Relationships Between Psychosocial Risks and Stress in Homeless Children

Homeless children are typically exposed to the worst environmental conditions associated with poverty. Despite recent attention to psychosocial risks associated with homelessness, limited attention has been paid to stress-related symptoms in homeless children. Better understanding of homeless children’s experience of stress could point the way toward improvement of services for them. The purpose of the present exploratory study was to assess associations between child psychosocial riskfactors and emotional and behavioral symptoms of stress in homeless children, Twenty-two homeless nlothers of 29 children between the ages of 2 and 10 were surveyed about known psychosocial risks for homeless children and completed the Pediatric Emotional Distress Scale (PEDS), a 17-item measure of stress-related symptoms in children. Findings suggest that the stress-related symptoms of these children are related to the cumulative effects of environmental risk factors. The PEDS appears to be a sensitive measure of stress in children, and its brevity provides an advantage in assessments in high-stress situations. More developmental work with low-SES samples, however, is recommended.     

Relationships Between Psychosocial Risks and Stress in Homeless Children

Homeless children are typically exposed to the worst environmental conditions associated with poverty. Despite recent attention to psychosocial risks associated with homelessness, limited attention has been paid to stress-related symptoms in homeless children. Better understanding of homeless children's experience of stress could point the way toward improvement of services for them. The purpose of the present exploratory study was to assess associations between child psychosocial risk factors and emotional and behavioral symptoms of stress in homeless children. Twenty-two homeless mothers of 29 children between the ages of 2 and 10 were surveyed about known psychosocial risks for homeless children and completed the Pediatric Emotional Distress Scale (PEDS), a 17-item measure of stress-related symptoms in children. Findings suggest that the stress-related symptoms of these children are related to the cumulative effects of environmental risk factors. The PEDS appears to be a sensitive measure of stress in children, and its brevity provides an advantage in assessments in high-stress situations. More developmental work with low-SES samples, however, is recommended.     

Homeless Children and Stress: An Empirical Study

Families with children constitute the fastest-growing segment of the homeless population. Past literature has indicated that children who are homeless experience more stress than children who are not homeless. This study measured the level of psychosocial stress experienced by homeless children by utilizing two direct and two indirect measurement tools. The sample included 52 children from family-shelter facilities in Central Florida. T-test results indicated a statistically significant difference between the sample's scores and that of the normative group. Prompt intervention at both the individual and environmental level is recommended.     

HIV/AIDS and Homelessness

This article describes the results of research on the demographic, housing, psychosocial characteristics, and service needs of a sample of homeless people with HIV disease_ Results show that respondents are similar in demographic and housing characteristics to the general homeless population. On average, respondents report high levels of stress and depression, moderate satisfaction with perceived social support availability, moderate beliefs in their ability to influence health related outcomes, moderate levels of self-efficacy, and low levels ofphysical and psychosocial disability. A range of services was identified as both helpful and useful in supporting a stable living arrangement. Implications for social policy, service provision, and research are discussed.     

HIV/AIDS and homelessness

This article describes the results of research on the demographic, housing, psychosocial characteristics, and service needs of a sample of homeless people with HIV disease. Results show that respondents are similar in demographic and housing characteristics to the general homeless population. On average, respondents report high levels of stress and depression, moderate satisfaction with perceived social support availability, moderate beliefs in their ability to influence health related outcomes, moderate levels of self-efficacy, and low levels of physical and psychosocial disability. A range of services was identified as both helpful and useful in supporting a stable living arrangement. Implications for social policy, service provision, and research are discussed.     

Homeless Military Veterans and the Intersection of Partner Violence

The objective of this paper was to identify, screen, and assess homeless veterans through outreach for domestic abuse services. This study focuses on 507 homeless veterans, from 2002 to 2007 identified in a homeless shelter and a transitional housing program. Homeless veterans completed the Domestic Violence/Abuse Screen (DV/AS) and psychosocial assessment. The majority were males, African American, divorced, Army, Vietnam, substance-dependent, and homeless, while the minorities had combat-PTSD; were charged and convicted of domestic violence; were on supervised parole or probation; had juvenile records; were victims of domestic violence during rearing; had a perpetrator relative; had prior domestic violence treatment; and were referred for domestic abuse treatment services. There is a lack of research evidence for the effectiveness for screening of homeless veteran partner violence. This sample shows the benefit of integrating domestic abuse screening into homeless programs and more research.     

