title: "This place has given me a reason to care": Understanding 'managed alcohol programs' as enabling places in Canada.
abstract: For several decades, the emphasis on abstinence within homeless support systems has presented significant barriers to care for those who continue to use alcohol or drugs further marginalizing them in terms of housing and health/social services. In response, health care specialists and policymakers have recommended the integration of harm reduction philosophies and interventions into system-level responses to end homelessness. Managed alcohol programs (MAPs) have been developed to this end and have demonstrated positive results. While recent studies of MAPs have focused attention on reductions in alcohol related harms few have examined their meaning from the perspective of clients or considered the role of place. In this paper, we utilize the 'enabling places' frameworks to identify the place-bound properties that make a difference in the recovery journeys of clients. Drawing on in-depth interviews with clients from one program we develop a description of MAPs as enabling places that afford the elemental resources for personal recovery.
authors.affiliation: Centre for Social Sciences, Athabasca University, Canada. Electronic address: jevans@athabascau.ca.
authors.forename: Joshua
authors.initials: J
authors.lastname: Evans
authors.affiliation: School of Nursing, McMaster University, Canada. Electronic address: semogas@mcmaster.ca.
authors.forename: Dyanne
authors.initials: D
authors.lastname: Semogas
authors.affiliation: Department of Psychiatry, Dalhousie University, Canada.
authors.forename: Joshua G
authors.initials: JG
authors.lastname: Smalley
authors.affiliation: Department of Department of Clinical Epidemiology & Biostatistics, McMaster University, Canada.
authors.forename: Lynne
authors.initials: L
authors.lastname: Lohfeld
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000628:therapy*; D002170:Canada; D040261:Harm Reduction; D006297:Health Services Accessibility; D006703:Ill-Housed Persons / Q000523:psychology*; D006798:Housing; D006801:Humans; D008297:Male; D008875:Middle Aged
keywords: Alcoholism; Enabling places; Harm reduction; Homelessness; Personal recovery