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Harm Reduction Strategies for Severe Alcohol Use Disorder in the Context of Homelessness: A Rapid Review

机译:无家可归背景下严重酒精使用障碍的减害策略:快速回顾

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摘要

Severe alcohol use disorder (AUD) in the context of housing instability remains one of the most complex health and social issues. Homelessness is related to increased vulnerability to stigma, marginalization and harmful ways of alcohol consumption, including non-beverage alcohol use (NBA). As a result, severe intoxication, alcohol poisoning, injury and death are common occurrences. Although harm minimization strategies have been readily proposed and examined in the context of drug use, applying the same principles to severe AUD remains controversial within the research and treatment community. This article summarizes the emerging research on managed alcohol programs to increase awareness about alcohol-related strategies that address severe AUD and provide other wrap-around supports such as housing, health and social services to mitigate various harms, including COVID-19.
机译:在住房不稳定的情况下,严重的酒精使用障碍 (AUD) 仍然是最复杂的健康和社会问题之一。无家可归与更容易受到耻辱、边缘化和有害的饮酒方式有关,包括非酒精使用 (NBA)。因此,严重中毒、酒精中毒、受伤和死亡是常见的事件。尽管在药物使用的情况下已经很容易提出和检查危害最小化策略,但将相同的原则应用于严重的 AUD 在研究和治疗界仍然存在争议。本文总结了关于管理酒精计划的新兴研究,以提高对解决严重 AUD 的酒精相关策略的认识,并提供其他全方位支持,例如住房、健康和社会服务,以减轻包括 COVID-19 在内的各种危害。

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