Health Care for the Homeless Information Resource Center


Bibliography #1 – Health Care Issues for Children – March 2007

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Order #: 15151

Authors:

National Early Childhood Technical Assistance Center.

 

Title:

Homelessness and Young Children: Early Childhood Care and Education.

Source:

Carrboro, NC: National Early Childhood Technical Assistance Center, 2006. (Bibliography: 8 Pages)

 

Abstract:

This annotated minibibliography from the National Early Childhood Technical Assistance Center (NECTAC) provides a selection of resources that address the needs and educational rights of young children experiencing homelessness, as well as strategies for working with homeless children and their families in early childhood care and education programs. Available From: National Early Childhood Technical Assistance, 517 South Greensboro Street, Carrboro, NC 27510, (919) 962-2001, nectac@unc.edu, www.nectac.org/%7Epdfs/pubs/homeless.pdf

 

Order #: 15152

Authors:

National Law Center on Homelessness and Poverty.

 

Title:

Homeless Education Advocacy Manual: Disaster Edition.

Source:

Washington, DC: National Law Center on Homelessness and Poverty, 2006. (Manual: 35 Pages)

 

Abstract:

This manual informs advocates and families concerned about the educational needs of children and youth displaced from their homes due to a disaster. It includes information about topics such as which students are considered homeless under federal law; methods of advocating for individual students; methods of advocating for system-wide change; securing immediate school enrollments; ensuring stable school placements; and accessing necessary and beneficial services such as transportation and academic assistance. Available From: National Law Center on Homelessness and Poverty, 1411 K Street NW, Suite 1400, Washington, DC, (202) 638-2535, www.nlchp.org/content/pubs/DisasterAdvocacy_May06.pdf

 

Order #: 14649

Authors:

Allen, J.L., Kline, S.M.

 

Title:

"Got Milk?" Responding to Pediatric Dental Injuries of Homeless Children.

Source:

Homeless Health Care Reports: Sharing Practice-Based Experience 1(1): June, 2005. (Case Report: 5 Pages)

 

Abstract:

This case report discusses how Health Care for the Homeless projects can prepare to respond to pediatric dental emergencies. Advertisements declare that milk builds strong bones and teeth for children, but it also can be a critical solution during a dental emergency. Dental trauma is extremely common among children. One-third of five-year-olds have suffered injury to their primary teeth and one-fourth of 12-year-olds have suffered injury to their permanent teeth. Knowing the right response at the right time can save a child's smile and self-esteem (authors). Available From: Health Care for the Homeless Clinician's Network, National Health Care for the Homeless Council, P.O. Box 60427, Nashville, TN 37206, (615) 226-2292, www.nhchc.org/Clinicians/CA07CaseReportGotMilk.pdf

 

Order #: 14285

Authors:

Anooshian, L.J.

 

Title:

Violence and Aggression in the Lives of Homeless Children: A Review.

Source:

Aggression and Violent Behavior 10: 129-152, 2005. (Journal Article: 24 Pages)

 

Abstract:

This review examines the role of violence and aggression in the lives of children in homeless families, focusing on possible connections among family violence and isolation, children’s aggression, and children’s problems with social isolation and rejection.  Exposure to violence appears to come from violence in homeless environments and families as well as from aggression in parent-child relationships; that violence leads to further negative consequences for children through the social isolation that it produces.  Diverse consequences of violence and aggression in the lives of homeless children include behavior problems, aggression in peer interactions, social isolation and rejection, and other diverse consequences arising from problematic parenting.  The prevalence of aggression for homeless children is further reinforced by the diversity of sources of increased vulnerability to aggression.  Different theories relevant to addressing sources of youth violence converge in predicting aggression among homeless youth; identified risk factors for youth violence overlap with risks linked to homelessness.  Yet, pervasive violence may characterize the lives of many housed children living in extreme poverty as well.  Overall, conclusions reached in this review emphasize the need to address violence and aggression in intervention programs for homeless children (authors). 

 

Order #: 14633

Authors:

Bassuk, E., Friedman, S.M.

 

Title:

Facts on Trauma and Homeless Children.

Source:

Los Angeles, CA: National Child Traumatic Stress Network, Homelessness and Extreme Poverty Working Group, 2005. (Fact Sheet: 6 Pages)

 

Abstract:

This fact sheet answers questions about trauma and children who are homeless in the following sections:  Who Is Homeless in America?;  How Does Trauma Enter the Lives of Homeless Children?;  How Can Programs and Services Help Families Exposed to Trauma?;  How Can We Provide Trauma-Specific Services to People Experiencing Homelessness?;  and Where Can I Get Further Information? Available From: National Center for Child Traumatic Stress, University of California, 11150 West Olympic Boulevard, Suite 650, Los Angeles, CA 90064, (310) 235-2633, www.nctsnet.org/nctsn_assets/pdfs/promising_practices/Facts_on_Trauma_and_Homeless_Children.pdf

 

Order #: 14695

Authors:

Family Housing Fund.

 

Title:

Children Pay the Price for Homelessness.

Source:

Minneapolis, MN: Family Housing Fund, 2005. (Fact Sheet: 4 Pages)

 

Abstract:

This fact sheet describes The Twin Cities growing problem of family homelessness. More than ever before in Minnesota, a homeless person is likely to be a child. From 1991-2003 the number of homeless families with children more than tripled. Homeless children are not simply at risk; most suffer specific physical, psychological, and emotional damage due to the circumstances that accompany homelessness. The causes of homelessness are complex and include, among others: the inability to find housing that is affordable; declining wages; crises such as job loss, illness, family violence, or divorce; discrimination; and chronic conditions such as chemical dependency or mental illness. The result, however, is painfully clear. Every year thousands of Minnesota children and their parents spend time in homeless shelters and other emergency housing because they have no permanent place to live. Available From: Family Housing Fund, Midwest Plaza West, Suite 1650, 801 Nicollet Mall, Minneapolis, MN 55402, (612) 375-9644, www.fhfund.org/_dnld/reports/paytheprice04.pdf

 

Order #: 14288

Authors:

Hanrahan, P., McCoy, M.L., Cloninger, L., Dincin, J., Zeitz, M.A., Simpatico, T.A., Luchins, D.J.

 

Title:

The Mothers' Project for Homeless Mothers With Mental Illnesses and Their Children: A Pilot Study.

Source:

Psychiatric Rehabilitation Journal 28(3): 291-294, 2005. (Journal Article: 4 pages)

 

Abstract:

This study describes the experience of the Thresholds Mothers' Project in serving 24 homeless mothers.  Benchmarks suggest that the mothers and their children benefited from the program.  A year after intake, 79% were still engaged in services and were all living in either independent apartments or in supportive housing.  The majority of the children in their mother's care at intake were still living with them one year later.  The Mothers' Project provides an exemplary model of how to serve this vulnerable population (authors). 

 

Order #: 14648

Authors:

Health Care for the Homeless Clinician's Network.

 

Title:

Homelessness Challenges Infants' Social-Emotional Development.

Source:

Healing Hands 9(3): June, 2005. (Newsletter: 6 Pages)

 

Abstract:

This issue examines the determinants of infant mental health, risk and protective factors, effective interventions (including parenting skills training), and the role of the HCH clinician in promoting healthy children and families. Factors that precipitate and prolong family homelessness (including poverty, violence, mental disorders, and substance use) and stresses associated with displacement may have a significant negative impact on the social, emotional, and cognitive growth of infants and toddlers. The mediating variable for environmental stresses in the life of a young child appears to be the relationship the child has with his or her primary caregiver, typically the mother. Yet in homeless families, this relationship is often threatened by maternal depression, lack of parenting skills, the need to focus on immediate survival needs, and the pressures of parenting in public (authors). Available From: National Health Care for the Homeless Council, P.O. Box 60427, Nashville, TN 37206, (615) 226-2292, www.nhchc.org/Network/HealingHands/2005/June2005HealingHands.pdf

 

Order #: 14592

Authors:

Homes for the Homeless.

 

Title:

Homeless in America, Part Two: A Statistical Reader.

Source:

New York, NY: Homes for the Homeless, 2005. (Report: 36 Pages)

 

Abstract:

This report is a companion to Homeless in America: A Children’s Story. This report provides in-depth statistical analyses of the national survey data, divided into four chapters based on the region in which survey participants reside, their racial background, their ages, and the number of times they have become homeless. Each chapter offers a unique perspective for understanding the similarities and differences among homeless families in the United States. The analysis also contributes to a fuller picture of what factors cause some families to lose their housing, and what results from their homelessness (authors). Available From: Homes for the Homeless and The Institute for Children and Poverty, 36 Cooper Square, 6th Floor, New York, NY 10003 (212) 529-5252, www.homesforthehomeless.com

 

Order #: 15202

Authors:

Isaacs, M, Huang, L., Hernandez, M., Echo-Hawk, H.

 

Title:

The Road to Evidence: The Intersection of Evidence-Based Practices and Cultural Competence in Children's Mental Health.

Source:

Washington D.C.: National Alliance of Multi-Ethnic Behavioral Health Associations, 2005. (Report: 50 Pages)

 

Abstract:

This policy paper on the intersection of evidence-based practices (EBPs) and cultural competence grow out of recent research findings and policy trends that encourage greater use of EBPs in clinical programs with children, adolescents, and their families to improve the quality of care and outcomes of mental health interventions. In fact, the use and expansion of EBPs in mental health care are considered a major component in the transformation of the mental health system as envisioned by the President's New Freedom Commission (2003). The report notes that "in a transformed mental health system, consistent use of evidence-based, state-of-the-art medications and psychotherapies will be standard practice.  At the same time, the Commission report highlights the importance of eliminating disparities in mental health care for culturally diverse populations and rural and geographically remote areas (authors). Available From: National Alliance of Multi-Ethnic Behavioral Health Associations, 1875 I Street NW Suite 5009, Washington D.C. 2006, (202)429-5520, www.nambha.org.

 

Order #: 14672

Authors:

Kelly, S.E., Binkley, C.J., Neace, W.P., Gale, B.S.

 

Title:

Barriers to Care-Seeking for Children’s Oral Health Among Low-Income Caregivers.

Source:

American Journal of Public Health 95(8): 1345-1351, 2005. (Journal Article: 7 Pages)

 

Abstract:

This study identified psychosocial, structural, and cultural barriers to seeking dental care among nonutilizing caregivers of Medicaid-enrolled children.  Medicaid utilization records were used to identify utilizing and nonutilizing African American and White caregivers of Medicaid-enrolled children in Jefferson County, KY.  Eight focus groups were conducted with a stratified random sample of responding caregivers; transcripts were qualitatively analyzed.  Psychosocial factors associated with utilization included oral health beliefs, norms of caregiver responsibility, and positive caregiver dental experiences.  Utilizing groups reported higher education; health beliefs included identifying oral health with overall health and professional preventive dental care with caregiver responsibility for children’s overall health.  These beliefs may mediate shared structural barriers, including transportation, school absence policies, discriminatory treatment, and difficulty locating providers who accept Medicaid.  Expectation of poor oral health among some low-income caregivers was among factors identified with nonutilization.  Disadvantaged caregivers reported multiple barriers to accessing dental care for their children.  Providers, Medicaid administrators, and schools must coordinate steps to encourage caregiver-controlled dental care, build trust, and link professional preventive dental care with caregiver responsibility for children’s overall health (authors). 

 

Order #: 14670

Authors:

Kenney, G.M., McFeeters, J.R., Yee, J.Y.

