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PubMed1997

Families of homeless and runaway adolescents: a comparison of parent/caretaker and adolescent perspectives on parenting, family violence, and adolescent conduct.

OBJECTIVE: Almost all of what is known about the families of runaways and homeless adolescents is based on adolescent self-reports. The validity of such research is currently being questioned by policy makers. The purpose of this study was to compare runaway and homeless adolescent reports and parent/caretaker reports on measures of parenting, family violence, and adolescent conduct. METHOD: Reports of 120 runaway adolescents and their parents/caretakers from four Midwestern states were compared on measures of parental monitoring, parental warmth and supportiveness, parental rejection, physical and sexual abuse, and adolescent conduct. Comparison groups of nonrunaway adolescents and their mothers in two-parent and single-parent families from the same geographical area were also used for parenting and adolescent conduct measures. RESULTS: The findings indicated that although there were significant differences in means between adults and adolescents regardless of runaway status, adults and adolescent reports were in the same direction and present similar portraits of families of runaway and homeless young people. Both the parents/caretakers and their runaway adolescents reported lower levels of parental monitoring and warmth and supportiveness and higher levels of parental rejection than comparison groups of nonrunaway families. Parents/caretakers and runaway adolescents reported high levels of family violence and sexual abuse. Similarly, they concur regarding conduct problems for the adolescents. CONCLUSIONS: The findings suggest that runaway and homeless adolescents accurately depict the troubled family situations that they choose to leave. The policy implications for recent debates involving criminalization and mandatory return to parental custody of homeless and runaway youth are discussed.

Adolescent↗
PubMed2004

Risk factors for sexual victimization among male and female homeless and runaway youth.

Risk factors associated with the likelihood of being sexually victimized by a stranger or friend/acquaintance since being on the street was examined among 372 homeless and runaway youth. Young people were interviewed on the streets and in shelters by outreach workers using a systematic sampling strategy. Youth who engaged in more high-risk behaviors were expected to be at greater risk for sexual victimization by both known and unknown assailants. Results indicated that for females, running from home for the first time at an earlier age was associated with sexual victimization by both a stranger and friend/acquaintance. However, engaging in deviant subsistence strategies, survival sex, and grooming predicted being sexually victimized by a friend/acquaintance. For males, survival sex and grooming predicted stranger sexual victimization, whereas sexual orientation was associated with sexual victimization by a friend/acquaintance. Overall, 35% of the sample had been sexually victimized.

Adolescent↗
PubMed2004

Mental health status of runaway adolescents.

UNLABELLED: There are 47.22 million homeless and runaway adolescents roaming on the streets of our country (Voluntary Health Association of India - VHAI) of which one lakh are in Delhi.1 Very little is known about them, their needs or their experiences. OBJECTIVE: (1). To assess the psychological problems amongst the runaway adolescent boys. (2). To determine possible risk factors. METHODS: This study was cross-sectional in design and done at a child observation home for boys in Delhi. All runaway boys aged 10 to 16 years of age were included in the study. The study was conducted from 15th June to 15th July 2001. A comprehensive schedule consisting of five parts, viz identification data, hopelessness scale for children by Kazdin, Beck depression inventory, Psychological survey questionnaire and RUTTER-B2 scale were used to assess various mental health problems. RESULTS: 20.7% of children were found to have high hopelessness and 8% of children had depression. 2% of children revealed that they had attempted suicide at any point of time in life. Among children with high hopelessness, 3.2% had ever attempted suicide. 8.3% of the depressed children gave history of suicidal attempts. 38% of children gave history of physical abuse, 14.6% of sexual abuse and a large number reported substance abuse. 69.33% were found to have behavioral problems (i.e. scored above the recommended cut off score of 9). 81% of children had antisocial behavior, 7.8% were neurotic and 10.5% remained undifferentiated. CONCLUSION: Runaway adolescents suffer from a wide array of mental health problems and there is a need for a broad based psychosocial intervention programme.

Adolescent↗
PubMed1991

Homeless and runaway youth mental health issues: no access to the system.

