IDEAS home Printed from https://ideas.repec.org/a/wly/camsys/v19y2023i2ne1329.html
   My bibliography  Save this article

Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta‐analysis and thematic synthesis

Author

Listed:
  • Alison L. Weightman
  • Mark J. Kelson
  • Ian Thomas
  • Mala K. Mann
  • Lydia Searchfield
  • Simone Willis
  • Ben Hannigan
  • Robin J. Smith
  • Rhiannon Cordiner

Abstract

Background Adequate housing is a basic human right. The many millions of people experiencing homelessness (PEH) have a lower life expectancy and more physical and mental health problems. Practical and effective interventions to provide appropriate housing are a public health priority. Objectives To summarise the best available evidence relating to the components of case‐management interventions for PEH via a mixed methods review that explored both the effectiveness of interventions and factors that may influence its impact. Search Methods We searched 10 bibliographic databases from 1990 to March 2021. We also included studies from Campbell Collaboration Evidence and Gap Maps and searched 28 web sites. Reference lists of included papers and systematic reviews were examined and experts contacted for additional studies. Selection Criteria We included all randomised and non‐randomised study designs exploring case management interventions where a comparison group was used. The primary outcome of interest was homelessness. Secondary outcomes included health, wellbeing, employment and costs. We also included all studies where data were collected on views and experiences that may impact on implementation. Data Collection and Analysis We assessed risk of bias using tools developed by the Campbell Collaboration. We conducted meta‐analyses of the intervention studies where possible and carried out a framework synthesis of a set of implementation studies identified by purposive sampling to represent the most ‘rich’ and ‘thick’ data. Main Results We included 64 intervention studies and 41 implementation studies. The evidence base was dominated by studies from the USA and Canada. Participants were largely (though not exclusively) people who were literally homeless, that is, living on the streets or in shelters, and who had additional support needs. Many studies were assessed as having a medium or high risk of bias. However, there was some consistency in outcomes across studies that improved confidence in the main findings. Case Management and Housing Outcomes Case management of any description was superior to usual care for homelessness outcomes (standardised mean difference [SMD] = −0.51 [95% confidence interval [CI]: −0.71, −0.30]; p

Suggested Citation

  • Alison L. Weightman & Mark J. Kelson & Ian Thomas & Mala K. Mann & Lydia Searchfield & Simone Willis & Ben Hannigan & Robin J. Smith & Rhiannon Cordiner, 2023. "Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta‐analysis and thematic synthesis," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(2), June.
  • Handle: RePEc:wly:camsys:v:19:y:2023:i:2:n:e1329
    DOI: 10.1002/cl2.1329
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/cl2.1329
    Download Restriction: no

