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Bridge Over Troubled Water, a Boston, Massachusetts agency serving homeless and runaway youth

Bridge Over Troubled Water, a Boston, Massachusetts agency serving homeless and runaway youth.
(Download this program as a PDF)

OVERVIEW

Teens on the streets of Boston have very critical needs. Unlike many adult homeless persons, these youth are not necessarily there because of socioeconomic reasons. Most end up on the streets because of emotional dynamics and family dysfunction. Bridge Over Troubled Water (commonly known as "The Bridge") is a nationally recognized agency which effectively meets these initial critical needs of homeless and runaway youth, while also offering multiple opportunities for these young people to form consistent therapeutic relationships with trained professionals.

PROGRAM GOALS

"The Bridge" reports that it was founded to "do whatever may be necessary or desirable in assisting youth who are on the streets with no one to comfort them to achieve a place in society as normal and useful citizens." Although there are several ongoing Bridge"programs," the youth are not required to be in an official program to receive assistance. Most of the services are offered at no cost to the youth.

PROGRAM METHODS

The programs within the structure of "The Bridge" fall into one of seven areas:

Street outreach. This is often the initial contact made with the teen. Three full-time streetworkers work within several program areas to build relationships with homeless and runaway youth. The street outreach, by its unstructured and fluid nature, permeates the other six program areas. Many youth who use the agency first learned of its services from a streetworker.

Medical and dental services. A nursing station and full dental clinic are located in the main office. A medical van works the streets five days a week, staffed with doctors, nurses, nurse practitioners, and one street worker. Close to 10,000 medical visits were logged in 1995, serving an estimated 2,306 youth. All medical personnel are all volunteers.

Runaway services. The Bridge always encourages family reconciliation. If that is not possible, other options are explored. Two full-time runaway counselors are on staff; each alternate being "on-call," providing 24-hour action to runaway cases. The runaway services are provided in a secluded area of the main office, away from all other programming. In 1995, 363 youth came through this program.

Counseling services. Counselors, all full-time, provide free substance abuse counseling, survival aid, and referrals. Youth are encouraged to make appointments, but drop-in visits are quickly given attention. All other assistance and services are obtained through a counselor (with the exception of the medical van). This helps to monitor youth and discourage unhealthy dependence on the program. The intake/counseling facility serviced 2,332 youth who made up a total case-load of 19,909 individual visits in 1995. 2,147 Referrals were made to 304 different agencies on behalf of homeless and runaway youth.

Family Life Center. This facility provides pregnant and parenting teens information and support, advocacy, and counseling. Child care is provided for any youth while they are in counseling or in a Bridge program. 178 Mothers and 170 children made 2,679 visits to the Family Life Center in 1995.

Education and Pre-Employment Program. Basic education, GED preparation, and job-readiness preparation are provided. In addition to preparing for the GED, classes are offered in word processing and basic job skills. 329 Youth used this service in 1995. A full-time financial aid resource person is available to assist youth in finding financing for college once they pass the GED.

Residential component. A facility is housed away from the main complex in Brighton, Massachusetts. Two programs are offered: Phase I provides safe housing to homeless youth and single mothers. This program adheres to a strict regimen with a great deal of supervision and responsibility. Phase II, only offered to those who have completed the previous phase, offers a less structured and supervised living situation. This is operated as a transitional living program; participants are allowed a limited stay in Phase II. A total of 101 teens and children were housed at some time last year through this program.

PROGRAM OPERATION

Bridge Over Troubled Water runs on a yearly budget of approximately $2 million. This funding predominantly comes from private donations. Some of the programs (the GED program, for example) are funded through the help of the United Way. One cannot overlook the impact of volunteers on the success of the agency. In 1995 alone, 170 volunteers logged in 1,679 volunteer visits totaling 5,810 volunteer hours. All programs and offices are run out of the downtown facility, with the exception of the residential programs. The agency is led by a board of directors and an executive director. There are seven people who oversee the day-to-day operations, including the clinical director who directly supervises all clinical work. Thirty-nine other workers provide the services offered through the agency.

