<?xml version="1.0" encoding="UTF-8"?>
<item xmlns="http://omeka.org/schemas/omeka-xml/v5" itemId="800" public="1" featured="0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://omeka.org/schemas/omeka-xml/v5 http://omeka.org/schemas/omeka-xml/v5/omeka-xml-5-0.xsd" uri="https://library.icmglt.org/items/show/800?output=omeka-xml" accessDate="2026-11-03T07:59:30-06:00">
  <fileContainer>
    <file fileId="170">
      <src>https://library.icmglt.org/files/original/8c070929a668a4b38c2c9b6682ab4ed0.png</src>
      <authentication>aef16f910c2e17822ab852c3e0a0faff</authentication>
    </file>
  </fileContainer>
  <collection collectionId="3">
    <elementSetContainer>
      <elementSet elementSetId="1">
        <name>Dublin Core</name>
        <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
        <elementContainer>
          <element elementId="50">
            <name>Title</name>
            <description>A name given to the resource</description>
            <elementTextContainer>
              <elementText elementTextId="3950">
                <text>Multigenerational Legacies of Trauma of Indigenous Canadians (First Nations, Métis, Inuit)</text>
              </elementText>
            </elementTextContainer>
          </element>
        </elementContainer>
      </elementSet>
    </elementSetContainer>
  </collection>
  <itemType itemTypeId="27">
    <name>Electronic Resource</name>
    <description/>
    <elementContainer>
      <element elementId="77">
        <name>View Source</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10098">
            <text>&lt;a href="https://doi.org/10.1080/09687637.2025.2470129"&gt;https://doi.org/10.1080/09687637.2025.2470129&lt;/a&gt;</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="64">
        <name>Document Type</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10100">
            <text>Journal article</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="74">
        <name>Author(s)</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10101">
            <text>Rossio Motta-Ochoa, Stéphanie Marsan, Natalia Incio-Serra, E.-R. Audéoud, A. Talbot, M. Mbacfou Temgoua, Jorge Flores-Aranda</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="58">
        <name>Volume</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10102">
            <text>Vol. 32</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="59">
        <name>Issue</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10103">
            <text>No. 6</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="54">
        <name>Publisher</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10104">
            <text>Taylor &amp; Francis</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="57">
        <name>Journal Name</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10105">
            <text>Drugs: Education, Prevention and Policy</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="53">
        <name>Publication Date</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10106">
            <text>2025</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="69">
        <name>ISBN</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10107">
            <text>14653370</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="67">
        <name>Region</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10109">
            <text>Montréal, Québec, Canada</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="75">
        <name>Language</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10111">
            <text>English</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="71">
        <name>Access</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10112">
            <text>Restricted Access</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="78">
        <name>Abstract</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10113">
            <text>Background&#13;
Indigenous people experiencing homelessness, are disproportionately affected by the health risks associated with alcohol use. Managed alcohol programs (MAPs) are interventions that address alcohol use and homelessness by providing housing and regulated doses of alcohol. While research has shown MAPs to be beneficial, little is known about their implementation. Our paper addresses this gap by exploring the barriers and facilitators to implementing a MAP for Indigenous men in Montreal, Canada.&#13;
&#13;
Methods&#13;
The study follows a qualitative approach. Semi-structured and informal interviews along with questionnaires were conducted with the program’s residents, staff and medical team members. The collected data were thematically analyzed.&#13;
&#13;
Results&#13;
Participants identified barriers including resistance to adhering to the individualized alcohol plan, hostile behaviours and conflicts, loss of purpose and boredom, and staff workload and turnover. The facilitators reported were teamwork, flexibility, cultural safety, and trusting relationships.&#13;
&#13;
Conclusion&#13;
Our findings about certain barriers, particularly hostile behaviours and conflicts, and staff workload and turnover, remain undocumented in the literature. Certain facilitators including flexibility, trusting relationships, and cultural safety merit further exploration. In offering a detailed description of the implementation of a MAP, we hope to inform policies supporting the dissemination of similar programs in other contexts.</text>
          </elementText>
        </elementTextContainer>
      </element>
      <element elementId="63">
        <name>Cataloger</name>
        <description/>
        <elementTextContainer>
          <elementText elementTextId="10114">
            <text>Haley Lesemann</text>
          </elementText>
        </elementTextContainer>
      </element>
    </elementContainer>
  </itemType>
  <elementSetContainer>
    <elementSet elementSetId="1">
      <name>Dublin Core</name>
      <description>The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.</description>
      <elementContainer>
        <element elementId="50">
          <name>Title</name>
          <description>A name given to the resource</description>
          <elementTextContainer>
            <elementText elementTextId="10099">
              <text>Barriers and Facilitators to Implementing a First Managed Alcohol Program in Montreal, Canada</text>
            </elementText>
          </elementTextContainer>
        </element>
        <element elementId="49">
          <name>Subject</name>
          <description>The topic of the resource</description>
          <elementTextContainer>
            <elementText elementTextId="10108">
              <text>Homeless persons--Alcohol use--Québec--Montréal</text>
            </elementText>
          </elementTextContainer>
        </element>
      </elementContainer>
    </elementSet>
  </elementSetContainer>
  <tagContainer>
    <tag tagId="137">
      <name>Alcohol Abuse</name>
    </tag>
    <tag tagId="143">
      <name>Healthcare</name>
    </tag>
    <tag tagId="484">
      <name>Homelessness</name>
    </tag>
    <tag tagId="3">
      <name>Indigenous peoples</name>
    </tag>
    <tag tagId="485">
      <name>Substance Use Disorders</name>
    </tag>
    <tag tagId="472">
      <name>Treatment</name>
    </tag>
  </tagContainer>
</item>
