Trauma, substance use, and mental health symptoms in transitional age youth experiencing homelessness

Autor: Deena Shehadeh, Carol Dawson-Rose, Jasmine Barnard, Amy Schustack, Adam Leonard, Kristen D. Clark, Jennifer Hao, Aaron Miller, Julie Frank, Haley Mousseau, Yvette P. Cuca, Eva Kersey, Ladan Ladi Khoddam-Khorasani, Adam W. Carrico
Rok vydání: 2020
Předmět:
Male
Psychological intervention
Homeless Youth
Substance Misuse
0302 clinical medicine
Surveys and Questionnaires
Prevalence
substance abuse
030212 general & internal medicine
Aetiology
General Nursing
Depression (differential diagnoses)
Pediatric
030504 nursing
Depression
Mental Disorders
homeless persons
Homelessness
Center for Epidemiologic Studies Depression Scale
adolescent health
Post-Traumatic Stress Disorder (PTSD)
Anxiety Disorders
AIDS
Substance abuse
trauma
Mental Health
Public Health and Health Services
HIV/AIDS
Anxiety
Female
social and economic factors
medicine.symptom
0305 other medical science
vulnerable populations
Adolescent health
medicine.medical_specialty
Physical Injury - Accidents and Adverse Effects
Generalized anxiety disorder
Adolescent
Substance-Related Disorders
Nursing
Psychological Trauma
Young Adult
03 medical and health sciences
Clinical Research
2.3 Psychological
Behavioral and Social Science
medicine
Humans
Psychiatry
business.industry
Prevention
Public Health
Environmental and Occupational Health
HIV
medicine.disease
Mental health
Brain Disorders
Cross-Sectional Studies
Good Health and Well Being
San Francisco
Drug Abuse (NIDA only)
business
Zdroj: Public health nursing (Boston, Mass.), vol 37, iss 3
ISSN: 1525-1446
0737-1209
Popis: Objective This descriptive study examined the prevalence and correlates of trauma, substance use, and mental health symptoms in homeless transitional age youth (TAY) in San Francisco. Design & sample One hundred homeless TAY were recruited from a community-based organization to complete a survey on trauma, mental health symptoms, and substance use. Measurements We used these measures: National Institute on Drug Abuse (NIDA)-Modified Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) for frequency and risk level of substance use; the 10-item Adverse Childhood Experiences (ACEs) for prevalence of trauma; the Post-traumatic Stress Disorder Checklist for DSM-5 for post-traumatic stress disorder (PTSD) symptoms; Center for Epidemiologic Studies Depression Scale for depression symptoms; and Generalized Anxiety Disorder 7-item for anxiety symptoms. Results Almost all (n = 98) participants experienced at least one ACE during childhood, and 77% experienced four or more. Most participants (80%) reached the diagnostic threshold for PTSD, 74% for depression, and 51% for moderate anxiety. Symptoms of PTSD, anxiety, and depression were all significantly correlated with use of opioids and stimulants. Conclusion Trauma, and co-occurring substance use and mental health problems are prevalent among homeless TAY. Individual- and community-level interventions are needed to address and improve the health of this population.
Databáze: OpenAIRE
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