From Controlled Drinking to Housing First: Marlatt's Impact on Harm Reduction Research and Practice

2012 ◽  
Author(s):  
Mary Larimer
Keyword(s):  
Harm Reduction ◽  
Housing First ◽  
Research And Practice ◽  
Controlled Drinking

scholarly journals Housing First and harm reduction: a rapid review and document analysis of the US and Canadian open-access literature

2017 ◽  
Vol 14 (1) ◽  
Author(s):  
Dennis P. Watson ◽  
Valery Shuman ◽  
James Kowalsky ◽  
Elizabeth Golembiewski ◽  
Molly Brown
Keyword(s):  
Open Access ◽  
Harm Reduction ◽  
Document Analysis ◽  
Housing First ◽  
Rapid Review ◽  
The Us

Managed alcohol programs in the context of Housing First

2019 ◽  
Vol 22 (4) ◽  
pp. 207-215 ◽  
Author(s):  
Rebecca Schiff ◽  
Bernie Pauly ◽  
Shana Hall ◽  
Kate Vallance ◽  
Andrew Ivsins ◽  
...  
Keyword(s):  
Harm Reduction ◽  
Support Services ◽  
Housing First ◽  
Content Type ◽  
Treatment Models ◽  
Key Characteristics ◽  
Services And Supports ◽  
Alcohol Harm Reduction ◽  
Alcohol Programs

Purpose Recently, Managed Alcohol Programs (MAPs have emerged as an alcohol harm reduction model for those living with severe alcohol use disorder (AUD) and experiencing homelessness. There is still a lack of clarity about the role of these programs in relation to Housing First (HF) discourse. The authors examine the role of MAPs within a policy environment that has become dominated by a focus on HF approaches to addressing homelessness. This examination includes a focus on Canadian policy contexts where MAPs originated and are still predominately located. The purpose of this paper is to trace the development of MAPs as a novel response to homelessness among people experiencing severe AUD and to describe the place of MAPs within a HF context. Design/methodology/approach This conceptual paper outlines the development of discourses related to persons experiencing severe AUD and homelessness, with a focus on HF and MAPs as responses to these challenges. The authors compare the key characteristics of MAPs with “core principles” and values as outlined in various definitions of HF. Findings MAPs incorporate many of the core values or principles of HF as outlined in some definitions, although not all. MAPs (and other housing/treatment models) provide critical housing and support services for populations who might not fit well with or who might not prefer HF models. Originality/value The “silver bullet” discourse surrounding HF (and harm reduction) can obscure the importance of programs (such as MAPs) that do not fully align with all HF principles and program models. This is despite the fact that MAPs (and other models) provide critical housing and support services for populations who might fall between the cracks of HF models. There is the potential for MAPs to help fill a gap in the application of harm reduction in HF programs. The authors also suggest a need to move beyond HF discourse, to embrace complexity and move toward examining what mixture of different housing and harm reduction supports are needed to provide a complete or comprehensive array of services and supports for people who use substances and are experiencing homelessness.

Qualitative findings from a Housing First evaluation project for homeless Veterans in Canada

2021 ◽  
Author(s):  
Cheryl Forchuk ◽  
Jan Richardson ◽  
Heather Atyeo ◽  
Jonathan Serratoa
Keyword(s):  
Harm Reduction ◽  
Peer Support ◽  
Housing First ◽  
New Approach ◽  
Housing Stability ◽  
Homeless Veterans ◽  
Permanent Housing ◽  
Personal Experiences ◽  
Housing Services ◽  
Mental Health Support

LAY SUMMARY This two-year study implemented a Housing First approach among homelessness services for Veterans in four cities across Canada (Victoria, Calgary, London, and Toronto). This approach included peer support and harm reduction resources for Veterans. To obtain a detailed evaluation of personal experiences and opinions, focus groups were held with Veterans, housing staff, and stakeholders at three time points during the study: July-September 2012, May-June 2013, and January 2014. Harm reduction and peer support were regarded as positive aspects of this new approach to housing and homelessness. It was suggested that greater mental health support, support from peers with military experience, and issues regarding roommates should be considered in future implementations of housing services for Veterans. It was also noted that to support personal stabilization, permanent housing is preferred over transitional or temporary housing. Future housing programs serving Veterans experiencing homelessness should consider the addition of harm reduction and peer support to further enhance services and help maintain housing stability.

