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DTSTART:20241103T020000
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DESCRIPTION:Session: Barriers Surrounding Homelessness\, Harm Reduction & 
 Physical Needs Program : Caucus on Homelessness Presenter : Victoria Bens
 el\, DC\, MS\, MS Authors: Shivesh Shourya Grace Manes Meredith Mcgee Nic
 ole Campbell Abstract Background People experiencing homelessness who hav
 e a substance use disorder are a uniquely vulnerable and underserved demo
 graphic. With the absence of established best practices that have resulte
 d in a varied landscape of interventions\, harm reduction-based case mana
 gement has emerged as a pivotal strategy in addressing overlapping substa
 nce use and housing instability and represents a critical approach for ad
 dressing the multifaceted needs of this population. However\, the integra
 tion of harm reduction principles into case management strategies and int
 erventions remains poorly characterized. This scoping review assesses the
  existing literature on harm reduction-oriented case management intervent
 ions for people experiencing homelessness with substance use disorders. M
 ethods We conducted a scoping review utilizing PubMed\, employing relevan
 t keywords and MeSH terms about harm reduction-based case management inte
 rventions targeting homelessness in the United States. Our search yielded
  6\,147 studies after the removal of duplicates\, which underwent initial
  screening. Subsequently\, 28 studies met the scoping review inclusion cr
 iteria and underwent a full-text review\, including 15 using quantitative
  methods\, 10 using qualitative methods\, and 3 using mixed methods appro
 aches. We utilized a thematic analysis to identify harm reduction princip
 les as outlined by the National Harm Reduction Coalition and analyzed int
 ervention outcomes and feasibility based on outlined study aims. Results 
 Our analysis disseminated how harm reduction principles were integrated i
 nto case management interventions\, and revealed that the included interv
 entions either improved substance use and housing stability program reten
 tion or feasibility within healthcare frameworks. Among the eight themes 
 three were the most common: understanding of drug use as a multifaceted p
 henomenon\; acknowledging the influence of past trauma and social inequit
 ies on vulnerability to drug-related harms\; and prioritizing the improve
 ment of individual well-being over complete cessation of drug use. Furthe
 rmore\, our scoping review discusses the diverse array of interventions a
 nd their feasibility encompasses case management\, biomedical interventio
 ns\, and mental health support. Conclusion Our review underscores the pot
 ential efficacy and feasibility of integrating harm reduction-based case 
 management for people experiencing homelessness with substance use disord
 ers. Specifically\, policymakers should prioritize embedding harm reducti
 on principles within housing stability services\, providing comprehensive
  training for case managers\, and fostering synergistic partnerships betw
 een healthcare providers and community organizations. While this approach
  holds promise for enhancing both housing stability and addressing substa
 nce use challenges among homeless populations\, further evaluations are i
 mperative to refine these interventions and to guide the development of e
 vidence-based policies aimed at improving outcomes for people experiencin
 g homelessness with substance use disorders.\n\nAdmission:\nRegistrationF
 ees: APHA Event Registration is Required\n\nDetails URL:\nhttps://medicin
 e.yale.edu/event/harm-reduction-principles-case-management-homeless-indiv
 iduals-substance-use/\n
DTEND;TZID=America/New_York:20241029T161500
DTSTAMP:20261021T133303Z
DTSTART;TZID=America/New_York:20241029T160000
GEO:44.970269;-93.273376
LOCATION:1301 2nd Avenue South\, Minneapolis\, MN\, United States
SEQUENCE:0
STATUS:Confirmed
SUMMARY:3:00pm - 3:15pm (CDT) | 4231.0 - Integrating harm reduction princi
 ples into case management for homeless individuals experiencing substance
  use disorders within the United States: A scoping review
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