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.

scholarly journals “If I knew I could get that every hour instead of alcohol, I would take the cannabis”: need and feasibility of cannabis substitution implementation in Canadian managed alcohol programs

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Bernie Pauly ◽  
Meaghan Brown ◽  
Clifton Chow ◽  
Ashley Wettlaufer ◽  
Brittany Graham ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Harm Reduction ◽  
Partial Substitution ◽  
Organizational Leaders ◽  
Willingness To Participate ◽  
Alcohol Cravings ◽  
Alcohol Harm Reduction ◽  
Alcohol Programs ◽  
Robust Evidence

Abstract Background While there is robust evidence for strategies to reduce harms of illicit drug use, less attention has been paid to alcohol harm reduction for people experiencing severe alcohol use disorder (AUD), homelessness, and street-based illicit drinking. Managed Alcohol Programs (MAPs) provide safer and regulated sources of alcohol and other supports within a harm reduction framework. To reduce the impacts of heavy long-term alcohol use among MAP participants, cannabis substitution has been identified as a potential therapeutic tool. Methods To determine the feasibility of cannabis substitution, we conducted a pre-implementation mixed-methods study utilizing structured surveys and open-ended interviews. Data were collected from MAP organizational leaders (n = 7), program participants (n = 19), staff and managers (n = 17) across 6 MAPs in Canada. We used the Consolidated Framework for Implementation Research (CFIR) to inform and organize our analysis. Results Five themes describing feasibility of CSP implementation in MAPs were identified. The first theme describes the characteristics of potential CSP participants. Among MAP participants, 63% (n = 12) were already substituting cannabis for alcohol, most often on a weekly basis (n = 8, 42.1%), for alcohol cravings (n = 15, 78.9%,) and withdrawal (n = 10, 52.6%). Most MAP participants expressed willingness to participate in a CSP (n = 16, 84.2%). The second theme describes the characteristics of a feasible and preferred CSP model according to participants and staff. Participants preferred staff administration of dry, smoked cannabis, followed by edibles and capsules with replacement of some doses of alcohol through a partial substitution model. Themes three and four highlight organizational and contextual factors related to feasibility of implementing CSPs. MAP participants requested peer, social, and counselling supports. Staff requested education resources and enhanced clinical staffing. Critically, program staff and leaders identified that sustainable funding and inexpensive, legal, and reliable sourcing of cannabis are needed to support CSP implementation. Conclusion Cannabis substitution was considered feasible by all three groups and in some MAPs residents are already using cannabis. Partial substitution of cannabis for doses of alcohol was preferred. All three groups identified a need for additional supports for implementation including peer support, staff education, and counselling. Sourcing and funding cannabis were identified as primary challenges to successful CSP implementation in MAPs.

The internet, its governance, and the multi-stakeholder model

Info ◽  
2014 ◽  
Vol 16 (2) ◽  
pp. 16-46 ◽  
Author(s):  
Richard Hill
Keyword(s):  
The Internet ◽  
Intergovernmental Organizations ◽  
Governance Mechanisms ◽  
Content Type ◽  
Key Characteristics ◽  
Stakeholder Model ◽  
Key Issues ◽  
Multi Stakeholder ◽  
Current Governance

Purpose – The purpose of this article is to provide an overview of key issues and concepts related to discussions of the internet, its governance, and its multi-stakeholder model. Design/methodology/approach – The method adopted is to discuss definitions of internet, to identify the key characteristics of internet, to define the multi-stakeholder approach, and to discuss the results it has achieved. Findings – The article finds that the internet is different from other networks, albeit not exactly in the ways that are commonly mentioned, and it finds that the internet's current governance mechanisms can be improved, in particular by increasing the role of more traditional governance mechanisms such as intergovernmental organizations. Originality/value – The analysis and conclusions are not found in previous literature, and they are meant to provoke further research and discussion.

