Yen Irene H, Hammond Wizdom Powell, Kushel Margot B
Department of Medicine, University of California-San Francisco, 3333 California Street, San Francisco, CA 94143-0856, USA.
Issues Compr Pediatr Nurs. 2009;32(2):77-93. doi: 10.1080/01460860902740982.
A childhood history of placement in the foster care system makes the emerging adult period more complicated and problematic in a variety of ways including meeting basic needs, such as housing and health. We conducted focus groups with 31 former foster youth in San Francisco and Oakland, California to explore their housing and health care circumstances since "aging out" of the foster care system. Five key themes were identified: 1) housing circumstances have direct and indirect impacts on access to health care; 2) housing instability can impede the flow of information between social services staff and youth; 3) housing circumstances and health care differed for men and women; 4) service agency rules and structures may be developmentally mismatched with participant needs; and 5) emerging adults experience repercussions of institutional life including the suspicion of authority and mistrust of medical providers.
童年时期曾被安置在寄养系统中，这使得刚成年的阶段在诸多方面变得更加复杂且问题重重，包括满足住房和健康等基本需求。我们在加利福尼亚州旧金山和奥克兰对31名曾在寄养系统中的青少年进行了焦点小组访谈，以探究他们从寄养系统“超龄”后在住房和医疗保健方面的情况。确定了五个关键主题：1）住房情况对获得医疗保健有直接和间接影响；2）住房不稳定会阻碍社会服务人员与青少年之间的信息流通；3）男性和女性的住房情况及医疗保健存在差异；4）服务机构的规则和结构可能在发展阶段与参与者需求不匹配；5）刚成年的人会经历机构生活带来的影响，包括对权威的怀疑和对医疗服务提供者的不信任。
