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Drawing on Bourdieu's theory of social fields, this article sought to answer two research questions: (a) what challenges do street children encounter on the streets? and (b) what survival strategies do these street children adopt to cope with street life? Thirty street children constituted the study's sample size. Data were gathered through in‐depth interviews and focus group discussions and were thematically analysed. It was found that street children encountered challenges including abuse, inadequate access to basic needs, stigmatization, and theft. This study also found that some street children resorted to their peer networks and intimate partners for protection, as well as for financial and material support. Additionally, some street children engaged in menial working jobs and in some cases, stealing and prostitution to fend for themselves. While these survival tactics were noted to be crucial in the lives of street children, this article recommends for the intensified implementation of state and non‐state interventions to help alter the unwholesome living conditions of these vulnerable children. [ABSTRACT FROM AUTHOR]

Background: Social determinants of health affect health behaviors and outcomes. Youth experiencing homelessness suffer significant deprivation of resources such as inadequate housing, reduced education, poor health care, and decreased economic stability. Inner resources, such as psychological capital, may also be related to health behaviors and health outcomes. Objective: In this study, we sought to describe and explore associations among selected determinants of health and self-reported scores on indicators of psychological capital among youth experiencing homelessness. Methods: This cross-sectional secondary analysis was conducted with a randomized subsample of 148 youth. We calculated chi-square frequencies to describe the data, classical item analyses to evaluate responses, and correlation tests to examine significance of associations. Results: Youth in this sample demonstrated that they possess inner resources associated with determinants of health. Education, health care, and social support were significantly associated with attributes of psychological capital (hope, efficacy, resilience, optimism). Sexual minority groups had high representation in this subsample (25.7%), indicating a need for more study and equitable services for this population. Conclusion: More research should be conducted to better understand the associations between determinants of health, psychological capital, and health behaviors among disadvantaged youth to advance health equity initiatives. [ABSTRACT FROM AUTHOR]

A meta-analysis was performed to determine pooled prevalence of non-suicidal self-injury (NSSI), suicide behaviors (including ideation, attempts), and associated risk factors among runaway and homeless youth (RHY). The databases PubMed, Scopus, Web of Science, and Cochrane Library were searched for relevant studies published from January 1995 to May 2023. Initially, 8465 papers were screened, resulting in 69 included studies. The results showed that among RHY, lifetime prevalence rates were 42% for NSSI, 38% for suicidal ideation, and 27% for suicide attempts. Lifetime prevalence of NSSI and suicide behaviors was higher among adolescent minors (aged 12–17 years) compared to young adults (aged 18–24 years). Also, NSSI and suicide behaviors were associated with having a childhood history of physical and sexual abuse. Developing an impactful community-based suicide prevention campaign tailored for RHY appears warranted. Peer groups and mentorship programs would provide invaluable support for young individuals, as supportive friendships protect against NSSI. [ABSTRACT FROM AUTHOR]

This article examines the experiences of elderly enslaved individuals in North Carolina who ran away from their enslavers. The author analyzes runaway advertisements and challenges assumptions about the limitations of old age in enslavement. The study highlights the agency of aged and disabled enslaved individuals and emphasizes the importance of social networks and knowledge of the landscape in facilitating escape. The article argues for a reevaluation of the narrative surrounding old age, race, and gender in the antebellum South, emphasizing resistance and agency. [Extracted from the article]

The article presents the discussion on Houses in the galaxy, and each is dedicated to growing, making, supporting, and celebrating the life of each other. Topics include House of X is dedicated to maintaining the memory of the uprising alive by holding space for it in our circles; and absorb the title of the House that you are a part of and start to take on more serious roles in the community.

The unique feature of social media as a platform for news is that the public can directly engage with content. In this way, the public shapes the narrative on current issues, including crime. Criminal justice agencies have leveraged this engagement to relay information about missing persons' cases quickly and efficiently to a large audience. Whereas previous research has explored disparities in news coverage of missing persons' cases, it is unknown whether the public perpetuates these same disparities in the social media realm. This study contributes to the current literature by examining public engagement with missing persons' social media content. Results suggest that engagement along some dimensions corresponds to disparities found in traditional news coverage, namely with regard to race, where marginalized victims experience less engagement. Further, there is evidence of an interaction between race and runaway status. Certain posting behaviors are also related to several forms of user engagement with missing persons' posts; however, case characteristics remain prominent engagement-shaping factors. Implications for these findings are discussed from both a theoretical and practitioner standpoint. [ABSTRACT FROM AUTHOR]