Data from a center for homeless and runaway youth are presented in order to summarize the major mental health problems faced by these youth. This article also identifies indicators related to behavioral and environmental variables that may help in the development of intervention and prevention strategies for this population.

Adolescent↗
PubMedDate not supplied

Depressive symptoms and co-occurring depressive symptoms, substance abuse, and conduct problems among runaway and homeless adolescents.

This study examines factors that contribute to depressive symptoms and to co-occurring depression, substance abuse, and conduct problems among 602 runaway and homeless adolescents. The respondents were interviewed in shelters, drop-in centers, and directly on the streets in four Midwestern states (Missouri, Iowa, Nebraska, and Kansas). Results indicate that although family-of-origin factors contribute to depressive symptoms and comorbidity among runaway and homeless adolescents, experiences and behaviors when the adolescents are on their own also have powerful effects. The authors discuss the findings from a life-course perspective focusing on mechanisms through which street experiences accentuate or amplify already high levels of psychological distress and behavioral problems among this population of young people.

Adolescent↗
PubMed1994

Predicting elopement from residential treatment centers.

To identify predictors of elopement in young patients in residential treatment, runaways were compared with a matched sample of nonrunaways. Runaways were more likely to have a history of elopement, a suspected history of sexual abuse, an affective disorder diagnosis, and parents whose rights had been terminated. The results suggested that the likelihood of elopement can be accurately predicted on the basis of patient characteristics known at admission.

Adolescent↗
PubMed1991

A comparison of drug involvement between runaways and school youths.

Problems related to homeless/runaway youths have received increased attention in recent years. Homeless/runaway youths manifest many problems in addition to being absent from home and without supervision of a parent or guardian. The purpose of the study was to determine drug use and abuse patterns of homeless/runaway youths and to compare those patterns, along with attitudes toward selected illicit behaviors, with similar data collected from adolescents in school. Data were collected from persons (n = 253) in homeless/runaway shelters in the southeast United States. Comparisons made with data from other studies of runaways and of youths in school indicate that drug use and abuse is two-three times more prevalent for runaways than with the school youths. Runaways' attitudes toward selected illicit behaviors are more tolerant than those of school youths. Intervention programs for runaway/homeless youths should reflect an understanding of the complexity of the psycho-social and behavioral history of the clients which is much different than that of those who are in school.

Adolescent↗
PubMed1984

Parenting, protecting, preserving: mission of the adolescent female runaway.

This paper presents a systemic framework for therapy with families of adolescent female runaways. The runaway adolescent is viewed as serving three functions within her family. First, she often parents her parents and siblings. Second, she protects her parents' marriage and regulates marital distance. Third, she preserves her family unit at the preadolescent developmental stage. Interventions are described that remove the adolescent from those roles by empowering the parents to take charge of the adolescent, by changing the communication process such that the couple deal with their marital issues without the help of the teenager, and by facilitating the family's movement toward a new stage of separation and individuation.

Adolescent↗
PubMed2006

Understanding runaway teens.

PROBLEM: Large numbers of teenagers become "runaways" and put themselves at risk for physical and emotional harm. During the year 2002, an estimated 1.6 million U.S. youth aged 12 to 17 had run away from home and slept on the streets. METHODS: A qualitative exploratory method was used to study a sample of primarily ethnic minority youth found in a Midwestern inner city detention center. This study examined run behavior from the teenager's own perspective to identify why they ran, how they kept themselves safe, and what factors contributed to ending a run. FINDINGS: Teens ran to gain control of their lives by changing their situation. They developed new affiliations to meet safety and sustenance needs and learned from experience that one cannot run from your problems. With experience, running became habitual. CONCLUSIONS: Safer alternatives are needed for youth who cannot live at home.

Adolescent↗
PubMed1992

Providing shelter for street youth: are we reaching those in need?

A major longitudinal study of runaway and homeless youth resulted in the establishment of a safe house in Calgary. In order to further knowledge building and research in this field, users of the facility are routinely asked to fill out an intake form, and consent is obtained for the use of the information for research purposes. Data collected during the first fourteen months of its operation have now been analyzed. Results are compared to the original survey data to determine which youth are using the facility and which are being missed. Interesting similarities and differences are described and discussed.

