Abstract
Drop-in centers for homeless youth address basic needs for food, hygiene, and clothing
but can also provide critical services that address youth's “higher level” needs (e.g.,
substance use treatment, mental health care, HIV-related programs). Unlike other services
that have restrictive rules, drop-in centers typically try to break down barriers
and take a “come as you are” approach to engaging youth in services. Given their popularity,
drop-in centers represent a promising location to deliver higher level services to
youth that may not seek services elsewhere. A better understanding of the individual-level
factors (e.g., characteristics of homeless youth) and agency-level factors (e.g.,
characteristics of staff and environment) that facilitate and impede youth engagement
in drop-in centers will help inform research and outreach efforts designed to engage
these at-risk youth in services. Thus, the goal of this review was to develop a preliminary
conceptual model of drop-in center use by homeless youth. Toward this goal, we reviewed
20 available peer-reviewed articles and reports on the facilitators and barriers of
drop-in center usage and consulted broader models of service utilization from both
youth and adult studies to inform model development.
Keywords
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References
- Facts and resources about the education of children and youth experiencing homelessness, in education for homeless children and youth program data collection summary.U.S. Department of Education, Washington, DC2013 (Available at:) (Accessed September 15, 2015)
- Runaway/thrownaway children: National estimates and characteristics. Nismart bulletin, October 2002.Office of Juvenile Justice and Delinquency Prevention, Washington, DC2002
- The 2014 Annual Homeless Assessment Report (AHAR) to congress. Part 1: Point-in-time estimates of homelessness.The U.S. Department of Housing and Urban Development, Office of Community Planning and Development, Washington, DC2014
- Incidence and prevalence of homeless and runaway youth.RTI International, Research Triangle Park, NC2003
- Correlates of resilience in homeless adolescents.J Nurs Scholarsh. 2001; 33: 33-40
- Homeless youth: Characteristics, contributing factors, and service options.J Hum Behav Social Environ. 2010; 20: 193-217
- Health and street/homeless youth.J Health Psychol. 2007; 12: 726-736
- Personal network correlates of alcohol, cigarette, and marijuana use among homeless youth.Drug Alcohol Depend. 2010; 112: 140-149
- Association between prescription drug misuse and injection among runaway and homeless youth.Drug Alcohol Depend. 2014; 134: 406-409
- Predicting substance abuse among youth with, or at high risk for, HIV.Psychol Addict Behaviors. 2000; 14: 197-205
- 'Substance abuse' disorders among runaway and homeless youth.Subst Use Misuse. 1997; 32: 969-986
- Characteristics of homeless youth who use cocaine and methamphetamine.Am J Addict. 2012; 21: 243-249
- The effects of peer group network properties on drug use among homeless youth.Am Behav Sci. 2005; 48: 1102-1123
- Substance use and other risk factors for unprotected sex: Results from an event-based study of homeless youth.Aids Behav. 2012; 16: 1699-1707
- HIV risk behavior and HIV testing: A comparison of rates and associated factors among homeless and runaway adolescents in two cities.AIDS Educ Prev. 2001; 13: 131-148
- Unprotected sex of homeless youth: Results from a multilevel dyadic analysis of individual, social network, and relationship factors.Aids Behav. 2012; 16: 2015-2032
- Social network and individual correlates of sexual risk behavior among homeless young men who have sex with men.J Adolesc Health. 2012; 51: 386-392
- Reductions in HIV risk among runaway youth.Prev Sci. 2003; 4: 173-187
- Pregnancy among three national samples of runaway and homeless youth.J Adolesc Health. 1998; 23: 370-377
- Homeless youth.in: Levison D. Encyclopedia of Homelessness. Sage, Thousand Oaks, CA2004
- A sample of homeless and runaway youth in New Jersey and their health status.J Health Soc Policy. 1991; 2: 73-82
- Homeless youth seeking assistance: A research-based study from Duluth, Minnesota.Child Youth Care Forum. 2003; 32: 89-103
