Research - High Hopes Research Society

Research informing Flora.

Research from the programs and partnerships that shaped Flora - on medical cannabis, harm reduction, wellbeing and models of care.

Published research

First page of the 2026 International Journal of Drug Policy article on cannabis substitution for alcohol in a Canadian managed alcohol program.
First page of the published article (open access, CC BY-NC-ND 4.0). Finding applies to this study population.

Published - 2026

Evaluating cannabis substitution for alcohol within the context of a Canadian managed alcohol program

International Journal of Drug Policy · Volume 147 · 105083

Goulet-Stock et al. · University of Victoria / CISUR and Ottawa Inner City Health, within the CMAPS research program. High Hopes is not an author on this publication.

A longitudinal mixed-methods evaluation of cannabis substitution within an Ottawa managed alcohol program.

Higher average cannabis use was associated with lower overall alcohol use.

In this study, each additional 0.4 g joint consumed on average was associated with an estimated 2.43 fewer mean daily standard drinks.

Research in progress

Pending publication

“It settles me down on the alcohol”

Evaluating a Substitution Effect of Medical Cannabis at a Low-barrier Managed Alcohol Program in Vancouver, Canada

A six-month mixed-methods evaluation of High Hopes’ peer-led medical cannabis program in Vancouver, with High Hopes Research Society in the research partnership.

Cannabis substitution · Alcohol use · Sleep · Appetite · Wellbeing · Peer-led care

Manuscript in preparation

“Same Goal, Different Paths”

Implementing cannabis as part of care in Managed Alcohol Programs in Canada

An implementation study comparing three different cannabis programs in Vancouver, Victoria and Ottawa.

Implementation · Program design · Community-based care · Cultural context · Product choice

Conference work

Research in public conversation.

Research approach

Research with community, not simply about community.

  • Community-based

    Studies are designed and run inside the programs they examine.

  • Peer-informed

    Peer researchers with lived experience collect and interpret data.

  • Mixed-methods

    Consumption measures alongside interviews about daily life.

  • Ethics-reviewed

    Every study proceeds under research ethics board approval.

Research partners

Our research has been developed through partnerships among community members, peer researchers, health and social-service organizations and academic researchers.

  • Canadian Institute for Substance Use Research
  • University of Victoria
  • Ottawa Inner City Health
  • PHS Community Services Society
  • EIDGE/VANDU
  • ACEHS
  • SOLID Outreach

Supported by Health Canada’s Substance Use and Addictions Program.

Why it matters

Evidence belongs in medical cannabis access.

The research behind Flora looks beyond cannabis use alone - tracking sleep, appetite, physical and emotional health, stress, medication changes and healthcare utilization.