This working paper identifies and discusses issues relevant to the availability and geographical accessibility of AOD treatment services in rural and regional Australia. The literature review revealed that there is an absence of planning frameworks which take into account the spatial dimensions of access. However, there is a growing body of research demonstrating new methods as reviewed in the working paper. Service delivery models are also reviewed. Overcoming barriers to the utilisation of AOD services is crucial in achieving equitable outcomes for Australians living in rural and remote areas. Policy makers striving to ensure optimal population access to AOD services should recognise the multiple dimensions of access along with the diversity of rural and remote communities. While there is not a ‘one size fits all’ service model a systematic approach is needed to address reform of the AOD service system in rural and remote Australia.
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