Caring for Street Youth: A Nursing Challenge

Hagedorn, Susan; Ekegren, Kathryn

doi:10.1111/j.1744-6155.2002.tb00146.x

Cited by 6 publications

(2 citation statements)

References 15 publications

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“…In fact, much of the existing research finds that depressive symptoms are higher among homeless/runaway youth (Desai, 2003; Hadedorn & Ekegren, 2002; Votta & Manion 2003). …”

Section: Literaturementioning

confidence: 99%

Withdrawn: Suicidal ideation among homeless youth: The impact of family dysfunction, morbidity and deliberate self-harm

Jorgensen¹,

Jorgensen²,

Heard³

et al. 2009

Journal of Adolescence

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Suicide research typically examines one of four fundamental risk factors (e.g. family dysfunction, family suicide history, poor health [mental and physical], and personal difficulty). Utilizing measures for each of these risk-factors, we develop and test a model that identifies risk factors for suicidal ideation among 428 homeless youth in eight Midwestern cities. Using structural equation modeling, results indicate that family dysfunction and family suicide history indirectly affect the ideation of homeless youth. Additionally, having met lifetime criteria for mental health diagnosis, such as substance use/abuse, post-traumatic stress disorder and major depression, our sample of youth are more likely to deliberately harm themselves before considering suicide.

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“…In fact, much of the existing research finds that depressive symptoms are higher among homeless/runaway youth (Desai, 2003; Hadedorn & Ekegren, 2002; Votta & Manion 2003). …”

Section: Literaturementioning

confidence: 99%

Withdrawn: Suicidal ideation among homeless youth: The impact of family dysfunction, morbidity and deliberate self-harm

Jorgensen¹,

Jorgensen²,

Heard³

et al. 2009

Journal of Adolescence

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“…If both service provision and support staff practices are to become more responsive to the needs of young people who are homeless and who experience mental health problems, then it would seem crucial that these young people's experiences and perspective should be sought and understood. Thus, the need for more qualitative research in this area has been widely expressed (Power et al . 1999, Rosenfeld et al .…”

Section: Introductionmentioning

confidence: 99%

Engagement with health and social care services: perceptions of homeless young people with mental health problems

Darbyshire

Muir‐Cochrane

Fereday

et al. 2006

Health Soc Care Community

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The present qualitative study describes and discusses the perspectives and experiences of young homeless people with mental health problems in relation to their interactions with health and social care services. Working in partnership with Streetlink, a supported accommodation assistance programme in Adelaide, Australia, the authors interviewed 10 homeless young people, aged from 16 to 24 years of age, who had experienced mental health problems. In-depth interviews elicited accounts of the best and worst of the participants' experiences of health and social care services. Access to services was not identified as being a significant problem in comparison with the participants' concerns regarding the quality of the services encountered. The central findings stress the importance of a respectful and supportive climate in relation to the qualities of service provision that the young people identified as valuable for their continuing treatment or consultation.

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Healthcare Barriers and Utilization Among Adolescents and Young Adults Accessing Services for Homeless and Runaway Youth

et al. 2016

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Homeless and runaway youth are at disproportionate risk for adverse health outcomes. Many barriers to accessing healthcare have been documented; however, the relative impact of discrete barriers on homeless youth healthcare utilization behavior is not firmly established. We administered a survey examining reported barriers and healthcare utilization among adolescents and young adults accessing services at three community centers for homeless and runaway youth. Of 180 respondents, 57 % were male, 80 % non-White, and 21 % identified as a sexual minority. Stepwise logistic regression models, controlling for age and study site, explored associations between barriers and 3 healthcare utilization outcomes (doctor visit in past 12 months; regular care provider; frequent emergency department (ED) visits). The most commonly reported barriers were "don't have a ride" (27.2 %), "no insurance" (23.3 %), and "costs too much" (22.8 %). All fear-based barriers (e.g., "I don't trust the doctors") were reported by <5 % of surveyed youth. Significant predictors of having seen a doctor in the past 12 months included sexual minority status (OR 2.8, p = 0.04) and possession of health insurance (OR 4.9, p < 0.001). Female sex (OR 5.2, p < 0.001) and reported external barriers other than health insurance (OR 0.2, p < 0.001) were associated with having a regular care provider. Fear-based concerns were associated (OR 3.8, p = 0.02) with frequent ED visits, as was being insured (OR 2.2, p = 0.03). These results underscore the need to clearly define healthcare outcomes when investigating barriers to care among homeless and runaway youth as the impact of discrete barriers varies depending on outcome of focus.

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Caring for Street Youth: A Nursing Challenge

Abstract: The Advocate is a forum for exploring our roles as advocates for the children and families we serve.

Cited by 6 publications

References 15 publications

Withdrawn: Suicidal ideation among homeless youth: The impact of family dysfunction, morbidity and deliberate self-harm

Withdrawn: Suicidal ideation among homeless youth: The impact of family dysfunction, morbidity and deliberate self-harm

Engagement with health and social care services: perceptions of homeless young people with mental health problems

Healthcare Barriers and Utilization Among Adolescents and Young Adults Accessing Services for Homeless and Runaway Youth

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