Trajectories of homelessness and association with mental health and substance use disorders among young people transitioning from out-of-home care in Australia.

Journal: Child abuse & neglect

Volume: 149

Issue: 

Year of Publication: 2024

Affiliated Institutions:  Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia; Mental Health Commission, Perth, Western Australia, Australia. Electronic address: fadzai.chikwava@curtin.edu.au. Curtin School of Allied Health, Curtin University, Perth, Western Australia, Australia; Department of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne, United Kingdom; Department of Health & Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa. Curtin School of Population Health, Curtin University, Perth, Western Australia, Australia. Australian Centre for Child Protection, University of South Australia, Adelaide, South Australia, Australia; Telethon Kids Institute, University of Western Australia, Nedlands, Western Australia, Australia. Department of Mathematics, Physics & Electrical Engineering, Northumbria University, Newcastle upon Tyne, United Kingdom.

Abstract summary 

Researchers have examined sub-groups that may exist among young people transitioning from out-of-home care (OHC) using various theoretical models. However, this population group has not been examined for trajectories of homelessness risk.To examine whether different subtypes of homelessness risk exist among young people transitioning from care and whether these trajectories of homelessness are associated with mental health and substance use disorders.A retrospective population-based cohort study was conducted from a population of 1018 young people (aged 15-18 years) who transitioned from out-of-home in 2013 to 2014 in the state of Victoria, Australia, with follow-up to 2018.Latent Class Growth Analysis was conducted using linked data from homelessness data collections, child protection, mental health information systems, alcohol and drug use, and youth justice information systems.Three sub-groups of young people were identified. The 'moving on' group (88 %) had the lowest levels of homelessness, with the slope of this trajectory remaining almost stable. The 'survivors' (7 %) group started off with a high risk of homelessness, followed by a sharp decrease in homelessness risk over time. The 'complex' (5 %) group started off with a low risk of homelessness but faced sharp increases in the risk of homelessness over time.Our study demonstrates that subgroups of young people transitioning from care exist with distinct longitudinal trajectories of homelessness, and these classes are associated with different risk factors. Early intervention and different approaches to tackling homelessness should be considered for these three distinct groups before transitioning from care and during the first few years after leaving care.

Authors & Co-authors:  Chikwava Fadzai F Cordier Reinie R Ferrante Anna A O'Donnell Melissa M Pakpahan Eduwin E

Study Outcome 

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Statistics
Citations : 
Authors :  5
Identifiers
Doi : 10.1016/j.chiabu.2024.106643
SSN : 1873-7757
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Cohort study;Homelessness;Linked data;Out-of-home care;Trajectory analysis
Study Design
Cohort Study,Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
England