Family conflict is the most significant factor that causes adolescents to run away from home. This study explored the experiences of family conflict from the perspective of Korean runaway youth. We conducted a qualitative phenomenological study using in-depth interviews with nine female runaway youth. Audio-recorded interview data were transcribed verbatim and analyzed using the Colaizzi method. We found that the participants had experienced complex family conflicts since early childhood, such as parental conflict and mental health issues, abuse, neglect, lack of parental understanding, and poverty. Participants had negative emotions and coping problems regarding family conflict(s), before leaving home. After running away, they experienced ambivalent feelings, and felt both hatred and compassion towards their parents. Their experiences influenced their thoughts regarding future family relationships. Understanding the viewpoint of runaway youth in terms of family conflict can assist in the development of interventions designed for such youth. [ABSTRACT FROM AUTHOR]

This study uses data from the state-level Youth Risk Behavioral Survey to evaluate mental health and substance use outcomes among homeless and nonhomeless adolescents in 2019. [ABSTRACT FROM AUTHOR]

This study examines the factors influencing runaway experiences among at-risk youth. Using the data of 1,743 at-risk youth from the 2016 survey of Korean adolescents' contact with media usage and harmful environment, a logistic regression analysis was conducted. This study shows that factors associated with the adolescents' experiences of family relationships, violence victimization, and harmful environment influence the occurrence of runaway behavior in at-risk adolescents. A significant outcome of this study is the identification of a harmful environment as a factor affecting runaway behavior. The factors identified need to be considered in the development of prevention programs targeting runway behavior among at-risk youth. School nurses are uniquely positioned to review and revise educational strategies to raise adolescents' awareness regarding the effects of harmful environments and to promote violence prevention. This framework provides school nurses with systematic methods for early identification and management of risk factors among at-risk youth runway behavior. [ABSTRACT FROM AUTHOR]

Trajectories of adjustment were examined in a sample of street-involved youth across a 1-year period. Participants (N = 113; Mage  = 14.18 years; 80.5% male, 91% non-White) were recruited in three Brazilian cities. Interviews conducted at three time points included six measures of physical and psychological adjustment. Unconditional growth models revealed linear declines over time (i.e., improved adjustment) on three indicators: health symptoms, sexual risk behaviors, and negative affect. There were no linear changes in drug use, positive affect, or life satisfaction. Conditional growth models revealed few significant effects for age or gender, but ratings of stressful life events moderated longitudinal changes in health symptoms, drug use, and negative affect. Implications for practice, policy, and theory are discussed. [ABSTRACT FROM AUTHOR]

The goal of this exploratory study was to inspect and comprehend the phenomenon of female street children who left their homes and came to the streets for survival. The study explored any violent experience (i.e., sexual violence) they had, their feedback about the support they receive from the non-governmental organizations (NGOs). It also aimed to explore their hopes, aspiration, resilience and their thoughts about their lives, despite the challenges they faced. The study utilized qualitative methodology and information was collected through open-ended questions. The study was guided by resilience theory to understand the coping strategy and resilience among these children. Twelve female children between the ages 13–14 were selected from the local NGOs in Dhaka, Bangladesh. For analysis purposes, the study utilized grounded theory and identified three themes. These themes include Reasons for moving to the streets, experience of living on the streets and hopes and aspiration: Resilience. Majority of the respondents experienced sexual violence and despite all the challenges many of these children could still dream of a pleasant future. [ABSTRACT FROM AUTHOR]

BACKGROUND AND OBJECTIVES: Runaway youth and homeless youth are at risk for adverse mental health outcomes. These 2 populations are frequently pooled together in both research and interventions yet may have unique health needs. We sought to assess differences in mental health outcomes among these populations. METHODS: We conducted a secondary data analysis of ninth- and 11th-graders in the 2016 minnesota Student Survey (n = 68 785). We categorized youth into 4 subgroups based on housing status in the previous year: (1) unaccompanied homeless youth (0.5%), (2) runaway youth (4%), (3) youth who had both run away and been homeless (0.6%), and (4) stably housed youth (95%). We performed multivariable logistic regression to compare 4 mental health outcomes (self-injury, suicidal ideation, suicide attempts, and depressive symptoms) across groups, controlling for demographics and abuse history. RESULTS: Unstably housed youth had poorer mental health outcomes when compared with their stably housed peers (P < .05). For example, 11% of homeless youth, 20% of runaways, and 33% of youth who had experienced both had attempted suicide in the previous year compared with 2% of stably housed youth (adjusted odds ratios 2.4, 4.9, and 7.1, respectively). Other outcomes showed a similar pattern. CONCLUSIONS: Our findings suggest that runaway and homeless youth represent unique populations with high levels of mental health needs who would benefit from targeted clinical and community interventions. Pediatric clinicians represent one potential point of screening and intervention. [ABSTRACT FROM AUTHOR]