 

Title:

Preventive Dental Care and Unmet Dental Needs Among Low-Income Children.

Source:

American Journal of Public Health 95(8): 1360-1366, 2005. (Journal Article: 7 Pages)

 

Abstract:

This study examined the ways in which levels of preventive dental care and unmet dental needs varied among subgroups of low-income children.  Data were drawn from the 2002 National Survey of America’s Families.  Bivariate and multivariate analyses were conducted, including logistic regression analyses, to assess relationships between socioeconomic, demographic, and health factors and receipt of preventive dental care and unmet dental needs.  More than half of low-income children without health insurance had no preventive dental care visits.  Levels of unmet dental needs among low-income children who had private health insurance coverage but no dental benefits were similar to those among uninsured children.  Children of parents whose mental health was rated as poor were twice as likely to have unmet dental needs as other children.  Additional progress towards improving the dental health of low-income children depends on identifying and responding to factors limiting both the demand for and the supply of dental services. In particular, it appears that expanding access to dental benefits is the key to improving the oral health of this population (authors). 

 

Order #: 14449

Authors:

Meyers, A., Cutts, D., Frank, D., Levenson, S., Skalicky, A., Heeren, T., Cook, J., Berkowitz, C., Black, M., Casey, P., Zaldivar, N.

 

Title:

Subsidized Housing and Children’s Nutritional Status: Data from a Multisite Surveillance Study.

Source:

Archives of Pediatrics and Adolescent Medicine 159: 551-556, 2005. (Journal Article: 6 Pages)

 

Abstract:

This study’s objective was to examine the relationship between receiving housing subsidies and nutritional and health status among young children in low-income families, especially those that are food insecure.  From August 1998 to June 2003, the Children’s Sentinel Nutrition Assessment Program interviewed caregivers of children younger than 3 years in pediatric clinics and emergency departments in 6 sites (AR, CA, MD, MA, MN, and DC).  Interviews included demographics, perceived child health, the US Household Food Security Scale, and public assistance program participation.  Children’s weight at the time of the visit was well documented.  The study sample consisted of all renter households identified as low income by their participation in at least one means-tested program.  Data were available for 11 723 low-income renter families; 27% were receiving a public housing subsidy, and 24% were food insecure.  In multivariable analyses, stratified by household food security status and adjusted for potential confounding variables, children of food-insecure families not receiving housing subsidies had lower weight for age compared with children of food-insecure families receiving housing subsidies.  In a large convenience sentinel sample, the children of low-income renter families who receive public housing subsidies are less likely to have anthropometric indications of undernutrition than those of comparable families not receiving housing subsidies, especially if the family is not only low income but also food insecure (authors). 

 

Order #: 14671

Authors:

Nash, D.A., Nagel, R.J

 

Title:

Confronting Oral Health Disparities Among American Indian/Alaska Native Children: The Pediatric Oral Health Therapist.

Source:

American Journal of Public Health 95(8): 1325-1329, 2005. (Journal Article: 5 Pages)

 

Abstract:

This article discusses the development and deployment of a new allied oral health professional, a pediatric oral health therapist.  This kind of practitioner can effectively extend the ability of dentists to provide for children not receiving care and help to confront the significant oral health disparities existing in American Indian and Alaska Native children.  Resolving oral health disparities and ensuring access to oral health care for American Indians and Alaska Natives is a moral issue- one of social justice (authors). 

 

Order #: 14811

Authors:

National Law Center on Homelessness and Poverty.

 

Title:

Connecting Homeless Students to Special Education Services: A Guide to Rights and Resources.

Source:

Washington, DC: National Law Center on Homelessness and Poverty, 2005. (Guide: 24 Pages)

 

Abstract:

This guide discusses the Individuals with Disabilities Education Act (IDEA). IDEA allows students with disabilities to have their own Individualized Education Programs (IEPs) to meet their special needs. Homeless students often have trouble accessing special education services. Changing schools frequently and not knowing their rights are two reasons that students in homeless situations may not receive the help they need in school. However, IDEA can provide homeless students with disabilities the best possible opportunities to succeed in the classroom (authors). Available From: The National Law Center on Homelessness and Poverty, 1411 K Street NW, Suite 1400, Washington, DC 20005, (202) 638-2535, www.nlchp.org/content/pubs/Special%20ed%20booklet%20(2005).pdf

 

Order #: 14809

Authors:

National Law Center on Homelessness and Poverty.

 

Title:

Educating Homeless Children and Youth: The 2005 Guide to Their Rights.

Source:

Washington, DC: National Law Center on Homelessness and Poverty, 2005. (Guide: 24 Pages)

 

Abstract:

This is a comprehensive guide to the requirements of the McKinney-Vento Homeless Assistance Act. Children and youth experiencing homelessness often have problems enrolling in and participating in school. As a result, Congress passed the McKinney-Vento Homeless Assistance Act in 1987. This law gives homeless children and youth the right to: stay in their school even if they move; enroll in a new school without proof of residency, immunizations, school records, or other papers; get transportation to school; get all the school services they need; and challenge decisions made by schools and districts (authors). Available From: The National Law Center on Homelessness and Poverty, 1411 K Street NW, Suite 1400, Washington, DC 20005, (202) 638-2535,  www.nlchp.org/FA_Education/Basic%20McKinney%20Booklet%20(2005).pdf

 

Order #: 14511

Authors:

Park, J.M., Metraux, S., Brodbar, G., Culhane, D.

 

Title:

Child Welfare Involvement Among Children in Homeless Families.

Source:

Child Welfare 83(5): 423-436, 2005. (Journal Article: 14 Pages)

 

Abstract:

This study analyzed 8251 homeless children in New York City and found that 18% of them received child welfare services over the five-year period following their first shelter admission, and an additional 6% had a history of having received such services before their first shelter admission. Recurrent use of public shelters, exposure to domestic violence, older age at first episode of homelessness, and larger number of children in a household were associated with an increased risk of child welfare involvement. The high rate of crossover between homelessness and the child welfare system suggests the need for service coordination for children in homeless families (authors). 

 

Order #: 14579

Authors:

Rhee Kim, Y.O.

 

Title:

Reducing Disparities in Dental Care for Low-Income Children.

Source:

Journal of Health Care for the Poor and Underserved 16(3): 431-443, 2005. (Journal Article: 13 Pages)

 

Abstract:

This study examined the influences of socio-demographic factors, mother’s attitudes, financial barriers, and the health care delivery system on the use of dental services for 4-8 year old Hispanic children.  Initiating dental care during preschool years was significantly related to the mothers’ beliefs and her social network’s beliefs in the value of preventive dental care.  The mother was almost four times more likely to continue the care if she believed that dentist visits would keep the child’s teeth healthy.  Extended clinic hours in the evenings also increased the likelihood of the mother’s return to the dentist to continue the child’s care.  It was not the mother’s attitudes but provider availability, dental insurance (including Medicaid) and family income that were related to frequency of planned visits.  The study findings can be used in improving access to care and reducing barriers for low-income, urban Hispanic children (authors). 

 

Order #: 14879

Authors:

Schwarz, K., Garrett, B., Lamoreux, J., Bowser, Y.D., Weinbaum, C., Alter, M.J.

 

Title:

Hepatitis B Vaccination Rate of Homeless Children in Baltimore.

Source:

Journal of Pediatric Gastroenterology and Nutrition 41(2): 225-229, 2005. (Journal Article: 5 Pages)

 

Abstract:

This study's objective was to investigate the hepatitis B vaccination rate in homeless children 2 to 18 years old living in Baltimore City.  During a 21-month period, 250 children from homeless shelters were enrolled.  The percent of children who had received 3 or more doses of hepatitis B vaccine was inversely related to age; 90% in 2- to 5-year-olds and 29% in 13- to 18-year-olds.  Seventy percent of 2- to 5-year-olds had at least some of their vaccine history recorded in the Baltimore Immunization Registry Program but the history was complete in only half.  Forty-two percent of 13- to 18-year-olds had no hepatitis B vaccine doses recorded in any source; 49 per cent of 10- to 18-year-olds were either not immunized or had received only one hepatitis B vaccine dose.  Hepatitis B vaccine coverage is high in homeless children up to 9 years of age, whereas the majority of homeless children 10 years of age and older are unprotected against hepatitis B virus infection.  Tracking the vaccine records in homeless children is labor intensive.  Better public health strategies to deliver hepatitis B vaccine to older homeless children are urgently needed (authors). 

 

Order #: 14636

Authors:

VanDeMark, N.R., Russell, L.A., O'Keefe, M., Finkelstein, N., Noether, C.D., Gampel, J.C.

 

Title:

Children of Mothers with Histories of Substance Abuse, Mental Illness, and Trauma.

Source:

Journal of Community Psychology 33(4): 445-459, 2005. (Journal Article: 15 Pages)

 

Abstract:

This article describes the characteristics of a sample of children of women entering treatment.  These children had been exposed to domestic violence, frequent child welfare involvement, and residential instability.  Parental entry into treatment affords treatment providers an opportunity to intervene early with these children, enabling them to offer supportive and preventive services and to help children build skills to avoid problems later.  Treatment providers are encouraged to offer assessment and services to children of parents entering treatment, capitalizing on the opportunity to intervene early with a group of children who are at risk for problems with significant individual and social consequences (authors). 

 

Order #: 13872

Authors:

Chatterji, P., Brooks-Gunn, J.

 

Title:

WIC Participation, Breastfeeding Practices, and Well-Child Care Among Unmarried, Low-Income Mothers.

Source:

American Journal of Public Health 94(8): 1324-1326, 2004. (Journal Article: 3 pages)

 

Abstract:

In this article, the authors estimate the effect of Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participation in 1999 to 2000 on breastfeeding initiation and duration and well-child care. The authors applied multivariate regression to a sample of 2136 unmarried, low-income, urban mothers from the Fragile Families and Child Wellbeing Study.  The article states that WIC participation was associated with small increases in the probabilities of initiating breastfeeding and having had at least four well-child visits since birth, behaviors that benefit infants beyond the newborn period, but not with breastfeeding duration (authors). 

 

Order #: 14470

Authors:

Courtney, M.E., McMurtry, S.L., Zinn, A.

 

Title:

Housing Problems Experienced by Recipients of Child Welfare Services.

Source:

Child Welfare 83(5): 393- 421, 2004. (Journal Article: 29 Pages)

 

Abstract:

This study uses data on the experiences of families involved with child welfare services to examine the nature of housing problems and needs among these families and whether housing status affects case outcomes.  First, the article describes the housing difficulties faced by two distinct child welfare service populations: families receiving voluntary in-home services and families with children in court-ordered out-of-home care.  Second, the study demonstrates the relationship between housing problems and the likelihood of family reunification for children in out-of-home care.  The findings have implications for the delivery of child welfare services and the provision of housing assistance to low-income families with children (authors). 

 

Order #: 14513

Authors:

Ernst, J.S., Meyer, M., DePanfilis, D..

 

Title:

Housing Characteristics and Adequacy of the Physical Care of Children: An Exploratory Analysis.

Source:

Child Welfare 83(5): 437-452, 2004. (Journal Article: 16 Pages)

 

Abstract:

This study explored the relationship between housing conditions and the adequacy of the physical care of children. The sample included 106 caregivers who were participating in a neglect prevention demonstration project in a low-income, inner-city neighborhood. Children who lived with caregivers who had unsafe housing conditions were less likely to receive adequate physical care. Findings confirm the importance of addressing concrete housing conditions as part of an ecological approach to preventing child neglect (authors). 

