Reaching non-system connected, substance abusing homeless youth

接触与系统无关、滥用药物的无家可归青少年

基本信息

批准号：
8454418
负责人：
NATASHA SLESNICK
金额：
$ 26.44万
依托单位：
OHIO STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-04-15 至 2015-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8454418
关键词：
Accident and Emergency department Address Adult Age Alcohol or Other Drugs use Back Cessation of life Chronic Client Communities Data Development Documentation Drops Effectiveness Employment Ensure Family Funding Global Change Goals HIV HIV risk Health Health Services Research Homeless Youth Homelessness Housing Imprisonment Individual Intervention Left Life Link Literature Marshal Mediating Medical Mental Health Mental Health Services Mental disorders Mentally Ill Persons Nature Outcome Population Preventive Intervention Problem behavior Public Health Randomized Reporting Research Schools Self Efficacy Services Shelter facility Societies Substance abuse problem System Testing Time United Nations United States Victimization Visit Vulnerable Populations Youth adolescent substance abuse base cost empowered experience follow-up foster care high risk human capital innovation interest intravenous drug user meetings mental health education microsystems mortality outreach peace physical conditioning premature prevent primary outcome programs social substance abuse treatment treatment as usual

项目摘要

DESCRIPTION (provided by applicant): As noted by Kofi Annan, former United Nations Secretary-General "Young people should be at the forefront of global change and innovation. Empowered, they can be key agents for development and peace. If, however, they are left on society's margins, all of us will be impoverished. Let us ensure that all young people have every opportunity to participate fully in the lives of their societies." Homeless youth are one of the mot vulnerable populations worldwide. Estimates of the number of youth that experience homelessness each year are crude given difficulties identifying such youth. However, homelessness is not uncommon in the United States with an estimated 1.7 million homeless youth (Sedlak, Finkelhor, Hammer, & Schultz, 2002).Given that youth homelessness is associated with substance use, HIV risk, lack of education, mental and physical health problems, identification of strategies to engage homeless youth is an important focus of prevention/intervention efforts. Such focus might prevent chronic homelessness, substance use and mental illness into adulthood and can have significant public health consequences. Those who provide guidance for intervening in the homeless trajectory of youth who are cut-off from family and the system, recommend community based programs and funding to link these youth back to school, housing and employment (Chamberlain & MacKenzie, 2004). Many note the need for outreach, drop-in centers and reintegration services for street living youth (Robertson, 1991; Slesnick et al., 2008). This study provides the first formal test of an outreach intervention for substance abusing homeless youth who are not connected to services. Non- service connected homeless youth (N = 60) will be randomly assigned to one of two outreach conditions with the goal to engage youth to either a crisis shelter or to a drop-in center. The outreach worker will meet with the youth for 6 months to assist the youth's navigation of the service system. Follow-up will be conducted at 3, 6 and 9 months post-baseline. If successful, this study will provide important documentation of successful strategies to reach and engage these vulnerable youth into services.

描述（由申请人提供）：正如联合国前秘书长科菲·安南所说，“年轻人应该走在全球变革和创新的最前沿。赋予他们权力，他们可以成为发展与和平的关键推动者。但是，如果他们被留在社会边缘，我们所有人都将陷入贫困，让我们确保所有年轻人都有机会充分参与社会生活。”无家可归的青少年是全世界最脆弱的人群之一。由于难以识别每年无家可归的青少年人数，因此对这些青少年的估计是粗略的。然而，无家可归在美国并不少见，估计有 170 万无家可归的青少年（Sedlak、Finkelhor、Hammer 和 Schultz，2002 年）。鉴于青少年无家可归与药物使用、艾滋病毒风险、缺乏教育、精神和身体状况有关。健康问题，确定吸引无家可归青年参与的战略是预防/干预工作的一个重要重点。这种关注可能会防止成年后长期无家可归、吸毒和精神疾病，并可能产生重大的公共卫生后果。那些为干预与家庭和系统隔绝的青少年无家可归轨迹提供指导的人，推荐基于社区的计划和资金，将这些青少年重新连接到学校、住房和就业（Chamberlain & MacKenzie，2004）。许多人指出，需要为街头生活的青少年提供外展服务、临时服务中心和重返社会服务（Robertson，1991 年；Slesnick 等人，2008 年）。这项研究提供了对外展干预的首次正式测试针对与服务无关的滥用药物的无家可归青年。无服务联系的无家可归青年（N = 60）将被随机分配到两个外展条件之一，目的是让青年参与危机庇护所或收容中心。外展人员将与青少年会面6个月，协助青少年导航服务系统。随访将在基线后 3、6 和 9 个月进行。如果成功，这项研究将为接触和吸引这些弱势青年参与服务的成功策略提供重要的文件。