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Mental health prevention and treatment programs for infants experiencing homelessness: A systematic review

Megan M Hare1, Taylor D Landis1,2,3, Melissa Hernandez1

  • 1Center for Children and Families, Department of Psychology, Florida International University, Miami, FL.

Evidence-Based Practice in Child and Adolescent Mental Health
|May 31, 2024
PubMed

Insights

Few parent-based infant mental health programs are specifically designed or tested for families experiencing homelessness. This study highlights a critical gap in supporting vulnerable parent-infant relationships in shelter settings.

Area of Science:

  • Pediatric Health
  • Social Determinants of Health
  • Early Childhood Intervention

Background:

  • Infancy homelessness is associated with adverse physical and mental health outcomes.
  • Parental well-being and parent-infant relationships are negatively affected by homelessness.
  • Existing parent-based infant mental health programs may not adequately serve at-risk populations.

Purpose of the Study:

  • To assess the extent to which identified infant mental health programs are developed or evaluated for families experiencing homelessness.
  • To identify specific programs implemented in shelter settings for infants and their parents.

Main Methods:

  • Review of 60 parent-based infant mental health programs identified in a recent review.
  • Analysis of program implementation specifically within shelter settings for infants aged 0-12 months and later infancy (after 12 months).

Main Results:

  • Only three programs (Parent-Infant Psychotherapy, New Beginnings, My Baby's First Teacher) were implemented in shelters for infants 0-12 months.
  • Two programs (Incredible Years, Parent-Child Interaction Therapy) were implemented in shelters for infants after 12 months.

Conclusions:

  • There is a significant gap in evidence-based programs for parents and infants experiencing homelessness.
  • Implications for research, policy, and clinical practice are discussed to improve program implementation for this vulnerable population.

Keywords:
homelessnessinfancymental healthpreventionreviewsheltertreatment

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