Variability in treatment outcomes from a housing intervention for young mothers misusing substances and experiencing homelessness by sexual identity

Mallory, Allen B.; Luthy, Ellison; Martin, Jared; Slesnick, Natasha

doi:10.1016/j.childyouth.2022.106554

Cited by 4 publications

(10 citation statements)

References 59 publications

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“…Six studies examined the effect of multifactorial interventions on depression severity [ 41 , 47 , 57 , 61 , 75 , 76 ]. While depression severity in the intervention group improved significantly in over a half of these studies, there was limited evidence that multifactorial interventions were superior to control conditions in improving depression outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…While depression severity in the intervention group improved significantly in over a half of these studies, there was limited evidence that multifactorial interventions were superior to control conditions in improving depression outcomes. In the first post-intervention outcome measurement, depression severity improved relative to baseline in five studies [ 41 , 47 , 57 , 75 , 76 ]. The decrease in depression severity in the intervention group relative to baseline was significant in two studies: one of the EBT studies and the trial of the AIDS education programme [ 41 , 76 ].…”

Section: Resultsmentioning

confidence: 99%

“…This may involve a period of psychiatric or substance misuse treatment prior to being housed, and ongoing entitlement to housing may be contingent on abstinence from substances or attending mental health treatment. In an HF approach, housing is provided alongside case management or other supports without extensive prior assessment of readiness, or contingency on desired behaviours such as substance abstinence [ 57 , 61 , 99 , 100 ]. HF is based on principles of harm-reduction, recognising that for individuals who continue to misuse substances, the harms of homelessness can still be mitigated by provision of housing [ 101 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, there is conflicting evidence as to whether HF programmes improve mental health outcomes. Some studies comparing HF interventions with TF interventions and usual community services have generated positive results, with the HF group demonstrating significantly greater reductions in substance misuse [ 57 , 61 , 100 , 108 , 109 ] and time spent in psychiatric institutions [ 110 ]. However, in other studies HF interventions were not shown to be superior to TF or usual community services in terms of improving psychiatric symptom severity and substance misuse [ 101 , 106 , 107 , 111 ].…”

Section: Discussionmentioning

confidence: 99%

“…Twelve studies of 10 unique interventions measured the outcomes of multifactorial interventions. In the studies in this review, multifactorial interventions combined two or more of the following components: housing, psychotherapy, case management, parenting skills, relaxation and recreation, health education and social support [41,42,[47][48][49][56][57][58][59][60][61][62].…”

Section: Multifactorial Interventionsmentioning

confidence: 99%

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Interventions to improve the mental health of women experiencing homelessness: A systematic review of the literature

Anderson,

Trevella,

Burn

2024

PLoS ONE

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Background Homelessness is a growing public health challenge in the United Kingdom and internationally, with major consequences for physical and mental health. Women represent a particularly vulnerable subgroup of the homeless population, with some evidence suggesting that they suffer worse mental health outcomes than their male counterparts. Interventions aimed at improving the lives of homeless women have the potential to enhance mental health and reduce the burden of mental illness in this population. This review synthesised the evidence on the effectiveness and acceptability of interventions which aim to improve mental health outcomes in homeless women. Methods Five electronic bibliographic databases: MEDLINE, PsycInfo, CINAHL, ASSIA and EMBASE, were searched. Studies were included if they measured the effectiveness or acceptability of any intervention in improving mental health outcomes in homeless women. Study quality was assessed using the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool. A narrative summary of the study findings in relation to the research questions was produced. Results Thirty-nine studies met inclusion criteria. Overall, there was moderate evidence of the effectiveness of interventions in improving mental health outcomes in homeless women, both immediately post-intervention and at later follow-up. The strongest evidence was for the effectiveness of psychotherapy interventions. There was also evidence that homeless women find interventions aimed at improving mental health outcomes acceptable and helpful. Conclusions Heterogeneity in intervention and study methodology limits the ability to draw definitive conclusions about the extent to which different categories of intervention improve mental health outcomes in homeless women. Future research should focus on lesser-studied intervention categories, subgroups of homeless women and mental health outcomes. More in-depth qualitative research of factors that enhance or diminish the acceptability of mental health interventions to homeless women is also required.

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