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The study reported in this article assessed prevalence and demographic correlates of sex trafficking in a purposive sample of 270 young people experiencing homelessness in three U.S. cities (Philadelphia; Phoenix; and Washington, DC) and at five host agencies. Participants were 57% male, 38% female, 4% transgender, and 1% other. The average age of participants was 20.7 years (SD = 2.0 years). The majority of the participants were African American (56%), followed by white (14%) and multiracial (14%). The Human Trafficking Interview and Assessment Measure detected that nearly one in five young people were victims of sex trafficking, either due to force, fraud, or coercion (FFC); age; or both. Those who were sex trafficked were more likely than those who were not sex trafficked to be female, sexual minorities, or Latino and to have either dropped out of high school or obtained a GED. Differences between being trafficked due to FFC and being trafficked due to age were also investigated. Findings support the need for development of targeted prevention and intervention efforts for young people experiencing homelessness that address sex trafficking victimization and related risk factors. [ABSTRACT FROM AUTHOR]

Running away from home is a known risk factor for commercial sexual exploitation among youth; however, research has not fully investigated the process by which multiple factors at individual, familial, and extra-familial levels increase youths' risk for runaway behavior. This study applies an ecological risk factor framework to assess risk for runaway behavior among individuals exposed to commercial sexual exploitation and examines mediating relationships between salient risk factors (i.e. substance abuse, insufficient basic needs, having a much older boyfriend/girlfriend) and runaway behavior. A cross-sectional, retrospective survey was administered to individuals involved in the commercial sex industry using Respondent Driven Sampling methods (N = 273). Bivariate results suggested associations between runaway behavior and childhood emotional and physical abuse, having friends who sold sex, having a much older boyfriend/girlfriend, dropping out of school, being worried about where to eat/sleep, homelessness, and frequent alcohol and drug use prior to entering the commercial sex industry. Hierarchical logistic regression revealed that individuals with runaway behavior histories were more likely to have frequently used alcohol and/or drugs and to have insufficient basic needs compared to those did not run away; however, these factors were no longer significant after accounting for having a much older boyfriend/girlfriend. Having an older boyfriend/girlfriend fully mediated the relationship between frequent alcohol and/or drug use and runaway behavior. Findings support the need for community and school-based prevention programs that target these risk factors with a specific focus on healthy dating relationships, which may reduce risk for runaway behavior and subsequent commercial sexual exploitation. [ABSTRACT FROM AUTHOR]

Health literacy offers an opportunity to effectively direct health information and services to poor and marginalised groups. However, minimal attempts have been made to understand the state and determinants of health literacy, and its association with health-related behaviours among street-involved youth (SIY). This paper explores the status and sociodemographic correlates of functional health literacy (FHL) among SIY in Kumasi in Ghana. It also assesses the relationship between FHL, sociodemographic factors and two of the commonest health-related behaviours—alcohol use and smoking—among SIY. The study purposively sampled 337 SIY, aged 12 to 24 years, from five suburbs in the central business district of Kumasi Metropolitan Area in Ghana. The mean age of participants was 18 years (± 3.3). About 48%, 37% and 15% of them had inadequate, problematic and sufficient FHL respectively. Approximately 37% consumed alcohol and 14% smoked. Sex (female) and ethnicity (Ewe) were associated with inadequate FHL. Also, having some education and having been involved with the streets for three years or more were associated with inadequate FHL. Furthermore, being older, having some education, ethnicity, traditional religious affiliation, being male, having health insurance and inadequate FHL were associated with alcohol use. Smoking was associated with age (being older) and having been involved with the streets for three years or more. The paper argues that relevant health interventions must compensate for the heterogeneity of SIY as regards their FHL and sociodemographic characteristics to curb deleterious health behaviours. [ABSTRACT FROM AUTHOR]

Runaway and homeless youth (RHY) are dependent on the specialized settings that locate, engage, and serve them. Yet, little research has focused on the features of effective settings for RHY. The present qualitative study, grounded in the Youth Program Quality Assessment model, explored characteristics of higher quality organizations for RHY and gaps that remain from staff and RHY perspectives. A total of 29 diverse settings serving RHY in New York State were randomly selected for participation, and ranked on a quantitative program quality index. Within settings, we conducted in-depth semi-structured interviews with program administrators (N = 30) and other staff (N = 24). Focus group interviews were conducted with RHY (N = 13 focus groups; N = 84 RHY). Data were analyzed using a systematic content analysis approach that was both theory-driven and inductive, comparing higher to lower quality settings. We found all settings provided vital services and experienced challenges, but higher quality settings ameliorated challenges through (1) a youth-centered program philosophy equally understood by staff and RHY; (2) developmentally appropriate relationships between staff and RHY that promoted autonomy; (3) a focus on short- and long-term goals within anticipated crises; and (4) ongoing internal quality assessment procedures. Within lower quality settings we found (1) difficulties retaining effective staff and (2) a primary focus on basic services and managing crises, but less attention to emotional support, exacerbated by (3) funding and other challenges emerging from the larger environment. The present study extends the literature on organizations for RHY by identifying characteristics of higher quality settings, and challenges that remain. [ABSTRACT FROM AUTHOR]

