Mayock, Paula and O'Shaughnessy, Branagh ORCID: https://orcid.org/0000-0003-4417-7273 (2023) Homelessness and substance use. In: Bretherton, Joanne and Pleace, Nicholas, (eds.) The Routledge Handbook of Homelessness. Routledge

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Abstract

The relationship between homelessness and substance use has been the subject of research spanning several decades. While homelessness and substance use disorder (SUD) are often viewed as inextricably linked, the association is multifaceted and complex. This chapter examines the relationship between homelessness and substance use in adult homeless populations. It starts by reviewing the prevalence of substance use among adults experiencing homelessness, highlighting the methodological challenges associated with establishing reliable estimates and consequent difficulties in assessing the true extent of substance use among adults experiencing homelessness. The link between long-term homelessness and substance use is examined, as is the relationship and between homelessness and injection drug use. This is followed by an examination of social adaptation and social selection perspectives on the co-occurrence of homelessness and substance use, after which the ecology of homelessness and substance use is elaborated, with a particular focus on the intersection of individual risk factors for homelessness and SUDs with broader structural forces. This chapter concludes by discussing the research evidence on abstinence-based interventions and harm reduction and Housing First approaches that specifically target people who use drugs.

Item Type:	Book Section
Status:	Published
DOI:	10.4324/9781351113113-25
Subjects:	B Philosophy. Psychology. Religion > BF Psychology B Philosophy. Psychology. Religion > BF Psychology > BF636 Applied psychology
School/Department:	School of Education, Language and Psychology
URI:	https://ray.yorksj.ac.uk/id/eprint/12770

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