Housing interventions for homeless, pregnant/parenting women with addictions: a systematic review

Krahn, Jessica; Caine, Vera; Chaw-Kant, Jean; Singh, Ameeta E.

doi:10.1080/10530789.2018.1442186

Cited by 28 publications

(12 citation statements)

References 45 publications

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“…Supportive housing has been described as effective in reducing homelessness and achieving housing stability for people with moderate and high support needs when compared to usual care [ 30 ]. The Housing First program had shown promising health, employment, housing, and social outcomes in homeless pregnant/parenting women using substances [ 31 ]. However, due to low standardization in outcome measure domains and tools, further research is needed to correctly assess the long-term effects of housing interventions on physical and mental health, as well as on quality of life [ 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…The Housing First program had shown promising health, employment, housing, and social outcomes in homeless pregnant/parenting women using substances [ 31 ]. However, due to low standardization in outcome measure domains and tools, further research is needed to correctly assess the long-term effects of housing interventions on physical and mental health, as well as on quality of life [ 30 , 31 ]. On the other hand, income assistance interventions, such as housing subsidies, have been described as capable of improving housing stability, independent housing, quality of life and food security [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

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The perceived impact of homelessness on health during pregnancy and the postpartum period: A qualitative study carried out in the metropolitan area of Nantes, France

Borghi¹,

Caillet

Devriendt³

et al. 2023

PLoS ONE

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The number of homeless people has been constantly increasing in Europe over recent years, as well as the proportion of women among the homeless population. Pregnancy can increase the risk of becoming homeless and, on the other hand, homelessness has been widely connected to adverse perinatal outcomes. The objective of this study was to describe the overall perceived impact of homelessness on health during pregnancy and the postpartum period, using a qualitative research approach to prioritize women’s perspective. One-time semi structured interviews were conducted with 10 pregnant women and 10 women in the postpartum period experiencing homelessness in the metropolitan area of Nantes, as well as with six people from their social surroundings. A thematic analysis was performed to identify major themes and sub-themes. Homelessness was perceived as having an overall negative impact on all aspects of health (physical health, mental health, and social well-being) during pregnancy and the postpartum period. Stress and anxiety, food insecurity, social isolation, physical suffering, deterioration of chronic diseases, and pregnancy complications, were the main perceived consequences of homelessness on health. On the other hand, social support, and the “welcomeness” of healthcare professionals during pregnancy and the postpartum period were identified as capable of palliating those consequences. Finally, basic needs, such as having access to suitable housing, being independent, and being in good health, were identified by participants in the study as their main priorities. The results of this study, as well as those found by previous research, allowed us to identify possible axes in tackling homelessness and its complex consequences on health during pregnancy and the postpartum period. Housing and income assistance interventions, promoting social support and employment, outreach services enhancing collaborative networks among healthcare service providers, and integrating coordinated multidisciplinary approaches in primary care have shown to provide promising solutions to this issue.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The perceived impact of homelessness on health during pregnancy and the postpartum period: A qualitative study carried out in the metropolitan area of Nantes, France

Borghi¹,

Caillet

Devriendt³

et al. 2023

PLoS ONE

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“…115 A 2018 systematic review demonstrated the benefits of case manage ment paired with Housing First services in address ing the multifaceted needs of pregnant and early parenting women who are experiencing homeless ness and addiction concerns. 116 that women were more accepting of a referral to home visitation compared to specialized services following brief interventions. 104 Different delivery settings and modalities of brief interventions were also described, demonstrat ing new trends in implementation.…”

Section: Case Managementmentioning

confidence: 91%

At a Juncture: Exploring Patterns and Trends in FASD Prevention Research from 2015 – 2021 Using the Four-Part Model of Prevention

