Community Case Management Intervention for Hard-to-Place Homeless Families Leaving Emergency Shelter

Abell, Melissa L.; Davey, Timothy L.; Clark, Paul G.; Perkins, Nathan H.

doi:10.1179/105307809805365109

Cited by 1 publication

(7 citation statements)

References 45 publications

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“…The peer-based models focus on the relationship between different mothers and/or children experiencing housing insecurity but are not solely led by professionals or facilitated through the professional-mother/child relationship (Table 11 ). Improvements to social support were observed across the intervention groups under community-based studies [ 38 , 43 ]. Improvements in attendance to appointments with a health professional were observed [ 44 , 46 , 47 ].…”

Section: Resultsmentioning

confidence: 99%

“…The purpose was to identify whether specific needs differ among the population groups. The nine remaining studies targeted and delivered the intervention to the same housing-insecure population either without a comparator group [ 39 , 40 ] or had a service/treatment/ care-as-usual comparator group [ 38 , 41 – 47 ]. Appendix Tables 11 and 12 outlines the comparison between comparator groups and interventions in the included studies.…”

Section: Resultsmentioning

confidence: 99%

“…Brown et al (2020) reported improvement in social support among specific categories such as the network size for advice/information ( p = 0.001), pregnancy/childcare support ( p = 0.049), intimate interaction ( p = 0.019), and for total satisfaction with a social network ( p = 0.04) [ 40 ]. Abell et al (2009) identified improved social support in the intervention group compared to the control group [ 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…Abell et al (2009) identified improved social support in the intervention group compared to the control group [ 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…Six out of the ten studies included outcomes for children experiencing housing insecurity. One study included child outcomes only [ 44 ] and five studies included both child and maternal outcomes [ 38 , 39 , 41 , 42 , 47 ]. One of the six studies addressed child outcomes by providing targeted interventions and comparing children experiencing housing insecurity (shelter) and children from low-income backgrounds at high risk of poor behavioural outcomes and academic attainment [ 44 ].…”

Section: Resultsmentioning

confidence: 99%

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The impact of community engagement as a public health intervention to support the mental well-being of single mothers and children living under housing insecure conditions – a rapid literature review

Joseph,

Burn,

Anderson

2023

BMC Public Health

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Background In the UK, the population of homelessness and housing insecurity is increasing among families headed by mothers. The unique stressors of housing insecurity and living in accommodations ill-suited to long-term dwellings increase mental distress for mothers and children. Community engagement interventions present a public health opportunity to alleviate adverse outcomes for vulnerable families. Aim To synthesise and evaluate evidence of the impact of community engagement interventions in supporting the mental well-being of mothers and children living under housing insecure conditions. To synthesise the components of community engagement interventions as a public health intervention in alleviating mental well-being and non-health outcomes of mothers and children living under housing insecurity. Methods A systematic search of five online bibliographic databases (MEDLINE, EMBASE, PsychINFO, Global Health and Child Development & Adolescent Studies) and grey literature (Carrot2) was conducted in May 2022. Primary studies with community engagement components and housing-insecure single-mother families were included. Intervention data was extracted using the TIDieR checklist and a community engagement keywording tool. The studies’ quality was critically appraised using the MetaQAT framework. Results Ten studies meeting inclusion criteria were identified, across two countries (USA & UK). Data from the studies reported positive significant effects for health and personal maternal outcomes in addition to higher positive effects for child health outcomes (e.g., decrease in depression symptoms). Interventions targeting social support and self-efficacy demonstrated potential to improve maternal and child outcomes via the maternal-child relationship. Community engagement at the design, delivery and evaluation intervention stages increased the level of community engagement, however there were tentative links to directly improving mental well-being outcomes. Conclusion There is evidence to suggest that community engagement may be applied as an effective intervention in supporting the mental well-being of mothers and children living under housing insecurity. Proposed intervention effectiveness may be achieved via psychosocial pathways such as improved maternal self-efficacy and social support. However, more embedded long-term process evaluations of these interventions are needed to establish maintenance of these observed benefits and to understand to what extent the findings apply to the UK context.

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Section: Resultsmentioning

confidence: 99%