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. 2018 May;19(4):459-467.
doi: 10.1007/s11121-018-0866-9.

Predictors of Retention in an Alcohol and Risky Sex Prevention Program for Homeless Young Adults

Eric R Pedersen  1 , Brett A Ewing  2 , Elizabeth J D'Amico  2 , Jeremy N V Miles  2 , Ann C Haas  2 , Joan S Tucker  2
Affiliations

Predictors of Retention in an Alcohol and Risky Sex Prevention Program for Homeless Young Adults

Eric R Pedersen et al. Prev Sci. 2018 May.

Abstract

Homeless young adults are at risk for alcohol and other drug (AOD) use and risky sexual behavior. Interventions are needed to help these young people reduce their risky behavior, but this population is often difficult to engage and retain in services. We offered a four-session AOD and risky sex reduction program to 100 participants and examined if retention in the program was predicted by a number of factors: demographics, homelessness severity, other service use, AOD behaviors, mental health symptoms, sexual risk behaviors, and readiness to change AOD and condom use. Nearly half (48%) of participants completed all sessions. In bivariate analyses, participants were significantly less likely to be retained in the program if they had slept outdoors in the past month, engaged in more alcohol and marijuana use, experienced more alcohol-related consequences, and received the program in an urban drop-in center (as opposed to a drop-in center near the beach). When controlling for all significant bivariate relationships, only sleeping outdoors and receipt of the program in the urban setting predicted fewer sessions completed. The most endorsed reasons for program non-completion were being too busy to attend and inconvenient day/time of the program. Findings can help outreach staff and researchers better prepare methods to engage higher risk homeless youth and retain them in services. Finding unique ways to help youth overcome barriers related to location of services appears especially necessary, perhaps by bringing services to youth where they temporarily reside or offering meaningful incentives for program attendance.

Keywords: Alcohol and drug use; Drop out; Homeless youth; Retention; Risky sex.

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Conflict of interest statement

b. Disclosure of potential conflicts of interest

Authors declare that they have no conflict of interests.

References

    1. Al-Tayyib AA, Rice E, Rhoades H, Riggs P. Association between prescription drug misuse and injection among runaway and homeless youth. Drug & Alcohol Dependence. 2014;134:406–409. - PMC - PubMed
    1. Baruch G, Vrouva I, Fearon P. A Follow‐up Study of characteristics of young people that dropout and continue psychotherapy: Service implications for a clinic in the community. Child and Adolescent Mental Health. 2009;14(2):69–75.
    1. Becker K, Berry SH, Orr N, Perlman J. Finding the hard to reach and keeping them engaged in research. In: Tourangeau R, Edwards B, Johnson TP, Wolter KM, Bates N, editors. Hard-to-Survey Populations. Cambridge, UK: Cambridge University Press; 2014. pp. 619–641.
    1. Begun S. The paradox of homeless youth pregnancy: a review of challenges and opportunities. Social Work in Health Care. 2015;54(5):444–460. - PubMed
    1. Bender K, Brown SM, Thompson SJ, Ferguson KM, Langenderfer L. Multiple victimizations before and after leaving home associated with PTSD, Depression, and substance use disorder among homeless youth. Child Maltreatment. 2015;20(2):115–124. - PubMed

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