Michael Savic
Dados Biográficos
| ID | 147463 |
|---|---|
| NOME | Michael Savic |
| PRENOMES | Michael |
| SOBRENOME | Savic |
| ASSINATURA | SAVIC M |
| AFILIAÇÕES | Eastern Health |
| ORCID | 0000-0002-6161-4511 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 45 |
| TOTAL DE CITAÇÕES | 33 |
| TOTAL COMO AUTOR | 45 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2013 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 4 |
Features of Alcohol Harm Reduction Campaigns That Resonate With Older Adults
Choreographing, tailoring and dialoguing care in residential rehabilitation
Alcohol and other drug residential rehabilitation is an abstinence-based modality for assisting people with long-standing concerns associated with their substance use. While ubiquitous, models of care in residential rehabilitation services vary widely and the impacts of the care delivered within them remain contentious. Critically, therapeutic processes in residential rehabilitation remain under-theorised with little attention given to the charac…
Experiences of telehealth among people receiving alcohol and other drug treatment during the Covid ‐19 pandemic
‘The wild west of medicine’
Putting tendencies and trajectories to work
Dominant understandings of recovery emphasise personal responsibility for initiating and sustaining changes in people's subjectivities and relationships to alcohol and other drugs. However, this potentially obscures the complexities and temporalities of change processes and the range of socio-material elements involved. Addressing this gap, critical drug studies scholars have productively employed the concepts of tendencies and trajectories to an…
The dynamics of more-than-human care in depot buprenorphine treatment
Our analysis destabilises commonplace assumptions about a linear, causal relationship between the pharmacological action of depot buprenorphine and experiences of treatment. Instead, it highlights patients' variable experiences of depot buprenorphine, tracing the everyday practices, embodied feelings, expectations and wider networks of care that shape patient experiences. We conclude with some reflections on the implications of our analysis for a…
Drinking as affective labour
In the public imaginary, drinking is often thought of as a behaviour separate from individuals’ formal labour practices, but studies increasingly highlight the complex ways alcohol is entwined with work. Building on recent conceptual developments in the sociological fields of youth, health and work, we illustrate how drinking can be productively understood as ‘affective labour’, and thus itself a form of work that generates valuable embodied stat…
Putting out the welcome mat—A qualitative exploration of service delivery processes and procedures as barriers to treatment‐seeking for people who use alcohol and other drugs
Opioid‐related policy changes
Healthcare providers beliefs about the meanings and impacts of prescription drug monitoring program alerts
Background: Addiction and overdose death associated with high-risk prescription medications such as benzodiazepines and opioids, are significant global issues. Prescription Drug Monitoring Programs (PDMP), which allow healthcare providers to track and monitor patients' high-risk medication history have been implemented widely throughout North America and recently in Victoria, Australia. Australia's PDMP uses a red alert notification to notify hea…
Improving understandings of trauma and alcohol and other drug-related problems
Staying with the silence
As the name 'talk therapy' suggests, a key aim of alcohol and other drug counselling, psychotherapy and other talk therapies is to discuss issues, concerns and feelings with a health professional. Implicit here is the therapeutic value of talking through issues with a trained professional. But as with all interactions, therapeutic encounters involve silences and pauses as key aspects of the communicative process. Despite their ubiquity in the the…
‘Super googs on a Zoom, are you kidding me?’
