Substance Use and Mental Health Effects of Disrupting Treatment and Shelter Services on Boston Harbor's Long Island

Objective: To understand the impact of Boston's October 2014 Long Island Bridge Closure. Methods: We conducted a qualitative analysis of semi-structured interviews with nine individuals displaced from programs on the Island. Participants were recruited and interviewed during March and April of...

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Main Authors: Laura C. Ha (Author), Karen T. Foo (Author), Hannah L. Harp (Author), Leslie R. Brody (Author), Mardge H. Cohen (Author)
Format: Book
Published: Social Medicine Publication Group, 2020-02-01T00:00:00Z.
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LEADER 00000 am a22000003u 4500
001 doaj_5ac60981dc5e42e78da4e7bd37f6a82f
042 |a dc 
100 1 0 |a Laura C. Ha  |e author 
700 1 0 |a Karen T. Foo  |e author 
700 1 0 |a Hannah L. Harp  |e author 
700 1 0 |a Leslie R. Brody  |e author 
700 1 0 |a Mardge H. Cohen  |e author 
245 0 0 |a Substance Use and Mental Health Effects of Disrupting Treatment and Shelter Services on Boston Harbor's Long Island 
260 |b Social Medicine Publication Group,   |c 2020-02-01T00:00:00Z. 
500 |a 1557-7112 
520 |a Objective: To understand the impact of Boston's October 2014 Long Island Bridge Closure. Methods: We conducted a qualitative analysis of semi-structured interviews with nine individuals displaced from programs on the Island. Participants were recruited and interviewed during March and April of 2015. Interviewers administered a 22-item questionnaire and a semi-structured interview at the temporary shelters and programs at South End Fitness Center, BHCHP, Woods-Mullen Shelter, and Shattuck Hospital. Thematic analysis of the transcribed interview data was conducted using an inductive framework approach. Results: Thematic analysis of the interviews revealed that the most prominent ramifications of the bridge closure were worsening of mental health, substance use behavior, and housing insecurity. Further analysis revealed the importance of stable housing in maintaining sobriety and mental health. Conclusions: When medical and social services for vulnerable populations are at risk of closure, careful planning, quick mobilization of resources, and investment in affordable housing, are crucial in preventing adverse mental health outcomes. Maintaining shelter and substance use treatment programs should be a high priority, even when government funding is at risk. 
546 |a EN 
546 |a ES 
546 |a PT 
690 |a addiction 
690 |a social determinant of health 
690 |a displacement 
690 |a homelessness 
690 |a housing 
690 |a Public aspects of medicine 
690 |a RA1-1270 
690 |a Sociology (General) 
690 |a HM401-1281 
655 7 |a article  |2 local 
786 0 |n Social Medicine, Vol 12, Iss 3 (2020) 
787 0 |n https://www.socialmedicine.info/index.php/socialmedicine/article/view/1026 
787 0 |n https://doaj.org/toc/1557-7112 
856 4 1 |u https://doaj.org/article/5ac60981dc5e42e78da4e7bd37f6a82f  |z Connect to this object online.