Trauma, Family Factors and the Mental Health of Homeless Adolescents

Norweeta G. Milburn, Judith A. Stein, Susana A. Lopez, Amanda M. Hilberg, Anna Veprinsky, Elizabeth Mayfield Arnold, Katherine A. Desmond, Katie Branson, Alex Lee, Eraka Bath, Bita Amani, W. Scott Comulada

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Family factors, such as poor family functioning and trauma, have been associated with negative outcomes for homeless adolescents. Further study is needed to better understand how family factors and trauma jointly relate to mental health problems and externalizing behaviors among homeless adolescents. Structural equation modeling was used to examine the influence of trauma (encompassing traumatic events experienced prior to, and after, becoming homeless) and family factors (poor family functioning and family conflict) on mental health problems and externalizing behaviors (substance use, delinquent behaviors, and sexual risk) among 201 homeless adolescents, ages 12 to 17 years. Trauma, poor family functioning, and family conflict significantly predicted greater mental health problems, delinquent behaviors, high-risk sexual behaviors and substance use. Overall, the findings suggest that family factors appear to be key to understanding mental health problems and externalizing behaviors among homeless adolescents. Implications, limitations and future directions are addressed.

Original languageEnglish (US)
Pages (from-to)37-47
Number of pages11
JournalJournal of Child and Adolescent Trauma
Volume12
Issue number1
DOIs
StatePublished - Mar 15 2019
Externally publishedYes

Keywords

  • Externalizing behaviors
  • Family
  • Family conflict
  • Homeless adolescents
  • Mental health
  • Mental health problems
  • Trauma
  • Youth high-risk behaviors

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

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  • Cite this

    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 and Adolescent Trauma, 12(1), 37-47. https://doi.org/10.1007/s40653-017-0157-9