Regional and rural clients’ presenting concerns and experiences of care when engaging with an online substance use counseling service
Introduction People are increasingly turning to online services for help with substance use concerns. There has, however, been limited research on the use of online substance use services by regional and rural populations. This study explored: (1) the experiences of care of regional and rural clients of an Australian national online text-based substance use counseling service, Counselling Online; (2) their reasons for accessing the service; and (…
Key considerations for the implementation of clinically focused Prescription Drug Monitoring Programs to avoid unintended consequences
Patient experiences of prescription drug monitoring programs
Looking After Yourself Is Self-Respect”
Notions of masculinity have played a central role in social and cultural research on men’s drinking events. Within this context, masculinity is regularly called on to explain the problematic disparities that mark men’s alcohol consumption, including men’s disproportionate involvement in drinking and a range of alcohol-related harms. More recently, however, researchers have begun to emphasize men’s drinking events as sites of care and support, lea…
Understanding autonomy and relationality in men's lives
Masculinities scholarship tends toward describing autonomy as bound up with hegemonic masculine ideals such as independence, atomization, and self-sufficiency, without fully delving into the concept of autonomy. This article offers a more in-depth conceptual treatment of autonomy, compared to its more simplified rendering in the literature on the dominant relational conceptualizations of masculinities. In doing so, we follow recent calls to avoid…
Heavy drinking as phenomenon
Alcohol consumption is a significant public health concern in Australia, with men disproportionately represented in treatment for health issues related to heavy drinking. Despite this, little is known about the experiences of these men or the gender dynamics that may shape heavy drinking. Increasingly, the treatment of alcohol and other drug-related issues, including those related to heavy drinking, is based on a biopsychosocial approach. Within …
Decriminalising public drunkenness
In light of the recent announcement from the Victorian (Australia) state government that they are moving to decriminalise public drunkenness and replace it with a ‘health‐based response’, it is timely to reflect on a number of important considerations identified from the academic literature on this topic. We briefly review a number of models of health‐care delivery that have been utilised in other jurisdictions, and suggest there are opportunitie…
Characteristics of Confidence and Preparedness in Paramedics in Metropolitan, Regional, and Rural Australia to Manage Mental-Health-Related Presentations
Mental-health-related presentations account for a considerable proportion of the paramedic’s workload in prehospital care. This cross-sectional study aimed to examine the perceived confidence and preparedness of paramedics in Australian metropolitan and rural areas to manage mental-health-related presentations. Overall, 1140 paramedics were surveyed. Pearson chi-square and Fisher exact tests were used to compare categorical variables by sex and l…
Assembling the socio-cultural and material elements of young adults’ drinking on a night out
Consuming alcohol in night-time entertainment (NTE) precincts is a common practice for young adults in urban environments. Public health research often emphasises the ‘harms’ associated with drinking in NTE precincts and views these as being a product of the widespread availability of alcohol. However, this obscures more complex accounts of the various elements at play in young adults’ drinking on a night out. Employing assemblage thinking and a …
Enacting ‘more-than-human’ care
The ‘social worlds’ concept
Intervening in heavy drinking cultures within groups below the level of the population has been under-utilized as a means of reducing alcohol-associated harms. We argue that the concept of ‘social worlds’ is useful for the identification and investigation of heavy drinking cultures in collectivities at this level. The concept may also support investigations into other practices with health implications, such as other substance use or gambling. So…
Ibogaine therapy for addiction
Understanding autonomy and relationality in men's lives
Masculinities scholarship tends toward describing autonomy as bound up with hegemonic masculine ideals such as independence, atomization, and self-sufficiency, without fully delving into the concept of autonomy. This article offers a more in-depth conceptual treatment of autonomy, compared to its more simplified rendering in the literature on the dominant relational conceptualizations of masculinities. In doing so, we follow recent calls to avoid…
Social identity differentiation predicts commitment to sobriety and wellbeing in residents of therapeutic communities
When the Brain Leaves the Scanner and Enters the Clinic
Addiction neuroscience promises to uncover the neural basis of addiction by mapping changes in the “diseased brains” of people with “drug addictions.” It hopes to offer revolutionary treatments for addiction and reduce the stigma experienced by those seeking treatment for a medical, rather than moral, condition. While the promises of addiction neuroscience have received considerable attention, relatively few studies have examined how neuroscienti…
Heavy drinking as phenomenon
Alcohol consumption is a significant public health concern in Australia, with men disproportionately represented in treatment for health issues related to heavy drinking. Despite this, little is known about the experiences of these men or the gender dynamics that may shape heavy drinking. Increasingly, the treatment of alcohol and other drug-related issues, including those related to heavy drinking, is based on a biopsychosocial approach. Within …
Going Online
