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Runaway Youth: Caring for the Nation's Largest Segment of Missing Children
Thresia B Gambon1, Janna R Gewirtz O'Brien2,
1Citrus Health Network, Miami, Florida; and.
Insights
Runaway and thrownaway youth face significant health challenges and limited access to care. Pediatricians can identify at-risk adolescents and manage their unique medical, mental health, and social needs.
Area of Science:
- Pediatrics
- Adolescent Health
- Public Health
Background:
- Runaway and thrownaway youth constitute a significant portion of missing children.
- These unaccompanied youth experience high rates of trauma, mental illness, substance use, pregnancy, and STIs.
- They face substantial unmet healthcare needs and barriers to accessing care.
Purpose of the Study:
- To provide clinical guidance for healthcare professionals on identifying adolescents at risk of running away or being thrown away.
- To outline the management of the unique medical, mental health, and social needs of these youth.
- To emphasize the role of pediatricians in supporting runaway youth and connecting them with resources.
Main Methods:
- Clinical guidance development based on existing literature and expert consensus.
- Focus on identification of at-risk populations including victims of abuse, LGBTQ+ youth, and those in protective custody.
- Emphasis on comprehensive management strategies addressing physical, mental, and social well-being.
Main Results:
- Runaway and thrownaway youth are at high risk for further trauma, victimization, and violence.
- Specific populations, including abuse victims and LGBTQ+ youth, are disproportionately affected.
- Pediatricians can play a crucial role in mitigating risks and improving outcomes.
Conclusions:
- Healthcare professionals must be equipped to identify and manage the complex needs of runaway and thrownaway youth.
- Early intervention and supportive relationships are key to improving long-term outcomes.
- Collaboration with community resources is essential for effective care and risk reduction.
Abstract:
The largest segment of missing children in the United States includes runaways, children who run away from home, and thrownaways, children who are told to leave or stay away from home by a household adult. Although estimates vary, as many as 1 in 20 youth run away from home annually. These unaccompanied youth have unique health needs, including high rates of trauma, mental illness, substance use, pregnancy, and sexually transmitted infections. While away, youth who run away are at high risk for additional trauma, victimization, and violence. Runaway and thrownaway youth have high unmet health care needs and limited access to care. Several populations are at particular high risk for runaway episodes, including victims of abuse and neglect; lesbian, gay, bisexual, transgender, and questioning youth; and youth in protective custody. Pediatricians and other health care professionals have a critical role to play in supporting runaway youth, addressing their unique health needs, fostering positive relationships within their families and with other supportive adults, and connecting them with available community resources. This report provides clinical guidance for pediatricians and other health care professionals regarding (1) the identification of adolescents who are at risk for running away or being thrown away and (2) the management of the unique medical, mental health, and social needs of these youth. In partnership with national, state, and local resources, pediatricians can significantly reduce risk and improve long-term outcomes for runaway youth.
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