Interventions for promoting reintegration and reducing harmful behaviour and lifestyles in street-connected children and young people (Review)

Journal article


Coren, E., Hossain, R., Pardo Pardo, J. and Bakker, B. 2016. Interventions for promoting reintegration and reducing harmful behaviour and lifestyles in street-connected children and young people (Review). Cochrane Database of Systematic Reviews. 2016 (1). https://doi.org/10.1002/14651858.CD009823.pub3.
AuthorsCoren, E., Hossain, R., Pardo Pardo, J. and Bakker, B.
Abstract

Background
Millions of street-connected children and young people worldwide live or work in street environments. They are vulnerable to many risks, whether or not they remain connected to families of origin, and despite many strengths and resiliencies, they are excluded from mainstream social structures and opportunities.

Objectives
Primary research objectives
To evaluate and summarise the effectiveness of interventions for street-connected children and young people that aim to:
• promote inclusion and reintegration;
• increase literacy and numeracy;
• facilitate access to education and employment;
• promote mental health, including self esteem;
• reduce harms associated with early sexual activity and substance misuse.

Secondary research objectives
• To explore whether effects of interventions differ within and between populations, and whether an equity gradient influences theseeffects, by extrapolating from all findings relevance for low- and middle-income countries (LMICs) (Peters 2004).
• To describe other health, educational, psychosocial and behavioural effects, when appropriate outcomes are reported.
• To explore the influence of context in design, delivery and outcomes of interventions.
Interventions for promoting reintegration and reducing harmful behaviour and lifestyles in street-connected children and young people 1

(Review)
Copyright © 2016 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
To explore the relationship between numbers of components and duration and effects of interventions.
• To highlight implications of these findings for further research and research methods to improve evidence in relation to the primary
research objective.
• To consider adverse or unintended outcomes.

Search methods
We searched the following bibliographic databases, searched for the original review, from inception to 2012, and various relevant non-governmental and organisational websites: Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE and PreMEDLINE;EMBASE and EMBASE Classic; Cumulative Index to Nursing and Allied Health Literature (CINAHL); PsycINFO; Education Resource Information Center (ERIC); Sociological Abstracts; Social Services Abstracts; Social Work Abstracts; Healthstar; Latin American Caribbean Health Sciences Literature (LILACS); System for Grey literature in Europe (OpenGrey); ProQuest Dissertations and Theses; EconLit; IDEAS Economics and Finance Research; JOLIS Library Catalog of the holdings of the World Bank Group and International Monetary Fund (IMF) Libraries; British Library for Development Studies (BLDS); Google and Google Scholar. We
updated the search in April 2015 for the review update, using the same methods.

Selection criteria
This review includes data from harm reduction or reintegration intervention studies that used a comparison group study design; all were randomised or quasi-randomised studies. Studies were included if they evaluated interventions provided for street-connected children and young people, from birth to 24 years, in all contexts.

Data collection and analysis
Two review authors independently extracted data and assessed risk of bias and other factors presented in the Discussion and Summary quality assessment (Grades of Recommendation, Assessment, Development and Evaluation (GRADE)). We extracted data on intervention delivery, context, process factors, equity and outcomes, and grouped outcomes into psychosocial outcomes, risky sexual behaviours or substance use. We conducted meta-analyses for outcomes where the outcome measures were sufficiently similar. We evaluated other outcomes narratively.

Main results
We included 13 studies evaluating 19 interventions from high-income countries (HICs). We found no sufficiently robust evaluations conducted in low- and middle-income countries (LMICs). Study quality overall was low and measurements used by studies variable. Participants were classified as drop-in and shelter-based. No studies measured the primary outcome of reintegration and none reported on adverse effects.We found no consistent results on a range of relevant outcomes within domains of psychosocial health, substance misuse and sexually risky behaviours . Interventions evaluated consisted of time-limited therapeutically based programmes that proved no more effective than standard shelter or drop-in services and other control interventions used for most outcomes in most studies.
Favourable changes from baseline were reported for outcomes for most participants following therapy interventions and standard services. We noted considerable heterogeneity between studies and inconsistent reporting of equity data. No studies measured the primary outcome of reintegration or reported on adverse effects.

