Drug and alcohol dependence
August 10, 2026 · via Europe PMC
The permanent supportive housing overdose prevention project.
Doran KM, Velez L, Spiers A, +5 more, O'Grady MA.
AI summary — for doctors, generated from the abstract only
A technical assistance intervention to help permanent supportive housing buildings implement overdose prevention practices was feasible, with high participation and fidelity across 19 of 20 buildings.
What was studied
A descriptive implementation study (November 2023-January 2026) of a six-month intervention including a toolkit, tailored practice facilitation, and monthly learning collaboratives in 20 New York PSH buildings serving over 1,200 tenants.
Key findings
- One building discontinued due to lack of staff time
- Remaining 19 buildings attended 95% of planned facilitation sessions
- 17 buildings attended over half of learning collaboratives
- 94% of sessions delivered full planned content
Clinical relevance
This supports the feasibility of place-based overdose prevention support in supportive housing; effects on overdose outcomes are not yet reported.
Who should care
Limitations
Descriptive feasibility data only; no overdose or health outcomes reported.
Supportive housing buildings can feasibly adopt structured overdose prevention with coaching support.
This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.
Abstract
Background
Overdose is a large concern in permanent supportive housing (PSH), yet has been sparsely addressed in research or practice. We previously developed a technical assistance intervention to empower PSH buildings to implement evidence-based overdose prevention practices. We now describe delivery of and participation in this novel intervention.
Methods
Intervention delivery occurred over four six-month periods from November 2023-January 2026. The six-month intervention included a written implementation Toolkit, individually-tailored practice facilitation sessions, and monthly learning collaboratives. Tenant implementation champions participated alongside staff champions and other key building leaders. Trained practice facilitators recorded the attendance and content of all intervention sessions in REDCap logs. Analysis used quantitative descriptive methods.
Results
Twenty buildings received the intervention; they were located in New York City and upstate New York and served over 1200 PSH tenants. One building discontinued the intervention due to lack of staff time. The remaining 19 buildings participated in 95% of planned practice facilitation sessions. Additionally, 17 buildings attended over half of the monthly learning collaboratives. Most practice facilitation sessions and learning collaboratives (94%; 211 of 225 sessions) included the full content as planned in the intervention guide.
Conclusion
We implemented a novel, place-based intervention to address the leading cause of death among PSH tenants, a population that faces outsized overdose risks. The intervention was feasible to deliver, designed to be sustainable and scalable, and may be a model for other communities seeking to reduce overdose risk in PSH and similar housing settings.
DOI
10.1016/j.drugalcdep.2026.113302
PMID
42641573
Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.
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