Drug users

This page outlines a report produced by Shelter's Street Homeless Project which  addresses drug use and homelessness.

About the report

The report demonstrates how problematic substance use is often inextricably linked with housing need.It argues that providing a range of housing and support options is the only way to meet the needs of drug users with different patterns and levels of use.

Report summary 

There is an overwhelming need to address the use of illegal drugs among people who are homeless and vulnerably housed, and equally to address the housing problems of drug users.

The common requirement for drug users to cease illicit use before being given access to the safety and stability of appropriate housing, and support is neither achievable nor desirable for many. Although conditions in such projects may prohibit drug use and possession on site, drug use invariably occurs and, in many cases, results in eviction and a return to homelessness.

Innovative provision has emerged that manages to engage and house problematic drug users safely in appropriate accommodation. Such provision operates within the law and with reference to key principles of good practice. It complements existing provision that seeks to maintain drug-free environments. Benefits to drug users and the wider community such as safer practice, and reduced offending and antisocial behaviour, are also reported.

Key findings

Increased openness and engagement with drug users facilitates improvements in health, treatment access, retention, and outcome, along with greater stability and progress in various areas of their lives

The good practice that underpins successful housing provision includes:

• A harm reduction model that provides for continuing drug users. This focuses on improving the safety of the drug user, staff, and the wider community, while encouraging the user to access primary health care and treatment.

• An holistic, multi-agency approach to meet the varying needs of homeless drug users, with a balance between generic and specialist, in-house and external support.

• In-house staff supported with training and development opportunities, and a clear supervision and management structure.

• Integration with other provision for those seeking to remain drug-free, or those engaged in structured treatment programmes.

Recommendations 

If the needs of homeless drug users are to be met, it is imperative that a range of housing and support provision is expanded and developed within strategic approaches for homeless drug users.

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