{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:09:48Z","timestamp":1791979788024,"version":"4.4.0"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,3,23]],"date-time":"2020-03-23T00:00:00Z","timestamp":1584921600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000058","name":"Substance Abuse and Mental Health Services Administration","doi-asserted-by":"publisher","award":["1H79SP021285\u201001"],"award-info":[{"award-number":["1H79SP021285\u201001"]}],"id":[{"id":"10.13039\/100000058","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This descriptive study examined the prevalence and correlates of trauma, substance use, and mental health symptoms in homeless transitional age youth (TAY) in San Francisco.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design &amp; Sample<\/jats:title><jats:p>One hundred homeless TAY were recruited from a community\u2010based organization to complete a survey on trauma, mental health symptoms, and substance use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>We used these measures: National Institute on Drug Abuse (NIDA)\u2010Modified Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) for frequency and risk level of substance use; the 10\u2010item Adverse Childhood Experiences (ACEs) for prevalence of trauma; the Post\u2010traumatic Stress Disorder Checklist for DSM\u20105 for post\u2010traumatic stress disorder (PTSD) symptoms; Center for Epidemiologic Studies Depression Scale for depression symptoms; and Generalized Anxiety Disorder 7\u2010item for anxiety symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Almost all (<jats:italic>n<\/jats:italic>\u00a0=\u00a098) participants experienced at least one ACE during childhood, and 77% experienced four or more. Most participants (80%) reached the diagnostic threshold for PTSD, 74% for depression, and 51% for moderate anxiety. Symptoms of PTSD, anxiety, and depression were all significantly correlated with use of opioids and stimulants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Trauma, and co\u2010occurring substance use and mental health problems are prevalent among homeless TAY. Individual\u2010 and community\u2010level interventions are needed to address and improve the health of this population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.12727","type":"journal-article","created":{"date-parts":[[2020,3,23]],"date-time":"2020-03-23T12:45:10Z","timestamp":1584967510000},"page":"363-370","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":62,"title":["Trauma, substance use, and mental health symptoms in transitional age youth experiencing homelessness"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6066-1853","authenticated-orcid":false,"given":"Carol","family":"Dawson\u2010Rose","sequence":"first","affiliation":[{"name":"University of California San Francisco (UCSF) School of Nursing San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deena","family":"Shehadeh","sequence":"additional","affiliation":[{"name":"University of California San Francisco (UCSF) School of Nursing San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Hao","sequence":"additional","affiliation":[{"name":"University of California San Francisco (UCSF) School of Medicine San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine","family":"Barnard","sequence":"additional","affiliation":[{"name":"University of California San Francisco (UCSF) School of Nursing San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ladan (Ladi)","family":"Khoddam\u2010Khorasani","sequence":"additional","affiliation":[{"name":"University of California San Francisco (UCSF) School of Nursing San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Leonard","sequence":"additional","affiliation":[{"name":"University of California San Francisco (UCSF) School of Nursing San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Clark","sequence":"additional","affiliation":[{"name":"University of California San Francisco (UCSF) School of Nursing San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Kersey","sequence":"additional","affiliation":[{"name":"Larkin Street Youth Services San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haley","family":"Mousseau","sequence":"additional","affiliation":[{"name":"Larkin Street Youth Services San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Frank","sequence":"additional","affiliation":[{"name":"Larkin Street Youth Services San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Miller","sequence":"additional","affiliation":[{"name":"University of California San Francisco (UCSF) School of Nursing San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Carrico","sequence":"additional","affiliation":[{"name":"University of Miami Miami FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Schustack","sequence":"additional","affiliation":[{"name":"University of California San Francisco (UCSF) School of Nursing San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5674-4741","authenticated-orcid":false,"given":"Yvette P.","family":"Cuca","sequence":"additional","affiliation":[{"name":"University of California San Francisco (UCSF) School of Nursing San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,23]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"American Psychological Association. 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