Building Resilience through Intervention, Direct Guidance, and Empowerment (BRIDGE): A demonstration project to assist youth aging out of foster care in Poland.

Building Resilience through Intervention, Direct Guidance, and Empowerment (BRIDGE) is an innovative program designed to prevent homelessness and other negative outcomes among youth aging out of foster care. BRIDGE was pilot-tested on youth aging out of two orphanages in a city in southern Poland in 2009-2012. Youth were recruited at age 17, before aging out at age 18. Quasi-experimental methods were used to evaluate program outcomes among nine BRIDGE clients compared to two matched groups (n = 9 and n = 18) of youth who had recently aged out of orphanages in the same Polish region. Consistent with Hypothesis 1, results of chi-square tests showed that, over an 18-month follow-up period, BRIDGE clients experienced superior housing outcomes relative to both matched groups. Consistent with Hypothesis 2, the results of a between-subjects ANOVA showed that BRIDGE clients received significantly greater income relative to the matched groups. Within-subjects effects of BRIDGE from baseline across 6-, 12-, and 18-month follow-ups were examined with repeated-measures ANOVAs. Consistent with Hypotheses 3-5, results showed that across time BRIDGE clients experienced a general increase in income and decrease in psychological distress (i.e., total distress, obsessive-compulsiveness, interpersonal sensitivity, and paranoia). The study's findings support the further development of BRIDGE and similar programs.

The prevalence and correlates of running away among adolescents in the United States.

Runaway youth may experience a myriad of challenges associated with significant risks to health and well-being. To examine the prevalence and correlates of running away from home among US youth. Annual US nationally representative samples of 8th and 10th graders between 2005 and 2017 from the Monitoring the Future study. Self-reports of nationally representative samples of 8th and 10th graders in the US Annual survey data from 8th and 10th graders spanning 2005-2017, n = 116,520. The primary outcome of this study, running away from home in the past 12 months, was examined using multivariable weighted logistic regression. Predictor measures included: parent and peer relationships, school factors (e.g., grade point average [GPA]), internalizing symptoms, externalizing behavior, and substance use (alcohol, marijuana, and cigarettes). Demographic measures in the model were grade level (8th or 10th), gender (boys or girls), parent education, and race/ethnicity. The annual prevalence of running away decreased significantly from 8.3% in 2005 to 6.1% in 2017. Demographically, running away from home was significantly lower among boys compared with girls. Multivariable logistic regression model results revealed that higher levels of parental involvement, GPA, and self-esteem are all significantly related to lower odds of running away from home. Having peers who drop out of school, going on more date nights, self-derogation, interpersonal aggression, sensation seeking, theft, and property damage, as well as past 12-month alcohol use, past 12-month marijuana use, and past 30-day cigarette use were all associated with higher odds of running away from home. Annual prevalence of running away from home has been decreasing, but still affects a large number of teens. Running away is associated with numerous challenges across social, behavioral, and health domains that can further negatively impact the health and well-being of this already vulnerable population.

Murray Levine (1928-2020).

Memorializes Murray Levine (1928-2020), a pioneer in community psychology. In 1968 Levine became professor of psychology and director of the clinical and community psychology program at State University of New York at Buffalo (SUNY Buffalo), soon making it one of the top programs in the country. At Buffalo, he shaped community psychology through nu merous books and articles and by mentoring many doctoral-level students and junior faculty. His research at the intersection of law and psychology focused on mandated reporting, eye-witness testimony, the child welfare sys tem, and education reform. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Lifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nations.

OBJECTIVES: To examine the lifetime, 5-year and past-year prevalence of homelessness among European citizens in eight European nations. DESIGN: A nationally representative telephone survey using trained bilingual interviewers and computer-assisted telephone interview software. SETTING: The study was conducted in France, Ireland, Italy, the Netherlands, Poland, Portugal, Spain and Sweden. PARTICIPANTS: European adult citizens, selected from opt-in panels from March to December 2017. Total desired sample size was 5600, with 700 per country. Expected response rates of approximately 30% led to initial sample sizes of 2500 per country. MAIN OUTCOME MEASURES: History of homelessness was assessed for lifetime, past 5 years and past year. Sociodemographic data were collected to assess correlates of homelessness prevalence using generalised linear models for clustered and weighted samples. RESULTS: Response rates ranged from 30.4% to 33.5% (n=5631). Homelessness prevalence was 4.96% for lifetime (95% CI 4.39% to 5.59%), 1.92% in the past 5 years (95% CI 1.57% to 2.33%) and 0.71% for the past year (95% CI 0.51% to 0.98%) and varied significantly between countries (pairwise comparison difference test, p<0.0001). Time spent homeless ranged between less than a week (21%) and more than a year (18%), with high contrasts between countries (p<0.0001). Male gender, age 45-54, lower secondary education, single status, unemployment and an urban environment were all independently strongly associated with lifetime homelessness (all OR >1.5). CONCLUSIONS: The prevalence of homelessness among the surveyed nations is significantly higher than might be expected from point-in-time and homeless service use statistics. There was substantial variation in estimated prevalence across the eight nations. Coupled with the well-established health impacts of homelessness, medical professionals need to be aware of the increased health risks of those with experience of homelessness. These findings support policies aiming to improve health services for people exposed to homelessness.

