Personal Control and Service Connection as Paths to Improved Mental Health and Exiting Homelessness among Severely Marginalized Homeless Youth.
Personal Control and Service Connection as Paths to Improved Mental Health and Exiting Homelessness among Severely Marginalized Homeless Youth.
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DOI：
10.1016/j.childyouth.2016.11.033
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发表时间：
2017-03
影响因子：
3.3
通讯作者：
Brakenhoff B
中科院分区：
文献类型：
--
作者：
Slesnick N;Zhang J;Brakenhoff B
没有服务的、持续无家可归的年轻人可以说是美国最脆弱的人群之一。这些年轻人生活在社会的边缘，随着时间的推移经历着风险的积累。研究得出的结论是，随着脆弱性的增加，不良的长期后果也会增加。本研究检验了服务联系和个人控制作为累积风险与住房、健康和心理健康结果的中介效应。通过了解与最脆弱人群的治疗变化相关的过程，服务提供者和研究人员可以针对这些因素来增强积极的结果。79名与服务无关、吸毒的无家可归青年接受了基于优势的外展和参与干预，并在基线后3个月、6个月和9个月进行了评估。个人控制调节累积风险对住房稳定性的影响，服务利用调节累积风险对心理健康的影响。这项研究为持续无家可归的高危人群明确了重要的干预目标。特别是，服务提供者应以青少年的个人控制感为目标，并将他们与所需的社区服务联系起来，以帮助他们脱离街头生活并改善心理健康结果。
Non-service connected, continuously homeless youth are arguably one of the most vulnerable populations in the U.S. These youth reside at society’s margins experiencing an accumulation of risks over time. Research concludes that as vulnerabilities increase so do poor long-term outcomes. This study tested the mediating effects of service connection and personal control as mediators of cumulative risk and housing, health and mental health outcomes. By understanding the processes associated with therapeutic change among those with the most vulnerabilities, service providers and researchers can target those factors to enhance positive outcomes. Seventy-nine, non-service connected, substance using homeless youth were offered a strengths-based outreach and engagement intervention and were assessed at baseline 3, 6 and 9 months post-baseline. Personal control mediated the effects of cumulative risk on housing stability, and service utilization mediated the effects of cumulative risk on mental health. This study specifies important targets of intervention for a population at high risk for continuing homelessness. In particular, service providers should target youths’ sense of personal control and link them to needed community-based services in order to help them exit street life and improve mental health outcomes.
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