Thesis (Ph.D.)--University of Nebraska-Lincoln, 2009. / Title from title screen (site viewed January 5, 2010). PDF text: vi, 107 p. ; 613 K. UMI publication number: AAT 3369394. Includes bibliographical references. Also available in microfilm and microfiche formats.

<p> This thesis sets out to examine how street youth use art as a mode of voice and what messages they choose to bring forward in their art. To complete this research a critical, post-modern framework was consulted. Alongside this a threeday, art-based research activity was planned and developed for street youth to participate in. Six street youth gathered at a drop-in centre/shelter to work on a collective art piece. Once the art piece was finished, messages from the art were analyzed through interview discussions with the youth, the literature, field notes and my own interpretations of what I was seeing. Findings of the street youth's messages were categorized as follows: public perception of street youth, being ignored/not being heard, expressions of hunger, sadness/pain, and coping/strengths. Art as a tool for voice was explored in the literature, and it was found that it has the ability to send powerful messages that can have consciousness-raising abilities, and even has instances of impacting organizational/structural changes. This research contributes to knowledge in various ways. First the community can learn from street youth voices that were gathered by an alternative medium. Also art-based methods can prove to be a more accessible way of collecting and interpreting data depending on the population you are working with. Finally, in the field of social work, it could be that art-based research is an alternative way to engage communities in research while at the same time challenging dominant knowledge processes.</p> / Thesis / Master of Social Work (MSW)

Thesis (Ph.D.)--University of Nebraska-Lincoln, 2007. / Title from title screen (site viewed July 9, 2007). PDF text: 111 p. : ill. UMI publication number: AAT 3251358. Includes bibliographical references. Also available in microfilm and microfiche formats.

This dissertation study examined and gave voice to the experiences of a group of street involved youth, those who had received special education support and services during their school years. They are not spoken about in the literature. Special education is complex, diverse, and encompasses many exceptional pupils for whom services and supports are provided in the school system. Many street youth belong to this group with exceptionalities such as learning disability, mild intellectual disability or behaviour. Using narrative analysis and structuration theory frameworks, the life history narratives of fifteen street youth who were in special education classes were co-constructed and analysed. In addition, a survey question gathered how many new in-takes at a drop-in for street youth self-identify as youth who were in special education. Furthermore, data was gathered from service providers in education and social services through semi-structured interviews and two focus groups. Youth participants considered citizenship in special education as exclusionary and actively resisted it because of the social connotations such as ‘being stupid’ which were attached to it. Youth emphasized that teachers and support staff seemed unaware of the complex environmental factors that impacted on their ability to be successful in school. They reported that once they were formally identified and placed in special education, they were put in a holding pattern that often did not lead to graduation. Special education was focused on classifications according to deficit discourses rather than engaging these students in learning or in having their identified learning needs met. Although study participants dropped out of school a number of times, they kept returning either to complete secondary school or enroll in college, mostly without special education designation and supports. Service providers, educators and special services staff should mentor such youth, provide opportunities for addressing learning problems, and deliver quality instruction for students with identified learning difficulties and needs. There is a dearth of alternative and transitional post-secondary programs to meet the specific needs of these students.

Background: Street-involved youth are known to be at a greatly increased risk of HIV and sexually transmitted infections (STIs); however, the role that environmental and structural factors play in driving disease transmission risk among this population has not been thoroughly examined. Methods: The At Risk Youth Study (ARYS) is a prospective cohort of homeless and street-involved youth between the ages of 14 and 26. From September 2005 to October 2006, participants completed a baseline questionnaire which elicited information regarding sexual activity, injection and non-injection drug use, addiction treatment experience, encounters with police and security guards, and health service utilization. Environmental and structural correlates of number of recent sex partners were identified using quasi-Poisson regression. Factors independently associated with consistent condom use were also examined using logistic regression. Results: Among 529 participants, 415 (78.4%) were sexually active during the past six months, of whom 253 (61.0%) reported multiple sex partners and 288 (69.6%) reported inconsistent condom use during this time period. In multivariate logistic regression, homelessness and self-reported structural barriers to accessing health services were inversely associated with consistent condom use. In multivariate analysis, living in a shelter, hostel, or single room occupancy hotel was positively associated with greater numbers of recent sex partners. Structural factors that were associated with number of sex partners included having a warrant or area restriction that affects access to health services, and for males, being accosted by the police. Conclusions: Unstable housing, homelessness, and structural factors related to the criminalization and displacement of street-involved youth were associated with an increased risk of HIV and STI transmission, even after extensive adjustment for sociodemographic and individual level characteristics. These findings suggest that both environmental and structural factors influence the spread of HIV and STIs, and point to the need for environmental-structural interventions to reduce the burden of these diseases among this population.

This study explored the experiences of street-involved youth who have received mental health services for symptoms of methamphetamine-induced psychosis. Specifically, the study investigated what factors were perceived by participants to promote and hinder access to mental health services. The researcher interviewed nine street youth at Covenant House, a Vancouver agency serving street-involved youth. Interview data and the researcher's field notes were coded and analyzed within a grounded theory paradigm. Youth discussed formal and informal sources of help and routes to both. Two distinct perspectives to treatment were identified: an addictions perspective and a concurrent disorders perspective. Respondents outlined the typical pathway into methamphetamine use and described barriers and supports for accessing services while undergoing drug-induced psychosis. Significant factors that encouraged access to services were positive relationships with helpers, strong peer supports, and the use of involuntary services when necessary. Identified barriers included fear of being stigmatized, lack of problem awareness, and systemic barriers. The current research proposed a model of access to mental health services that positions outreach and frontline workers as key figures to mediating street youth's access to appropriate services.

