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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 Research

Bibliographic Data

ID15469925
AuthorsHannah Carver (0000-0002-6846-2661, University of Stirling, corresponding author), Tessa Parkes (0000-0002-0409-3254, University of Stirling), Wendy Masterton (0000-0001-8630-9604, University of Stirling), Hazel Booth (0000-0003-3242-0213, University of Stirling), Lee Ball (The Salvation Army), Helen Murdoch (The Salvation Army), Danilo Falzon (0000-0003-3295-4987, University of Stirling), Bernie Pauly (0000-0002-4845-1383, University of Victoria), Bernie M Pauly (Canadian Institute for Substance Use Research, University of Victoria, Victoria, BC V8P 5C2, Canada)
Year2022
Volume19
Issue22
Pages15207-15207
Publication date2022-11-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph192215207
PMID36429926
OpenAlexW4309720814
LanguageEN
Citations received3
References cited40

People experiencing homelessness and alcohol dependence are at increased risk of a range of harms, including from COVID-19. Managed Alcohol Programmes (MAPs) are an alcohol harm reduction intervention specifically for this group. In this paper we report on qualitative findings of a mixed methods study investigating the potential utility of MAPs during the COVID-19 pandemic in Scotland. Interviews, conducted with 40 participants, explored potential views of implementing MAPs during the pandemic. Theoretically, we drew on the Consolidated Framework for Implementation Research (CFIR) to inform data collection and analysis. Six themes were identified which mapped onto three CFIR domains: perceptions of MAPs and the evidence base; necessary components of MAPs; changing culture of alcohol harm reduction; MAPs as a moral and ethical grey area; addressing a service gap; and securing buy-in and partnership working. Participants were generally positive about MAPs and viewed them as a key intervention to address a service gap. Several necessary components were identified for successful implementation of MAPs. Securing buy-in from a range of stakeholders and partnership working were deemed important. Finally, MAPs require careful, long-term planning before implementation. We conclude that MAPs are needed in Scotland and require long-term funding and appropriate resources to ensure they are successful

Business · Coronavirus disease 2019 (COVID-19 · Focus group · General partnership · Grey literature · Harm · Harm reduction · Implementation research · Intervention (counseling · MEDLINE · Pandemic · Political science · Psychological intervention · Public health · Public relations · Qualitative research · Service (business · Sociology · Community Health and Development · Health Policy Implementation Science · Homelessness and Social Issues · Medicine · Nursing · Psychology · Social Psychology · Marketing

  • Substance use disorders and Covid-19

    Open Access•Hannah Carver, Teodora Ciolompea et al.•Frontiers in Public Health•2023

  • A qualitative exploration of the relevance of training provision in planning for implementation of managed alcohol programs within a third sector setting

    Open Access•Wendy Masterton, Hannah Carver et al.•Drugs Education Prevention and…•2025

  • Regulation on the rocks

    Open Access•Mark Ng Shun, Herb Varley et al.•International Journal of Drug…•2026

  • A systematic review of the use of the Consolidated Framework for Implementation Research

    Open Access•M Alexis Kirk, Caitlin Kelley et al.•Implementation Science•2015

  • Covid-19 and people experiencing homelessness

    Open Access•Melissa Perri, Naheed Dosani et al.•Canadian Medical Association…•2020

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    Open Access•Laura J Damschroder, David C Aron et al.•Implementation Science•2009

  • ‘It’s like a safety haven’

    Open Access•Tessa Parkes, Hannah Carver et al.•Drugs Education Prevention and…•2022

  • Investigating the need for alcohol harm reduction and managed alcohol programs for people experiencing homelessness and alcohol use disorders in Scotland

    Open Access•Hannah Carver, Tessa Parkes et al.•Drug and Alcohol Review•2021

  • Responding to the Needs of the Homeless in the Covid-19 Pandemic

    Hee Soun Jang, Yu Shi et al.•International Journal of Public…•2021

  • Shifting moral values to enhance access to health care

    Open Access•Bernie Pauly•International Journal of Drug…•2008

  • 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

    Open Access•Tessa Parkes, Hannah Carver et al.•International Journal of…•2021

  • Drug and Alcohol Use and the Link with Homelessness

    Jane E Fountain, Jane Fountain et al.•Addiction Research & Theory•2003

  • Community‐based residential treatment for alcohol and substance use problems

    Open Access•Christina Mutschler, Sana Junaid et al.•Health & Social Care in the…•2022

  • On the outside looking in

    Open Access•Andrew Ivsins, Bernie Pauly et al.•International Journal of Drug…•2019

  • Framework analysis

    Open Access•Matthew D Kiernan, Mick Hill•Qualitative Research Journal•2018

  • This place has given me a reason to care”

    Open Access•Joshua Evans, Dyanne Semogas et al.•Health & Place•2015

  • Homelessness and Substance Abuse

    Guy Johnson, Chris Chamberlain•Australian Social Work•2008

  • Understanding responses to homelessness during Covid-19

    Open Access•Cameron Parsell, Andrew Clarke et al.•Housing Studies•2023

  • Ethical challenges and responses in harm reduction research

    Open Access•Christine Fry, Craig L Fry et al.•Drug and Alcohol Review•2005

  • From substance use to homelessness or vice versa

    Open Access•Duncan Mcvicar, Julie Moschion et al.•Social Science & Medicine•2015

Unique citing works3
Citations per year1
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3
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