{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:48:34Z","timestamp":1790858914636,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2017,10,13]],"date-time":"2017-10-13T00:00:00Z","timestamp":1507852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["293577"],"award-info":[{"award-number":["293577"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000245","name":"Michael Smith Foundation for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000245","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction and Aims<\/jats:title><jats:p>Managed alcohol programs (MAP) are intended for people with severe alcohol\u2010related problems and unstable housing. We investigated whether MAP participation was associated with changes in drinking patterns and related harms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Methods<\/jats:title><jats:p>One hundred and seventy\u2010five MAP participants from five Canadian cities (Hamilton, Ottawa, Toronto, Thunder Bay and Vancouver) and 189 same\u2010city 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\u2010beverage 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Recently admitted MAP participants (\u22642\u2009months) 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\u2009=\u200929.7 and 31.4). After controlling for ethnicity, age, sex, city and housing stability, long\u2010term MAP residents (&gt;2\u2009months) drank significantly more days (+5.5) but 7.1 standard drinks fewer per drinking day than did controls over the last 30\u2009days. Long\u2010term MAP residents reported significantly fewer alcohol\u2010related harms in the domains of health, safety, social, legal and withdrawal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Participation in a MAP was associated with more frequent drinking at lower quantities per day. Participation was associated with reduced alcohol\u2010related harms over the past 30\u2009days. Future analyses will examine outcomes longitudinally through follow\u2010up interviews, police and health care records.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12618","type":"journal-article","created":{"date-parts":[[2017,10,13]],"date-time":"2017-10-13T05:42:45Z","timestamp":1507873365000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"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"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5696-6803","authenticated-orcid":false,"given":"Tim","family":"Stockwell","sequence":"first","affiliation":[{"name":"Department of Psychology, Centre for Addictions Research of BC University of Victoria  Victoria Canada"},{"name":"Department of Psychology University of Victoria  Victoria Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4845-1383","authenticated-orcid":false,"given":"Bernadette (Bernie)","family":"Pauly","sequence":"additional","affiliation":[{"name":"Department of Psychology, Centre for Addictions Research of BC University of Victoria  Victoria Canada"},{"name":"School of Nursing University of Victoria  Victoria Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5040-727X","authenticated-orcid":false,"given":"Clifton","family":"Chow","sequence":"additional","affiliation":[{"name":"Department of Psychology, Centre for Addictions Research of BC University of Victoria  Victoria Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8396-5371","authenticated-orcid":false,"given":"Rebekah A.","family":"Erickson","sequence":"additional","affiliation":[{"name":"Department of Psychology, Centre for Addictions Research of BC University of Victoria  Victoria Canada"},{"name":"Department of Psychology University of Victoria  Victoria Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnie","family":"Krysowaty","sequence":"additional","affiliation":[{"name":"Department of Psychology, Centre for Addictions Research of BC University of Victoria  Victoria Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audra","family":"Roemer","sequence":"additional","affiliation":[{"name":"Department of Psychology, Centre for Addictions Research of BC University of Victoria  Victoria Canada"},{"name":"Department of Psychology University of Victoria  Victoria Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Vallance","sequence":"additional","affiliation":[{"name":"Department of Psychology, Centre for Addictions Research of BC University of Victoria  Victoria Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Wettlaufer","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health  Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinhui","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Psychology, Centre for Addictions Research of BC University of Victoria  Victoria Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,10,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0050225"},{"key":"e_1_2_7_3_1","first-page":"9","article-title":"Alcohol and illicit drug dependence","volume":"15","author":"Tjepkema M","year":"2004","journal-title":"Health Rep"},{"key":"e_1_2_7_4_1","volume-title":"Management of substance abuse program","author":"World Health Organization","year":"2007"},{"key":"e_1_2_7_5_1","article-title":"Rethinking alcohol harm reduction: overview of managed alcohol progams in Canada","author":"Pauly B","year":"2016","journal-title":"Drug Alcohol Rev"},{"key":"e_1_2_7_6_1","unstructured":"International Harm Reduction Association: What is harm reduction? 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