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Health News

50 years of treating substance abuse

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Captain John McKnight (left) in front of The Buttery
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50 years of treating substance abuse

 

By Samantha Elley

A recent report into drug induced overdoses, according to The Buttery’s Leone Crayden, has highlighted that since 2001, 37,000 people in Australia have lost their lives through drug induced deaths.

Seventy five per cent of these deaths were unintentional.

Opioids continue to be the drug of choice with 45 per cent of these unintentional deaths coming from fentanyl and stimulants such as cocaine and methamphetamine.

For the past 50 years The Buttery has been working with people suffering from substance abuse, with around 10,000 participants going through its residential program and in excess of 20,000 through the outreach programs.

Ms Crayden is The Buttery’s first female CEO and has been guiding the rehabilitation centre for the past five years and reflects on the achievements over that time.

“In terms of income over the past five years, we have gone from government grants of $5 million to $15 million,” she said.

“In terms of treatment we have diversified in what we do.

“We’ve always been seen as an addiction service at the core and it still is, however, we have a strategy around ill mental health.

“We’ve always looked at people and supported them for substance use disorder and addiction but now we look at it more broadly.

“Substance abuse is often a manifestation of ill mental health so we have expanded our services of a primary diagnosis with mental health conditions and substance co-dependence.”

The Buttery’s history

In 1972 Captain John McKnight was working as a Church Army Officer in the Anglican parish of Ballina.

There was an increase of young people to the Northern Rivers, following the Aquarius Festival and Captain McKnight felt there was a need for youth services and a base for outreach to the Nimbin, Mullumbimby and Lismore communities.

His vision was to develop a Christian community where people needing assistance could come, contribute and also receive help.

When the old Norco butter factory at Binna Burra was offered to him, that is where he established his community.

In 1975 The Buttery received a boost from the government in recognition of the work they were doing.

As interactions with drug affected people increased in the area the Christian community became more focused on providing an outreach mission of a therapeutic community of treating drug dependence.

In 1978 a grant was received from the NSW Drug and Alcohol Authority and work was begun on expanding the accommodation facilities.

The Buttery and some goats.

The Buttery and some goats.

Present day

The Buttery now runs programs from Port Macquarie up to the Tweed. Services include Safe Havens for flood affected areas and drop in services for mental health distress.

“The number of people that drop into these services is astonishing,” said Ms Crayden.

“In a month over the four areas (where the safe havens are) it would be between 700-1000 people.

“We also run a HASI Plus program (Housing and Support) which is a 24 hour service.”

Ms Crayden said this was where those suffering severe mental illness could go back into the community.

“They live in a property that we manage and they learn to be tenants again,” she said.

“This is such a game changer where they are supported in their transition until they move out.”

The services The Buttery provide continue to grow with a program that has just been funded through Services NSW in the Kempsey and Grafton area, providing support for those leaving incarceration.

“Many people who come through The Buttery come from correctional centres,” said Ms Crayden.

“This program will help them live in the community and we will provide rehabilitation if they need it.”

Ms Crayden said, despite the constraints of constantly applying for funding, The Buttery and all its services were thriving, helping people to restart their lives from whatever darkness they needed to come out of.

There are, however, constant issues on a daily basis that needed to be addressed as they are very practical by nature.

“Sewer connection is a passion of mine,” she laughed.

“I don’t want The Buttery to be reliant on septic tanks.

“We also got connected to town water at the Binna Burra site last year and got fire hydrants to make the place safer.”

The building and cottages where residents live are also in need of improvement and these are goals that Ms Crayden and The Buttery board are working towards.

Ms Crayden said she would like to see an overhaul in the accommodation at Binna Burra.

“You have made that brave decision to change your life,” said Ms Crayden.

“As you know you are harming your life and those who love you, and then you come to substandard accommodation. It seems unfair.

“You will be going through a lot of therapeutic treatment and physical withdrawals.

“If there are any major building companies out there who would love to do a project to benefit others, we would love to hear from you.”

There aren’t always successes, but Ms Crayden said that is a normal part of recovery.

“Relapse is a major part of recovery and it does happen and we do see people come back,” she said. “But we also see them come back as volunteer drivers, mentors and giving back to the people who are there now.”

Not everyone is a resident either.

The Buttery conducts shorter programs of up to 4-6 weeks for people who pay to use those services.

“These are for people whose lives may not suit living on site and who may want anonymity,” said Ms Crayden.

“The money from these courses go back into the free programs.”

The feedback from those who have gone through the program has been very positive, according to Ms Crayden.

“We get fantastic feedback,” she said.

“We use a tool for psychometric testing and we have seen a difference in residents’ alcohol and drug use and mental health over one month, six months and 12 months.

“We can’t always do that but we make an essential try at that to know we make a difference.”

The Buttery currently has a waiting list of 70-80 people and their facilities are full.

“We have to wait until someone leaves as a graduate,” said Ms Crayden.

The Buttery today

The Buttery today

Connection to its roots

The Buttery still has connections with the Christian community since its beginning.

