Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Study protocol

A strengths based method for homeless youth: Effectiveness and fidelity of Houvast

Authors: Manon AM Krabbenborg, Sandra N Boersma, Judith RLM Wolf

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

While homelessness among youth is a serious problem, there is little information about evidence-based interventions for homeless youth. In cooperation with professionals and youths, Wolf (2012) developed Houvast (Dutch for ‘grip’): a strengths based method grounded in scientific and practice evidence. The main aim of Houvast is to improve the quality of life of homeless youths by focusing on their strengths, thus stimulating their capacity for autonomy and self-reliance.

Method/Design

The effectiveness and fidelity of Houvast will be tested in ten Dutch services for homeless youth which are randomly allocated to an intervention group (n = 5), or a control group which provides care as usual (n = 5). Measurements of both objective and subjective quality of life and secondary outcomes (mental and physical health, substance use, coping, resilience, psychological needs, care needs, working relationship with the professional and attainment of personal goals) will be conducted among homeless youths (n = 251). Youths in both groups will be interviewed by means of a structured interview at baseline, at time of ending care or after having received care for six months (T1) and at nine months after baseline (T2). Model fidelity will be tested around T1.

Discussion

This study is unique as it includes a large number of homeless youths who are followed for a period of nine months, and because it focuses on a strengths based approach. If the Houvast method proves to be effective in improving quality of life it will be the first evidence-based intervention for homeless youth.

