Homeless youths' interpersonal perspectives of health care providers.
Homeless youths' interpersonal perspectives of health care providers.
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DOI：
10.1080/01612840802498235
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发表时间：
2008-12-01
影响因子：
2.1
通讯作者：
Sweat, Jeff
中科院分区：
文献类型：
--
作者：
Hudson, Angela L;Nyamathi, Adeline;Sweat, Jeff
在美国，青少年因与父母或监护人的人际关系不佳而离家出走;他们往往受到父母的忽视或虐待。随着青年人日益陷入街头生活和使用问题药物的困境，他们恢复生活的能力取决于与成人服务提供者的信任和接触关系。共有54名使用药物的无家可归青年（18-25岁）参加了焦点小组，就与保健提供者的接触和人际关系提供他们的观点。参与者是从加州好莱坞的收容所和加州圣莫尼卡的收容所招募的。四个主题相关的人际障碍，从服务提供者的照顾：权威的沟通，单向沟通，不尊重，和同情。参与者赞赏以有益、有意义的方式传达信息的护理提供者，并更喜欢自己能够分享类似生活经历的提供者。所涉问题表明，需要专门为无家可归的吸毒青年设立机构和提供服务。这些机构应雇用受过培训的护理人员，了解离家出走青年的发展需要和历史。为了使这一弱势群体适当地重新融入主流社会，这些青年的叙述强调了有必要提供有针对性的服务。
In the United States, youth run away from home due to poor interpersonal relationships with parents or guardians; often times, they have been the recipients of parental neglect or abuse. As youth become increasingly entrenched in street-based living and problem substance use, their ability to rehabilitate their lives is incumbent upon trusting and engaging relationships with adult service providers. A total of 54 substance-using homeless youth (18-25 years) participated in focus groups to provide their perspectives on encounters and interpersonal relationships with health care providers. Participants were recruited from shelters in Hollywood, California, and from a drop-in shelter in Santa Monica, California. Four themes related to interpersonal barriers to care from service providers were identified: authoritative communication, one-way communication, disrespect, and empathy. Participants appreciate care providers who convey information in a helpful, meaningful manner and prefer providers who can, themselves, share similar life experiences. Implications point to the need for agencies and services specifically tailored to homeless, drug-using youth. These agencies should employ care providers who are trained to understand the developmental needs and histories of runaway youth. For proper reintegration of this vulnerable population into mainstream society, the narratives of these youth underscore the necessity of targeted services.