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Brief Treatment and Crisis Intervention Advance Access published online on July 6, 2006
Brief Treatment and Crisis Intervention, doi:10.1093/brief-treatment/mhl002
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© The Author 2006. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

Article

Posttraumatic Stress Disorder and Substance Abuse Among Youth Who Are Homeless: Treatment Issues and Implications

Sanna J. Thompson PhD 1 *, Holly McManus LMSW 1, and Tanya Voss LCSW 1

1 From the School of Social Work, University of Texas at Austin

* To whom correspondence should be addressed.
Sanna J. Thompson, E-mail: sannathompson{at}mail.utexas.edu


  Abstract

The research on comorbidity indicates that posttraumatic stress disorder and substance abuse co-occur at high rates. As co-occurrence portends a more severe course than would occur with either disorder alone, the added challenges of homelessness and the life stage of youth into young adulthood require developing treatment strategies that address the needs of this unique population of youth who are homeless. Although the literature is limited concerning comorbidity among homeless youth, the purpose of this article is to review empirical research concerning treatment issues and options appropriate for this population. Two treatment modalities are identified that may address issues of homelessness while providing treatment that is tailored to the specific needs and unique concerns related to the context of the street. These modalities include strengths-based approaches and cognitive-behavioral methods.

Keywords: homeless youth; posttraumatic stress disorder; substance abuse; comorbidity.
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