Depression Screening at a Community Health Fair: Descriptives and Treatment Linkage.

OBJECTIVE: Health fairs are a cost-efficient platform for dissemination of preventive services to vulnerable populations. Effectiveness of depression screenings and associated treatment linkage via community health fairs warrants investigation. METHODS: This study offers the first examination of a depression screening at a community health fair in 261 adult men (18-87years). The PHQ-9 was administered via interview by graduate students and on-site psychiatric nurses were available for a brief consultation for those interested. RESULTS: Over a quarter of participants screened positive for at least moderate depressive symptomatology. Of those who screened positive, 35.8% met with an on-site psychiatric nurse for a consultation. At six-month follow-up, none of the participants given a referral made an appointment at the community mental health agency. CONCLUSION: This suggests the importance of providing on-site clinician consultations at health fairs and the need for a more coordinated system to schedule future appointments while at the event. IMPACT STATEMENT: Community health fairs reach vulnerable populations, such as those who are uninsured and who have not spoken with a professional about mental health concerns. By conducting depression screening and providing onsite access to a mental health consultation at community health fairs, participants are better able to identify their depressive symptoms and are introduced to ways to treat depression.

Understanding the Attainment of Stable Housing: A Seven-Year Longitudinal Analysis of Homeless Adolescents.

Stable housing provides a solid foundation for youth development, making it an essential topic of study among young homeless people. Although gains have been made in research with adolescents and young adults experiencing homelessness, few longitudinal studies of this population exist, clouding the long-term housing outcome picture. The current study examined the course and risk factors for homelessness in a sample of 243 homeless adolescents followed over a seven-year period. The vast majority of youth returned to stable housing quickly; however, early experiences of homelessness, even at this young age, were observed to have a substantial negative impact on future housing. Participants from poorer neighborhoods and those identifying as ethnic minorities also took longer to achieve stable housing. The data suggest that family reunification interventions may serve this population well. Preparing youth for returning home may prevent subsequent homeless episodes, while also improving their overall functioning.

Comparing the characteristics of homeless adults in Poland and the United States.

This study compared the characteristics of probability samples of homeless adults in Poland (N = 200 from two cities) and the United States (N = 219 from one city), using measures with established reliability and validity in homeless populations. The same measures were used across nations and a systemic translation procedure assured comparability of measurement. The two samples were similar on some measures: In both nations, most homeless adults were male, many reported having dependent children and experiencing out-of-home placements when they themselves were children, and high levels of physical health problems were observed. Significant national differences were also found: Those in Poland were older, had been homeless for longer, showed lower rates on all psychiatric diagnoses assessed (including severe mental and substance abuse disorders), reported less contact with family and supportive network members, were less satisfied when they sought support from their networks, and reported fewer recent stressful life events and fewer risky sexual behaviors. Culturally-informed interpretations of these findings and their implications are presented.

Peer substance use and homelessness predicting substance abuse from adolescence through early adulthood.

Adolescents who experience homelessness are at higher risk for abusing substances, and for being exposed to substance-using peers. The current study used a longitudinal design to track substance abuse, affiliation with substance-using peers, and episodes of homelessness among a sample of 223 adolescents who were housed at the baseline data collection and 148 adolescents who were housed at baseline. Participants were interviewed at six waves over 6.5 years, covering an age range from 13 to 25. Many participants experienced a recurrence of homelessness during follow-up, with 64.6 % of the baseline homeless group and 22.6 % of the baseline housed group reporting an additional episode of homelessness. Both alcohol abuse and other drug abuse symptoms showed an increase in adolescence followed by slowing in early adulthood. Recent homelessness and friend alcohol use predicted alcohol abuse symptoms, and the strength of the influence of friend use decreased over time. Recent homelessness and friend drug use predicted other drug abuse symptoms. Duration of the initial episode of adolescent homelessness showed no influence on substance abuse over time, or the effects of other predictors, highlighting the importance of conceptualizing the experience of homelessness as a recent stressor rather than an enduring personal characteristic.

