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Substance abuse

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By Richard Gough Paramedic tutor, Post Qualification Manager
Ryan P McCormack, Lily F Hoffman, Michael Norman, Lewis R Goldfrank, Elizabeth M Norman
STUDY OBJECTIVE: We describe the evolution, environment, and psychosocial context of alcoholism from the perspective of chronically homeless, alcohol-dependent, frequent emergency department (ED) attendees. We use their words to explore how homelessness, health care, and other influences have contributed to the cause, progression, and management of their alcoholism. METHODS: We conducted detailed, semistructured, qualitative interviews, using a phenomenological approach with 20 chronically homeless, alcohol-dependent participants who had greater than 4 annual ED visits for 2 consecutive years at Bellevue Hospital in New York City...
February 2015: Annals of Emergency Medicine
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