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Barriers to and supports for tobacco and alcohol use disorder treatment among California’s homeless

Bibliographic Data

ID15414232
AuthorsAceel Christina Hawa (Stanford University, corresponding author), Donald A Barr (0000-0003-4706-2594, Stanford University), Donald Barr (Stanford University), Haleh Sheikholeslami (Peninsula HealthCare Connection)
Year2022
Volume23
Issue2
Pages129-140
Publication date2022-01-13
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Social Work Practice in the Addictions (JOURNAL)
Journal identifiersISSN: 1533-256X • E-ISSN: 1533-2578
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/1533256x.2022.2028121
OpenAlexW4206116599
LanguageEN
References cited18

Recommendations for the treatment of tobacco and alcohol use disorders are plentiful. The literature is mixed, however, on the extent to which treatments for these disorders apply to people experiencing homelessness. We identified 12 community health centers from distinct counties across California that provide tobacco and alcohol use disorder treatments to people experiencing homelessness and conducted semi-structured interviews with each. We qualitatively analyzed transcripts using the NVivo 12 software. The following themes emerged: (1) the role of street outreach as the first step of service delivery, (2) the importance of patient choice and volition in the treatment decision-making process, (3) the need for explicit provider-patient trust-building, (4) acknowledging variability in access to and availability of resources at treatment sites, and (5) redefining successful outcomes. Findings have implications for dissemination and implementation research in tobacco and alcohol use disorders among people experiencing homelessness, both in California and broader North American settings

Alcohol · Alcohol use disorder · Business · Environmental health · Outreach · Political science · Psychiatry · Service (business · Service provider · Tobacco use · Volition (linguistics · Food Security and Health in Diverse Populations · Geriatric Care and Nursing Homes · Homelessness and Social Issues · Medicine · Psychology

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    Michael H Eversman•Journal of Social Work Practice…•2015

  • Mastery matters

    Open Access•Ronni Michelle Greenwood, Rachel M Manning•Health & Social Care in the…•2016

  • Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals With a Dual Diagnosis

    Sam Tsemberis, Leyla Gülçür et al.•American Journal of Public Health•2004

  • Predictors of Outreach Meetings Among Substance Using Homeless Youth

    Open Access•Jasmin Carmona, Natasha Slesnick et al.•Community Mental Health Journal•2015

Citation velocityhistorical
Highly citedNo

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