Guest editorial: a new dawn for qualitative service research

2020 ◽  
Vol 34 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Lars Witell ◽  
Maria Holmlund ◽  
Anders Gustafsson
Keyword(s):  
Qualitative Research ◽  
Research Methods ◽  
Research Methodology ◽  
Qualitative Research Methods ◽  
Service Research ◽  
Special Issue ◽  
Content Type ◽  
Key Characteristics ◽  
Qualitative Research Methodology

Purpose The purpose of this study is to highlight the role of qualitative research in service research. This study discusses what qualitative research is, what role it has in service research and what interest, rigor, relevance and richness mean for qualitative service research. Design/methodology/approach This study examines the most common qualitative research methods and discusses interest, rigor, relevance and richness as key characteristics of qualitative research. The manuscripts in the special issue are introduced and categorized based on their contributions to service research. Findings The findings suggest that the amount of research using qualitative research methods has remained stable over the last 30 years. An increased focus on transparency and traceability is important for improving the perceived rigor of qualitative service research. Originality/value This special issue is the first issue that is explicitly devoted to the qualitative research methodology in service research. In particular, the issue seeks to contribute to a better use and application of qualitative research methodology.

Re-positioning library technology support on Campus-Wilson Library’s journey

2015 ◽  
Vol 32 (9) ◽  
pp. 14-16 ◽  
Author(s):  
Amy Jiang ◽  
Karen Beavers ◽  
Jennifer Esteron Cady ◽  
Liberty McCoy
Keyword(s):  
3D Printing ◽  
Academic Libraries ◽  
Support Services ◽  
Academic Library ◽  
Technology Support ◽  
Content Type ◽  
Academic Technology ◽  
Technology Services ◽  
Library Technology

Purpose – The purpose of this paper is to discuss the changing role of the academic library, in relation to technology support services. It proposes that library technology services should expand to take a central role in developing student academic technology skills, and shows how moving into non-traditional areas of technology support can expand a library’s operation capabilities to include entrepreneurship and innovation for faculty, staff and students. Design/methodology/approach – The paper outlines how our library expanded its technology services to include course management support, technical literacy training and three-dimensional (3D) printing, and details future developments into robotics and software development. It details the authors initial objectives, the issues encountered, the improvements made in response and what the authors hope to do in the future. Findings – We are at a time when technology has made innovation and creation available to many. Academic libraries should take on this opportunity of repositioning technology services to provide and promote technical applications, becoming a central point for library users to share ideas and collaborate on projects. As a result of the interdisciplinary nature of academic libraries, the authors are in the best position to make this happen on campus. Originality/value – Even though continual change has been a theme in the development of libraries, very little has been written on the role of technology support services. This paper sets the foundation for further exploration in how taking on academic technology support services, 3D printing and makerspaces could be a part of library services.

Functional domains of business incubators for refugee entrepreneurs

2019 ◽  
Vol 14 (5) ◽  
pp. 687-711 ◽  
Author(s):  
Aki Harima ◽  
Julia Freudenberg ◽  
Jantje Halberstadt
Keyword(s):  
Host Country ◽  
Functional Domains ◽  
Business Incubators ◽  
Policy Makers ◽  
Content Type ◽  
Key Characteristics ◽  
Distinctive Type ◽  
Institutional Differences ◽  
Entrepreneurial Activities

Purpose The purpose of this paper is to conceptualize business incubators and their support for entrepreneurial refugees. While the number of initiatives supporting refugees’ entrepreneurial activities has increased in recent years, we still know little about how they differ from other types of business incubators. Design/methodology/approach This case study investigates a business incubator in Hamburg, Germany, targeting enterprising refugees. For this paper, 14 in-depth interviews with program participants and incubation managers were conducted. Findings This paper inductively derives five functional domains of refugee business incubators: providing structured entrepreneurial knowledge; alleviating anxiety related to institutional differences; guiding through the process at the incubator and motivating participants; understanding and tapping into social capital in the host country; and providing soft support concerning personal matters. The findings show that business incubators could and possibly should address specific needs of refugees and that there is much room for improvement. This study suggests that the five domains listed above represent key characteristics that distinguish refugee business incubators from traditional business incubators. Practical implications This paper offers valuable practical insights for refugee business incubators, which need to consider and develop functional domains listed above. Because these kinds of incubators are a fairly recent phenomenon, there is a general lack of and need for blueprints. The findings of this paper suggest that business incubators could integrate and support entrepreneurial refugees provided that they consider the five functional domains identified here. The findings also provide evidence that entrepreneurship can be a possible means of vocational integration for refugees and one way of institutions and policy-makers in host country seeking to support refugees’ entrepreneurial activities, for example, by developing or subsidizing business incubators targeting refugees. Originality/value This paper’s contributions are twofold. First, this paper addresses a gap in the literature on refugee entrepreneurship by providing insights concerning the important role of support institutions. Second, this paper conceptualizes business incubators for enterprising refugees as a distinctive type of business incubators. This paper has, however, some limitations. Because it only considered a relatively small number of refugee entrepreneurs, it is difficult to generalize the findings. The cross-cultural setting of the empirical study, with its potential for linguistic and cultural misunderstandings, may have affected the results.

scholarly journals Future of the arts festivals: do the views of managers and attendees match?

2019 ◽  
Vol 11 (1) ◽  
pp. 105-126
Author(s):  
Mervi Luonila ◽  
Maarit Kinnunen
Keyword(s):  
Planning Process ◽  
Future Research ◽  
Content Type ◽  
Arts Festivals ◽  
The Arts ◽  
Future Success ◽  
Key Characteristics ◽  
Arts Festival ◽  
The Relationship

Purpose To make sense of the relationship between the festival attendance and the aims in arts festival management, the purpose of this paper is to explore the key characteristics for success and analyze the perceptions of the future in arts festival productions. Design/methodology/approach This qualitative study uses interviews with festival managers and empathy-based stories (MEBS) written by members of festival audience. Discourse analysis is employed for answering the questions: What are the characteristics of a successful festival, and what could ruin it? Findings The paper highlights the importance of interaction with the audience orchestrated by the festival organization. Such interaction co-constructs a more holistic festival experience valued by both parties, which supports the sustainability and future success. Research limitations/implications The research data are limited to one country, and music festivals dominate the data. Practical implications Among managers, there is a need to consider audiences as consumers and as producers in the current competitive climate in the arts and cultural field and clarify the role of the audience as a partner in the networked festival production by placing the attendee at the core of the strategic planning process of arts festivals. Originality/value The research combines the views of the demand-and-supply side. It adds to the knowledge in arts and festival management by exploring the relationship between attendance and the aims of arts festival management in general, and the key characteristics of success in the arts festival context in particular. MEBS offers new interesting opportunities for future research in qualitative festival research.

Knowledge transfer and innovation adoption in women farmers

2020 ◽  
Vol 123 (1) ◽  
pp. 317-336
Author(s):  
Marcello De Rosa ◽  
Luca Bartoli ◽  
Chrysanthi Charatsari ◽  
Evagelos Lioutas
Keyword(s):  
Support Services ◽  
Entrepreneurial Orientation ◽  
Innovation Adoption ◽  
Women Farmers ◽  
Gender Mainstreaming ◽  
Content Type ◽  
Italian Women ◽  
The Impact ◽  
Innovation Support

PurposeThe study aims to analyse patterns of innovation adoption among Italian female-owned farms, by evaluating the impact of innovation support services and entrepreneurial orientation on innovation adoption.Design/methodology/approachTo explore both the entrepreneurial identity of women farmers and the role of innovation support services in boosting innovation, a questionnaire was administered to a sample of Italian women farmers. A multivariate analysis lets to classify the farms under the previous two perspectives.FindingsThe analysis reveals various patterns of innovation adoption, heavily depending on both the effectiveness of innovation support services and farmers' entrepreneurial orientation.Research limitations/implicationsThe research analyses a sample of women farmers to excavate worlds of innovation among female-owned farms. Cross-gender comparisons can offer a more complete picture of the ways gender catalyses innovation adoption.Practical implicationsAt a policy level, the results of our empirical analysis point out the need for gendering innovation analysis and for tailoring policy interventions to the different worlds of innovation that exist in rural Italy.Social implicationsThe paper confirms the importance of deepening research on gender issues, with the purpose of fulfilling gender mainstreaming underlined in numerous policy documents at both the European and international levels.Originality/valueThe analysis represents a first attempt to join both the entrepreneurial identity of women farmers and the role of innovation support services in boosting innovation. Therefore, the paper fills a gap in the literature.

