Evidence map›Paper›PMID 39327559›Full record

ArticleHarm reduction journal2024

"Give me the reigns of taking care of myself with a home": Healing environments in an Indigenous-led alcohol harm reduction program.

Meaghan Brown, Fran Hunt-Jinnouchi, Jennifer Robinson, Nancy Clark, Christopher Mushquash, Katrina Milaney, Bernie Pauly

Abstract read
In one paragraph

Article in Harm reduction journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Meaghan BrownCanadian Institute for Substance Use Research (CISUR), University of Victoria, 2300 McKenzie Ave, V8N 5M8, Victoria, BC, Canada. Mbrown25@uvic.ca.
Fran Hunt-JinnouchiAboriginal Coalition to End Homelessness Society, 736 Broughton St, V8W 1E1, Victoria, BC, Canada.
Jennifer RobinsonCanadian Institute for Substance Use Research (CISUR), University of Victoria, 2300 McKenzie Ave, V8N 5M8, Victoria, BC, Canada.
Nancy ClarkSchool of Nursing, University of Victoria, PO Box 1700 STN CSC, V8W 2Y2, Victoria, BC, Canada.
Christopher MushquashDepartment of Psychology, Lakehead University, 955 Oliver Road, Thunder Bay, SN, ON, 1042, P7B 5E1, Canada.
Katrina MilaneyDepartment of Community Health Sciences, University of Calgary, 2500 University Dr. NW, Calgary, AB, T2N 1N4, Canada.
Bernie PaulyCanadian Institute for Substance Use Research (CISUR), University of Victoria, 2300 McKenzie Ave, V8N 5M8, Victoria, BC, Canada.

Funding

Canadian Institute of Health Research (CIHR) Fall 2019 Operating Grant #PJT-168908
6 · The paper itself

Abstract

backgroundDistinct from western Managed Alcohol Programs (MAPs), Indigenous-led alcohol harm reduction programs can be defined by both 'culture as healing' and decolonized harm reduction philosophies. We sought to explore experiences of Indigenous 'family members' (participants) in an Indigenous-led alcohol harm reduction program and culturally supportive housing to identify appropriate supports according to family member perspectives, and to inform delivery of the program.

methodsSituated within an Indigenous-western research partnership, we completed semi-structured interviews with seven family members of an Indigenous-led alcohol harm reduction and culturally supportive housing program. Community-guided protocols informed relational knowledge gathering practices including semi-structured in-depth interviews, qualitative thematic analysis, collaborative interpretation of findings, and development of knowledge products.

resultsFamily members highlighted the importance of tailored Indigenous-led alcohol harm reduction in shifting their relationships to alcohol from survival to having choice and control of their drinking (It's a choice I'm making right now). The provision of varied and incremental culture-based opportunities (Multiple pathways for connecting to culture) facilitated engagement with culture as healing. Policies that honour respect and autonomy were identified as supportive to healing and harm reduction, countering family members' experiences in western spaces (Give me the reigns of taking care of myself with a home).

conclusionsAn Indigenous-led alcohol harm reduction program within a model of culture as healing facilitated shifts in relationships to alcohol, providing a space where family members could explore long term goals of healing and connection to culture. Family members' experiences and recommendations offer key considerations for the design of Indigenous-led harm reduction and culture as healing models. Recommendations emphasize the provision of tailored alcohol harm reduction plans in parallel to multiple and accessible opportunities for connection to culture as healing in order to meet diverse participant goals and relationships to alcohol and culture.

Indexed as

Harm ReductionAdultAlcohol DrinkingAlcoholismFamilyFemaleHealth Services, IndigenousHousingHumansMaleAlcohol harm reductionCulture as healingDecolonized harm reductionIndigenous healthIndigenous housingManaged alcohol programs

Identifiers

PMID39327559
PMCPMC11426064

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.