Skip to main content

Abstract

The number of youths who run away or are forced from their homes and become homeless is a growing and significant problem. Many of these young people have left or been forced from dysfunctional or abusive families only to face a life on the streets that can bring a variety of negative outcomes: poverty, substance abuse, physical and sexual assault, pregnancy, injury or illness, HIV infection, psychological and emotional problems, and suicide (Kennedy, 1991; Rotheram-Borus, Rosario, & Koopman, 1991; Rotheram-Borus & McDermott, 1995). Furthermore, their prospects for a healthy and productive adulthood are reduced by the health risks they face and the lack of educational and employment opportunities for homeless youths. Over the last 10 years, researchers have documented the breadth of these problems. The goals of this chapter are: to examine the extent and course of homelessness; to describe the health status of homeless youths; to identify the risk factors and potential strategies for prevention of the consequences of homelessness; to describe a model program for homeless youths; and to identify structural barriers to effective implementation of health care for homeless youths.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.

    Google Scholar 

  • Barden, J. C. (1990, February 5). Strife in families swells tide of homeless youths. The New York Times, pp. A1, B8.

    Google Scholar 

  • Bond, L. S., Jiminez, M. V., & Mazin, R. (1992). Street kids and AIDS. AIDS Education and Prevention, (Fall Suppl.), 14–23.

    Google Scholar 

  • Brennen, T., Huizinga, D., & Elliot, D. S. (1979). The social psychology of runaways. Lexington, MA: Lexington Books.

    Google Scholar 

  • Bucy, J. (1987). Prepared statement of June Bucy, Executive Director, the National Network of Runaway and Youth Services, Washington, DC. In The crisis in homelessness: Effects on children and families. Hearing before the Select Committee on Children, Youth, and Families, House of Representatives. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Bucy, J., & Obolensky, N. (1990). Runaways and homeless youths. In M. J. Rotheram-Borus, J. Bradley, & N. Obolensky (Eds.), Planning to live: Evaluating and treating suicidal teens in community settings (pp. 333–353). Tulsa: University of Oklahoma Press.

    Google Scholar 

  • Chelimsky, E. (1982). The problem of runaway and homeless youth. In Oversight hearing on runaway and homeless youth program. House of Representatives, Subcommittee on Human Resources, Committee on Education and Labor, Washington, DC.

    Google Scholar 

  • Children’s Defense Fund. (1988). A children’s defense budget Fiscal Year 1989: An analysis of our nation’s investment in children. Washington, DC: Author.

    Google Scholar 

  • Cohen, P. (1985). Homeless children in New York City. Grand Rounds, New York State Psychiatric Institute, Columbia University, New York.

    Google Scholar 

  • Dohrenwend, B. P., & Dohrenwend, B. S. (1974). Overviews and prospects for research on stressful life events. In B. S. Dohrenwend & B. P. Dohrenwend (Eds.), Stressful life events: Their nature and effects (pp. 313–331). New York: Wiley.

    Google Scholar 

  • Englander, S.W. (1984). Some self-reported correlates of runaway behavior in adolescent females. Journal of Consulting & Clinical Psychology, 52, 484–485.

    Article  CAS  Google Scholar 

  • Gallimore, R., Goldenberg, C. N., & Weisner, T. S. (1993). The social construction and subjective reality of activity settings: Implications for community psychology. American Journal of Community Psychology, 21(4), 537–559.

    Article  PubMed  CAS  Google Scholar 

  • General Accounting Office. (1989). Homelessness: Homeless and runaway youth receiving services at federally funded shelters. Washington, DC: Author.

    Google Scholar 

  • Greenblatt, M., & Robertson, M. J. (1993). Life-styles, adaptive strategies, and sexual behaviors of homeless adolescents. Hospital and Community Psychiatry, 44(12), 1177–1180.

    PubMed  CAS  Google Scholar 

  • Hemmens, K. C., Luecke, M. R. (1988). Sheltering homeless youths: A guide to Illinois law and programs. Chicago: The Chicago Law Enforcement Study Group.

