Les B. Whitbeck and Dan R. Hoyt begin their report on street children in the Midwest with the statement, "If you live in or have visited even a medium-sized city recently, you have seen runaway and homeless young people. They congregate in certain downtown areas and hang out in malls during inclement weather . . . Mostly, they look like the other kids. . . . The difference is that they won't be going home tonight." This book draws on a study of over six hundred runaway and homeless adolescents and over two hundred of their caretakers from cities in four Midwestern states. It focuses on the family histories of these young people and on the developmental impact of early independence. Street social networks, subsistence strategies, sexuality, and street victimization are all considered, as well as their effect on adolescent behaviors and emotional health. Relying on interviews and data from survey research, and working in partnership with street outreach agencies, Whitbeck and Hoyt lead the reader through the various risk factors associated with precocious independence, beginning in the family and extending to external environments and behaviors. Nowhere to Grow is an emotional account of the cumulative consequences for young people with few good options at the outset and even fewer once they are on their own.

Adolescent homelessness is a growing problem that results in a variety of health challenges. This text is a practical resource designed to promote effective interdisciplinary health and social care interventions targeting adolescents who are homeless or at risk for homelessness. It is based on extensive interdisciplinary experience, reviews of pertinent research and insights and contributions of leading professionals who are directly involved in the care of these young people. Divided into four main sections, Section 1: (Chapters 1-7) section one is a review of the structure and professional involvement of program models targeting youth experiencing or at risk for homelessness to encourage broader understanding and utilization of principles and practices underlying effective programs and identify replicable components. Section 2: (Chapters 8-16) Section two is clinically focused with recommendations for working with adolescents and youth experiencing homelessness and interventions for common and significant medical and mental health conditions, and substance use disorders. Section 3: (Chapter 17) Reviews international agreements regarding stabilization and care of refugee youth and families, description of experiences of refugee children and youth in developed countries, and an outline of conditions from which refugee youth and families have left. Section 4: (Chapters 18 and 19) Engagement of homeless youth in research and future research directions to address needs of youth experiencing homelessness. Written by experts from a variety of disciplines, Clinical Care for Homeless, Runaway and Refugee Youth is a first of its kind text for physicians, social workers, public health workers and any other individual that works directly with these vulnerable populations.