 

Order #: 14516

Authors:

Harburger, D.S., White, R.A.

 

Title:

Reunifying Families, Cutting Costs: Housing-Child Welfare Partnerships for Permanent Supportive Housing.

Source:

Child Welfare 83(5): 493-508, 2004. (Journal Article: 16 Pages)

 

Abstract:

This article addresses how the absence of an adequate supply of affordable, quality housing, places child welfare agencies in the unenviable position of separating families to protect children from the debilitating effects of homelessness. This article presents recommendations for cost-effective housing-child welfare partnerships that will shift the burden of providing adequate housing back to housing agencies. These partnerships have the potential to move child welfare agencies closer to achieving permanence and well-being for all children (authors). 

 

Order #: 15285

Authors:

Karr, C., Kline, S.

 

Title:

Homeless Children: What Every Clinician Should Know.

Source:

Pediatrics in Review 25(7): 234-240, 2004. (Journal Article: 7 pages)

 

Abstract:

This article helps the clinician to recognize patient homelessness and create effective, appropriate health care plans.  Of note, the information provided relates to homeless children who are part of families and does not address unaccompanied youth who have somewhat different and unique issues (authors). 

 

Order #: 13877

Authors:

Kidd, S., Scrimenti, K.

 

Title:

Evaluating Child and Youth Homelessness: The Example of New Haven Connecticut.

Source:

Evaluation Review 28(4): 325-341, 2004. (Journal Article: 16 pages)

 

Abstract:

This article discusses the review of approaches taken to generate accurate estimates of the scale of child and youth homelessness in America, and documents the methods and results of a multipronged count of homeless children and youth in New Haven, CT. The survey used in this count accessed demographics and service needs, and was administered on the streets and in a wide range of service provision settings. A total of one hundred seventy homeless families were located, comprised primarily of young, single, African American women and their children. These families included three hundred twenty-three children, suggesting an annual prevalence of 1,688 in this community. The authors address the paucity of information on homeless children and youth located in small to midsized cities (authors). 

 

Order #: 13620

Authors:

Lee, J., Rozier, G., Norton, E., Kotch, J., Vann, W.

 

Title:

Effects of WIC Participation on Children's Use of Oral Health Services.

Source:

Research and Practice 94(5): 772-777, 2004. (Journal Article: 6 pages)

 

Abstract:

In this article, the authors estimated the effects of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) on dental services use by Medicaid children in North Carolina.  The authors used linked Medicaid claims and enrollment files, WIC files, and the area resource file to compare dental services use for children enrolled in WIC with those not enrolled.  The article states that children who participated in WIC had an increased probability of having a dental visit, were more likely to use preventive and restorative services, and were less likely to use emergency services. The authors conclude that children's WIC participation improved access to dental care services that should lead to improved oral health (authors). 

 

Order #: 13876

Authors:

Nabors, L., Weist, M., Shugarman, R., Woeste, M., Mullet, E., Rosner, L.

 

Title:

Assessment, Prevention, and Intervention Activities in a School-Based Program for Children Experiencing Homelessness.

Source:

Behavior Modification 28(4): 565-578, 2004. (Journal Article: 13 pages)

 

Abstract:

This article provides information from a mental and physical health prevention program and needs assessment for at-risk children, who were experiencing homelessness or were from very low-income families, which was piloted during a summer camp program in an urban school. The authors assert that results of the needs assessment indicate that children residing in homeless shelters reported less consistent access to medical and dental care than children residing with their families. The authors also state that children experiencing homelessness were more likely to report that they had participated in counseling than did children from low-income families, and that satisfaction ratings of prevention activities conducted in the program were positive for students and teachers (authors). 

 

Order #: 13189

Authors:

National Coalition for the Homeless.

 

Title:

Education of Homeless Children and Youth.

Source:

Washington, DC: National Coalition for the Homeless, 2004. (Fact Sheet: 5 pages)

 

Abstract:

This fact sheet examines the barriers to public education faced by children and youth who are homeless.  The authors also discuss the progress states have made in removing those barriers, and current policy issues.  A list of resources for further study is provided (authors). Available From: National Coalition for the Homeless, 1012 Fourteenth Street, NW, #600, Washington, DC 20005, (202) 737-6444, www.nationalhomeless.org.

 

Order #: 14162

Authors:

People's Emergency Center.

 

Title:

Homeless Children in Philadelphia: Promising Approaches and Recommendations.

Source:

Philadelphia, PA: People's Emergency Center, 2004. (Report: 23 Pages)

 

Abstract:

This report includes a needs statement, followed by a description of currently existing promising approaches to caring for these children, and it concludes with a list of recommendations to improve the well-being of these children and suggestions for implementing them. Although very little data are available about the 1,000 or so children who sleep in city shelters every night, it is known that they face significant challenges. The ultimate goal is to break the cycle of homelessness from one generation to the next (authors). Available From: People's Emergency Center, 325 North 39th Street, Philadelphia, PA 19104, (215) 382-7522, PEC@pec-cares.org, www.pec-cares.org/kidsphilly.pdf

 

Order #: 13679

Authors:

Shefer, A., Smith, P.

 

Title:

Improving the Immunization and Health Status of Children in the Women, Infants, and Children (WIC) Program.

Source:

Journal of Health Care for the Poor and Underserved 15: 127-140, 2004. (Journal Article: 13 pages)

 

Abstract:

This article examines the characteristics of two groups of children: those who dropped out of the Women, Infants, and Children Program (WIC) despite being eligible, and those who remained in the program but were underimmunized.  The authors state that of over twenty-thousand children ages nineteen to fifteen months old, forty-nine percent had participated in WIC but only fifty percent were still enrolled.  The article asserts that factors most strongly associated with dropping out of the program were older age of children; white, black or American Indian race; living in an urban or suburban area; higher socioeconomic status but still eligible for the program; having only one child at home; and having mother who were unmarried or less than thirty years old.  The article also states that among current participants, factors most strongly associated with under-vaccination included younger age of the child; black or Asian race; moving from another state since birth; mother with less than a high-school education; and having two or more children under eighteen years old living in the household.  The authors suggest routinely collected child/family information be used to target outreach and immunization-promoting interventions toward children most likely to drop out of the program or to be underimmunized (authors). 

 

Order #: 13214

Authors:

Wehler, C., Weintreb, L., Huntington, N., Scott, R., Hosmer, D., Fletcher, K., Goldberg, R., Gundersen, C.

 

Title:

Risk and Protective Factors for Adult and Child Hunger Among Low-Income Housed and Homeless Female-Headed Families.

Source:

American Journal of Public Health 94(1): 109-115, 2004. (Journal Article: 9 pages)

 

Abstract:

In this article, the authors sought to identify factors associated with adult or child hunger.  Mothers who were low-income housed and homeless were interviewed about socioeconomic, psychosocial, health, and food sufficiency information. Multinomial logistic regression produced models predicting adult or child hunger. According to the article, predictors of adult hunger included mothers’ childhood sexual molestation and current parenting difficulties, or "hassles." The authors assert that risk factors for child hunger included mothers’ childhood sexual molestation, housing subsidies, brief local residence, having more or older children, and substandard housing. This study found that the odds of hunger, although affected by resource constraints in low-income female-headed families, were also worsened by mothers’ poor physical and mental health. Eliminating hunger thus may require broader interventions than food programs (authors). 

 

Order #: 12583

Authors:

Buescher, P., Horton, S., Devaney, B., Roholt, S., Lenihan, A., Whitmire, J., Kotch, J.

 

Title:

Child Participation in WIC: Medicaid Costs and Use of Health Care Services.

Source:

American Journal of Public Health 93(1): 145-150, 2003. (Journal Article: 6 pages)

 

Abstract:

In this article, the authors used data from birth certificates, Medicaid, and the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) to examine the relationship of child participation in WIC to Medicaid costs and use of health care services in North Carolina.  The authors linked Medicaid enrollment, Medicaid paid claims, and WIC participation files to birth certificates for children born in North Carolina in 1992.  Using multiple regression analysis, the authors estimated the effects of WIC participation on the use of health care services and Medicaid costs, and found that Medicaid-enrolled children participating in the WIC program showed greater use of all types of health care services compared with Medicaid-enrolled children who were not WIC participants.  The article concludes that the health care needs of low-income children who participate in WIC may be better met than those of low-income children not participating in WIC (authors). 

 

Order #: 13612

Authors:

Conners, N., Bradley, R., Mansell, L., Liu, J., Roberts, T., Burgdorf, K., Herrell, J.

 

Title:

Children of Mothers With Serious Substance Abuse Problems: An Accumulation of Risks.

Source:

American Journal of Drug and Alcohol Abuse 29(4): 743-758, 2003. (Journal Article: 13 pages)

 

Abstract:

This study examines the life circumstances and experiences of 4084 children affected by maternal addiction to alcohol or other drugs. The authors address the characteristics of their caregivers, the multiple risk factors faced by these children, their health and development, and their school performance. Data were collected from mothers at intake into fifty publicly funded residential substance abuse treatment programs for pregnant and parenting women. The authors assert that findings from this study suggest that children whose mothers abuse alcohol or other drugs confront a high level of risk and are at increased vulnerability for physical, academic, and social-emotional problems. The authors conclude that children affected by maternal addiction are in need of long-term supportive services (authors). 

 

Order #: 12709

Authors:

David and Lucille Packard Foundation.

 

Title:

Health Insurance for Children.

Source:

The Future of Children 13(1): 1-248, 2003. (Journal:Entire Issue: 249 pages)

 

Abstract:

This issue reviews the latest research on efforts to provide publicly funded health insurance for children.  The journal indicates which children are uninsured and why, as well as examines a range of strategies for increasing enrollment.  Building on the findings and recommendations reported in the journal, this guide highlights important facts about the State Children's Health Insurance Plan (SCHIP) and Medicaid and presents options for policy makers concerned about low-income children lacking health coverage.  Key points made in this issue are: every child should have health insurance; existing programs can solve the uninsurance problem for most children; program funding needs improvement; and continued focus on outreach, and retention is critical for success (authors). Available From: The Future of Children Distribution Center, P.O Box 8, Williamsport, PA 17703, (570) 322-2063, www.futureofchildren.org.

 

Order #: 14111

Authors:

Estrada, B.

 

Title:

Ectoparasitic Infestations in Homeless Children.

Source:

Seminars in Pediatric Infectious Diseases 14(1): 20-24, 2003. (Journal Article: 4 Pages)

 

Abstract:

This review focuses on the epidemiology, clinical presentation, diagnosis, and treatment of common ectoparasitic infestations among homeless children and their families. Most human ectoparasites live on the surface of their host and depend on that host to complete their life cycle. The most common ectoparasitic infestations of medical importance in humans include pediculosis, scabies, myiasis, and tungiasis. Different host factors are related, with increased risk of acquiring ectoparasitic infestation occurring among the homeless. Although these ectoparasitic infections can be found worldwide, their prevalence is affected significantly by environmental conditions in different geographical areas. The most frequent bacterial infections associated with these infestations also are discussed (author). 

 

Order #: 12379

Authors:

Fox, M.H., Moore, J., Davis, R., Heintzelman, R.

 

Title:

Changes in Reported Health Status and Unmet Need for Children Enrolling in the Kansas Children's Health Insurance Plan.

