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Child Psychiatry & Human Development

, Volume 43, Issue 3, pp 354–375 | Cite as

The Mental and Physical Health of Homeless Youth: A Literature Review

  • Jennifer P. Edidin
  • Zoe Ganim
  • Scott J. Hunter
  • Niranjan S. Karnik
Review Paper

Abstract

Youth homelessness is a growing concern in the United States. Despite difficulties studying this population due to inconsistent definitions of what it means to be a youth and homeless, the current body of research indicates that abuse, family breakdown, and disruptive family relationships are common contributing factors to youth homelessness. Moreover, the experience of homelessness appears to have numerous adverse implications and to affect neurocognitive development and academics, as well as mental and physical health. Substance use, sexually transmitted infections, and psychiatric disorders are particularly prevalent in this population. Whereas some of these problems may be short-lived, the chronic stress and deprivation associated with homelessness may have long-term effects on development and functioning. Further, difficulties accessing adequate and developmentally-appropriate health care contribute to more serious health concerns. Suggestions for future research and interventions are discussed.

Keywords

Youth homelessness Mental health Substance use Sexually transmitted infections 

References

  1. 1.
    Cauce AM, Paradise M, Ginzler JA, Embry L, Morgan CJ, Lohr Y et al (2000) The characteristics and mental health of homeless adolescents: age and gender differences. J Emot Behav Disord 8:230–239CrossRefGoogle Scholar
  2. 2.
    National Alliance to End Homelessness (2006) Youth homelessness series, brief no. 1: fundamental issues to prevent and end youth homelessness. Washington, DCGoogle Scholar
  3. 3.
    Rew L, Taylor-Seehafer M, Thomas NY, Yockey RD (2001) Correlates of resilience in homeless adolescents. J Nurs Scholarsh 33:33–40PubMedCrossRefGoogle Scholar
  4. 4.
    Moore J (2005) Unaccompanied and homeless youth: review of the literature 1995–2005. Washington, National centre for homeless education. Retrieved 1 December 2007, from http://srvlive.serve.org/nche/downloads/uy_lit_review.pdf
  5. 5.
    Raleigh-DuRoff C (2004) Factors that influence adolescents to leave or stay living on the street. Child Adolesc Social Work J 21:561–572CrossRefGoogle Scholar
  6. 6.
    Greene JM, Ennett ST, Ringwalt CL (1997) Substance use among runaway and homeless youth in three national samples. Am J Public Health 87:229–235PubMedCrossRefGoogle Scholar
  7. 7.
    U.S. Department of Housing and Urban Development (2007) Homes and communities: federal definition of homelessness. Retrieved 12 November 2008, from http://www.hud.gov/homeless/definition.cfm
  8. 8.
    U.N. General Assembly and Economic and Social Council (2004) World youth report 2005. Report of the secretary general. Distributed on 6 December 2004. A/60/61 and E/2005/7Google Scholar
  9. 9.
    Christiani A, Hudson AL, Nyamathi A, Mutere M, Sweat J (2008) Attitudes of homeless and drug-using youth regarding barriers and facilitators in delivery of quality and culturally sensitive health care. J Child Adolesc Psychiatr Nurs 21:154–163PubMedCrossRefGoogle Scholar
  10. 10.
    Hyde J (2005) From home to the street: understanding young people’s transitions into homelessness. J Adolesc 28:171–183PubMedCrossRefGoogle Scholar
  11. 11.
    Van Wormer R (2003) Homeless youth seeking assistance: a research based study from Duluth, Minnesota. Child Youth Care Forum 32:89–103CrossRefGoogle Scholar
  12. 12.
    Wilder Research Centre (2007) Homeless youth in Minnesota: 2003 state wide survey of people without permanent shelter. Author, St PaulGoogle Scholar
  13. 13.
    Reeg B (2003) The Runaway and Homeless Youth Act and disconnected youth. In: Levin-Epstein J, Greenberg MH (eds) Leave no youth behind: opportunities for congress to reach disconnected youth. Center for Law and Social Policy, Washington, DCGoogle Scholar
  14. 14.
