest per capita alcohol related emergency department presentati...
Article
Full-text available
Over the past two decades, there has been a major paradigm shift in the conceptualisation of workforce development for the alcohol and other drugs (AOD) sector. Foremost, in this regard, is the shift towards a systems approach. Unlike more traditional approaches, which predominantly address the immediate education and training needs of individual w...
Article
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Objective: This study investigated whether lifetime and recent methamphetamine use (including crystal methamphetamine) differed among city, regional and rural residents and whether particular subpopulations were more at-risk. Design: Secondary analyses of the last three National Drug Strategy Household Surveys and corresponding Alcohol and Other...
Article
Objective: To examine the prevalence and predictors of cannabis use among older Australians and discuss implications for service provision. Method: Secondary analyses were conducted on the 2004 and 2013 National Drug Strategy Household Survey, a large and nationally representative data set. Frequency analyses explored the distribution of demogra...
Article
Full-text available
Among men, depression is often unrecognised and untreated. Men employed in male-dominated industries and occupations may be particularly vulnerable. However, efforts to develop tailored workplace interventions are hampered by lack of prevalence data. A systematic review of studies reporting prevalence rates for depression in male dominated workforc...
Article
Background Considerable attention has been focused on the impact of young people’s alcohol use. To address this, schools often implement alcohol and drug education and there are many potential programmes to choose from. Objective The aim of this study was to identify evidence-based alcohol education programmes for schools. Methods A systematic re...
Article
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Background: There is growing interest in workplace policies as a strategy to prevent or manage alcohol and other drug (AOD) problems. This study is the first to explore the prevalence and impact of AOD policies in Australian workplaces using a nationally representative dataset. Methods: A secondary analysis of the 2010 National Drug Strategy Hou...
Article
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Social determinants, or the conditions in which individuals are born, grow, live, work and age, can result in inequities in health and well-being. However, to-date little research has examined alcohol use and alcohol-related problems from an inequities and social determinants perspective. This study reviewed the evidence base regarding inequities i...
Article
Absenteeism related to alcohol and other drug (AOD) use can place a substantial burden on businesses and society. This study estimated the cost of AOD-related absenteeism in Australia using a nationally representative dataset. A secondary analysis of the 2013 National Drug Strategy Household Survey (n=12,196) was undertaken. Two measures of AOD-rel...
Technical Report
Full-text available
There is increasing concern about methamphetamine use in the community and among workers. This document provides information on methamphetamine use and its implications for workplaces. For more information and resources visit the NCETA website at: http://nceta.flinders.edu.au/
Technical Report
Full-text available
There is growing concern about methamphetamine use in Australia. This document provides an overview of current patterns and trends in methamphetamine use and associated harms in Australia, with a particular focus on ice. For more information and resources visit the NCETA website: http://nceta.flinders.edu.au/
Technical Report
Full-text available
There is increasing concern about the use of methamphetamine in Australia. In particular, growing attention has focused on the use of the crystalline form of methamphetamine known as 'ice'. There is currently a lack of understanding about who uses methamphetamine, whether more people are using now than in the past, and what risks and harms are asso...
Article
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Aims: Workforce entry is a key transition period. It offers an ideal, but under-utilised opportunity to implement intervention strategies to prevent mental health and substance use problems among young people. A brief psychological wellbeing and substance use intervention targeting a high-risk group – apprentice chefs – was undertaken to explore th...
Book
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This guide was developed to assist specialist and generalist clinicians to assess and respond to the needs of older people experiencing, or at risk of experiencing, alcohol- and other drug-(AOD) related harm. Longer life expectancy, more people living longer, and different expectations of current and future generations of older people will increase...
Article
Full-text available
Trainee chefs beginning work for the first time are vulnerable to risky levels of alcohol and other drug (AOD) use. The present study explores the nature and extent of AOD use among this population, drivers of use, and correspondence with the stress, availability, social norms, and culture theories of employee substance use. Nine focus groups were...
Article
Australian vocational education and training (VET) has undergone major reforms since the 1990s, including the introduction of competency based training (CBT) and the ‘streamlining’ of qualifications. This paper examines the impact of these reforms, using the alcohol and other drugs sector as a case illustration. A survey of alcohol and other drugs...