Adolescent↗
PubMedDate not supplied

Size and complexity of social networks among substance abusers: childhood and current correlates.

The objective of this study was to identify parental, childhood, demographic, and social function factors associated with social network size and complexity among substance abusers using retrospective data regarding family and childhood history and current data regarding demographic characteristics and psychosocial function. The authors interviewed 505 voluntary patients with substance abuse at two university medical centers in Minnesota and Oklahoma with alcohol-drug programs located within departments of psychiatry. Data collection instruments included a childhood questionnaire, a demographic checklist, and two psychiatric rating scales of psychosocial function. The authors found that years of education, current residence with others, being actively occupied at work or school, and higher psychosocial function on two psychiatrist-rated scales were associated with increased social network size and complexity. Loss of mother, out-of-home placement, and runaway before age 18 were associated with smaller social networks in adulthood. Age, gender, and current marital status were not associated with social network. Regression analysis indicated that network size (i.e., the number of individuals in the network) was associated with higher psychosocial function over the last year but not over the last two weeks, whereas network complexity (ie, the number of subgroups in the network) was related to psychosocial function over both the last year and the last two weeks. These data indicate that in addicted persons, both childhood factors and current social factors affect network size and complexity. Network complexity may be amenable to short-term change, whereas network size may be more related to longer-term coping.

Adaptation, Psychological↗
PubMed1999

Comparing suicide attempters, suicide ideators, and nonsuicidal homeless and runaway adolescents.

This study considers variables that best distinguish among attempters, ideators, and nonsuicidal youth in a sample of 527 homeless and runaway adolescents from four Midwestern states. Univariate results indicate that attempters are significantly more likely than ideators and nonsuicidal youth to have experienced physical or sexual abuse by an adult caretaker, to have experienced sexual victimization while on their own, and to have a friend who attempted suicide. Multivariate analyses reveal five variables that best distinguish among the three groups: self-esteem, depression, physical abuse, sexual abuse, and having a friend who attempted suicide. Further analysis suggests that the accumulation of these risk factors greatly increases the chance that these youth will engage in suicidal behavior.

Adolescent↗
PubMed2004

Risk/protective factors associated with substance use among runaway/homeless youth utilizing emergency shelter services nationwide.

Rates of alcohol, tobacco, and marijuana use among runaway/homeless youth are substantially higher than found among American high school students. To understand the risk and protective factors associated with substance use, this study (1) assessed cigarette, alcohol, and marijuana use among a national sample of runaway/homeless youth, (2) identified risk/protective factors associated with lifetime substance use, and (3) examined risk/protective factors associated with six month frequency of substance use. Unduplicated cases (n = 11,841) from the 1997 Runaway/ Homeless Youth Management Information System (RHY MIS) were analyzed. Results showed that substance use levels are greater than previously reported for this population. Predictors of cigarette, alcohol, and marijuana use and frequency were predominately individual youth risk factors and demographics rather than family risk factors. Providers in emergency youth shelters are in a prime position to assess substance use behaviors, as well as the associated risk factors. Provision of appropriate screening and referral to other services is essential to meet the needs of these youth.

Adolescent↗
PubMed2005

Parents, teachers, and peers and early adolescent runaway in Hong Kong.

Parental monitoring, teacher support, classmate support, and friend relationship presumably affect adolescents' runaway from home. According to social control theory, social control based on conventional social norms would prevent adolescent runaway, but association with friends may erode such control. This expectation appears to hold true in a sample of Grade 7 students in Hong Kong; parental monitoring and classmate support reduced runaway risk whereas friend relationship raised the risk. These findings emerged from a causal model that controlled for a latent predisposition that commonly affected parental monitoring, friend relationship, and runaway risk. Further analysis indicates that the preventive effect of parental monitoring was stronger on adolescents born on the Chinese mainland than in Hong Kong, and the effect of friend relationship was stronger on the Hong Kong born than the mainland born. Conceivably, a socially controlling culture bolsters the preventive effect of social control.

