Article

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

Details

Citation

Parkes T, Carver H, Masterton W, Booth H, Ball L, Murdoch H, Falzon D, Pauly BM & Matheson C (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 in Scotland. International Journal of Environmental Research and Public Health, 18 (23), Art. No.: 12523. https://doi.org/10.3390/ijerph182312523

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.

Keywords
alcohol; alcohol use disorders; homelessness; harm reduction; managed alcohol programmes; COVID-19

Journal
International Journal of Environmental Research and Public Health: Volume 18, Issue 23

StatusPublished
FundersCSO Chief Scientist Office
Publication date31/12/2021
Publication date online30/11/2021
Date accepted by journal25/11/2021
URLhttp://hdl.handle.net/1893/33695
PublisherMDPI AG
eISSN1660-4601

People (7)

People

Mrs Hazel Booth
Mrs Hazel Booth

Research Fellow, Faculty of Social Sciences

Dr Hannah Carver
Dr Hannah Carver

Lecturer in Substance Use, Sociology, Social Policy & Criminology

Mr Danilo Falzon
Mr Danilo Falzon

Research Assistant, Faculty of Social Sciences

Dr Wendy Masterton
Dr Wendy Masterton

Lecturer in Criminology, Sociology, Social Policy & Criminology

Professor Catriona Matheson
Professor Catriona Matheson

Professor in Substance Use, Faculty of Social Sciences

Professor Tessa Parkes
Professor Tessa Parkes

Professor, Faculty of Social Sciences

Professor Bernadette Pauly
Professor Bernadette Pauly

Honorary Professor, Faculty of Social Sciences

Projects (1)

Tags

Research centres/groups