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The impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: a systematic review
BACKGROUND: Youth often experience unique pathways into homelessness, such as family conflict, child abuse and neglect. Most research has focused on adult homeless populations, yet youth have specific needs that require adapted interventions. This review aims to synthesize evidence on interventions...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857126/ https://www.ncbi.nlm.nih.gov/pubmed/31727031 http://dx.doi.org/10.1186/s12889-019-7856-0 |
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author | Wang, Jean Zhuo Mott, Sebastian Magwood, Olivia Mathew, Christine Mclellan, Andrew Kpade, Victoire Gaba, Priya Kozloff, Nicole Pottie, Kevin Andermann, Anne |
author_facet | Wang, Jean Zhuo Mott, Sebastian Magwood, Olivia Mathew, Christine Mclellan, Andrew Kpade, Victoire Gaba, Priya Kozloff, Nicole Pottie, Kevin Andermann, Anne |
author_sort | Wang, Jean Zhuo |
collection | PubMed |
description | BACKGROUND: Youth often experience unique pathways into homelessness, such as family conflict, child abuse and neglect. Most research has focused on adult homeless populations, yet youth have specific needs that require adapted interventions. This review aims to synthesize evidence on interventions for youth and assess their impacts on health, social, and equity outcomes. METHODS: We systematically searched Medline, Embase, PsycINFO, and other databases from inception until February 9, 2018 for systematic reviews and randomized controlled trials on youth interventions conducted in high income countries. We screened title and abstract and full text for inclusion, and data extraction were completed in duplicate, following the PRISMA-E (equity) review approach. RESULTS: Our search identified 11,936 records. Four systematic reviews and 18 articles on randomized controlled trials met the inclusion criteria. Many studies reported on interventions including individual and family therapies, skill-building, case management, and structural interventions. Cognitive behavioural therapy led to improvements in depression and substance use, and studies of three family-based therapies reported decreases in substance use. Housing first, a structural intervention, led to improvements in housing stability. Many interventions showed inconsistent results compared to services as usual or other interventions, but often led to improvements over time in both the intervention and comparison group. The equity analysis showed that equity variables were inconsistently measured, but there was data to suggest differential outcomes based upon gender and ethnicity. CONCLUSIONS: This review identified a variety of interventions for youth experiencing homelessness. Promising interventions include cognitive behavioural therapy for addressing depression, family-based therapy for substance use outcomes, and housing programs for housing stability. Youth pathways are often unique and thus prevention and treatment may benefit from a tailored and flexible approach. |
format | Online Article Text |
id | pubmed-6857126 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-68571262019-12-05 The impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: a systematic review Wang, Jean Zhuo Mott, Sebastian Magwood, Olivia Mathew, Christine Mclellan, Andrew Kpade, Victoire Gaba, Priya Kozloff, Nicole Pottie, Kevin Andermann, Anne BMC Public Health Research Article BACKGROUND: Youth often experience unique pathways into homelessness, such as family conflict, child abuse and neglect. Most research has focused on adult homeless populations, yet youth have specific needs that require adapted interventions. This review aims to synthesize evidence on interventions for youth and assess their impacts on health, social, and equity outcomes. METHODS: We systematically searched Medline, Embase, PsycINFO, and other databases from inception until February 9, 2018 for systematic reviews and randomized controlled trials on youth interventions conducted in high income countries. We screened title and abstract and full text for inclusion, and data extraction were completed in duplicate, following the PRISMA-E (equity) review approach. RESULTS: Our search identified 11,936 records. Four systematic reviews and 18 articles on randomized controlled trials met the inclusion criteria. Many studies reported on interventions including individual and family therapies, skill-building, case management, and structural interventions. Cognitive behavioural therapy led to improvements in depression and substance use, and studies of three family-based therapies reported decreases in substance use. Housing first, a structural intervention, led to improvements in housing stability. Many interventions showed inconsistent results compared to services as usual or other interventions, but often led to improvements over time in both the intervention and comparison group. The equity analysis showed that equity variables were inconsistently measured, but there was data to suggest differential outcomes based upon gender and ethnicity. CONCLUSIONS: This review identified a variety of interventions for youth experiencing homelessness. Promising interventions include cognitive behavioural therapy for addressing depression, family-based therapy for substance use outcomes, and housing programs for housing stability. Youth pathways are often unique and thus prevention and treatment may benefit from a tailored and flexible approach. BioMed Central 2019-11-14 /pmc/articles/PMC6857126/ /pubmed/31727031 http://dx.doi.org/10.1186/s12889-019-7856-0 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Wang, Jean Zhuo Mott, Sebastian Magwood, Olivia Mathew, Christine Mclellan, Andrew Kpade, Victoire Gaba, Priya Kozloff, Nicole Pottie, Kevin Andermann, Anne The impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: a systematic review |
title | The impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: a systematic review |
title_full | The impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: a systematic review |
title_fullStr | The impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: a systematic review |
title_full_unstemmed | The impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: a systematic review |
title_short | The impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: a systematic review |
title_sort | impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857126/ https://www.ncbi.nlm.nih.gov/pubmed/31727031 http://dx.doi.org/10.1186/s12889-019-7856-0 |
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