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Research Article

Predicting Response to Services for Homeless Adolescents and Transition Age Youth (TAY) with Substance Use And/Or Mental Health Disorders: Implications for Youth Treatment and Recovery

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References

  • Armitage, E. V., Lyons, H., & Moore, T. L. (2010). Recovery Association Project (RAP), Portland, Oregon. Alcoholism Treatment Quarterly, 28(3), 339–357. https://doi.org/10.1080/07347324.2010.488539
  • Bassuk, E. L., Hanson, J., Greene, R. N., Richard, M., & Laudet, A. (2016). Peer-delivered recovery support services for addictions in the United States: A systematic review. Journal of Substance Abuse Treatment, 63, 1–9. https://doi.org/10.1016/j.jsat.2016.01.003
  • Belenko, S., LaPollo, A. B., Gesser, N., Weiland, D., Perron, L., & Johnson, I. D. (2021). Augmenting substance use treatment in the drug court: A pilot randomized trial of peer recovery support. Journal of Substance Abuse Treatment, 131, 108581. https://doi.org/10.1016/j.jsat.2021.108581
  • Bender, K., Brown, S. M., Thompson, S. J., Ferguson, K. M., & Langenderfer, L. (2015). Multiple victimizations before and after leaving home associated with PTSD, depression, and substance use disorder among homeless youth. Child Maltreatment, 20(2), 115–124. https://doi.org/10.1177/1077559514562859
  • Bernstein, J., Bernstein, E., Tassiopoulos, K., Heeren, T., Levenson, S., & Hingson, R. (2005). Brief motivational invention at a clinic visit reduces cocaine and heroin use. Drug and Alcohol Dependence, 77(1), 49–59. https://doi.org/10.1016/j.drugalcdep.2004.07.006
  • Boisvert, R. A., Martin, L. M., Grosek, M., & Clarie, A. J. (2008). Effectiveness of a peer-support community in addiction recovery: Participation as intervention. Occupational Therapy International, 15(4), 205–220. https://doi.org/10.1002/oti.257
  • Boyd, M. R., Moneyham, L., Murdaugh, C., Phillips, K. D., Tavakoli, A., Jackwon, K., Jackson, N., & Vyavaharkar, M. (2005). A peer-based substance abuse intervention for HIV+ rural women: A pilot study. Archives of Psychiatric Nursing, 19(1), 10–17. https://doi.org/10.1016/j.apnu.2004.11.002
  • Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. Guildford Press.
  • Cos, T. A., LaPollo, A. B., Aussendorf, M., Williams, J. M., Malayter, K., & Festinger, D. S. (2020). Do peer recovery specialists improve outcomes for individuals with substance use disorder in an integrative primary care setting? A program evaluation. Journal of Clinical Psychology in Medical Settings, 27(4), 704–715. https://doi.org/10.1007/s10880-019-09661-z
  • Culhane, D. P., Metraux, S., & Hadley, T. (2002). Public service reductions associated with placement of homeless persons with severe mental illness in supportive housing. Housing Policy Debate, 13(1), 107–163. https://doi.org/10.1080/10511482.2002.9521437
  • Davidson, L., Bellamy, C., Guy, K., & Miller, R. (2012). Peer support among person with severe mental illnesses: A review of evidence and experience. World Psychiatry, 11(2), 123–128. https://doi.org/10.1016/j.wpsyc.2012.05.009
  • Davies, B. R., & Allen, N. B. (2017). Trauma and homelessness in youth: Psychopathology and intervention. Clinical Psychology Review, 54, 17–28. https://doi.org/10.1016/j.cpr.2017.03.005
  • DeHart, D. D., Anderson, B., & Martin, J. (2021). Transition-aged youth who are homeless and misuse substances: A qualitative study of service needs. Journal of Social Service Research, 47(6), 872–885. https://doi.org/10.1080/01488376.2021.1941503
  • Del Boca, F. K., & Noll, J. A. (2000). Truth or consequences: The validity of self-report data in health services research on addictions. Addiction, 95(11), 347–360. https://doi.org/10.1080/09652140020004278
