Community Managed Alcohol Programs in Canada: Overview of Key Dimensions and Implementation

Simple item page
dc.contributor.authorPauly, Bernie
dc.contributor.authorVallance, Kate
dc.contributor.authorWettlaufer, Ashley
dc.contributor.authorChow, Clifton
dc.contributor.authorBrown, Randi
dc.contributor.authorEvans, Joshua
dc.contributor.authorGray, Erin
dc.contributor.authorKrysowaty, Bonnie
dc.contributor.authorIvsins, Andrew
dc.contributor.authorSchiff, Rebecca
dc.contributor.authorStockwell, Tim
dc.date.accessioned2018-04-24T21:41:06Z
dc.date.copyright2018en_US
dc.date.issued2018
dc.description.abstractIntroduction and Aims People with severe alcohol dependence and unstable housing are vulnerable to multiple harms related to drinking and homelessness. Managed Alcohol Programs (MAP) aim to reduce harms of severe alcohol use without expecting cessation of use. There is promising evidence that MAPs reduce acute and social harms associated with alcohol dependence. The aim of this paper is to describe MAPs in Canada including key dimensions and implementation issues. Design and Methods Thirteen Canadian MAPs were identified through the Canadian Managed Alcohol Program Study. Nine key informant interviews were conducted and analysed alongside program documents and reports to create individual case reports. Inductive content analysis and cross case comparisons were employed to identify six key dimensions of MAPs. Results Community based MAPs have a common goal of preserving dignity and reducing harms of drinking while increasing access to housing, health and social services. MAPs are offered as both residential and day programs with differences in six key dimensions including program goals and eligibility, food and accomodation, alcohol dispensing and administration, funding and money management, primary care services and clinical monitoring, and social and cultural connections. Discussion and Conclusions MAPs consist of four pillars with the alcohol intervention provided alongside housing interventions, primary care services, social and cultural interventions. Availability of permanent housing and re‐establishing social and cultural connections are central to recovery and healing goals of MAPs. Additional research regarding Indigenous and gendered approaches to program development as well as outcomes related to chronic harms and differences in alcohol management are needed.en_US
dc.description.embargo2019-03-24
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.urihttps://doi.org/10.1111/dar.12681
dc.identifier.citationPauly, B., Vallance, K., Wettlaufer, A., Chow, C., Brown, R., Evans, J., Gray, E., Krysowaty, B., Ivsins, A., Schiff, R. and Stockwell, T. (2018), Community managed alcohol programs in Canada: Overview of key dimensions and implementation. Drug Alcohol Review doi:10.1111/dar.12681en_US
dc.identifier.otherhttps://doi.org/10.1111/dar.12681
dc.identifier.urihttp://hdl.handle.net/1828/9255
dc.language.isoenen_US
dc.publisherDrug and Alcohol Reviewen_US
dc.subjectmanaged alcohol programs
dc.subjectharm reduction
dc.subjecthomelessness
dc.subjecthousing
dc.subjectalcohol related harms
dc.subjectsevere alcohol use disorder
dc.subject.departmentSchool of Nursing
dc.titleCommunity Managed Alcohol Programs in Canada: Overview of Key Dimensions and Implementationen_US
dc.typePostprinten_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Pauly_Bernie_DrugAlcoholRev_2018.pdf
Size:
189.84 KB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Faculty and Staff Publications
 
University of Victoria Libraries

We acknowledge and respect the Lək̓ʷəŋən (Songhees and Esquimalt) Peoples on whose territory the university stands, and the Lək̓ʷəŋən and W̱SÁNEĆ Peoples whose historical relationships with the land continue to this day.