What treatment and services are effective for people who are homeless and use drugs? A systematic 'review of reviews'.

<h4>Background</h4>People who experience homelessness and those vulnerably housed experience disproportionately high rates of drug use and associated harms, yet barriers to services and support are common. We undertook a systematic 'review of reviews' to investigate the effects...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Joanna Astrid Miler, Hannah Carver, Wendy Masterton, Tessa Parkes, Michelle Maden, Lisa Jones, Harry Sumnall
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cd3963875eab444c9874c5a1e450e471
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:cd3963875eab444c9874c5a1e450e471
record_format	dspace
spelling	oai:doaj.org-article:cd3963875eab444c9874c5a1e450e4712021-12-02T20:07:00ZWhat treatment and services are effective for people who are homeless and use drugs? A systematic 'review of reviews'.1932-620310.1371/journal.pone.0254729https://doaj.org/article/cd3963875eab444c9874c5a1e450e4712021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254729https://doaj.org/toc/1932-6203<h4>Background</h4>People who experience homelessness and those vulnerably housed experience disproportionately high rates of drug use and associated harms, yet barriers to services and support are common. We undertook a systematic 'review of reviews' to investigate the effects of interventions for this population on substance use, housing, and related outcomes, as well as on treatment engagement, retention and successful completion.<h4>Methods and findings</h4>We searched ten electronic databases from inception to October 2020 for reviews and syntheses, conducted a grey literature search, and hand searched reference lists of included studies. We selected reviews that synthesised evidence on any type of treatment or intervention that reported substance use outcomes for people who reported being homeless. We appraised the quality of included reviews using the Joanna Briggs Institute Critical Appraisal Checklist for Systematic Reviews and Research Syntheses and the Scale for the Assessment of Narrative Review Articles. Our search identified 843 citations, and 25 reviews met the inclusion criteria. Regarding substance use outcomes, there was evidence that harm reduction approaches lead to decreases in drug-related risk behaviour and fatal overdoses, and reduce mortality, morbidity, and substance use. Case management interventions were significantly better than treatment as usual in reducing substance use among people who are homeless. The evidence indicates that Housing First does not lead to significant changes in substance use. Evidence regarding housing and other outcomes is mixed.<h4>Conclusions</h4>People who are homeless and use drugs experience many barriers to accessing healthcare and treatment. Evidence regarding interventions designed specifically for this population is limited, but harm reduction and case management approaches can lead to improvements in substance use outcomes, whilst some housing interventions improve housing outcomes and may provide more stability. More research is needed regarding optimal treatment length as well as qualitative insights from people experiencing or at risk of homelessness.Joanna Astrid MilerHannah CarverWendy MastertonTessa ParkesMichelle MadenLisa JonesHarry SumnallPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254729 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Joanna Astrid Miler Hannah Carver Wendy Masterton Tessa Parkes Michelle Maden Lisa Jones Harry Sumnall What treatment and services are effective for people who are homeless and use drugs? A systematic 'review of reviews'.
description	<h4>Background</h4>People who experience homelessness and those vulnerably housed experience disproportionately high rates of drug use and associated harms, yet barriers to services and support are common. We undertook a systematic 'review of reviews' to investigate the effects of interventions for this population on substance use, housing, and related outcomes, as well as on treatment engagement, retention and successful completion.<h4>Methods and findings</h4>We searched ten electronic databases from inception to October 2020 for reviews and syntheses, conducted a grey literature search, and hand searched reference lists of included studies. We selected reviews that synthesised evidence on any type of treatment or intervention that reported substance use outcomes for people who reported being homeless. We appraised the quality of included reviews using the Joanna Briggs Institute Critical Appraisal Checklist for Systematic Reviews and Research Syntheses and the Scale for the Assessment of Narrative Review Articles. Our search identified 843 citations, and 25 reviews met the inclusion criteria. Regarding substance use outcomes, there was evidence that harm reduction approaches lead to decreases in drug-related risk behaviour and fatal overdoses, and reduce mortality, morbidity, and substance use. Case management interventions were significantly better than treatment as usual in reducing substance use among people who are homeless. The evidence indicates that Housing First does not lead to significant changes in substance use. Evidence regarding housing and other outcomes is mixed.<h4>Conclusions</h4>People who are homeless and use drugs experience many barriers to accessing healthcare and treatment. Evidence regarding interventions designed specifically for this population is limited, but harm reduction and case management approaches can lead to improvements in substance use outcomes, whilst some housing interventions improve housing outcomes and may provide more stability. More research is needed regarding optimal treatment length as well as qualitative insights from people experiencing or at risk of homelessness.
format	article
author	Joanna Astrid Miler Hannah Carver Wendy Masterton Tessa Parkes Michelle Maden Lisa Jones Harry Sumnall
author_facet	Joanna Astrid Miler Hannah Carver Wendy Masterton Tessa Parkes Michelle Maden Lisa Jones Harry Sumnall
author_sort	Joanna Astrid Miler
title	What treatment and services are effective for people who are homeless and use drugs? A systematic 'review of reviews'.
title_short	What treatment and services are effective for people who are homeless and use drugs? A systematic 'review of reviews'.
title_full	What treatment and services are effective for people who are homeless and use drugs? A systematic 'review of reviews'.
title_fullStr	What treatment and services are effective for people who are homeless and use drugs? A systematic 'review of reviews'.
title_full_unstemmed	What treatment and services are effective for people who are homeless and use drugs? A systematic 'review of reviews'.
title_sort	what treatment and services are effective for people who are homeless and use drugs? a systematic 'review of reviews'.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/cd3963875eab444c9874c5a1e450e471
work_keys_str_mv	AT joannaastridmiler whattreatmentandservicesareeffectiveforpeoplewhoarehomelessandusedrugsasystematicreviewofreviews AT hannahcarver whattreatmentandservicesareeffectiveforpeoplewhoarehomelessandusedrugsasystematicreviewofreviews AT wendymasterton whattreatmentandservicesareeffectiveforpeoplewhoarehomelessandusedrugsasystematicreviewofreviews AT tessaparkes whattreatmentandservicesareeffectiveforpeoplewhoarehomelessandusedrugsasystematicreviewofreviews AT michellemaden whattreatmentandservicesareeffectiveforpeoplewhoarehomelessandusedrugsasystematicreviewofreviews AT lisajones whattreatmentandservicesareeffectiveforpeoplewhoarehomelessandusedrugsasystematicreviewofreviews AT harrysumnall whattreatmentandservicesareeffectiveforpeoplewhoarehomelessandusedrugsasystematicreviewofreviews
_version_	1718375329500758016

What treatment and services are effective for people who are homeless and use drugs? A systematic 'review of reviews'.

Ejemplares similares