Abstract
This study reports psychosocial characteristics of a sample of 111 children (K to 2nd grade) and their mothers who were living in urban supportive housings. The aim of this study was to document the various types and degree of risk endemic to this population. First, we describe the psychosocial characteristics of this homeless sample. Second, we compared this homeless sample with a grade-matched, high-risk, school-based sample of children (n = 146) who were identified as showing early symptoms of disruptive behaviors. Third, we compared the parents in both samples on mental health, parenting practices, and service utilization. Results showed that children living in supportive housing were in the at-risk range and had comparable levels of externalizing problems, internalizing problems, school problems and emotional strengths with the school-based risk sample receiving prevention services at a family support community agency. Mothers in supportive housing reported significantly higher psychological distress, less optimal parenting practices and greater service utilization. These findings are among the first to provide empircal support for the need to deliver prevention interventions in community sectors of care.
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Notes
Selection of the two centers was an executive decision made by PUC administrators. Issues factored into the decision included (a) selection of one site in south Minneapolis and one site in north Minneapolis to maximize recruitment of eligible participants, (b) selection of sites with previous experience implementing the Early Risers program, and (c) selection of sites with sufficient resources and staff to implement the program.
References
Achenbach, T. M. (1991). Manual for the teacher’s report form and 1991 profile. Burlington: Department o Psychiatry, University of Vermont.
Ackerman, B. P., Kogos, J., Youngstom, E., Schoff, K., & Izard, C. (1999). Family instability and the problem behaviors of children from economically disadvantaged families. Developmental Psychology, 35, 258–268.
Ackerman, B. P., Brown, E. D., D’Eramo, K. S., & Izard, C. E. (2002). Maternal relationship instability and the school behavior of children from disadvantaged families. Developmental Psychology, 38, 694–704.
Alloy, L. B., & Abramson, L. Y. (1979). Judgment of contingency in depressed and nondepressed students: sadder but wiser? Journal of Experimental Psychology: General, 108, 441–485.
Alloy, L. B., Albright, J. S., Abramson, L. Y., & Dykman, B. M. (1990). Depressive realism and nondepressive optimistic illusions: The role of the self. In R. E. Ingram (Ed.), Contemporary psychological approaches to depression: Treatment, research and theory (pp. 71–86). New York: Plenum.
Anooshian, L. J. (2005). Violence and aggression in the lives of homeless children: a review. Aggression and Violent Behavior, 10, 129–152.
Ashman, S. B., Dawson, G., & Panagiotides, H. (2008). Trajectories of maternal depression over 7 years: relations with child psychophysiology and behavior and role of contextual risks. Development and Psychopathology, 20, 55–77.
August, G. J., Realmuto, G. M., Winters, K. C., & Hektner, J. M. (2001). Prevention of adolescent drug abuse: targeting high-risk children with a multifaceted intervention model-The Early Risers “Skills for Success” program. Applied and Preventive Psychology, 10, 135–154.
August, G. J., Hektner, J. M., Eagan, E. A., & Realmuto, G. M. (2002). The Early Risers longitudinal prevention trial: examination of three-year outcomes in aggressive children with intent-to-treat and as-intended analyses. Psychology of Addictive Behaviors, 16, 27–39.
August, G. J., Lee, S. S., Bloomquist, M. L., Realmuto, G. R., & Hektner, J. M. (2003). Dissemination of an evidence-based prevention innovation for aggressive children living in culturally-diverse, urban neighborhoods: the Early Risers effectiveness study. Prevention Science, 4, 271–286.
August, G. J., Bloomquist, M. L., Realmuto, G. M., & Hektner, J. M. (2007). The Early Risers “Skills for Success” program: A targeted intervention for preventing conduct problems and substance abuse in aggressive elementary school children. In P. Tolan, J. Szapocznik, & S. Sambrano (Eds.), Preventing youth substance abuse (pp. 137–158). Washington, DC: American Psychological Association.
Bank, L., Forgatch, M. S., Patterson, G. R., & Fetrow, R. A. (1993). Parenting practices of single mothers: mediators of negative contextual factors. Journal of Marriage and the Family, 55, 371–384.
Bassuk, E. L., & Gallagher, E. (1990). The impact of homelessness on children. Children and Youth Services Review, 14, 19–33.
Bassuk, E. L., Weinreb, L. F., Buckner, J. C., Browne, A., Salomon, A., & Bassuk, S. S. (1996). The characteristics and needs of sheltered homeless and low-income housed mothers. Journal of the American Medical Association, 276, 640–646.
Berti, L. C., Zylbert, S., & Rolnitzky, L. (2001). Comparison of health status of children using a school-based health center for comprehensive care. Journal of Pediatric Health Care, 15, 244–250.
