A Cluster Randomized Controlled Trial Testing the Effectiveness of Houvast: A Strengths-Based Intervention for Homeless Young Adults

Objective: To test the effectiveness of Houvast: a strengths-based intervention for homeless young adults. Method: A cluster randomized controlled trial was conducted with 10 Dutch shelter facilities randomly allocated to an intervention and a control group. Homeless young adults were interviewed wh...

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Bibliographic Details
Published in:Research on social work practice 2017-10, Vol.27 (6), p.639-652
Main Authors: Krabbenborg, Manon A. M., Boersma, Sandra N., van der Veld, William M., van Hulst, Bente, Vollebergh, Wilma A. M., Wolf, Judith R. L. M.
Format: Article
Language:English
Subjects:
Anxiety
Autonomy
Clinical trials
Competence
Depression (Psychology)
Educational Attainment
Emergency Shelters
Employment Level
Family relations
Family Relationship
Fidelity
Foreign Countries
Health
Health care expenditures
Health services
Homeless People
Income
Interpersonal Relationship
Intervention
Interviews
Life satisfaction
Mental Health
Needs
Personal Autonomy
Pretests Posttests
Program Effectiveness
Quality of Life
Randomized Controlled Trials
Regression (Statistics)
Resilience
Resilience (Psychology)
Statistical Analysis
Substance Abuse
Symptoms (Individual Disorders)
Well Being
Young Adults
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Summary:Objective: To test the effectiveness of Houvast: a strengths-based intervention for homeless young adults. Method: A cluster randomized controlled trial was conducted with 10 Dutch shelter facilities randomly allocated to an intervention and a control group. Homeless young adults were interviewed when entering the facility and when care ended. Repeated-measures analyses and logistic regression analyses were conducted by the principle of intention-to-treat framework (N = 251). Results: Improvements were demonstrated on quality of life; satisfaction with family relations, finances, and health; employed or in school; depression; care needs; autonomy; competence, and resilience in both conditions. A higher proportion of homeless young adults who received care according to Houvast were still receiving care at follow-up and successfully completed the trajectory compared to those who received care as usual. Conclusion: Homeless young adults seem to benefit from service provision in general. Further research on the effectiveness of Houvast is needed after sufficient model fidelity has been achieved.
ISSN:1049-7315
1552-7581
DOI:10.1177/1049731515622263