“We have a great connection with the Byron parish and All Souls at Bangalow and with the Bishop of the Grafton archdiocese,” said Ms Crayden.

“Residents do go to church and although we don’t see ourselves as a faith-based organisation we deeply respect the church community.”

Future plans

Looking to the future, Ms Crayden said she would like to see another rehabilitation service with 100 beds built on the Northern Rivers that is purpose built.

“We shouldn’t have 80 people on our waiting list,” she said.

“I would also like to partner with first nations people and establish a child/family rehab service.

“So that we have something to accommodate their cultural needs.

“We need more intervention and primary prevention services going out to schools and educating kids and the health of their bodies and the harm drugs and alcohol can do.

“I want people with lived experience to share their lives.

“Sixty per cent of our workers have a lived experience and we value it as a form of qualification, but we value qualifications as well.

Time to celebrate

The Buttery will be celebrating their 50 years of service to the Northern Rivers with a dinner this Thursday night with previous board members in attendance, along with many who have benefited.

If you would like to help support The Buttery in its work go to buttery.org.au where you can make a tax deductible donation, bequests or even volunteer.

 

For more health news, click here.

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Alarming Data Reveals Widespread Fears of Discrimination Among Australians Facing Cancer Treatment

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Alarming Data Reveals Widespread Fears of Discrimination Among Australians Facing Cancer Treatment

 

A significant number of Australians are deeply concerned that factors such as their location, age, gender, sexual orientation, income, or the language they speak at home could adversely affect their cancer treatment and survival chances. This is according to new research commissioned by the Leukaemia Foundation, which highlights the pervasive fear of discrimination in the healthcare system.

The YouGov survey revealed that seven in ten Australians worry that these personal characteristics may impact their ability to receive effective cancer treatment. Millennials emerged as the most concerned, with 71% expressing fears, followed by Baby Boomers at 63% and Generation X at 62%.

With one in twelve Australians expected to be diagnosed with blood cancer—such as leukaemia, myeloma, or lymphoma—in their lifetime, the Leukaemia Foundation’s CEO, Chris Tanti, described the findings as deeply troubling. He emphasised that these fears are rooted in the broader issue of health inequity, which disproportionately affects marginalised communities.

“These latest results underscore the urgent need for greater awareness and action to create a healthcare environment that is safe, welcoming, and inclusive for everyone,” Tanti said. “We know there is a persistent and troubling cancer health divide across Australia, particularly impacting those living in regional areas, First Nations peoples, culturally and linguistically diverse (CALD) communities, and LGBTQIA+ individuals. These groups face significant barriers in accessing timely diagnoses and the best available treatments.”

The survey comes at a time when blood cancer remains one of Australia’s most deadly and prevalent diseases. Every day, 53 Australians are diagnosed with blood cancer—equating to one person every 27 minutes—and 17 people lose their lives to the disease.

Tanti further noted the geographical disparities in cancer outcomes, with 41% of Australians diagnosed with blood cancer living in regional, rural, or remote areas. These patients are statistically less likely to survive five years beyond their diagnosis compared to those in major cities, due in part to the challenges of accessing specialized care.

CALD communities face additional hurdles, particularly when English is not the primary language spoken at home. This can significantly hinder their ability to understand health information and navigate the healthcare system. Meanwhile, LGBTQIA+ individuals often experience social isolation and may delay seeking medical care due to fear of discrimination or distrust in the healthcare system.

“These issues are substantial, and it’s no surprise that many Australians are fearful about being diagnosed with cancer and their chances of survival,” Tanti said.

In response to these findings, the Leukaemia Foundation has launched a new campaign, A Fair Go, aimed at addressing the fear and uncertainty surrounding blood cancer. The initiative seeks to ensure that every Australian, regardless of their background, has the knowledge, resources, and support needed to confront blood cancer.

The campaign will also focus on supporting healthcare professionals by developing new resources and information tailored to priority population groups. Additionally, the Foundation will spearhead new initiatives and research programs to tackle the specific challenges these groups face.

“Where someone lives, their age, gender, sexual orientation, income, cultural background, or language spoken at home should not determine their chances of surviving cancer,” Tanti asserted. “It is unacceptable that seven in ten Australians live with this fear. We are committed to addressing the issue of inequity head-on, ensuring that every Australian with blood cancer has a fair go when it comes to treatment and care.”

As Blood Cancer Month approaches this September, the Leukaemia Foundation encourages all Australians affected by blood cancer, as well as those interested in learning more, to visit the Blood Cancer page on their website

 

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Aged Care Providers Urged to Address Unique Needs of Stolen Generations Survivors with Dementia

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Stolen Generations Survivors with Dementia
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Aged Care Providers Urged to Address Unique Needs of Stolen Generations Survivors with Dementia

 

As the first generation of Stolen Generations Survivors reaches old age, many now grappling with dementia, leading experts are calling on aged care providers to better understand and accommodate their unique needs. Dr. Tiffany McComsey and Harpreet Kalsi-Smith, both from the Kinchela Boys Home Aboriginal Corporation, will highlight these concerns at the upcoming International Dementia Conference in Sydney, emphasising the importance of trauma-informed care.

