Cited by 113Homelessness and Social IssuesHIV, Drug Use, Sexual RiskSubstance Abuse Treatment and Outcomes

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Housing and harm reduction: What is the role of harm reduction in addressing homelessness?

Pauly, Bernadette (Bernie), Reist, Dan, Belle-Isle, Lynne, Schactman, Chuck·2013·International Journal of Drug Policy

DOI 10.1016/j.drugpo.2013.03.008

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Abstract

Homelessness and drug use often overlap and the harms of substance use are exacerbated by homelessness. Responding to the twin problems of homelessness and substance use is an important aspect of strategies to end homelessness. The introduction and development of ten year plans to end homelessness in North America heralds a new era of systemic responses to homelessness. Central to many of these plans is the adoption of 'Housing First' as a policy response. Housing First focuses directly on housing people regardless of current patterns of substance use. As such, harm reduction is a key principle of Housing First. In this paper, we examine Housing First as an example of the integration of housing and harm reduction and then put forth a community level policy framework to further promote the integration of harm reduction as part of a response to homelessness. Drawing on Rhodes' risk environment framework and current evidence of Housing First and harm reduction, we describe four key policy areas for action: (1) social inclusion policies; (2) adequate and appropriate supply of housing; (3) on demand harm reduction services and supports and (4) systemic and organizational infrastructure. We conclude by identifying areas for future research.

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Background
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Additional file 1 of “I don’t think of it as a shelter. I say I’m going home”: a qualitative evaluation of a low-threshold shelter for women who use drugs
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Additional file 1 of “You know, we can change the services to suit the circumstances of what is happening in the world”: a rapid case study of the COVID-19 response across city centre homelessness and health services in Edinburgh, Scotland
Parkes, T., Carver, H., Masterton, W., Falzon, D., Dumbrell, J., Grant, S., & Wilson, I. (2021) · Figshare · doi:10.6084/m9.figshare.14775589

Authors: Pauly, B. (., Reist, D., Belle-Isle, L., & Schactman, C.
Affiliations: Canadian Institute for Substance Use Research (CA)
Venue: International Journal of Drug Policy
Publisher: Elsevier BV
Published: 2013-07
Volume: 24
Issue: 4
Pages: 284-290
ISSN: 0955-3959 (ISSN-L)
DOI: 10.1016/j.drugpo.2013.03.008
OpenAlex: W2025319606
Cited by: 113
References: 89
Citations by year: 2026: 12 · 2025: 15 · 2024: 12 · 2023: 5 · 2022: 8 · 2021: 16 · 2020: 10 · 2019: 7 · 2018: 5 · 2017: 9 · 2016: 6 · 2015: 3 · 2014: 4 · 2013: 1
FWCI: 8.45
Type: journal article
Language: en
Open access: closed
Locations: International Journal of Drug Policy (publishedVersion)
PubMed (publishedVersion)
Funders: Mental Health Commission
Topics: Social Sciences › Sociology and Political Science › Homelessness and Social Issues
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: homelessness, harm reduction, Housing First, substance use, social inclusion policy, housing supply, harm reduction services, organizational infrastructure
MeSH terms: Ill-Housed Persons, Housing, Humans, North America, Public Policy, Substance-Related Disorders, Harm Reduction

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