Homeless near a thousand homes: outcomes of homeless youth in a crisis shelter.
ABSTRACT Clients who received crisis services at a homeless shelter for transition-aged youth were recruited for a study to describe the youth served, to track outcomes of care, and to examine factors associated with differing outcomes. Participants were 202 men and women who completed a battery of interviews and self-report measures at intake and at 3 follow-up points. Youth served had experienced high levels of adversity and trauma and typically had poor educational and vocational preparation. A multidisciplinary array of services was provided, and overall, participants showed significant improvement from intake to discharge and in the 6 months after discharge. Background, service, and psychological factors did not predict housing outcomes. Better vocational outcome was associated with more recent work experience. Results point to the need for providers of services to the homeless to be aware of the distinct needs and characteristics of transition-aged youth.
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ABSTRACT: Research on interventions to positively impact health and housing status of people who are homeless has received substantially increased attention over the past 5 years. This rapid review examines recent evidence regarding interventions that have been shown to improve the health of homeless people, with particular focus on the effect of these interventions on housing status. A total of 1,546 articles were identified by a structured search of five electronic databases, a hand search of grey literature and relevant journals, and contact with experts. Two reviewers independently screened the first 10% of titles and abstracts for relevance. Inter-rater reliability was high and as a result only one reviewer screened the remaining titles and abstracts. Articles were included if they were published between January 2004 and December 2009 and examined the effectiveness of an intervention to improve the health or healthcare utilization of people who were homeless, marginally housed, or at risk of homelessness. Two reviewers independently scored all relevant articles for quality. Eighty-four relevant studies were identified; none were of strong quality while ten were rated of moderate quality. For homeless people with mental illness, provision of housing upon hospital discharge was effective in improving sustained housing. For homeless people with substance abuse issues or concurrent disorders, provision of housing was associated with decreased substance use, relapses from periods of substance abstinence, and health services utilization, and increased housing tenure. Abstinent dependent housing was more effective in supporting housing status, substance abstinence, and improved psychiatric outcomes than non-abstinence dependent housing or no housing. Provision of housing also improved health outcomes among homeless populations with HIV. Health promotion programs can decrease risk behaviours among homeless populations. These studies provide important new evidence regarding interventions to improve health, housing status, and access to healthcare for homeless populations. The additional studies included in this current review provide further support for earlier evidence which found that coordinated treatment programs for homeless persons with concurrent mental illness and substance misuse issues usually result in better health and access to healthcare than usual care. This review also provides a synthesis of existing evidence regarding interventions that specifically support homeless populations with HIV.BMC Public Health 08/2011; 11:638. DOI:10.1186/1471-2458-11-638 · 2.32 Impact Factor
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ABSTRACT: This article investigates a community-based group therapy intervention designed to address specific needs of women in transition as compared to women also in transition, engaged in a traditional, nonclinical women's program. Both interventions were found to increase social network size, decrease social isolation, and decrease financial stress. The group therapy intervention participants also reported increased self-efficacy beliefs. These findings suggest a need to integrate a group therapy intervention into traditional social service facilities that serve women during times of major life transition.The Journal for Specialists in Group Work 12/2006; 31(4):339-351. DOI:10.1080/01933920600918857
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ABSTRACT: Studies of homeless youth services conclude that services contribute to improving the life chances of homeless youth, but little research has addressed the structural conditions that promote the creation of these services. This study investigates the prevalence of programs serving unaccompanied homeless youth in 26 metropolitan areas from 1989 to 2006. Specifically, it examines the extent to which the supply of funds, the need for services, and politics affect the prevalence of services. The findings suggest that political culture and supply measures (e.g., federal grants and homeless youth funding) have a greater effect on the prevalence of programs than the need for services.Children and Youth Services Review 12/2009; 31(12-31):1321-1329. DOI:10.1016/j.childyouth.2009.06.010 · 1.27 Impact Factor