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Exploring the Potential of Implementing Managed Alcohol Programmes to Reduce Risk of COVID-19 Infection and Transmission, and Wider Harms, for People Experiencing Alcohol Dependency and Homelessness in Scotland

Author

Listed:
  • Tessa Parkes

    (Salvation Army Centre for Addictions Services and Research, Faculty of Social Sciences, University of Stirling, Stirling FK9 4LA, UK)

  • Hannah Carver

    (Salvation Army Centre for Addictions Services and Research, Faculty of Social Sciences, University of Stirling, Stirling FK9 4LA, UK)

  • Wendy Masterton

    (Salvation Army Centre for Addictions Services and Research, Faculty of Social Sciences, University of Stirling, Stirling FK9 4LA, UK)

  • Hazel Booth

    (Salvation Army Centre for Addictions Services and Research, Faculty of Social Sciences, University of Stirling, Stirling FK9 4LA, UK)

  • Lee Ball

    (Homelessness Services Unit, The Salvation Army, London SE1 6BN, UK)

  • Helen Murdoch

    (Homelessness Services Unit, The Salvation Army, London SE1 6BN, UK)

  • Danilo Falzon

    (Salvation Army Centre for Addictions Services and Research, Faculty of Social Sciences, University of Stirling, Stirling FK9 4LA, UK)

  • Bernie M. Pauly

    (Canadian Institute for Substance Use Research, University of Victoria, Victoria, BC V8P 5C2, Canada)

  • Catriona Matheson

    (Faculty of Social Sciences, University of Stirling, Stirling FK9 4LA, UK)

Abstract

People who experience homelessness and alcohol dependency are more vulnerable than the general population to risks/harms relating to COVID-19. This mixed methods study explored stakeholder perspectives concerning the impact of COVID-19 and the potential utility of introducing managed alcohol programmes (MAPs) in Scotland as part of a wider health/social care response for this group. Data sources included: 12 case record reviews; 40 semi-structured qualitative interviews; and meeting notes from a practitioner-researcher group exploring implementation of MAPs within a third sector/not-for-profit organisation. A series of paintings were curated as a novel part of the research process to support knowledge translation. The case note review highlighted the complexity of health problems experienced, in addition to alcohol dependency, including polysubstance use, challenges related to alcohol access/use during lockdown, and complying with stay-at-home rules. Qualitative analysis generated five subthemes under the theme of ‘MAPs as a response to COVID-19′: changes to alcohol supply/use including polysubstance use; COVID-19-related changes to substance use/homelessness services; negative changes to services for people with alcohol problems; the potential for MAPs in the context of COVID-19; and fears and concerns about providing MAPs as a COVID-19 response. We conclude that MAPs have the potential to reduce a range of harms for this group, including COVID-19-related harms.

Suggested Citation

  • Tessa Parkes & Hannah Carver & Wendy Masterton & Hazel Booth & Lee Ball & Helen Murdoch & Danilo Falzon & Bernie M. Pauly & Catriona Matheson, 2021. "Exploring the Potential of Implementing Managed Alcohol Programmes to Reduce Risk of COVID-19 Infection and Transmission, and Wider Harms, for People Experiencing Alcohol Dependency and Homelessness i," IJERPH, MDPI, vol. 18(23), pages 1-24, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12523-:d:689892
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    References listed on IDEAS

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    1. McVicar, Duncan & Moschion, Julie & van Ours, Jan C., 2015. "From substance use to homelessness or vice versa?," Social Science & Medicine, Elsevier, vol. 136, pages 89-98.
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    Cited by:

    1. Hannah Carver & Tessa Parkes & Wendy Masterton & Hazel Booth & Lee Ball & Helen Murdoch & Danilo Falzon & Bernie M. Pauly, 2022. "The Potential for Managed Alcohol Programmes in Scotland during the COVID-19 Pandemic: A Qualitative Exploration of Key Areas for Implementation Using the Consolidated Framework for Implementation Res," IJERPH, MDPI, vol. 19(22), pages 1-19, November.
    2. Kate Frazer & Thilo Kroll, 2022. "Understanding and Tackling the Complex Challenges of Homelessness and Health," IJERPH, MDPI, vol. 19(6), pages 1-3, March.

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