The Effectiveness of Psychologically Informed Environments in Homelessness Services: A Systematic Review.

Objectives: Psychologically informed environments have shown promise in supporting people experiencing homelessness, yet evidence of effectiveness and mechanisms is lacking. This systematic review evaluated current evidence on their effectiveness in homelessness settings. Methods: A mixed‐method app...

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Publicado en:Health & Social Care in the Community Vol. 2026; pp. 1 - 21
Autores principales: Ward, Rebecca J., Ivanova, Dima, Amores, Patricia, Maguire, Nick, Wesley, Hannah
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell 2/5/2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2/5/2026
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: The Effectiveness of Psychologically Informed Environments in Homelessness Services: A Systematic Review.
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          Ward, Rebecca J.
          Ivanova, Dima
          Amores, Patricia
          Maguire, Nick
          Wesley, Hannah
        affil: University of Southampton, , University Road, Southampton, SO17 1BJ, , UK, le.ac.uk
      sug:
        subj:
          Homelessness
          Needs Assessment
          Psychological Well-Being
          Frontline Personnel Psychosocial Factors
          Consumer Attitudes
          Human
          Male
          Female
          Systematic Review
          Medline
          Psycinfo
          CINAHL Database
          Thematic Analysis
          Mental Health
          Repeated Measures
          Analysis of Variance
          Regression
          Work Engagement
          Social Behavior
          United Kingdom
          Burnout, Professional Prevention and Control
          Personnel Turnover
          Psychological Trauma
          Male
          Female
      ab: Objectives: Psychologically informed environments have shown promise in supporting people experiencing homelessness, yet evidence of effectiveness and mechanisms is lacking. This systematic review evaluated current evidence on their effectiveness in homelessness settings. Methods: A mixed‐method approach combined quantitative evaluation studies with qualitative studies exploring mechanisms for change. Searches were conducted in MEDLINE, PsycINFO and CINAHL Plus, the Centre for Homelessness Impact Databases and Google, to identify published and grey literature using terms associated with psychologically informed environments, homelessness and impact (final search: 7 February 2024). Studies reporting psychologically informed environments involving people experiencing homelessness across all designs, dates and global locations were included. Studies without homelessness outcomes were excluded. Risk of bias was undertaken using the Centre for Homelessness Impact Tool. The quantitative component focused on studies evaluating outcomes concerning changes in behaviour, attitudes and symptoms. The qualitative component provided potential mechanisms for change. Findings were synthesised narratively, grouping findings in four domains: staff attitudes, staff well‐being, client behaviour and client well‐being. Results: Thirteen studies met inclusion criteria. Staff outcomes showed reduced burnout and improved well‐being (3 studies, 521 participants), while client outcomes demonstrated improved mental health and social behaviour (4 studies, 305 participants). Possible mechanisms for change (12 studies, 412 participants) included training, reflective practice and supportive relationships for staff. For clients, person‐centred relationships, safe environments and empowerment were cited. Conclusions: Psychologically informed environments show benefits to both staff and clients in homelessness settings, enhancing well‐being, engagement and behavioural outcomes. However, the evidence base remains small and inconsistent, and lacking in equity‐focused or participatory research. Greater involvement of people with lived experience and use of robust, controlled designs are needed to strengthen future evaluations and clarify how psychologically informed environments achieve their impact.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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