'It's like a safety haven': Considerations for the implementation of managed alcohol programs in Scotland

dc.contributor.authorParkes, Tessa
dc.contributor.authorCarver, Hannah
dc.contributor.authorMatheson, Catriona
dc.contributor.authorBrowne, Tania
dc.contributor.authorPauly, Bernie
dc.date.accessioned2023-01-26T20:14:43Z
dc.date.available2023-01-26T20:14:43Z
dc.date.copyright2021en_US
dc.date.issued2022
dc.description.abstractAlcohol use disorders (AUDs) are not equitably spread across the population, with some groups, such as people who are experiencing homelessness, being more vulnerable to AUDs due to social inequalities, stigma, and complex social and structural processes. Managed alcohol programs (MAPs) are a harm reduction approach first developed in Canada for those experiencing AUDs and homelessness with positive results. This study aimed to describe the factors that should be considered when implementing MAPs in Scotland. 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). Vignettes were used to support data collection. Data were analysed using Framework in NVivo. Participants highlighted six considerations to inform the implementation of MAPs in Scotland: the importance of individualized care; provision of alcohol; holistic care and a focus on well-being; types of settings and service models; staffing; and autonomy and rules. Future research should focus on piloting MAPs in a range of service contexts, using different models of care and settings, to develop an enhanced understanding of their effectiveness in addressing harms and promoting well-being for those experiencing AUDs and homelessness.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis research was funded by Chief Scientist Office Scotland under Grant CGA/19/14.en_US
dc.identifier.citationParkes, T., Carver, H., Matheson, C., Browne, T., & Pauly, B. (2022). “‘It’s like a safety haven’: Considerations for the implementation of managed alcohol programs in Scotland.” Drugs: Education, Prevention and Policy, 29(5), 477-489. https://doi.org/10.1080/09687637.2021.1945536en_US
dc.identifier.urihttps://doi.org/10.1080/09687637.2021.1945536
dc.identifier.urihttp://hdl.handle.net/1828/14706
dc.language.isoenen_US
dc.publisherDrugs: Education, Prevention and Policyen_US
dc.subjectAlcoholen_US
dc.subjecthomelessnessen_US
dc.subjectalcohol use disordersen_US
dc.subjectharm reductionen_US
dc.subjectmanaged alcohol programsen_US
dc.subjectqualitative researchen_US
dc.subjectScotlanden_US
dc.title'It's like a safety haven': Considerations for the implementation of managed alcohol programs in Scotlanden_US
dc.typeArticleen_US

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