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Free booze good for Toronto's homeless?

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wyliepoon

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From Yahoo! News (Odd News section)

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Free booze makes Canada's homeless healthier-study

By Stefanie Kranjec Tue Jan 3, 5:09 PM ET

TORONTO (Reuters) - Giving homeless alcoholics a regular supply of booze may improve their health and their behaviour, the Canadian Medical Association Journal said in a study published on Tuesday.
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Seventeen homeless adults, all with long and chronic histories of alcohol abuse, were allowed up to 15 glasses of wine or sherry a day -- a glass an hour from 7 a.m. to 10 p.m. -- in the Ottawa-based program, which started in 2002 and is continuing.

After an average of 16 months, the number of times participants got in trouble with the law had fallen 51 percent from the three years before they joined the program, and hospital emergency room visits were down 36 percent.

"Once we give a 'small amount' of alcohol and stabilise the addiction, we are able to provide health services that lead to a reduction in the unnecessary health services they were getting before," said Dr. Jeff Turnbull, one of the authors of the report.

"The alcohol gets them in, builds the trust and then we have the opportunity to treat other medical diseases... It's about improving the quality of life."

Three of the 17 participants died during the program, succumbing to alcohol-related illnesses that might have killed them anyway, the study said.

The report showed that participants in the program drank less than they did before signing up, and their sleep, hygiene, nutrition and health levels all improved.

The per capita cost of around C$771 (378 pounds) a month was partially offset by monthly savings of C$96 a month in emergency services, C$150 in hospital care and C$201 in police services per person.

Turnbull said some of the people enrolled in the program had stopped drinking altogether, although that was not an option for many of the participants.

"We agree 100 percent that abstinence is the most appropriate route," he said. "But in this subset of people where abstinence has failed, there is still a need to provide care."
 
This boggles my mind. I don't even know where to begin.
I guess first off...up to fifteen glasses per day of alcohol is a 'small' amount?
 
I saw a report on the national about this last week and they were indicating that many participants in the program were consuming 50+ drinks a day prior to it. They program had a number of people who had actually stopped completely although that is not the aim of the project.
 
Though unconventional, if it gets the results people want (i.e. alcoholics to stop drinking, or at least a reduction in anti-social behaviour at minimal), how could anyone be against this? It works.
 
it's all about harm reduction... if you give an alcoholic a controlled dose of 15 drinks per day, you'll control his cravings and prevent him from overconsuming and really getting wasted. he'll be able to focus on things other than lying passed out in an alley.
 
the other benefit is that you have some control over the safety of what they are consuming. i once had an amazing conversation with a former co-worker who was a recovered hard-core alcoholic and was pointing out all of the different household products that he would in the past either consume directly or distill into something that he could consume.
 
at one point in time when they used to use an alcohol/water mixture in a car's cooling system, people used to cut other peoples rad hoses to get a drink.
 
So 14 out of 17 people survived the experiment? Great success rate.
 
i dont have any numbers in front of me, but i would imagine the same group of subjects would have seen a much higher fatality rate had they not participated in the study

don't think of it as 'the experiment killed 3 people', think of it as 'how many people would have otherwise died in absence of intervention, and was the observed rate significantly better or worse?'
 
This actually sounds like a really good idea. I wonder if detox centres would do this sort of thing to gradually wean people off booze.
 
If you drink a large quantity in a short period of time hospitals or detox centres may let or even want you to continue drinking to slowly taper you off. Alcohol is the only (I think) drug that can kill if you go cold turkey. Of course you REALLY have to drink a lot to get to this point.
 
Ontarian,

Believe it or not, but homeless alcoholics don't have a very high survival rate.
 

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