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Effective interventions for homeless youth: a systematic review
Astrid M Altena1, Sonja N Brilleslijper-Kater, Judith L M Wolf
1Radboud University Nijmegen Medical Centre, The Netherlands. a.altena@elg.umcn.nl
American Journal of Preventive Medicine
|May 25, 2010
Summary
Evidence for effective interventions for homeless youth is limited due to study quality and heterogeneity. Cognitive-behavioral approaches show marginal positive results, but more research is needed.
Area of Science:
- Social Sciences
- Psychology
- Public Health
Background:
- Limited evidence exists on effective interventions for homeless youth.
- A systematic international review was conducted to identify effective interventions.
- Quantitative studies assessing treatment outcomes were prioritized.
Purpose of the Study:
- To provide a comprehensive overview of effective interventions for homeless youth.
- To evaluate the quality and outcomes of existing studies on interventions for homeless youth.
Main Methods:
- Searched multiple databases (PsycINFO, ERIC, MEDLINE, Cochrane) from 1985-2008.
- Used keywords: interventions, programs, homeless youth, street youth, runaways, throwaways.
- Included hand searches of key articles and assessed study quality (good, fair, poor).
- Eleven studies met inclusion criteria.
Main Results:
- No compelling evidence supports specific interventions for homeless youth due to moderate study quality and few studies.
- Interventions often focused on substance abuse, neglecting outcomes like quality of life.
- Cognitive-behavioral interventions showed marginal positive results on psychological measures.
- No study achieved a 'good' quality rating; four were rated 'fair'.
Conclusions:
- Methodologically sound research is essential to identify effective interventions for specific subgroups of homeless youth.
- Current evidence is limited by study quality and heterogeneity.
- Future research should address a broader range of outcomes beyond substance abuse.
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