Emerging adulthood and leaving foster care: settings associated with mental health.

The present study examined the role of contextual support on mental health during the transition to adulthood within a vulnerable group, adolescents leaving foster care because of their age. Participants were 265 19- to 23-year-olds who retrospectively reported on 3 main contexts of emerging adulthood: housing security, educational achievement, and employment attainment in the first 2 years after leaving foster care. Mental health measured self-reported emotional distress, substance abuse, and deviancy at the time of interview. Growth Mixture Modeling empirically identified 3 latent trajectory classes. Stable-Engaged (41%) experienced secure housing and increasing connections to education and employment over time. Stable-Disengaged (30%) maintained housing but reported decreasing rates of education and small increases in employment. Instable-Disengaged (29%) experienced chronic housing instability, declined connection to education, and failed to attain employment. Stable-Engaged and Stable-Disengaged classes reported better mental health compared to the Instable-Disengaged class, indicating the importance of housing in transitioning to adulthood.

Changes in the composition of the homeless population: 1992-2002.

This study examines changes in the characteristics of the homeless population before and after a period of extended economic expansion (1992-2002). Data from other sources suggest that, during this 10-year period, the size of the overall population of homeless persons may have declined slightly, though not significantly, both in the city studied and nationally. In-depth surveys of representative samples of homeless adults (N = 249 in 1992-94; N = 220 in 2000-2002) revealed significant differences in the composition of the homeless population across the time period, consistent with queuing theory. Persons experiencing homelessness after the expansion appeared to be a more "chronic," less readily employable population than those interviewed at the start of the expansion: Those interviewed after were older, spent more time living on the streets, had more health symptoms, were more likely to have a diagnosis of schizophrenia, and had more restricted social networks and social support. Policy, research, and service provision implications of the findings are discussed.

Predicting overt and covert antisocial behaviors: parents, peers, and homelessness.

Parental deviance, parental monitoring, and deviant peers were examined as predictors of overt and covert antisocial behaviors. Homeless (N=231) and housed (N=143) adolescents were assessed in adolescence and again in early adulthood. Homelessness predicted both types of antisocial behaviors, and effects persisted in young adulthood. Parental deviance predicted only overt antisocial behaviors in adolescence, and was fully mediated by parental monitoring. Parental monitoring predicted both types of antisocial behaviors in adolescence, and was partially mediated by peer deviance. Parenting and peer influences did not consistently predict antisocial behaviors in adulthood.

Community and family violence: indirect effects of parental monitoring on externalizing problems.

This study examines the mediating role of parenting on the relationship between exposure to violence and externalizing problems. Participants include 214 at-risk urban adolescents. Structured interviews assessed exposure to community and family violence, parental monitoring and warmth, as well as substance abuse and conduct problems. Structural equation modeling provided evidence of a mediation model that fits European Americans but is less predictive for African Americans. For European Americans, findings suggest greater exposure to community violence is associated with more externalizing problems, and also indirectly effects problems by disrupting parental monitoring. Although family violence relates to less parental warmth, no association exits between warmth and externalizing problems. Unmeasured variables that contribute to racial differences may explain how violence impacts African American teens.

Parent-adolescent violence and later behavioral health problems among homeless and housed youth.

Parent-adolescent violence (i.e., violence between parents and adolescents) is an important pathway to homelessness and predicts poor behavioral health outcomes among youth. However, few studies have examined links between parent violence and outcomes among youth who are homeless. Existing research has also tended to ignore adolescent violence toward parents, despite evidence that mutual violence is common. The current study examines prospective links of parent-adolescent violence to outcomes among youth who were homeless and demographically matched youth, through two complementary substudies: (a) an exploratory factor analysis (EFA) of items measuring parent and adolescent violence combined in the same analysis; and (b) an examination of predictive relationships between the factors identified in the EFA and behavioral health problems, including mental health and alcohol abuse problems. Predictive relationships were examined in the overall sample and by gender, ethnic, and housing status subgroups. Results of the EFA suggested that parent-adolescent violence includes intraindividual (i.e., separate parent and adolescent) physical components and a shared psychological component. Each of these components contributed uniquely to predicting later youth behavioral health. Implications for research and practice with youth who are homeless are discussed.

Pathways to and from homelessness and associated psychosocial outcomes among adolescents leaving the foster care system.