PROGRAM TESTIMONIES

Bridge over Troubled Water has been nationally recognized. Most recently the agency was awarded the Hilary E.C. Milar Award for innovative approaches to adolescent health care by the National Society of Adolescent Medicine. Numerous times over the past twenty-six years of its existence, staff members have testified before federal committees and congressional sub-committees on the needs of homeless and runaway youth.

 

IMPLICATIONS

  1. This program is aggressive in providing medical and dental care for homeless and runaway youth that would otherwise go unmet. This agency is doing a wonderful job of finding creative and nonthreatening methods to deliver needed services to this population.
  2. Program participants are treated with dignity and respect. Extreme care is taken to ensure confidentiality. The goal is to empower youth to return to a productive life, not to continue down their dangerous paths.
  3. Although this agency was born from the work of the three nuns, it has no connection to a church or religious organization. Its presence and success begs the question of the presence and influence of the church on this "least of these" population.

Dale Tadlock cCYS


Ironweed

Kennedy, W. (1984). Ironweed. New York City: Penguin Books.

This gripping novel of a hero-turned-hobo-and-alcoholic describes what goes on inside a bum—as Francis Phelan and friends call themselves.

Ironweed won a Pulitzer Prize and was made into a movie and a video. In 1938, Francis Phelan is fifty-eight, living in Albany, New York, and has not seen his wife and family in decades. In killing a scab who was taking his job—and a few others along the way—and especially in dropping his newborn infant to his death, he has learned to run. He runs in anger, in guilt, and in a confusion of rationalizations as to why his life is a shambles.

Phelan is an "ex-ballplayer, part-time grave digger, full-time drunk, who has hit bottom." Neither his buddies nor Helen, his companion of eight or nine years; Katrina, who first taught him about love; Annie, a most faithful and heroic wife; nor any other woman or preacher could lift him from his private pits. But he finds, in company with drifters, a fellowship of despair and cynicism—and in this acceptance is able to express surprising compassion. One time only, he is able to return home for a poignant and hopeful reunion. It is a desperate conversation over his infant’s grave, however, that touches Francis most deeply.

He does stay off the booze for a week:

Francis felt healthy and he liked it. It’s too bad he didn’t feel healthy when he drank. He felt good but not healthy, especially not in the morning, or when he woke up in the middle of the night, say. Sometimes he felt dead. His head, his throat, his stomach: he needed to get them all straight with a drink, or maybe it’d take two, because if he didn’t, his brain would overheat trying to fix things and his eyes would blow out. Jeez it’s tough when you need that drink and your throat’s like an open sore and it’s four in the morning and the wine’s gone and no place open and you got no money or nobody to bum from, even if there was a place open. That’s tough, pal. Tough. (p. 8)

In this novel, readers do not just live with drunks and feel the effects of alcoholism, they get inside the workings of minds they have often longed to help.

‘Jesus,’ the preacher and his shirt-sleeved loyalists sang, ‘the name that charms our fears, that bids our sorrows cease, ‘Tis music in the sinners ears, ‘Tis life and health and peace...He breaks the power of canceled sin...His blood can make the foulest clean, His blood availed for me.’

Well not me, Francis said to his unavailed-for self, and he smelled his own uncanceled stink again, aware that it had intensified since morning.

Helen...held no hymnal as the others did, but sat with arms folded in defiant resistance to the possibility of redemption by any Methodist like Chester; for Helen was a Catholic. And any redemption that came her way had better be through her church, the true church, the only church. (p. 33)

Later, running again

Francis was now certain only that he could never arrive at any conclusions about himself that had their origin in reason. But neither did he believe himself incapable of thought. He believed he was a creature of unknown and unknowable qualities, a man in whom there would never be an equanimity of both impulsive and premeditated action. Yet after every admission that he was a lost and distorted soul, Francis asserted his own private wisdom and purpose: he had fled the folks because he was too profane a being to live among them...What he was, yes, a warrior, protecting a belief that no man could ever articulate, especially himself...a warrior, he was certain he was not a victim. Never a victim.

In the deepest part of himself that could draw an unutterable conclusion, he told himself: My guilt is all that I have left. If I lose it, I have stood for nothing, done nothing, been nothing. (p. 216)

QUESTIONS FOR REFLECTION AND DISCUSSION

  1. Have you met or known any persons like Francis and the drifters in this book?
  2. What similarities and differences are there between men and women of the streets and hobo camps—the causes for their being there, the effect this life has upon them and their relationships, and how they relate with those around them and people of the straight world?
  3. Consider especially the nature of human guilt "treasured" by so many of us. Beyond simplistic spiritual solutions, what can be done about nagging and deep-seated guilt?
  4. Do you think Francis Phelan could ever go home? What made it so difficult for him to stop running and return to Annie and his family?
  5. How can those who retreat to the fringes of society be reached and helped most effectively?

 

IMPLICATIONS

  1. There are reclusive upper- and middle-class alcoholics, working class drunks, and those on the streets and rails called bums. Novels such as this one help us to understand the difficulties in helping, and the importance of avoiding, such a life.
  2. Young people learn, and have their characters shaped, by what they read, see, and hear in media. Discussion of a book like this (its video or even this review) can help them shape their own responses to discouragement and tragedy. It can also develop an empathy for those who are "down on luck" and in despair.
  3. Often life’s deepest hurts and guilt are most precious to those who have not found its greatest treasure. Letting go precedes the lifting up of one’s fallen soul. Alcoholics Anonymous found this truth through pragmatic experience in helping.
Dean Borgman cCYS


Course 413 - Drugs of Abuse

Course 413 - Drugs of Abuse (3 credits) How to identify the most commonly abused drugs, recognize patterns of use and develop approaches for treatment.

Read more

Course 412 - Counseling Foundations

Course 412 - Counseling Foundations (3 credits) (Focuses on various aspects of counseling theory, human development and the core counseling functions.)

Read more

Homelessness

Freels, D. & Borgman, D. (1986). Homelessness. S. Hamilton, MA: Center for Youth Studies.

OVERVIEW

STATISTICS

  • There are between 350,000 and 3 million homeless Americans.
  • Surveys show that one third of the homeless is mentally ill.
  • The residential population of mental hospitals has dropped by almost a half a million since 1955.
  • The National Institute of Mental Health estimates that 2.4 million Americans should be classified as mentally ill. Of these, 1.5 million are out in the community.
  • Up to 65% of liberated patients are considered to be successfully adapting to life outside an institution.
  • Families comprise more than 20% of the homeless.
  • A 1984 New York City investigation revealed that half of the 20,000 homeless who sought shelter on an average night were families with small children.
  • In Boston in the summer of 1985, 90% of the families in shelters were headed by women—typically in their mid-20s. Two-thirds of their children were under five years of age. More than one half was black and two-thirds were either high school graduates or had an equivalency diploma.
  • In the summer of 1985, 20,000 kids between ages 14 and 21 roamed the streets of New York, according to an estimate of the Coalition for the Homeless, New York City.

GENERAL FACTORS

  • The mentally ill compose large segment of the homeless.
  • Gentrification—the moving of the middle class and the rich back into the city—has inflated rents and prices, seizing housing from the urban poor.
  • Urban renewal and dislocation have destroyed many urban neighborhoods.
  • Alcoholism and drug addiction compound the large number of homeless.
  • Runaway children and youth comprise a growing number of those on the streets or living in "empties." They are easily involved in drug abuse and prostitution.
  • The growing number of battered wives and their small children swell the numbers of those seeking urban shelter.
  • Some small and even medium-sized cities refuse to care for the homeless fearing that such resources will draw undesirables. The homeless are forced to go to more generous cities—a burden for benefactors.
  • There is a significant outpouring of private and municipal benevolence in creating shelters and hot meals. A remarkable rise in volunteers is also noticed. Still, many homeless people die from exposure and malnutrition.

IMPLICATIONS

  1. America needs to determine how to take care of the mentally ill and destitute.
  2. Parents need to teach their children to respect and care for those in need.
  3. Youth workers should consider how a youth group or church might serve a local or downtown shelter.

Dave Freels and Dean Borgman cCYS


Discover the gold mine of community resources

Oraker, J. (1988). Discover the gold mine of community resources. Inside the Mission. Colorado Springs, CO: Young Life.

OVERVIEW

What would you do in these situations?

  • Jeff calls and says he has a friend over at his house who he thinks overdosed on drugs.
  • Emily tells you in tears that her father is molesting her.
  • Andy has run away for the third time and refuses to go home.

One option is to call a community agency that specializes in these areas; you cannot be an expert on all of the problems encountered by kids today. To utilize the resources available when a crisis occurs, do some community research.

Community research involves two steps:

  • Personal contact.
  • Recording the contacts and their information.

STEP ONE: CONTACTING A COMMUNITY AGENCY

Agencies to contact include your local social services agency and the police department. Also ask suicide, drug, and pregnancy hotlines for the names of agencies that deal with adolescent problems. After compiling a list of agencies, follow these steps with each organization:

  • Phone ahead and make an appointment.
  • Know the name (and its proper spelling) of the individual with whom you will be speaking during your appointment.
  • Tell the individual why you want to speak with him or her before you arrive. For example, say, "Hi, I'm Jeff James. I work with the local Young Life group here. We're an interdenominational Christian group that works with teenagers. I'm setting up a community referral system to help me better serve the needs of the kids I work with and I'd like to find out what you do. I'd also like to tell you about us."
  • During the meeting show sincere interest in their program and be sure that you understand it. Ask specific questions for your resource notebook. Show interest in the person you are talking to; ask how they became involved in this kind of work. Ask for examples of how they have worked with kids in the past.
  • Let the contact person know how you can serve them. Leave with them information about your organization (include your name, address, phone number, and e-mail).
  • Express your appreciation of his or her time both verbally and by letter. Write a brief note of thanks immediately. Promote a positive, cordial relationship with the community agencies in your town.

STEP TWO: RECORDING THE CONTACTS

Set aside several pages in a looseleaf notebook or in a database and create eleven columns. In each column record the following information about each agency:

  •  

  • Formal name of the community agency. Include the initials of the community agency in parenthesis. Community agencies, like universities, are often identified by their initials rather than their formal name. For example, Youth Services Bureau (YSB).

  •  

  • Address of the community agency including both the street and mailing address. For example, 200 East Alpine Street, (include P.O. box number if relevant), Colorado Springs, CO 11111.

  •  

  • Phone number of the community agency, including the area code.

  •  

  • Date of contacts with the agency, including the month, day, and year.

  •  

  • Name of the contact person, including their preferred name in parenthesis. Also include the person's professional degree and his or her agency title and position. For example, Ms. Barbara Liston, (Barb), B.A., Director, Youth Service Bureau.

  •  

  • Relational contact personal information. For example, Barb is pursuing her master's degree. She is active in her youth group at church.

  •  

  • Referral mechanics-this is how you actually get the organization to help someone. For example, daily office hours for referrals are: 8:00 a.m. to 5:00 p.m., phone, 555-6880. Emergency services or on weekends call 555-6611.

  •  

  • Agency services, including specialties. For example, YSB is primarily a crisis and referral agency for youth between the ages of 10-18. They work well for kids who are involved in incest or abuse, and are themselves nonviolent.

  •  

  • Agency needs, including notes of how you can help or have helped them. For example, YSB urgently needs volunteers for their newsletter production, and Speaker's Bureau. Sent over Jane Smith to help with the newsletter.

  •  

  • Agency referral and new contacts-ask, "Is there another agency you think might be useful for me to contact?"

Update the information in your notebook at least once a year. Share it with your staff and volunteers.

 

IMPLICATIONS

  • One's personal response is the most important immediate response.

  •  
  • Some problems are beyond one's expertise. Save valuable time and stress be knowing the options.
  • Willingness to be helpful, available, and supportive are the first steps. The next step is to guide. Be a knowledgeable guide.
 

