Substance Use and Homelessness: An Inner-City Group Discussion on Marginalization in Healthcare Practices
Bibliographic record
Abstract
Ottawa Inner City Health’s Managed Alcohol Program administers alcohol to its patients who are struggling with alcohol dependency. Although it may seem like a paradoxical approach, this program is a harm-reduction strategy intended to help some of the most marginalized peoples in Ottawa. A qualitative discussion group composed of individuals utilizing various substance use support programs in Ottawa comments on various strategies to reduce stigma against inner-city individuals, support illicit drug users, and prevent overdoses. Healthcare professionals are well positioned to ensure these strategies are put to action by advocating for patients with substance use issues and promoting equitable healthcare.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.019 | 0.014 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.046 | 0.040 |
| Scholarly communication | 0.009 | 0.009 |
| Open science | 0.003 | 0.015 |
| Research integrity | 0.008 | 0.012 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".