Many runaway youth experience an overabundance of negative life events before, during, and after running away from caregivers. In order to better understand, prevent, and treat adolescent runaways based upon the unique experiences they endure, researchers have created typologies of runaway youth. Building on previous research, this study developed a statistical typology of runaway youth offenders using a sample of 29,204 runaway youth referred to the Florida Department of Juvenile Justice. Based upon key predictors and features of adolescent runaways including abuse, trauma, antisocial peers, delinquency, mental illness, school problems, and more, a series of latent class analysis models indicate that five sub-types of runaways exist within three larger behavioral/feature domains. These results suggest that runaways are a heterogeneous group with highly unique experiences and risk factors that occur before and after the runaway experience. In addition, grouping of runaways based solely upon motivation, individual characteristics, victimization, or offending is too narrow of a perspective. [ABSTRACT FROM AUTHOR]

This article examines the feasibility of a complex intervention designed to facilitate the transition of youth out of homelessness. It is intended to contribute to efforts to build out the youth homelessness intervention literature, which is underdeveloped relative to descriptive characterizations of risk. The 6-month intervention examined here, referred to as the Housing Outreach Program-Collaboration (HOP-C), is comprised of transitional outreach-based case management, individual and group mental health supports, and peer support. The intervention was delivered through a multiagency, interdisciplinary collaboration. Feasibility was assessed using a mixed methods design that included prepost intervention metrics and the study site was a large Canadian urban center. A total of 31 youth participated in the study with 28 completing the intervention. Overall, implementation and youth engagement was successful though patterns and intensity of engagement were quite variable. While prepost, self-report metrics improved modestly, substantial gains were observed in employment, education, and mental health service connectedness. Qualitative themes focused on the benefits of a flexible, multicomponent approach, close attention to seamless delivery and common factors, and supporting youth in the balance of isolation versus independence. These findings suggested that this tertiary prevention approach is feasible and warrants further investigation. (PsycINFO Database Record (c) 2019 APA, all rights reserved). [ABSTRACT FROM AUTHOR]

Abstract Physical safety is a primary concern among homeless youth because they struggle to secure basic necessities and a permanent place to live. Despite this, studies have not fully examined the numerous linkages that might explain risk for victimization within the context of material insecurity. In this study, we examine multiple levels of both proximal and distal risk factors at the individual (e.g. mental health), family (e.g. child abuse), and environmental levels (e.g. finding necessities) and their associations with physical and sexual street victimization among 150 Midwestern homeless youth. Results from path analyses show that child physical abuse is positively associated with anxiety, depressive symptoms, locating necessities, and street physical victimization. Having difficulties finding basic necessities is positively correlated with street physical victimization. Experiencing child sexual abuse is positively associated with street sexual victimization. Additionally, sleeping at certain locations (e.g. violence shelter, in a car) is associated with less sexual street victimization compared to temporarily staying with a family member. These findings have implications for service providers working to improve the safety and well-being of homeless youth. Highlights • We examine risk factors for homeless youths' sexual and physical victimization. • Child physical abuse is associated with mental health and street physical victimization. • Youths' ability to locate basic necessities is linked to their sleeping arrangements. • Having trouble finding necessities is associated with physical victimization. • Certain sleeping arrangements (e.g., violence shelter, in a car) lower risk for sexual victimization. [ABSTRACT FROM AUTHOR]

Objective: Homeless youth are a population in need of housing assistance and case management, as well as services to address behavioral health problems. This study examines youth's perceived need for and receipt of services through drop-in centers.Data Source: Surveys of 273 homeless youth.Study Design: Cross-sectional.Extraction Methods: Descriptive analyses with bivariate and multivariable regression models.Principal Findings: About one-third to half of the sample met criteria for behavioral health problems, yet half or less of those meeting criteria reported a need for services targeting the problems. Most youth who perceived a need for services received relevant services through a drop-in center, with the exception of care for substance use problems. Youth with behavioral health problems were more likely to perceive a need for services related to housing and case management than those addressing behavioral health problems more directly. Multivariable regression analyses indicated that the factors most strongly associated with perceived need for services were not behavioral health problems, but rather race/ethnicity, traveler status, trouble meeting basic needs, delinquency, abuse/victimization experiences, and trading sex.Conclusions: Findings can help to develop outreach and intervention efforts to reach homeless youth and help promote the use of behavioral health services. [ABSTRACT FROM AUTHOR]