Wolfson

Poole

Harding

et al. 2022

Journal of Fetal Alcohol Spectrum Disorder

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Background and Objective: FASD prevention efforts have been expanded in the last 25 years to go beyond the moral panic that guided early public awareness campaigns and policy responses. In Canada, a Four-Part Model of FASD Prevention has been developed and used that describes a continuum of multi-sectoral efforts for women, girls, children, and their support networks, including broad awareness campaigns, safe and respectful conversations around pregnancy and alcohol use, and holistic and wraparound support services for pregnant and postpartum women with alcohol and other health and social concerns. The purpose of this article is to describe the state of the evidence on FASD prevention from 2015 – 2021, including the prevalence and influences on alcohol use during pregnancy, interventions at each of the four levels of the Four-Part Model, as well as systemic, destigmatizing, and ethical considerations. Materials and Methods: Using EBSCO Host, seven academic databases were annually searched for articles related to FASD prevention from 2015 – 2021. English language articles were screened for relevance to alcohol use in pregnancy and FASD prevention. Using outlined procedures for thematic analysis, the findings were categorized within the following key themes: prevalence and influences on women’s drinking; Level 1 prevention; Level 2 prevention; Level 3 prevention; Level 4 prevention; and systemic, destigmatizing, and ethical considerations. Results: From January 2015 – December 2020 n = 532 articles were identified that addressed the prevalence and influences on alcohol use during pregnancy, interventions at each of the four levels, and systemic, destigmatizing, and ethical considerations. The most recent research on FASD prevention published in English was generated in the United States (US; n = 216, 40.6%), Canada (n = 91, 17.1%), the United Kingdom (UK; n = 60, 11.3%), and Australia (n = 58, 10.9%). However, there was an increase in studies published from other countries over the last six years. The literature heavily focused on prevalence and influences on alcohol use during pregnancy (n = 182, 34.2%), with an increase of prevalence research from countries outside of Canada, the US, Australia, and the UK, and on Level 2 prevention efforts (n = 174, 32.7%), specifically around the efficacy and implementation of brief interventions. Across Level 1 and Level 2 prevention efforts, there was an increase in literature published on the role of technology in supporting health promotion, education, screening, and brief interventions. Attention to Levels 3 and 4 demonstrated nuanced multi-service, trauma-informed, relational, and holistic approaches to supporting women and their children. However, efforts are needed to address stigma, which acted as a systemic barrier to care across each level of prevention. Conclusion: Research and practice on FASD prevention has continued to expand. Through our generated deductive themes, this review synthesized the findings and demonstrated how the work on FASD prevention has been amplified in recent years and how efforts to support women and children’s health are complex and interconnected. The findings highlight opportunities for prevention through research and evidence-informed policy and practice.

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“…For our purpose, the above discussion shows that existing methods of reviewing can now better accommodate the theoretical, methodological and epistemological diversity of housing studies (Wallace et al, 2006). Systematic reviewing in housing studies adopted realist positions in relation to homelessness (Krahn, Caine, Chaw-Kant, & Singh, 2018;O'Campo et al, 2009;Woodhall-Melnik & Dunn, 2016) and environmental issues (Daly, 2017); and moderate idealist approaches in relation to energy use and habitability (McCabe, Pojani, & van Groenou, 2018;Willis, Phillips, Ryan, Bursac, & Ferguson, 2017), gentrification and gated communities (Atkinson, 2004;Blandy et al, 2003), empty homes (Wallace et al, 2005), mortgage markets (Croucher et al, 2003) and older people's decisions on residential mobility (Roy, Dub e, Despr es, Freitas, & L egar e, 2018).…”

Section: What Is Systematic Literature Mapping?mentioning

confidence: 99%

A methodological quest for systematic literature mapping

Soaita

Serin

Preece

2019

International Journal of Housing Policy

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This article develops an approach to systematic literature mapping that can contribute to advancing housing knowledge and theory in three ways. At a basic level, it informs more systematic, balanced and transparent literature reviews than currently performed in housing studies. As a self-contained project, it unravels research gaps, highlights where rich evidence already exists, and indicates changing conceptual approaches. Lastly, as an opening stage to evidence reviews, it informs the review's questions, directions and dimensions. Our approach to literature mapping systematically identifies and explores a comprehensive but non-exhaustive literature related to a broad academic or policy theme. We have adapted established methodological approaches from systematic reviews to our much broader aims and shorter timeframe. By reflecting on five projects, we detail the methodological process so that it could be replicated or adapted in future studies. Besides reflecting on the systematic and less biased retrieval of relevant literaturepertinent to any academic projectwe present insights into synthesising its temporal, geographical, conceptual and thematic trends. We also reflect on some inevitable methodological challenges faced in this process of translation of aims into the narration of findings, which have a wider currency across the social sciences.

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Housing interventions for homeless, pregnant/parenting women with addictions: a systematic review

Cited by 28 publications

References 45 publications

The perceived impact of homelessness on health during pregnancy and the postpartum period: A qualitative study carried out in the metropolitan area of Nantes, France

The perceived impact of homelessness on health during pregnancy and the postpartum period: A qualitative study carried out in the metropolitan area of Nantes, France

At a Juncture: Exploring Patterns and Trends in FASD Prevention Research from 2015 – 2021 Using the Four-Part Model of Prevention

A methodological quest for systematic literature mapping

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