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. 1994 Feb;84(2):260–264. doi: 10.2105/ajph.84.2.260

Emotional and behavioral problems and severe academic delays among sheltered homeless children in Los Angeles County.

B T Zima 1, K B Wells 1, H E Freeman 1
PMCID: PMC1614997  PMID: 7507648

Abstract

OBJECTIVES. Few studies have estimated the extent of specific emotional, behavioral, and academic problems among sheltered homeless children. The objectives of this study were to describe such problems, identify those children with the problems, and evaluate the relationship between child problems and use of physical and mental health services. METHODS. From February through May 1991, 169 school-age children and their parents living in 18 emergency homeless family shelters in Los Angeles County were interviewed. To evaluate the answers, interviewers used standardized measures of depression, behavioral problems, receptive vocabulary, and reading. RESULTS. The vast majority (78%) of homeless children suffered from either depression, a behavioral problem, or severe academic delay. Among children having a problem, only one third of the parents were aware of any problem, and few of those children (15%) had ever received mental health care or special education. CONCLUSIONS. Almost all school-age sheltered homeless children in Los Angeles County have symptoms of depression, a behavioral problem, or academic delay severe enough to merit a clinical evaluation, yet few receive specific care. Programs targeted at sheltered homeless school-age children are needed to close this gap.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alperstein G., Rappaport C., Flanigan J. M. Health problems of homeless children in New York City. Am J Public Health. 1988 Sep;78(9):1232–1233. doi: 10.2105/ajph.78.9.1232. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bass J. L., Brennan P., Mehta K. A., Kodzis S. Pediatric problems in a suburban shelter for homeless families. Pediatrics. 1990 Jan;85(1):33–38. [PubMed] [Google Scholar]
  3. Bassuk E. L., Rosenberg L. Psychosocial characteristics of homeless children and children with homes. Pediatrics. 1990 Mar;85(3):257–261. [PubMed] [Google Scholar]
  4. Bassuk E. L., Rubin L., Lauriat A. S. Characteristics of sheltered homeless families. Am J Public Health. 1986 Sep;76(9):1097–1101. doi: 10.2105/ajph.76.9.1097. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Bird H. R., Gould M. S., Yager T., Staghezza B., Canino G. Risk factors for maladjustment in Puerto Rican children. J Am Acad Child Adolesc Psychiatry. 1989 Nov;28(6):847–850. doi: 10.1097/00004583-198911000-00006. [DOI] [PubMed] [Google Scholar]
  6. Fox S. J., Barrnett R. J., Davies M., Bird H. R. Psychopathology and developmental delay in homeless children: a pilot study. J Am Acad Child Adolesc Psychiatry. 1990 Sep;29(5):732–735. doi: 10.1097/00004583-199009000-00009. [DOI] [PubMed] [Google Scholar]
  7. Goodyer I. M., Kolvin I., Gatzanis S. The impact of recent undesirable life events on psychiatric disorders in childhood and adolescence. Br J Psychiatry. 1987 Aug;151:179–184. doi: 10.1192/bjp.151.2.179. [DOI] [PubMed] [Google Scholar]
  8. Hu D. J., Covell R. M., Morgan J., Arcia J. Health care needs for children of the recently homeless. J Community Health. 1989 Spring;14(1):1–8. doi: 10.1007/BF01324435. [DOI] [PubMed] [Google Scholar]
  9. Jensen P. S., Richters J., Ussery T., Bloedau L., Davis H. Child psychopathology and environmental influences: discrete life events versus ongoing adversity. J Am Acad Child Adolesc Psychiatry. 1991 Mar;30(2):303–309. doi: 10.1097/00004583-199103000-00021. [DOI] [PubMed] [Google Scholar]
  10. Kovacs M. The Children's Depression, Inventory (CDI). Psychopharmacol Bull. 1985;21(4):995–998. [PubMed] [Google Scholar]
  11. McLoyd V. C. The impact of economic hardship on black families and children: psychological distress, parenting, and socioemotional development. Child Dev. 1990 Apr;61(2):311–346. doi: 10.1111/j.1467-8624.1990.tb02781.x. [DOI] [PubMed] [Google Scholar]
  12. Miller D. S., Lin E. H. Children in sheltered homeless families: reported health status and use of health services. Pediatrics. 1988 May;81(5):668–673. [PubMed] [Google Scholar]
  13. Moilanen I., Rantakallio P. The single parent family and the child's mental health. Soc Sci Med. 1988;27(2):181–186. doi: 10.1016/0277-9536(88)90327-9. [DOI] [PubMed] [Google Scholar]
  14. Offord D. R., Boyle M. H., Racine Y. A., Fleming J. E., Cadman D. T., Blum H. M., Byrne C., Links P. S., Lipman E. L., MacMillan H. L. Outcome, prognosis, and risk in a longitudinal follow-up study. J Am Acad Child Adolesc Psychiatry. 1992 Sep;31(5):916–923. doi: 10.1097/00004583-199209000-00021. [DOI] [PubMed] [Google Scholar]
  15. Parker R. M., Rescorla L. A., Finkelstein J. A., Barnes N., Holmes J. H., Stolley P. D. A survey of the health of homeless children in Philadelphia shelters. Am J Dis Child. 1991 May;145(5):520–526. doi: 10.1001/archpedi.1991.02160050046011. [DOI] [PubMed] [Google Scholar]
  16. Rafferty Y., Shinn M. The impact of homelessness on children. Am Psychol. 1991 Nov;46(11):1170–1179. doi: 10.1037//0003-066x.46.11.1170. [DOI] [PubMed] [Google Scholar]
  17. Rescorla L., Parker R., Stolley P. Ability, achievement, and adjustment in homeless children. Am J Orthopsychiatry. 1991 Apr;61(2):210–220. doi: 10.1037/h0079236. [DOI] [PubMed] [Google Scholar]
  18. Stanger C., McConaughy S. H., Achenbach T. M. Three-year course of behavioral/emotional problems in a national sample of 4- to 16-year-olds: II. Predictors of syndromes. J Am Acad Child Adolesc Psychiatry. 1992 Sep;31(5):941–950. doi: 10.1097/00004583-199209000-00024. [DOI] [PubMed] [Google Scholar]
  19. Velez C. N., Johnson J., Cohen P. A longitudinal analysis of selected risk factors for childhood psychopathology. J Am Acad Child Adolesc Psychiatry. 1989 Nov;28(6):861–864. doi: 10.1097/00004583-198911000-00009. [DOI] [PubMed] [Google Scholar]
  20. Wood D., Valdez R. B., Hayashi T., Shen A. Homeless and housed families in Los Angeles: a study comparing demographic, economic, and family function characteristics. Am J Public Health. 1990 Sep;80(9):1049–1052. doi: 10.2105/ajph.80.9.1049. [DOI] [PMC free article] [PubMed] [Google Scholar]

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