Development of a Shelter-based Health Empowerment Program for Pregnant and Parenting Youth Experiencing Homelessness

被引:1
作者
O'Brien, Janna R. Gewirtz [1 ,7 ]
Brar, Pooja [2 ]
Worley, Jennifer [3 ]
Woodlee, Christina Heineken [4 ]
Kelly, Emily Denight [5 ]
So, Marvin [6 ]
McRee, Annie -Laurie [1 ]
Mehus, Christopher J. [5 ]
机构
[1] Univ Minnesota, Dept Pediat, Minneapolis, MN 55414 USA
[2] Towson Univ, Dept Family Studies & Community Dev, Towson, MD USA
[3] Childrens Hosp Minnesota, Midwest Childrens Resource Ctr, Minneapolis, MN USA
[4] Bridge Youth, Minneapolis, MN USA
[5] Univ Minnesota, Inst Translat Res Childrens Mental Hlth, Minneapolis, MN 55414 USA
[6] Univ Minnesota, Med Sch, Minneapolis, MN 55414 USA
[7] Univ Minnesota, Dept Pediat, Div Gen Pediat & Adolescent Hlth, 717 Delaware St SE,3rd Floor, Minneapolis, MN 55414 USA
关键词
Homeless persons; adolescent health services; vulnerable populations; youth homelessness; pregnancy in adolescence; health promotion; community-based participatory research; health disparities; community health services; HOME-VISITATION PROGRAM; IMPLEMENTATION SCIENCE; SEXUAL HEALTH; ADOLESCENT; EDUCATION; MOTHERS; RUNAWAY; CARE;
D O I
10.1353/cpr.2022.0070
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Pregnancy and parenthood are common among youth experiencing homelessness and are associated with significant health risk for both parent and child. Yet, little is known regarding how to best promote health among this vulnerable population. Objectives: To understand stakeholder perceptions of needs and factors required for successful implementation of a shelter-based health empowerment program for pregnant and parenting youth experiencing homelessness and their children. Methods: Applying frameworks from implementation sci-ence, we conducted interviews and focus groups with three groups of stakeholders (youth experiencing homelessness [n = 17], shelter staff [n = 8], community experts [n = 5]). We used qualitative content analysis to identify program content areas and design elements required for successful implementation. We then used a consensus-building process to engage community stakeholders in selecting and adapting an evidence-informed intervention. Results: Stakeholders described several desired content areas for a group-based curriculum: sexual and reproductive health, mental health and child health. With respect to pro-gram design, stakeholders emphasized adaptability; a strengths-based, culturally responsive, and trauma-informed approach; a skills-oriented focus; staff training; access to health care; and the integration of youth voices. Driven by these findings, our community-based team proposed a health empowerment program with three elements: 1) a weekly health empowerment group, 2) health training and support for shelter staff, and 3) shelter-based health care services. Conclusions: Our study is among the first to assess the health care needs of pregnant and parenting youth in shelter, and to describe factors associated with the development and implementation of a shelter-based health empowerment program specifically targeting this vulnerable population.Keywords Homeless persons, adolescent health services, vulnerable populations, youth homelessness, pregnancy in adolescence, health promotion, community-based participatory research, health disparities, community health services
引用
收藏
页码:473 / 489
页数:18
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