Source:

American Journal of Public Health 93(4): 579-582, 2003. (Journal Article: 4 pages)

 

Abstract:

This article analyzes the Kansas Children's Health Insurance Program's effect on children's health status and access to health care.  Based on recent research, the authors examine and profile children's health status, unmet medical needs, and access to services over the first year of the program (authors). 

 

Order #: 12645

Authors:

Freeman, N., Schneider, D., McGarvey, P.

 

Title:

The Relationship of Health Insurance to the Diagnosis and Management of Asthma and Respiratory Problems in Children in a Predominantly Hispanic Urban Community.

Source:

American Journal of Public Health 93(8): 1316-1320, 2003. (Journal Article: 5 pages)

 

Abstract:

In this article, the authors evaluated the relationship of health care insurance coverage to the diagnosis and treatment of elementary school children for asthma and related respiratory problems from 1998 through 2001.  The article discusses a study done in which a bilingual questionnaire assessing health care coverage, asthma diagnois, respiratory symptoms, and use of medications was distributed to parents of 6235 public and private school children grades 2 through 5 in Passaic, NJ.  The authors state that the responses for 4380 children revealed disparities in health care coverage and asthma diagnosis among racial and ethnic groups.  The percentage of children with health insurance grew from 67% in 1998 to 81% in 2001, and diagnosis of asthma and treatment were related to health care coverage (authors). 

 

Order #: 12897

Authors:

Hicks-Coolick, A., Burnside-Eaton, P., Peters, A.

 

Title:

Homeless Children: Needs and Services.

Source:

Child and Youth Care Forum 32(4): 197-210, 2003. (Journal Article: 13 pages)

 

Abstract:

This study explored needs of homeless children and shelter services available to them. The first phase of this mixed method study consisted of open-ended interviews of key personnel in six diverse homeless shelters in metropolitan Atlanta, GA. This qualitative data gave direction to the creation of a questionnaire used in a larger follow-up survey of shelters in the state of Georgia. Roughly two-thirds of the 102 reporting shelters that served children provided food, clothing, and school supplies with 40% offering some form of transportation. More than 75% of the shelters were full and did not have space currently available for children, with an additional 10% having only one or two available beds. Most of the shelters lacked important services in the areas of medical and developmental assessments, access to education, childcare, and parent training. Forty-seven percent lacked onsite worker training in the characteristics and needs of homeless children. In addition, while the McKinney Act legally mandates ways to serve homeless children, findings indicate that over half of key informants in homeless shelters were unfamiliar with the law (authors). 

 

Order #: 13212

Authors:

Meadows-Oliver, M.

 

Title:

Mothering in Public: A Meta-Synthesis of Homeless Women With Children Living in Shelters.

Source:

Journal of Special Pediatric Nursing 8(4): 130-136, 2003. (Journal Article: 7 pages)

 

Abstract:

This paper synthesizes the current qualitative literature on homeless women with children living in shelters.  Eighteen qualitative studies on homeless women with children living in shelters were included in the synthesis.  According to the authors, six reciprocal translations (themes) of homeless mothers caring for their children in shelters emerged. The results may be used by healthcare workers as a framework for developing intervention strategies directed toward helping mothers find new solutions to dealing with shelter living and innovative ways to resolve their homelessness (authors). 

 

Order #: 14112

Authors:

Morris, R.I., Butt, R.A.

 

Title:

Parents' Perspectives on Homelessness and Its Effects on the Educational Development of Their Children.

Source:

Journal of School Nursing 19(1): 43-50, 2003. (Journal Article: 7 Pages)

 

Abstract:

This qualitative study explored parents' perceptions of how their homelessness affected the development and academic achievement of their children. Grounded theory with symbolic interactionism was the framework for this study. Data were collected through semistructured interviews with 34 homeless families in a variety of settings. Multiple factors were found, including unstable relationships, abuse and violence, abdication of parental responsibility, poor parenting models, and resilient children. The findings present a case for supportive educational services for homeless school-age children. School nurses play a dual role. They can ensure that school personnel and resource providers understand the culture of homelessness, and they can develop and implement innovative programs for parents and school personnel to help homeless children (authors). 

 

Order #: 11963

Authors:

National Resource Center on Homelessness and Mental Illness.

 

Title:

What About the Needs of Children Who are Homeless?

Source:

Delmar, NY: The National Resource Center on Homelessness and Mental Illness, 2003. (Fact Sheet: 2 pages)

 

Abstract:

This fact sheet discusses the statistics related to children within the homeless population.  It also outlines the harmful effects of homelessness on children, which include emotional and behavioral problems, learning difficulties, and health issues. 

 

Order #: 13006

Authors:

Stormer, A., Harrison, G.G.

 

Title:

Does Household Food Security Affect Cognitive and Social Development of Kindergartners?

Source:

Madison, WI: Institute for Research on Poverty, 2003. (Report: 46 pages)

 

Abstract:

The development in the last decade of methodology for measuring and scaling household food insecurity and hunger in U.S. populations makes possible systematic examination of the ways in which hunger and food insecurity affect individuals and families. The impact on children has always been of primary concern for policy, advocacy, and science because of the vulnerability of children to long-term developmental sequelae. There is an emerging and rapidly growing literature demonstrating deleterious links between inadequate food and a variety of developmental outcomes for children, including poorer health status, school absenteeism, and emotional and behavioral dysfunction. The research presented here explores the relationship of household food insecurity to children's well-being in terms of cognitive and social development at kindergarten entry, utilizing a large and representative sample children in the United States. The timing of this evaluation, in the fall of the child's first school experience, allows a snapshot of a child's development throughout his/her preschool years relatively independent of the major influence that the school experience will have subsequently (authors). Available From: Institute for Research on Poverty, University of Wisconsin-Madison, 1180 Observatory Drive, 3412 Social Science Building, Madison WI 53706, (608) 262-6358, www.ssc.wisc.edu/irp

 

Order #: 12580

Authors:

Tapper-Gardzina, Y., Cotugna, N.

 

Title:

The Kids Café: A Program to Reduce Child Hunger.

Source:

Journal of Pediatric Health Care 17(1): 18-21, 2003. (Journal Article: 4 pages)

 

Abstract:

This article reviews the problem of child hunger and describes the Kids Café Program, which are operated by local food banks and sponsored by America's Second Harvest, in partnership with Con-Agra Foods, Inc.  The authors discuss hunger and food insecurity, and the 12 million children in affects in the United States.  The article examines how poverty is the foremost reason for hunger and food insecurity, and why even the working poor sometimes have difficulty providing enough food for their household.  The authors also talk about how undernourishment in children affects their ability to learn, as well as their psychosocial behavior (authors). 

 

Order #: 11305

Authors:

Centers for Medicare and Medicaid Services.

 

Title:

Enrolling and Retaining Low-Income Families and Children in Health Care Coverage.

Source:

Baltimore, MD: Centers for Medicare and Medicaid Services, 2002. (Guide: 55 pages)

 

Abstract:

This guide is intended to help States ensure that low-income families and individuals are properly considered for Medicaid, whether or not they have applied for or ever received cash assistance, and to improve Medicaid access and retention for all applicants and beneficiaries.  Medicaid coverage provides critical health care to families who are entering the workplace, as well as to families who work at jobs that do not offer affordable health care.  Medicaid is no longer an adjunct to cash assistance; it is a health care program offering coverage, largely through the purchase of managed care, to a broad group of low-income children and an expanding group of low-income families.  Together, Federal, State, and local Medicaid agencies must adapt to these changes, overcome public misperceptions about Medicaid, and, in some cases, reorient their way of doing business in order to promote participation among eligible children and families (authors). Available From: Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore MD 21244-1850, (410)786-3000, http://www.hcfa.gov/init/outreach/progress.pdf.

 

Order #: 11123

Authors:

Egan, J.

 

Title:

The Hidden Lives of Homeless Children.

Source:

New York Times Magazine: March 24, 2002. (Magazine Article: 7 pages)

 

Abstract:

This article discusses the plight of homeless families living in New York City.  A typical homeless child is under five years old, very poor and living with a sibling and a single mother. The mother may lack the education or job skills to lift her out of poverty; often, she has been the victim of domestic violence. Compounding such children's precarious circumstances are two long-term economic trends: stagnant or falling wages coupled with a rise in housing prices.  While the impact of homelessness on these children is difficult to distinguish from the many other hardships of poverty, there is evidence that homeless children have more health problems, more hospitalizations and more developmental problems than poor children who have never been homeless. Homeless children are more likely to wind up separated from their parents for periods, either with other relatives or in foster care. Children who experience homelessness are also more likely to become homeless as adults (author). 

 

Order #: 12642

Authors:

Kanh, J., Binns, H., Chen, T., Tanz, R., Listermick, R.

 

Title:

Persistence and Emergence of Anemia in Children During Participation in the Special Supplemental Nutrition Program for Women, Infants, and Children.

Source:

Archives of Pediatric and Adolescent Medicine 156(10): 1028-1032, 2002. (Journal Article: 5 pages)

 

Abstract:

In this article, the authors discuss the decreased prevalence of iron-deficiency anemia in children, caused by the provision of iron-containing infant formula and cereal and food vouchers to children enrolled in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC).  The article describes a study done to determine the prevalence of anemia and changes in anemia status in children receiving WIC supplementation, using 7053 infants and children aged 6 to 59 months.  The authors state that anemia was common in WIC participants, with infants at highest risk, and that the diagnosis of anemia in black children depends on the cutoff value used.  Implementation of mandatory follow-up of all anemic infants by WIC or health care providers is suggested (authors). 

 

Order #: 11825

Authors:

Karr, C.

 

Title:

Homeless Children: What Every Health Care Provider Should Know.

Source:

Nashville, TN: Health Care for the Homeless Clinicians' Network, 2002. (Guide: 105 pages)

 

Abstract:

This is an online resource for health care providers that offers information on how to treat children who may be at risk or who are currently experiencing homelessness.  It includes information on recognizing homelessness and the risks of homelessness in families with children, understanding the specific health problems of children experiencing homelessness, modifying health care plans and prevention strategies to account for the conditions of homelessness, and finding resources for homeless patients and their families (authors). Available From: Health Care for the Homeless Clinicians' Network, P.O. Box 60427, Nashville, TN 37206, (615) 226-2292, www.nhchc.org.

 

Order #: 10667

Authors:

Mofidi, M., Rozier, G., King, R.S.

 

Title:

Problems With Access to Dental Care for Medicaid-Insured Children: What Caregivers Think.

Source:

American Journal of Public Health 92(1): 53-58 (Journal Article: 6 pages)

 

Abstract:

This study aimed to gain insight into the experiences, attitudes, and perceptions of a racially and ethnically diverse group of caregivers regarding barriers to dental care for their Medicaid-insured children.  Criterion-purposive sampling was used to select participants for 11 focus groups, which were conducted in North Carolina.  Seventy-seven caregivers of diverse ethnic and racial backgrounds participated.  Full recordings of sessions were obtained and transcribed.  A comprehensive content review of all data, including line-by-line analysis, was conducted.  Negative experiences with the dental care system discouraged many caregivers in the focus groups from obtaining dental services for their Medicaid-insured children.  Searching for providers, arranging an appointment where choices were severely limited, and finding transportation left caregivers describing themselves as discouraged and exhausted.  Caregivers who successfully negotiated these barriers felt that they encountered additional barriers in the dental care setting, including long waiting times and judgmental, disrespectful, and discriminatory behavior from staff and providers because of their race and public assistance status.  Current proposals to solve the dental access problem probably will be insufficient until barriers identified by caregivers are addressed (authors). 