Abstract Youth absconding from out-of-home care is a prevalent and concerning issue that faces residential care facilities, creating a myriad of negative consequences for the young person, those around them (family and friends) and society. There are a range of explanations within the literature as to why youth abscond from care, which can be grouped into individual, relational and contextual factors. This research explored the risk and protective factors for absconding behavior through two studies. The quantitative study examined the risk factors for absconding through a retrospective file audit of New Zealand young people who had resided in out-of-home care (N = 241). Regression analyses revealed that there was a significant relationship between absconding and gender (females are at higher risk), a higher number of admissions to care, and suicidal ideation. The qualitative study involved interviewing 40 young people from out-of-home care, including both absconders and non-absconders. Results indicated that absconding was motivated primarily by relationships―absconders left in order to stay connected with significant others outside, or to avoid difficult relationships with staff or peers within the residence. Boredom motivated absconding, as did feeling that their freedom or autonomy was stifled in care, with no-smoking rules influencing the many young smokers to leave. Care system factors, especially lack of information about their placements and care, frustrated young people and motivated absconding. This mix of individual, relational and contextual factors contributes to understanding why youth abscond and what might work to ultimately prevent and reduce rates of absconding. Highlights • Females are significantly more likely than males to abscond. • Youth with more previous admissions to out-of-home care are more likely to abscond. • The wish to maintain relationships and significant connections motivates absconding. • Youth experience residential care as constrictive and boring. • Frustration at the care system leads youth to abscond. [ABSTRACT FROM AUTHOR]

Objectives: Childhood trauma is common among street-involved youth and is associated with injection drug use. Illicit 3,4-Methylenedioxymethamphetamine (MDMA) use is also common among street-involved youth, and data suggest this substance has clinical utility in management of post-traumatic stress disorder (PTSD) and associated harms. Despite this, little is known about co-occurring patterns of MDMA use and injection drug use.Methods: Data were derived from a prospective cohort of street-involved youth using illicit drugs in Vancouver, Canada. Using multivariable generalized estimating equation logistic regression, we examined the association between MDMA use and the use of injection drugs, adjusting for confounders such as polysubstance use and sociodemographic factors.Results: 4941 surveys from 1208 participants between September 2005 and May 2015 were included. Of these, 829 (68.6%) were male, 815 (67.5%) reported white ethnicity, and median age was 21.7 years. Overall, 599 (49.6%) participants reported MDMA use, 544 (45.0%) reported injection drug use, and 244 (20.2%) reported concurrent MDMA and injection drug use at least once during the study period. In multivariable analyses, regular MDMA use was significantly negatively associated with injection drug use (Adjusted Odds Ratio [AOR] = 0.57, 95% CI: 0.46-0.69).Discussion: After accounting for socio-demographic factors and polysubstance use, periods of reported regular MDMA use were negatively associated with reported injection drug use among this cohort. These findings suggest that, unlike the use of most other non-injection drugs, illicit MDMA use does not appear to promote injection drug use but rather is associated with a reduced likelihood of injection drug use. [ABSTRACT FROM AUTHOR]

The link between youth homelessness and mental health functioning was examined using state population-representative 2015 Youth Risk Behavior Survey (YRBS) data. The moderating role of victimization and perceived teacher support also was examined. Consistent with hypotheses, results indicated that homelessness was associated with greater mental health challenges, more victimization, and less teacher support. The association between homelessness and mental health was not moderated by perceived teacher support. However, victimization experiences served as a moderator such that more victimization exacerbated the effect of homelessness on mental health challenges. This study supports the utility of the YRBS for gaining understanding of the experiences and needs of youth experiencing homelessness and adds to the growing literature on predictors of individual differences in mental health functioning of these vulnerable youth. [ABSTRACT FROM AUTHOR]

The effects of a resilience enhancement programme on resilience, depression, anxiety, and problem drinking among female runaway youths living in shelters were evaluated. Participants were 32 youths (16 experimental and 16 control participants), assessed at pre-test, post-test, and one-month follow-up. The programme incorporated five protective factors associated with resilience: self-esteem, self-regulation, relational skills, problem-solving skills, and goal-setting skills. There were significant group-by-time interaction effects for resilience, anxiety, and problem drinking at one-month follow-up. The preliminary results suggest that providing female runaway youths with this programme focusing on protective factors may enhance resilience and mitigate anxiety, and problem drinking. [ABSTRACT FROM AUTHOR]