Harm reduction for alcohol problems: Moving beyond the controlled drinking controversy

1993 ◽  
Vol 24 (4) ◽  
pp. 461-503 ◽  
Author(s):  
G. Alan Marlatt ◽  
Mary E. Larimer ◽  
John S. Baer ◽  
Lori A. Quigley
Keyword(s):  
Harm Reduction ◽  
Alcohol Problems ◽  
Controlled Drinking

scholarly journals Collaborative Governance Regimes in Illiberal Democracies: A Comparative Case of Drug Harm Reduction Policy in Central-Eastern Europe

2021 ◽  
pp. 60-80
Author(s):  
György HAJNAL ◽  
Iga JEZIORSKA
Keyword(s):  
Harm Reduction ◽  
Eastern Europe ◽  
Collaborative Governance ◽  
Research And Practice ◽  
Central Eastern Europe ◽  
Starting Point ◽  
Central Eastern ◽  
The Impact ◽  
Visegrád Countries

Collaborative governance research and practice seem underdeveloped in Central-Eastern Europe compared to its Western counterpart. Recently, one can also observe a turn from liberal values in CEE. Taking states’ important role in shaping collaborative governance as a starting point, this paper includes a theoretical ambition of developing a classification of collaborative governance regimes. Furthermore, through qualitative analysis of drug harm reduction policies in Visegrád countries, it aims to contribute to the understanding of how illiberal governance affects collaborative governance. The results show that the impact of illiberalism on collaborative governance regimes does not appear uniformly across different policy areas.

scholarly journals Evaluation of a novel therapeutic education programme for people with alcohol use disorder in France: a mixed-methods intervention study protocol (ETHER)

2022 ◽  
Vol 19 (1) ◽  
Author(s):  
Saskia Antwerpes ◽  
Marie Costa ◽  
Marion Coste ◽  
Morgane Bureau ◽  
Gwenaelle Maradan ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Harm Reduction ◽  
Alcohol Use Disorder ◽  
Intervention Study ◽  
Therapeutic Education ◽  
Controlled Drinking ◽  
The People ◽  
Secondary Outcomes ◽  
Alcohol Related Harm ◽  
Related Harm

Abstract Background ETHER (“Education THEérapeutique pour la Réduction des dommages en alcoologie” or Therapeutic education for alcohol-related harm reduction) is a multicentre community-based mixed-methods study, which aims to evaluate the effectiveness of the innovative therapeutic patient education (TPE) programme ‘Choizitaconso’ in a sample of French people with alcohol use disorder (people with AUD). Choizitaconso teaches people with AUD psychosocial skills to help them (re)establish controlled drinking and reduce alcohol-related harms. Recruitment started in October 2019. We present here the protocol of the ETHER study. Methods ETHER’s quantitative component involves a 6-month controlled intervention study which evaluates Choizitaconso’s effectiveness by comparing 30 people with AUD following the programme with a control group of 60 people with AUD not enrolled in it, using a questionnaire co-constructed by the research team and members of the people with AUD community. Thirty-four alcohol-related harms are assessed and summed to provide an individual measure of the ‘harm burden’ from consuming alcohol (primary outcome). Secondary outcomes are anticipated and internalized stigma, alcohol consumption measures, craving for alcohol, coping strategies, health-related quality of life, self-confidence to control or abstain from drinking, treatment self-regulation, anxiety and depressive symptoms, alcohol-related neuropsychological impairments, and capabilities (a measure of wellbeing in adults). Data will be collected in face-to-face and phone-based interviews at enrolment and 6 months later. Linear regression models will be used to assess the impact of the TPE programme on changes in the primary and secondary outcomes, while adjusting for other correlates and confounders. The study’s qualitative component comprises semi-structured interviews with 16 people with AUD who have already completed the TPE programme at least 6 months before the interview. Qualitative interviews will be analysed using thematic analysis. Results and conclusions ETHER is the first evaluation study of an innovative TPE programme specifically designed to reduce alcohol-related harms and reach controlled drinking in France. The involvement of the people with AUD community in selecting which experienced and perceived alcohol-related harms to measure ensures that ETHER will provide healthcare staff and researchers with a relevant set of harm reduction criteria for use in future research. Finally, ETHER will provide scientific justification for implementing novel alcohol-related harm reduction approaches and champion controlled drinking as a therapeutic goal. Trial registration ClinicalTrials.gov, NCT03954054. Registered 17 May 2019—Prospectively registered, https://clinicaltrials.gov/ct2/show/NCT03954054?cond=alcohol&cntry=FR&city=Marseille&draw=1&rank=1.

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