Online counseling can overcome barriers families face when accessing support services for issues such as a relative's alcohol or other drug use. However, little research has explored how online counseling platforms assist family members to improve their well-being and support their relative. We thematically analyzed 90 transcripts of online counseling sessions with family and friends of people who use alcohol, opioids, and amphetamines in Austral…
Producing “Progress” Through the Implementation of Outcome Monitoring in Alcohol and Other Drug Treatment
Outcome monitoring—a process in which clinicians use standardized tools to routinely measure client “progress” on predefined outcomes of interest over time—is increasingly being implemented in alcohol and other drug (AOD) treatment services as a way of demonstrating quality of care. However, relatively little is known about the implications and unintended consequences of implementing outcome monitoring in clinical and social practices. In this pa…
Drinking as affective labour
In the public imaginary, drinking is often thought of as a behaviour separate from individuals’ formal labour practices, but studies increasingly highlight the complex ways alcohol is entwined with work. Building on recent conceptual developments in the sociological fields of youth, health and work, we illustrate how drinking can be productively understood as ‘affective labour’, and thus itself a form of work that generates valuable embodied stat…
Patterns of family conflict and their impact on substance use and psychosocial outcomes in a sample of young people in treatment
The influence of family environment on adolescent substance use is well established, but little is known about its impact on outcomes for young people in treatment for substance use disorders. This study aimed to investigate the impact of family conflict and its resolution on substance use and measures of well-being among adolescents in treatment. Eighty young people (aged 16–21 years) were recruited from youth-specific alcohol and drug community…
Public drinking, social connection and social capital
Social isolation is a risk factor for morbidity and mortality which has resulted in calls for facilitating social connection to be a public health priority, especially in socioeconomically disadvantaged population groups. While previous research has explored the role that social connection played in diverse domains, including Skid Row drinkers from the 1950s to the 1970s, its role in the lives of public drinkers has been otherwise neglected. Laws…
Patterns of family conflict and their impact on substance use and psychosocial outcomes in a sample of young people in treatment
The influence of family environment on adolescent substance use is well established, but little is known about its impact on outcomes for young people in treatment for substance use disorders. This study aimed to investigate the impact of family conflict and its resolution on substance use and measures of well-being among adolescents in treatment. Eighty young people (aged 16–21 years) were recruited from youth-specific alcohol and drug community…
Geographies of exclusion
Defining “drinking culture”
There has been growing academic interest in “drinking cultures” as targets of investigation and intervention, driven often by policy discourse about “changing the drinking culture”. In this article, we conduct a critical review of the alcohol research literature to examine how the concept of drinking culture has been understood and employed, particularly in work that views alcohol through a problem lens. Much of the alcohol research discussion on…
‘Holy shit, didn’t realise my drinking was high risk’
Commentators view online screening and automated feedback interventions as low-cost ways of addressing alcohol and other drug-related harms. These interventions place people into categories of risk based upon scores from standardised screens and provide automated feedback about a person’s level of risk of developing alcohol and other drug ‘problems’. In this article, we examine how one particular alcohol and other drug online screening and feedba…
‘We don’t have to go and see a special person to solve this problem’
BACKGROUND: The impact of trauma on refugee mental health has been a particular focal point for research and treatment in Western contexts, despite uncertainty about the degree to which this corresponds with refugees' needs, mental health beliefs and healing mechanisms. AIMS: This study explored the mental health beliefs of resettling Sudanese refugees in Australia. METHODS: In-depth qualitative interviews were conducted with Sudanese community r…
Producing alcohol and other drugs as a policy ‘problem’
Producing “Progress” Through the Implementation of Outcome Monitoring in Alcohol and Other Drug Treatment
Outcome monitoring—a process in which clinicians use standardized tools to routinely measure client “progress” on predefined outcomes of interest over time—is increasingly being implemented in alcohol and other drug (AOD) treatment services as a way of demonstrating quality of care. However, relatively little is known about the implications and unintended consequences of implementing outcome monitoring in clinical and social practices. In this pa…
What constitutes a ‘problem’?” Producing ‘alcohol problems’ through online counselling encounters
Using Timelines to Visualize Service Use Pathways to Alcohol Treatment
Many people in alcohol and other drug treatment are clients of other services, however there is limited consideration of the combinations and sequences of services and systems that they use. We used data visualization to analyze and re-present findings from a large research project on clients’ service use and referral sources in the year preceding alcohol treatment entry. Data were from 16 “high-end” service users with alcohol problems and analys…
Middle-aged same-sex attracted women and the social practice of drinking
As a group, middle-aged same-sex attracted women (SSAW) appear to consume more alcohol than exclusively heterosexual women in the same age range; however, few studies document their collective drinking practices or identify opportunities to reduce associated harms. Online surveys which included open-ended questions were completed by a self-selected sample of SSAW (N = 134) aged 36–51, recruited in Victoria, Australia. We identify 12 sub-elements …
