Young people from migrant and ethnic minority backgrounds are recognised as emerging priority populations for reducing alcohol and other drug (AOD)-related harms in Australia. Limited research has investigated how service providers address AOD challenges in migrant communities. In this qualitative study, we interviewed 15 service providers from AOD, migrant support, community and other health services in a diverse region of Melbourne. Interviews explored the challenges that service providers faced and the strategies they implemented to engage with young migrants in relation to AOD use. Thematic analysis was used to generate four themes: stigma as a barrier to service delivery, intergenerational differences between young people and parents, the need for outreach and establishing trust and understanding over time. Service providers believed that stigma prevented many young people from migrant backgrounds having open conversations about their AOD use with family members and professionals. Participants perceived that some parents had less AOD-related knowledge and lower English language proficiency than their children creating challenges for effective communication. Service providers recognised the importance of engaging with young people in settings where they felt comfortable rather than expecting them to approach their service. Participants also acknowledged the need to invest time in establishing trust and understanding with young migrants so they could facilitate conversations about AOD use as relationships evolved. Although service providers had a strong understanding of young people's needs, they found it challenging to build relationships in the context of funding and time constraints. Our results indicate the need for long-term funding and timelines that enable service providers to build strong relationships with young migrants, their families and their broader cultural communities to facilitate access to AOD support.

中文翻译：

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解决来自移民和少数民族背景的年轻人的酒精和其他药物使用问题：澳大利亚墨尔本服务提供者的观点

来自移民和少数民族背景的年轻人被认为是澳大利亚减少酒精和其他毒品 (AOD) 相关危害的新兴优先人群。有限的研究调查了服务提供商如何应对移民社区的 AOD 挑战。在这项定性研究中，我们采访了来自墨尔本不同地区的 AOD、移民支持、社区和其他卫生服务的 15 家服务提供者。访谈探讨了服务提供者面临的挑战以及他们为与 AOD 使用相关的年轻移民接触而实施的策略。主题分析被用来产生四个主题：污名作为提供服务的障碍、年轻人和父母之间的代际差异、外展的需要以及随着时间的推移建立信任和理解。服务提供者认为，污名阻止了许多来自移民背景的年轻人与家人和专业人士就他们使用 AOD 进行公开对话。参与者认为，一些父母的 AOD 相关知识较少，英语语言能力也低于他们的孩子，这为有效沟通带来了挑战。服务提供者认识到在他们感到舒适的环境中与年轻人接触的重要性，而不是期望他们接近他们的服务。参与者还承认需要投入时间与年轻移民建立信任和理解，以便他们能够随着关系的发展促进关于 AOD 使用的对话。尽管服务提供者非常了解年轻人的需求，他们发现在资金和时间限制的情况下建立关系具有挑战性。我们的结果表明需要长期资金和时间表，使服务提供商能够与年轻移民、他们的家人和更广泛的文化社区建立牢固的关系，以促进获得 AOD 支持。