Harm reduction in the time of COVID-19: Case study of homelessness and drug use in Dublin, Ireland.
Journal
The International journal on drug policy
ISSN: 1873-4758
Titre abrégé: Int J Drug Policy
Pays: Netherlands
ID NLM: 9014759
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
29
07
2020
revised:
15
09
2020
accepted:
18
09
2020
pubmed:
10
11
2020
medline:
16
3
2021
entrez:
9
11
2020
Statut:
ppublish
Résumé
Dublin appears to have performed very well as compared to various scenarios for COVID-19 mortality amongst homeless and drug using populations. The experience, if borne out by further research, provides important lessons for policy discussions on the pandemic, as well as broader lessons about pragmatic responses to these key client groups irrespective of COVID-19. The overarching lesson seems that when government policy is well coordinated and underpinned by a science-driven and fundamentally pragmatic approach, morbidity and mortality can be reduced. Within this, the importance of strategic clarity and delivery, housing, lowered thresholds to methadone provision, Benzodiazepine (BZD) provision and Naloxone availability were key determinants of policy success. Further, this paper argues that the rapid collapse in policy barriers to these interventions that COVID-19 produced should be secured and protected while further research is conducted.
Identifiants
pubmed: 33166825
pii: S0955-3959(20)30304-2
doi: 10.1016/j.drugpo.2020.102966
pmc: PMC7647898
pii:
doi:
Substances chimiques
Benzodiazepines
12794-10-4
Naloxone
36B82AMQ7N
Methadone
UC6VBE7V1Z
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
102966Informations de copyright
Copyright © 2020. Published by Elsevier B.V.
Déclaration de conflit d'intérêts
Declaration of Interests The authors declare that they have no conflict of interest.
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