Lessons learned from housing first, rapid rehousing trials with youth experiencing homelessness.

Lessons learned from housing first, rapid rehousing trials with youth experiencing homelessness.
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DOI:
10.1186/s13722-023-00413-x
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发表时间:
2023-09-30
影响因子:
3.7
通讯作者:
Zhang, Jing
Zhang, Jing
中科院分区:
医学2区
文献类型:
--
作者:
Slesnick, Natasha;Brakenhoff, Brittany;Bunger, Alicia;Chavez, Laura;Cuthbertson, Caleb;Famelia, Ruri;Feng, Xin;Fitzpatrick, Maggie;Ford, Jodi;Hatsu, Irene;Holowacz, Eugene;Jaderlund, Soren;Kelleher, Kelly;Luthy, Ellison;Mallory, Allen;Martin, Jared;Pizzulo, Alexis;Stone-Sabali, Steven;Yilmazer, Tansel;Wu, Qiong;Zhang, Jing

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18岁至24岁的年轻人经历无家可归(YEH)被认为具有不同于老年人的发展挑战。然而,关于努力结束青少年无家可归、预防或干预青少年吸毒和心理健康问题的研究一直落后于成年人。住房优先(HF)模式是永久性支持性住房(PSH)和快速再安置(RRH)模式的基础,已成为治疗优先模式的首选。我们提供了到目前为止的PSH和RRH研究的概述,并总结了我们目前对它们用于YeH的理解。最后,我们回顾了我们团队目前和过去测试RRH与YEH的随机试验,提供了经验教训和建议。目前指导最佳做法的研究工作受到以下因素的阻碍:对HF原则缺乏忠诚度,缺乏随机设计,以及缺乏对青年的关注。我们提供了从工作中吸取的经验教训和建议,以促进那些寻求结束无家可归和解决青年中的吸毒和精神健康问题的人今后的工作。
Youth, 18 to 24 years, experiencing homelessness (YEH) are recognized as having developmental challenges dissimilar to older adults. Yet, research on efforts to end homelessness and prevent or intervene in drug use and mental health problems among youth have lagged behind that of adults. The Housing First (HF) Model which underlies Permanent Supportive Housing (PSH) and Rapid Re-Housing (RRH) has become preferred over treatment-first models. We provide an overview of PSH and RRH studies to date and summarize our current understanding of their utility for use with YEH. Finally, we review our team’s current and past randomized trials testing RRH with YEH, providing lessons learned and recommendations. Current research efforts to guide best practices are hampered by a lack of fidelity to HF principles, lack of randomized design, and lack of focus on youth. Lessons learned and recommendations from our work are offered to facilitate the future work of those who seek to end homelessness and address drug use and mental health problems among youth.
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