  • Edidin, J. P., Ganim, Z., Hunter, S. J., & Karnik, N. S. (2012). The mental and physical health of homeless youth: A literature review. Child Psychiatry and Human Development, 43(3), 354–375. https://doi.org/10.1007/s10578-011-0270-1
  • Embleton, L., Lee, H., Gunn, J., Ayuku, D., & Braitstein, P. (2016). Causes of child and youth homelessness in developed and developing countries: A systematic review and meta-analysis. JAMA Pediatrics, 170(5), 435–444. https://doi.org/10.1001/jamapediatrics.2016.0156
  • Fischer, W., Rice, D., & Mazzara, A. (2019). Research shows rental assistance reduces hardship and provides platform to expand opportunity for low-income families. Center on Budget and Policy Priorities. https://www.cbpp.org/research/housing/research-shows-rental-assistance-reduces-hardship-and-provides-platform-to-expand
  • Gagne, C. A., Finch, W. L., Myrick, K. J., & Davis, L. M. (2018). Peer workers in the behavioral and integrated health workforce: Opportunities and future directions. American Journal of Preventive Medicine, 54(6), S258–266. https://doi.org/10.1016/j.amepre.2018.03.010
  • Giano, Z., Williams, A., Hankey, C., Merrill, R., Lisnic, R., & Herring, A. (2020). Forty years of research on predictors of homelessness. Journal of Community Mental Health, 56(4), 692–709. https://doi.org/10.1007/s10597-019-00530-5
  • Godley, M. D., Godley, S. H., Dennis, M. L., Funk, R., & Passetti, L. L. (2002). Preliminary outcomes from the assertive continuing care experiment for adolescents discharged from residential treatment. Journal of Substance Abuse Treatment, 23(1), 21–32. https://doi.org/10.1016/s0740-5472(02)00230-1
  • Godley, M. D., Passetti, L. L., Subramaniam, G. A., Funk, R. R., Smith, J. E., & Meyers, R. J. (2017). Adolescent community reinforcement approach implementation and treatment outcomes for youth with opioid problem use. Drug and Alcohol Dependence, 174, 9–16. https://doi.org/10.1016/j.drugalcdep.2016.12.029
  • Godley, S. H., Smith, J. E., Meyers, R. J., & Godley, M. D. (2016). The adolescent community reinforcement approach: A clinical guide for treating substance use disorders. Chestnut Health Systems.
  • Guo, X., & Slesnick, N. (2017). Reductions in hard drug use among homeless youth receiving a strength-based outreach intervention: Comparing the long-term effects of shelter linkage versus drop-in center linkage. Substance Use & Misuse, 52(7), 905–915. https://doi.org/10.1080/10826084.2016.1267219
  • Henry, M., de Sousa, T., Roddey, C., Gayen, S., & Bednar, T. J. (2021). The 2020 Annual Homeless Assessment Report (AHAR) to congress: Part 1: Point-in-time estimates of homelessness. U.S. Department of Housing and Urban Development, Office of Community Planning and Development. https://www.huduser.gov/portal/sites/default/files/pdf/2020-AHAR-Part-1.pdf
  • Hjorthøj, C. R., Fohlmann, A., Larsen, A. M., Arendt, M., & Nordentoft, M. (2012). Correlations and agreement between delta-9-tetrahydrocannabinol (THC) in blood plasma and timeline follow-back (TLFB)-assisted self-reported use of cannabis of patients with cannabis use disorder and psychotic illness attending the CapOpus randomized clinical trial. Addiction, 107(6), 1123–1131. https://doi.org/10.1111/j.1360-0443.2011.03757.x
  • Hodgson, K. J., Shelton, K. H., van den Bree, M. B. M., & Los, F. J. (2013). Psychopathology in young people experiencing homelessness: A systematic review. American Journal of Public Health, 103(6), e24–37. https://doi.org/10.2105/AJPH.2013.301318
  • Hudson, A. L., Nyamathi, A., Greengold, B., Slagle, A., Koniak-Griffin, D., Khalilifard, F., & Getzoff, D. (2010). Health-seeking challenges among homeless youth. Nursing Research, 59(3), 212–218. https://doi.org/10.1097/NNR.0b013e3181d1a8a9
  • Hunt, G. M., & Azrin, N. H. (1973). A community-reinforcement approach to alcoholism. Behaviour Research and Therapy, 11(1), 91–104. https://doi.org/10.1016/0005-7967(73)90072-7
