@article{ref1,
title="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",
journal="Drug and alcohol review",
year="2018",
author="Stockwell, Tim and Pauly, Bernie and Chow, Clifton and Erickson, Rebekah A. and Krysowaty, Bonnie and Roemer, Audra and Vallance, Kate and Wettlaufer, Ashley and Zhao, Jinhui",
volume="37",
number="Suppl 1",
pages="S159-S166",
abstract="INTRODUCTION AND AIMS: Managed alcohol programs (MAP) are intended for people with severe alcohol-related problems and unstable housing. We investigated whether MAP participation was associated with changes in drinking patterns and related harms. DESIGN AND METHODS: One hundred and seventy-five MAP participants from five Canadian cities (Hamilton, Ottawa, Toronto, Thunder Bay and Vancouver) and 189 same-city controls were assessed for alcohol consumption, health, safety and harm outcomes. Length of stay in a MAP was investigated as a predictor of drinking patterns, non-beverage alcohol consumption and related harms. Statistical controls were included for housing stability, age, gender, ethnic background and city of residence. Negative binomial regression and logistic regression models were used. <br><br>RESULTS: Recently admitted MAP participants (≤2 months) and controls were both high consumers of alcohol, predominantly male, of similar ethnic background, similarly represented across the five cities and equally alcohol dependent (mean Severity of Alcohol Dependence Questionnaire = 29.7 and 31.4). After controlling for ethnicity, age, sex, city and housing stability, long-term MAP residents (>2 months) drank significantly more days (+5.5) but 7.1 standard drinks fewer per drinking day than did controls over the last 30 days. Long-term MAP residents reported significantly fewer alcohol-related harms in the domains of health, safety, social, legal and withdrawal. <br><br>DISCUSSION AND CONCLUSIONS: Participation in a MAP was associated with more frequent drinking at lower quantities per day. Participation was associated with reduced alcohol-related harms over the past 30 days. Future analyses will examine outcomes longitudinally through follow-up interviews, police and health care records.<br><br>© 2017 Australasian Professional Society on Alcohol and other Drugs.<p /> <p>Language: en</p>",
language="en",
issn="0959-5236",
doi="10.1111/dar.12618",
url="http://dx.doi.org/10.1111/dar.12618"
}