    Google Scholar 

  • Hunter, J., & Schaecher, R. (1990). Teenage suicide: Lesbian and gay youth. In M. J. Rotheram-Borus, J. Bradley, & N. Obolensky (Eds.), Planning to live: Evaluating and treating suicidal teens in community settings (pp. 297–316). Tulsa: University of Oklahoma Press.

    Google Scholar 

  • Kennedy, M. R. (1991). Homeless and runaway youth mental issues: No access to the system. Journal of Adolescent Health, 12(7), 576–579.

    Article  PubMed  CAS  Google Scholar 

  • Koopman, C., Rosario, M., & Rotheram-Borus, M. J. (1994). Alcohol and drug use and sexual behaviors placing runaways at risk for HIV infection. Addictive Behaviors, 19, 95–103.

    Article  PubMed  CAS  Google Scholar 

  • Link, B. G., Susser, E., Stueve, A., Phelan, J., Moore, R. E., & Struening, E. (1994). Lifetime and five-year prevalence of homelessness in the United States. American Journal of Public Health, 84(12), 1907–1912.

    Article  PubMed  CAS  Google Scholar 

  • Luna, G. C. (1987). HIV and homeless youth. Focus: A Review of AIDS Research, 2, 10.

    Google Scholar 

  • Luna, G. C. (1991). Street youth: Adaptation and survival in the AIDS decade. Journal of Adolescent Health, 12, 511–514.

    Article  PubMed  CAS  Google Scholar 

  • Luna, G. C., & Rotheram-Borus, M. J. (1992). Street youth and the AIDS pandemic. AIDS Education and Prevention (Fall Suppl.), 1–13.

    Google Scholar 

  • Luna, G. C., & Rotheram-Borus, M. J. (1995). The limitations of empowerment programs for young people living with HIV. Manuscript submitted for publication.

    Google Scholar 

  • McCoard, W. D. (1987). A crisis intervention model. In M. J. Rotheram-Borus, J. Bradley, & N. Obolensky (Eds.), Planning to live: Evaluating and treating suicidal teens in community settings (pp. 195–209). Tulsa: University of Oklahoma Press.

    Google Scholar 

  • Meyers, H. (1989). Poverty and bias: Enemies in Brazil AIDS fight. American Medical News, 32(9), 33–35.

    Google Scholar 

  • Mundy, P., Robertson, M., Robertson, J., & Greenblatt, M. (1990). The prevalence of psychotic symptoms in homeless adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 29(5), 724–731.

    Article  PubMed  CAS  Google Scholar 

  • National Academy of Sciences, Institute of Medicine, Committee on Health Care for Homeless People. (1988). Homelessness, health, and human needs. Washington, DC: National Academy Press.

    Google Scholar 

  • National Network of Runaway and Youth Services, Inc. (1985). To whom do they belong? Washington, DC: Author.

    Google Scholar 

  • Pennbridge, J. N., Freese, T. E., & MacKenzie, R. G. (1992). High-risk behaviors among male street youth in Hollywood, California. AIDS Education & Prevention, (Fall Suppl.), 24–33.

    Google Scholar 

  • Pennbridge, J. N., Yates, G. L., David, T. G., & MacKenzie, R. G. (1990). Runaway and homeless youth in Los Angeles County, California. Journal of Adolescent Health Care, 11(2), 159–165.

    Article  PubMed  CAS  Google Scholar 

  • Powers, J. L., Eckenrode, J., & Jaklitsch, B. (1990). Maltreatment among runaway and homeless youth. Child Abuse and Neglect, 14(1), 87–98.

    Article  PubMed  CAS  Google Scholar 

  • Robertson, M. J. (1989a). Alcohol use and abuse among homeless adolescents in Hollywood. Contemporary Drug Problems, 16, 415–452.

    Google Scholar 

  • Robertson, M. J. (1989b). Homeless youth in Hollywood: Patterns of alcohol use. A report to the National Institute on Alcohol Abuse and Alcoholism. Berkeley, CA: Alcohol Research Group.