- No way home: Understanding the needs and experiences of homeless youth in Hollywood.Hollywood Homeless Youth Partnership, Los Angeles, CA2010
- Drug use, social context, and HIV risk in homeless youth (R01DA020351).National Institute on Drug Abuse, Bethesda, MD2007
- Characteristics of homeless youth attending two different youth drop-in centers.Youth Soc. 2011; 43: 28-43
- The nurse practitioner and homeless adolescents in Waikiki.Nurse Pract Forum. 1997; 8: 28-31
- Consumer-run drop-in centers: Program operations and costs.Psychiatr Rehabil J. 2005; 28: 323-331
- How to open and sustain a drop-in center for homeless youth.Child Youth Serv Rev. 2008; 30: 727-734
- Insights from the street: Perceptions of services and providers by homeless young adults.Eval Program Plann. 2006; 29: 34-43
- Service utilization among homeless and runaway youth in Los Angeles, California: Rates and reasons.J Adolesc Health. 1999; 24: 449-458
- A cluster analysis of service utilization and incarceration among homeless youth.Soc Sci Res. 2012; 41: 612-623
- Runaway youth's knowledge and access of services.National Runaway Safeline, Chicago, IL2010 (Available at:) (Accessed September 15, 2015)
- Six- and twelve-month outcomes among homeless youth accessing therapy and case management services through an urban drop-in center.Health Serv Res. 2008; 43: 211-229
- National research agenda: Priorities for advancing our understanding of homelessness.United States Interagency Council on Homelessness, Washington, DC2013
- Opening doors: Federal strategic plan to prevent and end homelessness.U.S. Interagency Council on Homelessness, Washington, DC2010
- The behavioral model for vulnerable populations: Application to medical care use and outcomes for homeless people.Health Serv Res. 2000; 34: 1273-1302
- Health care service use among vulnerable adolescents.Vulnerable Child Youth Stud. 2006; 1: 205-220
- Treatment outcome for street-living, homeless youth.Addict Behav. 2007; 32: 1237-1251
- Short-term effects of a brief motivational intervention to reduce alcohol and drug risk among homeless adolescents.Psychol Addict Behav. 2006; 20: 254-264
- Exploring the (bio) political dimensions of voluntarism and care in the city: The case of a ‘low barrier’emergency shelter.Health Place. 2011; 17: 24-32
- Runaway and homeless youth in Los-Angeles County, California.J Adolesc Health. 1990; 11: 159-165
- Risk behaviors and health care utilization among homeless youth: Contextual and racial comparisons.J HIV/AIDS Prev Child Youth. 2008; 9: 158-174
- Correlates of service utilization among homeless youth.Child Youth Serv Rev. 2012; 34: 1344-1350
- Service utilization and the life cycle of youth homelessness.J Adolesc Health. 2006; 38: 624-627
- Taking the youth perspective: Assessment of program characteristics that promote positive development in homeless and at-risk youth.Child Youth Serv Rev. 2010; 32: 1365-1372
- If you provide the test, they will take it: Factors associated with HIV/STI testing in a representative sample of homeless youth in Los Angeles.AIDS Educ Prev. 2012; 24: 350
- Homeless youths' perceptions of services and transitions to stable housing.Eval Program Plann. 2008; 31: 436-444
- Factors influencing service use among homeless youths with co-occurring disorders.Psychiatr Serv. 2013; 64: 925-928
- Social networks as the context for understanding employment services utilization among homeless youth.Eval Program Plann. 2014; 45: 90-101
- Predictors of drop-in center attendance among substance-abusing homeless adolescents.Social Work Res. 2011; 35: 58-63
- Pet ownership among homeless youth: Associations with mental health, service utilization and housing status.Child Psychiatry Hum Dev. 2015; 46: 237-244
- Homeless youths' interpersonal perspectives of health care providers.Issues Ment Health Nurs. 2008; 29: 1277-1289
- Adolescent use of two types of HIV prevention agencies.J HIV/AIDS Prev Child Youth. 2008; 9: 175-191
Article info
Publication history
Published online: May 27, 2016
Accepted:
March 25,
2016
Received:
October 26,
2015
Identification
Copyright
© 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.