Abstract: Purpose: In this review we examined previous studies of psychological interventions for runaway and homeless youth and evaluated the effectiveness of these interventions in terms of mental health outcomes. Design: Literature review. Methods: A search of various databases, including PubMed, EMBASE, Cochrane Library, PsycINFO, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL), was conducted. In this review we systematically described the characteristics of the included studies and interventions, and conducted a narrative synthesis and meta‐analyses of the mental health outcomes of the interventions. Findings: Five types of psychological interventions were identified in the included 11 studies: art therapy, cognitive behavioral therapy (CBT)‐based interventions, family therapy, motivational interviewing, and strengths‐based interventions. The narrative synthesis found positive effects of family therapy on substance use and positive effects of CBT‐based interventions on depression. However, according to the meta‐analyses, none of the interventions had any significant effects. Conclusions: Family therapies are likely to be effective in cases of substance use, and CBT‐based interventions are likely to be effective in dealing with cases of depression. However, as the quantitative synthesis did not support the effects of any of the psychological interventions on mental health outcomes, further research is needed. Clinical Relevance: Nurse‐led interventions were identified in two studies. Mental health nurses should assess the mental health status of runaway and homeless youth and provide timely and effective interventions. [ABSTRACT FROM AUTHOR]

A literary criticism of the Spanish 2013 debut novel "Intemperie," by Jesús Carrasco, is presented. It considers the work as part of the picaresque tradition in Spanish literature. An overview of the book's plot, which follow the travels of a child runaway is presented. Topics include hyperrealism, its portrayal of violence and terror, and society's sanctioning of violence and evil.

Numerous homeless youth experience trauma prior to leaving home and while on the street. Bullying and trading sex (i.e. exchanging sexual favors for survival items such as food) are additional forms of trauma experienced by many homeless youth. Although lesbian, gay, and bisexual (LGB) homeless youth experience higher rates of child abuse compared to their heterosexual counterparts, there is a paucity of research comparing these two groups. As such, we compare whether difficulties finding items of necessity (e.g. food) and different forms of trauma including child sexual abuse, being bullied, trading sex, and street sexual victimization significantly differ for LGB and heterosexual homeless youth. Bivariate results reveal that LGB youth have more trouble finding shelter and are more likely to trade sex compared to heterosexual youth. Logistic regression results show that trading sex is correlated with street sexual victimization. In the second model, we find that being female, experiencing more child sexual abuse, and ever having traded sex are all positively linked with street sexual victimization. LGB youth are over-represented among homeless youth populations and are also more likely to trade sex; therefore, these young people need services that are widely accessible and specific to their needs. [ABSTRACT FROM AUTHOR]

An introduction is presented highlighting articles within the issue about empirical examinations of the intersection between sexuality and trauma.

Youth aging out of the child welfare system report high rates of unstable housing and homelessness which has been associated with problems including employment, education, health and mental health. This study used ethnographic data to examine a program providing subsidized apartments to youth aging out. The study sought to understand youths' and service providers' perceptions and experiences about the program. Receiving services and stable housing did not eliminate youths' struggles with employment, education, and mental health. Setbacks in even one domain often undermined their ability to maintain housing. Youths' stability and well-being were compromised by structural barriers such as housing quality, location of apartments, and access to transportation. Service providers face complex challenges while assisting youth aging out. [ABSTRACT FROM AUTHOR]

Housing-led interventions have become recognized as a best practice for addressing homelessness among adults, yet whether and how they apply to transition-age youth (TAY) is less clear. The purpose of the present study is to expand on a burgeoning literature that has provided marginalized TAY an opportunity to voice their perspectives on housing-led program design. The goal of the study it to build on the existing literature that has predominantly used individual qualitative interviewing by using a focus group methodology in which group interaction can generate data and insights that may not emerge in individual interviews. Focus groups (n = 4) were conducted with 18 youth. Thematic analysis of focus group transcripts was conducted using independent and co-coding procedures. Three overarching and interrelated themes emerged from the focus groups: (a) personal responsibility and deservedness, (b) rising and falling together, and (c) needing individualized support. These findings suggest that TAY preferences for housing and services are not necessarily consistent with the homeless adult population and that youth may be looking for a more supportive housing environment. [ABSTRACT FROM AUTHOR]

