西方国家青年无家可归的风险和复原力因素:系统评价。
Risk and Resilience Factors for Youth Homelessness in Western Countries: A Systematic Review.
机构信息
Department of Psychiatry and Behavioral Sciences, Davis School of Medicine (Grattan, Tryon, Lara, Niendam), and Center for Healthcare Policy and Research (Melnikow), University of California, Sacramento, Sacramento; ISN Innovations, Institute for Social Neuroscience, Melbourne, Australia (Grattan); Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles (Gabrielian); Greater Los Angeles Healthcare System, U.S. Department of Veterans Affairs, West Los Angeles, Los Angeles (Gabrielian).
出版信息
Psychiatr Serv. 2022 Apr 1;73(4):425-438. doi: 10.1176/appi.ps.202000133. Epub 2021 Jul 29.
OBJECTIVES
The experience of homelessness for young people can affect social, emotional, and physical development, resulting in poorer physical and mental health outcomes. To reduce rates of youth homelessness, 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 among young people in Western countries.
METHODS
After thorough examination for inclusion criteria, 665 abstracts of peer-reviewed quantitative studies of risk or resilience factors for homelessness among young people (ages 0-25) that included an adequate comparison group (e.g., not homeless) were selected. After abstract and full-text screening, 16 articles were reviewed. A primary prevention framework was used to create an explanatory model for the onset of homelessness using risk and resilience factors.
RESULTS
Common risk factors for youth homelessness included difficulties with family, mental health or substance use problems, a history of problem behaviors, a history of foster care, homelessness as a child, and running away. Common protective factors included a supportive family, a college education, and high socioeconomic status. Findings were integrated into a provisional developmental model of youth homelessness risk. Clinical implications of the model for service development are discussed, and a model for monitoring homelessness risk and resilience factors is proposed.
CONCLUSIONS
Factors affecting homelessness risk among youths and adults differ, with family, foster care, and schooling playing a much more important role among youths. Findings highlight opportunities for youth homelessness prevention strategies and monitoring.
目的
年轻人的无家可归经历会影响其社会、情感和身体发育,导致更差的身心健康结果。为了降低青年无家可归率,需要更好地了解风险和适应力,以为未来的干预措施提供信息。本文对发表的研究进行了系统回顾,这些研究报告了西方国家年轻人无家可归相关的风险或适应力因素。
方法
在经过彻底检查以确定纳入标准后,选择了 665 篇有关年轻人(0-25 岁)无家可归风险或适应力因素的同行评审定量研究的摘要,其中包括适当的对照组(例如,没有无家可归)。经过摘要和全文筛选,回顾了 16 篇文章。使用风险和适应力因素为无家可归的发生创建了一个解释模型,采用初级预防框架。
结果
青年无家可归的常见风险因素包括家庭困难、心理健康或药物使用问题、行为问题史、寄养史、儿童时期无家可归和离家出走。常见的保护因素包括支持性家庭、大学教育和高社会经济地位。研究结果被整合到一个青年无家可归风险的发展模型中。讨论了该模型对服务开发的临床意义,并提出了一个监测无家可归风险和适应力因素的模型。
结论
影响青年和成年人无家可归风险的因素不同,家庭、寄养和教育在年轻人中起着更为重要的作用。研究结果突出了青年无家可归预防策略和监测的机会。