Yates G L, Pennbridge J, Swofford A, Mackenzie R G
Division of Adolescent Medicine, Childrens Hospital of Los Angeles, CA 90054.
J Adolesc Health. 1991 Nov;12(7):555-60. doi: 10.1016/0197-0070(91)90087-3.
Runaway and homeless young people generally do not seek help unless they are in a severe personal crisis. For the past 7 years, the Division of Adolescent Medicine, Childrens Hospital of Los Angeles, has learned a good deal about how to intervene effectively with these youths and divert them from high-risk behaviors such as prostitution and drug abuse. The program model we have developed has five major components: 1) networking and consolidation, 2) outreach, 3) short-term crisis shelter, 4) comprehensive medical and psychosocial care, and 5) long-term shelter and case management. Our approach has been collaborative; we subcontract a substantial portion of the work to other youth agencies in the community in order to build and strengthen the network of existing services. In the process, we have moved steadily closer to developing a comprehensive system of care for homeless street youth throughout Los Angeles County. Where programs previously operated in relative isolation, representatives from 40 private and public agencies now meet regularly at Childrens Hospital of Los Angeles to discuss ways to improve services. Systematized data collection has helped agencies understand how they can work together and has prompted additional funding for needed services.
离家出走和无家可归的年轻人通常不会主动寻求帮助，除非他们处于严重的个人危机之中。在过去7年里，洛杉矶儿童医院青少年医学科对如何有效地干预这些年轻人并使他们远离诸如卖淫和吸毒等高危行为有了很多了解。我们开发的项目模式有五个主要组成部分：1）建立联系与整合；2）外展服务；3）短期危机庇护所；4）全面的医疗和心理社会护理；5）长期庇护所和个案管理。我们的方法是合作性的；我们将很大一部分工作分包给社区中的其他青年机构，以便建立和加强现有服务网络。在此过程中，我们在为洛杉矶县所有无家可归的街头青年建立一个全面的护理系统方面稳步迈进。以前各项目相对独立运作，现在40个公私机构的代表定期在洛杉矶儿童医院开会，讨论改善服务的方法。系统化的数据收集帮助各机构了解如何共同协作，并促使为所需服务提供了更多资金。