  • Iheanacho, T., Payne, K., & Tsai, J. (2020). Mobile, community-based buprenorphine treatment for veterans experiencing homeless with opioid use disorder: A pilot, feasibility study. American Journal on Addictions, 29(6), 485–491. https://doi.org/10.1111/ajad.13055
  • James, S., Rivera, R., Shafer, M. S., Hooley, C., & Einbinder, E. (2014). Child welfare involved caregiver perceptions of family support in child mental health treatment. Journal of Family Strengths, 14(1), 1–25. article 6. Available at. https://digitalcommons.library.tmc.edu/jfs/vol14/iss1/6
  • Johnson, B., & Richert, T. (2015). Diversion of methadone and buprenorphine from opioid substitution treatment: The importance of patients’ attitudes and norms. Journal of Substance Abuse Treatment, 54, 50–55. https://doi.org/10.1016/j.jsat.2015.01.013
  • Jones, N., Teague, G. B., Wolf, J., & Rosen, C. (2020). Organizational climate and support among peer specialists working in peer-run, hybrid and conventional mental health settings. Administration and Policy in Mental Health and Mental Health Services Research, 47(1), 150–167. https://doi.org/10.1007/s10488-019-00980-9
  • Kamon, J., & Turner, W. (2013). Recovery coaching in recovery centers: What the initial data suggest: A brief report from the Vermont recovery network. Research-supported Solutions. Available at https://legislature.vermont.gov/Documents/2014/WorkGroups/House%20Human%20Services/Bills/S.295/Witness%20Testimony/S.295~Mark%20Ames~Recovery%20Coaching%20Report~4-15-2014.pdf
  • Kenney, S. R., Anderson, B. J., Bailey, G. L., & Stein, M. D. (2017). The relationship between diversion-related attitudes and sharing and selling buprenorphine. Journal of Substance Abuse Treatment, 78, 43–47. https://doi.org/10.1016/j.jsat.2017.04.017
  • Lévesque, I. S., & Abdel-Baki, A. (2020). Homeless youth with first-episode psychosis: A 2-year outcome study. Schizophrenia Research, 216, 460–469. https://doi.org/10.1016/j.schres.2019.10.031
  • Little, G. L. (2005). Meta-analysis of moral reconation therapy® recidivism results from probation and parole implementations. Cognitive-Behavioral Treatment Review, 14(1/2), 14–16. Available at. http://www.moral-reconation-therapy.com/assets/metamrtprob.pdf
  • Little, G. L., Robinson, K. D., Burnette, K. D., & Swan, E. S. (2010). Twenty-year recidivism results for MRT-treated offenders: A preliminary analysis. Journal of Community Corrections, 14(3–4), 15–16, 34. Available at. https://www.moral-reconation-therapy.com/assets/2010-journal_of_community_corrections.pdf
  • Little, R., & Rubin, D. B. (1989). The analysis of social science data with missing values. Sociological Methods & Research, 18, 292–326. https://doi.org/10.1177/0049124189018002004
  • Manning, V., Best, D., Faulkner, N., Titherington, E., Morinan, A., Keaney, F., Gossop, M., & Strang, J. (2012). Does active referral by a doctor or 12-step peer improve 12-step meeting attendance? Results from a pilot randomised control trial. Drug and Alcohol Dependence, 126, 131–137. https://doi.org/10.1016/j.drugalcdep.2012.05.004
  • McPherson, S. M., Burduli, E., Smith, C. L., Herron, J., Oluwoye, O., Hirchak, K., Orr, M. F., McDonell, M. G., & Roll, J. M. (2018). A review of contingency management for the treatment of substance-use disorders: Adaptation for underserved populations, use of experimental technologies, and personalized optimization strategies. Substance Abuse and Rehabilitation, 9, 43–57. https://doi.org/10.2147/SAR.S138439
  • Medalia, A., Saperstein, A. M., Huang, Y., Lee, S., & Ronan, E. J. (2017). Cognitive skills training for homeless transition-age youth: Feasibility and pilot efficacy of a community based randomized controlled trial. The Journal of Nervous and Mental Disease, 205(11), 859–866. https://doi.org/10.1097/NMD.0000000000000741
  • Meyers, R. J., & Smith, J. E. (1995). Clinical guide to alcohol treatment: The community reinforcement approach. Guilford Press.
