Mental health prevention and treatment programs for infants experiencing homelessness: A systematic review.

Megan M Hare, Taylor D Landis, Melissa Hernandez, Paulo A Graziano
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Abstract

Experiencing homelessness in infancy has been linked to negative physical and mental health outcomes. Parental well-being and the parent-infant relationship can also be negatively impacted by experiencing homelessness. While numerous parent-based infant mental health programs have been identified by a recent review, the goal of this study was to further determine the extent to which these existing programs were developed and/or examined with at-risk populations such as families experiencing homelessness. Out of 60 programs identified by Hare et al., in press, only three had been implemented specifically in shelter settings with infants 0-12 months (Parent-Infant Psychotherapy, New Beginnings, and My Baby's First Teacher). Additionally, when examining programs that began in later infancy (after 12 months), only 2 programs were implemented in shelter settings (Incredible Years and Parent-Child Interaction Therapy). Implications for research, policy, and clinicians regarding implementation of evidence-based prevention/treatment programs for parents and their infants experiencing homelessness are discussed.

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无家可归婴儿的心理健康预防和治疗方案:系统综述
婴儿时期无家可归与消极的身心健康结果有关。无家可归也会对父母的幸福感和父母与婴儿的关系产生负面影响。虽然最近的一项综述已经确定了许多基于父母的婴儿心理健康计划,但这项研究的目标是进一步确定这些现有计划在多大程度上是针对无家可归的家庭等高危人群制定和/或检查的。Hare等人在出版的60个项目中,只有三个项目是专门在0-12个月大婴儿的收容所实施的(母婴心理治疗、新开端和我宝宝的第一位老师)。此外,在检查婴儿后期(12个月后)开始的项目时,只有2个项目在收容所实施(不可思议的岁月和亲子互动治疗)。讨论了对无家可归的父母及其婴儿实施循证预防/治疗计划的研究、政策和临床医生的影响。婴儿期(即出生2岁)是一个敏感和关键的发育期(Bagner等人,2012;Uylings,2006年)。在此期间,神经可塑性以更高的速率发生,在大脑中建立重要的电路结构(Uylings,2006)。环境压力源,如无家可归,可能对儿童的健康和发展产生长期的有害影响(Clark et al.,2019;Fanning,2021)。因此,在生命的前两年,最大限度地提供环境支持以优化发展和/或缓冲环境压力的负面影响至关重要。本简短报告的目的是评估无家可归者在最近通过系统审查确定的婴儿心理健康预防和治疗计划中的表现(Hare等人,出版中)。经历无家可归对婴儿的意义
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