Risk and Resilience Factors for Youth Homelessness in Western Countries: A Systematic Review.

Risk and Resilience Factors for Youth Homelessness in Western Countries: A Systematic Review.
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西方国家青年无家可归者的风险和韧性因素:系统评价。

DOI:
10.1176/appi.ps.202000133
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发表时间:
2022-04-01
期刊:
Psychiatric services (Washington, D.C.)
影响因子:
--
通讯作者:
Niendam TA
Niendam TA
中科院分区:
其他
文献类型:
--
作者:
Grattan RE;Tryon VL;Lara N;Gabrielian SE;Melnikow J;Niendam TA

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年轻人无家可归的经历可能会影响社会、情感和身体发展,导致较差的身心健康结果。为了降低青年的无家可归率,需要更好地了解风险和复原力,以便为未来的干预发展提供信息。本文对西方国家有关青少年无家可归风险或复原力因素的已发表研究进行了系统综述,并将这些信息整合到青少年无家可归风险的临时发展模型中。讨论了该模型对服务发展的临床意义,并提出了一个监测无家可归风险和复原力因素的模型(HOME)。在对纳入标准进行彻底审查后,选择了665篇同行评议的关于年轻人(0-25岁)无家可归风险或复原力因素的定量检查摘要,包括适当的比较组(例如,非无家可归者),经过摘要和全文筛选,纳入本综述的16篇文章。在一级预防框架的基础上,提出了利用风险和复原力因素对无家可归现象的发生进行解释的模型。这项研究确定的青少年无家可归的常见风险包括家庭困难、精神健康或药物使用问题、问题行为史、寄养史、童年无家可归或离家出走。共同的保护因素包括家庭支持、大学教育和较高的社会经济地位。影响青少年无家可归风险的因素不同于成年人,家庭、寄养和教育发挥着更重要的作用。这突出了青年无家可归预防战略和监测的机会。
The experience of homelessness for young people can impact social, emotional and physical development, resulting in poorer physical and mental health outcomes. To reduce rates of homelessness in youth, a better understanding of both risk and resilience is needed to inform future intervention development. This article presents a systematic review of published research reporting risk or resilience factors related to homelessness in young people in Western countries, and integrates this information into a provisional developmental model of homelessness risk in youth. Clinical implications of this model on service development are discussed, and a model for monitoring homelessness risk and resilience factors (HOME) is proposed. After thorough examination for inclusion criteria, 665 abstracts of peer-reviewed quantitative examinations of risk or resilience factors for homelessness in young people (aged 0–25), including an adequate comparison group (e.g., non-homeless) were selected and, following abstract and full text screening, 16 articles were included in this review. Using a primary prevention framework, an explanatory model for the onset of homelessness using risk and resilience factors is proposed. Common risks for youth homelessness identified by this research included difficulties with family, mental health or substance use problems, a history of problem behaviors, a history of foster care, homelessness as a child, or running away. Common protective factors included a supportive family, a college education and high socioeconomic status. Factors impacting homelessness risk in youth differ from adults, with family, foster care and schooling playing a much more important role. This highlights opportunities for youth homelessness prevention strategies, and monitoring.
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