Making multiple ‘online counsellings’ through policy and practice
When the Brain Leaves the Scanner and Enters the Clinic
Addiction neuroscience promises to uncover the neural basis of addiction by mapping changes in the “diseased brains” of people with “drug addictions.” It hopes to offer revolutionary treatments for addiction and reduce the stigma experienced by those seeking treatment for a medical, rather than moral, condition. While the promises of addiction neuroscience have received considerable attention, relatively few studies have examined how neuroscienti…
“I was worried if I don’t have a broken leg they might not take it seriously”
BACKGROUND: A large proportion of ambulance callouts are for men with mental health and/or alcohol and other drug (AOD) problems, but little is known about their experiences of care. This study aimed to describe men's experiences of ambulance care for mental health and/or AOD problems, and factors that influence their care. METHODS: Interviews were undertaken with 30 men who used an ambulance service for mental health and/or AOD problems in Austr…
How Do Nurses Cope with Shift Work? A Qualitative Analysis of Open-Ended Responses from a Survey of Nurses
Nurses are frequently required to engage in shift work given the 24/7 nature of modern healthcare provision. Despite the health and wellbeing costs associated with shift work, little is known about the types of coping strategies employed by nurses. It may be important for nurses to adopt strategies to cope with shift work in order to prevent burnout, maintain wellbeing, and ensure high quality care to patients. This paper explores common strategi…
Social Identity Mapping in Addiction Recovery (SIM-AR)
Background: The Social Identity approach offers a unifying framework for understanding recovery from addiction as a process of identity change, associated with change in social network composition. This paper introduces Social Identity Mapping in Addiction Recovery (SIM-AR) — a visual method for capturing social group memberships, extended to integrate the substance use ‘status’ of group members as an indicator of group substance use norms. The a…
Holding on’ and ‘letting go’
Background: Although it is well established that parents can be negatively impacted by their child’s methamphetamine use, there is little research on how parents cope. This study aimed to explore the coping styles of Australian parents contacting an online counselling service concerned about their adult child’s methamphetamine use.Method: A thematic analysis of online counselling transcripts was used to examine key coping styles employed by paren…
Social group membership before treatment for substance dependence predicts early identification and engagement with treatment communities
Social relationships play a major role in recovery from substance dependence. To date, greater attention has been paid to the role of important individuals in a person’s life and their contribution to recovery following treatment. This study is the first to examine both individual and wider group-based social connections in the lead up to residential treatment for substance misuse in a therapeutic community (TC), and their influence both on a per…
Social identity differentiation predicts commitment to sobriety and wellbeing in residents of therapeutic communities
Going Online
Online counseling can overcome barriers families face when accessing support services for issues such as a relative's alcohol or other drug use. However, little research has explored how online counseling platforms assist family members to improve their well-being and support their relative. We thematically analyzed 90 transcripts of online counseling sessions with family and friends of people who use alcohol, opioids, and amphetamines in Austral…
The ‘social worlds’ concept
Intervening in heavy drinking cultures within groups below the level of the population has been under-utilized as a means of reducing alcohol-associated harms. We argue that the concept of ‘social worlds’ is useful for the identification and investigation of heavy drinking cultures in collectivities at this level. The concept may also support investigations into other practices with health implications, such as other substance use or gambling. So…
Ibogaine therapy for addiction
Decriminalising public drunkenness
In light of the recent announcement from the Victorian (Australia) state government that they are moving to decriminalise public drunkenness and replace it with a ‘health‐based response’, it is timely to reflect on a number of important considerations identified from the academic literature on this topic. We briefly review a number of models of health‐care delivery that have been utilised in other jurisdictions, and suggest there are opportunitie…
Characteristics of Confidence and Preparedness in Paramedics in Metropolitan, Regional, and Rural Australia to Manage Mental-Health-Related Presentations
Mental-health-related presentations account for a considerable proportion of the paramedic’s workload in prehospital care. This cross-sectional study aimed to examine the perceived confidence and preparedness of paramedics in Australian metropolitan and rural areas to manage mental-health-related presentations. Overall, 1140 paramedics were surveyed. Pearson chi-square and Fisher exact tests were used to compare categorical variables by sex and l…
Assembling the socio-cultural and material elements of young adults’ drinking on a night out
Consuming alcohol in night-time entertainment (NTE) precincts is a common practice for young adults in urban environments. Public health research often emphasises the ‘harms’ associated with drinking in NTE precincts and views these as being a product of the widespread availability of alcohol. However, this obscures more complex accounts of the various elements at play in young adults’ drinking on a night out. Employing assemblage thinking and a …
Psychology (36 obras) · Medicine (30 obras) · Psychiatry (20 obras) · Social Psychology (20 obras) · Substance Abuse Treatment and Outcomes (20 obras) · Sociology (18 obras) · Political science (17 obras) · Nursing (15 obras) · Qualitative research (13 obras) · Social Psychology (13 obras)