Anti-craving drug and counseling lower alcohol harm in homeless, without sobriety demands


Chronically homeless, alcohol-dependent individuals might benefit from a new intervention that does not require them to stop or even reduce drinking, according to the results of a preliminary study in Seattle.

Participants in the 12-week pilot program received monthly injections of an anti-craving medication, extended-release naltrexone. They also met regularly with study physicians to set their own goals for treatment and to learn to be safer in their use of alcohol.

“Abstinence-based alcohol treatment has not been effective for or desirable to many homeless people with alcohol dependence ,” said Susan Collins of the University of Washington Department of Psychiatry and Behavioral Sciences. She is the lead researcher on a recently published report in the journal Substance Abuse.

The expectation that clients must change their drinking habits has been a barrier to engagement in alcohol treatment. The paper reviews the methods and findings on a new strategy for homeless clients who are not yet ready or able to stop or cutback on drinking.


Man I love my city.

My city’s “homeless” newspaper “Real Change” might have more info on this.

Yes, our city has a newpaper for this homeless community… oxymoron I know.

I think this could be a very good thing, I could see a lot of the people I know thinking this is very scary. I could see them thinking that they would be rounded up and injected. But this is a volunteer study. I hope this catches on.


I think that is great about the newspaper. I know downtown Toronto, Ontario here in Canada has a free paper they put out called the metro.