PEDIATRIC PROTOCOLS
These Pediatric Protocols were developed by a group of providers - including nurses, nurse practitioners and physician assistants - to standardize outreach health care to homeless pediatric clients. The HCH Clinicians' Network Pediatric Work Group is making these protocols available to others who may wish to modify them to fit their own practice. Outreach clinicians who are interested in adapting these protocols to their own practice should first review them with the agency's medical director. For more information regarding the protocols, contact:
Public Health-Seattle & King County Health Care for the Homeless at 206/296-5091
AMID FORECLOSURES, A RISE IN HOMELESS STUDENTS The pain caused by housing foreclosures and a weak economy is spilling over into the nation's schools. School districts nationwide say they're seeing a big increase in the number of students who are homeless | Listen online to this news story that aired on NPR's All Things Considered on September 30, 2008
DATABASE TOOLS TO ASSESS CHILD TRAUMA
The SAMHSA-funded National Child Traumatic Stress Network has prepared and released a free online searchable database that provides clinicians and researchers with in-depth information to enable them to choose the best instrument to assess children and adolescents who have experienced trauma. The Measures Review Database fills an important gap in the field. Its purpose is to promote the use of state-of-the-art measures for improved clinical intervention and research on child trauma.
HEALING KIDS
The HCH Clinicians' Network produces Healing Kids, an e-newsletter that highlights resources, news and events for those who work with homeless children and adolescents. Past issues are archived on this website, and a Healing Kids' subscription is just one of the benefits of belonging to the Network.
HOMELESS CHILDREN: What Every Health Care Provider Should Know "Homeless Children: What Every Health Care Provider Should Know" is a PowerPoint presentation developed by Catherine Karr, MD, in collaboration with the HCH Clinicians' Network Pediatric Work Group. You may view the presentation online or download it no cost for use in your own presentations to medical residents, policy makers, new homeless providers and others. The goals of the presentations are to help viewers recognize homelessness and the risks of homelessness in families with children; to understand specific health problems of homeless children; to modify health care plans and prevention strategies appropriately; and to be able to find resources for homeless patients and their families.
POLICY STATEMENT ON HOMELESS CHILDREN AND YOUTH The Policy Committee of National Health Care for the Homeless Council annually develops policy statements on a number of homeless-specific issues. The Council uses these statements to make policy recommendations to legislators in the hopes of ending homelessness by assuring basic human rights. Please visit the Advocacy page
to view the current Child & Youth Policy Statement developed in collaboration with the HCH Clinicians’ Network Pediatrics Work Group
ASK THE EXPERT
"Ask the Expert" is a service of the HCH Clinicians' Network intended to be a resource for clinicians who work with people experiencing homelessness. In this column, our experts Ann Petru, MD, and Cheryl Zlotnick, DrPH, answer Network members' questions about pediatric HIV/AIDS and educating homeless children. 2003.
HEALING HANDS ARTICLES ON HOMELESS CHILDREN AND YOUTH
TREATMENT AND RECOMMENDATIONS FOR HOMELESS CHILDREN WITH OTITIS MEDIA
Clinicians who provide primary care to people who are homeless or at risk of homelessness routinely adapt their medical practice to foster better outcomes for these patients. Standard clinical practice guidelines often fail to take into consideration the unique challenges faced by homeless patients that may limit their ability to adhere to a plan of care. Recognizing the gap between standard clinical guidelines and clinical practices used by health care providers experienced in the care of homeless individuals, the HCH Clinicians' Network developed a series of treatment recommendations called Adapting Your Practice.
IMMUNIZATION Immunization Action Coalition | Vaccination information for health care professionals. Sign up for free e-mail news, download free materials, stay current on vaccine recommendations for childhood and adolescents, access patient education materials in many languages, and much more.
