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Low-barrier harm reduction and housing for older people in Vancouver’s opiate crisis: meeting people where they are

2024· article· en· W4400143423 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueCritical and Radical Social Work · 2024
Typearticle
Languageen
FieldMedicine
TopicSubstance Abuse Treatment and Outcomes
Canadian institutionsYork UniversityUniversity of British Columbia
Fundersnot available
KeywordsHarm reductionOpiateHarmReduction (mathematics)Older peoplePsychologyGerontologyMedicineSocial psychologyNursingPublic health

Abstract

fetched live from OpenAlex

Drawing on recent case-study data, this article explores innovative practices around harm reduction and housing for older people who use drugs. Although right-wing groups call for further criminalisation of drug use, in light of extraordinarily high levels of deaths from opioid overdose in Vancouver, Canada, the provincial government has quietly permitted the development of safe supply, the testing of illegal drugs to avoid poisonings and the provision of low-barrier, inclusive and supportive social housing, including housing specifically for older people. Drawing on crisis theory, the article analyses the provision of low-barrier harm reduction services for this marginalised and highly vulnerable group of older people and reflects on what we can learn about providing supports that are needs based and strengths based and embody meeting people where they are.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.143
Threshold uncertainty score0.476

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.015
GPT teacher head0.297
Teacher spread0.282 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it