Psychosocial Problems Associated With Homelessness in Sexual Minority Youths

Sexual minorities are overrepresented among homeless youths, and this is often related to reactions to their status as sexual minorities. While on the streets, they are at increased risk for victimization, substance and alcohol use, sexual risk behaviors, and mental health issues compared to homeless heterosexual youths. This article uses ecological systems theory to examine psychosocial problems associated with homelessness among sexual minority youths and reviews empirical literature examining outcomes related to homeless sexual minority youths including mental health, substance use, and sexual risk behavior. Implications for social work are discussed including practice, policy, and suggestions for future studies.     

Characteristics of urban male homeless veterans and non-veterans in Omaha,Nebraska

The current study examined differences between urban homeless veterans and non-veterans on sociodemographics, housing, clinical characteristics, and psychosocial factors. We recruited a sample of 196 homeless men (101 veterans, 95 non-veterans) from the Omaha, Nebraska metropolitan area. Structured interviews were conducted by research staff. The results showed that the two groups were similar in most respects, though there were several notable differences. Homeless veterans were found to be older and more educated than non-veterans, more likely to have married, and reported having fewer non-adult children. Multivariable models controlling for age further showed that veterans reported a higher number of medical problems and were more likely to report being diagnosed with major depression or PTSD than non-veterans. Comparison with previous studies suggests changes in certain characteristics of homeless veterans over the past few decades that may reflect the growing proportion of veterans from the all-volunteer force, initiated after the draft ended in 1975. Findings from this study were consistent with previous comparative studies suggesting limited changes in recent decades in the characteristics of homeless veterans as compared to non-veterans, although the high prevalence of major depression and PTSD merit special treatment for these disorders.     

Children with no place to call home: Survival in the cars and on the streets

The author reports the results of a study about how 200 children between the ages of 6 and 12 understand and cope. with their homelessness. This study is theoretically framed and empirically grounded in the person-in-environment tradition of social work. Data collected through interviews with the children and questionnaires completed by their teachers were subjected to qualitative and quantitative analysis. Statistically significant differences in psychosocial functioning in the classroom, personal meaning of homelessness, and coping with concept of self as homeless were found between the 65 children identified as academically successful and the 135 identified as demonstrating academic problems.     

The variation in family background amongst young homeless shelter users in Denmark

This article analyses variation in the family background of young homeless people in a cohort of young Danes. The study is based on administrative data for individuals who were 18 years old in 2007 and their parents. Homelessness is measured by shelter use over a five-year period. Data also cover education, employment, mental illness, substance abuse problems and placement outside home in childhood for the young persons, and education, employment, civil status, mental illness and substance abuse problems for their parents. A cluster analysis identifies two groups, each comprising half of the young shelter users. In the first group, social marginalisation is transmitted between generations, as most parents have low education and mental illness or substance abuse problems, and are unemployed. In contrast, the young people in the second group come from wider socioeconomic backgrounds, with few of their parents having mental illness or substance abuse problems. These young people develop psychosocial problems and become homeless without strong predictors from their family background. Amongst the young shelter users from families with severe social problems a higher share are in the Not in Education, Employment or Training group. They also have more shelter stays, compared to young shelter users from families with fewer social problems.     

A Shelter-Based Stress-Reduction Group Intervention Targeting Self-Esteem, Social Competence, and Behavior Problems Among Homeless Children

It has been estimated that families with children now account for 40% of the population who become homeless. Given the consistency of research showing the potentially damaging effects of homelessness as a stressor upon the social and emotional development of children, the question of importance is how to best intervene to reduce the likelihood or severity of such possible negative consequences. The approach taken here involved the development of a Shelter-Based Stress-Reduction Group Intervention Targeting Self-Esteem and Behavior Problems Among Homeless Children.Data were collected on 52 elementary-school–age children from family-shelter facilities in Central Florida. The child's level of psychosocial functioning was assessed using the Coopersmith Self-Esteem Inventory (CSEI) and Achenbach's Child Behavior Checklist (CBCL). Although the repeated measures ANOVA techniques applied to those subjects were nonsigni-ficant, the relatively small sample size in study conditions led to consideration of the magnitude of effect sizes obtained in treatment and comparison groups. The changes in the intervention group's mean scores on key psychosocial outcome variables of interest were consistent with hypotheses, providing suggestive evidence of the potential utility of stress management training.     