HOMELESS YOUNG ADULTS AGES 18 - 24: EXAMINING SERVICE DELIVERY ADAPTATIONS
Young adults (ages 18 - 24) are especially vulnerable to homelessness. The estimated numbers of young adults who experience an episode of homelessness each year range from approximately 750,000 to two million, and are believed to be increasing; families as well as individuals are affected. To articulate and address some of the urgent issues facing these young adults, six seasoned clinicians and researchers working with displaced youth collaborated with National Health Care for the Homeless Council staff in developing this report. Homeless Young Adults Ages 18-24: Examining Service Delivery Adaptations is organized around four main topics: health care, housing, education and employment, and social support. Testimonials from homeless assistance providers and their clients and examples of recommended interventions are interspersed with program descriptions and proposed strategies, and a list of resources, including references that illustrate the issues described, is appended.
TEEN SUICIDE PREVENTION
A 30-minute educational DVD, "Eternal High" is produced by a student who captured his true-life battle with depression and suicide. It includes a short film made while unaware he was clinically depressed followed by a speech to his school after receiving treatment. The speech discusses his experience with depression, suicidal thoughts, anxiety, self-injury, self-medicating substance abuse, and his treatment. Members of the HCH Clinicians' Network Pediatric Work Group previewed the DVD in June 2007. They found it powerful, with a few shortcomings, but overall worthwhile. Our clinicians thought that many homeless teens may not identify with the middle-class white teen and his problems shown in the first part of the film, but they agree that the second part will resonate with homeless youth. "Eternal High" is distributed by Aquarius Health Care Media; phone: 888 440-2963. 2006
YOUTH HOMELESSNESS
Youth homelessness is disturbingly common. Although the prevalence of youth homelessness is difficult to measure, researchers estimate that about 5 to 7.7 percent of youth experience homelessness. With at least one million youth on the streets and in shelter-and thousands more leaving juvenile justice, mental health facilities and foster care systems-the problem of youth homelessness continues to grow. Everyone finds transitioning to adulthood difficult, but homeless adolescents have even greater obstacles to overcome. Stable housing linked with services are critical to helping homeless youth transition to adulthood.
Homeless Youth & the Perilous Passage to Adulthood | Network on Transitions to Adulthood Policy Brief | MacArthur Foundation Research Network on Transitions to Adulthood and Public Policy | University of Pennsylvania | April 2005
Kids Count Data Book | Annie E. Casey Foundation | Find out how kids are doing across the nation and in your state and community. Create customized reports | 2007
Managing Infectious Diseases in Child Care & Schools: A Quick Reference Guide | Edited by Susan S. Aronson, MD, FAAP, and Timothy R. Shope, MD, MPH, FAAP | This best-selling guide helps out-of-home caregivers prevent, identify and respond to the most common childhood infectious diseases | American Academy of Pediatrics | 2004
NCAST-AVENUW | Nursing Child Assessment Satellite Training | NCAST-AVENUW is a program at the University of Washington affiliated with the School of Nursing and the Center on Human Development and Disability
One Family | Ending family homelessness in Massachusetts one family at a time
Project HOPE — Virginia | Virginia’s Program for the Education of Homeless Children & Youth | Site includes publications, standards of learning, coloring and activity books for children, materials for families, a homeless education liaison toolkit, materials in Spanish, and much more
Street Yoga | Yoga classes for youth living on the streets, girls in foster care, children of homeless families and young people recovering from abuse and trauma. Learn how to start a program like Street Yoga or review the Street Yoga training curriculum.
Trauma Among Homeless Youth | The prevalence of homeless youth is difficult to determine, but researchers estimate that 1 million to 1.6 million youth per year experience homelessness. Not surprisingly, homeless youth have significant mental health problems, including depression, anxiety disorders, PTSD, suicidal ideation, and substance abuse disorders. These youth struggle to recover from both previous and new traumatic experiences while trying to survive in a hostile street environment. The National Child Traumatic Stress Network | 2007
Youth Aging Out of Foster Care | Network on Transitions to Adulthood Policy Brief | MacArthur Foundation Research Network on Transitions to Adulthood and Public Policy | University of Pennsylvania | April 2005