    Google Scholar 

  • Robertson, M. J. (1990, August 11). Characteristics and circumstances of homeless adolescents in Hollywood. Paper presented at the annual meeting of the American Psychological Association, Boston.

    Google Scholar 

  • Robertson, M. J. (1991a). Homeless women with children: The role of alcohol and other drug abuse. American Psychologist, 46(11), 1198–1204.

    Article  PubMed  CAS  Google Scholar 

  • Robertson, M. J. (1991b). Homeless youth: An overview of recent literature. In J. H. Kryder-Coe, L. M. Salamon, & J. M. Molnar (Eds.), Homeless children and youth (pp. 33–68). New Brunswick, NJ: Transaction Publishers.

    Google Scholar 

  • Robertson, M. J. (1992). The prevalence of mental disorder among homeless people. In R. I. Jahiel (Ed.), Homelessness: A prevention oriented approach (pp. 57–86). Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Rotheram-Borus, M. J. (1992). HIV prevention with high risk youths. Presented at a working meeting on HIV Related Change and Prevention. National Institute of Mental Health, Washington, DC.

    Google Scholar 

  • Rotheram-Borus, M. J. (1993). Suicidal behavior and risk factors among runaway youths. American Journal of Psychiatry, 150, 103–107.

    PubMed  CAS  Google Scholar 

  • Rotheram-Borus, M. J., & Koopman, C. (1991). Sexual risk behaviors, AIDS knowledge, and beliefs about AIDS among runaways. American Journal of Public Health, 81(2), 208–210.

    Article  PubMed  CAS  Google Scholar 

  • Rotheram-Borus, M. J., Koopman, C, & Bradley, J. (1989). Barriers to successful AIDS prevention programs with runaway youth. In J. O. Woodruff, D. Doherty, & J. Garrison Athey (Eds.), Troubled adolescents and HIV infection: Issues in prevention and treatment (pp. 37–55). Washington, DC: Janis Press.

    Google Scholar 

  • Rotheram-Borus, M. J., Koopman, C., & Ehrhardt, A. A. (1991). Homeless youths and HIV infection. American Psychologist, 46(11), 1188–1197.

    Article  PubMed  CAS  Google Scholar 

  • Rotheram-Borus, M. J., Luna, G. C., Marotta, T., & Kelly, H. (1994). Going nowhere fast: Methamphetamine use and HIV infection. In R. Battjes, Z. Sloboda, & W. Grace (Eds.), The context of HIV risk among drug users and their sexual partners (National Institute on Drug Abuse Monograph No. 143, pp. 155-183). Rockville, MD: U.S. Department of Health and Human Services.

    Google Scholar 

  • Rotheram-Borus, M. J., & McDermott, R. (1995). Mental health needs of homeless youths. In N. Alessi (Ed.), The basic handbook of child and adolescent psychiatry. New York: Wiley.

    Google Scholar 

  • Rotheram-Borus, M. J., Meyer-Bahlburg, H. F. L., Koopman, C., Rosario, M., Exner, T. M., Henderson, R., Matthieu, M., & Gruen, R. (1992). Lifetime sexual behaviors among runaway males and females. The Journal of Sex Research, 29(1), 15–29.

    Article  Google Scholar 

  • Rotheram-Borus, M. J., Reid, H. M., Rosario, M. R., & Gwadz, M. (1993, June). Effectiveness of HIV prevention with homeless youth over 2 years. In Abstracts of the IXth International Conference on AIDS (WS-C13-3). Berlin, Germany.

    Google Scholar 

  • Rotheram-Borus, M. J., Rosario, M., & Koopman, C. (1991). Minority youths at high risk: Gay males and runaways. In S. Gore & M. E. Colton (Eds.), Adolescent stress: Courses and consequences (pp. 181–200). New York: Aldine de Gruyter.

    Google Scholar 

  • Rothman, J., & David, T. (1985). Status offenders in Los Angeles County: Focus on runaway and homeless youth: A study and policy recommendations. School of Social Welfare, University of California at Los Angeles.