Trail registration

Netherlands Trail Register (NTR):NTR3254
Appendix
Available only for authorised users
Literature
1.
2.
Brummelhuis K, Drouven L: Telling zwerfjongeren. Aantallen op basis definitie 2010. 2011, Bureau HHM: Enschede
3.
4.
Slesnick N, Dashora P, Letcher A, Erdem G, Serovich J: A review of services and interventions for runaway and homeless youth: Moving forward. Child Youth Serv Rev. 2009, 31 (7): 732-742. 10.1016/j.childyouth.2009.01.006.CrossRefPubMedPubMedCentral
5.
Van der Ploeg J, Scholte E: Homeless youth. 1997, London: Sage Publications, Volume 1.
6.
Wolf J, Altena AM, Christians M, Beijersbergen M: Onderzoek naar dakloze jongeren in de cetrumregio Zwolle. 2010, Nijmegen: UMC St Radboud
7.
Johnson KD, Whitbeck LB, Hoyt DR: Predictors of social network composition among homeless and runaway adolescents. J Adolesc. 2005, 28 (2): 231-248. 10.1016/j.adolescence.2005.02.005.CrossRefPubMed
8.
Beijersbergen M, Jansen C, Wolf J: Zwerfjongeren in Utrecht. 2008, Nijmegen: UMC St Radboud
9.
Korf DJ, Diemel S, Riper H, Nabben T: Het volgende station. Zwerfjongeren in Nederland. 1999, Amsterdam: Thela Thesis
10.
Jansen C, Wolf J, van der Heijden PGM: Omvang van de daklozenpopulatie in Zeeland. 2006, Nijmegen: UMC St Radboud
11.
Van Straaten B, van der Laan J, Schrijvers C, Boersma S, Maas M, Wolf J, van de Mheen D: Profiel van daklozen in de vier grote steden: Resultaten uit de eerste meting van de Cohortstudie naar daklozen in vier grote steden (Coda-G4). 2012, IVO en UMC St Radboud
12.
Korf DJ, van Ginkel P, Wouters M: Je ziet het ze niet aan. 2004, Amsterdam: Rozenberg Publishers
13.
Whitbeck LB, Hoyt DR, Bao WN: Depressive Symptoms and Co-occurring Depressive Symptoms, Substance Abuse, and Conduct Problems among Runaway and Homeless Adolescents. Child Dev. 2000, 71 (3): 721-732. 10.1111/1467-8624.00181.CrossRefPubMed
14.
Noom M, de Winter M: Op zoek naar verbondenheid: Zwerfjongeren aan het woord over de verbetering van de hulpverlening. 2001, Utrecht: Universiteit Utrecht/Nederlands Platform Zwerfjongeren
15.
Wolf J, van der Laan G: De bitterzoete werkelijkheid: De relatie tussen methodiek en organisatie in een begeleid wonen-project voor zwerfjongeren. 2005, Amsterdam: SWP
16.
Planije M, Van't Land H, Wolf J: Hulpverlening aan zwerfjongeren. 2003, Utrecht: Trimbos-instituut
17.
Lindsey EW, Kurtz PD, Jarvis S, Williams NR, Nackerud L: How runaway and homeless youth navigate troubled waters: Personal strengths and resources. Child and Adolescent Social Work Journal. 2000, 17 (2): 115-140. 10.1023/A:1007558323191.CrossRef
18.
Werner EE, Smith RS: Overcoming the odds. 1992, Cornell University Press: High risk children from birth to adulthood
19.
Williams NR, Lindsey EW, Kurtz PD, Jarvis S: From trauma to resiliency: Lessons from former runaway and homeless youth. Journal of Youth Studies. 2001, 4 (2): 233-253.CrossRef
20.
Smith L: Protective Factors and Individual Resilience. Handbook of Early Childhood Intervention. 2000, Camebridge University Press, 115-
21.
Altena AM, Brilleslijper-Kater SN, Wolf JL: Effective interventions for homeless youth: a systematic review. Am J Prev Med. 2010, 38 (6): 637-645. 10.1016/j.amepre.2010.02.017.CrossRefPubMed
22.
Slesnick N, Prestopnik JL, Meyers RJ, Glassman M: Treatment outcome for street-living, homeless youth. Addict Behav. 2007, 32 (6): 1237-1251. 10.1016/j.addbeh.2006.08.010.CrossRefPubMed
23.
Slesnick N, Kang MJ, Bonomi AE, Prestopnik JL: Six- and twelve-month outcomes among homeless youth accessing therapy and case management services through an urban drop-in center. Health Serv Res. 2008, 43 (1 Pt 1): 211-229.PubMedPubMedCentral
24.
Hyun MS, Chung HI, Lee YJ: The effect of cognitive-behavioral group therapy on the self-esteem, depression, and self-efficacy of runaway adolescents in a shelter in South Korea. Appl Nurs Res. 2005, 18 (3): 160-166. 10.1016/j.apnr.2004.07.006.CrossRefPubMed
25.
De Winter M, Noom M: Someone who treats you as an ordinary human being… Homeless youth examine the quality of professional care. British Journal of Social Work. 2003, 33 (3): 325-338. 10.1093/bjsw/33.3.325.CrossRef
26.
Noom MJ, de Winter M, Korf D: The care-system for homeless youth in the Netherlands: Perceptions of youngsters through a peer research approach. Adolescence. 2008, 43 (170): 303-PubMed
27.
Duncan BL, Miller SD, Sparks JA: The heroic client: A revolutionary way to improve effectiveness through client-directed, outcome-informed therapy. 2004, New York: Jossey-Bass
28.
Green RS, Ellis PT: Linking structure, process, and outcome to improve group home services for foster youth in California. Eval Program Plann. 2007, 30 (3): 307-317. 10.1016/j.evalprogplan.2007.01.013.CrossRefPubMed
29.
McCay E, Quesnel S, Langley J, Beanlands H, Cooper L, Blidner R, Aiello A, Mudachi N, Howes C, Bach K: A relationship-based intervention to improve social connectedness in street-involved youth: a pilot study. J Child Adolesc Psychiatr Nurs. 2011, 24 (4): 208-215. 10.1111/j.1744-6171.2011.00301.x.CrossRefPubMed
