Design, Recruitment, and Implementation of Research Interventions Among Youth Experiencing Homelessness: A Systematic Review.

Transitional age youth experiencing homelessness (TAY-EH) represent an underserved and understudied population. While an increasing number of empirical interventions have sought to address the high burden of psychopathology in this population, findings remain mixed regarding intervention effectivene...

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Publicado en:Community Mental Health Journal Vol. 60; no. 4; pp. 722 - 743
Autores principales: Lanni, Sylvia, Stone, Mira, Berger, Amy F., Wilson, Ronan L. H., Wilens, Timothy E., Philpotts, Lisa L., Burke, Colin W.
Formato: Artículo
Publicado: Springer Nature May2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2024
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          Lanni, Sylvia
          Stone, Mira
          Berger, Amy F.
          Wilson, Ronan L. H.
          Wilens, Timothy E.
          Philpotts, Lisa L.
          Burke, Colin W.
        affil:
          https://ror.org/002pd6e78 Department of Psychiatry, Massachusetts General Hospital, Warren Building, Room 628, 55 Fruit Street, 02114, Boston, MA, USA
          https://ror.org/002pd6e78 Treadwell Library, Massachusetts General Hospital, 55 Fruit Street, 02114, Boston, MA, USA
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        Substance abuse treatment
        Human services programs
        Mental health services
        Human research subjects
        Homeless persons
        Homelessness
        Psychosocial factors
        Behavior therapy
        Patient selection
        Medical information storage & retrieval systems
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        Experimental design
        Systematic reviews
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          Mental health services
          Human research subjects
          Homeless persons
          Homelessness
          Psychosocial factors
          Behavior therapy
          Offices of Mental Health Practitioners (except Physicians)
          Residential Mental Health and Substance Abuse Facilities
          Psychiatric and Substance Abuse Hospitals
          Outpatient Mental Health and Substance Abuse Centers
          Patient selection
          Medical information storage & retrieval systems
          Research funding
          Experimental design
          Systematic reviews
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          Psychology information storage & retrieval systems
      keyword:
        Mental health
        Substance use
        Systematic review
        Transitional age youth
        Mental health
        Substance use
        Systematic review
        Transitional age youth
      ab: Transitional age youth experiencing homelessness (TAY-EH) represent an underserved and understudied population. While an increasing number of empirical interventions have sought to address the high burden of psychopathology in this population, findings remain mixed regarding intervention effectiveness. In this systematic review of behavioral health interventions for TAY-EH, we sought to examine the structural framework in which these interventions take place and how these structures include or exclude certain populations of youth. We also examined implementation practices to identify how interventions involving youth and community stakeholders effectively engage these populations. Based on PRISMA guidelines, searches of Medline, PsycInfo, Embase, Cochrane Central, Web of Science, and ClinicalTrials.gov databases were conducted, including English language literature published before October 2022. Eligible studies reported on interventions for adolescent or young adult populations ages 13–25 years experiencing homelessness. The initial search yielded 3850 citations; 353 underwent full text review and 48 met inclusion criteria, of which there were 33 unique studies. Studies revealed a need for greater geographic distribution of empirically based interventions, as well as interventions targeting TAY-EH in rural settings. Studies varied greatly regarding their operationalizations of homelessness and their method of intervention implementation, but generally indicated a need for increased direct-street outreach in participant recruitment and improved incorporation of youth feedback into intervention design. To our knowledge, this is the first systematic review to examine the representation of various groups of TAY-EH in the literature on substance use and mental health interventions. Further intervention research engaging youth from various geographic locations and youth experiencing different forms of homelessness is needed to better address the behavioral health needs of a variety of TAY-EH.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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