{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T23:51:21Z","timestamp":1780357881152,"version":"3.54.1"},"reference-count":26,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2018,4,17]],"date-time":"2018-04-17T00:00:00Z","timestamp":1523923200000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006423","name":"Food Allergy Research and Education","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006423","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 (MAPs) are a novel harm reduction intervention for people who experience long\u2010term homelessness and severe long\u2010term alcohol dependence. MAPs provide regulated amounts of alcohol onsite under supervision. Preliminary international evidence suggests that MAPs are associated with improvements such as reduced non\u2010beverage alcohol consumption and decreases in some alcohol\u2010related harms. There are currently no MAPs in Australia. We aimed to assess the feasibility of a MAP in inner\u2010Sydney.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Methods<\/jats:title><jats:p>A survey among eligible homeless alcohol\u2010dependent residents of an inner\u2010Sydney short\u2010stay alcohol withdrawal service occurred in 2014 to assess acceptability. Administrative data were analysed to ascertain estimates of cost\u2010savings for a MAP based in Sydney.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010one eligible participants were surveyed. More than one\u2010quarter (28%) reported consumption of non\u2010beverage alcohol. A residential model received greatest support (76%); the majority (75%) of participants indicated a willingness to pay at least 25% of their income to utilise a MAP. Hospital and crisis accommodation cost\u2010savings were conservatively estimated at AUD$926\u2009483.40 and AUD$347\u2009574.00, respectively per year for a 15\u2010person residential MAP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Our findings demonstrate the acceptability of a MAP in Sydney among a target population sample, with the implementation of a residential MAP likely to produce significant cost\u2010savings. A trial of a Sydney MAP evaluating the impact on health and social outcomes, including a comprehensive economic evaluation, is strongly recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.12702","type":"journal-article","created":{"date-parts":[[2018,4,17]],"date-time":"2018-04-17T18:27:34Z","timestamp":1523989654000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["A managed alcohol program in Sydney, Australia: Acceptability, cost\u2010savings and non\u2010beverage alcohol use"],"prefix":"10.1111","volume":"37","author":[{"given":"Nadine","family":"Ezard","sequence":"first","affiliation":[{"name":"Alcohol and Drug Service St Vincent's Hospital  Sydney Australia"},{"name":"St Vincent's Clinical School, UNSW Medicine, University of NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3527-280X","authenticated-orcid":false,"given":"Michael E.","family":"Cecilio","sequence":"additional","affiliation":[{"name":"Alcohol and Drug Service St Vincent's Hospital  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendan","family":"Clifford","sequence":"additional","affiliation":[{"name":"Alcohol and Drug Service St Vincent's Hospital  Sydney Australia"},{"name":"Sydney Nursing School, University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen","family":"Baldry","sequence":"additional","affiliation":[{"name":"School of Social Sciences, University of NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucinda","family":"Burns","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre, University of NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn A.","family":"Day","sequence":"additional","affiliation":[{"name":"Sydney Medical School, University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marian","family":"Shanahan","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre, University of NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Dolan","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre, University of NSW  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61132-6"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867414563187"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0050225"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.1041350"},{"key":"e_1_2_8_6_1","volume-title":"Wet shelters: the benefits and risks associated with alcohol\u2010administering homeless shelters: a scoping review","author":"Reed M","year":"2008"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12954-016-0103-4"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.414"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra020617"},{"key":"e_1_2_8_10_1","volume-title":"Guidelines for the treatment of alcohol problems","author":"Haber P","year":"2009"},{"key":"e_1_2_8_11_1","first-page":"888","article-title":"Shelter \u201cgoes wet\u201d, opens infirmary to cater to Toronto's homeless","volume":"168","author":"Wilton P","year":"2003","journal-title":"CMAJ"},{"key":"e_1_2_8_12_1","unstructured":"StockwellT PaulyB ChowC VallanceK PerkinK. 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