Supporting Vulnerable People During Challenging Transitions: A Systematic Review of Critical Time Intervention.
Supporting Vulnerable People During Challenging Transitions: A Systematic Review of Critical Time Intervention.
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DOI：
10.1007/s10488-022-01224-z
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发表时间：
2023-01
影响因子：
2.6
通讯作者：
Susser, Ezra
中科院分区：
文献类型：
--
作者：
Manuel, Jennifer, I;Nizza, Megan;Herman, Daniel B.;Conover, Sarah;Esquivel, Laura;Yuan, Yeqing;Susser, Ezra
关键时间干预（CTI）旨在通过在具有挑战性的生命历程过渡期间向个人提供支持来降低无家可归和其他不良后果的风险。虽然一些叙述性评论表明CTI的好处，但关于该模型有效性的证据尚未得到系统的审查。本文系统地回顾了CTI应用于各种人口和转型类型的研究。根据方案系统评价和meta分析的首选报告项目（PRISMA-P）指南，我们回顾了13项符合条件的实验和准实验研究。研究结果按个别结果领域进行了总结，包括住房、服务参与使用、住院或紧急服务、精神健康、物质使用、家庭和社会支持以及生活质量。在不同的人群和环境中，CTI对两个主要结果（减少无家可归和增加服务参与使用）产生了一致的积极影响。尽管CTI的有效性，具体机制的模式的积极影响仍不清楚。讨论了对实践、政策和研究的影响。在线版本包含补充材料，可在10.1007/s10488-022-01224-z获得。
Critical Time Intervention (CTI) is designed to reduce the risk of homelessness and other adverse outcomes by providing support to individuals during challenging life course transitions. While several narrative reviews suggest the benefit of CTI, the evidence on the model’s effectiveness has not been systematically reviewed. This article systematically reviews studies of CTI applied to a variety of populations and transition types. Following the Preferred Reporting Items for Systematic Review and Meta-Analysis for protocols (PRISMA-P) guidelines, we reviewed 13 eligible experimental and quasi-experimental studies. Findings were summarized by individual outcome domains, including housing, service engagement use, hospitalization or emergency services, mental health, substance use, family and social support, and quality of life. CTI had a consistent positive impact on two primary outcomes—reduced homelessness and increased service engagement use—among different populations and contexts. Despite the effectiveness of CTI, the specific mechanisms of the model’s positive impacts remain unclear. Implications for practice, policy and research are addressed. The online version contains supplementary material available at 10.1007/s10488-022-01224-z.
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影响因子：
4.6
作者：
Lako DAM;Beijersbergen MD;Jonker IE;de Vet R;Herman DB;van Hemert AM;Wolf JRLM
通讯作者：
Wolf JRLM
影响因子：
3.8
作者：
Herman, Daniel B.;Conover, Sarah;Susser, Ezra S.
通讯作者：
Susser, Ezra S.
影响因子：
3.8
作者：
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通讯作者：
Wyatt, RJ
影响因子：
1.8
作者：
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通讯作者：
Marcal, Katherine
影响因子：
3.8
作者：
Tomita, Andrew;Herman, Daniel B.
通讯作者：
Herman, Daniel B.