Research focused on the impact of community-based services and treatment interventions designed to intervene in the lives of runaway and homeless youth has increased in the last two decades in the U.S. and internationally. In light of the tremendous need for identifying effective strategies to end homelessness and its associated problems among youth, this paper summarizes and critiques the findings of the extant literature including U.S., international, and qualitative studies. Thirty-two papers met criteria for inclusion in the review. Among the conclusions are that comprehensive interventions which target the varied and interconnected needs of these youth and families may be worthy of more study than studies that isolate the intervention focus on one problem. Also, more research incorporating design strategies that increase the reliability and validity of study findings is needed. Other preliminary conclusions and future directions are offered. Keywordsrunaway and homeless youth; interventions; service evaluation; review The first controlled evaluation of an intervention for runaway/homeless youth was conducted in 1991 and focused on HIV prevention among shelter residing adolescents (Rotheram-Borus, Koopman, Haignere, & Davies, 1991). In the 18 years since that trial, other investigators have sought to identify methods to improve the lives of runaway and homeless youth and their families. Thus, treatment development and evaluation efforts for this population are relatively recent. Early studies focused on understanding the population, their struggles, needs, experiences and etiology of homelessness. These important studies provided the requisite groundwork to develop and target intervention efforts. The primary goal of this paper is to review and summarize the findings of community-based service and intervention efforts directed towards runaway and homeless youth. A summary of the impact of such efforts is provided as well as recommendations for future research. First, current conceptualizations of runaway and homeless youth are offered.Address correspondence to Natasha Slesnick, Associate Professor, Human Development and Family Science, The Ohio State University, 1787 Neil Ave, 135 Campbell Hall, Columbus, OH 43081, phone (614) FAX (614) .edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Author ManuscriptChild Youth Serv Rev. Author manuscript; available in PMC 2010 July 1. Published in final edited form as:Child Youth Serv Rev. Current ConceptualizationsIt is difficult to know how many runaway and homeless youth exist -with various ...
Research efforts to reduce Human Immunodeficiency Virus (HIV) risk behavior among street living youth have shown disappointing outcomes, with few studies reporting reduced risk behaviors. The current study tested the impact of an integrated HIV prevention intervention, and predictors of change, for youth (N=270) between the ages of 14 to 20 years receiving substance use treatment through a drop-in center. Condom use, HIV knowledge, number of sexual partners and behaviors associated with an overall HIV risk index were assessed at baseline, 3, 6 and 12 months post-baseline. Findings suggest that HIV prevention integrated with substance use treatment is associated with increased condom use and reduced sex partners. However, the effects on condom use were short lived and dissipated by 12 months post-baseline. Higher treatment attendance and baseline substance use predicted increased condom use. Although no significant change was observed in the overall HIV risk index, increases in depressive symptoms were associated with increases in the index score, as well as more sexual partners. Future research should determine whether successful intervention requires reinforcement of risk reduction behaviors while youth remain homeless.
Runaway adolescents engage in high rates of substance use and report significant family and individual problems. However, in general, adolescents report low motivation to change their substance use. Because a higher level of motivation for changing substance use is associated with greater substance abuse treatment success, identifying variables associated with motivation for change can be useful for enhancing treatment success. In this study, predictors of motivation for changing substance use were examined among 140 shelter-recruited adolescents and their parents/ primary caretakers. Several findings were noteworthy. A perceived negative family environment increased parents' and adolescents' depressive symptoms, which increased adolescent's motivation to change. Also, greater severity of adolescent substance use predicted higher motivation to change. Consideration of the family environment and parent problems when addressing motivation for changing substance use among these adolescents might be important foci for motivational interventions and future research.
The purpose of this study was to examine protective factors as predictors of suicide risk among graduate students (n = 413) at a large midwestern university. Using binary logistic regression, the authors assigned students to risk classifications (i.e., nonrisk group or suicide risk group). Results indicated emotional stability as the strongest predictor for participants’ placement into the nonrisk or suicide risk group. The authors discuss implications for counselors and directors of college counseling centers, as well as directions for future research.
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