College of Health
26 Understanding the Impacts of Creating and Maintaining a Community for LGBTQ+ Youth Experiencing Homelessness
Aaliyah Henderson; Sasha Mader; and Jeff Rose
Faculty Mentor: Jeff Rose (Parks, Recreation, & Tourism); Graduate Student Mentor: Sasha Mader (Parks, Recreation, & Tourism)
Homelessness is a complex social issue in the United States (Williams, 2017), and defining it can be problematic (Sullivan, 2023). This study conceptualizes experiencing unsheltered homelessness as lacking a fixed, regular, or adequate nighttime residence in alignment with the definition put forth by the Substance Abuse and Mental Health Services Administration (SAMHSA, 2018). This lack of residence can be experienced as sheltered homelessness, where the individual resides with friends (Petry et al., 2021; Kulik et al., 2011). Individuals experiencing unsheltered homelessness are the most vulnerable to threats to their health and well-being. Health outcomes are especially relevant for youth experiencing homelessness as they often lack access to financial and emotional resources (Klein et al., 2000; Edidin et al., 2011). Having a marginalized identity, like being a youth who identifies as LGBTQ+, increases the likelihood of experiencing homelessness and adds a layer of vulnerability to poor physical and mental health outcomes (The Trevor Project, 2022). However, we believe the creation and maintenance of a community may be an antidote to the suffering experienced by LGBTQ+ youth experiencing homelessness. Although previous studies attempting to link participation in a community and positive health outcomes have not produced generalizable evidence of community as a health intervention (Wells et al., 2004), there is evidence that having increased peer support and community connectedness can reduce suicidal ideation (Matlin et al., 2011). As an additional step toward linking community connectedness to positive health outcomes, this study aims to understand how LGBTQ+ youth experiencing homelessness in the Salt Lake Valley create and maintain community. In the project, an exploratory qualitative research design was developed to identify and help provide insight into how individuals within the target population define, create, and maintain a community. The semi-structured interview protocol was developed to elicit youth’s narratives about the impact of their experiences of homelessness on their physical and mental well-being and to understand how the creation and maintenance of community may impact their experiences. As this research further develops, we hope our participant’s narratives will serve as a foundation of understanding for a larger interdisciplinary study investigating community as a mental health intervention for LGBTQ+ youth experiencing homelessness.
Reference
Edidin, J.P., Ganim, Z., Hunter, S.J., & Karnik, N. (2011). The mental and physical health of homeless youth. A literature review. Child Psychiatry and Human Development, 43, 354-375.
Herman, J. (2010, May 11). Transgender or Transgendered? HuffPost. Retrieved July 23, 2024, from
https://www.huffpost.com/entry/transgender-or-transgende_b_492922
Kidd, S.A., Greco, S., & McKenzie, K. (2021). Global climate implications for homelessness: A scoping review. Journal of Urban Health, 98, 385-393. https://doi.org/10.1007/s11524-020-00483-1
Klein, J.D., Woods, A.H., Wilson, K.M., Prospero, M., Greene, J., & Ringwalt, C. (2000). Homeless and runaway youths’ access to healthcare. Journal of Adolescent Health, 27(5), 331-339. https://doi.org/10.1016/S1054-139X(00)00146-4
Kulik, D. M., Gaetz, S., Crowe, C., & Ford-Jones, E. L. (2011). Homeless youth’s overwhelming health burden: A review of the literature. Pediatrics & Child Health, 16(6), e43-e47. https://doi.org/10.1093/pch/16.6.e43
Matlin, S., Molock, S., & Tebes, J. (2011). Suicidality of African-American adolescents: The role of family support and community connectedness. American Journal of Orthopshyciatry, 81(1), 108-117. https://psycnet.apa.org/doi/10.1111/j.1939-0025.2010.01078.x
Miler, J. A., Carver, H., Masterton, W., Parkes, T., Maden, M., Jones, L., & Sumnall, H. (2021). What treatment and services are effective for people who are homeless and use drugs? A systematic ‘review of reviews’. PLOS One. 16(7):1-23.
O’Connell, J.J. (2005). Rage against the night: Dying homeless and alone. The Journal of Clinical Ethics, 16(3), 262-266.
Petry, L., Hill, C., Milburn, N., & Rice, E. (2022). Who is couch-surfing and who is on the streets? Disparities among racial and sexual minority youth in experiences of homelessness. Journal of Adolescent Health, 70(5), 743-750. https://doi.org/10.1016/j.jadohealth.2021.10.039
Rhoades, H., Rusow, J., Bond, D., Lanteigne, A., Fulginiti, A., & Goldbach, J. (2018). Homelessness, mental health and suicidality among LGBTQ youth accessing crisis services. Child Psychiatry and Human Development, 49(4), 643-651. https://doi.org/10.1007/s10578-018-0780-1
Substance Abuse and Mental Health Services Administration. (n.d.). Definitions of homelessness. https://soarworks.samhsa.gov/article/definitions-of-homelessness
Sullivan, A. (2023). What does it mean to be homeless? How definitions affect homeless policy. Urban Affairs Review, 59(3), 728-758. https://doi.org/10.1177/10780874221095185
The Trevor Project. (2021, July 16). Suicide Risk Factors. https://www.thetrevorproject.org/resources/article/suicide-risk-factors/
Wells, K., Miranda, J., Bruce, M., Alegria, M., & Wallerstein, N. (2004). Bridging community intervention and mental health services research. The American Journal of Psychiatry, 161(6), 955-963. https://doi.org/10.1176/appi.ajp.161.6.955
Williams, Jean C. (2017). The politics of homelessness in the United States. In Oxford Editorial Board Oxford Handbook Topics in Politics. online edn, Oxford Academic, 6 Aug. 2015, https://doi.org/10.1093/oxfordhb/9780199935307.013.153
Wilson, C., & Cariola, L.A. (2020). LGBTQI+ youth and mental health: A systematic review of qualitative research. Adolescent Research Review, (5), 187-211. https://doi.org/10.1007/s40894-019-00118-w