Criminal offenders often turn to social networks to gain access to firearms, yet we know little about how networks facilitate access to firearms. This study conducts a network analysis of a co-offending network for the City of Chicago to determine how close any offender may be to a firearm. We use arrest data to recreate the co-offending network of all individuals who were arrested with at least one other person over an eight-year period. We then use data on guns recovered by the police to measure potential network pathways of any individual to known firearms. We test the hypothesis that gangs facilitate access to firearms and the extent to which such access relates to gunshot injury among gang members. Findings reveal that gang membership reduces the potential network distance (how close someone is) to known firearms by 20% or more, and regression results indicate that the closer gang members are to guns, the greater their risk of gunshot victimization. [ABSTRACT FROM AUTHOR]

Youth running away from foster care placements is a serious problem that can significantly impact health and well-being. Given the severity of the problem, it is important to identify reasons youth run away because this information could help to identify effective intervention strategies. This paper describes results from focus groups conducted with child welfare providers, educational personnel, and youth with histories of running away from foster care placements. The qualitative analysis revealed that youth's motivation for running, or the function of running away, fell into two general categories: running “to” something (friends, activities, etc.) or running “away” from something (aversive placements, etc.). Suggestions are provided for how understanding the reason for running away could help in determining successful prevention and intervention strategies that result in stable placements. [ABSTRACT FROM AUTHOR]

Adolescents who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ) are overrepresented among runaway and homeless youth (RHY) and experience increased rates of sexual victimization, mental health issues, and substance use in comparison to their heterosexual and cisgender peers. Additionally, some sexual minority homeless youth experience discrimination in RHY programs, indicating the importance of services tailored to their specific needs. However, we know very little about the availability of these services, particularly in transitional living programs (TLPs). This exploratory study examines the services offered by the Family and Youth Services Bureau-funded TLPs in the United States—including LGBTQ-specific services—and examines the differences between programs that offer these specific services and those that do not. Participants ( N = 124 programs) completed a survey by phone or email about their program characteristics and services; we supplemented the survey with an analysis of content on programs' websites and Facebook pages, including program descriptions, service availability, and LGBTQ-related content. Fewer than half (43.5%) of the participants reported offering LGBTQ-specific services; information regarding these services was minimally present on the agency's websites (20.2%) or Facebook pages (5.3%). These programs were more likely to be located on the West Coast or in the Northeast region, and more likely to offer counseling, support groups, and recreation or youth development activities. Our findings add to the limited body of knowledge regarding service provision in TLPs, and indicate high unmet need among this vulnerable population. We conclude with implications for social work research, policy and practice. [ABSTRACT FROM AUTHOR]

Background and Objectives: Alcohol is a major contributor to premature disability and death among youth, often due to physical trauma, violence, and suicide. The purpose of this study was to longitudinally examine the association between hazardous alcohol use and experiences of violence among a cohort of street-involved youth.Methods: Data were derived from the At-Risk Youth Study (ARYS), a prospective cohort of street-involved youth who use illicit substances in Vancouver, Canada. The outcome of interest was hazardous alcohol use defined by the US National Institute on Alcohol Abuse and Alcoholism as >14 drinks/week or >5 drinks on one occasion for men, and >7 drinks/week or >4 drinks on one occasion for women. We used Generalized Estimating Equations (GEE) analyses to examine factors independently associated with hazardous alcohol use.Results: Between 2005 and 2014, 1,149 drug-using youth were recruited and 423 (36.8%) reported hazardous alcohol use in the previous 6 months at study baseline. In multivariable GEE analyses, intimate partner violence (Adjusted Odds Ratio [AOR] = 1.53, 95% Confidence Interval [95%CI] = 1.12-2.10), and non-partner physical assault (AOR = 1.39, 95%CI = 1.21-1.59) were independently associated with hazardous alcohol use after adjusting for multiple potential confounders.Discussion and Conclusions: A considerable proportion of youth in this setting reported hazardous alcohol use, which was independently associated with experiencing recent intimate and non-partner violence.Scientific Significance: Combined interventions for violence and hazardous alcohol use should be integrated into service provision programs for street-involved youth. (Am J Addict 2017;26:852-858). [ABSTRACT FROM AUTHOR]

Cognitive impairments are common in homeless youth and negatively impact academic and vocational outcomes. We examined the feasibility and efficacy of cognitive interventions provided to 18- to 22-year-old homeless youth living in urban supportive housing. Ninety-one homeless youth were randomized to receive either targeted cognitive training (cognitive remediation) or general cognitive activation (computer skills training). Cognitive and psychological outcomes were assessed at baseline, after 13 and 26 sessions, and 1 month postintervention. A high dropout rate highlighted the feasibility challenges of treating this population. Intent-to-treat analysis found significant improvements across groups in specific and global measures of cognition and psychological distress, with no significant group differences. Transition-age homeless youth show improvements in cognitive and psychological functioning when engaged in interventions that address their cognitive development. This speaks to the malleability of cognitive skills in this cohort and lays the groundwork for future research to address their cognitive health. [ABSTRACT FROM AUTHOR]