30.
Wolf J: Herstelwerk een krachtgerichte basismethodiek voor kwetsbare mensen. 2012, Nijmegen: UMC St Radboud Nijmegen
31.
Rapp CA, Goscha RJ: The strengths model: Case management with people with psychiatric disabilities. 2006, USA: Oxford University Press
32.
Song L, Shih C: Recovery from partner abuse: the application of the strengths perspective. International Journal of Social Welfare. 2010, 19 (1): 23-32. 10.1111/j.1468-2397.2008.00632.x.CrossRef
33.
Cocks E, Boaden R: Evaluation of an employment program for people with mental illness using the Supported Employment Fidelity Scale. Australian Occupational Therapy Journal. 2009, 56 (5): 300-306. 10.1111/j.1440-1630.2008.00762.x.CrossRefPubMed
34.
Rapp CA, Goscha RJ: The strengths model: A recovery oriented approach to mental health services. 2011, USA: Oxford University Press
35.
Rapp CA, Goscha RJ, Carlson LS: Evidence-based practice implementation in Kansas. Community Ment Health J. 2010, 46 (5): 461-465. 10.1007/s10597-010-9311-7.CrossRefPubMed
36.
Bond GR, Drake RE, McHugo GJ, Rapp CA, Whitley R: Strategies for improving fidelity in the national evidence-based practices project. Research on Social Work Practice. 2009, 19 (5): 569-581. 10.1177/1049731509335531.CrossRef
37.
McHugo G, Drake R, Whitley R, Bond G, Campbell K, Rapp C, Goldman H, Lutz W, Finnerty M: Fidelity outcomes in the national implementing evidence-based practices project. Psychiatr Serv. 2007, 58 (10): 1279-1284. 10.1176/appi.ps.58.10.1279.CrossRefPubMed
38.
Van der Maesen LJ, Walker AC: Indicators of social quality: Outcomes of the European scientific network. European Journal of Social Quality. 2005, 5 (1–2): 1-2.
39.
Lehman A, Kernan E, Postrado L: Toolkit for evaluating quality of life for persons with severe mental illness. 1995, Baltimore: Human Services Research Institute
40.
Lehman AF: A quality of life interview for the chronically mentally ill. Eval Program Plann. 1988, 11 (1): 51-62. 10.1016/0149-7189(88)90033-X.CrossRef
41.
Wolf J: Nederlandse vertaling van het Quality of Life Instrument (brief version). 2007, Nijmegen: UMC St Radboud
42.
Wolf J, Zwikker M, Nicholas S, Van Bakel H, Reinking D, van Leiden I: Op achterstand. 2002, Utrecht: Trimbos Instituut
43.
Zegers MAM: Attachment among institutionalized adolescents. Mental representations, therapeutic relationships and problem behavior. 2006, Amsterdam: VU University Amsterdam
44.
Zegers MA, Schuengel C, IJzendoorn MH, Janssens JM: Attachment representations of institutionalized adolescents and their professional caregivers: Predicting the development of therapeutic relationships. Am J Orthopsychiatry. 2006, 76 (3): 325-334.CrossRefPubMed
45.
Rutten EA, Schuengel C, Dirks E, Stams GJJ, Biesta GJ, Hoeksma JB: Predictors of antisocial and prosocial behavior in an adolescent sports context. Social Development. 2011, 20 (2): 294-315. 10.1111/j.1467-9507.2010.00598.x.CrossRef
46.
Boersma SN, Maes S, Joekes K, Dusseldorp E: Goal processes in relation to goal attainment: Predicting health-related quality of life in MI-patients. Journal of Health Psychology. 2006, 11 (6): 931-945.CrossRef
47.
Carver CS, Scheier MF: On the self-regulation of behavior. 2001, New York: Cambridge University Press
48.
Dorrer N, Schinkel M: Towards recovery competencies. Mental health today. 2008, 30-33.
49.
McLellan AT, Kushner H, Metzger D, Peters R, Smith I, Grissom G, Pettinati H, Argeriou M: The fifth edition of the Addiction Severity Index. J Subst Abuse Treat. 1992, 9 (3): 199-213. 10.1016/0740-5472(92)90062-S.CrossRefPubMed
50.
Kokkevi A, Hartgers C, Blanken P, Fahner EM, Tempesta E, Uchtenhagen A: European version of the Addiction Severity Index, 5th edition. 1993, Dutch translation by C: Hartgers, V. Hendriks, C.W. v.d. Meer, & P. Blanken (1994)
51.
Derogatis LR: Brief Symptom Inventory (BSI). Administration, scoring, and procedures manual (3rd ed). 1993, National Computer Systems: Minneapolis
52.
Derogatis LR: The Brief Symptom Inventory. 1975, Baltimore: Clinical Psychometric Research
53.
De Beurs E, Zitman F: De Brief Symptom Inventory (BSI). De betrouwbaarheid en validiteit van een handzaam alternatief voor de SCL-90. Maandblad Geestelijke Volksgezondheid. 2005, 61 (2): 120-141.
54.
Ball SA, Cobb-Richardson P, Connolly AJ, Bujosa CT, O'Neall TW: Substance abuse and personality disorders in homeless drop-in center clients: symptom severity and psychotherapy retention in a randomized clinical trial. Compr Psychiatry. 2005, 46 (5): 371-379. 10.1016/j.comppsych.2004.11.003.CrossRefPubMed
55.
Derogatis LR, Melisaratos N: The Brief Symptom Inventory: an introductory report. Psychol Med. 1983, 3: 595-605.CrossRef
56.
Hayes SC: Hayes Ability Screening Index. 2000, Manual. S Hayes: HASI
57.
Søndenaa E, Palmstierna T, Cabral Iversen V: A stepwise approach to identify intellectual disabilities in the criminal justice system. The European journal of psychology applied to legal context. 2010, 2 (2): 183-198.
