SUBSTANCE ABUSE 34 WWW.CITYGATENETWORK.ORG MARCH/APRIL 2019 I t’s forever been a chicken­and­egg dilemma: Severe substance abuse has always been both a major cause and consequence of homelessness. And alcoholism, or Alcohol Use Disorder (AUD), remains high on the list as the vice of choice among homeless people. While other kinds of drug use often go through trends and phases, alcohol abuse remains a dangerous social issue.  IS THERE ANY HOPE? by Helen Goody