Nemours Children's Health, Wilmington, DE, USA.
Villanova University, Villanova, PA, USA.
Dev Psychopathol. 2023 Dec;35(5):2430-2443. doi: 10.1017/S0954579423000871. Epub 2023 Aug 3.
We apply a multisystem perspective to three aims relevant to resilience for young children in emergency and transitional homeless shelters. We consider profiles of risks and resources before shelter, early childhood program enrollment during shelter, and the likelihood of returning to shelter or having a subsequent child welfare placement. We used longitudinal, city-wide data from multiple sources integrated at the individual level across the lifespan for 8 birth cohorts. Young children ( = 1,281) stayed in family shelters during an 18-month period during a multisystem intervention. Risk factor rates were high as were rates of early childhood program enrollment (66.1% in any program; 42.3% in a high-quality program), which may suggest positive effects of the multisystem intervention. Multilevel latent class analysis revealed four profiles, considering prior shelter stays, prior child welfare placements, prior elevated lead levels, perinatal factors (teenage mother, prenatal care, low maternal education, and poor birth outcomes), demographics, and early childhood program enrollment and quality. One profile with higher rates of child welfare placement before the shelter stay and considerable enrollment in high-quality early childhood programs corresponded to lower rates of subsequent child welfare placement. Profiles did not differ on the likelihood of returning to shelter.
我们从多系统的角度出发，针对三个与紧急和过渡性无家可归者收容所中幼儿的适应力相关的目标进行研究。我们考虑了在进入收容所之前的风险和资源状况、在收容所期间的幼儿课程注册情况，以及返回收容所或随后被儿童福利机构安置的可能性。我们使用了来自多个来源的纵向、全市范围的数据，并在整个生命周期内将其整合到个体层面上，涉及 8 个出生队列。在一项多系统干预措施中，876 名幼儿（=1281）在 18 个月的时间内住在家庭收容所里。风险因素的发生率很高，幼儿课程注册率也很高（任何课程的注册率为 66.1%；高质量课程的注册率为 42.3%），这可能表明多系统干预措施产生了积极影响。多层次潜在类别分析显示，考虑到先前的收容所逗留、先前的儿童福利安置、先前的铅含量升高、围产期因素（未成年母亲、产前护理、母亲教育程度低和出生结局不佳）、人口统计学因素以及幼儿课程注册和质量，存在四种情况。一个具有较高的收容所入住前儿童福利安置率和大量注册高质量幼儿课程的情况，对应着较低的随后儿童福利安置率。在返回收容所的可能性方面，这些情况之间没有差异。
