Show simple item record

Files in this item

Thumbnail

Item metadata

dc.contributor.authorKouimtsidis, Christos
dc.contributor.authorPauly, Bernardette
dc.contributor.authorParkes, Tessa
dc.contributor.authorStockwell, Tim
dc.contributor.authorBaldacchino, Alexander Mario
dc.date.accessioned2021-02-24T16:30:01Z
dc.date.available2021-02-24T16:30:01Z
dc.date.issued2021-02-18
dc.identifier.citationKouimtsidis , C , Pauly , B , Parkes , T , Stockwell , T & Baldacchino , A M 2021 , ' COVID-19 social restrictions : an opportunity to re-visit the concept of harm reduction in the treatment of alcohol dependence. A position paper ' , Frontiers in Psychiatry , vol. 12 , 623649 . https://doi.org/10.3389/fpsyt.2021.623649en
dc.identifier.issn1664-0640
dc.identifier.otherPURE: 273035841
dc.identifier.otherPURE UUID: 370057cd-026d-436c-8c1e-4e183d562990
dc.identifier.otherScopus: 85102105385
dc.identifier.otherWOS: 000625196900001
dc.identifier.urihttp://hdl.handle.net/10023/21500
dc.description.abstractThe COVID-19 pandemic is presenting significant challenges for health and socialcare systems globally. The implementation of unprecedented public health measures, alongside the augmentation of the treatment capacity for those severely affected by COVID-19, are compromising and limiting the delivery of essential care to people with severe substance use problems and, in some cases, widening extreme social in equities such as poverty and homelessness. This global pandemic is severely challenging current working practices. However, these challenges can provide a unique opportunity for a flexible and innovative learning approach, bringing certain interventions into the spotlight. Harm reduction responses are well-established evidenced approaches in the management of opioid dependence but not so well-known or implemented in relation to alcohol use disorders. In this position paper, we explore the potential for expanding harm reduction approaches during the COVID-19 crisis and beyond as part of substance use treatment services. We will examine alcohol use and related vulnerabilities during COVID-19, the impact of COVID-19 on substance use services, and the potential philosophical shift in orientation to harm reduction and outline a range of alcohol harm reduction approaches. We discuss relevant aspects of the Structured Preparation for Alcohol Detoxification (SPADe) treatment model, and Managed Alcohol Programs(MAPs), as part of a continuum of harm reduction and abstinence orientated treatment for alcohol use disorders. In conclusion, while COVID-19 has dramatically reduced and limited services, the pandemic has propelled the importance of alcohol harm reduction and created new opportunities for implementation of harm reduction philosophy and approaches, including programs that incorporate the provision of alcohol as medicine aspart of the substance use treatment continuum.
dc.format.extent10
dc.language.isoeng
dc.relation.ispartofFrontiers in Psychiatryen
dc.rightsCopyright © 2021 Kouimtsidis, Pauly, Parkes, Stockwell and Baldacchino. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en
dc.subjectHarm reductionen
dc.subjectStructured preparation for alcohol detoxificationen
dc.subjectManaged alcohol programsen
dc.subjectAlcoholen
dc.subjectCOVID-19en
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectRM Therapeutics. Pharmacologyen
dc.subjectT-NDASen
dc.subject.lccRA0421en
dc.subject.lccRMen
dc.titleCOVID-19 social restrictions : an opportunity to re-visit the concept of harm reduction in the treatment of alcohol dependence. A position paperen
dc.typeJournal itemen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.contributor.institutionUniversity of St Andrews.Centre for Minorities Research (CMR)en
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.identifier.doihttps://doi.org/10.3389/fpsyt.2021.623649
dc.description.statusPeer revieweden


This item appears in the following Collection(s)

Show simple item record