The report investigated the response to COVID-19 for those experiencing homelessness and drug use, aiming to identify lessons to inform future recommendations and enhance healthcare provision for these marginalised groups.

The study employed a mixed-methods approach, integrating literature synthesis, clinical data analysis, and stakeholder perspectives. It focused on understanding the experiences of PEH during the pandemic, highlighting PMVT’s crucial role in providing services.

Key Findings:

• Clinical Data Analysis: Data from 2893 service users revealed that the majority were Irish nationals (60%), with a significant portion from Dublin City Council (55%). Most participants faced recent homelessness, primarily due to family circumstances, with an average stay of 32 days with PMVT.
• Subsample Analysis: Analysis of service users with higher needs (n=483) showed varying demographics and health conditions. Those with higher needs had shorter stays, underscoring the need for tailored support.
• Qualitative Insights: Interviews with stakeholders revealed challenges such as limited substance access, changes in living conditions, and healthcare staffing issues. Positive outcomes included improved access to opioid substitution therapy and a strengthened sense of community among service providers.
• Collective Intelligence Group Findings: A surge in service adoption during the pandemic was noted, with participants addressing challenges through resourceful strategies and acknowledging the interdependence of stable housing and overall well-being.