Substance recovery through trust and understanding

This shows the difference it can make when an individual has an appropriate support team that upholds trust and has a strong understanding of the client’s unique needs.

LGBTQIA+ people experience higher rates of substance use disorders, trauma, and co-occurring mental health diagnoses compared to the general population. Stigma, discrimination, and a lack of culturally safe care options can further contribute to poorer treatment access and outcomes in mainstream AOD services. 

In February 2023, SEMPHN commissioned the LGBTQIA+-specific AOD program Rainbow Recovery, delivered by Thorne Harbour Health. The program delivers services across south east Melbourne, providing culturally safe, affirmative care tailored to the unique needs of LGBTQIA+ clients, with integrated support across counselling, case management, and referrals to broader health and social services.

Lidia*, who is in her early 50s, is a participant in the Rainbow Recovery program. She has been diagnosed with multiple mental health issues and has a long history of substance abuse. Lidia identified her experiences as a trans and gender-diverse person as a significant factor contributing to her use of alcohol and methamphetamine. She states that substances helped her feel more connected to her body and allowed her to express her femininity in a way that felt safer.

During her recovery journey, Lidia was appointed an LGBTQIA+ AOD Intensive Case Manager to support her in achieving her goals. With the case manager’s help, Lidia was able to access hormone replacement therapy and connect with a gender sensitive healthcare team. 

After abstaining from addictions for almost a month, Lidia broke her knee which led to relapse due to her use of methamphetamine to relieve the pain. Later, over Christmas, Lidia abstained from all substances and medications, which led to withdrawals and hospitalisation. 

The support system Lidia has gained in Rainbow Recovery helped her work through these incidents. The program provided harm reduction strategies, pain management education, and organised an outreach visit to ensure continuity of care when she was hospitalised. 

SEMPHN Program Officer – Adult Population Alannah King says, “This shows the difference it can make when an individual has an appropriate support team that upholds trust and has a strong understanding of the client’s unique needs. 

“The Rainbow Recovery program is a great example of how we are ensuring people in south east Melbourne are getting the right care at the right time in the right place.” 

*Client’s name has been changed to protect their anonymity.