title: The policy and practices of New South Wales drug treatment providers in responding to the possession of illicit substances on premises.
abstract: Responding to possession of illicit substances on the premises of drug treatment services is a complex issue. Providers are challenged by balancing duty-of-care and staff safety while attempting to provide a therapeutic environment. This study assessed the current policy and practice of non-government drug treatment services in New South Wales, Australia in responding to possession of illicit substances on their premises.
  
  
  
  Non-government drug treatment services were invited to participate in a survey that aimed to elicit information about existing policy and practices and how often it occurred. Analysis explored the differences between services that had a written policy and those that did not against service setting, accreditation status, reporting of an illicit drug possession in the last 12 months and having a sharps disposal unit.
  
  
  
  Fifty-one responses were included in the analysis, 29 (57%) of which reported having a policy and/or procedure. There was no statistically discernible difference between inpatient and outpatient settings, accreditation status of services or availability of a sharps disposal unit on the premises. However, services that reported a possession incident in the previous 12 months were more likely to report having a written policy than those that did not (37% vs. 12%; odds ratio: 4.75, 95% confidence interval 1.32-17.11, P = 0.014).
  
  
  
  The policy and practice in these settings vary greatly, with many services reporting no documented policy to guide staff. The findings suggest the need to develop organisational policy to support service providers in responding to possession of illicit substances on premises. [Stirling R, Day C. The policy and practices of New South Wales drug treatment providers in responding to the possession of illicit substances on premises. Drug Alcohol Rev 2016;35:644-649].
authors.affiliation: Network of Alcohol and other Drugs Agencies, Sydney, Australia. robert@nada.org.au.
authors.forename: Robert
authors.initials: R
authors.lastname: Stirling
authors.affiliation: Discipline of Addiction Medicine, Sydney Medical School, University of Sydney, Sydney, Australia.
authors.forename: Carolyn
authors.initials: C
authors.lastname: Day
mesh_terms: D006801:Humans; D013287:Illicit Drugs; D009517:New South Wales; D016134:Organizational Policy; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*
chemical_list: D013287:Illicit Drugs
keywords: disposal; drug; illicit; policy; possession