Do managed alcohol programs change patterns of alcohol consumption and reduce related harm? A pilot study

Simple item page
dc.contributor.authorVallance, Kate
dc.contributor.authorStockwell, Tim
dc.contributor.authorPauly, Bernie
dc.contributor.authorChow, Clifton
dc.contributor.authorGray, Erin
dc.contributor.authorKrysowaty, Bonnie
dc.contributor.authorPerkin, Kathleen
dc.contributor.authorZhao, Jinhui
dc.date.accessioned2017-08-29T16:45:53Z
dc.date.available2017-08-29T16:45:53Z
dc.date.copyright2016en_US
dc.date.issued2016
dc.description.abstractBackground: Managed alcohol programs (MAPs) are a harm reduction strategy for people with severe alcohol dependence and unstable housing. MAPs provide controlled access to alcohol usually alongside accommodation, meals, and other supports. Patterns of alcohol consumption and related harms among MAP participants and controls from a homeless shelter in Thunder Bay, Ontario, were investigated in 2013. Methods: Structured interviews were conducted with 18 MAP and 20 control participants assessed as alcohol dependent with most using non-beverage alcohol (NBA). Qualitative interviews were conducted with seven participants and four MAP staff concerning perceptions and experiences of the program. Program alcohol consumption records were obtained for MAP participants, and records of police contacts and use of health services were obtained for participants and controls. Some participants’ liver function test (LFT) results were available for before and after MAP entry. Results: Compared with periods off the MAP, MAP participants had 41 % fewer police contacts, 33 % fewer police contacts leading to custody time (x2 = 43.84, P < 0.001), 87 % fewer detox admissions (t = −1.68, P = 0.06), and 32 % fewer hospital admissions (t = −2.08, P = 0.03). MAP and control participants shared similar characteristics, indicating the groups were broadly comparable. There were reductions in nearly all available LFT scores after MAP entry. Compared with controls, MAP participants had 43 % fewer police contacts, significantly fewer police contacts (−38 %) that resulted in custody time (x2 = 66.10, P < 0.001), 70 % fewer detox admissions (t = −2.19, P = 0.02), and 47 % fewer emergency room presentations. NBA use was significantly less frequent for MAP participants versus controls (t = −2.34, P < 0.05). Marked but non-significant reductions were observed in the number of participants self-reporting alcohol-related harms in the domains of home life, legal issues, and withdrawal seizures. Qualitative interviews with staff and MAP participants provided additional insight into reductions of non-beverage alcohol use and reductions of police and health-care contacts. It was unclear if overall volume of alcohol consumption was reduced as a result of MAP participation. Conclusions: The quantitative and qualitative findings of this pilot study suggest that MAP participation was associated with a number of positive outcomes including fewer hospital admissions, detox episodes, and police contacts leading to custody, reduced NBA consumption, and decreases in some alcohol-related harms. These encouraging trends are being investigated in a larger national study.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis study was funded by Shelter House Thunder Bay, the Canadian Institutes for Health Research, and the Michael Smith Foundation for Health Research.en_US
dc.identifier.citationVallance, K., Stockwell, T., Pauly, B., Chow, C., Gray, E., Krysowaty, B., … Zhao, J. (2016). Do managed alcohol programs change patterns of alcohol consumption and reduce related harm? A pilot study. Harm Reduction Journal, 13(13), 1-11.en_US
dc.identifier.urihttp://dx.doi.org/10.1186/s12954-016-0103-4
dc.identifier.urihttp://hdl.handle.net/1828/8487
dc.language.isoenen_US
dc.publisherHarm Reduction Journalen_US
dc.rightsAttribution 2.5 Canada*
dc.rights.urihttp://creativecommons.org/licenses/by/2.5/ca/*
dc.subjectAlcohol harm reductionen_US
dc.subjectManaged alcohol programsen_US
dc.subjectHospital admissionsen_US
dc.subjectPolice contactsen_US
dc.subjectNon-beverage alcoholen_US
dc.subjectNon-potable alcoholen_US
dc.subjectHousing Firsten_US
dc.subjectHomelessnessen_US
dc.subjectAlcohol use disordersen_US
dc.titleDo managed alcohol programs change patterns of alcohol consumption and reduce related harm? A pilot studyen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Vallance_Kate_HarmRedJournal_2016.pdf
Size:
577.22 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 Publications (Human & Social Development)
 
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.