The system-of-care for homeless youth: perceptions of service providers
Section snippets
Setting
Los Angeles County is a large urban region measuring 4061 square miles, and this study encompassed all of L.A. County. In L.A. County, a large subgroup of agencies serving homeless youth form the Coordinating Council of Children's Hospital of Los Angeles (Children's Hospital) with funding provided by the California State Office of Criminal Justice (California Homeless Act of 1985). In the Hollywood area of L.A. County, a primary destination for homeless youth, Children's Hospital and 10 other
Characteristics of the service system
A key characteristic of the service system was the concentration of agencies in or around the cruise area of Hollywood. Over half the agencies (62%) were located within an 8-mile radius of Children's Hospital located in Hollywood: 18 within 8 miles, 6 between 9 and 16 miles, and 5 were 17 miles or more away from Children's Hospital (See Fig. 1). Thirteen of the Hollywood agencies had overlapping geographic service areas and several of these agencies were located within walking distance of each
Discussion
The L.A. County system of care for homeless youth attempts to provide comprehensive services, but the system is limited by the concentration of services in one geographic area. There appear to be two main reasons for the location of services in one area. First, Children's Hospital of Los Angeles has organized the service providers in the Hollywood area for over 20 years; consequently, most of the services have evolved within geographic proximity to Children's Hospital. Second, social,
Lessons learned
A number of valuable lessons were learned while conducting this study. Most importantly, the service sector for homeless youth is fluid and ever changing and must be revisited continuously. Therefore, it is important for service providers to be a part of the process of developing and implementing a comprehensive service system for homeless youth in any setting. The following lessons learned are specific to a large metropolitan area with diverse populations.
- 1.
This study shed light on some of the
Study limitations
This study has a number of limitations that should be considered when interpreting results. First, it was not an evaluation of the system of care for homeless youth in L.A. County. It was a descriptive study of service providers' understanding of the service sector. Second, staff were not randomly sampled across all programs. Instead, key informant staff were selected to provide a comprehensive overview of the programs. These key informants included senior and line staff. Because we did not
Acknowledgements
This research was supported by grant MH61185 from the National Institute of Mental Health.
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