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Life-styles, adaptive strategies, and sexual behaviors of homeless adolescents.

OBJECTIVES: The purpose of this study was to gather information about homeless adolescents, a largely invisible and understudied population. METHODS: Highly trained interviewers conducted structured face-to-face field interviews with 93 homeless adolescents between the ages of 13 and 17 in the Hollywood area of Los Angeles. RESULTS: Seventy-nine percent of the sample had experienced more than one homeless episode in their lifetime, and almost a fourth reported more than ten episodes. Mean length of time homeless was 440 days (median of 201 days). Aggressive and violent behaviors, including stealing, destruction of property, and physical fights, were common. The sample had a high prevalence of several mental disorders, including conduct disorder with aggression, major depression, and alcohol and drug abuse. Almost half had attempted suicide. Nearly all the adolescents were sexually active; about a third had more than ten partners in the previous year. About a third reported trading sex for money, food, or drugs. Although most had basic knowledge of HIV transmission and used some form of birth control, little more than half had used a condom in the most recent sexual encounter, and 18 percent reported sex with intravenous drug users. CONCLUSIONS: Further research on this population is needed, and follow-up contacts in particular are essential in developing appropriate and successful service programs for them.

Adaptation, Psychological↗

Gender influence in suicidal behaviour of Polish adolescents.

OBJECTIVE: The aim of the study was to assess the prevalence and possible suicide attempts and ideation predictors in the school population of girls and boys in the city of Lódź. METHOD: A self-administered anonymous questionnaire was distributed to a representative (random) sample of 1663 students, aged 14-21. Boys and girls reporting no suicidal behaviour (NSB) constitute the control groups; the characteristics of these groups were compared to those of the groups with suicidal behaviour (SB), with focus on the associations between different variables and gender, separately for suicidal ideation (SI) and suicide attempts (SA). RESULTS: About 37% of girls and 25% of boys reported suicidal ideation and about 11% and 5%, respectively, suicide attempts. Boys were more likely to make multiple suicide attempts. The relation between SB and the history of psychiatric treatment was the same for both sexes. Boys with SB were significantly more often fascinated with death, and girls were significantly more often exposed to difficult family situations.

Adolescent↗

Youth on the street: abuse and neglect in the eighties.

This paper discusses the findings of a study of runaways and homeless youth who were interviewed on the street the last week of every month on five week nights from late afternoon until 2 a.m. over a period of one year. The data derived from 489 interviews provided some interesting insights. Two distinct groups emerged from the analysis, generating a tentative hypothesis that the true "runners" tend to leave their homes with the intention of not returning and thus their runs are extended; the second group, designated "in and outers," use the run as a temporary coping mechanism. Their runs tend to be impulsive and of short duration. The study found that runaways (in particular the runners) are at great risk of being drawn into illegal activities. Major factors affecting this risk are distance from home and length of time on the run. A significant proportion of the youth interviewed had run from substitute care arrangements, and a disturbing implication emerging from the research is that adolescents in our society suffer from systemic abuse and neglect. One outcome of this piece of research was the opening of a safe house for early runners in January 1987. The operation of the house includes careful compilation of data to further advance understanding of the runaway population and its needs.

Adolescent↗

Characteristics of the street children of Colombia.

Psychological characteristics of 56 Colombian male street children, aged 7 to 16, were examined from participant observations and results of three psychological tests given the children. The Kohs Block Design measured their intelligence; and the Human Figure Drawing and the Bender Gestalt measured emotional and neurological functioning. The test data showed the sample to be relatively healthy, intelligent, and emotionally intact. The children's relatively good scores on the tests may be understood by placing their abandonment in a cultural perspective, which includes the children's strong peer support system, their access to adult benefactors, and the fact that the children were developing in an orderly fashion from matrifocal families. The premise is made that by understanding the children more accurately more appropriate help may be given.

Adolescent↗

Runaway and homeless youth in Los Angeles County, California.