Technical Report
FundAssist aims to help non-government alcohol and other drug organisations prepare, plan, and write successful funding applications. The resource was commissioned by the Network of Alcohol and Other Drug Agencies (NADA) on behalf of the alcohol and other drug peak bodies and developed by the National Centre for Education and Training on Addiction...
Conference Paper
In recent years there have been increased efforts to enhance the extent to which alcohol and other drugs (AOD) treatment services can implement strategies aimed at achieving positive outcomes for both clients and their children. A study conducted by the National Centre for Education and Training on Addiction (NCETA) in 2013 reviewed the policy fram...
Article
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Introduction and AimsThe high prevalence of trauma exposure and post-traumatic stress disorder (PTSD) among clients of alcohol and other drug (AOD) services is well documented. Less is known, however, about the impact this has on workers who assess and treat such clients. The aim of this study was to examine the prevalence and correlates of seconda...
Article
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Purpose – The purpose of this paper is to identify mental health interventions within male-dominated industries. Design/methodology/approach – A systematic literature review was undertaken, examining mental health interventions within male-dominated industries. Major electronic databases, grey literature and reference lists for English language...
Article
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Background: Traditionally, men have been heavier drinkers of alcohol and at greater risk of health problems than women. As men are often reluctant to recognize or seek help for risky drinking, the workplace provides an ideal opportunity to implement and target interventions around risky alcohol use. Methods: A systematic literature review was under...
Article
Qualitative interviews were undertaken with 53 Australian police officers with specialist expertise in liquor law enforcement to ascertain their perspectives concerning the liquor licensing legislation in Australia’s eight states and territories. Respondents generally indicated that current arrangements favoured the interests of the alcohol industr...
Article
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Background and Aims: Working conditions are an important health determinant. Employment factors can negatively affect mental health (MH), but there is little research on MH risk factors in male-dominated industries (MDI). Method: A systematic review of risk factors for anxiety and depression disorders in MDI was undertaken. MDI comprised ≥ 70% male...
Article
Aims: Cannabis is the most common illicit drug in Australia and internationally, with correspondingly high rates of presentation within treatment settings. It is imperative that the alcohol and other drug (AOD) workforce has the skills to deal with cannabis-related issues. This study examined the extent and quality of cannabis training in AOD quali...
Book
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From policy to implementation: child and family sensitive practice in the alcohol and other drugs sector
Article
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There is increasing concern about the challenging working conditions experienced by trainee chefs, and their high rates of early stage training attrition. Despite this, little research has examined trainees’ initial workplace experiences or strategies to address their wellbeing. This study explored young chefs’ experiences of work-related stress, w...
Conference Paper
Issues: Child and family sensitive practice has received increasing attention as a potentially important component of alcohol and other drugs (AOD) treatment. It has been incorporated into standard practice in a number of services, but it is not universally adopted or supported. Views about its role are not well known. Approach: Using a semi-struc...
Conference Paper
Full-text available
Targeted interventions for high risk groups are increasingly important. Alcohol problems are not evenly distributed. Highly differentiated patterns and prevalence have been identified among workers according to their industry and occupational groups. Young workers in the hospitality industry have been found to be among the highest consumers of alco...
Article
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Background: Indigenous alcohol and other drug (AOD) workers' roles are often exhausting, poorly paid and under-recognised. There has been relatively little examination of work-related stressors on their health and well-being. This national study identified Indigenous AOD workers' experiences and perspectives on well-being, stress and burnout along...
Article
Objective: The paper highlights the extent of pharmaceutical drug misuse problems in Australia and explores how pharmaceutical opioid misuse could be reduced by implementation of a technological tool: a prescription co-ordination program (PCP). The paper explores how enhancements to existing computer-assisted clinical decision support systems thro...
Article
Many schools endeavour to provide effective, relevant and appealing alcohol education to students, using up-to-date technologies and resources. However, choosing an appropriate, evidence-based programme or approach is rarely straightforward given the plethora of options and limited evidence base. The alcohol education literature and findings from a...
Article
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Issue: The rationale and potential impact of Australia's recent legislative changes regulating secondary supply of alcohol to minors, particularly on private premises. Approach: An examination of similarities and differences between state and territory liquor licensing legislation regulating secondary supply of alcohol to minors was undertaken....