A managed alcohol program is a program meant to reduce harm for chronic alcoholics. The program involves providing a regular dose of alcohol to individuals with alcohol addiction, typically at a shelter-based harm reduction centre.
The centres operating a managed alcohol program are distinct from typical homeless shelters. The latter usually enforce abstinence from alcohol, whereas the former permit alcohol consumption "in managed doses or in specific areas". These shelters ensure that high-risk homeless individuals can avoid "exposure to extreme weather conditions, assault on the street, alcohol poisoning, or the substitution of non-beverage for alcohol products". They are also distinct from wet shelters, with criteria for admission and offering a greater breadth of services, such as on-site or referral medical, mental health, and social services.
Such programs enable individuals to reduce alcohol consumption, improve hygiene, and improve nutrition and overall health. Other benefits include providing the affected individual with community services and housing, a reduction in health care and emergency service expenses, and less time in prison.