Barriers to Accessing Opioid Treatment in Rural Queensland: Perspectives From Consumers and Clinicians

Article

Wang, Grace Y., Spencer, Daniel, Thompson, Chelsea, Fernando, Thilakshi, O'Brien, Maxine and Pascoe, Allan. 2025. "Barriers to Accessing Opioid Treatment in Rural Queensland: Perspectives From Consumers and Clinicians." Drug and Alcohol Review. https://doi.org/10.1111/dar.70074
Article Title

Barriers to Accessing Opioid Treatment in Rural Queensland: Perspectives From Consumers and Clinicians

ERA Journal ID13493
Article CategoryArticle
AuthorsWang, Grace Y., Spencer, Daniel, Thompson, Chelsea, Fernando, Thilakshi, O'Brien, Maxine and Pascoe, Allan
Journal TitleDrug and Alcohol Review
Number of Pages10
Year2025
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN0959-5236
1465-3362
Digital Object Identifier (DOI)https://doi.org/10.1111/dar.70074
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/dar.70074
Abstract

Introduction
Opioid treatment (OT) is highly effective for managing opioid use disorder (OUD) but remains underutilised worldwide, including in Australia. This issue is especially pronounced in regional and rural areas; however, there has been limited research focused on the unique barriers to OT access outside of metropolitan centres. In Queensland (QLD), Australia, OT is largely community-based, with dosing, prescription and supply all occurring outside hospital settings. The state's vast size and regional spread create unique access challenges, especially given jurisdictional differences in prescriber regulations across Australia. The present study aimed to identify barriers to OT access in rural QLD.

Methods
This study employed semi-structured interviews with 12 participants, including five clinicians working in the OT and seven consumers residing in rural QLD who were currently receiving OT for OUD. Transcripts were analysed thematically.

Results
Four themes were identified that articulate the primary barriers to OT: (i) restrictive dosing practices; (ii) stigma and social perceptions; (iii) overstretched access; and (iv) gaps in continuity and personalisation of care.

Discussion and Conclusions
Rurality shapes treatment access not only through geographic isolation and limited infrastructure, but also through regulatory inconsistencies across regions, restricted service flexibility and the heightened visibility of individuals within small communities. These insights underscore the need for more localised, equity-focused policy responses and further research into new alternative interventions, such as telehealth and strategies to enhance the acceptance and uptake of long-acting injectable buprenorphine.

Keywordsopioid treatment; opioid use disorder; rural areas; treatment barriers
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 20205203. Clinical and health psychology
420313. Mental health services
Public Notes

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Byline AffiliationsSchool of Psychology and Wellbeing
Centre for Health Research
Darling Downs Health, Australia
University of Queensland
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Neuropsychological performance of methadone-maintained opiate users
Wang, Grace Y., Wouldes, Trecia A., Kydd, Rob, Jensen, Maree and Russell, Bruce R.. 2014. "Neuropsychological performance of methadone-maintained opiate users." Journal of Psychopharmacology. 28 (8), pp. 789-799. https://doi.org/10.1177/0269881114538541
Family involvement in Chinese immigrants with bipolar disorder in New Zealand
Wang, Grace Y. and Henning, Marcus. 2013. "Family involvement in Chinese immigrants with bipolar disorder in New Zealand." New Zealand Medical Journal. 126 (1368), pp. 45-52.
Methadone Maintenance Treatment and Cognitive Function: A Systematic Review
Wang, Grace Y., Wouldes, Trecia A. and Russell, Bruce R.. 2013. "Methadone Maintenance Treatment and Cognitive Function: A Systematic Review." Current Drug Abuse Reviews. 6 (3), pp. 220-230. https://doi.org/10.2174/18744737112059990020
Some light in the fog?
Shulruf, Boaz, Poole, Phillippa, Wang, Grace Ying, Rudland, Joy and Wilkinson, Tim. 2012. "Some light in the fog?" Advances in Health Sciences Education. 17 (5), pp. 631-632. https://doi.org/10.1007/s10459-012-9413-9
How well do selection tools predict performance later in a medical programme?
Shulruf, Boaz, Poole, Phillippa, Wang, Grace Ying, Rudland, Joy and Wilkinson, Tim. 2012. "How well do selection tools predict performance later in a medical programme?" Advances in Health Sciences Education. 17 (5), pp. 615-626. https://doi.org/10.1007/s10459-011-9324-1
Rethinking the admission criteria to nursing school
Shulruf, Boaz, Wang, Ying Grace, Zhao, Yipin Jessica and Baker, Heather. 2011. "Rethinking the admission criteria to nursing school." Nurse Education Today. 31 (8), pp. 727-732. https://doi.org/10.1016/j.nedt.2010.11.024
Bipolar disorder and medical adherence: A Chinese perspective
Wang, Ying and Henning, Marcus. 2010. "Bipolar disorder and medical adherence: A Chinese perspective." Asian Journal of Psychiatry. 3 (1), pp. 7-11. https://doi.org/10.1016/j.ajp.2009.11.003