Overdose Prevention and Housing: a Qualitative Study Examining Drug Use, Overdose Risk, and Access to Safer Supply in Permanent Supportive ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-08-31

AUTHORS

Andrew Ivsins, Laura MacKinnon, Jeanette M. Bowles, Amanda Slaunwhite, Geoff Bardwell

ABSTRACT

The majority of overdose deaths in British Columbia (BC) occur among people using illicit substances alone in private residences. Some supportive housing in BC includes on-site access to a variety of health and substance use–related services. More recently, a number of supportive housing locations have started offering prescribed safer supply medications to people at high overdose risk, though these remain limited and under-evaluated. In this study, we describe the drug use practices — including access to and use of on-site supervised consumption, OAT, and prescribed safer supply medications — of study participants living in permanent supportive housing with integrated primary care, substance use treatment services, and supervised consumption spaces. Qualitative interviews were conducted with 30 residents of a permanent supportive housing site in Vancouver, Canada. Data were analyzed using a sequential process to identify both a priori (e.g., low-barrier substance use treatment, pandemic effects on service access) and emerging themes (e.g., using alone). Most (N = 27) study participants reported using alone in their rooms, despite having access to an on-site supervised consumption area. Reasons for using alone include the following: preference for being alone, discretion/stigma, and restrictive housing policies. Less than half (N = 12) of the study participants accessed on-site prescribed safer supply medications. Participants receiving on-site prescribed safer supply described positive benefits including reduced use of illicit opioids, and less reliance on illicit income generation activities. On-site prescribed safer supply programs within supportive housing environments are an important tool in addressing overdose risk. More... »

PAGES

855-864

References to SciGraph publications

  • 2003-06. Fatal heroin-related overdose in San Francisco, 1997–2000: a case for targeted intervention in JOURNAL OF URBAN HEALTH
  • 2021-05-20. Use of sustained release dextroamphetamine for the treatment of stimulant use disorder in the setting of injectable opioid agonist treatment in Canada: a case report in HARM REDUCTION JOURNAL
  • 2021-10-13. Xylazine detected in unregulated opioids and drug administration equipment in Toronto, Canada: clinical and social implications in HARM REDUCTION JOURNAL
  • 2020-10-28. “It’s Helped Me a Lot, Just Like to Stay Alive”: a Qualitative Analysis of Outcomes of a Novel Hydromorphone Tablet Distribution Program in Vancouver, Canada in JOURNAL OF URBAN HEALTH
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  • 2021-02-02. Women’s multiple uses of an overdose prevention technology to mitigate risks and harms within a supportive housing environment: a qualitative study in BMC WOMEN'S HEALTH
  • 2017-12-06. Housing and overdose: an opportunity for the scale-up of overdose prevention interventions? in HARM REDUCTION JOURNAL
  • 2018-08-02. Addressing Intersecting Housing and Overdose Crises in Vancouver, Canada: Opportunities and Challenges from a Tenant-Led Overdose Response Intervention in Single Room Occupancy Hotels in JOURNAL OF URBAN HEALTH
  • 2020-01-10. Stimulant safe supply: a potential opportunity to respond to the overdose epidemic in HARM REDUCTION JOURNAL
  • 2020-11-23. Convenience and comfort: reasons reported for using drugs alone among clients of harm reduction sites in British Columbia, Canada in HARM REDUCTION JOURNAL
  • 2021-07-02. Mortality in homeless people enrolled in the French housing first randomized controlled trial: a secondary outcome analysis of predictors and causes of death in BMC PUBLIC HEALTH
  • 2021-08-05. A qualitative study on overdose response in the era of COVID-19 and beyond: how to spot someone so they never have to use alone in HARM REDUCTION JOURNAL
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11524-022-00679-7

    DOI

    http://dx.doi.org/10.1007/s11524-022-00679-7

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1150632094

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/36044156


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