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dc.contributor.authorKouimtsidis, Christosen_UK
dc.contributor.authorPauly, Bernadetteen_UK
dc.contributor.authorParkes, Tessaen_UK
dc.contributor.authorStockwell, Timen_UK
dc.contributor.authorBaldacchino, Alexander Marioen_UK
dc.description.abstractThe COVID-19 pandemic is presenting significant challenges for health and social care systems globally. The implementation of unprecedented public health measures, alongside the augmentation of the treatment capacity for those severely affected by COVID-19, are compromising and limiting the delivery of essential care to people with severe substance use problems and, in some cases, widening extreme social inequities such as poverty and homelessness. This global pandemic is severely challenging current working practices. However, these challenges can provide a unique opportunity for a flexible and innovative learning approach, bringing certain interventions into the spotlight. Harm reduction responses are well-established evidenced approaches in the management of opioid dependence but not so well-known or implemented in relation to alcohol use disorders. In this position paper, we explore the potential for expanding harm reduction approaches during the COVID-19 crisis and beyond as part of substance use treatment services. We will examine alcohol use and related vulnerabilities during COVID-19, the impact of COVID-19 on substance use services, and the potential philosophical shift in orientation to harm reduction and outline a range of alcohol harm reduction approaches. We discuss relevant aspects of the Structured Preparation for Alcohol Detoxification (SPADe) treatment model, and Managed Alcohol Programs (MAPs), as part of a continuum of harm reduction and abstinence orientated treatment for alcohol use disorders. In conclusion, while COVID-19 has dramatically reduced and limited services, the pandemic has propelled the importance of alcohol harm reduction and created new opportunities for implementation of harm reduction philosophy and approaches, including programs that incorporate the provision of alcohol as medicine as part of the substance use treatment continuum.en_UK
dc.publisherFrontiers Media SAen_UK
dc.relationKouimtsidis C, Pauly B, Parkes T, Stockwell T & Baldacchino AM (2021) COVID-19 Social Restrictions: An Opportunity to Re-visit the Concept of Harm Reduction in the Treatment of Alcohol Dependence. A Position Paper. Frontiers in Psychiatry, 12, Art. No.: 623649.
dc.rights© 2021 Kouimtsidis, Pauly, Parkes, Stockwell and Baldacchino. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY - The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en_UK
dc.subjectharm reductionen_UK
dc.subjectstructured preparation for alcohol detoxificationen_UK
dc.subjectmanaged alcohol programsen_UK
dc.titleCOVID-19 Social Restrictions: An Opportunity to Re-visit the Concept of Harm Reduction in the Treatment of Alcohol Dependence. A Position Paperen_UK
dc.typeJournal Articleen_UK
dc.citation.jtitleFrontiers in Psychiatryen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationImperial College Londonen_UK
dc.contributor.affiliationUniversity of Victoriaen_UK
dc.contributor.affiliationFaculty of Social Sciencesen_UK
dc.contributor.affiliationUniversity of Victoriaen_UK
dc.contributor.affiliationUniversity of St Andrewsen_UK
dc.subject.tagAddiction and Recoveryen_UK
dc.subject.tagAlcohol policyen_UK
Appears in Collections:Faculty of Social Sciences Journal Articles

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