• Kimberly Cartwright and Robert J Tait.
• National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.
• Aust J Rural Health. 2019 Feb 1; 27 (1): 83-87.

ObjectiveTo contrast service providers' perceptions about crystalline methamphetamine (henceforth, ice) use and harm with information communicated in media reports and politicians' statements.DesignIn-depth semi structured interviews with service providers about the nature and extent of ice use in the local community and its impact on individual services, clients and town life. Interviews were transcribed verbatim, manually analysed and coded around key themes, interpreted and independently cross-checked for context and accuracy.SettingTwo remote towns located in different states and territories operating as service hubs to very remote communities.ParticipantsTwenty-seven key service providers representing local organisations that engage with ice users and/or their families.ResultsFirst, compared with alcohol, ice use and ice-related harm were insignificant at the two sites. Ice users were primarily high-earning and -functioning non-Australian Aboriginal tradesmen, and to a lesser extent, professionals and secondary school students. There were few Australian Aboriginal users. Ice was used to 'party', keep alert, and escape psychological distress. Second, the 'Ice Destroys Lives' campaign and references to an 'ice epidemic' amplified public anxiety about ice and ice-related harm in the surveyed communities. Third, the attention on ice distracted from the more extensive harm arising from alcohol use in their communities.ConclusionThe respondents questioned the notion of an 'ice epidemic' and the use of federal funding for ice-related initiatives in remote communities, especially while general alcohol and other drug services were under-resourced.© 2019 National Rural Health Alliance Ltd.

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