Children & Youth

Spotlight on the 2009 Mayors’ Report on Homelessness

During the past year, government and nonprofit agencies have struggled with unprecedented growth in the number of homeless families nationwide. The recently released U. S. Conference of Mayors’ Hunger and Homelessness Survey is an important starting point for formulating strategies to help these families. The Institute for Children and Poverty’s National Survey of Programs and Services for Homeless Families serves as a complementary resource for planning at the local, county, and state levels, comprehensively reviewing and categorizing state and local action plans to end homelessness. It also maintains a growing database of information collected from government agencies, nonprofit organizations, and shelter facilities. Institute for Children and Poverty | Winter 2009

Strengthening At-Risk & Homeless Young Mothers & Children Initiative Issues Briefs

The National Center on Family Homelessness (in partnership with the National Alliance to End Homelessness and ZERO TO THREE: National Center for Infants, Toddlers and Families) has released two technical assistance briefs. These policy-based documents focus on the implications of home visiting with families experiencing homelessness, as well as the Family Unification Program. Read the brief on the Family Unification Program. Read the brief on Early Education Home Visiting.

Providing Mental Health Services to Youth in Chronically Homeless Families | May 2009

This PowerPoint presentation by Courtney Smith is developed in collaboration with the HCH Clinicians’ Network Pediatrics Work Group. The presentation includes current statistics and useful definitions; lists common mental health diagnoses and risk factors for mental illness in homeless children; and presents findings from a survey of the Network’s Pediatrics Interest Group.

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.

Got Milk?

Got Milk? Responding to Pediatric Dental Injuries of Homeless Children is one in a series of Health Care Case Reports developed by the HCH Clinicians’ Network in an effort to share practice-based experience.

“Homeless Children: What Every Health Care Provider Should Know”

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.

Related Healing Hands Articles

Treatment and Recommendations for Homeless Children with Otitis Media

Clinicians who provide primary care to people who are homeless or athomelesschildren 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.

Adapting Your Practice: Treatment & Recommendations for Homeless Children with Otitis Media is one of the publications produced as part of this series. These special recommendations, which reflect HCH clinicians’ collective experience in serving homeless children, address treatment and prevention of ear infections in children who lack residential stability.

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.

The National Alliance to End Homelessness, Policy Focus Area on Youth, has many resources including:

  • Fact Checker: Youth Homelessness;
  • America’s Homeless Youth: Recommendations to Congress on the Runaway & Homeless Youth Act;
  • Fundamental Issues to Prevent & End Youth Homelessness;
  • Ten Essentials to Ending Youth Homelessness;
  • Runaway & Homeless Youth: Demographics, Programs & Emerging Issues;
  • Fact Sheet on Homeless Youth;
  • Web of Failure: The Relationship Between Foster Care & Homelessness; and
  • much, much more.

Additional Online Resources