Authors’ conclusions
Analysis revealed no consistently significant benefit for focused therapeutic interventions compared with standard services such as dropin centres, case management and other comparable interventions for street-connected children and young people. Commonly available services, however, were not rigorously evaluated. Robust evaluation of interventions, including comparison with no intervention, would establish a more reliable evidence base to inform service implementation. More robust research is needed in LMICs to examine interventions for street-connected children and young people with different backgrounds and service needs.

Year2016
JournalCochrane Database of Systematic Reviews
Journal citation2016 (1)
PublisherWiley
ISSN1469-493X
Digital Object Identifier (DOI)https://doi.org/10.1002/14651858.CD009823.pub3.
FunderNIHR
Publication dates
Print2016
Publication process dates
Deposited31 Mar 2016
Accepted31 Dec 2015
Output statusPublished
File
Permalink -

https://repository.canterbury.ac.uk/item/87qww/interventions-for-promoting-reintegration-and-reducing-harmful-behaviour-and-lifestyles-in-street-connected-children-and-young-people-review

Download files

  • 10
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month

Export as

Related outputs

Singing for people with Parkinson's disease
Irons, J., Coren, E., Young, M. K., Stewart, D. E., Gschwandtner, M. and Mellick, G. D. 2019. Singing for people with Parkinson's disease. Cochrane Database of Systematic Reviews. 2 (CD013279). https://doi.org/10.1002/14651858.CD013279
Report on the implementation and results of an outcomes focused evaluation of child sexual abuse interventions in the UK
Coren, E., Thomae, M., Hutchfield, J. and Iredale, W. 2013. Report on the implementation and results of an outcomes focused evaluation of child sexual abuse interventions in the UK. Child Abuse Review. 22, pp. 44-59.
Parent training interventions for parents with intellectual disability
Coren, E., Ramsbotham, K. and Gschwandtner, M. 2018. Parent training interventions for parents with intellectual disability. Cochrane Database of Systematic Reviews. Issue7. https://doi.org/10.1002/14651858.CD007987
The effectiveness of parenting programmes: a review of Campbell reviews
Barlow, J. and Coren, E. 2017. The effectiveness of parenting programmes: a review of Campbell reviews. Research on Social Work Practice.
Singing for adults with chronic obstructive pulmonary disease (COPD)
McNamara, R., Epsley, C., Coren, E. and McKeough, Z. 2016. Singing for adults with chronic obstructive pulmonary disease (COPD). Cochrane Database of Systematic Reviews (Online). 7 (Art. N). https://doi.org/10.1002/14651858.CD012296
Singing for adults with chronic obstructive pulmonary disease (COPD)
McNamara, R., Epsley, C., Coren, E. and McKeough, Z. 2017. Singing for adults with chronic obstructive pulmonary disease (COPD). Cochrane Database of Systematic Reviews. 12. https://doi.org/10.1002/14651858.CD012296.pub2
Social media and young people’s involvement in social work education
Franklin, P., Hossain, R. and Coren, E. 2016. Social media and young people’s involvement in social work education. Social Work Education. 35 (3), pp. 344-356. https://doi.org/10.1080/02615479.2016.1154710
Individual and group based parenting programmes for improving psychosocial outcomes for teenage parents and their children
Barlow, J., Smailagic, N., Bennett, C., Huband, N., Jones, H., Coren, E. and The Cochrane Collaboration 2011. Individual and group based parenting programmes for improving psychosocial outcomes for teenage parents and their children. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD002964.pub2
The Olympic Games and raising sports participation: a systematic review of evidence and an interrogation of policy for a demonstration effect
Weed, M., Coren, E., Fiore, J., Wellard, I., Chatziefstathiou, D. and Suzanne, D. 2015. The Olympic Games and raising sports participation: a systematic review of evidence and an interrogation of policy for a demonstration effect. European Sport Management Quarterly. 15 (2). https://doi.org/10.1080/16184742.2014.998695