OBJECTIVES: We evaluated the prevalence and nature of housing problems among adolescents leaving foster care because of their age to provide evidence that can inform public and programmatic policies designed to prevent homelessness. METHODS: Housing and psychosocial outcomes in a sample of 265 adolescents who left the foster care system in 2002 and 2003 in a large midwestern metropolitan area were evaluated over a 2-year follow-up period. Analyses focused on identifying latent housing trajectory categories across the first 2 years after participants' exit from foster care. RESULTS: Findings revealed 4 latent housing classifications. Most participants (57%) had experienced stable housing situations since their exit from foster care. Those in the remaining 3 categories endured housing problems, and 20% were chronically homeless during the follow-up period. Housing instability was related to emotional and behavioral problems, physical and sexual victimization, criminal conviction, and high school dropout. CONCLUSIONS: Adolescents in foster care are at considerable risk of homelessness. Preventive initiatives can reduce homelessness in this population by implementing improved foster care programming and developing empirically informed interventions targeting foster care adolescents.

Age differences among homeless individuals: adolescence through adulthood.

The present study examines differences between homeless adolescents, young adults, and older adults served by homeless shelters or food programs to inform service provision. Four homeless studies using the same sampling and measurement methods were pooled to permit comparisons across age groups. Results showed that homeless adolescents demonstrated greater resilience than younger and older adults. Adolescents reported the shortest duration of homelessness, lowest number of life stressors, fewest physical symptoms, largest social networks, and fewest clinically significant mental health problems. Adolescents also received fewer alcohol and drug abuse diagnoses than younger and older adults. Younger adults reported less time homeless and fewer physical symptoms than older adults, but more life stressors. Younger adults also endorsed higher levels of hostile and paranoid psychological symptoms. Implications for service provision and policy are discussed.

COMMUNITY VIOLENCE AND EXTERNALIZING PROBLEMS: MODERATING EFFECTS OF RACE AND RELIGIOSITY IN EMERGING ADULTHOOD.

The present study examined racial differences in the relationship between exposure to community violence and public and private religiosity in predicting externalizing problems among at-risk emerging adults. Participants were 178 African American and 163 European American emerging adults at risk for exposure to community violence. Exposure to community violence related to more externalizing problems. Greater public religious affiliation buffered the relationship between community violence and substance abuse, for both African American and European emerging adults. In addition, more privately religious African American emerging adults engaged in less deviant behavior when exposed to higher levels of community violence. European Americans were not protected by private religiosity.

Diagnostic and other correlates of HIV risk behaviors in a probability sample of homeless adults.

OBJECTIVES: This study assessed the relationship between psychiatric disorders, including substance abuse and dependence, and risk behaviors for contracting HIV. METHODS: A probability sample of 218 homeless men and women were recruited from food programs and shelters assisting homeless individuals in an urban metropolitan community. Mood disorders, schizophrenia, and substance abuse and dependence diagnoses were assessed with the Diagnostic Interview Schedule (version 3A). Level of sexual activity and HIV risk behaviors (such as history of sexually transmitted diseases, ratio of protected sex, trading sex for money or drugs, sex with a prostitute, and sex under the influence of alcohol or drugs) also were measured. RESULTS: Substance abuse and dependence and the length of the homelessness episode at baseline were associated with the highest risk of engaging in HIV risk behaviors. However, there was no relationship between mood disorders, schizophrenia, and HIV risk behaviors. CONCLUSIONS: This study provides evidence that individuals who are homeless for extended periods and have a diagnosis of substance abuse or dependence may be especially vulnerable to engaging in risky sexual behaviors and contracting HIV. The findings highlight the importance of tailoring treatment programs to the specific needs of homeless individuals.

Homelessness in the United States: assessing changes in prevalence and public opinion, 1993-2001.

A national survey was administered in 1993-1994 (N = 360) and repeated in 2001 (N = 435) to assess the prevalence of homelessness as well as attitudes, opinions and knowledge regarding homelessness. No significant changes in prevalence were found, despite a strong US economy during most of the 7-8 year period. Respondents in 2001 had less stereotyped views of homeless people and were more supportive of services, but came to see homelessness as a less serious problem that was less often due to economic factors. This "mixed" set of findings may reflect both beliefs on the benefits of a good economy and an increased awareness of the complexity of homelessness. Across the surveys, younger, female, liberal, and less wealthy respondents demonstrated more sympathetic attitudes towards homeless people.

Community psychology: where do we go from here?

Following a developmental analogy, community psychology may be experiencing a "mid-life crisis" as it enters "middle age." The field needs to determine where to go from here. This paper argues that the field should attempt to expand. Expansion can best be accomplished by celebrating the diversity of orientations within the field (e.g., those emphasizing prevention, empowerment, and the ecological perspective) and the wide range of human problems of interest to community psychologists. To promote expansion of the field, community psychologists need to seek out relationships with diverse groups, such as the international community, those working in applied settings, ethnic minorities, and students and early-career professionals.