Author, Year | Title | Location or country | Type of intervention | Sample size | Alcohol consumption | Health outcomes (acute and chronic) | Housing retention | Utilization of services | Other outcomes |
---|---|---|---|---|---|---|---|---|---|
Podymow, T.; Turnbull, J.; Coyle, D.; Yetisir, E.; Wells, G. (2006) | Shelter-based managed alcohol administration to chronically homeless people addicted to alcohol | Canada | Pre–post within subject | 17 participants; 1 program | + | ⟷ | + | + | +Hygiene, nutrition + medication compliance |
Stockwell, T; Pauly, B; Chow, C; Vallance, K; Perkin, K (2013) | Evaluation of a managed alcohol program in Vancouver, BC Early findings and reflections on alcohol harm reduction | Canada | Mixed-methods pilot study with pre–post comparison within subject | 7 participants; 1 program | ⟷ Beverage alcohol + NBA | ⟷ Alcohol-related harms − Self-rated physical health − LFTs | + | ⟷ | + Feasibility/acceptability |
Evans, J.; Semogas, D.; Smalley, J. G.; Lohfeld, L. (2015) | “This place has given me a reason to care”: Understanding “managed alcohol programs” as enabling places in Canada | Canada | Qualitative study with interviews and focus groups | 10 participants; 1 program | + | NR | + | NR | + Interpersonal connections + Attention to physical health + Sense of self management, control of alcohol consumption |
Hammond, K, Lynda G, Pauly, B (2016) | A cost–benefit analysis of a Canadian managed alcohol program | Canada | Cost–benefit analysis with pre–post within-subject utilization comparison, and cost–benefit analysis with intervention (same as pre–post subjects) compared to control subjects | 18 MAP participants; 20 Control; 1 program | NR | NR | NR | + | + Cost–benefit |
Pauly, B; Gray, E; Perkin, K; Chow, C; Vallance, K; Krysowaty, B; Stockwell, T (2016) | Finding safety: a pilot study of managed alcohol program participants’ perceptions of housing and quality of life | Canada | Mixed-methods longitudinal pilot study with pre–post comparison within subject, and comparison with treatment-as-usual controls. In-depth interviews with MAP participants and staff | 18 MAP participants; 20 Control; 1 program. Note 7 interviewees total for qualitative interviews | NR | NR | + | NR | + Feasibility/Acceptability |
Vallance, K.; Stockwell, T.; Pauly, B.; Chow, C.; Gray, E.; Krysowaty, B.; Perkin, K.; Zhao, J. (2016) | Do managed alcohol programs change patterns of alcohol consumption and reduce related harm? A pilot study | Canada | Mixed-methods longitudinal pilot study with pre–post comparison within subject, and comparison with treatment-as-usual controls. In-depth interviews with MAP participants and staff | 18 MAP participants; 20 Control; 1 program | ⟷ Beverage alcohol + NBA | + | NR | + | |
Erickson, R. A.; Stockwell, T.; Pauly, B. B.; Chow, C.; Roemer, A.; Zhao, J.; Vallance, K.; Wettlaufer, A. (2018) | How do people with homelessness and alcohol dependence cope when alcohol is unaffordable? A comparison of residents of Canadian managed alcohol programs and locally recruited controls | Canada | Cross-sectional comparisons of data on self-reported coping strategies collected from interviews | 175 MAP participants; 189 Control; 6 MAP programs | ⟷ Beverage alcohol + NBA | NR | NR | NR | + Coping strategies when alcohol is unaffordable |
Stockwell, T.; Pauly, B. B.; Chow, C.; Erickson, R. A.; Krysowaty, B.; Roemer, A.; Vallance, K.; Wettlaufer, A.; Zhao, J. (2018) | Does managing the consumption of people with severe alcohol dependence reduce harm? A comparison of participants in six Canadian managed alcohol programs with locally recruited controls | Canada | Comparison sample, cross-sectional survey design using survey data from participants of 6 residential MAPs in 5 cities | 175 MAP participants; 189 Control; 6 MAP programs | ⟷ Beverage alcohol + NBA **only longer-term MAPs | + Acute | NR | NR | |
Evans, J. (2012) | Supportive measures, enabling restraint: governing homeless “street drinkers” in Hamilton, Canada | Canada | In-depth interviews, observation of program operations, and document review | 24 MAP participants; 2 MAP staff; 1 MAP program | NR | + | + | NR | + Relationship to alcohol |
Wettlaufer, A., Pauly, B., Brown, M., Chow, C., Vallance, K., Kauppi, C., Larocque, C., Stockwell, T., & Zhao, J. (2017) | Toward alcohol harm reduction: results from an evaluation of a Canadian managed alcohol program | Canada | Small-scale mixed-methods evaluation | One MAP site. 8 MAP participants; 16 Controls; 8 MAP staff | + Beverage alcohol − NBA | – | NR | NR | − Safety (within MAP) + Well-being |
Stockwell, T., Zhao, J. Pauly, B., Chow, C., Vallance, K. Wettlaufer, A., Saunders, J.B., and Chick, J. (2021) | Trajectories of Alcohol Use and Related Harms for Managed Alcohol Program Participants over 12 months compared with local controls: a quasi-experimental study | Canada | Mixed-methods longitudinal pilot study with pre–post comparison within subject, and comparison with treatment-as-usual controls | MAP participants n = 59; Controls n = 116 | + Beverage alcohol + NBA | ⟷ Alcohol-related harms ⟷ LFTs | NR | NR | More stringent rules for outside drinking = + outcomes for MAP participants Less stringent rules for outside drinking = MAP participants similar to controls for consumption, harms |
Pauly, B; King, V.; Smith, A.; Tranquilli-Doherty, S.; Wishart, M.; Vallance, K.; Stockwell, T.; Sutherland, C. (2020) | Breaking the cycle of survival drinking: insights from a non-residential, peer-initiated and peer-run managed alcohol program | Canada | Qualitative–semi-structured in-depth interviews with SEMAP participants recruited through purposive sampling | n = 14 (all eligible persons identified participated) | + NBA | + Alcohol-related harms | NR | NR |