Barriers and facilitators of implementation of liver screening in an outreach-based care pathway for people experiencing homelessness and substance use disorders: a qualitative study of clinicians’ and stakeholders’ perspectives

Integrating liver screening into outreach-based drug and alcohol services was considered acceptable by staff and stakeholders when supported by interagency partnerships, targeted funding, and motivated staff. Future implementation efforts should prioritise keyworker training and enhanced communication between drug and alcohol and hepatology services.

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Publication Details

Journal
Harm Reduction Journal
Published
2026-03-02
DOI
https://doi.org/10.1186/s12954-025-01375-w
Primary Topic
Homelessness and Social Issues
Type
article
Field-Weighted Citation Impact
0.00
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article

Barriers and facilitators of implementation of liver screening in an outreach-based care pathway for people experiencing homelessness and substance use disorders: a qualitative study of clinicians’ and stakeholders’ perspectives

Nikolaos Mylonas, Stephen J. Kaar, Maria Walsh, Martin I. Prince et al.
Harm Reduction Journal
Homelessness and Social Issues
article

Barriers and facilitators of implementation of liver screening in an outreach-based care pathway for people experiencing homelessness and substance use disorders: a qualitative study of clinicians’ and stakeholders’ perspectives

Nikolaos Mylonas, Stephen J. Kaar, Maria Walsh, Martin I. Prince, Laura Hazeldine, Chris Daly
article en

Abstract

Integrating liver screening into outreach-based drug and alcohol services was considered acceptable by staff and stakeholders when supported by interagency partnerships, targeted funding, and motivated staff. Future implementation efforts should prioritise keyworker training and enhanced communication between drug and alcohol and hepatology services.

Harm Reduction JournalVol. 23(1)
Greater Manchester Mental Health NHS Foundation Trust (GB), Manchester Academic Health Science Centre (GB), University of Manchester (GB), Manchester University NHS Foundation Trust (GB)
Openalex Percentile: Top 41%
Homelessness and Social Issues
DOIOpen Access PDFOpenAlex
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Barriers and facilitators of implementation of liver screening in an outreach-based care pathway for people experiencing homelessness and substance use disorders: a qualitative study of clinicians’ and stakeholders’ perspectives — Nikolaos Mylonas, Stephen J. Kaar, et al. · Harm Reduction Journal (2026) | TGRS Research Map | TGRS