‘SASADECC’-A Unique Model of Collaborative Care Between Government and Non-Government Health Services for Adolescents With Complex Substance Use Issues

Drug Alcohol Rev. 2026 Mar;45(3):e70109. doi: 10.1111/dar.70109.

ABSTRACT

INTRODUCTION: Despite the importance of early intervention, major treatment gaps exist for adolescents with substance use issues. This report describes a unique collaboration between government and non-government health services-The Specialist Addiction Service for Adolescents (SASA) adolescent addiction psychiatry service and Sydney Drug Education and Counselling Centre youth alcohol and other drug counselling service.

METHODS: The collaboration developed organically from available resources and close collaboration between the services. Informal client and referrer feedback, demographic data, outcome measures and clinical notes (2019-2022) were reviewed.

RESULTS: Feedback on the collaboration was positive overall. There were 149 Sydney Drug Education and Counselling Centre clients seen by SASA during the study period. Of these, 50 study participants were identified with valid serial outcome measures (VSOM) for analysis. Study participants did not differ significantly in demographics and primary drug of concern compared to all clients (with and without VSOM) combined. Overall, participants showed statistically significant improvements between entry and exit scores for the Severity of Dependence Scale, and for the Depression Anxiety Stress Scales-Short Form (DASS21) depression and the anxiety subscales, but not for the stress subscale. The majority of participants reported improvements towards substance use goals and psychological function. Many also improved in other areas of concern including social-occupation function and risk issues.

DISCUSSION AND CONCLUSIONS: The collaboration provides a useful model of collaborative care between government and non-government services for adolescents with substance use issues. This paper reflects on learnings from the model for consideration in future service developments.

PMID:41802927 | DOI:10.1111/dar.70109