With approximately 17,000 Stolen Generations Survivors aged 50 and over, many are now frail and particularly vulnerable to dementia—Aboriginal and Torres Strait Islander people are three to five times more likely to develop the condition than non-Indigenous Australians. Dr. McComsey expressed concern that many aged care facilities lack an understanding of the deep trauma these individuals have experienced, which profoundly impacts their dementia journey.

One innovative approach proposed by Dr. McComsey and Ms. Kalsi-Smith is the use of life story posters. These posters, which would be created with the input of the survivors and their trusted companions, would provide a visual and narrative overview of the person’s life, including their likes, dislikes, and strategies to de-escalate potential tensions. The posters serve as a constant reminder to care staff of the individual’s background and the trauma they have endured, helping to create a more supportive and understanding environment.

Ms. Kalsi-Smith underscored the importance of these life story posters, especially for individuals with dementia who often struggle with communication and memory. “Creating a life story is a useful way to record important information about Stolen Generations Survivors and help others understand and relate to them in a supportive way,” she said.

The Kinchela Boys Home, where many of these survivors spent their childhoods, was a site of intense cultural and psychological abuse. The boys, now referred to as “uncles,” were stripped of their identities, forced to conform to an alien culture, and suffered significant trauma. Of the 600 boys who passed through Kinchela, only 50 are alive today, with seven currently living with dementia.

Aged care providers are encouraged not only to adopt the life story poster concept but also to engage in comprehensive training about the legacy of the Stolen Generations. This includes participating in truth-telling processes and ensuring all staff are equipped with trauma-informed care practices.

Ms. Kalsi-Smith highlighted the deep fear many Stolen Generations Survivors feel about entering aged care facilities, which they often associate with the restrictive environments of their childhood. This fear is illustrated by Uncle Colin Davis, a 76-year-old Kinchela Survivor recently diagnosed with dementia, who has expressed a strong desire to avoid aged care homes altogether.

Uncle Colin’s wife, Aunty Rita Davis, voiced concerns that the available aged care options near their home on the NSW South Coast would not meet her husband’s needs. “For him, it would be like the restrictions he had growing up all over again. Once you put restrictions on him, you never know what he’ll do,” she said.

Dementia Support Australia (DSA), which has provided tailored support to 50,000 people since 2016, emphasises the importance of cultural awareness and trauma-informed care training for aged care staff. DSA Head of Professional Services Marie Alford stressed that all aged care services should understand the triggers of Behavioural and Psychological Symptoms of Dementia (BPSD) in Stolen Generations Survivors and know how to safely de-escalate them.

The upcoming International Dementia Conference, hosted by The Dementia Centre, will bring these critical issues to the forefront, as aged care providers and policymakers gather to discuss the future of dementia care in Australia. As the needs of Stolen Generations Survivors become more urgent, it is clear that a tailored, culturally sensitive approach is essential for their care and well-being.

 

For more seniors news, click here.

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Lismore Confirmed as One of Two Regional Drug Summit Forum Locations

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Lismore Regional Drug Summit Forum
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Lismore Confirmed as One of Two Regional Drug Summit Forum Locations

 

Robert Heyward

Regional Health Minister Ryan Park has confirmed that Lismore will host one of the NSW Government’s two Drug Summit regional forums on Monday, 4 November. These regional forums are designed to ensure that the unique experiences of communities in regional NSW are reflected in the larger discussions at the Drug Summit.

The summit will bring together a diverse range of participants, including medical experts, police, individuals with lived experience, drug user organizations, families, and service providers. These forums aim to build consensus on how NSW should address drug use and the associated harms.

Minister Park also announced that former NSW Deputy Premier Carmel Tebbutt and former NSW Leader of the Opposition John Brogden will co-chair the NSW Drug Summit. The Co-Chairs will collaborate with attendees to develop and prioritize solutions focused on improving community health, safety, justice, and integrated social support systems.

Minister for Health Ryan Park said:

  • “Bringing the summit to regional areas like Lismore is essential because drug use impacts communities in different ways.”
  • “It’s important that Lismore’s experiences with illicit drug use are reflected in the summit’s deliberations.”
  • “Janelle [Saffin] has been a strong advocate for her community, and it’s fitting that we can return to hear from Lismore in 2024.”

Member for Lismore Janelle Saffin added:

  • “I’m thrilled that Lismore will be hosting one of the two regional forums of the Drug Summit.”
  • “We have unique challenges here, and I am determined that Lismore’s voice will be heard in this statewide conversation.”
  • “In 1999, I participated in a successful Drug Summit, and I am excited to bring forward local perspectives once again in 2024.”

The Lismore forum will be an opportunity for local voices to contribute to a broader statewide effort aimed at addressing drug use and improving public health outcomes across NSW.

 

For more local Lismore news, click here.

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