Adolescent↗
PubMed2001

System youth: a subgroup of substance-abusing homeless adolescents.

PURPOSE: While many youths residing at homeless shelters will return home, many are placed in group or foster homes. Few researchers have examined the experiences of adolescents with a history of these out-of-home placements. This study examined shelter residents and compared the experiences of system and non-system youth. METHODS: Information regarding youths' family functioning, substance use, depression and related problem behaviors was obtained from substance abusing system (n = 62) and non-system (n = 82) adolescents staying at local runaway shelters. RESULTS: System males engaged in significantly more delinquent behaviors than did non-system males and system females. Alcohol and drug problem consequences were positively associated with longevity in the system, while having ever attempted suicide was negatively associated with system longevity. System youth reported: 1) taking more prescribed psychotropic medications 2) experiencing more sexual abuse, and 3) less parental overprotection, as compared to non-system youth. Gender differences were found in which females reported more conflictual problem solving interactions with their parents than did males, as well as more comorbid diagnoses. IMPLICATIONS: Although longitudinal research is needed, findings argue that without intervention efforts targeted at identified problem behaviors, youth are at risk to continue their system involvement into adulthood.

Adolescent↗
PubMed2004

Mental disorder, subsistence strategies, and victimization among gay, lesbian, and bisexual homeless and runaway adolescents.

This study compares participation in deviant subsistence strategies, street victimization, and lifetime prevalence of five mental disorders (conduct disorder, major depressive disorder, post-traumatic stress disorder, alcohol abuse, and drug abuse) among heterosexual males and females (n = 366) and gay, lesbian, and bisexual (n = 63) homeless and runaway adolescents from the first wave of a longitudinal study of homeless youth in four Midwestern states. The results indicate that gay, lesbian, and bisexual adolescents were more likely to have been physically and sexually abused by caretakers, we more likely to engage in risky survival strategies when on their own (including survival sex), were more likely to be physically and sexually victimized when on the streets, and were more likely to meet criteria for mental disorder than were their heterosexual counterparts.

Adolescent↗
PubMed1991

The Los Angeles system of care for runaway/homeless youth.

Runaway and homeless young people generally do not seek help unless they are in a severe personal crisis. For the past 7 years, the Division of Adolescent Medicine, Childrens Hospital of Los Angeles, has learned a good deal about how to intervene effectively with these youths and divert them from high-risk behaviors such as prostitution and drug abuse. The program model we have developed has five major components: 1) networking and consolidation, 2) outreach, 3) short-term crisis shelter, 4) comprehensive medical and psychosocial care, and 5) long-term shelter and case management. Our approach has been collaborative; we subcontract a substantial portion of the work to other youth agencies in the community in order to build and strengthen the network of existing services. In the process, we have moved steadily closer to developing a comprehensive system of care for homeless street youth throughout Los Angeles County. Where programs previously operated in relative isolation, representatives from 40 private and public agencies now meet regularly at Childrens Hospital of Los Angeles to discuss ways to improve services. Systematized data collection has helped agencies understand how they can work together and has prompted additional funding for needed services.

Adolescent↗
PubMed2004

Family risk factors and prevalence of dissociative symptoms among homeless and runaway youth.

OBJECTIVE: To examine family risk factors associated with dissociative symptoms among homeless and runaway youth. METHOD: Three hundred and twenty-eight homeless and runaway youth were interviewed using a systematic sampling strategy in metropolitan Seattle. Homeless young people were interviewed on the streets and in shelters by outreach workers in youth service agencies. RESULTS: The current study revealed widespread prevalence of dissociative symptoms among these young people. Multivariate analyses revealed that sexual abuse, physical abuse, and family mental health problems were all positively associated with dissociative symptoms. No gender differences were found for any of the models. CONCLUSIONS: Dissociative behavior is widespread among these youth and may pose a serious mental health concern. Some young people experience numerous stressors, and with few resources and little support available, many may invoke maladaptive strategies such as dissociative behavior to handle such situations, which may in turn be detrimental to their mental health. Unless youth are provided with programs and intervention, the cycle of abuse that they have experienced at home is likely to continue on the street.

Adolescent↗