Boston HAPPENS program: HIV-positive, homeless, and at-risk youth can access care through youth-oriented HIV services

Woods, Elizabeth R.; Samples, Cathryn L.; Melchiono, Maurice; Harris, Sion Kim

doi:10.1053/spid.2003.127217

Cited by 26 publications

(24 citation statements)

References 45 publications

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“…This finding was unexpected, since the current literature and prevailing beliefs are that gay adolescent males are at risk for unstable housing and that MSM is stigmatized in minority communities Rew, Whittaker, Taylor-Seehafer, & Smith, 2005;Woods et al, 2003). MSM may be correlated with some exogenous variable not measured, and the number of MSM in this sample is small (n = 47).…”

Section: Discussionmentioning

confidence: 54%

“…Successful programs have included case management to engage and treat vulnerable adolescents as part of HIV care (Feudo, ViningBethea, Shulman, Shedlin, & Burleson, 1998;Hymel & Greenberg, 1998;Remafedi, 1998Remafedi, , 2001Tenner, Fuedo, & Woods, 1998;Woods, 1998). Efforts to provide outreach to at-risk adolescents have also been successful (Anderson et al, 1996;Feudo et al, 1998;Martinez et al, 2003;Sturdevant, Kohler, Williams, & Johnsonn, 1998;Woods, Samples, Melchiono, & Harris, 2003). In this study, most adolescents came into HIV care from more traditional contact with the health care system, as would be expected.…”

Section: Discussionmentioning

confidence: 94%

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Physical and Sexual Abuse and Unstable Housing among Adolescents with HIV

Eastwood

Birnbaum

2007

AIDS Behav

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Stable housing is a necessary component of treatment of adolescents with HIV. This study examines the housing status at two points in time of a sample of 224 adolescents with HIV seen at an adolescent medicine clinic in New York City. It addresses whether unstable housing is associated with several forms of abuse, and what factors predict continued instability. 38.6% (n = 86) had a prior history of unstable housing, reduced to 12.9% at the time of program entry. Multivariate logistic regression models predicting current and prior unstable housing revealed two variables related to both outcomes: physical abuse and referral from youth/social services entities. Continued unstable housing was associated with all abuse variables and adolescent history of arrest. When adolescents in abusive situations come to the attention of programs for youth, they have a positive impact on transitioning most adolescents to safer households, potentially improving adolescents' accessing of health care services.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 94%

Physical and Sexual Abuse and Unstable Housing among Adolescents with HIV

Eastwood

Birnbaum

2007

AIDS Behav

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“…Although there is a body of published literature on HIV testing among at-risk youth, we were unable to find published data on HCV testing rates among young drug users [3,7,8].…”

Section: Discussionmentioning

confidence: 90%

HIV and HCV testing for young drug users in Rhode Island

Pugatch

Anderson

O'Connell

et al. 2006

Journal of Adolescent Health

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“…Reactions from service providers can be demeaning. Youth and service provider relationships, therefore, appear to be more positive when providers work in settings specifically tailored to this population (DeRosa et al, 1999;Woods, Samples, Melchiono, & Harris, 2003). Otherwise, providers' willingness or refusal to understand why one would prefer to live on the streets can be a bridge or barrier to care.…”

Section: Discussionmentioning

confidence: 93%

“…Otherwise, providers' willingness or refusal to understand why one would prefer to live on the streets can be a bridge or barrier to care. Because homeless youth tend to be a hidden or hard-to-reach population and tend to refrain from treatment seeking as well, it is all the more imperative that providers use a kinder and gentler approach when youth seek and desire services (Steele, Romgoolam & Evans, 2003;Woods et al, 2003).…”

Section: Discussionmentioning

confidence: 99%

Homeless Youths' Interpersonal Perspectives of Health Care Providers

Hudson

Nyamathi

Sweat

2008

Issues in Mental Health Nursing

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In the United States, youth run away from home due to poor interpersonal relationships with parents or guardians; often times, they have been the recipients of parental neglect or abuse. As youth become increasingly entrenched in street-based living and problem substance use, their ability to rehabilitate their lives is incumbent upon trusting and engaging relationships with adult service providers. A total of 54 substance-using homeless youth (18-25 years) participated in focus groups to provide their perspectives on encounters and interpersonal relationships with health care providers. Participants were recruited from shelters in Hollywood, California, and from a drop-in shelter in Santa Monica, California. Four themes related to interpersonal barriers to care from service providers were identified: authoritative communication, one-way communication, disrespect, and empathy. Participants appreciate care providers who convey information in a helpful, meaningful manner and prefer providers who can, themselves, share similar life experiences. Implications point to the need for agencies and services specifically tailored to homeless, drug-using youth. These agencies should employ care providers who are trained to understand the developmental needs and histories of runaway youth. For proper reintegration of this vulnerable population into mainstream society, the narratives of these youth underscore the necessity of targeted services.

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Boston HAPPENS program: HIV-positive, homeless, and at-risk youth can access care through youth-oriented HIV services

Cited by 26 publications

References 45 publications

Physical and Sexual Abuse and Unstable Housing among Adolescents with HIV

Physical and Sexual Abuse and Unstable Housing among Adolescents with HIV

HIV and HCV testing for young drug users in Rhode Island

Homeless Youths' Interpersonal Perspectives of Health Care Providers

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