    Shelton KH, Taylor PJ, Bonner A, van den Bree M (2009) Risk factors for homelessness: evidence from a population-based study. Psychiatr Serv 60:465–472PubMedCrossRefGoogle Scholar
  15. 15.
    Ferguson KM (2009) Exploring family environment characteristics and multiple abuse experiences among homeless youth. J Interpers Violence 24:1875–1891PubMedCrossRefGoogle Scholar
  16. 16.
    Mallet S, Rosenthal D (2009) Physically violent mothers are a reason for young people’s leaving home. J Interpers Violence 24:1165–1174CrossRefGoogle Scholar
  17. 17.
    Paradise M, Cauce AM (2002) Home street home: the interpersonal dimensions of adolescent homelessness. Anal Soc Issues Public Policy 2:223–238CrossRefGoogle Scholar
  18. 18.
    Roy E, Haley N, Leclerc P, Sochanski B, Boudreau J, Bovin J (2004) Mortality on a cohort of street youth in Montreal. JAMA 292:569–574PubMedCrossRefGoogle Scholar
  19. 19.
    Mallett S, Rosenthal D, Keys D (2005) Young people, drug use and family conflict: pathways into homelessness. J Adolesc 28:185–199PubMedCrossRefGoogle Scholar
  20. 20.
    Coates J, McKenzie-Mohr S (2010) Out of the frying pan, into the fire: trauma in the lives of homeless youth prior to and during homelessness. J Sociol Soc Welf 37:65–96Google Scholar
  21. 21.
    Haber MG, Toro PA (2009) Parent-adolescent violence and later behavioral health problems among homeless and housed youth. Am J Orthopsych 79:305–318CrossRefGoogle Scholar
  22. 22.
    U.S. Department of Health and Human Services (2009). Report to congress on the runaway and homeless youth programs of the family and youth services bureau for fiscal years 2008 and 2009. Retrieved 22 August 2011, from http://www.acf.hhs.gov/programs/fysb/content/docs/508-fysb-congress-0809.pdf
  23. 23.
    Zerger S, Strehlow AJ, Gundlapalli AV (2008) Homeless young adults and behavioral health. Am Behav Sci 51:824–841CrossRefGoogle Scholar
  24. 24.
    Tyler K, Cauce AM, Whitbeck LB (2004) Family risk factors and prevalence of dissociative symptoms among homeless and runaway youth. Child Abuse Negl 28:355–366PubMedCrossRefGoogle Scholar
  25. 25.
    Slesnick N, Dashora P, Letcher A, Erdem G, Serovich J (2009) A review of services and interventions for runaway and homeless youth: moving forward. Child Youth Serv Rev 31:732–742PubMedCrossRefGoogle Scholar
  26. 26.
    Fowler PJ, Toro PA, Miles BW (2009) Pathways to and from homelessness and associated psychosocial outcomes among adolescents leaving the foster care system. Am J Public Health 99:1453–1458PubMedCrossRefGoogle Scholar
  27. 27.
    Tyler KA, Melander LA (2010) Foster care placement, poor parenting, and negative outcomes among homeless young adults. J Child Fam Stud 19:787–794PubMedCrossRefGoogle Scholar
  28. 28.
    Ray N (2006) Lesbian, gay, bisexual and transgender youth: an epidemic of homelessness. National Gay and Lesbian Task Force Policy Institute and the National Coalition for the Homeless, New YorkGoogle Scholar
  29. 29.
    Giedd JN (2008) The teen brain: insights from neuroimaging. J Adolesc Health 42:335–343PubMedCrossRefGoogle Scholar
  30. 30.
    Steinberg L (2005) Cognitive and affective development in adolescence. Trends Cogn Sci 9:69–74PubMedCrossRefGoogle Scholar
  31. 31.
    Blakemore S, Choudhury S (2006) Development of the adolescent brain: implications for executive function and social cognition. J Child Psychol Psychiatry 47:296–312PubMedCrossRefGoogle Scholar
  32. 32.
