ArticleJournal of urban health : bulletin of the New York Academy of Medicine2009
Community-based services for homeless adults experiencing concurrent mental health and substance use disorders: a realist approach to synthesizing evidence.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Pooled it
- What treatment and services are effective for people who are homeless and use drugs? A systematic 'review of reviews'.PloS one · 2021Pooled it
- Pooled it
- A realist review of brief interventions for alcohol misuse delivered in emergency departments.Systematic reviews · 2015Pooled it
- Trial
- Assessing the feasibility, acceptability and accessibility of a peer-delivered intervention to reduce harm and improve the well-being of people who experience homelessness with problem substance use: the SHARPS study.Harm reduction journal · 2022Trial
- A peer-delivered intervention to reduce harm and improve the well-being of homeless people with problem substance use: the SHARPS feasibility mixed-methods study.Health technology assessment (Winchester, England) · 2022Trial
- Exploring the value of mixed methods within the At Home/Chez Soi housing first project: a strategy to evaluate the implementation of a complex population health intervention for people with mental illness who have been homeless.Canadian journal of public health = Revue canadienne de sante publique · 2012Trial
- Developing community-based programme theories to address unmet needs of people experiencing homelessness and severe mental illness: protocol for a realist review.NIHR open research · 2026Article
- Integrating Interprofessional Trainees into a Complex Care Program for Veterans Experiencing Homelessness: Effects on Health Services Utilization.Journal of general internal medicine · 2021Article
- A Rapid Realist Review of Effective Mental Health Interventions for Individuals with Chronic Physical Health Conditions during the COVID-19 Pandemic Using a Systems-Level Mental Health Promotion Framework.International journal of environmental research and public health · 2021Review
- Differences in housing transitions and changes in health and self-determination between formerly homeless individuals.European journal of public health · 2020Article
- Evaluating a specialist primary care service for patients experiencing homelessness: a qualitative study.BJGP open · 2020Article
- Urban Stress Indirectly Influences Psychological Symptoms through Its Association with Distress Tolerance and Perceived Social Support among Adults Experiencing Homelessness.International journal of environmental research and public health · 2020Article
- Supporting Harm Reduction through Peer Support (SHARPS): testing the feasibility and acceptability of a peer-delivered, relational intervention for people with problem substance use who are homeless, to improve health outcomes, quality of life and social functioning and reduce harms: study protocol.Pilot and feasibility studies · 2019Article
- Moving Beyond Housing: Service Implications for Veterans Entering Permanent Supportive Housing.Clinical social work journal · 2018Article
- Predicting homeless people's perceived health after entering the social relief system in The Netherlands.International journal of public health · 2018Article
- What works in implementation of integrated care programs for older adults with complex needs? A realist review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2017Review
- Realist theory construction for a mixed method multilevel study of neighbourhood context and postnatal depression.SpringerPlus · 2016Article
- How design of places promotes or inhibits mobility of older adults: realist synthesis of 20 years of research.Journal of aging and health · 2014Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Consultations with community-based service providers in Toronto identified a lack of strong research evidence about successful community-based interventions that address the needs of homeless clients experiencing concurrent mental health and substance use disorders. We undertook a collaborative research effort between academic-based and community-based partners to conduct a systematic evidence synthesis drawing heavily from Pawson's realist review methodology to focus on both whether programs are successful and why and how they lead to improved outcomes. We examined scholarly and nonscholarly literature to explore program approaches and program elements that lead to improvements in mental health and substance use disorders among homeless individuals with concurrent disorders (CD). Information related to program contexts, elements, and successes and failures were extracted and further supplemented by key informant interviews and author communication regarding reviewed published studies. From the ten programs that we reviewed, we identified six important and promising program strategies that reduce mental health and, to a far lesser degree, substance use problems: client choice in treatment decision-making, positive interpersonal relationships between client and provider, assertive community treatment approaches, providing supportive housing, providing supports for instrumental needs, and nonrestrictive program approaches. These promising program strategies function, in part, by promoting and supporting autonomy among homeless adults experiencing CD. Our realist informed review is a useful methodology for synthesizing complex programming information on community-based interventions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.