 

Order #: 7957

Authors:

Dudbus, P., Buckner, J.

 

Title:

A Shelter is Not a Home: Homeless Urban Mothers and Their Young Children.

Source:

Zero to Three: 19(1): 18-24, 1998. (Journal Article: 6 pages)

 

Abstract:

This article reports on findings from a longitudinal study that was begun in 1992 by The Better Homes Fund and the University of Massachusetts Medical Center at Worcester. It was designed to: describe and compare characteristics of homeless and low-income housed women and their children; identify risk and protective factors for family homelessness; describe the natural course and consequences of homelessness and residential instability among low income families; and examine the impact of homelessness and poverty on children. This article describes the design of the Worcester Family Research Project (WFRP), summarizes key findings, and considers the homeless shelter as a caregiving environment. Available From: Zero to Three, P.O. Box 960, Herndon, VA 20172,  (800) 899-4301, www.zerotothree.org (COST: $10).

 

Order #: 7725

Authors:

Garcia Coll, C., Buckner, J.C., Brooks, M.G., Weinreb, L.F., Bassuk, E.L.

 

Title:

The Developmental Status and Adaptive Behavior of Homeless and Low-Income Housed Infants and Toddlers.

Source:

American Journal of Public Health 88(9): 1371-1374, 1998. (Journal Article: 4 pages)

 

Abstract:

This article describes the developmental status of 127 homeless and 91 low-income housed infants and toddlers.  The results showed no differences between homeless and low-income housed children.  However, younger children in both groups performed better than the older children on most summary scores.  The findings suggest that the cumulative effects of poverty may increase with time (authors). 

 

Order #: 7968

Authors:

Herth, K.

 

Title:

Hope as Seen Through the Eyes of Homeless Children.

Source:

Journal of Advanced Nursing 28(5): 1053-1062, 1998. (Journal Article: 10 pages)

 

Abstract:

This article investigates the meaning of hope in homeless children and to identify strategies that children use in fostering and maintaining their hope.  Using the technique of methodological triangulation, the investigator collected data on a convenience sample of 60 homeless children currently residing in homeless shelters.  Five themes representing hope emerged from the data: connectedness, internal resources, cognitive strategies, energy, and hope objects.  An understanding of hope from the perspective of homeless children could provide a basis upon which to develop interventions that engender hope and to develop programs that build on the hopes that children have already developed. 

 

Order #: 7785

Authors:

Kelly, E.

 

Title:

Nutrition Among Homeless Children

Source:

Public Health Reports 113: 287, 1998. (Journal Article: 1 page)

 

Abstract:

This letter discusses a study of 75 preschool children living with their mothers, conducted in a homeless shelter in Houston, TX.  The focus was on assessing the food services provided by the shelter to children.  While the shelter served three meals each day, food was not provided outside of mealtimes and therefore the nutritional needs of preschool children were unmet.  The author notes that relatively inexpensive interventions can have large payoffs in meeting the nutritional needs of this important population. 

 

Order #: 8952

Authors:

Menke, E.M.

 

Title:

The Mental Health of Homeless School-age Children.

Source:

Journal of Child and Adolescent Psychiatric Nurses 11(3): 87-98, 1998. (Journal Article: 12 pages)

 

Abstract:

This study observed the mental health of homeless school-age children.  A convenience sample of 46 homeless children between the ages of 8 and 12 years completed the Children's Depression Inventory (CDI) and each child's mother completed the Child Behavior Checklist (CBCL).  57% of the children had depressive symptoms and 26% needed additional evaluation for mental health problems. Overall, the scores indicated that gender or ethnicity are not related to the children's mental health.  The mental health of homeless children should be assessed, as they may be at risk for mental health problems. 

 

Order #: 8953

Authors:

Menke, E.M., Wagner, J.D.

 

Title:

A Comparative Study of Homeless, Previously Homeless, and Never Homeless School-Aged Children's Health.

Source:

Issues in Comprehensive Pediatric Nursing 20(3): 153-173,1998. (Journal Article: 21 pages)

 

Abstract:

The purpose of this study was to compare the mental health, physical health, and healthcare practices of homeless, previously homeless, and never homeless poor school-aged children. The study sample was 134 children ranging in age from 8 to 12 years. The children participated in health assessments and completed two psychometric tests: the Children's Depression Inventory and the Revised Children's Manifest Anxiety Scale. Their mothers completed the Child Behavior Problem Checklist and participated in an interview. The homeless, previously homeless, and never homeless children were similar in regard to their health assessment findings, reported health problems, healthcare practices, and CBCL scores. The proportions of homeless and previously homeless children with CDI scores in the clinical range were significantly greater than the never homeless poor children. The homeless children had significantly higher anxiety scores than the previously homeless and never homeless children. All groups of children were at risk for physical and mental health problems. The findings suggest that school-aged children who experience homelessness may be at greater risk for depression and anxiety than never homeless poor children. 

 

Order #: 11880

Authors:

National Law Center on Homelessness and Poverty.

 

Title:

SSI: The Rights of Homeless Children and Youth.

Source:

Washington, DC: National Center on Homelessness and Poverty, 2002. (Guide: 1 page)

 

Abstract:

This fact sheet discusses why SSI benefits are provided to children and how to file an application for these benefits.  Details on how long it takes to receive children's SSI benefits, and who can apply are all listed on this sheet. Available From: National Law Center on Homelessness and Poverty, 1411 K Street, NW, Suite 1400, Washington, DC 20005. (202) 638-2535, www.nlchp.org.

 

Order #: 12547

Authors:

Stevens, M.S.

 

Title:

Community-Based Child Health Clinical Experience in a Family Homeless Shelter.

Source:

Journal of Nursing Education 41(11): 504-506, 2002. (Journal Article: 3 pages)

 

Abstract:

This article describes the use of a family homeless shelter for child health clinical experience for nursing students. Homeless shelters have been used as a clinical setting for senior-level community health courses and as an elective clinical experience for RN-to-BSN students. However, no studies described using this setting for an undergraduate child health clinical experience. Because children younger than age 18 currently constitute 47% of individuals in Minnesota shelters and the negative effects of homelessness, poverty, and lack of access to health care on family health outcomes have been well documented, a transitional family homeless shelter seemed to be an ideal setting for preparing undergraduate nursing students for practice in diverse child health care settings. Junior-level students assigned to this 24-hour, community-based experience are expected to use nursing and family health theory to promote child and family health (author). 

 

Order #: 13231

Authors:

Weintreb, L., Wehler, C., Perloff, J., Scott, R., Hosmer, D., Sagor, L., Gundersen, C.

 

Title:

Hunger: Its Impact on Children's Health and Mental Health.

Source:

Pediatrics 11(4): 1-9, 2002. (Journal Article: 9 pages)

 

Abstract:

This study examines the independent contribution of child hunger on children's physical and mental health and academic functioning, when controlling for a range of environmental, maternal, and child factors that have also been associated with poor outcomes among children.  The authors collected comprehensive demographic, psychosocial, and health data in Worcester, MA, from homeless and low-income housed mothers and their preschool and school-aged children, who were also part of a larger unmatched case-control study of homelessness among female headed households.  The authors assert that concerns over food insecurity for the entire family, adult hunger, and child hunger were prevalent among mothers who are homeless (authors). 

 

Order #: 12492

Authors:

Wood, P., Smith, L., Romero, D., Bradshaw, P., Wise, P., Chavkin, W.

 

Title:

Relationships Between Welfare Status, Health Insurance Status, and Health and Medical Care Among Children with Asthma.

Source:

American Journal of Public Health 92(9): 1446-1452, 2002. (Journal Article: 7 pages)

 

Abstract:

This study evaluated the relationship between health insurance and welfare status and the health and medical care of children with asthma.  Parents of children with asthma aged two to twelve years were interviewed at six urban clinical sites and two welfare offices.  The article states that children whose families had applied for but were denied welfare had more asthma symptoms than did children whose families had had no contact with the welfare system.  According to the authors, poorer mental health in parents was associated with more asthma symptoms and higher rates of health care use in their children.  Parents of uninsured children identified more barriers to health care than did parents whose children were insured.  The article concludes that children whose families have applied for welfare and children who are uninsured are at high risk medically and may require additional services to improve health outcomes (authors). 

 

Order #: 10715

Authors:

Alaimo, K., Olson, C.M., Frongillo, E.A., Briefel, R.R.

 

Title:

Food Insufficiency, Family Income, and Health in U.S. Preschool and School-Aged Children.

Source:

American Journal of Public Health 91(5): 781-786, 2001. (Journal Article: 6 pages)

 

Abstract:

This study investigated associations between family income, food insufficiency, and health among U.S. preschool and school-aged children.  Data from the third National Health and Nutrition Examination Survey were analyzed.  Children were classified as food insufficient if the family respondent reported that the family sometimes or often did not get enough food to eat.  Regression analyses were conducted with health measures as the outcome variables.  Prevalence rates of health variables were compared by family income category, with control for age and gender.  Odds ratios for food insufficiency were calculated with control for family income and other potential confounding factors.  Low-income children had a higher prevalence of poor/fair health status and iron deficiency than high-income children.  After confounding factors, including poverty status, had been controlled, food-insufficient children were significantly more likely to have poorer health status and to experience more frequent stomachaches and headaches than food-sufficient children; preschool food-insufficient children had more frequent colds.  Food insufficiency and low family income are health concerns for U.S. preschool and school-aged children. 

 

Order #: 14113

Authors:

Berti, L.C., Zylbert, S., Rolnitzky, L.

 

Title:

Comparison of Health Status of Children Using a School-Based Health Center for Comprehensive Care.

Source:

Journal of Pediatric Health Care 15(5): 244-250, 2001. (Journal Article: 6 Pages)

 

Abstract:

This article's objective is to compare health problems and medical coverage of homeless and housed children who used a school-based health center (SBHC) for comprehensive care. Medical charts of homeless children and housed children seen for comprehensive care at an SBHC in New York City during the 1998-99 school year were systematically reviewed and compared. Controlled for ethnicity and medical coverage, homeless children were 2.5 times as likely to have health problems and 3 times as likely to have severe health problems as housed children. The most common health problems identified in the homeless population were asthma, vision, mental health, and acute problems. Lack of medical coverage was evident in 58% of homeless children, compared with 15% of housed children. Study findings identify homeless children as being at increased risk for health problems and lack of medical coverage. These findings support use of an SBHC for comprehensive care by underserved segments of the population and a need for increased vigilance on the part of health care providers caring for homeless children (authors). 

 

Order #: 12573

Authors:

DeAngelis, S., Warren, C.

 

Title:

Establishing Community Partnerships: Providing Better Oral Health Care to Underserved Children.

Source:

Journal of Dental Hygiene 75(4): 310-315, 2001. (Journal Article: 6 pages)

 

Abstract:

This article discusses a community partnership between a dental hygiene school and a social service program designed to improve oral health outcomes and reduce disparities among children, which resulted in a preventive oral hygiene care project that complimented the dental hygiene program's didactic curriculum.  The authors assert that the children received much needed oral health care education, while the experiences enhanced dental hygiene student learning by applying the principles for planning; implementing, and evaluating dental health programs; establishing a context for understanding the prevalence of oral disease; as well as the disparity among population subsets; and developing a variety of clinical skills.  The article states that oral health professionals and dental hygiene programs may find this partnership a prototype of a highly productive and beneficial community health experience that could be incorporated, in part or in it's entirety, into their own community health projects (authors). 