    Farah MJ, Shera DM, Savage JH, Betancourt L, Giannetta JM, Brodsky NL et al (2006) Childhood poverty: specific associations with neurocognitive development. Brain Res 1110:166–174PubMedCrossRefGoogle Scholar
  33. 33.
    Hackman DA, Farah MJ (2008) Socioeconomic status and the developing brain. Trends Neurosci 13:65–73Google Scholar
  34. 34.
    Noble KG, McCandliss BD, Farah MJ (2007) Socioeconomic gradients predict individual differences in neurocognitive abilities. Dev Sci 10:464–480PubMedCrossRefGoogle Scholar
  35. 35.
    Shaw P, Kabani NJ, Lerch JP, Eckstrand K, Lenroot R, Gogtay N et al (2008) Neurodevelopmental trajectories of the human cerebral cortex. J Neurosci 28:3586–3594PubMedCrossRefGoogle Scholar
  36. 36.
    Sowell ER, Peterson BS, Kan E, Woods RP, Yoshii J, Bansal R et al (2007) Sex differences in cortical thickness mapped in 176 healthy individuals between 7 and 87 years of age. Cereb Cortex 17:1550–1560PubMedCrossRefGoogle Scholar
  37. 37.
    Crone EA (2009) Executive functions in adolescence: inferences from brain and behavior. Dev Sci 12:825–830PubMedCrossRefGoogle Scholar
  38. 38.
    Romer D, Betancourt L, Giannetta JM, Brodsky ML, Farah M, Hurt H (2009) Executive cognitive functions and impulsivity as correlates of risk taking behavior and problem behavior in preadolescents. Neuropsychologia 47:2916–2926PubMedCrossRefGoogle Scholar
  39. 39.
    National Health Care for the Homeless Council (2004) Homeless young adults ages 18–24: examining service delivery adaptation. Author, NashvilleGoogle Scholar
  40. 40.
    Rhule-Louie DM, Bowen S, Baer JS, Peterson PL (2008) Substance use and health and safety among homeless youth. J Child Fam Stud 17:306–319CrossRefGoogle Scholar
  41. 41.
    Parks RW, Stevens RJ, Spence SA (2007) A systematic review of cognition in homeless children and adolescents. J R Soc Med 100:46–50PubMedCrossRefGoogle Scholar
  42. 42.
    Yu M, North CS, LaVesser PD, Osborne VA, Spitznagel EL (2008) A comparison study of psychiatric and behavior disorders and cognitive ability among homeless and housed children. Community Ment Health J 44:1–10PubMedCrossRefGoogle Scholar
  43. 43.
    Alaimo K, Olson CM, Frongillo EA (2001) Food insufficiency and American school-aged children’s cognitive, academic, and psychosocial development. Pediatrics 108:44–53PubMedCrossRefGoogle Scholar
  44. 44.
    Teicher MH, Polcari A, Anderson CM, Andersen SL, Lowen SB, Navalta CP, Kim DM (2003) Rate dependency revisited: understanding the effects of methylphenidate in children with attention deficit hyperactivity disorder. J Child Adolesc Psychopharmacol 13:41–51PubMedCrossRefGoogle Scholar
  45. 45.
    Buckner JC, Bassuk EL, Weinreb LF (2001) Predictors of academic achievement among homeless and low-income housed children. J Sch Psychol 39:45–69CrossRefGoogle Scholar
  46. 46.
    Fantuzzo J, Perlman S (2007) The unique impact of out-of-home placement and the mediating effects of child maltreatment and homelessness on early school success. Child Youth Serv Rev 29:941–960CrossRefGoogle Scholar
  47. 47.
    Rubin DH, Erickson CJ, San Agustin M, Cleary SD, Allen JK, Cohen P (1996) Cognitive and academic functioning of homeless children compared with housed children. Pediatrics 87:289–294Google Scholar
  48. 48.
    Zima BT, Wells KB, Freeman HE (1994) Emotional and behavioral problems and severe academic delays among sheltered homeless children in Los Angeles county. Am J Public Health 84:260–264PubMedCrossRefGoogle Scholar
  49. 49.
