Trauma, substance use, and mental health symptoms in transitional age youth experiencing homelessness.
Public Health Nurs
; 37(3): 363-370, 2020 05.
Article
em En
| MEDLINE
| ID: mdl-32202664
ABSTRACT
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 thesemeasures:
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Jovens em Situação de Rua
/
Transtornos Relacionados ao Uso de Substâncias
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Trauma Psicológico
/
Transtornos Mentais
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adolescent
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Adult
/
Female
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Humans
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Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Public Health Nurs
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Estados Unidos