Evidence map›Paper›PMID 41316389›Full record

ArticleAddiction science & clinical practice2025

Understanding overdose risk and response in permanent supportive housing: results of focus groups with tenants, staff, and leaders.

Marina Gaeta Gazzola, Allison Torsiglieri, Stephanie Blaufarb, Lauren Velez, Patricia Hernandez, Megan A O'Grady, Donna Shelley, David Frank, Charles M Cleland, Kelly M Doran

Registry-linked trialAbstract read
In one paragraph

Article in Addiction science & clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05786222 (Permanent Supportive Housing Overdose Prevention), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05786222 naactive not recruitingnot on this map

Permanent Supportive Housing Overdose Prevention (POP) Study: A Hybrid Type 3 Stepped Wedge Randomized Controlled Trial

TypeinterventionalSponsorNYU Langone HealthRan2023 to 2027Enrolled1,350ConditionsOverdoseArmsCSH-Delivered Overdose Prevention Support
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

10 authors.

Marina Gaeta GazzolaDepartment of Emergency Medicine, NYU School of Medicine, New York, NY, USA.
Allison TorsiglieriDepartment of Emergency Medicine, NYU School of Medicine, New York, NY, USA.
Stephanie BlaufarbDepartment of Emergency Medicine, NYU School of Medicine, New York, NY, USA.
Lauren VelezMetro Team, Corporation for Supportive Housing, New York, NY, USA.
Patricia HernandezMetro Team, Corporation for Supportive Housing, New York, NY, USA.
Megan A O'GradyDepartment of Public Health Sciences, University of Connecticut School of Medicine, Farmington, CT, USA.
Donna ShelleyNYU School of Global Public Health, New York, NY, USA.
David FrankNYU School of Global Public Health, New York, NY, USA.
Charles M ClelandDepartment of Population Health, NYU School of Medicine, New York, NY, USA.
Kelly M DoranDepartment of Emergency Medicine, NYU School of Medicine, New York, NY, USA. kelly.doran@nyulangone.org.

Funding

Implementation of Overdose Prevention Practices in Permanent Supportive HousingR01DA054976 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Kelly Doran · 2022 to 2026
$3.8M
NIDA NIH HHS R01 DA054976NIDA NIH HHS R01DA054976
6 · The paper itself

Abstract

backgroundPermanent supportive housing (PSH) is an evidence-based intervention for people experiencing homelessness which integrates permanent housing with voluntary support services. PSH tenants are at high risk for overdose death, yet little research to date has examined overdose in PSH. We sought to examine overdose risk and existing responses in PSH, which can shed light on opportunities for future overdose prevention efforts.

methodsWe conducted focus groups with PSH tenants, staff, and leaders in New York City and New York's Capital Region. Focus groups were recorded and professionally transcribed. Two investigators independently completed rapid turnaround qualitative analysis, completing templated summaries of each focus group and compiling key content in an analysis matrix, which a third investigator reviewed; discrepancies were resolved by consensus.

resultsFrom October to December 2022, we held 8 focus group sessions with PSH tenants (3 focus groups, n = 10 total participants), staff (3 focus groups, n = 13), and leaders (2 focus groups, n = 11) grouped by role and region. Participants were diverse in age (26-67 years), gender (18 women, 16 men), race (3 Asian, 12 Black, 11 White, 5 multiracial, 3 other), and ethnicity (5 Latinx, 29 not Latinx). Analysis revealed four main themes: (1) Overdose was a large concern in PSH and created significant trauma for tenants and staff; (2) Environmental factors in PSH contributed to overdose risk; (3) There was heterogeneity in PSH buildings' current overdose prevention efforts and adoption of harm reduction principles; and (4) Multifactorial barriers resulted in limited tenant use of opioid agonist treatment.

conclusionsOverdose is a major concern for PSH tenants, staff, and leaders. Our findings shed new light on overdose in PSH settings, providing insight into risk factors, existing responses, and barriers and facilitators to future overdose prevention efforts. These findings can inform future overdose prevention interventions within PSH.

trial registrationClinicalTrials.gov, NCT05786222, registered 27 March 2023.

Indexed as

Drug OverdoseIll-Housed PersonsPublic HousingAdultFemaleFocus GroupsHumansLeadershipMaleMiddle AgedNew York CityQualitative ResearchRandomized Controlled Trials as TopicRisk FactorsFentanylHomelessnessOpioid useOverdosePermanent supportive housing

Identifiers

PMID41316389
PMCPMC12664209

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Registered trials

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.