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Food insecurity among homeless and runaway adolescents.

OBJECTIVE: The purpose of this study was to investigate the prevalence of food insecurity and factors related to it among homeless and runaway adolescents. DESIGN: Computer-assisted personal interviews were conducted with homeless and runaway adolescents directly on the streets and in shelters. SETTING: Interviews were conducted in eight Midwest cities: Des Moines, Cedar Rapids, Iowa City, Kansas City, Lincoln, Omaha, St. Louis and Wichita. SUBJECTS: The subjects were 428 (187 males; 241 females) homeless and runaway adolescents aged 16-19 years. Average age of the adolescents was 17.4 (standard deviation 1.05) years. RESULTS: About one-third of the adolescents had experienced food insecurity in the past 30 days. Factors associated with food insecurity were age of adolescent, a history of caretaker neglect and abuse, having ever spent time directly on the street, a small post-runaway social network, and engaging in deviant and non-deviant street food-acquisition strategies. CONCLUSIONS: Based on these findings, our conservative estimate is that nationally more than 165,000 homeless and runaway adolescents experienced food insecurity in the past 30 days. These adolescents are largely hidden from public notice and they are usually missed in studies that address national hunger.

Adolescent↗

Alternative group foster homes; a new place for young people to live.

After a brief historical survey of child placement practices in the United States, this paper will address itself to an innovative form of placement for adolescents, "alternative group foster homes." The origins of two of these homes in "runaway houses" and their ideological underpinnings in the social and political critique of the counterculture will be discussed. The two homes will then be described and their functioning contrasted. One of them, Frye House, has managed to remain faithful to the radically democratic principles which animated its founding, and the other, Markham House, has not; the emphasis here will be on this difference and on its consequences for the homes as a whole and for the young people who have lived in them.

Adolescent↗

Protective factors and social risk factors for hospitalization and mortality among young men.

The association between presumed protective factors and social risk factors for hospitalization and mortality was studied during a 14-year follow-up period in a cohort of 8,168 Swedish men aged 18-20 years at baseline. Using Cox regression analysis, the authors found that five protective factors (high social class, home well-being, school well-being, good emotional control, and self-perceived good health) were associated with lower risks of hospitalization and death. Four social risk factors (contact with police or child welfare authorities, running away from home, having divorced parents, and ever using narcotics) were significantly associated with increased risk of hospitalization and mortality. The relative hazard decreased with the number of protective factors and increased with the number of social risk factors, almost linearly. The relative hazard was 0.24 for hospitalization among those with six protective factors and 0.24 for mortality for those with five or six protective factors. The relative hazard for hospitalization was 3.09 among those with five social risk factors compared with those with none, while for mortality the relative hazard among those with four or five social risk factors was 5.74 compared with those with none. While these results indicate strong cumulative effects for both the social risk factors and the protective factors, the associations of individual factors with the two outcome measures were generally reduced in models which simultaneously adjusted for all factors, which presumably indicates collinearity among the factors. There was only limited support for a buffering, or interacting, effect between the risk factors and the protective factors.

Adolescent↗

Adolescent elopement from a psychiatric hospital. Multiple dimensions.

The authors report an unusual epidemic of elopement from an adolescent ward of a psychiatric hospital and demonstrate the utility of the single case study method with the hospital ward as the unit of study. The authors found that elopement was associated with patient factors (such as the absence of the diagnosis of affective disorder and a previous history of running away from psychiatric treatment) and patient-therapist interaction factors (separations from treatment team members), both of which seemed to interact with the milieu. The authors discuss how the single case study permits examination of multiple levels of sociopsychological processes.

Adolescent↗

Adolescent girls in need of protection.

This descriptive study of 120 girls removed temporarily from parental care during early adolescence raises questions regarding the efficiency and effectiveness of current intervention strategies. The findings suggest that clinical and legal efforts on behalf of girls such as these, who have been victims of neglect, deprivation, and abuse, are likely to remain unsatisfactory in the absence of a broad societal commitment to the needs and rights of children.

Adolescent↗

Changing patterns among homeless and runaway youth.

In recent years, the population of runaway and homeless youth has changed. In a study of 536 homeless and runaway youth who were clients of service agencies in New Jersey, homeless youth predominated. Only one-third of the sample were able to return home after service and this particular focus of service is seen as feasible only for a minority of such youth.

Adolescent↗

The runaway center as community mental health center.

The runaway centers that evolved in the late 1960s in response to the needs of troubled young people are fulfilling many of the goals of the community mental health center (CMHC) movement. These centers provide their young clients the five basic CMHC services--inpatient services, outpatient services, emergency services, partial hospitalization, and consultation and education--in an individualized and economical manner. They can serve as a model for a variety of community services, such as drop-in centers for troubled individuals, mediation centers for families, shelters for battered women, and residences for people suffering an acute psychotic break.

Adolescent↗

Proximate effects of sexual abuse in childhood: a report on 28 children.

Of 28 sexually abused children (22 girls and 6 boys) aged 21/2 to 151/2 years, those suffering moderate to extreme emotional disturbance were female, unsupported by a close adult, molested by their father and by more than one male relative, genitally molested, and molested from an early age and over a long period. Twelve children were referred for psychiatric evaluation due to sexual abuse without apparent symptoms, and 5 solely due to symptoms, with sexual abuse unknown. The author suggests that child mental health professionals should improve their skills for identifying sexually abused children and help parents to be supportive of such children.

Adult↗

Childhood antecedents of homelessness in psychiatric patients.

OBJECTIVE: This study examined the relationship between childhood experience and homelessness in psychiatric patients. METHOD: Three large and diverse samples of homeless patients (N = 512) were compared with a sample of patients who had never been homeless (N = 271), with respect to childhood experience of foster care, group home placement, and running away. One of the homeless samples and the never homeless sample were drawn from patients admitted to a state mental hospital. In this state hospital population, risk ratios for lifetime prevalence of homelessness could be derived. RESULTS: In the three homeless samples, over 15% had a history of foster care, over 10% had a history of group home placement, and over 20% had a history of running away. These figures compared with 2%, 1%, and 5%, respectively, in the never homeless sample. In the state hospital, the lifetime prevalence of homelessness in patients with any one of these childhood experiences was about threefold that of other patients. A history of homelessness was reported by the great majority of state hospital patients who had had one of these childhood experiences. CONCLUSIONS: These childhood experiences were strongly associated with adult homelessness in these psychiatric patients. It might be possible to prevent homelessness in some cases by interventions aimed at patients with such childhood histories.

Adolescent↗