 

Order #: 12010

Authors:

Fitzgerald, M., McIntosh, K.

 

Title:

Lessons Learned 2001: Profiles of Leading Urban Health Department Initiatives in Maternal and Child Health.

Source:

Omaha, NE: City Match, University of Nebraska Medical Center, 2001. (Resource Guide: 183 pages)

 

Abstract:

This guide facilitates easy access to selected urban public health practices aimed at improving the health of women, children and families.  Highlighted are innovative approaches and replicable practices which address contemporary public health problems facing children and families in America's cities.  Readers seek advice on moving from "project" to scale and on developing creative collaborations to overcome the barriers to program effectiveness.  They need effective methods to obtain and sustain resources.  This guide provides ideas, tools, local contacts, and ideas for program and policy initiatives in urban maternal and child health (MCH).  Many of the MCH initiatives described have not been formally evaluated, their value lies in the initial research, groundwork and concepts they offer for the development or enhancement of future local, urban health projects (authors). Available From: City Match, University of Nebraska Medical Center, Department of Pediatrics, 982170 Nebraska Medical Center, Omaha, NE 68198, (402) 561-7500.

 

Order #: 10933

Authors:

Granados, G., Puvvula, J., Berman, N., Dowling, P.T.

 

Title:

Health Care for Latino Children: Impact of Child and Parental Birthplace on Insurance Status and Access to Health Services.

Source:

American Journal of Public Health 91(11): 1806-1807, 2001 (Journal Article: 2 pages)

 

Abstract:

This study sought to assess the impact of child and parental birthplace on insurance status and access to health care among Latino children in the United States.  A cross-sectional, in-person survey of 376 random households with children aged 1 to 12 years was conducted in a predominantly Latino community.  Children's insurance status and access to routine health care were compared among 3 child-parent groups: U.S. born-U.S. born (UU), U.S. born-immigrant (UI), and immigrant-immigrant (II).  Uninsured rates for the 3 groups of children were 10% (UU), 23% (UI), and 64% (II).  Rates for lack of access to routine health care were 5% (UU), 12% (UI), and 32% (II).  Latino children of immigrant parents are more likely to lack insurance and access to routine health care than are Latino children of US-born parents. 

 

Order #: 8935

Authors:

Hatton, D.C., Kleffel, D., Bennett, S., Gaffrey, E.A.N.

 

Title:

Homeless Women and Children's Access to Health Care: A Paradox.

Source:

Journal of Community Health Nursing (Special Issue) 18(1): 25-34, 2001. (Journal Article: 10 pages)

 

Abstract:

Women and children who are homeless and reside in shelters experience many health related problems.   This article discusses a study in which the aim was to explore how shelter staffs manage health problems among their residents and assist them in accessing health services; and to identify clinical strategies for community health nurses working with this population.  Findings demonstrate a paradox whereby homeless shelter staffs try to gain access to care for their residents through a system that is designed to keep them out.  In addition, findings indicate a need for increased community health nursing services in homeless shelters.  Strategies for resolving this paradox include providing assessment, policy development, and assurance of health care for women and children who are homeless (authors). 

 

Order #: 14114

Authors:

Huang, C.Y., Menke, E.M.

 

Title:

School-Aged Homeless Sheltered Children's Stressors and Coping Behaviors.

Source:

Journal of Pediatric Nursing 16(2): 102-109, 2001. (Journal Article: 7 Pages)

 

Abstract:

The purpose of this study was to examine the stressors and coping behaviors of school-aged homeless children staying in shelters. A secondary analysis of interview data from 30 children, between the ages of 8 to 12 years, was used to delineate the stressors and coping behaviors. Homeless, family, self, peer, school, and violent behavior were the stressor categories derived from content analysis. The children expressed more stresses in the homeless, family, and self categories than in the other 3 categories. The coping behaviors from the content analysis were categorized by using Ryan-Wenger's (1992) coping taxonomy. The majority of the children's coping responses were in the social support, cognitive avoidance, and behavioral distraction categories. Nurses should assess each child's stressors and coping behaviors when providing care to homeless children, and assist the child in alleviating some stressors by strengthening one's coping behaviors (authors). 

 

Order #: 14115

Authors:

Kelly, E.

 

Title:

Assessment of Dietary Intake of Preschool Children Living in a Homeless Shelter.

Source:

Applied Nursing Research 14(3): 146-154, 2001. (Journal Article: 8 Pages)

 

Abstract:

This study was undertaken by nursing students and faculty to learn more about what homeless preschool children were fed and what they ate at one family shelter in the Southwest. Families with young children are the fastest-growing group among the homeless population. Results from the study were shared with the entire shelter staff. Mothers who participated in the study were given information on age-appropriate food preparation and servings. This research reveals the important role nurses can play in documenting and teaching both shelter staff and homeless mothers more about children's dietary needs and the long-term health outcomes of a proper diet (author). 

 

Order #: 9956

Authors:

Kenney, G., Haley, J.

 

Title:

Why Aren't More Uninsured Children Enrolled in Medicaid or SCHIP?

Source:

Washington, DC:  The Urban Institute, 2001. (Report: 7 pages)

 

Abstract:

This study from the Urban Institute's Assessing the New Federalism project found that knowledge gaps continue to be substantial barriers to enrollment in SCHIP and Medicaid. The study used data from the 1999 National Survey of America's Families, a nationally representative survey that over-samples the low-income population and provides state-specific data on 13 states, to examine issues surrounding Medicaid or SCHIP enrollment. The study found that knowledge gaps constituted a primary barrier to enrollment for one-third of low-income uninsured children, and that administrative hassles were a primary barrier to enrollment for another 10 percent of low-income uninsured children. However, 22 percent of low-income uninsured children had parents who indicated that public health insurance coverage was not wanted or needed, and another 18 percent who were uninsured at the time of the survey had been enrolled in Medicaid/SCHIP at some point during the past year. Available From: The Urban Institute, 2100 M Street, NW, Washington, DC 20037, (877) 847-7377, http://newfederalism.urban.org/html/series_b/b35/b35.html.

 

Order #: 13269

Authors:

National Coalition for the Homeless.

 

Title:

Homeless Families with Children.

Source:

Washington, DC: National Coalition for the Homeless, 2001. (Fact Sheet: 6 pages)

 

Abstract:

This fact sheet focuses on the devastating effects homelessness has on families, from physical and emotional health, to education and development.  The authors discuss the dimensions, causes and consequences of family homelessness,  and provide an overview of policy issues and a list of resources for further study (authors). Available From: National Coalition for the Homeless, 1012 Fourteenth Street, NW, #600, Washington, DC 20005, (202) 737-6444, www.nationalhomeless.org.

 

Order #: 10057

Authors:

Sherman, P.A., M.D.

 

Title:

Domestic Violence and Children: A Children's Health Fund Report.

Source:

New York, NY: The Children's Hospital at Montefiore, Division of Community Pediatrics, 2001. (Report: 4 pages)

 

Abstract:

The author, Dr. Peter A. Sherman, is a pediatrician affiliated with the New York Children's Health Project (NYCHP) at Montefiore Medical Center. In this report he discusses domestic violence as a pediatric issue.  Health care providers at NYCHP have seen manifestations of exposure to domestic violence as early as infancy. Dr. Sherman indicates that very few pediatricians have received training in the identification and treatment of children who have witnessed domestic violence. He discusses the importance of pediatricians screening mothers for exposure to domestic violence and the importance of establishing screening and evaluation protocols so health care providers can immediately respond to a mother who disclosed a history of domestic violence. He indicates the New York Children's Health Project recently developed and implemented a model program which provides health care for women and children residing in several domestic violence shelters and safe houses in NYC. He concludes that the Childrens' Health Fund believes that the cycle of domestic violence can be halted by identifying children who live in a house hold where domestic violence occurs; the creation of a safe environment; treatment and appropriate referrals to subspecialty care; and enhancing the strengths of a mother and her children. A list of recommendations are provided to support these goals. Available From: The Children's Health Fund, 317 East 63rd Street, NY, NY 10021, (212) 535-9400.

 

Order #: 10083

Authors:

Waldron, A.M., Tobin, G., McQuaid, P.

 

Title:

Mental Health Status of Homeless Children and Their Families.

Source:

Irish Journal of Psychological Medicine 18(1): 11-15, 2001. (Journal Article: 5 pages)

 

Abstract:

Examined the mental health status of 31 homeless 2-15 year olds and their families and compared the findings with those of P. Vostanis et al. 14 mothers and 2 fathers completed the General Health Questionnaire (GHQ). The mothers completed the Child Behavior Checklist (CBCL) and the Parenting Stress Index (PSI). Of the mothers, 28% indicated the presence of psychiatric 'caseness.' On the CBCL, more than a third of the children had a Total Problem Score above the 'clinical' threshold, indicating mental health problems that were severe enough for treatment referral. Of the children, 45% had externalizing problems in the 'deviant' range, while 29% of the children had internalizing problems in the 'clinical' range. When CBCL scores were examined within each family, 78% had at least one child with a CBCL dimension of clinical significance. Of the mothers 70% had PSI scores in the critical range. They reported feeling incompetent in their parenting role, being dominated by their children's needs and feeling socially isolated from their relatives and peers. Their scores also indicated poor self-esteem and significant depressive symptoms. The peak score was the lack of emotional and active support from the other parent. 

 

Order #: 8821

Authors:

Craft-Rosenbeg, M., Powell, S.R., Culp, K.

 

Title:

Health Status and Resources of Rural Homeless Women and Children.

Source:

Western Journal of Nursing Research 22(8): 863-878, 2000. (Journal Article: 16 pages)

 

Abstract:

The purpose of this research is to describe the health status and health resources for women and children who are homeless in a Midwestern rural community.  A group of 31 rural homeless women in a shelter participated in the study by answering questions on the Rural Homeless Interview developed by the investigators.  The findings revealed higher than expected rates of illness, accidents, and adverse life events, with the incidence of substance abuse and mental illness being comparable to data from other homeless populations.  The data on children were omitted by lack of knowledge on the part of their mothers.  Some mothers reported that their children were in foster care, had been adopted, or were being cared of by others.  The inability to access health and dental care was reported by half of the participants (authors). 

 

Order #: 12839

Authors:

Health Care for the Homeless Clinicians Network.

 

Title:

Protecting the Mental Health of Homeless Children and Youth.

Source:

Healing Hands 4(1): 1-4, 2000. (Newsletter: 4 pages)

 

Abstract:

This issue focuses on mental and behavioral health issues for homeless children and youth living with one parent or non, doubled up with relatives or friends, in emergency shelters, in foster care or group homes, or on the streets.  A brief review of the recent literature summarizes mental health risks and service needs of homeless minors and young adults, and highlights recommended strategies to prevent the developmental delays and major behavioral problems that are associated with prolonged homelessness.  Eight homeless service providers discuss the challenges they face in working to protect the mental health of a growing number of rootless young people in several states across the country (authors). Available From: National Health Care for the Homeless Council, P.O. Box 60427, Nashville, TN 37206, (615) 226-2292, www.nhchc.org

 

Order #: 13917

Authors:

Howell, E., Roschwalb, S., Satake, M.

 

Title:

State Children's Health Insurance Program: Designing Benefits and Estimating Costs.

