Abstract

Runaway and homeless youth (RHY) comprise a large population of young people who reside outside the control and protection of parents and guardians and who experience numerous traumas and risk factors, but few buffering resources. Specialized settings have developed to serve RHY, but little is known about their effects. The present cross-sectional qualitative descriptive study, grounded in the positive youth development approach and the Youth Program Quality Assessment model, addressed this gap in the literature. From a larger sample of 29 RHY-specific settings across New York State, RHY ages 16–21 from 11 settings were purposively sampled for semi-structured in-depth interviews on their transitions into homelessness, experiences with settings, and unmet needs (N = 37 RHY). Data were analyzed with a theory-driven and inductive systematic content analysis approach. Half of participants (54%) were female; almost half (49%) identified as non-heterosexual; and 42% were African American/Black, 31% were Latino/Hispanic, and 28% were White/other. Results indicated that because RHY are a uniquely challenged population, distrustful of service settings and professional adults and skilled at surviving independently, the population-tailored approaches found in RHY-specific settings are vital to settings’ abilities to effectively engage and serve RHY. We found the following four major themes regarding the positive effects of settings: (1) engaging with an RHY setting was emotionally challenging and frightening, and thus the experiences of safety and services tailored to RHY needs were critical; (2) instrumental support from staff was vital and most effective when received in a context of emotional support; (3) RHY were skilled at survival on the streets, but benefited from socialization into more traditional systems to foster future independent living; and (4) follow-through and aftercare were needed as RHY transitioned out of services. With respect to gaps in settings, RHY highlighted the following: (1) a desire for better management of tension between youths’ needs for structure and wishes for autonomy and (2) lack of RHY input into program governance. This study advances our understanding of RHY, their service needs, and the ways settings meet these needs, as well as remaining gaps. It underscores the vital, life-changing, and even life-saving role these settings play for RHY.

Highlights

  • Runaway and homeless youth (RHY) comprise a large and growing population of highly vulnerable adolescents and young adults in the United States [1]

  • Runaway and homeless youth typically described their past circumstances, and in some cases, their current situations, whether they thought of themselves as “homeless” or not, as characterized by chaotic and unstable environments that disallowed the physical or emotional space needed to adequately reflect on their current situation, and impeded their abilities to imagine a different, and perhaps more desirable, developmental trajectory. In particular, many RHY described that before engaging with RHY-specific settings, they existed crisis-to-crisis, attending only to survival and basic needs

  • In a past study of vulnerable young men that included RHY, we found that a non-secure attachment style was associated with young people remaining outside of the protective systems of services, family, school, and work, and associated with risky contexts such as the street economy where they are less likely to encounter prosocial peers and adults [31], a finding echoed in other studies of attachment among RHY [45]

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Summary

INTRODUCTION

Runaway and homeless youth (RHY) comprise a large and growing population of highly vulnerable adolescents and young adults in the United States [1]. RHY clients in these high-quality settings were more likely to report being helped with a number of major challenges such as reducing involvement in the street economy (e.g., drug dealing, being trafficked/transactional sex), avoiding or managing substance use, and engaging in school, job training, or work [13]. Study findings will be of interest to RHY service providers, policymakers, and other stakeholders in the RHY community

MATERIALS AND METHODS
Procedures
RESULTS
Part I: Beneficial Effects of RHY-Specific Settings on RHY Clients
Part II: Gaps in Services
DISCUSSION
Limitations
CONCLUSION
ETHICS STATEMENT
Full Text
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