Evaluation of a Citywide Harm Reduction Plan in New York City Shelters for Adults Experiencing Homelessness Using Data and Interviews

What this Trial Is About

This research aims to evaluate the effects of harm reduction initiatives on overdose and other health outcomes among people experiencing homelessness in New York City shelters. The study uses mixed methods, including analysis of administrative homeless services and Medicaid data, as well as in-depth interviews and focus groups. It focuses on the implementation and impact of a Harm Reduction Strategic Plan HRSP within the NYC single-adult shelter system. The study involves analyzing data from individuals in the NYC single-adult homeless services system from 2021 to 2026. It also conducts qualitative interviews and focus groups with homeless services providers, administrators, clients who have received HRSP interventions, and stakeholders involved in planning and implementing these interventions. These activities aim to capture diverse perspectives on the HRSPs effects. Participants involvement includes data analysis without direct contact for some aims, and interviews or focus groups for others. Researchers will assess outcomes such as the incidence of fatal and non-fatal overdoses, substance use disorder treatment initiation, and health services use. The study will monitor these measures using administrative data, while qualitative sessions explore personal experiences. The total study period spans several years, allowing for comprehensive evaluation over time.

Shelter HArm Reduction Evaluation