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Factors that contribute to help-seeking among homeless, trauma-exposed youth: A social-ecological perspective

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  • Crosby, Shantel D.
  • Hsu, Hsun-Ta
  • Jones, Kristian
  • Rice, Eric

Abstract

Homeless youth are at great risk of Posttraumatic Stress Disorder (PTSD) and posttraumatic stress symptoms (PTSS) during homelessness. The social-ecological framework provides a lens to examine the multifaceted characteristics that promote various types of help-seeking among homeless youth with high trauma exposure. The present study uses baseline data from homeless youth interviewed in a longitudinal study to examine utilization of physical health, vocational, and mental health services among this population. The study explores the following research question: What social-ecological factors are associated with physical health, vocational, and mental health help-seeking among homeless youth with PTSS? Homeless youth, aged 13 to 26, who used drop-in services at collaborating sites were recruited and interviewed. Youth participants with PTSS were included in this study. Logistic regression models were conducted to analyze individual, family/peer, and community contextual factors in relation to three types of service utilization (i.e., physical health, vocational, and mental health services). Among individual factors, duration of homelessness was associated with increased physical and mental health service utilization, injection drug-use was linked to decreased mental health services, and race/ethnicity was associated with increased help-seeking across all three service types. For family/peer level factors, foster care involvement was linked to increased mental health help-seeking and social support from street-based peers was associated with greater vocational service utilization. Among community-level factors, youth who reported receiving social support from community-based providers were more likely to seek out mental health services. Implications of the findings are discussed.

Suggested Citation

  • Crosby, Shantel D. & Hsu, Hsun-Ta & Jones, Kristian & Rice, Eric, 2018. "Factors that contribute to help-seeking among homeless, trauma-exposed youth: A social-ecological perspective," Children and Youth Services Review, Elsevier, vol. 93(C), pages 126-134.
    • Handle: RePEc:eee:cysrev:v:93:y:2018:i:c:p:126-134
    DOI: 10.1016/j.childyouth.2018.07.015
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    References listed on IDEAS

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    1. Hodgson, K.J. & Shelton, K.H. & Van Den Bree, M.B.M. & Los, F.J., 2013. "Psychopathology in young people experiencing homelessness: A systematic review," American Journal of Public Health, American Public Health Association, vol. 103(6), pages 24-37.
    2. Hickler, Benjamin & Auerswald, Colette L., 2009. "The worlds of homeless white and African American youth in San Francisco, California: A cultural epidemiological comparison," Social Science & Medicine, Elsevier, vol. 68(5), pages 824-831, March.
    3. Slesnick, Natasha & Dashora, Pushpanjali & Letcher, Amber & Erdem, Gizem & Serovich, Julianne, 2009. "A review of services and interventions for runaway and homeless youth: Moving forward," Children and Youth Services Review, Elsevier, vol. 31(7), pages 732-742, July.
    4. Pádraig Collins & Chris Barker, 2009. "Psychological Help-Seeking in Homeless Adolescents," International Journal of Social Psychiatry, , vol. 55(4), pages 372-384, July.
    5. Thompson, Sanna J. & McManus, Holly & Lantry, Janet & Windsor, Liliane & Flynn, Patrick, 2006. "Insights from the street: Perceptions of services and providers by homeless young adults," Evaluation and Program Planning, Elsevier, vol. 29(1), pages 34-43, February.
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    3. Alschech, Jonathan & Taiwo-Hanna, Tolulola & Shier, Michael L., 2020. "Navigating peer-influences in a large youth homeless shelter in North America," Children and Youth Services Review, Elsevier, vol. 108(C).
    4. Sochos, Antigonos & Richards, Anita & Smith, Sue & Balint, Andrea & Bennett, Ashley, 2023. "The attachment relationship between hostel-based homeless individuals and their keyworkers," Children and Youth Services Review, Elsevier, vol. 149(C).

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