“…A lack of sensitization, resources, and services available to assist children in street circumstances in low-to-middle income countries are particularly alarming given the high prevalence: studies from Latin America, Africa, the Middle East, and Asia have reported substance use among street children ranging from 40% to 84% (Adebiyi, Owaoje, & Asuzu, 2008; Bal et al, 2010; de Carvalho et al, 2006; Gaidhane et al, 2008; Inciardi & Surratt, 1998; Khurana, Sharma, Jena, Saha, & Ingle, 2004; Morakinyo & Odejide, 2003; Nada & Suliman, 2010; Pagare, Meena, Singh, & Saha, 2004; Sherman, Plitt, ul Hassan, Cheng, & Zafar, 2005; Sorsa, Kidanemariam, & Erosie, 2002). Although overall prevalence and type of substance use varies by region, inhalants are consistently used at extremely high rates (31%–100%) by children in street circumstances in resource-constrained settings (Ayaya & Esamai, 2001; Bal et al, 2010; Baldivieso, 1995; Carlini-Cotrim, 1995; Elkoussi & Bakheet, 2011; Forster, Tannhauser, & Barros, 1996; Kudrati, Plummer, & Yousif, 2008; Lerner & Ferrando, 1995; Njord et al, 2010; Sharma & Lal, 2011; Wittig, Wright, & Kaminsky, 1997).…”