The 130th Annual Meeting of APHA

Abstract #40482

Risa Friedman, MPH Cand, Mailman School of Public Health, Department of Sociomedical Sciences, Columbia University, 722 W. 168th St., New York, NY 10032, 718-797-3141, risa_f@yahoo.com and Angela Aidala, PhD, Mailman School of Public Health, Dept of Sociomedical Sciences, Columbia University, 722 W. 168 Street, New York, NY 10032.

The low threshold model uses a ‘stages of engagement’ approach by using concrete services such as meals and showers to begin the engagement process. As trust builds, clients become progressively involved in more demanding treatment and service options. This study analyzes the low threshold model of care used at a drop-in center for homeless and runaway youth as described by project staff, and examines characteristics of clients as provided by intake assessments. A total of 437 intakes conducted between 3/1/01 and 12/1/01 are included. The sample consisted of 137 females and 300 males, ages 13 to 23 (mean=19.8). A subsample (n=45) also completed a service interview that provides more extensive data on previous experiences with services, including self-reported barriers to services. The services most frequently requested by youth were food, shelter, showers, and permanent housing. The services least requested included HIV education, HIV testing, and birth control/condoms, a notable finding due to the high rates of risk behavior reported by the sample. Despite a high need profile, few youth have attempted to access services through existing service agencies or health providers. Findings provide important information for providers working with and/or planning programs for homeless and runaway youth.

Learning Objectives: Attendees will be able to

• Understand the need and rationale for a low threshold model to provide services for homeless youth;
• Identify characteristics of homeless and runaway youth who come for services at a low threshold drop-in center;
• Discuss service need and previous experience with services among clients

Presenting author's disclosure statement:
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: I am hired as a consultant of the organization to provide technical assistance with an evaluation of services.