Grazioli Véronique S, Collins Susan E, Paroz Sophie, Graap Caroline, Daeppen Jean-Bernard
University of Lausanne, Alcohol Treatment Centre, Lausanne University Hospital CHUV, Lausanne, Switzerland; University of Washington-Harborview Medical Center, 325 Ninth Ave, Box 359911, Seattle, WA 98195, USA.
University of Washington-Harborview Medical Center, 325 Ninth Ave, Box 359911, Seattle, WA 98195, USA.
Int J Drug Policy. 2017 Mar;41:65-73. doi: 10.1016/j.drugpo.2016.12.015. Epub 2017 Jan 16.
Despite their experience of substance-related harm, few socially marginalized alcohol and other drug (AOD) users access substance use treatment. Thus, identifying alternative approaches for this population is important. This program evaluation documented substance use and health-related quality of life (QoL) following exposure to such an alternative approach: a harm-reduction drop-in center allowing alcohol consumption onsite.
Participants (N=85) were socially marginalized AOD users (e.g., alcohol, heroin) attending a harm-reduction drop-in center in the French-speaking part of Switzerland. Time and drop-in center attendance were predictors of substance-use outcomes and mental and physical health-related QoL, which were measured at baseline, 1- and 6-month follow-ups.
Findings indicated that, for each month of the evaluation, participants' alcohol use and related problems decreased by 5% and 7%, respectively. Drop-in center attendance predicted additional decreases in drug-related problem severity and improvements in mental health-related QoL.
Participants' alcohol use and related problems decreased over time. Additionally, participants evinced improved mental health-related QoL and decreased drug-related problem severity with greater drop-in center attendance. Harm-reduction drop-in centers allowing alcohol consumption onsite are promising interventions for socially marginalized AOD users.
尽管社会边缘化的酒精及其他药物（AOD）使用者经历过与物质相关的伤害，但很少有人能获得物质使用治疗。因此，为这一人群确定替代方法很重要。本项目评估记录了接触这样一种替代方法后的物质使用情况以及与健康相关的生活质量（QoL）：一个允许现场饮酒的减少伤害救助中心。
参与者（N = 85）是社会边缘化的AOD使用者（如酒精、海洛因使用者），他们在瑞士法语区的一个减少伤害救助中心接受服务。时间和救助中心的到访情况是物质使用结果以及与身心健康相关的生活质量的预测因素，这些指标在基线、1个月和6个月随访时进行测量。
研究结果表明，在评估的每个月中，参与者的酒精使用量及其相关问题分别减少了5%和7%。救助中心的到访情况预示着与药物相关问题的严重程度会进一步降低，以及与心理健康相关的生活质量会得到改善。
参与者的酒精使用及其相关问题随时间减少。此外，随着救助中心到访次数增加，参与者表现出与心理健康相关的生活质量得到改善，与药物相关问题的严重程度降低。允许现场饮酒的减少伤害救助中心对于社会边缘化的AOD使用者来说是有前景的干预措施。
