Screening homeless youth for histories of abuse: Prevalence, enduring effects, and interest in treatment

Keeshin, Brooks; Campbell, Kristine A.

doi:10.1016/j.chiabu.2011.01.015

Cited by 67 publications

(46 citation statements)

References 30 publications

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“…Consistent with previous research with homeless youth (e.g., Cameron, Racine, Offord & Cairney, 2004;Coates & McKenzie-Mohr, 2010;Dadds, Braddock, Cuers, Elliott & Kelly, 1993;Edidin, Ganim, Hunter & Karnik, 2012;Hyde, 2005;Keeshin & Campbell, 2011;Votta & Manion, 2004), our results demonstrated that the participants were experiencing a range of difficulties, including mental health problems (i.e., disruptive behavior, depression, anxiety), low selfesteem, high rates of engagement in delinquent activities (e.g., theft, disorderly conduct, assault), substance use, histories of trauma, poor family relationships, and poor academic achievement. Although rates of maltreatment in the present study were slightly lower than in some previous reports, this may be due to inclusion of youth who were not presently living on the street or in a shelter.…”

Section: Discussionsupporting

confidence: 78%

“…In addition, consistent with the literature on youth homelessness (e.g., Cameron, Racine, Offord & Cairney, 2004;Coates & McKenzie-Mohr, 2010;Keeshin & Campbell, 2011), individuals were considered to be vulnerable to homelessness if they: had previously been homeless (based on the previously mentioned guidelines); had a history of running away from home; had a history of abuse; or were involved in serious criminal activity.…”

Section: Participantsmentioning

confidence: 86%

“…Intervention approaches must consider that the concerns that were present prior to the youth becoming homeless (e.g., psychological problems, poor family relationships, and substance use) are typically exacerbated by homelessness (Martijn & Sharpe, 2006). In addition, homeless youth experience high rates of trauma or revictimization when living on the streets (Coates & McKenzie-Mohr, 2010), and many youth experience long-term negative effects of trauma (Coates & McKenzie-Mohr, 2010;Keeshin & Campbell, 2011;Thompson, 2005). Rates of risky sexual behaviors are also very high in this population (Tyler, Akinyemi & Kort-Butler, 2012), and poor general and sexual health often results from these risky behaviors, substance use, and poor living conditions (Edidin, Ganim, Hunter & Karnik, 2012).…”

Section: Interventions With Homeless or Vulnerable Youthmentioning

confidence: 98%

“…Youth who are homeless are at risk for substance dependence, victimization in multiple forms, and internalizing and externalizing problems (Coates & McKenzie-Mohr, 2010;Dadds, Braddock, Cuers, Elliott & Kelly, 1993;Edidin, Ganim, Hunter & Karnik, 2012;Keeshin & Campbell, 2011;Martijn & Sharpe, 2006). Furthermore, homelessness is associated with poor academic achievement, poor physical health (e.g., sexually transmitted infections), and involvement in the criminal justice system (Cameron, Racine, Offord & Cairney, 2004;Edidin, Ganim, Hunter & Karnik, 2012).…”

Section: Introductionmentioning

confidence: 95%

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Psychosocial characteristics and service needs of Canadian suburban male youth at risk for homelessness

Wershler

Ronis

2015

Children and Youth Services Review

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Section: Discussionsupporting

confidence: 78%

Section: Participantsmentioning

confidence: 86%

Section: Interventions With Homeless or Vulnerable Youthmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 95%

See 2 more Smart Citations

Psychosocial characteristics and service needs of Canadian suburban male youth at risk for homelessness

Wershler

Ronis

2015

Children and Youth Services Review

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“…Although these intervention models have yet to be tested specifically for orphaned youth, it is not expected that they would differentially be implemented or succeed for orphaned versus nonorphaned youth with past experiences of abuse. As findings from a survey of homeless youth with histories of childhood abuse reported that most youth were still affected by their childhood abuse, and more than half were interested in treatment (Keeshin & Campbell, 2011), it is likely that orphaned technical school students with past histories of abuse would participate in treatment opportunities. Incorporating such interventions into the care and services offered by technical schools would likely promote mental health, personal wellbeing, and future productivity of participating students.…”

Section: Discussionmentioning

confidence: 99%

Orphaned and abused youth are vulnerable to pregnancy and suicide risk

Zapata

Kissin

Боголюбова

et al. 2013

Child Abuse & Neglect

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Objective-Little is known about the magnitude and consequences of violence against children for those living outside family care. We sought to estimate the frequency of childhood abuse and examine its association with lifetime pregnancy involvement (LPI) and past year suicide ideation among orphaned youth.Methods-We analyzed data collected via cross-sectional interviewer-administered surveys completed by 293 orphaned youth aged 16-23 years living outside of family care in St. Petersburg, Russia. We used multivariable logistic regression to estimate adjusted odds ratios (AORs) of LPI and past year suicide ideation associated with childhood physical and sexual abuse. Other risk factors were also examined (e.g., social vulnerability, sexual and substance use behaviors), and characteristics of orphaned youth with LPI and past year suicide ideation were described.Results-The prevalence of childhood abuse was higher among females than among males (23.3% versus 15.6% for physical abuse, and 20.3% versus 5.6% for sexual abuse), as was the prevalence of LPI and past year suicide ideation among those with histories of abuse. Experiences of childhood abuse were strong risk factors for both LPI and past year suicide ideation, with significant variation by gender. While both types of abuse were significantly associated with LPI and past year suicide ideation among females, physical abuse was significantly associated with LPI and sexual abuse was associated with suicide ideation for males. Of the other characteristics examined, strong modifiable risk factors included having no one to turn to for help and no involvement in activities outside of class. Among those with LPI (n = 36), nearly 20% had been pregnant or gotten someone pregnant ≥2 times, most (61.8%) reported at least one induced Conclusions-There is an urgent need for interventions to prevent and mitigate the negative influence of childhood abuse experiences. Programs providing services to orphaned youth should increase access to sexual education, effective contraceptives, and mental health counseling. HHS Public Access

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Health consequences of adverse childhood experiences: A systematic review

Kalmakis

Chandler

2015

Journal of the American Association of Nurse Practitioners

510

321

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Purpose Adverse childhood experiences (ACEs) have been associated with negative health outcomes, but the evidence has had limited application in primary care practice. The purpose of this study was to systematically review the research on associations between ACEs and adult health outcomes to inform nurse practitioners (NPs) in primary care practice. Data sources The databases PubMed, CINAHL, PsycINFO, and Social Abstracts were searched for articles published in English between 2008 and 2013 using the search term “adverse childhood experiences.” Forty‐two research articles were included in the synthesis. The evidence was synthesized and is reported following the preferred reporting items for systematic reviews and meta‐analysis procedure (PRISMA). Conclusions ACEs have been associated with health consequences including physical and psychological conditions, risk behaviors, developmental disruption, and increased healthcare utilization. Generalization of the results is limited by a majority of studies (41/42) measuring childhood adversity using self‐report measures. Implications for practice NPs are encouraged to incorporate assessment of patients’ childhood history in routine primary care and to consider the evidence that supports a relationship between ACEs and health. Although difficult, talking about patient's childhood experiences may positively influence health outcomes.

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Screening homeless youth for histories of abuse: Prevalence, enduring effects, and interest in treatment

Cited by 67 publications

References 30 publications

Psychosocial characteristics and service needs of Canadian suburban male youth at risk for homelessness

Psychosocial characteristics and service needs of Canadian suburban male youth at risk for homelessness

Orphaned and abused youth are vulnerable to pregnancy and suicide risk

Health consequences of adverse childhood experiences: A systematic review

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