Homelessness affects a large and increasing number of families in the United States, and exposure to violence and other potentially traumatic events is common among homeless families. It is important to understand more about this population and, more specifically, about the relationship between youth mental health and caregiver mental health and trauma exposure among homeless families, in order to better serve the needs of this vulnerable population. The objective of this study is to explore the relationships between caregiver exposure to violence, caregiver depression, and youth depression and behavioral problems among homeless families. Preliminary findings indicate that among this sample of homeless families, caregiver violence exposure has statistically significant relationships with both youth behavioral problems and youth depression symptoms, as mediated by caregiver depression. These findings indicate that youth behavioral health is associated with caregiver mental health, which, in turn, is associated with caregiver trauma exposure. This highlights the importance of taking into account adult mental health while treating youth externalizing and internalizing behaviors and ensuring that caregivers, too, have access to adequate treatment and supports. Furthermore, this treatment should be trauma informed, given the link between trauma and mental health.
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http://dx.doi.org/10.1177/1049731514553921 | DOI Listing |
BMJ Paediatr Open
January 2025
University of New South Wales School of Women's and Children's Health, Randwick, New South Wales, Australia.
Background: Urban health challenges, particularly for street and slum-dwelling children and families, have emerged as one of the most significant health concerns in India. While there is little published on effective healthcare delivery to these populations, mobile health vans (MHV) have been proposed as a proactive pathway to providing outreach healthcare. Our aims were to evaluate the impact of Bal Umang Drishya Sanstha (BUDS) MHV in providing health and support services to the urban slum populations in Delhi National Capital Region (NCR), focusing on benefits to children.
View Article and Find Full Text PDFDrug Alcohol Depend Rep
December 2024
Department of Family and Preventive Medicine, College of Medicine, The University of Oklahoma Health Sciences, Oklahoma City, OK, USA.
Background: Smoking prevalence among U.S. adults experiencing homelessness is ≥70 %.
View Article and Find Full Text PDFExplore (NY)
January 2025
Center for Healthcare Optimization and Implementation Research, VA Bedford Healthcare System, 200 Springs Rd, Bedford, MA, USA; General Internal Medicine, Chobanian & Avedesian School of Medicine, Boston University, 72 East Concord St., Boston, MA, USA.
Objectives: To understand ways in which the Personal Health Inventory (PHI), a tool to prompt reflection on what matters most and status in 8 components of health and well-being, can be used to inform care of homeless veterans entering a Mental Health Residential Rehabilitation Treatment Program, at individual and programmatic levels.
Methods: Mixed method study was conducted at one residential treatment program. Quantitative data was collected from the PHI (n=64) and was analyzed using descriptive statistics.
Soc Sci Med
December 2024
College of Education and Human Ecology, Department of Human Sciences, The Ohio State University, 1787 Neil Ave, Columbus, OH, 43210, United States.
The present study examined the efficacy of a comprehensive housing intervention (Ecologically-Based Treatment - temporary housing and supportive services) on the longitudinal co-occurring patterns of housing stability, employment, and survival behaviors among a sample of young mothers experiencing homelessness. Participants were randomly assigned to: (1) temporary housing + supportive services (n = 80), (2) housing-only (n = 80), or (3) services as usual (n = 80). Follow-up assessments were completed at 3-, 6-, 9-, and 12-months post-baseline.
View Article and Find Full Text PDFHealth Serv Res
December 2024
IDEAS Center, Veterans Affairs Salt Lake City Health Care System, Salt Lake City, Utah, USA.
Objective: To evaluate the effect of enrolling in Supportive Services for Veteran Families (SSVF) on short- and long-term housing outcomes among Veterans experiencing housing instability.
Study Setting And Design: We analyzed data from the Department of Veterans Affairs (VA) electronic health record (EHR) between October 2015 and December 2018 using the target trial emulation framework. Veterans were included in one or more trials if they were 18 years or older, had recent evidence of housing instability, had received care in VA for at least 1 year, and had never before enrolled in SSVF.
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