Interventions With Street Youth: A Commentary on the Practice-Based Research Literature

Karabanow, Jeff; Clement, Philip B.

doi:10.1093/brief-treatment/mhh007

Cited by 81 publications

(64 citation statements)

References 63 publications

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Section: Resultsmentioning

confidence: 99%

“…Although conduct disorder and substance abuse are relatively common among homeless adolescents (e.g., Whitbeck et al 2004a), these externalizing problems should not be overlooked because they might be indicators of suicidality. These young people should be offered appropriate therapeutic interventions that are comprehensive and draw on their strengths (Karabanow and Clement 2004).The limitations of this study indicate potential directions for future research using a dimensional approach to understanding the relationship between suicidality and psychopathology. First, additional research is needed in psychiatric and general adolescent and adult populations.…”

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confidence: 94%

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A Dimensional Model of Psychopathology Among Homeless Adolescents: Suicidality, Internalizing, and Externalizing Disorders

Yoder

Longley

Whitbeck

et al. 2007

J Abnorm Child Psychol

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The present study examined associations among dimensions of suicidality and psychopathology in a sample of 428 homeless adolescents (56.3% female). Confirmatory factor analysis results provided support for a three-factor model in which suicidality (measured with lifetime suicidal ideation and suicide attempts), internalizing disorders (assessed with lifetime diagnoses of major depressive episode and post-traumatic stress disorder), and externalizing disorders (indicated by lifetime diagnoses of conduct disorder, alcohol abuse, and drug abuse) were positively intercorrelated. The findings illustrate the utility of a dimensional approach that integrates suicidality and psychopathology into one model. KeywordsPsychopathology; Suicidality; Internalizing; Externalizing; Homeless adolescents Dimensions of adolescent suicidality and psychopathology are of increased concern to clinicians and researchers (Bridge et al. 2006;Verona et al. 2004). This interest can be attributed to the relatively high prevalence of adolescent suicidal ideation and suicide attempts (Evans et al. 2005) and to suicide being the third leading cause of death among youths ages 15-24 in the USA (Hoyert et al. 2006). Research also indicates both suicidal ideation and suicide attempts increase the risk for completed suicide (Brown et al. 2000). This pattern of increased liability for suicide risk has led to a broader conceptualization of a suicide spectrum ranging from suicidal ideation to attempted and completed suicide (Lewinsohn et al. 1996).Moreover, psychiatric disorders are among the strongest correlates of adolescent suicidality (Bridge et al. 2006). Mood disorders are robust correlates, but post-traumatic stress disorder, conduct disorder, and substance use disorders are also associated with suicidality (Bridge et al. 2006;Evans et al. 2004). Krueger (1999), informed by the work of Achenbach (Achenbach and McConaughy 1997), developed a dimensional model of psychopathology and clustered psychiatric diagnoses into internalizing and externalizing disorders. As specific psychiatric disorders from both clusters are related to suicidal ideation and attempts, there is interest in linking the suicide spectrum to these broader dimensions of psychopathology (Hills et al. 2005;Verona et al. 2004).Our study expands on this work by including the internalizing and externalizing dimensions of psychopathology in a structural model of adolescent suicidality using a sample of homeless adolescents. Suicidality is measured with lifetime suicidal ideation and suicide attempts, internalizing psychopathology with lifetime diagnoses of major depressive episode and posttraumatic stress disorder, and externalizing psychopathology with lifetime diagnoses of conduct disorder, alcohol abuse, and drug abuse. We use confirmatory factor analysis to examine covariances among dimensions of suicidality, internalizing, and externalizing disorders. Internalizing and Externalizing DisordersAchenbach used an empirical approach to derive two broad dimensions (internalizing...

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 94%

A Dimensional Model of Psychopathology Among Homeless Adolescents: Suicidality, Internalizing, and Externalizing Disorders

Yoder

Longley

Whitbeck

et al. 2007

J Abnorm Child Psychol

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“…Drop-in centers are one of the most common sources of services accessed by street youth as they provide greater flexibility, less paperwork, and less necessity to disclose personal information (De Rosa et al, 1999). These centers typically provide a safe environment during the day for homeless young people and offer showers, laundry facilities, and clothing (Karabanow & Clement, 2004). They also provide the most likely source of homeless young adults assembling at one location.…”

Section: Participantsmentioning

confidence: 99%

Capacity for Survival: Exploring Strengths of Homeless Street Youth

Bender

Thompson

McManus

et al. 2007

Child Youth Care Forum

187

189

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The majority of research on homeless youth has focused on the multitude of problems faced by this vulnerable population. The current study, while acknowledging the hazards of life on the streets, seeks to explore the personal strengths and informal resources street youth rely on to navigate their environments. Qualitative data from seven focus groups conducted with street youth ages 18-24 were analyzed using content analysis. These data, rich with interactions among youth participants, highlight three important themes: developing "street smarts," existence of personal strengths, and informal resources relied upon by youth to survive. Results provide valuable insights into the strengths of homeless youth that can be useful to providers in assessing street youths' service needs and increasing the likelihood of long-term positive outcomes.

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“…Stevenson and Witte 27 found that empathy for other people's life circumstances and the need for personal connection effectively promoted more positive outcomes among homeless young adults attending drug treatment programs. 28 In addition to visual media, music was important to these young adults and could play an important role in future substance abuse prevention campaign by evoking an emotional response. Previous studies reveal that music has served as a common ground and a way to connect on a more personal level and bond with peers among homeless young persons 29 While our findings revealed that a variety of styles of music were enjoyed by all ages of our participants, this diverse taste in music is not uncommon, as young adults use music in different ways to satisfy different emotional or developmental needs and to reflect specific issues they are coping with.…”

Section: Discussionmentioning

confidence: 99%