    File URL: https://libkey.io/10.1002/cl2.1329?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Susser, E. & Valencia, E. & Conover, S. & Felix, A. & Tsai, W.-Y. & Wyatt, R.J., 1997. "Preventing recurrent homelessness among mentally ill men: A 'critical time' intervention after discharge from a shelter," American Journal of Public Health, American Public Health Association, vol. 87(2), pages 256-262.
    2. Tsai, Jack & Reddy, Navin & Rosenheck, Robert A., 2014. "Client satisfaction with a new group-based model of case management for supported housing services," Evaluation and Program Planning, Elsevier, vol. 43(C), pages 118-123.
    3. Lennon, M.C. & McAllister, W. & Kuang, L. & Herman, D.B., 2005. "Capturing intervention effects over time: Reanalysis of a critical time intervention for homeless mentally ill men," American Journal of Public Health, American Public Health Association, vol. 95(10), pages 1760-1766.
    4. Tsai, J. & Kasprow, W.J. & Rosenheck, R.A., 2013. "Latent homeless risk profiles of a national sample of homeless veterans and their relation to program referral and admission patterns," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 239-247.
    5. Collins, Cyleste C. & Bai, Rong & Fischer, Robert & Crampton, David & Lalich, Nina & Liu, Chun & Chan, Tsui, 2020. "Housing instability and child welfare: Examining the delivery of innovative services in the context of a randomized controlled trial," Children and Youth Services Review, Elsevier, vol. 108(C).
    6. Stefan Gutwinski & Stefanie Schreiter & Karl Deutscher & Seena Fazel, 2021. "The prevalence of mental disorders among homeless people in high-income countries: An updated systematic review and meta-regression analysis," PLOS Medicine, Public Library of Science, vol. 18(8), pages 1-22, August.
    7. Shern, D.L. & Tsemberis, S. & Anthony, W. & Lovell, A.M. & Richmond, L. & Felton, C.J. & Winarski, J. & Cohen, M., 2000. "Serving street-dwelling individuals with psychiatric disabilities: Outcomes of a psychiatric rehabilitation clinical trial," American Journal of Public Health, American Public Health Association, vol. 90(12), pages 1873-1878.
    8. Ivis García & Keuntae Kim, 2020. "“ I Felt Safe ”: The Role of the Rapid Rehousing Program in Supporting the Security of Families Experiencing Homelessness in Salt Lake County, Utah," IJERPH, MDPI, vol. 17(13), pages 1-15, July.
    9. Collins, Cyleste C. & Bai, Rong & Crampton, David & Fischer, Robert & D'Andrea, Rebecca & Dean, Kendra & Lalich, Nina & Chan, Tsui & Cherney, Emily, 2019. "Implementing housing first with families and young adults: challenges and progress toward self-sufficiency," Children and Youth Services Review, Elsevier, vol. 96(C), pages 34-46.
    10. Danielle A. M. Lako & Mariëlle D. Beijersbergen & Irene E. Jonker & Renée Vet & Daniel B. Herman & Albert M. Hemert & Judith R. L. M. Wolf, 2018. "The effectiveness of critical time intervention for abused women leaving women’s shelters: a randomized controlled trial," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(4), pages 513-523, May.
    11. Palepu, A. & Patterson, M.L. & Moniruzzaman, A. & Frankish, C.J. & Somers, J., 2013. "Housing First improves residential stability in homeless adults with concurrent substance dependence and mental disorders," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 30-36.
    12. Maria Hanratty, 2011. "Impacts of Heading Home Hennepin's Housing First programs for long-term homeless adults," Housing Policy Debate, Taylor & Francis Journals, vol. 21(3), pages 405-419, June.
    13. Levitt, A.J. & Mitchell, K. & Pareti, L. & DeGenova, J. & Heller, A. & Hannigan, A. & Gholston, J., 2013. "Randomized trial of intensive housing placement and community transition services for episodic and recidivist homeless families," American Journal of Public Health, American Public Health Association, vol. 103(S2), pages 348-354.
    14. Tsemberis, S. & Gulcur, L. & Nakae, M., 2004. "Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals with a Dual Diagnosis," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 651-656.
    15. Kirst, Maritt & Friesdorf, Rebecca & Ta, Martha & Amiri, Alexandra & Hwang, Stephen W. & Stergiopoulos, Vicky & O'Campo, Patricia, 2020. "Patterns and effects of social integration on housing stability, mental health and substance use outcomes among participants in a randomized controlled Housing First trial," Social Science & Medicine, Elsevier, vol. 265(C).
    16. De Vet, R. & Van Luijtelaar, M.J.A. & Brilleslijper-Kater, S.N. & Vanderplasschen, W. & Beijersbergen, M.D. & Wolf, J.R.L.M., 2013. "Effectiveness of case management for homeless persons: A systematic review," American Journal of Public Health, American Public Health Association, vol. 103(10), pages 13-26.
    17. Katherine H. Shelton & Peter Mackie & Marianne van den Bree & Pamela J. Taylor & Sarah Evans, 2012. "Opening doors for all American youth? Evidence for federal homelessness policy," Housing Policy Debate, Taylor & Francis Journals, vol. 22(3), pages 483-504, March.
    18. Milby, J.B. & Schumacher, J.E. & Wallace, D. & Vuchinich, R. & Mennemeyer, S.T. & Kertesz, S.G., 2010. "Effects of sustained abstinence among treated substance-Abusing homeless persons on housing and employment," American Journal of Public Health, American Public Health Association, vol. 100(5), pages 913-918.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.
    2. David Ponka & Eric Agbata & Claire Kendall & Vicky Stergiopoulos & Oreen Mendonca & Olivia Magwood & Ammar Saad & Bonnie Larson & Annie Huiru Sun & Neil Arya & Terry Hannigan & Kednapa Thavorn & Anne , 2020. "The effectiveness of case management interventions for the homeless, vulnerably housed and persons with lived experience: A systematic review," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-21, April.
