Abstract：
Young people who transition to adulthood from out-of-home care (OOHC) are more likely to experience a range of poorer outcomes relative to their same-age peers in the community. This systematic review assessed the effectiveness of policies or interventions (hereafter \"interventions\") aimed at improving housing, health, education, economic, and psychosocial outcomes for youth leaving OOHC (hereafter \"care leavers\"). Eleven databases of published literature were reviewed along with gray literature. Eligible studies used randomized or quasi-experimental designs and assessed interventions that provided support to care leavers prior to, during, or after they left OOHC. Primary outcomes were housing and homelessness, health and well-being, education, economic and employment, criminal and delinquent behavior, and risky behavior, while secondary outcomes were supportive relationships and life skills. Where possible, results were pooled in a meta-analysis. Certainty of evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation. Fourteen studies published in 27 reports were identified that examined independent living programs (ILPs) (n = 5), intensive support services (n = 2), coaching and peer support (C&PSP) (n = 2), transitional housing (n = 1), health information or coaching (n = 2), and extended care (n = 2). All but one study was conducted in the United States. Twenty small meta-analyses were undertaken encompassing ILPs and C&PSP, with two showing results that favored the intervention with certainty. The level of confidence in each meta-analysis was considered very low. A significant risk of bias was identified in each of the included studies. While some interventions showed promise, particularly extended care, the scope and strength of included evidence is insufficient to recommend any included approach.
摘要：
与社区中的同龄同龄人相比，从家庭外护理（OOHC）过渡到成年的年轻人更有可能经历一系列较差的结果。本系统综述评估了旨在改善住房的政策或干预措施（以下简称“干预措施”）的有效性，健康,教育,经济,以及离开OOHC的青年的社会心理结果(以下简称“护理离职者”)。回顾了11个已发表文献的数据库以及灰色文献。符合条件的研究使用了随机或准实验设计，并评估了在以下情况之前为护理离职者提供支持的干预措施：during,或者在他们离开OOHC之后.主要结果是住房和无家可归，健康和幸福，教育,经济和就业,犯罪和违法行为，和危险的行为，而次要结局是支持性关系和生活技能。在可能的情况下,结果汇集在荟萃分析中.使用建议评级评估来评估证据的确定性，发展和评价。在27份报告中发表的14项研究被确定为检查独立生活计划(ILP)(n=5)，密集支持服务(n=2)，教练和同伴支持(C&PSP)(n=2)，过渡住房（n=1），健康信息或指导(n=2)，和长期护理(n=2)。除一项研究外，所有研究都在美国进行。进行了20次小型荟萃分析，包括ILP和C&PSP，有两个显示的结果肯定有利于干预。每个荟萃分析的置信水平被认为非常低。在每个纳入的研究中都发现了显著的偏倚风险。虽然一些干预措施显示出希望，特别是延伸护理，纳入证据的范围和强度不足以推荐任何纳入方法。
