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The effectiveness of substance use interventions for homeless and vulnerably housed persons: A systematic review of systematic reviews on supervised consumption facilities, managed alcohol programs, and pharmacological agents for opioid use disorder

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  • Olivia Magwood
  • Ginetta Salvalaggio
  • Michaela Beder
  • Claire Kendall
  • Victoire Kpade
  • Wahab Daghmach
  • Gilbert Habonimana
  • Zack Marshall
  • Ellen Snyder
  • Tim O’Shea
  • Robin Lennox
  • Helen Hsu
  • Peter Tugwell
  • Kevin Pottie

Abstract

Background: Substance use is disproportionately high among people who are homeless or vulnerably housed. We performed a systematic overview of reviews examining the effects of selected harm reduction and pharmacological interventions on the health and social well-being of people who use substances, with a focus on homeless populations. Methods and findings: We searched MEDLINE, EMBASE, PsycINFO, Joanna Briggs Institute EBP, Cochrane Database of Systematic Reviews and DARE for systematic reviews from inception to August 2019. We conducted a grey literature search and hand searched reference lists. We selected reviews that synthesized evidence on supervised consumption facilities, managed alcohol programs and pharmacological interventions for opioid use disorders. We abstracted data specific to homeless or vulnerably housed populations. We assessed certainty of the evidence using the GRADE approach. Conclusions: Substance use is a common chronic condition impacting homeless populations. Supervised consumption facilities reduce overdose and improve access to care, while pharmacological interventions may play a role in reducing harms and addressing other morbidity. High quality evidence on managed alcohol programs is limited.

Suggested Citation

  • Olivia Magwood & Ginetta Salvalaggio & Michaela Beder & Claire Kendall & Victoire Kpade & Wahab Daghmach & Gilbert Habonimana & Zack Marshall & Ellen Snyder & Tim O’Shea & Robin Lennox & Helen Hsu & P, 2020. "The effectiveness of substance use interventions for homeless and vulnerably housed persons: A systematic review of systematic reviews on supervised consumption facilities, managed alcohol programs, a," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-31, January.
    • Handle: RePEc:plo:pone00:0227298
    DOI: 10.1371/journal.pone.0227298
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    References listed on IDEAS

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    1. Stephen Hwang & Tim Aubry & Anita Palepu & Susan Farrell & Rosane Nisenbaum & Anita Hubley & Fran Klodawsky & Evie Gogosis & Elizabeth Hay & Shannon Pidlubny & Tatiana Dowbor & Catharine Chambers, 2011. "The health and housing in transition study: a longitudinal study of the health of homeless and vulnerably housed adults in three Canadian cities," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(6), pages 609-623, December.
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