Elliott April S
Paediatr Child Health. 2013 Jun;18(6):317-26.
Health care providers who see homeless or street-involved youth can help to reduce the impact of many risk factors - physical, mental, emotional and social - pertaining to street culture. The present statement describes the types and scale of homelessness in Canada, and reviews reasons why youth turn to the street, risks of the 'street economy' and barriers to health care. Common physical and mental health problems are considered, along with legal and ethical issues that may affect care. Principles of care, including accessibility, confidentiality and harm reduction, and strategies to target and engage this population lead to recommendations for improving services, outcomes, advocacy and increased governmental support.
接待无家可归或涉足街头的青少年的医疗服务提供者,有助于减轻与街头文化相关的许多风险因素(包括身体、心理、情感和社会方面)的影响。本声明描述了加拿大无家可归现象的类型和规模,并审视了青少年走上街头的原因、“街头经济”的风险以及医疗保健方面的障碍。文中考虑了常见的身心健康问题,以及可能影响医疗护理的法律和伦理问题。护理原则,包括可及性、保密性和减少伤害,以及针对和接触这一人群的策略,引出了关于改善服务、结果、宣传和增加政府支持的建议。