Bloomquist, M. L., August, G. J., Horowitz, J., Lee, S., & Jensen, C. (2008). Moving from science to service: transposing and sustaining the Early Risers prevention program in a community service system. Journal of Primary Prevention, 29, 307–321.
Bolger, K. E., Patterson, C. J., Thompson, W. W., & Kupersmidt, J. B. (1995). Psychosocial adjustment among children experiencing persistent and intermittent family economic hardship. Child Development, 66, 1107–1129.
Buckner, J. C., Bassuk, E. L., Weinreb, L. F., & Brooks, M. G. (1999). Homelessness and its relation to the mental health and behavior of low-income school-age children. Developmental Psychology, 35, 246–257.
Burt, M., Aron, L., Douglas, T., Valente, J., Lee, E., & Britta, I. (1999). Homelessness: Programs and the people they serve. Washington, DC: Urban Institute.
Derogatis, L. R. (2000). Brief symptom inventory 18: Administration, scoring and procedures manual. Minneapolis: Pearson Assessments.
DiPerna, J. C., & Elliott, S. N. (2000). Academic competence evaluation scales: Manual K-12. San Antonio: Psychological Corporation, A Harcourt Assessment Company.
Dodge, K. A., Pettit, G. S., & Bates, J. E. (1994). Socialization mediators of the relation between socioeconomic status and child conduct problems. Child Development, 65, 649–665.
Epstein, M. H. (2004). Behavioral and emotional rating scale: A strength-based approach to assessment (2nd ed.). Austin: PRO-ED.
Gewirtz, A. H. (2007). Promoting children’s mental health in family supportive housing: a community–university partnership for formerly homeless children and families. Journal of Primary Prevention, 28, 359–374.
Gewirtz, A. H., & August, G. J. (2008). Incorporating multifaceted mental health prevention services in community sectors-of-care. Clinical Child and Family Psychology Review, 11, 1–11.
Gewirtz, A., Hart-Shegos, E., & Medhanie, A. (2008). Psychosocial status of homeless children and youth in family supportive housing. American Behavioral Scientist, 51, 810–823.
Gorman-Smith, D., & Tolan, P. H. (1998). The role of exposure to community violence and developmental problems among inner-city youth. Development and Psychopathology, 10, 101–116.
Greenberg, M. T., Domitrovich, C., & Bumbarger, B. (2001). The prevention of mental disorders in school-aged children: current state of the field. Prevention and Treatment, 4, 1–30.
Juby, H., & Farrington, D. P. (2001). Disentangling the link between disrupted families and delinquency: sociodemography, ethnicity and risk behaviors. The British Journal of Criminology, 41, 22–40.
Kamphaus, R. W., & Raynolds, C. R. (2006). Parenting relationship questionnaire: Manual. Minneapolis: Pearson Assessments.
Kaufman, A. S., & Kaufman, N. L. (1990). Kaufman brief intelligence test: Manual. Circle Pine: American Guidance Service.
Kilgore, K., Snyder, J., & Lentz, C. (2000). The contribution of parental discipline, parental monitoring, and school risk to early-onset conduct problems in African-American boys and girls. Developmental Psychology, 36, 835–845.
Landsverk, J., & Garland, A. (1999). Foster care pathways to mental health services. In P. Curtis, G. Dale Jr., & J. C. Kendall (Eds.), The foster care crisis: Translating research into practice and policy (pp. 193–210). Omaha: University of Nebraska Press.
Linver, M. R., Brooks-Gunn, J., & Kohen, D. E. (2002). Family processes as pathways from income to young children’s development. Developmental Psychology, 38, 719–734.
Lovejoy, M. C., Graczky, P. A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: a meta-analytic review. Clinical Psychology Review, 20, 561–592.
Masten, A. S., Miliotis, D., Graham-Bermann, S. A., Ramirez, M., & Neemann, J. (1993). Children in homeless families: risks to mental health and development. Journal of Consulting and Clinical Psychology, 61, 335–343.
McCaskill, P. A., Toro, P. A., & Wolfe, S. M. (1998). Homeless and matched housed adolescents: a comparative study of psychopathology. Journal of Clinical Child Psychology, 27, 306–319.
Menke, E. M., & Wagner, J. D. (1998). A comparative study of homeless, previously homeless, and never homeless school-aged children’s health. Issues in Comprehensive Pediatric Nursing, 20, 153–173.
Miller, L. S., Wasserman, G. A., Neugebauer, R., Gorman-Smith, D., & Kamboukos, D. (1999). Witnessed community violence and antisocial behavior in high-risk, urban boys. Journal of Clinical Child Psychology, 28, 2–11.