A Shelter-Based Stress-Reduction Group Intervention Targeting Self-Esteem,Social Competence,and Behavior Problems Among Homeless Children1

It has been estimated that families with children now account for 40% of the population who become homeless. Given the consistency of research showing the potentially damaging effects of homelessness as a stressor upon the social and emotional development of children, the question of importance is how to best intervene to reduce the likelihood or severity of such possible negative consequences. The approach taken here involved the development of a Shelter-Based Stress-Reduction Group Intervention Targeting Self-Esteem and Behavior Problems Among Homeless Children. Data were collected on 52 elementary-schoolage children from family-shelter facilities in Central Florida. The child’s level of psychosocial functioning was assessed using the Coopersmith Self-Esteem Inventory (CSEI) and Achenbach’s Child Behavior Checklist (CBCL). Although the repeated measures ANOVA techniques applied to those subjects were nonsignificant, the relatively small sample size in study conditions led to consideration of the magnitude of effect sizes obtained in treatment and comparison groups. The changes in the intervention group’s mean scores on key psychosocial outcome variables of interest were consistent with hypotheses, providing suggestive evidence of the potential utility of stress management training.     

Stress,Coping, and Mental Health Differences among Homeless People

People who are chronically homeless are assumed to have higher rates of mental health problems than episodically or new‐entry homeless individuals. It is unclear to what extent early‐life and current stressors account for this disadvantage. Guided by cumulative disadvantage theory and stress research, we analyze data from a national study of the US homeless population to examine how stressors and coping resources throughout the life course are implicated in differences among homeless people in psychiatric disorders and alcohol or other drug abuse disorders. Logistic regression analysis reveals that new‐entry homeless persons are less likely than their chronically and episodically homeless counterparts to have current psychiatric disorders. This is explained by stressors and coping resources experienced in childhood and during adult homeless spells. Alcohol and other drug abuse is common but comparable across the three homeless types and shares an association with selected stress and coping measures. Findings lend credibility to an accumulation of risks perspective, highlighting how past as well as contemporaneous stressors are related to the mental health of homeless people.     

“I’m not homeless,I’m houseless”: identifying as homeless and associations with service utilization among Los Angeles homeless young people

Little is known about homeless young people’s identification of being homeless and how that identity may or may not be associated with service utilization. This study of 444 homeless young people attending Los Angeles area drop-in centers explores the associations of demographic characteristics, homelessness characteristics, negative lifetime experiences, mental health symptoms, technology use, and past month service utilization with identifying as homeless. Fifty-two percent of the sample identified as being homeless. Being Black, a current traveler, and history of injection drug use were all significantly associated with a decreased likelihood in identifying as homeless. However, having fair/poor health, accessing shelter services, and reporting one’s own substance use as a reason for homelessness were all significantly associated with identifying as homeless. There are important service implications for reaching young people who are in need of services but may not identify with the target population label of homeless.     

“Coming From the Place of Walking with the Youth—that Feeds Everything”: A Mixed Methods Case Study of a Runaway and Homeless Youth Organization

Organizations for runaway and homeless youth (RHY) provide essential services to highly vulnerable youth who have a wide variety of basic needs and complex psychosocial challenges. We present a mixed-methods case study of an RHY organization to identify the specific mechanisms and processes by the organization successfully promotes engagement and positive development of the youth they serve. We analyzed qualitative and quantitative data separately and then integrated these two strands of data. Our findings indicate a consistent convergence of responses across the data sources, in both the qualitative and quantitative strands, that consistently reflect the organization’s youth-centered approach. Primary among these policies and practices is the emphasis on building and maintaining empathetic relationships with youth, the promotion of youths’ autonomy, and an institutional culture of continuous evaluation of how the organization is meeting their mission to provide services that reflect best practices.     

