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The effectiveness of critical time intervention for abused women leaving women’s shelters: a randomized controlled trial

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  • Danielle A. M. Lako

    (Radboud university medical center
    Amsterdam University of Applied Sciences)

  • Mariëlle D. Beijersbergen

    (Radboud university medical center)

  • Irene E. Jonker

    (Radboud university medical center)

  • Renée Vet

    (Radboud university medical center)

  • Daniel B. Herman

    (Silberman School of Social Work at Hunter College, City University of New York)

  • Albert M. Hemert

    (Leiden University Medical Center)

  • Judith R. L. M. Wolf

    (Radboud university medical center)

Abstract

Objectives To examine the effectiveness of critical time intervention (CTI)—an evidence-based intervention—for abused women transitioning from women’s shelters to community living. Methods A randomized controlled trial was conducted in nine women’s shelters across the Netherlands. 136 women were assigned to CTI (n = 70) or care-as-usual (n = 66). Data were analyzed using intention-to-treat three-level mixed-effects models. Results Women in the CTI group had significant fewer symptoms of post-traumatic stress (secondary outcome) (adjusted mean difference − 7.27, 95% CI − 14.31 to − 0.22) and a significant fourfold reduction in unmet care needs (intermediate outcome) (95% CI 0.06–0.94) compared to women in the care-as-usual group. No differences were found for quality of life (primary outcome), re-abuse, symptoms of depression, psychological distress, self-esteem (secondary outcomes), family support, and social support (intermediate outcomes). Conclusions This study shows that CTI is effective in a population of abused women in terms of a reduction of post-traumatic stress symptoms and unmet care needs. Because follow-up ended after the prescribed intervention period, further research is needed to determine the full long-term effects of CTI in this population.

Suggested Citation

  • Danielle A. M. Lako & Mariëlle D. Beijersbergen & Irene E. Jonker & Renée Vet & Daniel B. Herman & Albert M. Hemert & Judith R. L. M. Wolf, 2018. "The effectiveness of critical time intervention for abused women leaving women’s shelters: a randomized controlled trial," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(4), pages 513-523, May.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:4:d:10.1007_s00038-017-1067-1
    DOI: 10.1007/s00038-017-1067-1
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    References listed on IDEAS

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    1. Susser, E. & Valencia, E. & Conover, S. & Felix, A. & Tsai, W.-Y. & Wyatt, R.J., 1997. "Preventing recurrent homelessness among mentally ill men: A 'critical time' intervention after discharge from a shelter," American Journal of Public Health, American Public Health Association, vol. 87(2), pages 256-262.
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    Cited by:

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    2. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.

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