Minnesota Council on Foundations. (2006). Giving stories: Minnesota grantmakers support early childhood development. Giving Forum, 29, 6–7. Retrieved August 4, 2009, from http://www.mcf.org/mcf/forum/pdf/2006fall.pdf.
Moretti, M. M., Catchpole, R. E. H., & Odgers, C. (2005). The dark side of girlhood: recent trends, risk factors and trajectories to aggression and violence. Canadian Child and Adolescent Psychiatry Review, 14, 21–25.
Mrazek, P. J., & Haggerty, R. J. (1994). Reducing risks for mental disorder: Frontiers for preventive intervention research. Washington, DC: National Academy.
Munoz, R. F., Mrazek, P. J., & Haggerty, R. J. (1996). Institute of Medicine report on prevention of mental disorders: summary and commentary. American Psychologist, 51, 1116–1122.
National Alliance to End Homelessness. (2007). Homelessness counts. Washington, DC: Author.
National Law Center on Homeless and Poverty. (2004). Increasing homelessness in the United States violates international law. Retrieved January 9, 2009, from www.nlchp.org/view_release.cfm?PRID=26.
North, C. S., Eyrich, K. M., Pollio, D. E., & Spitznagel, E. L. (2004). Are rates of psychiatric disorders changing over time in the homeless population? American Journal of Public Health, 94, 103–108.
Pfiffner, L. J., McBurnett, K., & Rathouz, P. J. (2001). Father absence and familial antisocial characteristics. Journal of Abnormal Child Psychology, 29, 357–367.
Pilowski, D. (1995). Psychopathology among children placed in family foster care. Psychiatric Services, 46, 906–910.
Raynolds, C. R., & Kamphaus, R. W. (2004). Behavior assessment system for children, 2nd Edition: Manual. Circle Pines: American Guidance Service.
Rescorla, L., Parker, R., & Stolley, P. (1991). Ability, achievement, and adjustment in homeless children. American Journal of Orthopsychiatry, 61, 210–220.
Richters, J. E. (1992). Depressed mothers as informants about their children: a critical review of the evidence for distortion. Psychological Bulletin, 112, 485–499.
Ringel, J. S., & Sturm, R. (2001). National estimates of mental health utilization and expenditures for children in 1998. Journal of Behavioral Health Services Research, 28(3), 319–333.
Rubin, D. H., Erickson, C. J., San Agustin, M., Cleary, S. D., Allen, J. K., & Cohen, P. (1996). Cognitive and academic functioning of homeless children compared with housed children. Pediatrics, 97, 289–294.
Ruehlman, L. S., West, S. G., & Pasahow, R. J. (1985). Depression and evaluative schemata. Journal of Personality, 53, 46–92.
Schinka, J., Francis, E., Hughes, P., LaLone, L., & Flynn, C. (1998). Comparative outcomes and costs of inpatient care and supportive housing for substance-dependent veterans. Psychiatric Services, 49, 946–950.
Shaffer, D., Fisher, P., Dulcan, M., Davies, M., Piacentini, J., Schwab-Stone, M., et al. (1996). The NIMH diagnostic interview schedule for children version 2.3 (DISC-2.3): description, acceptability, prevalence rates and performance in the MECA study. Methods for the epidemiology of child and adolescent mental disorders study. Journal of the American Academy of Child & Adolescent Psychiatry, 35, 865–877.
Teplin, L. A., Abram, K. M., McClelland, G. M., Dulcan, M. K., & Mericle, A. A. (2002). Psychiatric disorders in youth in juvenile detention. Archives of general psychiatry, 59, 1133–1143.
US Conference of Mayors. (2004). A status report on hunger and homelessness. Washington, DC: Author.
Vostanis, P., Grattan, E., Cumella, S., & Winchester, C. (1997). Psychological functioning of homeless children. Journal of American Academy of Child and Adolescent Psychiatry, 36, 881–889.
Yu, M., North, C. S., LaVesser, P. D., Osborne, V. A., & Spitznagel, E. L. (2007). A comparison study of psychiatric and behavior disorders and cognitive ability among homeless and housed children. Community Mental Health Journal, 44, 1–10.
Acknowledgements
This research was supported by grants to Gerald J. August from the National Institute of Mental Health (MH074610 and MH016067). The authors would like to thank Ms. Nicole Morrell, the project manager, for her major contribution to this effort.
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Lee, S.S., August, G.J., Gewirtz, A.H. et al. Identifying Unmet Mental Health Needs in Children of Formerly Homeless Mothers Living in a Supportive Housing Community Sector of Care. J Abnorm Child Psychol 38, 421–432 (2010). https://doi.org/10.1007/s10802-009-9378-1
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DOI: https://doi.org/10.1007/s10802-009-9378-1