Neglect and Abuse Histories Among Homeless Young Adults

描述（由申请人提供）：这是一个NIMH指导研究科学家发展奖（K 01）的请求。候选人建议使用5年的辅导支持期，研究忽视和虐待历史对目前无家可归的年轻人（18-25岁）无家可归的影响，以及这种轨迹对心理健康结果的影响。将通过四个服务机构选出200名目前无家可归的年轻男女。将分析导致无家可归的不同途径，以确定那些在18岁之前首次经历无家可归的人与那些直到18岁之后才经历无家可归的人相比，是否面临不同类型的风险和弹性。虽然大多数目前无家可归的年轻人预计将来自虐待和/或功能失调的家庭背景，这两种不同的途径无家可归的假设预计会产生不同的影响抑郁症状，创伤后应激，问题行为，物质使用，受害，受害行为，和弹性的结果。 K 01将支持培训，课程，研讨会，指导关系，二级数据分析，实证研究和其他经验，这将导致成为一名独立研究员的职业目标。该试点研究还将为NIMH R 01奠定基础，该研究将纵向调查早期成年无家可归者的成年后结果。这项拟议的工作将评估无家可归者最终是否会得到安置，以及成功实现这一转变与他们的心理健康有何关系。除了这一目标，目前的项目的其他具体目标包括使用生活史日历，以增加我们的生活事件，导致早期成年无家可归的理解;确定虐待和忽视的历史;确定受害的经验和受害行为在街上;评估目前的抑郁症状和其他心理健康的结果;并确定弹性的特点。

DESCRIPTION (provided by applicant): This is a request for an NIMH Mentored Research Scientist Development Award (K01). The candidate proposes to use a mentored support period of 5 years to study the effects of neglect and abuse histories on pathways to homelessness among currently homeless young adults (aged 18-25 years) and the consequences that such trajectories have on mental health outcomes. A sample of 200 young adult currently homeless men and women will be selected through four service agencies. The different pathways that lead to homelessness will be analyzed to determine if those who first experienced homelessness prior to age 18 years face different types of risk and resilience compared to those who didn't experience homelessness until after age 18 years. Although the majority of currently homeless young adults are expected to come from abusive and/or dysfunctional family backgrounds, the two different pathways to homelessness that are hypothesized are expected to differentially impact outcomes of depressive symptoms, post-traumatic stress, problem behaviors, substance use, victimization, victimizing behaviors, and resilience. The K01 will support training, coursework, workshops, mentored relationships, secondary data analyses, empirical research, and other experiences that will lead to the career goal of becoming an independent researcher. The pilot study will also lay the groundwork for an NIMH R01, which will investigate longitudinally later adult outcomes of early adult homelessness. This proposed work will assess whether homeless people eventually become housed and how success in making this transition is associated with their mental health. In addition to this aim, other specific aims of the current project include using life history calendars to increase our understanding of life-events that lead to early adult homelessness; to identify histories of abuse and neglect; to identify experiences of victimization and victimizing behaviors on the street; to assess current depressive symptoms and other mental health outcomes; and to identify characteristics of resilience.