    3. Alison L. Weightman & Mark J. Kelson & Ian Thomas & Mala K. Mann & Lydia Searchfield & Ben Hannigan & Robin J. Smith & Simone Willis & Rhiannon Cordiner, 2022. "PROTOCOL: Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta‐analysis and thematic synthesis," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(1), March.
    4. Ciara Keenan & Sarah Miller & Jennifer Hanratty & Terri Pigott & Jayne Hamilton & Christopher Coughlan & Peter Mackie & Suzanne Fitzpatrick & John Cowman, 2021. "Accommodation‐based interventions for individuals experiencing, or at risk of experiencing, homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.
    5. Chris O'Leary & Rob Ralphs & Jennifer Stevenson & Andrew Smith & Jordan Harrison & Zsolt Kiss & Harry Armitage, 2024. "The effectiveness of abstinence‐based and harm reduction‐based interventions in reducing problematic substance use in adults who are experiencing homelessness in high income countries: A systematic re," Campbell Systematic Reviews, John Wiley & Sons, vol. 20(2), June.
    6. Julia R. Woodhall-Melnik & James R. Dunn, 2016. "A systematic review of outcomes associated with participation in Housing First programs," Housing Studies, Taylor & Francis Journals, vol. 31(3), pages 287-304, April.
    7. Vitopoulos, Nina A. & Frederick, Tyler J. & Leon, Scott & Daley, Mardi & McDonald, Carol & Morales, Shaniah & Cerswell Kielburger, Leysa & Cohen, Sue & Eacott, Karen & Howes, Carol & Gutierrez, Rose &, 2018. "Development of a complex tertiary prevention intervention for the transition out of youth homelessness," Children and Youth Services Review, Elsevier, vol. 94(C), pages 579-588.
    8. Gouse, Isabel & Walters, Sarah & Miller-Archie, Sara & Singh, Tejinder & Lim, Sungwoo, 2023. "Evaluation of New York/New York III permanent supportive housing program," Evaluation and Program Planning, Elsevier, vol. 97(C).
    9. Stefancic, Ana & Schaefer-McDaniel, Nicole J. & Davis, Andrew C. & Tsemberis, Sam, 2004. "Maximizing follow-up of adults with histories of homelessness and psychiatric disabilities," Evaluation and Program Planning, Elsevier, vol. 27(4), pages 433-442, November.
    10. Elior Cohen, 2022. "The Effect of Housing First Programs on Future Homelessness and Socioeconomic Outcomes," Research Working Paper RWP 2022-03, Federal Reserve Bank of Kansas City.
    11. Nav Persaud & Liane Steiner & Hannah Woods & Tatiana Aratangy & Susitha Wanigaratne & Jane Polsky & Stephen Hwang & Gurleen Chahal & Andrew Pinto, 2019. "Health outcomes related to the provision of free, tangible goods: A systematic review," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-29, March.
    12. Charles Walsh & Anita M Hubley & Matthew J To & Monica Norena & Anne Gadermann & Susan Farrell & Stephen W Hwang & Anita Palepu, 2019. "The effect of forensic events on health status and housing stability among homeless and vulnerably housed individuals: A cohort study," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-14, February.
    13. Lars Benjaminsen, 2018. "Housing First in Denmark: An Analysis of the Coverage Rate among Homeless People and Types of Shelter Users," Social Inclusion, Cogitatio Press, vol. 6(3), pages 327-336.
    14. Gemma Crawford & Elizabeth Connor & Kahlia McCausland & Karina Reeves & Krysten Blackford, 2022. "Public Health Interventions to Address Housing and Mental Health amongst Migrants from Culturally and Linguistically Diverse Backgrounds Living in High-Income Countries: A Scoping Review," IJERPH, MDPI, vol. 19(24), pages 1-22, December.
    15. Canham, Sarah L. & Wister, Andrew & O’Dea, Eireann, 2019. "Strengths, weaknesses, opportunities, and threats to housing first in Metro Vancouver," Evaluation and Program Planning, Elsevier, vol. 75(C), pages 69-77.
    16. Loubière, Sandrine & Taylor, Owen & Tinland, Aurelie & Vargas-Moniz, Maria & O'Shaughnessy, Branagh & Bokszczanin, Anna & Kallmen, Hakan & Bernad, Roberto & Wolf, Judith & Santinello, Massimo & Loundo, 2020. "Europeans’ willingness to pay for ending homelessness: A contingent valuation study," Social Science & Medicine, Elsevier, vol. 247(C).
    17. Jorien van der Laan & Barbara van Straaten & Sandra N. Boersma & Gerda Rodenburg & Dike van de Mheen & Judith R. L. M. Wolf, 2018. "Predicting homeless people’s perceived health after entering the social relief system in The Netherlands," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(2), pages 203-211, March.
    18. Liesl A Nydegger & Kasey R Claborn, 2020. "Exploring patterns of substance use among highly vulnerable Black women at-risk for HIV through a syndemics framework: A qualitative study," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-18, July.
    19. Anita Hubley & Lara Russell & Anita Palepu & Stephen Hwang, 2014. "Subjective Quality of Life Among Individuals who are Homeless: A Review of Current Knowledge," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 115(1), pages 509-524, January.
    20. McDonald, Keisha & Palimaru, Alina I. & Garvey, Rick & D'Amico, Elizabeth J. & Tucker, Joan S., 2024. "Perceptions from emerging adults with a history of homelessness on their experiences with housing, health and other support services," Children and Youth Services Review, Elsevier, vol. 160(C).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:camsys:v:19:y:2023:i:2:n:e1329. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1891-1803 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.