Data collected over one year from agencies in Los Angeles County serving homeless youth suggest that shelter and outreach/drop-in agencies serve different populations. Shelters serve about equal numbers of males and females, almost half of whom are 15 years old or younger. Slightly more than half of these young people are minority youth who live in Los Angeles County. Seven of 10 go on to live in a stable environment. Outreach/drop-in agencies serve predominantly males, almost all of whom are 16 years old or older. These clients are primarily white and from outside Los Angeles. Four of 10 get off the streets. Both shelters and outreach/drop-in agencies serve primarily multiproblem chronic runaway or homeless youth who have neither families nor independent living skills and have survived as best they could. To help these young people, more emergency shelter beds and transitional living programs are needed. The geographic location and program structure of services however must be carefully considered.

Adolescent↗

Runaway and street youth at risk for HIV infection: legal and ethical issues in access to care.

Significant numbers of runaway and street youth are at risk for human immunodeficiency virus (HIV) infection. These youth are physically, socially, and psychologically vulnerable and need access to health care and related services. Legal and ethical concerns of consent and confidentiality may limit their access, although in many states the law allows some minors to consent to HIV testing and treatment and protects confidentiality of HIV-related information. Appropriate pretest and posttest counseling and follow-up for youth at risk of infection are essential. Limited access to HIV treatment for youth testing positive raises serious ethical concerns. Access to comprehensive treatment is currently limited by lack of adequate financing, despite a patchwork of numerous public funding sources providing some coverage for treatment of HIV and acquired immunodeficiency syndrome (AIDS). Research studies and clinical trials are critical elements in the planning and delivery of HIV-related services to adolescents, but require consideration of special ethical and legal concerns.

Adolescent↗

Homeless youth in Seattle. Planning and policy-making at the local government level.

Young people leave home for many reasons--a push away from problems, a pull toward the independence and seeming excitement of the street. Once on the street they face serious risks to their health and well-being. Homelessness among youths is a concern in Seattle, with as many as 2,000 on the street in a year's time. The service system is overburdened and poorly coordinated. The City of Seattle examined the problem, inadequacies of the service system, and issues affecting its ability to address the needs of homeless youths and their families. This article presents data on the problem, policies proposed to shape the city's response, and progress made in the last 2 years.

Adolescent↗

From home to street: understanding young people's transitions into homelessness.

This paper explores why young people leave home and become homeless. Drawing on life history interviews conducted with 50 homeless youth in Los Angeles, explanations provided by participants for becoming homelessness and how they understand their experiences are presented. In professional discourses, homeless young people are often portrayed as victims of physical abuse and emotional neglect. Although participants' narratives reveal that abuse and neglect play a central role in their decisions to leave home, many maintain a sense of agency in the recounting of how they became homeless. The importance of service providers recognizing young people's agency is discussed.

Adolescent↗

Young people, drug use and family conflict: pathways into homelessness.

Young people who experience homelessness, in Australia and in other western contexts (US, Canada, England), are widely perceived to use and abuse alcohol and drugs. The available research indicates that homeless young people use all drug types, whether injected or otherwise, more frequently than their home-based peers. Debate exists in the research and policy literature about whether drug use is a cause or consequence of homelessness. In a study exploring homeless young peoples reasons for leaving home, we examined the relationship between young people's drug use and their pathways into homelessness. Brief qualitative interviews were conducted with 302 homeless young people (12-20 years). Following a thematic analysis of interview transcripts, four pathways into homelessness involving personal or familial drug use were identified. One-third of the participants indicated that personal or familial drug use was a critical factor in them leaving home. Of these, just over half indicated that personal drug use was a direct or indirect cause of their homelessness and one-quarter indicated that familial drug and alcohol use was the critical factor that led them to leaving home. One-quarter indicated that their drug use only began after they became homeless. Family conflict, if not family breakdown, was implicated in all four pathways out of home.

Adolescent↗