The purpose of this thesis is to examine the housing environment faced by street youth in the City of Vancouver. It seeks to understand the housing needs of street youth, to identify the barriers encountered in accessing housing, to identify and evaluate their housing options, and to examine the provincial and municipal government roles in providing housing for street youth. This thesis defines a street youth as an individual between the ages of 12 and 18 who has either chosen to leave or been thrown out of their family home for a minimum of two days, is involved in street related activities, and sleeps in inappropriate accommodations or has no shelter at all. The terms street youth and homeless youth are used interchangeably because the qualities which are absent from an individual’s living environment - privacy, security, stability and access to support services - are also absent from the various living situations in which street youth find themselves. The methodology undertaken to complete this thesis is a literature review and a case study of Vancouver’s street youth. The literature review provides background information on the general subject of homelessness, and specifically, the reasons why youth choose to live a life on the street and the lifestyle they lead once on the street. The empirical component of the research consists of interviews with service providers and street youth. The interview results clearly reveal that two interrelated problem areas exist in the broad issue of street youth and housing. These areas are first, the state care system, both its form and manner of service provision, and second, accessibility to market housing - social, economic and political factors which affect a youth’s ability to secure housing. An issue common to both problem areas, and perpetuating the problems in each, is the lack of value and respect society gives to youth. A ‘continuum of housing’ model is proposed which takes into account the family backgrounds conmion to many street youth, the types of lifestyle they lead while on the street, and the problems associated with state-provided and market housing. In addition, recommendations are provided which centre on advocacy and service-coordinating bodies, attitude changes, additional housing facilities, landlord-tenant relationships, government assistance eligibility criteria, and funding.

This dissertation study examined and gave voice to the experiences of a group of street involved youth, those who had received special education support and services during their school years. They are not spoken about in the literature. Special education is complex, diverse, and encompasses many exceptional pupils for whom services and supports are provided in the school system. Many street youth belong to this group with exceptionalities such as learning disability, mild intellectual disability or behaviour. Using narrative analysis and structuration theory frameworks, the life history narratives of fifteen street youth who were in special education classes were co-constructed and analysed. In addition, a survey question gathered how many new in-takes at a drop-in for street youth self-identify as youth who were in special education. Furthermore, data was gathered from service providers in education and social services through semi-structured interviews and two focus groups. Youth participants considered citizenship in special education as exclusionary and actively resisted it because of the social connotations such as ‘being stupid’ which were attached to it. Youth emphasized that teachers and support staff seemed unaware of the complex environmental factors that impacted on their ability to be successful in school. They reported that once they were formally identified and placed in special education, they were put in a holding pattern that often did not lead to graduation. Special education was focused on classifications according to deficit discourses rather than engaging these students in learning or in having their identified learning needs met. Although study participants dropped out of school a number of times, they kept returning either to complete secondary school or enroll in college, mostly without special education designation and supports. Service providers, educators and special services staff should mentor such youth, provide opportunities for addressing learning problems, and deliver quality instruction for students with identified learning difficulties and needs. There is a dearth of alternative and transitional post-secondary programs to meet the specific needs of these students.

This study explored the experiences of street-involved youth who have received mental health services for symptoms of methamphetamine-induced psychosis. Specifically, the study investigated what factors were perceived by participants to promote and hinder access to mental health services. The researcher interviewed nine street youth at Covenant House, a Vancouver agency serving street-involved youth. Interview data and the researcher's field notes were coded and analyzed within a grounded theory paradigm. Youth discussed formal and informal sources of help and routes to both. Two distinct perspectives to treatment were identified: an addictions perspective and a concurrent disorders perspective. Respondents outlined the typical pathway into methamphetamine use and described barriers and supports for accessing services while undergoing drug-induced psychosis. Significant factors that encouraged access to services were positive relationships with helpers, strong peer supports, and the use of involuntary services when necessary. Identified barriers included fear of being stigmatized, lack of problem awareness, and systemic barriers. The current research proposed a model of access to mental health services that positions outreach and frontline workers as key figures to mediating street youth's access to appropriate services.

Background: Street-involved youth are known to be at a greatly increased risk of HIV and sexually transmitted infections (STIs); however, the role that environmental and structural factors play in driving disease transmission risk among this population has not been thoroughly examined. Methods: The At Risk Youth Study (ARYS) is a prospective cohort of homeless and street-involved youth between the ages of 14 and 26. From September 2005 to October 2006, participants completed a baseline questionnaire which elicited information regarding sexual activity, injection and non-injection drug use, addiction treatment experience, encounters with police and security guards, and health service utilization. Environmental and structural correlates of number of recent sex partners were identified using quasi-Poisson regression. Factors independently associated with consistent condom use were also examined using logistic regression. Results: Among 529 participants, 415 (78.4%) were sexually active during the past six months, of whom 253 (61.0%) reported multiple sex partners and 288 (69.6%) reported inconsistent condom use during this time period. In multivariate logistic regression, homelessness and self-reported structural barriers to accessing health services were inversely associated with consistent condom use. In multivariate analysis, living in a shelter, hostel, or single room occupancy hotel was positively associated with greater numbers of recent sex partners. Structural factors that were associated with number of sex partners included having a warrant or area restriction that affects access to health services, and for males, being accosted by the police. Conclusions: Unstable housing, homelessness, and structural factors related to the criminalization and displacement of street-involved youth were associated with an increased risk of HIV and STI transmission, even after extensive adjustment for sociodemographic and individual level characteristics. These findings suggest that both environmental and structural factors influence the spread of HIV and STIs, and point to the need for environmental-structural interventions to reduce the burden of these diseases among this population.