The DOI matches its Crossref record; 86 of the 89 references it cites were found in a registry or an index.
Housing and harm reduction: What is the role of harm reduction in addressing homelessness?
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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“In addition to benefits related to safer drug use, partnerships with harm reduction programs may also promote social inclusion and community integration for Housing First tenants who use drugs (Kerman et al., 2020b; Pauly et al., 2013).”
From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as Pauly et al., 2013
Citations
Cites
Pharmacological interventions for somatoform disorders in adults
Kleinstäuber, M., Witthöft, M., Steffanowski, A., van Marwijk, H., Hiller, W., & Lambert, M. J. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010628.pub2 · Cited by 11,369
Methadone maintenance therapy versus no opioid replacement therapy for opioid dependence
Mattick, R. P., Breen, C., Kimber, J., & Davoli, M. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002209.pub2 · Cited by 1,654
Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals With a Dual Diagnosis
Tsemberis, S., Gulcur, L., & Nakae, M. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.4.651 · Cited by 1,359 · cited 2×
“…Winkel, & Tsemberis, 2005; Gulcur, Stefanic, Shinn, Tsemberis, & Fischer, 2003; Larimer et al., 2009; Mental Health Commission of Canada, 2012; Padgett et al., 2006; Padgett, Henwood, Abrams, & Davis, 2008; Stefanic & Tsemberis, 2007; Tsemberis et al., 2004; Tsemberis, Kent, & Respress, 2011).”
BackgroundThe ‘risk environment’: A framework for understanding and reducing drug-related harm
Rhodes, T. (2002) · International Journal of Drug Policy · doi:10.1016/s0955-3959(02)00007-5 · Cited by 1,241
Risk environments and drug harms: a social science for harm reduction approach
Rhodes, T. (2009) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2008.10.003 · Cited by 948
The social structural production of HIV risk among injecting drug users
Rhodes, T., Singer, M., Bourgois, P., Friedman, S. R., & Strathdee, S. A. (2005) · Social Science & Medicine · doi:10.1016/j.socscimed.2004.12.024 · Cited by 934
Stigma, social inequality and alcohol and drug use
ROOM, R. (2005) · Drug and Alcohol Review · doi:10.1080/09595230500102434 · Cited by 891
Shaw, M. (2004) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.25.101802.123036 · Cited by 791
Larimer, M. E. (2009) · JAMA · doi:10.1001/jama.2009.414 · Cited by 615
Harm reduction: pragmatic strategies for managing high-risk behaviors
Marlatt, G. A. (1999) · Choice Reviews Online · doi:10.5860/choice.36-5353 · Cited by 581
Research works printed but not linked: 2
- Milloy, 2008, Overdose deaths prevented in Insite, PLoS ONE, 3, e3551
- O'Sullivan, 2008, Sustainable solutions to homelessness: The Irish case, European Journal of Homelessness, 2, 205
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Beaugard, C. A., Khudairi, F., Yesufu, O., Farina, A., & Laks, J. (2024) · Figshare · doi:10.6084/m9.figshare.26682775
Parkes, T., Carver, H., Masterton, W., Falzon, D., Dumbrell, J., Grant, S., & Wilson, I. (2021) · Figshare · doi:10.6084/m9.figshare.14775592
Mogensen, S. (2026) · Contemporary Drug Problems · doi:10.1177/00914509261427311
Spike on a bike: mobile harm reduction in action
Janes, J., Roberts, S., & Morgan, G. (2026) · Harm Reduction Journal · doi:10.1186/s12954-025-01394-7
Lived Experience of Individuals Covered by Harm Reduction Centers in Isfahan: A Qualitative Study
Azadmanesh, M., Keshvari, M., Esmaeili, A., Sadegh, S., Noorollahi, Z., & Karimi, T. (2026) · Iranian Journal of Nursing and Midwifery Research · doi:10.4103/ijnmr.ijnmr_433_24
McLean, A., Lucas, K., Moon, J. C., Chicken, A. P., Pauly, B., Nixon, L. L., Lamping, S., Robinson, J., Brown, M. E., Wan-Sai-Cheong, L., et al. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1833954
Self-citationUsing an ethical lens in frontline alcohol and other drug services: Enhancing access to care
Silkoff, D., McDougall, R. J., Chenhall, R. D., Henderson, C. R., & Naren, T. (2026) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2026.105401
Harkko, J. (2026) · International Journal of Public Health · doi:10.3389/ijph.2026.1609505
Somefun, O. D., Stergiopoulos, V., Taha, S. A., Kerman, N., Buckley, L., Aubin, N., Caudarella, A., Juhasz, S. C., McCrone, K. M., Millward, J., et al. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1817752
Arsdale, W. V., Sacca, L., Barajas, S., Flothe, N., Nelson, L., & de Grubb, M. C. M. (2026) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2026.113336
“Very Safety-Conscious and Consent-Focused”: Exploring Harm Reduction Practices at Group Sex Events
Longoria, N., Tang, J., Gormezano, A. M., Bilsker, C., Babin, C., Shumka, L., & Lachowsky, N. J. (2026) · Archives of Sexual Behavior · doi:10.1007/s10508-026-03549-4
Stevenson, J. (2014) · UVic’s Research and Learning Repository (University of Victoria)
Metadata
- 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)
- 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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