In addition to decreasing EMS, Emergency Department, hospitalization and law enforcement utilization rates, Managed Alcohol Programs have effectively improved the quality of life, health and well-being of homeless adults consuming non-beverage alcohol. The model responds to the specialized needs of a population that, at present, is typically displaced and vulnerable in the City of London. These clients are historically refractory to traditional treatment practices and at risk of victimization, criminalization and a myriad of health conditions. Managed Alcohol does more than provide a drink an hour or a fixed address. It is the integration of onsite, continuous healthcare services together with housing, community supports and a client-centred harm reduction approach that has proven to lessen the burden on emergency services and departments, improve health outcomes and end both the consumption of nonbeverage alcohol and homelessness.