    Google Scholar 

  • Rutayuga, J. B. K. (1992). Assistance to AIDS orphans within the family/kinship system and local institutions: A program for East Africa. AIDS Education and Prevention: HIV and Street Youth, (Fall Suppl.), 57–68.

    Google Scholar 

  • Shaffer, D., & Caton, C. (1984). Runaway and homeless youth in New York City. A report to the Ittleson Foundation. New York: Division of Child Psychiatry, New York State Psychiatric Institute and Columbia University College of Physicians and Surgeons.

    Google Scholar 

  • Shalwitz, J. C., Goulart, M., Dunnigan, K., & Flannery, D. (1990, June). Prevalence of sexually transmitted diseases (STD) and HIV in a homeless youth medical clinic in San Francisco. Presentation at the Sixth Annual International Conference on AIDS, San Francisco, CA.

    Google Scholar 

  • Stiffman, A. R., Felton, E., Powell, J., & Robins, L. N. (1987). Correlates of alcohol and illicit drug use in adolescent medical patients. Contemporary Drug Problems, 14, 295–314.

    Google Scholar 

  • Stricof, R., Novick, L. F., & Kennedy, J. (1990, June). HIV-1 seroprevalence in facilities for runaway and homeless adolescents in four states: Florida, Texas, Louisiana, and New York. Paper presented at the Fourth Annual International Conference on AIDS, San Francisco, CA.

    Google Scholar 

  • Towber, R. I. (1985). Characteristics of homeless families: December, 1985. New York: Human Resources Administration, Office of Program Evaluation. Unpublished manuscript.

    Google Scholar 

  • Towber, R. I. (1986). Summary of findings of a one-day survey of homeless families housed at the Martinique Hotel and Forbell Street Shelter. New York: Human Resources Administration, Office of Program Evaluation.

    Google Scholar 

  • United Nations Children’s Fund (UNICEF). (1989). Annual report, New York: Author.

    Google Scholar 

  • United Nations Convention on the Rights of the Child: Unofficial summary of articles. (1991). American Psychologist, 46, 50–52.

    Google Scholar 

  • United States Conference of Mayors. (1987). The continued growth of hunger, homelessness and poverty in America’s cities in 1986. Washington, DC: Author.

    Google Scholar 

  • Upshur, C. C. (1986). Research Report: The Bridge, Inc., Independent Living Demonstration. In Amendments to the Foster Care and Adoption Assistance Program. Hearing before the Subcommittee on Public Assistance and Unemployment Compensation of the Committee on Ways and Means, House of Representatives, Ninety-Ninth Congress (September 19, 1985) (Serial 99-54). Washington, DC.

    Google Scholar 

  • Windle, M. (1989). Substance use and abuse among adolescent runaways: A four-year follow-up study. Journal of Youth and Adolescence, 18, 331–334.

    Article  Google Scholar 

  • Yates, G. L. (1988, December). The service delivery system for runaway/homeless youth in Los Angeles County. Paper presented at the Olive View Medical Center Research Conference on “Homeless Adolescents: A Population in Crisis.” Sylmar, CA.

    Google Scholar 

  • Yates, G., MacKenzie, R., Pennbridge, J., & Cohen, E. (1988). A risk profile comparison of runaway and non-runaway youth. American Journal of Public Health, 78, 820–821.

    Article  PubMed  CAS  Google Scholar 

  • Zucker, J. (Executive Producer). (1994, December 18). Today Show. New York: National Broadcasting Corporation.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Springer Science+Business Media New York

About this chapter

Cite this chapter

Rotheram-Borus, M.J., Parra, M., Cantwell, C., Gwadz, M., Murphy, D.A. (1996). Runaway and Homeless Youths. In: DiClemente, R.J., Hansen, W.B., Ponton, L.E. (eds) Handbook of Adolescent Health Risk Behavior. Issues in Clinical Child Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0203-0_14

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-0203-0_14

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0205-4

  • Online ISBN: 978-1-4899-0203-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics