Method: Through purposive sampling, 145 homeless youth were recruited from agencies serving homeless youth in Los Angeles [n=50], Denver [n=50], and Austin [n=45] to participate in semi-structured qualitative interviews. Qualitative open-ended questions broadly investigated trauma and stress while homeless. This analysis focused on one section of the interview that investigated coping, querying youth from whom they seek help, what happens when they seek help, and, for those who indicated not seeking help, why. Interviews were audio-recorded, transcribed, and analyzed using iterative content analysis by four coders.
Results: Youth sought support from peers (e.g., friends, significant others), family (e.g., parents, siblings, extended family), and formal services (e.g., agency staff, therapeutic counselors, law enforcement). They received three forms of support: informational (connection to services/resources), emotional (encouragement, “someone to vent to,” personal advice), and instrumental (material assistance such as lodging, food, cash, medicine). Youth most often described seeking emotional support, and tended to go to peers most frequently, followed by formal services and family. Youth were more likely to approach formal services, rather than peers or family, for instrumental and informational support. Despite seeking help, many youth shared that they received none, and failed support was more common from peers and family. Some youth described barriers to help-seeking, including attempting to avoid triggering memories, perceptions that no one would be able to help, and previous violations of their trust. Such barriers prompted youth to cope on their own; common self-reliance coping strategies included “shutting down,” artistic expression, isolating themselves, and attempting to think positively.
Implications: Despite being perceived as difficult to engage, homeless youth describe seeking help from many sources in their lives, including professionals, particularly when they need information and tangible resources. However, most youth seek emotional support from peers, who, as previous research indicates, do not always provide healthy support systems. Findings also suggest that the help-seeking process is not linear; even youth who choose to cope on their own often attempt intermittent help-seeking. Service providers’ efforts to establish trust might include clarifying the type of help youth seek and explicitly acknowledging youths’ past experiences with help-seeking. Furthermore, interventions should aid youth in connecting to pro-social informal support systems that can provide healthy forms of support in challenging times.