  • Milburn, N. G., Stein, J. A., Lopez, S. A., Hilberg, A. M., Veprinsky, A., Arnold, E. M., Desmond, K. A., Branson, K., Lee, A., Bath, E., Amani, B., & Comulada, W. S. (2019). Trauma, family factors and the mental health of homeless adolescents. Journal of Child & Adolescent Trauma, 12(1), 37–47. https://doi.org/10.1007/s40653-017-0157-9
  • Miller, B., & Bowen, E. (2019). “I know where the rest of my life is going”: Attitudinal and behavioral dimensions of resilience for homeless emerging adults. Journal of Social Service Research, 46(4), 553–570. https://doi.org/10.1080/01488376.2019.1607647
  • Min, S. Y., Whitecraft, J., Rothbard, A. B., & Salzer, M. S. (2007). Peer support for persons with co-occurring disorders and community tenure: A survival analysis. Psychiatric Rehabilitation Journal, 30(3), 207–213. https://doi.org/10.2975/30.3.2007.207.213
  • Morton, M. H., Dworsky, A., Matjasko, J. L., Curry, S. R., Schlueter, D., Chávez, R., & Farrell, A. F. (2018). Prevalence and correlates of youth homelessness in the United States. Journal of Adolescent Health, 62(1), 14–21. https://doi.org/10.1016/j.jadohealth.2017.10.006
  • Narendorf, S. C., Cross, M. B., Santa Maria, D., Swank, P. R., & Bordnick, P. S. (2017). Relations between mental health diagnoses, mental health treatment, and substance use in homeless youth. Drug and Alcohol Dependence, 175, 1–8. https://doi.org/10.1016/j.drugalcdep.2017.01.028
  • Nilsson, S. F., Nordentoft, M., & Hjorthøj, C. (2019). Individual-level predictors for becoming homeless and exiting homelessness: A systematic review and meta-analysis. Journal of Urban Health, 96, 741–750. https://doi.org/10.1007/s11524-019-00377-x
  • Noh, D. (2018). Psychological interventions for runaway and homeless youth. Journal of Nursing Scholarship, 50(5), 465–472. https://doi.org/10.1111/jnu.12402
  • O’Connell, M. J., Sledge, W. H., Staeheli, M., Sells, D., Costa, M., Wieland, M., & Davidson, L. (2018). Outcomes of a peer mentor intervention for persons with recurrent psychiatric hospitalization. Psychiatric Services, 69(7), 760–767. https://doi.org/10.1176/appi.ps.201600478
  • Passetti, L. L., Godley, M. D., Greene, A. R., & White, W. L. (2019). The Volunteer Recovery Support for Adolescents (VRSA) experiment: Recruiting, retaining, training, and supervising volunteers to implement recovery monitoring and support services. Journal of Substance Abuse Treatment, 98, 1–8. https://doi.org/10.1016/j.jsat.2018.11.015
  • Pedersen, E. R., Tucker, J. S., & Kovalchik, S. A. (2016). Facilitators and barriers of drop-in center use among homeless youth. Journal of Adolescent Health, 59(2), 144–153. https://doi.org/10.1016/j.jadohealth.2016.03.035
  • Price, A., de Bell, S., Shaw, N., Bethel, A., Anderson, R., & Coon, J. T. (2022). What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map. Campbell Systematic Reviews, 18, e1264. https://doi.org/10.1002/cl2.1264
  • Quimby, E. G., Edidin, J. P., Ganim, Z., Gustafson, E., Hunter, S. J., & Karnik, N. S. (2012). Psychiatric disorders and substance use in homeless youth: A preliminary comparison of San Francisco and Chicago. Behavioral Sciences, 2(3), 186–194. https://doi.org/10.3390/bs2030186
  • Rew, L., Taylor-Seehafer, M., Thomas, N. Y., & Yockey, R. D. (2001). Correlates of resilience in homeless adolescents. Journal of Nursing Scholarship, 33(1), 33–40. https://doi.org/10.1111/j.1547-5069.2001.00033.x
  • Rice, E., Milburn, N. G., & Monro, W. (2011). Social networking technology, social network composition, and reductions in substance use among homeless adolescents. Prevention Science, 12(1), 80–88. https://doi.org/10.1007/s11121-010-0191-4
  • Rowe, M., Bellamy, C., Baranoski, M., Wieland, M., O’Connell, M. J., Benedict, P., Davidson, L., Buchanan, J., & Sells, D. (2007). A peer-support, group intervention to reduce substance use and criminality among persons with severe mental illness. Psychiatric Services, 58(7), 955–961. https://doi.org/10.1176/ps.2007.58.7.955
  • Santa Maria, D. M., Narendorf, S. C., & Cross, M. B. (2018). Prevalence and correlates of substance use in homeless youth and young adults. Journal of Addictions Nursing, 29(1), 23–31. https://doi.org/10.1097/JAN.0000000000000206
  • Saperstein, A. M., Lee, S., Ronan, E. J., Seeman, R. S., & Medalia, A. (2014). Cognitive deficit and mental health in homeless transition-age youth. Pediatrics, 134(1), e138–145. https://doi.org/10.1542/peds.2013-4302
  • Scott, C. K., Grella, C. E., Nicholson, L., & Dennis, M. L. (2018). Opioid recovery initiation: Pilot test of a peer outreach and modified recovery management checkup intervention for out-of-treatment opioid users. Journal of Substance Abuse Treatment, 86, 30–35. https://doi.org/10.1007/978-1-60327-960-4_6
  • Slesnick, N., Feng, X., Guo, X., Brakenhoff, B., Carmona, J., Murnan, A., Cash, S., & McRee, A. L. (2016). A test of outreach and drop-in linkage versus shelter linkage for connecting homeless youth to services. Prevention Science, 17(4), 450–460. https://doi.org/10.1007/s11121-015-0630-3
  • Slesnick, N., Guo, X., Brakenhoff, B., & Bantchevska, D. (2015). A comparison of three interventions for homeless youth evidencing substance use disorders: Results of a randomized clinical trial. Journal of Substance Abuse Treatment, 54, 1–13. https://doi.org/10.1016/j.jsat.2015.02.001
  • Slesnick, N., Prestopnik, J. L., Meyers, R. J., & Glassman, M. (2007). Treatment outcome for street-living, homeless youth. Addictive Behaviors, 32, 1237–1251. https://doi.org/10.1016/j.addbeh.2006.08.010
  • Smelson, D. A., Kline, A., Kuhn, J., Rodrigues, S., O’Connor, K., Fisher, W., Sawh, L., & Kane, V. (2013). A wraparound treatment engagement intervention for homeless veterans with co-occurring disorders. Psychological Services, 10(2), 161–167. https://doi.org/10.1037/a0030948
  • Smith, J. E., Meyers, R. J., & Delaney, H. D. (1998). The community reinforcement approach with homeless alcohol-dependent individuals. Journal of Consulting and Clinical Psychology, 66, 541–548. https://doi.org/10.1037/0022-006X.66.3.541
  • Smith Ramey, J., Passetti, L., & Onafowokan, A. (2021). Homeless, hopeless, and hungry in Central Virginia: A case study on a wrap-around intervention targeting youth homelessness. Social Work in Mental Health, 19(3), 203–219. https://doi.org/10.1080/15332985.2021.1894630
  • Sowards, K. A., O’Boyle, K., & Weissman, M. (2006). Inspiring hope, envisioning alternatives: The importance of peer role models in a mandated treatment program for women. Journal of Social Work Practice in the Addictions, 6(4), 55–70. https://doi.org/10.1300/J160v06n04_04
  • Stefancic, A., & Tsemberis, S. (2007). Housing first for long-term shelter dwellers with psychiatric disabilities in a suburban county: A four-year study of housing access and retention. The Journal of Primary Prevention, 28, 265–279. https://doi.org/10.1007/s10935-007-0093-9
  • Subramaniam, G., Stitzer, M. A., Woody, G., Fishman, M. J., & Kolodner, K. (2009). Clinical characteristics of treatment seeking adolescents with opioid versus cannabis/alcohol use disorders. Drug and Alcohol Dependence, 99, 141–149. https://doi.org/10.1016/j.drugalcdep.2008.07.016
  • Thompson, S. J., Ryan, T. N., Montgomery, K. L., Lippman, A. D. P., Bender, K., & Ferguson, K. (2016). Perceptions of resiliency and coping: Homeless young adults speak out. Youth & Society, 48(1), 58–76. https://doi.org/10.1177/0044118X13477427
  • Thulien, N. S., Gastaldo, D., Hwang, S. W., & McCay, E. (2018). The elusive goal of social integration: A critical examination of the socio-economic and psychosocial consequences experienced by homeless young people who obtain housing. Canadian Journal of Public Health, 109(1), 89–98. https://doi.org/10.17269/s41997-018-0029-6
  • Timko, C., & Debenedetti, A. (2007). A randomized controlled trial of intensive referral to 12-step self-help groups: One-year outcomes. Drug and Alcohol Dependence, 90, 270–279. https://doi.org/10.1016/j.drugalcdep.2007.04.007
  • Timko, C., Debenedetti, A., & Billow, R. (2006). Intensive referral to 12-step self-help groups and 6-month substance use disorder outcomes. Addiction, 101, 678–688. https://doi.org/10.1111/j.1360-0443.2006.01391.x
  • Timko, C., Sutkowi, A., Cronkite, R. C., Makin-Byrd, K., & Moos, R. H. (2011). Intensive referral to 12-step dual-focused mutual-help groups. Drug and Alcohol Dependence, 118, 194–201. https://doi.org/10.1016/j.drugalcdep.2011.03.019
  • Tracy, K., Burton, M., Nich, C., & Rounsaville, B. (2011). Utilizing peer mentorship to engage high recidivism substance-abusing patients in treatment. The American Journal of Drug and Alcohol Abuse, 37(6), 525–531. https://doi.org/10.3109/00952990.2011.600385
  • Tyler, K. A., & Melander, L. A. (2013). Child abuse, street victimization, and substance use among homeless young adults. Youth & Society, 47(4), 502–519. https://doi.org/10.1177/0044118x12471354
  • Wang, J. Z., Mott, S., Magwood, O., Mathew, C., Mclellan, A., Kpade, V., Gaba, P., Kozloff, N., Pottie, K., & Andermann, A. (2019). The impact of interventions for youth experiencing homelessness on housing, mental health, substance use, and family cohesion: A systematic review. BMC Public Health, 19, 1528. https://doi.org/10.1186/s12889-019-7856-0
  • Wilson, D. B., Bouffard, L. A., & Mackenzie, D. L. (2005). A quantitative review of structured, group-oriented, cognitive-behavioral programs for offenders. Criminal Justice and Behavior, 32(2), 172–204. https://doi.org/10.1177/00938548042728
  • Winiarski, D. A., Rufa, A. K., Bounds, D. T., Glover, A. C., Hill, K. A., & Karnik, N. S. (2020). Assessing and treating complex mental health needs among homeless youth in a shelter-based clinic. BMC Health Services Research, 20, 109. https://doi.org/10.1186/s12913-020-4953-9
  • Wu, Q., Zhang, J., Walsh, L., & Slesnick, N. (2020). Family network satisfaction moderates treatment effects among homeless youth experiencing suicidal ideation. Behaviour Research and Therapy, 125, 103548. https://doi.org/10.1016/j.brat.2019.103548
  • Yang, Y., Gray, J., Joe, G. W., Flynn, P. M., & Knight, K. (2019). Treatment retention satisfaction, and therapeutic progress for justice-involved individuals referred to community-based medication-assisted treatment. Substance Use & Misuse, 54(9), 1461–1474. https://doi.org/10.1080/10826084.2019.1586949
  • Zhao, E. (2023). The key factors contributing to the persistence of homelessness. International Journal of Sustainable Development & World Ecology, 30(1), 1–5. https://doi.org/10.1080/13504509.2022.2120109

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