Engagement-related process factors in services for street-connected children and young people in low and middle income countries: a thematic synthesis
Coren, E., Hossain, R., Ramsbotham, K., Martin, A. and Pardo Pardo, J. 2014. Engagement-related process factors in services for street-connected children and young people in low and middle income countries: a thematic synthesis. London International Initiative for Impact Evaluation (3ie).
Using social media to widen young people’s participation in social work education: final report for Nominettrust
Franklin, P., Hossain, R. and Coren, E. 2014. Using social media to widen young people’s participation in social work education: final report for Nominettrust.
Interventions for promoting reintegration and reducing harmful behaviour and lifestyles in street-connected children and young people
Coren, E., Hossain, R., Pardo Pardo, J., Veras, M., Chakraborty, K., Harris, H. and Martin, A. 2013. Interventions for promoting reintegration and reducing harmful behaviour and lifestyles in street-connected children and young people. The Cochrane Library. https://doi.org/10.1002/14651858.CD009823.pub2
Service engagement in interventions for street-connected children and young people: a summary of evidence supplementing a recent Cochrane–Campbell review
Hossain, R. and Coren, E. 2014. Service engagement in interventions for street-connected children and young people: a summary of evidence supplementing a recent Cochrane–Campbell review. Child and Youth Care Forum. https://doi.org/10.1007/s10566-014-9286-6
The effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes
Bressington, D., Coren, E. and MacInnes, D. 2013. The effects of training mental health practitioners in medication management to address nonadherence: a systematic review of clinician-related outcomes. Nursing: Research and Reviews. 3, pp. 87-98. https://doi.org/10.2147/NRR.S44366
The contribution of social work and social interventions across the life course to the reduction of health inequalities: a new agenda for social work education?
Coren, E., Iredale, W., Rutter, D. and Bywaters, P. 2011. The contribution of social work and social interventions across the life course to the reduction of health inequalities: a new agenda for social work education? Social Work Education. 30 (6), pp. 594-609. https://doi.org/10.1080/02615479.2011.586556
Scoping the assessment needs of child carers of adults with long term conditions
Howatson-Jones, L. and Coren, E. 2012. Scoping the assessment needs of child carers of adults with long term conditions.
Interventions for promoting reintegration and reducing harmful behaviour and lifestyles in street-connected children and young people (Protocol)
Coren, E. and Hossain, R. 2012. Interventions for promoting reintegration and reducing harmful behaviour and lifestyles in street-connected children and young people (Protocol). The Cochrane Library. https://doi.org/10.1002/14651858.CD009823
Developing a physical activity legacy from the London 2012 Olympic and Paralympic Games: a policy-led systematic review
Weed, M., Coren, E., Fiore, J., Wellard, I., Mansfield, L., Chatziefstathiou, D. and Dowse, S. 2012. Developing a physical activity legacy from the London 2012 Olympic and Paralympic Games: a policy-led systematic review. Perspectives in Public Health. 132 (2), pp. 75-80. https://doi.org/10.1177/1757913911435758
Developing a physical activity, sport and health legacy from the London 2012 Olympic and Paralympic Games
Mansfield, L., Weed, M., Coren, E., Fiore, J., Wellard, I., Chatziefstathiou, D. and Dowse, S. 2009. Developing a physical activity, sport and health legacy from the London 2012 Olympic and Paralympic Games. Department of Health.
The diffusion of International and Olympic sport through regional games: A comparison of pre- and post-Second war contexts
Chatziefstathiou, D., Weed, M., Coren, E., Fiore, J., Wellard, I., Mansfield, L. and Dowse, S. 2009. The diffusion of International and Olympic sport through regional games: A comparison of pre- and post-Second war contexts. Department of Health.