    Shinn M, Schteingart JS, Williams NC, Carlin-Mathis J, Bialo-Karagis N, Becker-Klein R et al (2008) Long-term associations of homelessness with children’s well-being. Am Behav Sci 51:789–809CrossRefGoogle Scholar
  50. 50.
    Obradović J, Long JD, Cutuli JJ, Chan C, Hinz E, Heistad D et al (2009) Academic achievement of homeless and highly mobile children in an urban school district: longitudinal evidence on risk, growth, and resilience. Dev Psychopathol 21:493–518PubMedCrossRefGoogle Scholar
  51. 51.
    Rafferty Y, Shinn M, Weitzman BC (2004) Academic achievement among formerly homeless adolescents and their continuously housed peers. J Sch Psychol 42:179–199CrossRefGoogle Scholar
  52. 52.
    Busen NH, Engebretson JC (2008) Facilitating risk reduction among homeless and street-involved youth. J Am Acad Nurse Pract 20:567–575PubMedCrossRefGoogle Scholar
  53. 53.
    Ferguson KM, Jun J, Bender K, Thompson S, Pollio D (2010) A comparison of addiction and transience among street youth: Los Angeles, California, Austin, Texas, and St. Louis, Missouri. Community Ment Health J 46:296–307PubMedCrossRefGoogle Scholar
  54. 54.
    National Health Care for the Homeless Council (2008) Child and youth homelessness: 2008 policy statements. Retrieved 12 November 2008, from http://www.nhchc.org/Advocacy/PolicyPapers/ChildYouth2008.pdf
  55. 55.
    U.S. Census Bureau (2009) Family status and household relationship of people 15 years and over, by marital status, age, and sex: 2009. Retrieved 22 September 2010, from http://www.census.gov/population/www/socdemo/hh-fam/cps2009.html
  56. 56.
    Cohen P, Kasen S, Chen H, Hartmark C, Gordon K (2003) Variations in patterns of developmental transitions in the emerging adulthood period. Dev Psychol 39:657–669PubMedCrossRefGoogle Scholar
  57. 57.
    Whitbeck L, Hoyt D (1999) Nowhere to grow: homeless and runaway adolescents and their families. New York, Adeline de GruyterGoogle Scholar
  58. 58.
    Roy E, Haley N, Leclerc P, Sochanski B, Boudreau J, Bovin J (2004) Mortality on a cohort of street youth in Montreal. JAMA 292:569–574PubMedCrossRefGoogle Scholar
  59. 59.
    Smollar J (1999) Homeless youth in the United States: description and developmental issues. New Dir Child Adolesc Dev 85:47–58PubMedCrossRefGoogle Scholar
  60. 60.
    Johnson TP, Aschkenasy JR, Herbers MR, Gillenwater SA (1996) Self reported risk factors for AIDS among homeless youth. AIDS Educ Prev 8:308–322PubMedGoogle Scholar
  61. 61.
    Robertson MJ, Toro PA (1999) Homeless youth: research, intervention, and policy. In: Fosburg LB, Dennis DL (eds) Practical lessons: the 1998 national symposium on homeless research urban development and the U.S. Department of Health and Human Services, WashingtonGoogle Scholar
  62. 62.
    Salomonsen-Sautel S, Van Leeuwen JM, Gilroy C, Boyle S, Malberg D, Hopfer C (2008) Correlates of substance use among homeless youths in eight cities. Am J Addict 17:224–234PubMedCrossRefGoogle Scholar
  63. 63.
    Wrate R, McLoughlin P (1997) Feeling bad: the troubled lives and health of single young homeless people in Edinburgh. Primary Care Services, Lothian Health, EdinburghGoogle Scholar
  64. 64.
    O’Connell JJ (2004) Dying in the shadows: the challenge of providing health care for homeless people. Can Med Assoc J 170:1251–1252CrossRefGoogle Scholar
  65. 65.
    Solario MR, Milburn NG, Weiss RE, Batterham PJ (2006) Newly homeless youth STD testing patterns over time. J Adolesc Health 39:443e9–443e16Google Scholar
  66. 66.
