背景:由于文化和地理因素,东亚太平洋地区(EAP)无家可归(YEH)的青年是最危险的人群之一。有效的心理健康干预措施,主要在西方背景下研究,可能不适用于EAP中的YEH。他们缺乏稳定的住所,扰乱了社交网络,获得精神卫生服务的机会有限,会增加他们对不良精神卫生的易感性,使紧急干预对满足他们的需求至关重要。
目的:本研究的目的是探索和系统地搜索可用于EAP中YEH的心理健康服务和干预措施的类型及其对整体生活质量和福祉的影响。
方法:电子数据库(例如,Medline,PsycINFO,PubMed,Scopus)进行了系统搜索(出版日期在1990年1月1日至2023年5月13日之间),以及针对无家可归的其他在线资源。文章进行了筛选,并对纳入研究的质量进行了严格评估。
结果:在印度尼西亚确定了8项采用不同干预措施的研究(n=2),马来西亚(n=1),韩国(n=3),菲律宾(n=1)。这些主题分为六个类别:艺术,认知行为疗法,生活技能教育,弹性增强,加强家庭,和政府干预/服务。
结论:这篇综述强调了有效的心理健康干预措施对YEH心理健康结果和EAP生活质量的积极影响,强调迫切需要实施对社会文化敏感的服务。未来的研究应通过涵盖不同EAP地区和人群的综合研究来解决知识差距。优先考虑特定于社会文化的心理措施。
BACKGROUND: Youth experiencing homelessness (YEH) in East Asian Pacific (EAP) regions represent one of the most at-risk populations due to cultural and geographical factors. Effective mental health interventions, primarily researched in Western contexts, may not fully apply to YEH in EAP. Their lack of stable shelter, disrupted social networks, and limited access to mental health services elevate their susceptibility to adverse mental health, making urgent interventions essential to address their needs.
OBJECTIVE: The objective of this study is to explore and systematically search the types of mental health services and interventions available for YEH in EAP and their impact on overall quality of life and wellbeing.
METHODS: Electronic databases (e.g., Medline, PsycINFO, PubMed, Scopus) were systematically searched (publication dates between 1 January 1990 and 13 May 2023), as well as additional online resources specific to homelessness. Articles were screened, and a critical appraisal assessed the quality of the included studies.
RESULTS: Eight studies with different interventions were identified in Indonesia (n = 2), Malaysia (n = 1), South Korea (n = 3), and the Philippines (n = 1). These were thematically clustered into six categories: art, cognitive behavioural therapy, life skills education, resilience enhancement, family strengthening, and government interventions/services.
CONCLUSIONS: This review highlights effective mental health interventions\' positive impact on YEH mental health outcomes and quality of life in EAP, stressing the urgent need to implement socio-culturally sensitive services. Future research should address knowledge gaps through comprehensive studies covering diverse EAP regions and populations, prioritising socio-culturally specific psychological measures.