Meta-review of interventions to support children and their families in the aftermath of sexual abuse
Coren, E. and Hutchfield, J. 2008. Meta-review of interventions to support children and their families in the aftermath of sexual abuse. Action for Children.
Parenting training for intellectually disabled parents: a Cochrane systematic review
Coren, E., Thomae, M. and Hutchfield, J. 2011. Parenting training for intellectually disabled parents: a Cochrane systematic review. Research on Social Work Practice. 21 (4), pp. 432-441. https://doi.org/10.1177/1049731511399586
Parenting programmes for improving maternal psychosocial health
Barlow, J. and Coren, E. 2000. Parenting programmes for improving maternal psychosocial health. Cochrane Database of Systematic Reviews (Online). 4.
Risperidone for autism spectrum disorder
Jesner, O., Aref-Adib, M. and Coren, E. 2007. Risperidone for autism spectrum disorder. Cochrane Database of Systematic Reviews (Online). 1 (CD0050). https://doi.org/10.1002/14651858.CD005040.pub2
Individual and group-based parenting programmes for improving psychosocial outcomes for teenage parents and their children
Coren, E. and Barlow, J. 2011. Individual and group-based parenting programmes for improving psychosocial outcomes for teenage parents and their children. Cochrane Database of Systematic Reviews (Online). 3 (CD0029). https://doi.org/10.1002/14651858.CD002964.pub2
Systemic reviews for social care: evidence for practice?
Coren, E. 2006. Systemic reviews for social care: evidence for practice?
Analytic maps of research systematic review products: an illustration using examples from two institutions
Coren, E., Bates, S., Gough, D., Newman, M. and Goldman, R. 2007. Analytic maps of research systematic review products: an illustration using examples from two institutions.
Joining up for evidence based practice: a role for social work education?
Coren, E. 2007. Joining up for evidence based practice: a role for social work education?
Diverse voices in systemic reviews: SCIE's approach
Edwards, A. and Coren, E. 2007. Diverse voices in systemic reviews: SCIE's approach.
A specialist systematic review workshop
Coren, E. 2008. A specialist systematic review workshop.
Joining up for evidence informed practice
Coren, E. 2008. Joining up for evidence informed practice.
Using the Olympic Games to leverage sport, physical activity participation and health: a worldwide systematic review
Weed, M., Coren, E. and Fiore, J. 2008. Using the Olympic Games to leverage sport, physical activity participation and health: a worldwide systematic review.
Evidence, involvement and accountability: Exploring service user participation in systematic review
Coren, E. and Carr, S. 2008. Evidence, involvement and accountability: Exploring service user participation in systematic review.
Assessing research mindedness in practice placements of MA social work students
Coren, E., Hutchfield, J., Wiseman, J., Kelly, A. and Cecil, B. 2009. Assessing research mindedness in practice placements of MA social work students.
Development of a study to collect views on service delivery from children & young people affected by child sexual abuse: management of ethical issues
Coren, E. and Hutchfield, J. 2009. Development of a study to collect views on service delivery from children & young people affected by child sexual abuse: management of ethical issues.
An evaluation of a national network of projects to support children and families who have experienced sexual abuse
Coren, E. and Hutchfield, J. 2009. An evaluation of a national network of projects to support children and families who have experienced sexual abuse.
Measuring appropriate outcomes in evaluating interventions for families recovering from child sexual abuse
Coren, E. 2009. Measuring appropriate outcomes in evaluating interventions for families recovering from child sexual abuse.
The conduct of systematic research reviews for SCIE knowledge reviews
Coren, E. and Fisher, M. 2006. The conduct of systematic research reviews for SCIE knowledge reviews. London, UK Social Care Institute for Excellence.