    Carlson JL, Sugano E, Millstein SG, Auserwald CL (2006) Service utilization and the life cycle of youth homelessness. J Adolesc Health 38:624–627PubMedCrossRefGoogle Scholar
  67. 67.
    Haley N, Roy E, Leclerc P, Boudreau J, Boivin J (2004) HIV risk profile of male street youth involved in survival sex. Sex Transm Infect 80:526–530PubMedCrossRefGoogle Scholar
  68. 68.
    Hathazi D, Lankenau SF, Sanders B, Bloom JJ (2009) Pregnancy and sexual health among homeless young injection drug users. J Adolesc 32:339–355PubMedCrossRefGoogle Scholar
  69. 69.
    Simons RL, Whitbeck LB (1991) Running away during adolescence as a precursor to adult homelessness. Soc Serv Rev 65:224–247CrossRefGoogle Scholar
  70. 70.
    Slesnick N, Bartle-Haring S, Dashora P, Kang MJ, Aukward E (2008) Predictors of homelessness among street living youth. J Youth Adolesc 37:465–474PubMedCrossRefGoogle Scholar
  71. 71.
    Boivin JF, Roy E, Hayley N, Galbaud du Fort G (2005) The health of street youth: a Canadian perspective. Can J Public Health 96:432–437PubMedGoogle Scholar
  72. 72.
    Steele RW, O’Keefe MA (2001) A program description of health care interventions for homeless teenagers. Clin Pediatr 40:259–263CrossRefGoogle Scholar
  73. 73.
    Rice E, Milburn NG, Rotheram-Borus MJ (2007) Pro-social and problematic social network influences on HIV/AIDS risk behaviours among newly homeless youth in Los Angeles. AIDS Care 19:697–704PubMedCrossRefGoogle Scholar
  74. 74.
    Tevendale HD, Lightfoot M, Slocum SL (2009) Individual and environmental protective factors for risky sexual behavior among homeless youth: an exploration of gender differences. AIDS Behav 13:154–164PubMedCrossRefGoogle Scholar
  75. 75.
    Rice E, Monro W, Baram-Adhikari A, Young SD (2010) Internet use, social networking, and HIV/AIDS risk for homeless adolescents. J Adolesc Health 47:610–613PubMedCrossRefGoogle Scholar
  76. 76.
    Schwartz M, Sorensen HK, Ammerman S, Bard E (2008) Exploring the relationship between homelessness and delinquency: a snapshot of a group of homeless youth in San Jose, California. Child Adolesc Soc Work J 25:255–269CrossRefGoogle Scholar
  77. 77.
    Ginzler J, Garrett S, Baer J, Peterson P (2007) Measurement of negative consequences of substance use in street youth: an expanded use of the Rutgers Alcohol Problem Index. Addict Behav 32:1519–1525PubMedCrossRefGoogle Scholar
  78. 78.
    Nyamathi A, Hudson A, Greengold B, Slagle A, Marfisee M, Khalilifard F, Leake B (2010) Correlates of substance use severity among homeless youth. J Child Adolesc Psychiatr Nurs 23:214–222PubMedCrossRefGoogle Scholar
  79. 79.
    Hadland SE, Marshall BDL, Kerr T, Zhang R, Montaner JS, Wood E (2011) A comparison of drug use and risk behavior profiles among younger and older street youth. Subst Use Misuse Early Online: 1–9Google Scholar
  80. 80.
    Slesnick N, Prestopnik J (2005) Dual and multiple diagnosis among substance using runaway youth. Am J Drug Alcohol Abus 1:179–201Google Scholar
  81. 81.
    Rice E, Milburn NG, Monro G (2010) Social networking technology, social network composition, and reductions in substance use among homeless adolescents. Prev Sci 12:80–88CrossRefGoogle Scholar
  82. 82.
    Rosenthal D, Mallett S, Milburn N, Rotheram-Borus MJ (2008) Drug use among homeless young people in Los Angeles and Melbourne. J Adolesc Health 43:296–305PubMedCrossRefGoogle Scholar
  83. 83.
