Outcomes For Street Children and Youth Under Multidisciplinary Care in a Drop-In Centre in Tegucigalpa, Honduras

Hdl Handle:
http://hdl.handle.net/10144/129971
Title:
Outcomes For Street Children and Youth Under Multidisciplinary Care in a Drop-In Centre in Tegucigalpa, Honduras
Authors:
Souza, R; Porten, K; Nicholas, S; Grais, R
Journal:
International Journal of Social Psychiatry
Abstract:
BACKGROUND: There is little evidence to describe the feasibility and outcomes of services for the care of street children and youth in low-income countries. AIMS: To describe the outcomes of a multidisciplinary case management approach delivered in a drop-in centre for street children and youth. METHODS: A longitudinal study of street children and youth followed in an urban drop-in centre. Four hundred (400) street children and youth received a multidisciplinary case management therapeutic package based on the community reinforcement approach. The main outcomes were changes in psychological distress, substance abuse and social situation scores. RESULTS: The median follow-up time for the cohort was 18 months. There were reductions in the levels of psychological distress (p = 0.0001) and substance abuse (p ≤ 0.0001) in the cohort as well as an improvement in the social situation of street children and youth (p = 0.0001). There was a main effect of gender (p < 0.001) and a significant interaction of gender over time (p < 0.001) on improvements in levels of psychological distress. Survival analysis showed that the probability of remaining on substances at 12 months was 0.76 (95% CI: 0.69-0.81) and 0.51 (95% CI: 0.42-0.59) at 24 months. At 12 months, fewer female patients remained using substances compared to male (p < 0.01). CONCLUSION: To be most effective, programmes and strategies for children and youth in street situations in developing countries should target both their health and social needs.
Affiliation:
Médecins Sans Frontières, Geneva, Switzerland; Epicentre, Paris, France
Issue Date:
14-Sep-2010
URI:
http://hdl.handle.net/10144/129971
DOI:
10.1177/0020764010382367
PubMed ID:
20841336
Additional Links:
http://isp.sagepub.com/content/early/2010/09/13/0020764010382367.abstract
Type:
Article
Language:
en
ISSN:
1741-2854
Appears in Collections:
Paediatrics

Full metadata record

DC FieldValue Language
dc.contributor.authorSouza, Ren
dc.contributor.authorPorten, Ken
dc.contributor.authorNicholas, Sen
dc.contributor.authorGrais, Ren
dc.date.accessioned2011-05-23T21:36:11Z-
dc.date.available2011-05-23T21:36:11Z-
dc.date.issued2010-09-14-
dc.identifier.citationInt J Soc Psychiatry;2010en
dc.identifier.issn1741-2854-
dc.identifier.pmid20841336-
dc.identifier.doi10.1177/0020764010382367-
dc.identifier.urihttp://hdl.handle.net/10144/129971-
dc.description.abstractBACKGROUND: There is little evidence to describe the feasibility and outcomes of services for the care of street children and youth in low-income countries. AIMS: To describe the outcomes of a multidisciplinary case management approach delivered in a drop-in centre for street children and youth. METHODS: A longitudinal study of street children and youth followed in an urban drop-in centre. Four hundred (400) street children and youth received a multidisciplinary case management therapeutic package based on the community reinforcement approach. The main outcomes were changes in psychological distress, substance abuse and social situation scores. RESULTS: The median follow-up time for the cohort was 18 months. There were reductions in the levels of psychological distress (p = 0.0001) and substance abuse (p ≤ 0.0001) in the cohort as well as an improvement in the social situation of street children and youth (p = 0.0001). There was a main effect of gender (p < 0.001) and a significant interaction of gender over time (p < 0.001) on improvements in levels of psychological distress. Survival analysis showed that the probability of remaining on substances at 12 months was 0.76 (95% CI: 0.69-0.81) and 0.51 (95% CI: 0.42-0.59) at 24 months. At 12 months, fewer female patients remained using substances compared to male (p < 0.01). CONCLUSION: To be most effective, programmes and strategies for children and youth in street situations in developing countries should target both their health and social needs.en
dc.languageENG-
dc.language.isoenen
dc.relation.urlhttp://isp.sagepub.com/content/early/2010/09/13/0020764010382367.abstracten
dc.rightsArchived with thanks to The International Journal of Social Psychiatryen
dc.subject.meshStreet Childrenen
dc.subject.meshSubstance Abuseen
dc.subject.meshCase Managementen
dc.titleOutcomes For Street Children and Youth Under Multidisciplinary Care in a Drop-In Centre in Tegucigalpa, Hondurasen
dc.typeArticleen
dc.contributor.departmentMédecins Sans Frontières, Geneva, Switzerland; Epicentre, Paris, Franceen
dc.identifier.journalInternational Journal of Social Psychiatryen
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