Experiences of housing interventions among survivors of intimate partner violence: a qualitative systematic review and meta-synthesis

Experiences of homelessness and intimate partner violence (IPV) frequently intersect for women, yet evidence-based interventions that address both issues simultaneously remain limited. This study systematically reviewed and meta-synthesized qualitative research exploring women’s experiences with IPV-related housing interventions and integrated findings with a recent review of quantitative evaluations. We conducted a comprehensive search of 15 electronic databases, grey literature, and reference lists up to May 31, 2024. Eligible studies included English-language qualitative research on women’s experiences with IPV-housing interventions, ranging from emergency shelters to permanent supportive housing. Study quality was assessed using the EPPI Centre Quality Appraisal Checklist. Findings were synthesized thematically and mapped onto prior quantitative findings. The protocol was preregistered on the Open Science Framework. Out of 28,958 records, 81 qualitative studies met inclusion criteria. Most focused on shelter-based interventions (65%), with others addressing stay-at-home models, transitional and supportive housing, flexible funding, and relevant policies across urban and rural settings in ten countries. Three overarching themes captured women’s experiences: autonomy as a pathway to recovery, navigating freedom from abuse, and building stable futures through supportive resources. While quantitative evaluations often highlight minimal harms, qualitative findings offered deeper insight into the mechanisms, barriers, and facilitators influencing outcomes. These findings underscore the need for investment in IPV-housing interventions that prioritize empowerment, trauma-informed practices, comprehensive support, and sustainable housing options. Addressing structural barriers while enhancing survivor agency is critical to improving safety, recovery, and long-term stability for IPV survivors. • We synthesized 81 studies on women’s experiences of housing interventions • Opportunities for personal autonomy affected participants’ mental health • Participants faced complex challenges in finding freedom from abuse • Robust wraparound supports were necessary for meeting participants’ diverse needs • More investment is needed in short- to long-term housing for survivors of violence