Suchergebnisse

Objectives. Military members are required to complete the Post-Deployment Health Assessment on return from deployment and the Post-Deployment Health Reassessment (PHDRA) 90 to 180 days later, and we assessed the PDHRA's sensitivity and specificity in identifying posttraumatic stress disorder (PTSD) and depression after a military deployment among US Air Force personnel.

English Homeless youth peer relationships in the USA and South Korea were examined in the context of youth homelessness as a growing global concern. Although some aspects of street life transcended culture, individual and group behaviors varied according to perspectives related to individualism or collectivism. Service delivery systems need to develop culturally specific interventions. French Cette recherche sur les relations entre les jeunes aux États-Unis et en Corée du Sud a été entreprise dans le cadre du phénomène croissant des jeunes sans-abri à l'échelle mondiale. Bien que certains aspects de la vie dans la rue transcendent la culture, les comportements individuels et de groupe varient en fonction des perspectives relatives à l'individualisme ou au collectivisme. Les systèmes de prestation de services doivent donc mettre au point des approches pouvant répondre aux spécificités culturelles. Spanish Se examinó la relación entre los jóvenes sin hogar en los Estados Unidos y en Corea del Sur, en el contexto de la juventud en desamparo, como una preocupación creciente a nivel global. Aunque algunos aspectos de la vida en la calle transcienden la cultura, las conductas individuales y grupales variaron de acuerdo con perspectivas relativas al individualismo o al colectivismo. Los sistemas de otorgamiento de servicios necesitan desarrollar intervenciones culturalmente específicas.

Substance use is highly prevalent among homeless, street-involved young people. Societal estrangement is often associated with substance use, particularly among this population. The current study utilized a descriptive correlational design to identify four domains of social estrangement: disaffiliation, human capital, identification with homeless culture, and psychological dysfunction. These domains were tested to determine their association with alcohol or drug dependence. Interviews utilizing self-report instruments were conducted with 185 young adults aged 18–23 years of age who were receiving homeless services from a community drop-in center. In this sample, the vast majority reported high levels of alcohol and drug use with more than half being identified as dependent on alcohol and/or drugs. Polysubstance use was highly prevalent and most reported marijuana as their drug of choice. Findings indicate that identification with homeless culture was the most highly predictive domain of social estrangement for both alcohol and drug dependency. Implications for services to this population are discussed.

Objective: Few studies have assessed the outcomes of runaway/homeless youth that seek assistance from shelter or crisis services, which would provide much needed documentation of intervention effectiveness and point to new directions for service provision. The goals of the current study were to: (1) assess short-term outcomes among runaway/homeless youth using emergency shelters and crisis services and (2) compare short-term outcomes achieved by runaway/homeless youth in crisis shelters with similar youth using other, longer-term treatment modalities. Method: The study sampled 261 youth using runaway/homeless shelters from four midwestern states at intake and six-weeks postdischarge and 47 high-risk youth using longer-term services at intake and six weeks postintake; ten key outcome variables were assessed. Results: Every outcome variable demonstrated improvement postintervention: days on the run, school suspension and/or detention, and sexual activity decreased; perceived family support and self-esteem increased; and youth were more likely to be currently employed and less likely to have been fired. In comparing runaway/homeless crisis shelter users with day treatment users on the ten outcome variables, there were no significant differences across any of the outcome variables. Conclusions: Despite limitations, the research provides evidence for the short-term effectiveness of crisis shelter services for runaway/homeless youth.

Exposure to multiple forms of maltreatment during childhood is associated with serious mental health consequences among youth in the general population, but limited empirical attention has focused on homeless youth—a population with markedly high rates of childhood maltreatment followed by elevated rates of street victimization. This study investigated the rates of multiple childhood abuses (physical, sexual, and emotional abuse) and multiple street victimizations (robbery, physical assault, and sexual assault) and examined their relative relationships to mental health outcomes (meeting Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, criteria for post-traumatic stress disorder [PTSD], depression, and substance use disorder) among a large ( N = 601) multisite sample of homeless youth. Approximately 79% of youth retrospectively reported multiple childhood abuses (two or more types) and 28% reported multiple street victimizations (two or more types). Each additional type of street victimization nearly doubled youths' odds for meeting criteria for substance use disorder. Furthermore, each additional type of childhood abuse experienced more than doubled youths' odds for meeting criteria for PTSD. Both multiple abuses and multiple street victimizations were associated with an approximate twofold increase in meeting depression criteria. Findings suggest the need for screening, assessment, and trauma-informed services for homeless youth who consider multiple types of abuse and victimization experiences.