Poems and pancakes for alcohol harm reduction

2018 ◽  
Vol 18 (3) ◽  
pp. 159-171
Author(s):  
Andrew Misell
Keyword(s):  
Public Health ◽  
Community Development ◽  
Harm Reduction ◽  
Large Degree ◽  
Alcohol Problems ◽  
Drinking Patterns ◽  
Content Type ◽  
Asset Based Community Development ◽  
The Individual ◽  
Alcohol Harm Reduction

Purpose Programmes to promote alcohol awareness and harm reduction in the general population often take an atomised approach, encouraging individual drinkers to understand their unit intake and adjust it accordingly. Although many public health practitioners harbour doubts about the value of this approach, few clear alternatives have emerged. The purpose of this paper is to provide such an alternative. Design/methodology/approach Alcohol Concern’s Communities Together project was rooted in the idea that drinking patterns can only be understood in their social context. It was an attempt to take seriously Harold Holder’s injunction to “cease to focus narrowly on the individual and begin to adopt broader community perspectives on alcohol problems”. The project applied Asset-Based Community Development methods, handing a large degree of control over to the participants, drawing on their own talents and enthusiasms, and recognising their autonomy and their authority as experts in their own lives. Findings The project outputs have been described as “community development with an alcohol twist”. They included a range of activities and events that created inclusive and non-judgemental spaces for people to think about alcohol and draw their own conclusions. It was also a lesson in humility for those of us who like to consider ourselves as the experts in public health: we had to learn that we did not have all the answers to questions about other people’s lives. Practical implications The project indicates that community development may be a valid alternative to more traditional and more didactic approaches to alcohol harm reduction. Originality/value The project may provide an innovative and flexible model that could be applied in various communities in order to address alcohol misuse in an engaging and undogmatic fashion that helps people take more control of their own lives.

Customer expectations and moderating role of demographics in fresh food retail

2018 ◽  
Vol 46 (9) ◽  
pp. 870-890 ◽  
Author(s):  
Rose Antony ◽  
Vivekanand B. Khanapuri ◽  
Karuna Jain
Keyword(s):  
Cluster Analysis ◽  
Factor Analysis ◽  
Customer Satisfaction ◽  
Support Services ◽  
Food Retail ◽  
Content Type ◽  
Customer Expectations ◽  
Fresh Food ◽  
Moderating Role

PurposeThe purpose of this paper is to identify the dimensions of customer expectations and study the moderating role of demographics in the context of fresh food retail.Design/methodology/approachA structured questionnaire was designed using extant literature review followed by expert opinions. The survey was conducted among the customers in the twin cities of Maharashtra in India. The factors of customer expectations were identified using exploratory factor analysis (EFA) and further confirmed using confirmatory factor analysis in SPSS and AMOS, respectively. The significance of the customer expectations on customer satisfaction was studied using structural equation modeling. Subsequently, the role of demographics was studied using two-step cluster analysis and multigroup moderation.FindingsDuring EFA three factors emerged, namely, product-related features, in-store quality and store support services. Structural model evaluation found product-related features and in-store quality significantly influencing the customer satisfaction, while store support services were found as a non-significant factor in the region studied. Further, using cluster analysis customers were segregated into three groups, namely, traditional, autonomous and premium customers, where the premium customers were found to prefer the store support services on a higher scale, and similar results were obtained using multigroup moderation. Demographics, namely, gender, age, respondents’ income and marital status moderated for product-related features and in-store quality. Interestingly, respondents’ income also moderated for the store support services.Practical implicationsThe findings provide directions for store managers of the fresh food category to align supply chain decisions with the unique requirements of customers considering their socio-economic characteristics.Originality/valueOn the basis of social exchange theory, the authors found that in a mutually beneficial relationship, concerning the value proposition, retailers need to address the requirement of the different income group customers for store support services.

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