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There have always been homeless people in the United States, but their plight has only recently stirred widespread public reaction and concern. Part of this new recognition stems from the problem's prevalence: the number of homeless individuals, while hard to pin down exactly, is rising. In light of this, Congress asked the Institute of Medicine to find out whether existing health care programs were ignoring the homeless or delivering care to them inefficiently. This book is the report prepared by a committee of experts who examined these problems through visits to city slums and impoverished rural areas, and through an analysis of papers written by leading scholars in the field.
Adolescent homelessness is a growing problem that results in a variety of health challenges. This text is a practical resource designed to promote effective interdisciplinary health and social care interventions targeting adolescents who are homeless or at risk for homelessness. It is based on extensive interdisciplinary experience, reviews of pertinent research and insights and contributions of leading professionals who are directly involved in the care of these young people. Divided into four main sections, Section 1: (Chapters 1-7) section one is a review of the structure and professional involvement of program models targeting youth experiencing or at risk for homelessness to encourage broader understanding and utilization of principles and practices underlying effective programs and identify replicable components. Section 2: (Chapters 8-16) Section two is clinically focused with recommendations for working with adolescents and youth experiencing homelessness and interventions for common and significant medical and mental health conditions, and substance use disorders. Section 3: (Chapter 17) Reviews international agreements regarding stabilization and care of refugee youth and families, description of experiences of refugee children and youth in developed countries, and an outline of conditions from which refugee youth and families have left. Section 4: (Chapters 18 and 19) Engagement of homeless youth in research and future research directions to address needs of youth experiencing homelessness. Written by experts from a variety of disciplines, Clinical Care for Homeless, Runaway and Refugee Youth is a first of its kind text for physicians, social workers, public health workers and any other individual that works directly with these vulnerable populations.
This straightforward reference surveys the knowledge base on homeless, runaway, and thrown-away children and adolescents and makes concrete recommendations for policy and practice. It is a comprehensive volume, that covers new state legislation in the U.S. dealing with runaway and homeless youth. The book’s ecological approach grounds readers in the demographics of this diverse population, family and other risk factors for leaving home (and alternative arrangements such as foster care), and the survival skills homeless young people use to sustain themselves. Chapters cover a gamut of physical, psychological, and social problems, from drug abuse to depression to STIs, with special attention paid to the multiple difficulties faced by LGBT street youth and street youths’ experiences with the legal and justice systems. The author also assesses established and emerging interventions used with runaway youth, and the effectiveness of policy initiatives dealing with improving conditions for youth on the streets and at risk. Included in the coverage: · Runaway youth at the time of their disappearance. · Food insecurity and related problems among homeless and runaway youth. · Substance use among homeless and runaway adolescents. · Runaway and homeless sexual minorities. · Court responses to runaway offenses and other juvenile status violations. · Street youth in different countries. Presenting the complex situation as it stands, and with clear suggestions for action, Runaway and Homeless Youth is a valuable resource for family therapists, sociologists, social workers, school administrators, health professionals, police, judges, and other criminal justice professional, along with professionals involved in young people’s well-being and policy-making initiatives.
Who are the homeless children in America and what do we know about them? How does their being homeless affect them and society in general? What′s being done to help them? What About America′s Homeless Children? takes a multifaceted look at the growing, disturbing problem of children (including infants) in homeless families and abandoned and runaway children in America. The author examines the social factors that create homeless situations of children and personal and educational problems that can result from it. The health risks to this population, including unsanitary living conditions, poor nutrition, physical assault, and lack of access to health care are also explored. Author Paul G. Shane brings the problems and effects of homelessness to a personal level by presenting ethnographic case studies of individual children in urban shelters, families in a shelter program, and people who "survived" a homeless youth experience. The history of programs, both governmental and nongovernmental, and government policies for homeless youth are also examined. The book concludes with recommendations for policies and programs that can prevent homelessness for children. Human service professionals and policymakers who deal with children and families as well as those in the fields of public health, policy studies, and clinical and counseling psychology will find this book a stimulating summary of research findings and implications about this vulnerable population.
Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.
The stories of four among hundreds of runaway youths treated in Slesnick's program illustrate points in this volume, which offers a summary of the information known about runaway and homeless children and teenagers. In addition to describing the breadth of this problem, this book explains different types of runaway and homeless youths, and why they leave home by choice or are asked to leave. Slesnick also explains some of the factors common to these children and their families, as well as what happens to the youths when they leave home. Direction and support are provided for parents from this clinical psychologist, who notes that there are few resources and programs across the nation designed specifically to help families with runaway youths. Told by a parent and three runaways themselves, the stories of four people trying to understand the causes and cope with the afte- effects of running away serve to illustrate research results and issues presented here. This work will be of interest not only to parents of runaways and to mental health professionals, but also to students of adolescent psychology, family psychology, and clinical child psychology.
This document presents the Queer Students of Architecture, Planning, and Preservation's (QSAPP) research into housing for LGBTQ youth experiencing homelessness in New York City. Based at Columbia GSAPP, QSAPP's interdisciplinary project looks at this issue from the various disciplines of the built environment represented at the school: architecture, real estate, planning, and preservation. The book draws on a range of sources--including data from government and social service organizations, operating models of existing organizations in New York, and interviews with service providers and experts in the field--and perspectives in sociology, public health, and advocacy. Funding is often cited as one of the biggest barriers to solving this housing crisis, but an analysis of funding models and strategies does not currently exist. In addition, housing is a design problem but there are no published reports that analyze LGBTQ youth housing from a spatial perspective. QSAPP hopes that by visualizing this issue and highlighting ways in which these shelters fit into specific planning and real estate systems in the city, we can further shed light on the specific needs of LGBTQ youth and help advise on ways forward with these concerns in mind.
When untreated mental illness reaches a crisis point, it becomes more expensive to treat (Taylor, Stuttaford, and Vostanis, 2006). For youth experiencing homelessness, various factors influence their decisions to wait until a crisis to reach out to emergency services. Within the literature, barriers and facilitators were bracketed into personal, social, and structural factors. These factors ranged from financial concerns, communication with health care providers and between health care service locations, stigmatization, lack of awareness, and administrative requirements. While further research is required, evidence from the literature shows promise in developing and altering interventions and communication to meet homeless youth's mental health and substance abuse needs.