58.
Søndenaa E, Bjørgen TG, Nøttestad JA: Validation of the norwegian version of hayes ability screening index for mental retardation. Psychol Rep. 2007, 101 (3F): 1023-1030. 10.2466/pr0.101.4.1023-1030.CrossRefPubMed
59.
Søndenaa E, Nygård Ø, Nøttestad JA, Linaker OM: Validation and adaptation of the Norwegian version of Hayes Ability Screening Index for intellectual difficulties in a psychiatric sample. Nordic Journal of Psychiatry. 2011, 65 (1): 47-51. 10.3109/08039488.2010.486444.CrossRefPubMed
60.
Hayes SC: Early intervention or early incarceration? Using a screening test for intellectual disability in the criminal justice system. Journal of Applied Research in Intellectual Disabilities. 2002, 15 (2): 120-128. 10.1046/j.1468-3148.2002.00113.x.CrossRef
61.
Garnefski N, Kraaij V: Cognitive emotion regulation questionnaire–development of a short 18-item version (CERQ-short). Personality and Individual Differences. 2006, 41 (6): 1045-1053. 10.1016/j.paid.2006.04.010.CrossRef
62.
Geisler F, Vennewald N, Kubiak T, Weber H: The impact of heart rate variability on subjective well-being is mediated by emotion regulation. Personality and Individual Differences. 2010, 49 (7): 723-728. 10.1016/j.paid.2010.06.015.CrossRef
63.
Cakmak A, Cevik E: Cognitive emotion regulation questionnaire: Development of Turkish version of 18-item short form. Afr J Bus Manage. 2010, 4 (10): 2097-2102.
64.
Hasani J: The reliability and validity of the short form of the cognitive emoption regulation questionnaire. Journal of reserach in behavioural sciences. 2011
65.
Deci EL, Ryan RM: The" what" and" why" of goal pursuits: Human needs and the self-determination of behavior. Psychological inquiry. 2000, 11 (4): 227-268. 10.1207/S15327965PLI1104_01.CrossRef
66.
Gagné M: The role of autonomy support and autonomy orientation in prosocial behavior engagement. Motivation and Emotion. 2003, 27 (3): 199-223. 10.1023/A:1025007614869.CrossRef
67.
Johnston MM, Finney SJ: Measuring basic needs satisfaction: Evaluating previous research and conducting new psychometric evaluations of the Basic Needs Satisfaction in General Scale. Contemp Educ Psychol. 2010, 35 (4): 280-296. 10.1016/j.cedpsych.2010.04.003.CrossRef
68.
Vlachopoulos SP, Michailidou S: Development and initial validation of a measure of autonomy, competence, and relatedness in exercise: The Basic Psychological Needs in Exercise Scale. Measurement in Physical Education and Exercise Science. 2006, 10 (3): 179-201. 10.1207/s15327841mpee1003_4.CrossRef
69.
Wennink J, van Wijngaarden B: Quality of Life and Care (QoLC). Kwaliteit van leven en vervulling zorgwensen. 2004, Trimbos Instituut: Utrecht
70.
Wolf J, Altena A, Beijersbergen M, Oliemeulen L: Hostelbewoners in Utrecht. Verslaving. 2010, 6 (3): 19-32. 10.1007/BF03089688.CrossRef
71.
Wolf J, Jonker ISN, Meertens V, te Pas S: Maat en baat van de vrouwenopvang. Onderzoek naar vraag en aanbod. 2006, Amsterdam: Uitgeverij SWP: Onderzoek naar vraag en aanbod
72.
Wagnild GM, Young HM: Development and psychometric evaluation of the Resilience Scale. J Nurs Meas. 1993, 1 (2): 165-178.PubMed
73.
Portzky M, Wagnild G, De Bacquer D, Audenaert K: Psychometric evaluation of the Dutch Resilience Scale RS-nl on 3265 healthy participants: A confirmation of the association between age and resilience found with the Swedish version. Scand J Caring Sci. 2010, 24: 86-92.CrossRefPubMed
74.
Portzky M, Audenaert K, De Bacquer D: Resilience in de Vlaamse en Nederlandse algemene populatie. Tijdschrift Klinische Psychologie. 2009, 39 (3): 183-193.
75.
Ferguson KM, Xie B: Feasibility study of the social enterprise intervention with homeless youth. Research on Social Work Practice. 2008, 18 (1): 5-19.CrossRef
Metadata
Title
A strengths based method for homeless youth: Effectiveness and fidelity of Houvast
Authors
Manon AM Krabbenborg
Sandra N Boersma
Judith RLM Wolf
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-359

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue

Research article

Rates and risk factors for drug resistance tuberculosis in Northeastern China

Research article

Multivariable analysis of the association between fathers’ and youths’ physical activity in the United States

Research article

Screening and brief interventions for hazardous and harmful alcohol use among patients with active tuberculosis attending primary public care clinics in South Africa: results from a cluster randomized controlled trial

Research article

Associations between employee and manager gender: impacts on gender-specific risk of acute occupational injury in metal manufacturing

Research article

The level of leisure time physical activity is associated with work ability-a cross sectional and prospective study of health care workers

Research article

A public private partnership to fight against malaria along the Chad-Cameroon pipeline corridor: I. Baseline data on socio-anthropological aspects, knowledge, attitudes and practices of the population concerning malaria