Source:

Rockville, MD: U.S. Department of Health and Human Services, 2000. (Report: 100 pages)

 

Abstract:

This report examines how the State Children's Health Insurance Program (SCHIP) could be used to cover services for low-income children and adolescents with mental health and substance abuse (MH/SA) problems.  The authors develop estimates of the likely cost of mental health benefits under SCHIP, and also discuss prevalence and utilization of services (authors). Available From: Substance Abuse and Mental Health Services Administration, One Cherry Choke Road, Rockville, MD  20857, www.samhsa.gov.

 

Order #: 8239

Authors:

Better Homes Fund.

 

Title:

Homeless Children: America's New Outcasts.

Source:

Newton, MA: The Better Homes Fund, 1999. (Report: 64 pages)

 

Abstract:

This report examines the current status of homeless children in the United States.  The report details the impact homelessness can have on children and their families, and examines the prevalence of negative events in their lives.  The report also examines the numbers of homeless children, which the author estimates at one million.  The report focuses on the problems of homeless children with relation to health, school, and family.   Recommendations and potential solutions are provided. Available From: National Center on Family Homelessness, 181 Wells Avenue, Newton Centre, MA 02159 (617) 964-3834, www.familyhomelessness.org.

 

Order #: 8002

Authors:

Buckner,  J.C., Bassuk, E.L., Weinreb, L.F., Brooks, M.G.

 

Title:

Homelessness and Its Relation to the Mental Health and Behavior of Low-Income School-Age Children.

Source:

Developmental Psychology 35(1): 246-257, 1999. (Journal Article: 12 pages)

 

Abstract:

This article examined the relationship between housing status and depression, anxiety, and problem behaviors among children age six and older who were members of low-income, single-parent, female-headed families.  Participants were 80 homeless and 148 never homeless children living in Worcester, MA.  Children in both groups had recently been exposed to various severe stressors.  Mother reported problems behaviors were above normative for both homeless and poor housed youths but self-reported depression and anxiety were not.  Housing status was associated with internalizing problem behaviors but not with externalizing behaviors.  Among homeless youths, internalizing behavior problems showed a positive but curvilinear relationship with number of weeks having lived in a shelter.  Housing status was not associated with self-reported depression and anxiety.  The findings are discussed in terms of their implications for programmatic intervention and in light of recent welfare reform (authors). 

 

Order #: 8948

Authors:

Crook, W.P.

 

Title:

The New Sisters of the Road: Homeless Women and Their Children.

Source:

Journal of Family Social Work 3(4): 49-64, 1999. (Journal Article: 16 pages)

 

Abstract:

Examines the growing social problem of homeless women and their children in the US, providing a historical perspective, offering reasons for the increased incidence of family homelessness, discussing the negative effects of homelessness and considering programmatic responses.  Recommendations are made for effective program services and policy reforms, and family social workers are urged to adopt a policy advocacy orientation.  There is a need for further research to separate causes from effects when studying homeless women and children; also, researchers need to attend to the significance of gender for the social problem of family homelessness. 

 

Order #: 8319

Authors:

Homes for the Homeless.

 

Title:

Homeless In America: A Children's Story, Part I.

Source:

New York, NY: Institute for Children and Poverty, 1999. (Report: 64 pages)

 

Abstract:

This report takes a candid look at the state of homeless children in America. It provides insight into the lives of homeless children.  The report also provides a survey which assesses the state of homeless children. The Institute for Children and Poverty joined with almost 200 organizations in over twenty sites which included nearly 2,000 homeless families, with more than 4,000 homeless children. Localities  included in the survey were as follows: Atlanta, GA;  Baltimore, MD; Bucks County, PA.; Dallas/Fort Worth, TX; Denver, CO; Los Angeles, CA; Louisiana (statewide); Maryland (statewide); Memphis, TN; Miami, FL; Nevada (statewide); Newark, NJ; New Orleans, LA; New York City, NY; Norman, OK.; Philadelphia, PA; Phoenix, AR; Salem/Eugene, OR.; Seattle, WA; South Bend, IN; St. Louis, MO; Trenton, NJ; and Tulsa, OK. Tables are included revealing the outcomes of this survey in the listed sites. Available From: Homes for the Homeless and The Institute for Children and Poverty, 36 Cooper Square, 6th Floor, New York, NY 10003 (212) 529-5252, www.homesforthehomeless.com (FREE).

 

Order #: 8950

Authors:

San Agustin, M., Cohen, P., Rubin, D., Cleary, S.D., Erickson, C.J., Allen, J.K.

 

Title:

The Montefiore Community Children's Project: a Controlled Study of Cognitive and Emotional Problems of Homeless Mothers and Children.

Source:

Journal of Urban Health 76(1): 39-50, 1999. (Journal Article: 12 pages)

 

Abstract:

This study compares the prevalence of emotional, academic, and cognitive impairment in children and mothers living in the community with those living in shelters for the homeless.  In New York City, 82 homeless mothers and their 102 children, aged 6 to 11, recruited from family shelters were compared to 115 nonhomeless mothers with 176 children recruited from classmates of the homeless children. Assessments included standardized tests and interviews.  Mothers in shelters for the homeless showed higher rates of depression and anxiety than did nonhomeless mothers. Boys in homeless shelters showed higher rates of serious emotional and behavioral problems. Both boys and girls in homeless shelters showed more academic problems than did nonhomeless children. Study findings suggest a need among homeless children for special attention to academic problems that are not attributable to intellectual deficits in either children or their mothers. Although high rates of emotional and behavioral problems characterized poor children living in both settings, boys in shelters for the homeless may be particularly in need of professional attention. 

 

Order #: 7977

Authors:

Zima, B.T., Bussing, R., Bystritsky, M., Widawski, M.H., Belin, T.R., Benjamin, B.

 

Title:

Psychosocial Stressors Among Sheltered Homeless Children: Relationship to Behavior Problems and Depressive Symptoms.

Source:

American Journal of Orthopsychiatry 69(1): 127-133, 1999. (Journal Article: 7 pages)

 

Abstract:

This article assess the level of exposure to severe psychological stressors among homeless children in emergency family shelters in Los Angeles County.  The relationship between such exposure and child mental health problems was then investigated, along with the effects of adult family social support.  Results showed that almost one-half of the children studied had been exposed to violence, and being a victim of violence was independently related to child behavior problems.  Evidence was weak that social support from within the family moderated the impact of severe stressors on mental health problems.  The authors discuss the implications of the findings. 

 

Order #: 8323

Authors:

Zlotnick, C., Robertson, M.J., Wright, M.A.

 

Title:

The Impact of Childhood Foster Care and Other Out-of-Home Placement on Homeless Women and Their Children.

Source:

Child Abuse and Neglect 23(11): 1057-1068, 1999. (Journal Article: 12 pages)

 

Abstract:

This article compares homeless women who had childhood histories of foster care or other out-of-home placement to those who have not.  A countywide sample of homeless women in Alameda County, CA, received structured interviews.  One-third of homeless women reported being raised apart from their parents.  Among women with children under age 18, most had children who had lived in foster care or other out-of-home placements.  Variables associated with homeless mothers' children living in foster care or other out-of-home placements were: child was school age; mother was age 35 or older; mother had a current alcohol or drug use disorder; mother experienced childhood sexual abuse; and mother ran away from home when under age of 18.  The authors conclude that parenting is difficult for homeless mothers who may need to place their children with others to facilitate school attendance, and programs promoting family preservation should provide parenting support as well as permanent housing (authors). 

 

Order #: 7854

Authors:

Better Homes Fund.

 

Title:

Homeless Children.

Source:

Newton Centre, MA: The Better Homes Fund, 1998. (Report: 4 pages)

 

Abstract:

This document reports on some of the study findings from a comprehensive six-year research project on family homelessness and poverty in Massachusetts.  These findings provide critical insight into the characteristics and needs of homeless children and the impact of homelessness, residential instability, and poverty on children. Available From: National Center on Family Homelessness, 181 Wells Avenue, Newton Centre, MA 02159 (617) 964-3834, www.familyhomelessness.org.

 

Order #: 7906

Authors:

Bureau of Primary Health Care.

 

Title:

Health Care Access for Homeless Children.

Source:

Bethesda, MD: Bureau of Primary Health Care, 1998. (Fact Sheet: 2 pages)

 

Abstract:

This fact sheet provides information surrounding: the health care needs of homeless children, homeless children's access to health care; and what works to get and keep homeless children in health care, including expanding community-based health care and eliminating barriers to care. Available From: Office of Communications, HRSA, 5600 Fishers Lane, Room 14-45 Rockville, MD 20857, (301) 443-2865, www.newsroom.hrsa.gov.

 

Order #: 8951

Authors:

Conrad, B.S.

 

Title:

Maternal Depressive Symptoms and Homeless Children's Mental Health: Risk and Resiliency.

Source:

Archives of Psychiatric Nursing 12(1): 50-58, 1998. (Journal Article: 9 pages)

 

Abstract:

This study examined the relationship between maternal depressive symptoms and child mental health in a sample of homeless mothers and their preschool children.  Thirty homeless mothers with at least one preschool child who were residing in a shelter were surveyed.  The rate of depressive symptoms in the mothers, as determined by the Center for Epidemiological Studies Depression Scale, was extremely high.  However, 70% of the children in this sample had no behavior problems, a rate consistent with homeless children, but low when compared to the general population.  The author states that the data suggests mental health services for homeless mothers and their young children are needed.  The author also concludes that the adaptation of these young children reflects resiliency to extraordinary stressors and provides a unique opportunity to understand child resiliency. 

 

Order #: 7958

Authors:

Riley, B., Fryar, N., Thornton, N.

 

Title:

Homeless on the Range: Meeting the Needs of Homeless Families with Young Children in the Rural West.

Source:

Zero to Three: 31-35, August-September 1998. (Journal Article: 5 pages)

 

Abstract:

Family BASICS (Building A Supportive, Integrated Community) is a model family support and prevention program that was created in response to the growing number of homeless families in Missoula, MT.  In its six years of operation, this organization has found that these families have very few close or stable  ties to family or friends and that social isolation leads to family homelessness,  keeping families in crisis. To strengthen families and prevent homelessness, Family BASICS strives to reduce isolation, while respecting independence. This article looks at western Montana's youngest homeless or near-homeless citizens and presents an overview of the economic and housing adversities facing their families. Family BASICS' social support approach to homeless families with young children is described. Available From: National Center for Infants, Toddlers, and Families, 2000 M Street NW, Suite 200, Washington, DC 20036, (202) 638-1144, www.zerotothree.org.

 

Order #: 8959

Authors:

Simms, M.D.

 

Title:

Medical Care of Children Who are Homeless or in Foster Care.

Source:

Current Opinion in Pediatrics 10(5): 486-490, 1998. (Journal Article: 5 pages)

 

Abstract:

The number of children who are homeless or in foster care has risen dramatically during the past two decades. Poverty, substance abuse, lack of education and employment, and the failure of the social "safety net" to catch all those in need of support and financial assistance are root causes of this increase. The Personal Responsibility and Work Opportunity Reconciliation Act of 1996, popularly know as the "welfare reform" act, will likely have a powerful impact on levels of child poverty in the future and place even greater numbers of children at risk for becoming homeless or entering foster care over the next decade. Recent studies provide increased understanding of the health care and educational needs of children who are homeless or in foster care. 

 

Order #: 8122

Authors:

Vostanis, P., Grattan, E., Cumella, S.

 

Title:

Mental Health Problems of Homeless Children and Families: Longitudinal Study.

