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Appears in Collections:Faculty of Social Sciences Journal Articles
Peer Review Status: Refereed
Title: Investigating the need for alcohol harm reduction and Managed Alcohol Programs for people experiencing homelessness and alcohol use disorders in Scotland
Author(s): Carver, Hannah
Parkes, Tessa
Browne, Tania
Matheson, Catriona
Pauly, Bernie
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Keywords: managed alcohol programs
alcohol use disorder
harm reduction
Issue Date: 1-Oct-2020
Citation: Carver H, Parkes T, Browne T, Matheson C & Pauly B (2020) Investigating the need for alcohol harm reduction and Managed Alcohol Programs for people experiencing homelessness and alcohol use disorders in Scotland. Drug and Alcohol Review.
Abstract: Introduction and Aims: Managed alcohol programmes are a harm reduction approach for those experiencing alcohol use disorders and homelessness. These programmes were developed in Canada and have had positive results; very few exist in the UK and Ireland. The aim of this study was to scope the feasibility and acceptability of implementing managed alcohol programmes in Scotland. Design and methods: Using mixed-methods we conducted two linked phases of work. Quantitative data were collected from the case records of 33 people accessing eight third sector services in Scotland and analysed in SPSS using descriptive and inferential statistics. Qualitative data were collected in Scotland via semi-structured interviews with 29 individuals in a range of roles, including strategic informants (n=12), service staff (n=8) and potential beneficiaries (n=9). Data were analysed using Framework Analysis in NVivo. Results: The case record review revealed high levels of alcohol use, related health and social harms, illicit drug use, withdrawal symptoms, and mental and physical health problems. Most participants highlighted a lack of alcohol harm reduction services and the potential of managed alcohol programmes to address this gap for this group. Discussion: Our findings highlight the potential for managed alcohol programmes in Scotland to prevent harms for those experiencing homelessness and alcohol use disorders, due to high levels of need. Conclusions: Future research should examine the implementation of managed alcohol programmes in Scotland in a range of service contexts to understand their effectiveness in addressing harms and promoting wellbeing for those experiencing alcohol use disorders and homelessness.
DOI Link: 10.1111/dar.13178
Rights: © 2020 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs. This is an open access article under the terms of the Creative Commons Attribution License (, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Notes: Output Status: Forthcoming/Available Online
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