    Robertson MJ, Koegel P, Ferguson L (1989) Alcohol use and abuse among homeless adolescents in Hollywood. Contemp Drug Probl 16:415–452Google Scholar
  84. 84.
    Gwadz MV, Gostnell K, Smolenski C, Willis B, Nish D, Nolan TC et al (2009) The initiation of homeless youth into the street economy. J Adolesc 32:357–377PubMedCrossRefGoogle Scholar
  85. 85.
    Parriott AM, Auerswald CL (2009) Incidence and predictors of onset of injection drug use in a San Francisco Cohort of homeless youth. Subst Use Misuse 44:1958–1970PubMedCrossRefGoogle Scholar
  86. 86.
    Black RA, Serowik KL, Rosen MI (2009) Associations between impulsivity and high risk sexual behaviors in dually diagnosed outpatients. Am J Drug Alcohol Abus 35:325–328CrossRefGoogle Scholar
  87. 87.
    Fischer PJ, Breakey WJ (1991) The epidemiology of alcohol, drug, and mental disorders among homeless persons. Am Psychol 46:1115–1128PubMedCrossRefGoogle Scholar
  88. 88.
    Bailey SL, Camlin CS, Ennett ST (1998) Substance use and risky sexual behavior among homeless and runaway youth. J Adolesc Health 23:378–388PubMedCrossRefGoogle Scholar
  89. 89.
    Gangamma R, Slesnick N, Toviessi P, Serovich J (2008) Comparison of HIV risks among gay, lesbian, bisexual, and heterosexual youth. J Youth Adolesc 37:456–464PubMedCrossRefGoogle Scholar
  90. 90.
    Milburn NG, Stein JA, Rice E, Rotheram-Borus MJ (2007) AIDS risk behaviors among American and Australian homeless youth. J Soc Issues 63:543–566CrossRefGoogle Scholar
  91. 91.
    Kidd SA, Carroll MR (2007) Coping and suicidality among homeless youth. J Adolesc 30:283–296PubMedCrossRefGoogle Scholar
  92. 92.
    Cochran BN, Stewart AJ, Ginzler JA, Cauce AM (2002) Challenges faced by homeless sexual minorities: comparison of gay, lesbian, bisexual, and transgender homeless adolescents with their heterosexual counterparts. Am J Public Health 92:773–777PubMedCrossRefGoogle Scholar
  93. 93.
    Kamieniecki GW (2001) Prevalence of psychological distress and psychiatric disorders among homeless youth in Australia: a comparative review. Aust N Z J Psychiatry 35:352–358PubMedCrossRefGoogle Scholar
  94. 94.
    American Psychiatric Association (1987) Diagnostic statistical manual of mental disorders, 3rd edn, Revised. APA, WashingtonGoogle Scholar
  95. 95.
    Achenbach TM (1991) Manual for the youth self-report and 1991 profile. University of Vermont, Department of Psychiatry, BurlingtonGoogle Scholar
  96. 96.
    Yoder KA, Whitbeck LB, Hoyt DR (2008) Dimensionality of thoughts of death and suicide: evidence from a study of homeless adolescents. Soc Indic Res 86:83–100CrossRefGoogle Scholar
  97. 97.
    Desai RA, Liu-Mares W, Dausey DJ, Rosenheck RA (2003) Suicidal ideation and suicide attempts in a sample of homeless people with mental illness. J Nerv Ment Dis 191:365–371PubMedCrossRefGoogle Scholar
  98. 98.
    Votta E, Manion I (2004) Suicide, high risk behaviours, and coping style in homeless adolescent male’s adjustment. J Adolesc Health 34:237–243PubMedGoogle Scholar
  99. 99.
    Whitbeck LB, Johnson KD, Hoyt DR, Cauce AM (2004) Mental disorder and comorbidity among runaway and homeless adolescents. J Adolesc Health 35:132–140PubMedGoogle Scholar
  100. 100.
    Robertson MJ (1996) Homeless youth on their own. Alcohol Research Group, BerkeleyGoogle Scholar
  101. 101.