Source:

British Medical Journal 316(7135): 899-902, 1998. (Journal Article: 4 pages)

 

Abstract:

This article examines the mental health needs of homeless children and families before and after rehousing using a longitudinal study.  A cross sectional, longitudinal study of 58 rehoused families with 103 children and 21 comparison families with 54 children of low socioeconomic status in stable housing was conducted in Birmingham, England.  Results indicated that mental health problems remained significantly higher in rehoused mothers and their children than in the comparison group.  Homeless mothers continued to have significantly less social support at follow up.  Mothers with a history of abuse and poor social integration were more likely to have children with persistent mental health problems.  The authors conclude that local strategies for rapid rehousing into permanent accommodation, effective social support and health care for parents and children, and protection from violence and intimidation should be developed and implemented. 

 

Order #: 8322

Authors:

Weinreb, L., Goldberg, R., Bassuk, E., Perloff, J.N.

 

Title:

Determinants of Health and Service Use Patterns in Homeless and Low-Income Housed Children.

Source:

American Academy of Pediatrics 102(3): 554-562, 1998. (Journal Article: 9 pages)

 

Abstract:

This article examines the relationship of homelessness and other determinants to health status and service use patterns in 627 homeless and low-income housed children.  The article is based on a case-control study of 293 homeless and 334 low-income housed children aged 3 months to 17 years and their mothers conducted in Worcester, MA.  Information was also collected about mothers' housing, history, income, education, emotional distress, and victimization history.  The authors found that mothers of homeless children were more likely to report their children as being in fair or poor health compared with their housed counterparts.  Homeless children were reported to experience a higher number of acute illness symptoms, including fever, ear infection, diarrhea, and asthma.  Emergency department and outpatient medical visits were higher among the homeless group.  Mothers' emotional distress was independently associated with acute illness symptoms and frequent use of outpatient and emergency department settings. Available From: National Center on Family Homelessness, 181 Wells Avenue, Newton Centre, MA 02159, (617) 964-3834, www.familyhomelessness.org.

 

Order #: 7448

Authors:

Zima, B.T., Forness, S.R., Bussing, R., Benjamin, B.

 

Title:

Homeless Children in Emergency Shelters: Need for Prereferral Intervention and Potential Eligibility for Special Education.

Source:

Behavioral Disorders 23(2): 98-110, 1998. (Journal Article: 13 pages)

 

Abstract:

This article examines a study whose purpose was to describe the level of need for special education services for probable behavioral disorders, learning disabilities, and mental retardation among school-age homeless children living in shelters.  From a county-wide sample of 18 emergency homeless shelters in Los Angeles, 118 homeless parents were interviewed, and 169 children were tested for behavioral disorders, learning disabilities, and mental retardation using standardized screening instruments.  Forty-six percent of homeless children screened positive for at least one disability requiring special education services, with behavioral disorders being the most prominent.  The authors state that procedures to identify early need for special education services should be adapted to accommodate the transiency of school-age children living in homeless shelters. 

 

Order #: 7304

Authors:

Bassuk, E.L., Weinreb, L., Dawson, R., Perloff, J.N., Buckner, J.C.

 

Title:

Determinants of Behavior in Homeless and Low-Income Housed Preschool Children.

Source:

Pediatrics 100(1): 92-100, 1997. (Journal Article: 9 pages)

 

Abstract:

The purpose of this article is to describe the characteristics of homeless and low-income preschool-aged children, and to identify family and environmental determinants of their behavior.  A survey of 77 sheltered homeless and 90 low-income housed mothers in Worcester, MA, was conducted to describe a sample of 167 preschool children.  Both homeless and low-income children experienced significant adversity in their lives, with homeless preschool children facing the most stress.  However, differences in behavior were minimal.  The authors conclude these findings emphasize the importance of preventative family-oriented interventions that address the needs of preschoolers and their mothers (authors). 

 

Order #: 6922

Authors:

Buckner, J.C., Bassuk, E.L.

 

Title:

Mental Disorders and Service Utilization Among Youths from Homeless and Low-Income Housed Families.

Source:

Journal of the American Academy of Child and Adolescent Psychiatry 36(7): 890-900, 1997. (Journal Article: 11 pages)

 

Abstract:

This article describes a comprehensive study of homeless and housed families in Worcester, MA, that  assessed the mental health of homeless and poor housed youths, and examined their mental health service use.  Data were collected on 41 homeless and 53 poor housed (never homeless) youths aged nine to 17, using both the parent and youth versions of the National Institute of Mental Health Diagnostic Interview Schedule for Children.  Results indicated that this sample of homeless and housed youths was found to have high rates of current mental disorders.  Use of mental health services by children with mental health needs was low, particularly for youths with poor overall functioning.  The authors conclude these findings to suggest that  some youths living in poverty may have unrecognized but significant untreated mental health needs (authors). 

 

Order #: 6834

Authors:

Rabideau, J.M.P., Toro, P.A.

 

Title:

Social and Environmental Predictors of Adjustment in Homeless Children.

Source:

In Smith, E.M., and Ferrari, J.R. (eds.), Diversity Within the Homeless Population:  Implications for Intervention.  Binghamton, NY: The Haworth Press, 1997. (Book Chapter: 17 pages)

 

Abstract:

This chapter describes a study that examined social and environmental predictors of adjustment in homeless children using a sample of 32 mothers and 68 children who were referred to the Demonstration Employment Project-Training and Housing (DEPTH), which was based in Buffalo, NY.  Based on information collected through mother and child interviews, socioenvironmental and maternal characteristics, and child adjustment measures were taken.  The results indicated that homeless children were experiencing more behavior problems and depression as compared to the community norm.  Factors such as the extent of domestic violence in the mother's recent relationships and the level of parenting hassles were related to this situation.  The authors discuss the implications of their findings for intervention. 

 

Order #: 6919

Authors:

Vostanis, P., Grattan, E., Cumella, S., Winchester, C.

 

Title:

Psychosocial Functioning of Homeless Children.

Source:

Journal of the American Academy of Child and Adolescent Psychiatry 36(7): 881-889, 1997. (Journal Article: 9 pages)

 

Abstract:

The objective of this study was to investigate the psychosocial characteristics of homeless children and their parents.  Homeless families were assessed within two weeks of admission to seven hostels and were compared with a group of housed families matched for socioeconomic status.  Homeless families primarily consisted of single mothers and an average of two children, who had become homeless because of domestic violence or violence from neighbors.  Findings concluded that homeless mothers and children have high rates of psychosocial morbidity, which are related to multiple risk factors and chronic adversities.  Their complex needs should be best met by specialized and coordinated health, social, and educational services (authors). 

 

Order #: 6408

Authors:

Zima, B.T., Bussing, R., Forness, S.R., Benjamin, B.

 

Title:

Sheltered Homeless Children: Their Eligibility and Unmet Need for Special Education Evaluations.

Source:

American Journal of Public Health 87(2): 236-248, 1997. (Journal Article: 13 pages)

 

Abstract:

This study explored the proportion of sheltered homeless children in Los Angeles who were eligible for special education evaluations because of a probable behavioral disorder, learning disability, or mental retardation and had unmet needs for special education services.  Results show almost half of the children met criteria for a special education evaluation, yet less than one quarter had ever received special education testing or placement.  The main point of contact for children with behavioral disorders and learning problems was the general health care sector.  The authors explain that school-aged sheltered homeless children have a high level of unmet need for special education evaluations, the first step toward accessing special education programs.  The authors contend interventions for homeless children should include integration of services across special education, general health care, and housing service sectors (authors). 

 

Order #: 7018

Authors:

Committee on Community Health Services.

 

Title:

Health Needs of Homeless Children and Families.

Source:

Pediatrics 98(4): 789-791, 1996. (Journal Article: 3 pages)

 

Abstract:

This article attempts to substantiate the existence of homelessness in virtually every community, illustrate the pervasive health and psychosocial problems facing the growing population of children who are homeless, and encourage practitioners to include homeless children in their health care delivery practices, social services, and advocacy efforts.  The recommendations will guide practitioners in taking actions to diminish the severe negative impact that living in temporary shelters has on the health and well-being of developing children.  In this statement the American Academy of Pediatrics reaffirms its stance that homeless children need permanent dwellings in order to thrive. 

 

Order #: 6053

Authors:

Lewit, E.M., Baker, L.S.

 

Title:

Child Indicators: Homeless Families and Children.

Source:

The Future of Children 6(2): 146-158, 1996. (Journal Article: 13 pages)

 

Abstract:

This article focuses on available data on homeless families and children.  The authors review different definitions of homelessness and the most common methods used to estimate the size of the homeless population.  Data on subgroups of homeless children and adolescents in the United States is examined, and the duration of homelessness for families with children that use shelter service is discussed.  Also, trends in the numbers of families who are at risk of losing their housing are examined. 

 

Order #: 7054

Authors:

Shane, P.G.

 

Title:

What About America's Homeless Children?

Source:

Thousand Oaks, CA: Sage Publications, 1996. (Book: 247 pages)

 

Abstract:

This book examines the social factors that create homeless situations for children and the personal and educational problems that can result from them.  The health risks - including unsanitary living conditions, poor nutrition, physical assault, and lack of access to health care - are explored.  Also presented are ethnographic case studies of children in urban shelters, families in a shelter program, and people who "survived" a homeless youth experience.  The history of programs, both governmental and nongovernmental, and policies for homeless youth are also examined.  The book concludes with recommendations for policies and programs that can prevent homelessness for children. Available From: Sage Publications, Inc., 2455 Teller Road, Thousand Oaks, CA 91320, (805) 499-0721, www.sagepub.com.  (COST: $26.00)  (ISBN 0-8039-4983-9)

 

Order #: 6545

Authors:

United States Department of Health and Human Services.

 

Title:

Linking Community Health Centers with Schools Serving Low Income Children: An Idea Book.

Source:

Washington, DC: U.S. Department of Health and Human Services, Bureau of Primary Health Care, 1996. (Guide: 184 pages)

 

Abstract:

This guide is designed to promote linkages between schools and community and migrant health centers by providing practical information from school health and education professionals who have collaborated to meet the challenges of supporting children to be ready to learn and achieve their full potential. It includes initial overview, "nuts and bolts" of program design and implementation (e.g., parent involvement, needs assessment, funding and reimbursement, staffing issues, confidentiality, and evaluation), sample forms, contact information, and selected site profiles. Presents linkage models that have worked despite obstacles. 

 

Order #: 5778

Authors:

Zima, B.T., Wells, K.B., Benjamin, B., Duan, N.

 

Title:

Mental Health Problems Among Homeless Mothers: Relationship to Service Use and Child Mental Health Problems.

Source:

Archives of General Psychiatry, 53(4): 332-338, 1996. (Journal Article: 7 pages)

 

Abstract:

This article describes a study which examined the prevalence of psychological distress and probable lifetime mental disorders among homeless mothers, their use of services, and the relationship between maternal and child mental health problems. Results show the majority of sheltered homeless mothers reported high current psychological distress or symptoms of a probable lifetime major mental illness or substance abuse.  Also, few mothers in need of services received mental health care, and the main point of contact for those with a mental health problem was the general sector.  Mothers with a probable mental disorder were also significantly more likely to have children with either depression or behavior problems.  The authors contend that homeless mothers have a high level of unmet needs for mental health services, and the relationship between maternal and child problems underscores the need for homeless family interventions that promote access to psychiatric care for both generations (authors).