{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:42:44Z","timestamp":1792082564109,"version":"4.4.0"},"reference-count":0,"publisher":"Canadian Geriatrics Society","issue":"3","license":[{"start":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T00:00:00Z","timestamp":1662076800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can Geriatr J"],"abstract":"<jats:p>Background\nExclusionary care policy contributes to the growing number of older adults experiencing homelessness and complex health challenges including substance misuse. The aim of this study was to examine how harm reduction policy and practices are experienced and enacted for older adults with homeless histories and care staff in congregate supportive housing.\nMethods\nDrawing on harm reduction (HR) principles, Rhodes\u2019 risk environment framework, and 15 semi-structured interviews (six residents, nine staff) at a 70-bed supportive housing facility in Western Canada, this qualitative constructivist grounded theory study aimed to determine: How is harm reduction experienced and enacted from the perspectives of older adults and their care staff?\nResults\nHR policy and practices helped residents to feel respected and a sense of belonging, due largely to staff\u2019s understanding of structural vulnerability related to homelessness and their efforts to earn and maintain residents\u2019 trust. Physical and program structures in the facility combined with the social environment to mitigate harms due to substance- and nonsubstance-related risk behaviours. \nConclusion\nHR policy and practices in supportive living empower care providers and older adults to work together to improve housing and health stability. Wider adoption of HR approaches is needed to meet the needs of a growing number of older people experiencing homelessness and substance use challenges.<\/jats:p>","DOI":"10.5770\/cgj.25.551","type":"journal-article","created":{"date-parts":[[2022,9,3]],"date-time":"2022-09-03T03:02:04Z","timestamp":1662174124000},"page":"285-294","source":"Crossref","is-referenced-by-count":15,"title":["Exploring Harm Reduction in Supportive   Housing for Formerly Homeless Older Adults"],"prefix":"10.5770","volume":"25","author":[{"given":"Lara L.","family":"Nixon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Burns","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3968","published-online":{"date-parts":[[2022,9,2]]},"container-title":["Canadian Geriatrics Journal"],"original-title":[],"link":[{"URL":"https:\/\/cgjonline.ca\/index.php\/cgj\/article\/download\/551\/828","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cgjonline.ca\/index.php\/cgj\/article\/download\/551\/840","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/cgjonline.ca\/index.php\/cgj\/article\/download\/551\/828","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,7]],"date-time":"2022-09-07T03:06:39Z","timestamp":1662519999000},"score":1,"resource":{"primary":{"URL":"https:\/\/cgjonline.ca\/index.php\/cgj\/article\/view\/551"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,2]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,9,2]]}},"URL":"https:\/\/doi.org\/10.5770\/cgj.25.551","relation":{},"ISSN":["1925-8348"],"issn-type":[{"value":"1925-8348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,2]]}}}