Young people in statutory care and protection interact with social workers, who hold potential to provide a supportive adult role in their lives. Many however, run away at an early age and end up on the street trading sex for money or other favours. There is potential to improve outcomes for young people in care if the relationship between young people and their social workers is better addressed. This paper uses data from a qualitative study of 14 young people who traded sex and who had experienced interactions with social workers. A thematic analysis identified three themes: the rigidity of social work practice; contesting the family situation; and resisting the at-risk label. We argue that to have any impact on outcomes for young people in care, social workers need to prioritise relationship-building above the need to conform to organizational protocols and guidelines. Such guidelines assist the social worker in assessing whether family situations pose high risk for a young person, but the 'at-risk' label is contested by young people, which results in a lack of trust and a barrier to relationship building. [ABSTRACT FROM AUTHOR]

Organizations for runaway and homeless youth (RHY) provide essential services to highly vulnerable youth who have a wide variety of basic needs and complex psychosocial challenges. We present a mixed-methods case study of an RHY organization to identify the specific mechanisms and processes by the organization successfully promotes engagement and positive development of the youth they serve. We analyzed qualitative and quantitative data separately and then integrated these two strands of data. Our findings indicate a consistent convergence of responses across the data sources, in both the qualitative and quantitative strands, that consistently reflect the organization's youth-centered approach. Primary among these policies and practices is the emphasis on building and maintaining empathetic relationships with youth, the promotion of youths' autonomy, and an institutional culture of continuous evaluation of how the organization is meeting their mission to provide services that reflect best practices. [ABSTRACT FROM AUTHOR]

Perceived devaluation has been shown to have adverse effects on the mental and physical health outcomes of people who use drugs. However, the impact of perceived devaluation on sexually transmitted infections (STI) testing uptake among street-involved youth, who face multiple and intersecting stigmas due to their association with drug use and risky sexual practices, has not been fully characterized. Data were obtained between December 2013 and November 2014 from a cohort of street-involved youth who use illicit drugs aged 14-26 in Vancouver, British Columbia. Multivariable generalized estimating equations were constructed to assess the independent relationship between perceived devaluation and STI testing uptake. Among 300 street-involved youth, 87.0% reported a high perceived devaluation score at baseline. In the multivariable analysis, high perceived devaluation was negatively associated with STI testing uptake after adjustment for potential confounders (Adjusted Odds Ratio = 0.38, 95% Confidence Interval 0.15-0.98). Perceived devaluation was high among street-involved youth in our sample and appears to have adverse effects on STI testing uptake. HIV prevention and care programs should be examined and improved to better meet the special needs of street-involved youth in non-stigmatizing ways. [ABSTRACT FROM AUTHOR]

Aim: More than 26 000 Australians aged 12-24 years experience homelessness, yet data on the health status of homeless youth remain limited. The aim of this study was to describe the health of young people attending a youth health service in Western Sydney who were experiencing homelessness.Methods: Retrospective case note review for clients aged 12-25 years attending Youth Health Services in Western Sydney. Extracted data included: homelessness status; demographics; physical health issues; mental health issues; involvement with juvenile justice; and disengagement from education or employment.Results: Just under half of the 180 clients attending a Youth Health Service in Western Sydney were homeless, and an additional 15 young people who were not currently homeless nominated homelessness as a presenting issue. In comparison with currently domiciled young people, homeless youth were less likely to have a regular general practitioner and more likely to nominate a physical health concern as a presenting issue, although there was no difference between groups in terms of diagnosed mental or physical health conditions. Considered as a whole, the sample showed high rates of acute physical symptoms, physical trauma, psychological distress and self-harm.Conclusions: Youth homelessness is associated with risk of both poor physical and mental health. As much of youth homelessness is hidden, health-care providers need to ensure that they inquire about homelessness status, and have an awareness of potentially complex multi-morbidities in the physical and mental health of young marginalised people presenting to health services. [ABSTRACT FROM AUTHOR]

The aim of this mixed-method study was to explore the trajectories of leaving home, and views and experiences among children and youth in the Kagera region in Tanzania, who have lived on the streets or been domestic workers. The main results showed that orphanhood and mistreatment were the main reasons for leaving home: few children lived with their parents before they left, and leaving home was a complex process over several years where three trajectories were identified. The children who had left home showed strong agency and competency but lived in vulnerable conditions, especially young children living on the streets. [ABSTRACT FROM AUTHOR]