Systematic Map 1: The extent and impact of parental mental health problems on the family, the interventions available and the acceptability, accessibility and effectiveness of interventions
Bates, S. and Coren, E. 2006. Systematic Map 1: The extent and impact of parental mental health problems on the family, the interventions available and the acceptability, accessibility and effectiveness of interventions. London, UK Social Care Institute for Excellence.
Collection of examples of service user and carer participation in systemic reviews
Carr, S. and Coren, E. 2007. Collection of examples of service user and carer participation in systemic reviews. London, UK Social Care Institute for Excellence.
A systematic review of the evidence base for developing a physical activity, sport and health legacy from the London 2012 Olympic and Paralympic Games: report to funders
Weed, M., Coren, E., Fiore, J., Mansfield, L., Wellard, I., Chatziefstathiou, D. and Dowse, S. 2008. A systematic review of the evidence base for developing a physical activity, sport and health legacy from the London 2012 Olympic and Paralympic Games: report to funders. Canterbury, UK Physical Activity Network West Midlands on behalf of Regional Physical Activity Teams in the West Midlands, the East Midlands, the East of England, London and the South East.
The contribution of social work and social care to the reduction of health inequalities: four case studies
Coren, E., Iredale, W., Bywaters, P., Rutter, D. and Robinson, J. 2010. The contribution of social work and social care to the reduction of health inequalities: four case studies. London, UK Social Care Institute for Excellence.
Meta-analysis of parenting programmes in improving maternal psychosocial health
Barlow, J., Coren, E. and Stewart-Brown, S. 2002. Meta-analysis of parenting programmes in improving maternal psychosocial health. British Journal of General Practice (BJGP). 52 (476), pp. 223-233.
Systematic maps to support the evidence base in social care
Bates, S., Clapton, J. and Coren, E. 2007. Systematic maps to support the evidence base in social care. Evidence & Policy: A Journal of Research, Debate and Practice. 3 (4), pp. 539-551. https://doi.org/10.1332/174426407782516484
Joining up for evidence informed practice - a role for social work education? A Discussion Paper
Coren, E. 2008. Joining up for evidence informed practice - a role for social work education? A Discussion Paper. The Kent Journal of Practice Research. 2 (1), pp. 1-6.
The child's voice in service evaluation: ethical and methodological issues
Hutchfield, J. and Coren, E. 2011. The child's voice in service evaluation: ethical and methodological issues. Child Abuse Review. https://doi.org/10.1002/car.1142
Action for children: child outcomes-focused evaluation - final data collection report
Coren, E., Hutchfield, J., Iredale, W. and Thomae, M. 2010. Action for children: child outcomes-focused evaluation - final data collection report. Canterbury, UK Canterbury Christ Church University.
Parent training support for intellectually disabled parents
Coren, E., Hutchfield, J., Thomae, M. and Gustafsson, C. 2010. Parent training support for intellectually disabled parents. Cochrane Database of Systematic Reviews (Online). 6, p. CD007987. https://doi.org/10.1002/14651858.CD007987.pub2
A UK perspective on developing an evidence base for social work practice: some gaps and some opportunities
Coren, E. 2008. A UK perspective on developing an evidence base for social work practice: some gaps and some opportunities. in: Adams, A., Erath, P. and Jovelin, E. (ed.) Social Work and Science - An Uneasy Relationship? Institut für Vergleichende Sozialarbeitswissenschaft und Interkulturelle/Internationale Sozialarbeit.
The effectiveness of individual and group-based parenting programmes in improving outcomes for teenage mothers and their children: a systematic review
Coren, E., Barlow, J. and Stewart-Brown, S. 2003. The effectiveness of individual and group-based parenting programmes in improving outcomes for teenage mothers and their children: a systematic review. Journal of Adolescence. 26 (1), pp. 79-103. https://doi.org/10.1016/S0140-1971(02)00119-7