    Haldenbury AM, Berman H, Forchuk C (2007) Homelessness and health in adolescents. Qual Health Res 17:1232–1244CrossRefGoogle Scholar
  102. 102.
    Wrate R, Blair C (1999) Homeless adolescents. In: Vostanis P, Cumella S (eds) Homeless children: problems and needs. Athenaeum Press, Gateshead, Tyne and Wear, Great BritainGoogle Scholar
  103. 103.
    Cleverley K, Kidd SA (2010) Resilience and suicidality among homeless youth. J adolesc 34:1049–1054PubMedCrossRefGoogle Scholar
  104. 104.
    Tyler KA (2009) Risk factors for trading sex among homeless young adults. Arch Sex Behav 38:290–297PubMedCrossRefGoogle Scholar
  105. 105.
    Byrne DA, Grant RG, Shapiro A (2005) Quality health care for homeless youth: examining barriers to care a children’s health fund white paper. Accessed: http://www.childrenshealthfund.org/publications/pubs/HmlsYouthWP0705.pdf
  106. 106.
    Hadland SE, Kerr T, Li K, Montaner JS, Wood E (2009) Access to drug and alcohol treatment among a cohort of street-involved youth. Drug Alcohol Depend 101:1–7PubMedCrossRefGoogle Scholar
  107. 107.
    Hudson AL, Nyamathi A, Greengold B, Slagle A, Koniak-Griffin D, Khalilifard F, Getzoff D (2010) Health-seeking challenges among homeless youth. Nurs Res 59:212–218PubMedCrossRefGoogle Scholar
  108. 108.
    Ensign J, Panke A (2002) Barriers and bridges to care: voices of female homeless adolescent youth in Seattle, Washington. J Adv Nurs 47:166–172CrossRefGoogle Scholar
  109. 109.
    Reid S, Berman H, Forchuk C (2005) Living on the streets in Canada: a feminist narrative study of girls and women. Issues Compr Pediatr Nurs 28:237–256PubMedCrossRefGoogle Scholar
  110. 110.
    Masson N, Lester H (2003) The attitudes of medical students towards homeless people: does medical school make a difference? Med Educ 37:869–872PubMedCrossRefGoogle Scholar
  111. 111.
    Slesnick N, Dashora P, Letcher A, Erdem G, Serovich J (2009) A review of services and interventions for runaway and homeless youth: moving forward. Child Youth Serv Rev 31:732–742PubMedCrossRefGoogle Scholar
  112. 112.
    Altena AM, Brilleslijper-Kater SN, Wolf JLM (2010) Effective interventions for homeless youth: a systematic review. Am J Prev Med 3:637–645CrossRefGoogle Scholar
  113. 113.
    Walsh SM, Donaldson RE (2010) Invited commentary: national safe place: meeting the immediate needs of runaway and homeless youth. J Youth Adolesc 39:437–445PubMedCrossRefGoogle Scholar
  114. 114.
    Haber MG, Toro PA (2004) Homelessness among families, children, and adolescents: an ecological perspective. Clin Child Fam Psych 7:123–164CrossRefGoogle Scholar
  115. 115.
    Ensign J, Ammerman S (2008) Ethical issues in research with homeless youths. J Adv Nurs 62:365–372PubMedCrossRefGoogle Scholar
  116. 116.
    Ensign J (2003) Ethical issues in qualitative health research with homeless youths. Adv Nurse 43:43–50CrossRefGoogle Scholar
  117. 117.
    Rice E, Milburn NG, Monro G (2011) Social networking technology, social network composition, and reductions in substance use among homeless adolescents. Prev Sci 12:80–88PubMedCrossRefGoogle Scholar
  118. 118.
    Young SD, Rice E (2011) Online social networking technologies, HIV knowledge, and sexual risk and testing behaviors among homeless youth. AIDS Behav 15:253–256PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioral NeuroscienceUniversity of ChicagoChicagoUSA
  2. 2.Department of Education and Early Childhood DevelopmentVictoriaAustralia

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