I am based in the new Salvation Army Centre for Addiction Services and Research, in the Faculty of Social Sciences. As a Knowledge Exchange Fellow, I am involved in research and knowledge exchange activities within the field of addictions, including work on effectiveness, impact, homelessness and dual diagnosis.
Prior to joining the Centre, I completed a PhD at Edinburgh Napier University. My PhD study was a qualitative investigation into substance use communication between looked after young people and their carers. I have also held research posts at Edinburgh Napier University, Edinburgh/West Lothian Alcohol and Drug Partnerships, University of Edinburgh and NHS Lothian, working within the fields of public health, maternal obesity, substance use and nursing education.
An international and intersectional dialogue on how to reduce harm and promote wellbeing amongst people who have housing, health and substance use challenges: A series of knowledge exchange events –
People who experience homelessness often have intersecting health problems including poor mental and physical health and problem substance use (Hewett & Halligan 2010). The co-occurrence of these three problems has been termed ‘tri-morbidity’. Problem substance use is often a contributing factor to someone becoming homeless and accounts for over a third of deaths in homeless people (Crisis 2011). Engagement with treatment services, particularly those which expect abstinence, can be extremely challenging (Collins et al. 2016). While harm reduction approaches are recommended for those unlikely to achieve abstinence (Raistrick et al. 2006), there is virtually no specific guidance on how harms from problem substance use can be reduced for homeless people. International models of care and housing provision exist but their relevance to Scotland has not been systematically explored. To address this gap we will create a dialogue on international, national and local best practices in this area and, most critically, on how we can work better together across sectors and disciplines to develop Scottish solutions. We will bring together a diverse group who have substantial knowledge of the issues to develop a nuanced understanding of the current position and how this can better inform policy and practice developments going forward.