Evidence map›Paper›PMID 31727031›Full record

SynthesisBMC public health2019

The impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: a systematic review.

Jean Zhuo Wang, Sebastian Mott, Olivia Magwood, Christine Mathew, Andrew Mclellan, Victoire Kpade, Priya Gaba, Nicole Kozloff, Kevin Pottie, Anne Andermann

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 5 pooled it
20.8field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 5 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Clinical guideline for homeless and vulnerably housed people, and people with lived homelessness experience.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
    Guideline
  5. Pooled it
  6. Trial
  7. Promoting Healthy Attitudes and Behaviors in Youth Who Experience Homelessness: Results of a Longitudinal Intervention Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022
    Trial
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
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  19. Article
  20. Adapting Psychiatric Approaches to the Needs of Vulnerable Populations: A Qualitative Analysis.European journal of investigation in health, psychology and education · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Jean Zhuo WangUniversity of Ottawa Faculty of Medicine, Bruyere Research Institute, University of Ottawa, Ottawa, ON, Canada.
Sebastian MottMcGill University Faculty of Medicine, Montreal, QC, Canada.
Olivia MagwoodC.T. Lamont Primary Health Care Research Centre, Bruyere Research Institute, Ottawa, ON, Canada.
Christine MathewBruyere Research Institute, Ottawa, ON, Canada.
Andrew MclellanUniversity of Toronto, Faculty of Nursing, Toronto, ON, Canada.
Victoire KpadeMcGill University Faculty of Medicine, Montreal, QC, Canada.
Priya GabaDepartment of Family Medicine, University of Ottawa, Ottawa, ON, Canada.
Nicole KozloffCentre for Addiction and Mental Health, Department of Psychiatry and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Kevin PottieDepartments of Family Medicine and Epidemiology and Community Medicine, Bruyere Research Institute, University of Ottawa, Ottawa, ON, Canada. kpottie@uottawa.ca.
Anne AndermannDepartment of Family Medicine and Department of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine, McGill University, Montreal, QC, Canada.
Bruyère · CAMcGill University · CAUniversity of Toronto · CAUniversity of Ottawa · CA

Funding

Inner City Health Associates ICHA2017
6 · The paper itself

Abstract

backgroundYouth often experience unique pathways into homelessness, such as family conflict, child abuse and neglect. Most research has focused on adult homeless populations, yet youth have specific needs that require adapted interventions. This review aims to synthesize evidence on interventions for youth and assess their impacts on health, social, and equity outcomes.

methodsWe systematically searched Medline, Embase, PsycINFO, and other databases from inception until February 9, 2018 for systematic reviews and randomized controlled trials on youth interventions conducted in high income countries. We screened title and abstract and full text for inclusion, and data extraction were completed in duplicate, following the PRISMA-E (equity) review approach.

resultsOur search identified 11,936 records. Four systematic reviews and 18 articles on randomized controlled trials met the inclusion criteria. Many studies reported on interventions including individual and family therapies, skill-building, case management, and structural interventions. Cognitive behavioural therapy led to improvements in depression and substance use, and studies of three family-based therapies reported decreases in substance use. Housing first, a structural intervention, led to improvements in housing stability. Many interventions showed inconsistent results compared to services as usual or other interventions, but often led to improvements over time in both the intervention and comparison group. The equity analysis showed that equity variables were inconsistently measured, but there was data to suggest differential outcomes based upon gender and ethnicity.

conclusionsThis review identified a variety of interventions for youth experiencing homelessness. Promising interventions include cognitive behavioural therapy for addressing depression, family-based therapy for substance use outcomes, and housing programs for housing stability. Youth pathways are often unique and thus prevention and treatment may benefit from a tailored and flexible approach.

Indexed as

Family RelationsHomeless YouthHousingIll-Housed PersonsPsychotherapyAdolescentCase ManagementChildCognitive Behavioral TherapyDepressionEthnicityFamily TherapyHumansMental HealthSex FactorsSocial WorkEquityGenderHomelessnessInterventionsVulnerably housedYouth

Identifiers

PMID31727031
PMCPMC6857126
OpenAlexW2986581158

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.