Environmental hazards and home loss: The social construction of becoming homeless

Home loss due to landslides is a recurrent phenomenon in unstable lands in Caracas, Venezuela, where poor people help themselves by building their precarious homes. The social construction of becoming homeless in such situations was studied through in-depth interviews with 27 adults who lost their homes due to a landslide. The main topics brought up by the interviewees included the meaning of their homes, the impact of having lost them, the impact on their sense of family, the meaning of having become homeless and remaining indefinitely as such, and attribution of responsibilities for the disaster and for solutions to their homelessness. We present an analysis of some of the psychosocial processes related to these topics, as well as some ideas derived from the interpretation of the information gathered regarding risk prevention and the conception of homelessness.     

Changing Attitudes Toward the Homeless: The Effects of Prosocial Communication With the Homeless

One hundred, thirty-four undergraduate students participated in afield experiment designed to examine the effects of extended, prosocial communication with homeless persons, upon attitudes toward the homeless problem, of behavioral intentions towards the homeless, and of causal attributions about homelessness. It was expected that prosocial interaction with the homeless would produce shifts in attitudes and behavioral intentions toward the homeless and homelessness and result in greater attributions of external causes to explain homelessness. Nineteen experimental participants worked 15 hours at a local homeless shelter. Their responses to a posttestquestionnaire that measured a range of attitudinal and behavioral orientations toward the homeless were compared with control participants who did not work at the shelter. Subsequent analyses furnished strong evidence of positive changes in attitudes and intentions toward homelessness among the shelter workers. These participants evaluated homeless people as less blameworthy and more socially attractive than did control participants; moreover, shelter workers indicated more personal responsibility and behavioral commitment to helping the homeless than control participants. They also perceived the homeless problem to be more serious and were more likely to attribute homelessness to bad luck than control participants. However, the two groups were equally likely to attribute homelessness to various external causes such as the economy, housing costs, and governmental policies. The results are interpreted as having policy implications for volunteer service.     

Changing Attitudes Toward the Homeless: The Effects of Prosocial Communication With the Homeless

One hundred, thirty-four undergraduate students participated in a field experiment designed to examine the effects of extended, prosocial communication with homeless persons, upon attitudes toward the homeless problem, of behavioral intentions towards the homeless, and of causal attributions about homelessness. It was expected that prosocial interaction with the homeless would produce shifts in attitudes and behavioral intentions toward the homeless and homelessness and result in greater attributions of external causes to explain homelessness. Nineteen experimental participants worked 15 hours at a local homeless shelter. Their responses to a posttest questionnaire that measured a range of attitudinal and behavioral orientations toward the homeless were compared with control participants who did not work at the shelter. Subsequent analyses furnished strong evidence of positive changes in attitudes and intentions toward homelessness among the shelter workers. These participants evaluated homeless people as less blameworthy and more socially attractive than did control participants; moreover, shelter workers indicated more personal responsibility and behavioral commitment to helping the homeless than control participants. They also perceived the homeless problem to be more serious and were more likely to attribute homelessness to bad luck than control participants. However, the two groups were equally likely to attribute homelessness to various external causes such as the economy, housing costs, and governmental policies. The results are interpreted as having policy implications for volunteer service.     

Resettlement and reintegration: Single mothers’ reflections after homelessness

Previous research has identified that most families who become homeless are women with dependent children. Homeless families are reported to have a variety of complex needs; however, little is known about the experiences of families once they are re-housed. The aim of this study is to explore psychosocial issues related to the resettlement experiences of single mothers following a period of homelessness. Qualitative semi-structured interviews were used to gather data from 21 women living in a UK Midlands city. Thematic analysis was used to draw conclusions from the data. Findings indicated that, despite exposure to major stressors, most women had begun the process of resettlement by improving their physical surroundings. Women had achieved personal growth as they had managed to escape violence, overcome homelessness and create new opportunities for themselves and their children. Suggestions are made for future research and improvements to services which would promote resettlement in this population.