Jim Oraker and Anne Montague cCYS


   


Coming of age in the city’s street

Hersch, P. (1988, January). Coming of age in the city’s street. Psychology Today.

OVERVIEW

At all times, runaway kids place themselves in extraordinary danger of contracting AIDS.

FACTS

  • AIDS is a potentially disastrous effect of what is going on in the streets—especially in the inner city where sex, drugs, and poverty cross paths that lead into the suburbs.
  • More than 20,000 and 40,000 runaways and homeless are at risk of AIDS in New York City. Up to 1.2 million nationwide are at risk.

STREET LIFE

  • 300,000 Runaways are classified as "hard-core" homeless street kids.
  • Street kids usually have severe emotional problems:
    • 30% Are depressed.
    • 18% Are antisocial.
    • 41% Are depressed and antisocial.
    • 25% Have attempted suicide.
    • 25% Have contemplated suicide.
    • Only one half of the street children can remember a family "as having been happy for more than three days."
  • Many believe that these kids will be the next AIDS epidemic.

 

IMPLICATIONS

  1. Outreach and shelter workers need to and do worry about the homeless teenagers and their futures. There are thousands of runaways, but, because they are so untrusting, it is difficult to find and help them. They have been hurt or violated. That is why they are running.
  2. Education programs about the dangers of AIDS need to be implemented where these kids will find them and be able to pay attention to them. A safe environment must be created.
  3. Obstacles for success are enormous because the kids are elusive, highly stressed, and exhausted.
  4. The key to reaching these children is to slowly build relationships. Trust is essential when dealing with runaways. One determined to work with these kids must have patience, as it takes a long time to shatter the kids’ protective barriers.

Sarah Alderman, Holly Gidez, and Anne Montague cCYS

Runaways

Borgman, D. (1990). "Runaways". S. Hamilton, MA: Center for Youth Studies.

OVERVIEW

 

STATISTICS AND TRENDS

  • The FBI and other agencies estimate that more than one million children a year (20,000 a week) run away from home.
  • Approximately 2000 unidentified bodies are found by the police each year.
  • Children run away from home for a variety of reasons:

  • Child abuse.
  • Parental problems involving marriage, alcohol, finances, etc.
  • Communication breakdown between the parent and child.
  • The desire to break restraints and find adventure and independence.

  • Runaways usually flee to a large city and are quickly pressured into drugs and prostitution. Kids may find themselves shrewdly propositioned within 5-15 minutes after getting off a bus.
  • Runaways come from all races and socioeconomic strata. They are often terribly naïve to street life and survival.
  • In many cities, programs have been created to help such young people.
  • "Operation: Home Free" is a national program of free rides home cosponsored by the Trailways Bus Company and the International Association of the Chiefs of Police (IACP). Help is obtained from any Trailways ticket office, police station, or child welfare agency.

 

IMPLICATIONS

  • Youth workers need to understand of the factors contributing to runaway youth. Exposure to the beginning phases of crisis counseling is helpful when first involved with a runaway.
  • The youth worker could be the person a runaway calls. It is necessary to establish a trust relationship from the beginning and impose confidentiality as appropriate.

Dean Borgman cCYS

38% Asthma rate found in homeless children

Bernstein, N. (1999, May 5). 38% Asthma rate found in homeless children. The New York Times, Internet Archives.
(Download this review as a PDF)


OVERVIEW

A national study in 1996 found 6.3% of U.S. children with asthma. The same year researchers from the Albert Einstein College of Medicine found the childhood asthma in poor sections of the Bronx to be at 15%.

In 1998, a study by Dr. Diane McLean (of the Children’s Health Fund) and her researchers looked at 393 children entering family shelters in Queens and the Bronx. "Because families all over the city are randomly assigned to the shelters as space becomes available, the researchers consider these children representative of the 8,685 children in 4,900 families who are in the city’s shelter system in any given month."

