Parent-child relationship outcomes in a randomized controlled trial of housing first for indigenous and non-Indigenous parents experiencing homelessness, mental illness, and separation from their children.

IF 1.8 3区 医学 Q3 PSYCHIATRY
Psychiatric Rehabilitation Journal Pub Date : 2023-12-01 Epub Date: 2023-08-21 DOI:10.1037/prj0000575
Rachel A Caplan, Geoffrey Nelson, Jino Distasio, Corinne Isaak, Betty Edel, Eric Macnaughton, Myra Piat, Michelle Patterson, Maritt Kirst, Tim Aubry, Vicky Stergiopoulos, Paula Goering
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引用次数: 0

Abstract

Objective: To examine the impacts of Housing First (HF) on parent-child relationships for Indigenous and non-Indigenous parents experiencing homelessness and mental illness.

Method: Data on parent-child relationships were obtained through baseline and 18-month narrative interviews with parents (N = 43). Participants were randomly assigned to HF (N = 27) or treatment as usual (TAU; N = 16). Parent-child relationship changes were coded as positive or no change. Comparisons between HF and TAU groups were examined for Indigenous parents (N = 21) and non-Indigenous parents (N = 22).

Results: Parents in HF reported more positive changes, proportionally, in their relationships with their children, when compared with parents in the TAU group. Among Indigenous parents, proportionally more in HF (eight of 13 parents) reported positive changes in their relationships with their children, compared with those in TAU (one of eight parents). For non-Indigenous parents, however, those in HF (five of 14 parents) reported proportionally similar positive changes in relationships with their children to those in TAU (two of eight parents). Narratives of Indigenous parents in HF showed that they made considerable progress over 18 months in reconciling with their children.

Conclusions and implications for practice: Findings underscore the potential of HF to promote positive parent-child relationships. For Indigenous parents, HF programs that are designed, implemented, and staffed by Indigenous service-providers; guided by Indigenous worldviews; and employ culturally relevant and culturally safe practices are exemplars for understanding how HF programs can be adapted to positively impact parent-child relationships. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

为经历无家可归、精神疾病和与子女分离的原住民和非原住民父母开展的 "住房优先 "随机对照试验中的亲子关系结果。
目的研究 "住房优先"(Housing First,HF)对经历无家可归和精神疾病的土著和非土著父母的亲子关系的影响:方法:通过对父母(43 人)进行基线和 18 个月的叙述性访谈,获取有关亲子关系的数据。参与者被随机分配到高频治疗(N = 27)或常规治疗(TAU;N = 16)。亲子关系的变化被编码为积极或无变化。对原住民父母(21 人)和非原住民父母(22 人)进行了 "高频 "组和 "TAU "组之间的比较:结果:与 TAU 组的父母相比,HF 组的父母在与子女的关系方面报告了更多的积极变化。在原住民家长中,报告其与子女关系发生积极变化的原住民家长(13 位家长中有 8 位)比报告其与子女关系发生积极变化的 TAU 家长(8 位家长中有 1 位)要多。然而,就非土著家长而言,"高频 "组中的家长(14 位家长中的 5 位)与 "技术援助股 "组中的家长(8 位家长中的 2 位)相比,在与子女的关系方面发生积极变化的比例相似。在 "家庭避难所 "中,土著父母的叙述表明,18 个月以来,他们在与子女和解方面取得了很大进展:研究结果强调了 "健康家庭 "在促进积极的亲子关系方面的潜力。对于原住民父母来说,由原住民服务提供者设计、实施并配备人员的家庭健康项目,以原住民世界观为指导,采用文化相关和文化安全的做法,是了解如何调整家庭健康项目以积极影响亲子关系的典范。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.80
自引率
5.30%
发文量
40
期刊介绍: The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.
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