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 (a) systematically reviewed and meta-synthesized qualitative research exploring women's experiences with housing interventions for survivors of IPV and (b) integrated findings with a recent systematic 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 studies focused on shelter-based interventions (66%), with others addressing stay-at-home models, transitional, subsidized, or supportive housing, rental subsidies, flexible funding, or relevant policies across urban and rural settings in 11 countries. We developed three overarching themes to summarize women's experiences of housing interventions across studies: autonomy as a pathway to recovery, navigating freedom from abuse, and building stable futures through supportive resources. While quantitative evaluations often highlighted minimal harms of IPV-housing interventions, 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 survivor empowerment, trauma-informed practices, robust wraparound supports, and sustainable housing options. Addressing structural barriers with comprehensive housing and supportive services, while also enhancing survivor agency, is critical to improving safety, recovery, and long-term stability for IPV survivors.