The findings of this study are shocking:

  • 38% Of homeless children in the city’s shelter have asthma. This is more than six times the national rate for all children and more than double the rate found by an earlier study of some of the city’s poorest neighborhoods.
  • Only 9% of the asthmatic homeless children were on proper medication.
  • Almost half of the asthmatic children had made at least one trip to the hospital emergency room in the previous year.
  • New York City has the nation’s highest death rate from asthma. From 1995 through 1997, 44 children ages 19 and under were among the 790 New Yorkers who died of asthma, a review of city records revealed.

McLean is also the director of the childhood asthma initiative of the Children’s Health Fund. She said of this study:

‘It’s astounding. Asthma really is an indicator of what’s happening to the health of homeless children and their living conditions in the broadest sense.’

Dr. Suzanne S. Hurd, director of the division of lung diseases at the National Heart, Lung and Blood Institute, also found " ‘the terribly high rates…among the homeless children surprising.’ "

‘It is of great concern. If these children had good medical care and someone showing them how to use their medication, they should do very well.’

The article describes a 33 year-old mother of three with a 3-year-old asthmatic. Her son was still recovering from a very serious attack when her application for emergency shelter was denied—on the basis that she could return to her mother’s apartment. But her mother, a paraplegic who was recently diagnosed with cancer, refused to take the family back.

Dr. Irwin Redlener is president of the Children’s Hospital at Montefiore Medical Center and president of the Children’s Fund, focusing on pediatric care for 40,000 homeless children around the country.

‘These are children (he said) who are already at the highest level of vulnerability…We knew that the prevalence of asthma had increased dramatically. But even we who work with homeless children were taken back by the extent to which this vulnerable population was affected by this debilitating, chronic disease…Clearly this asthma situation and the lack of control of asthma is a reflection of the generally poor access to care.’

The mother and her children described above have now been placed in the Saratoga Interfaith Inn near Kennedy International Airport, one of two shelters giving special care to asthmatics. She now has a machine and has become adept at treating her young son. Schering-Plough, a pharmaceutical company, supports the project, which runs a blue van from shelter to shelter.

‘Before I met the blue van (the mother says), it was like I was always rushing Clayvon to the emergency room because I was always seeing he couldn’t breathe or wasn’t breathing right. Since the blue van, I really haven’t had to.’

 

QUESTIONS FOR REFLECTION AND DISCUSSION

  1. What do you know, and what do you need to know, about the situation of the homeless in your country?
  2. What do you know and need to know about asthma?
  3. Were you surprised or especially informed by anything in this article?
  4. What should everyone know about asthma?

 

IMPLICATIONS

  1. We read that even the experts were surprised by the results of this study. The stress of homelessness and its unhealthy conditions have made asthma a disproportionate and debilitating handicap of the poor and homeless.
  2. Asthma is increasing; it can permanently impair one’s lungs, and it can be fatal.
  3. We can be thankful for the businesses and faith-based organizations that cooperate with municipal governments to deal with problems like health and homelessness.

Dean Borgman cCYS

   


Volunteer Opportunities: Homelessness

Título Organization Name City, State/Country
City Vision Intern City Vision
SK Maine
Canada
City Vision Intern City Vision
San Antonio, TX
United States
City Vision Intern City Vision
Santa Rosa, CA
United States
City Vision Intern City Vision
Schenectady, NY
United States
City Vision Intern City Vision
Springfield, MO
United States
City Vision Intern City Vision
Utica, NY
United States
City Vision Intern City Vision
Vicksburg, MS
United States
City Vision Intern City Vision
Huntsville, AL
United States
City Vision Intern City Vision
Muncie, IN
United States
City Vision Intern City Vision
Charleston, WV
United States
Título Organization Name
Accountant/Tax Planner Doll House Ministries
Grant Writer/Community Liaison F.A.I.T.H. Ministries, Inc.
Director of Transportation Promised Land International, Inc.
Fund raiser Twiga Children's Centre Home
Sponsor a food drive The Salvation Army
Prayer Team St. Matthew's House
CHEF OR CATERING SUPERVISOR Gilead Foundations
Christmas Party planning and giving for After school children program Mary Orem
Editor / Writer FRISHTA CHILDREN'S HOME
Web design and technical assistance. Sacramento Community Family Resources
Postal Code

Audio: Homelessness