This report is reprinted in nine parts with permission of the World Health Organization, Programme on Substance Abuse, 1993. The document is not a formal publication of the World Health Organization (WHO), and all rights are reserved by the Organization. The document may, however, be freely reviewed, abstracted, reproduced and translated in part or in whole, but not for sale nor for use in conjunction with commercial purposes.

The views expressed in documents by named authors are solely the responsibility of those authors.

WORLD HEALTH ORGANIZATION
PROGRAMME ON SUBSTANCE ABUSE
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Tel 791. 21.11

Chessare, J.B.; Wodarcyk, K. (1988), "Gasoline Sniffing and Lead Poisoning in a Child", American Family Physician, Vol. 38.

CHILDHOPE (1990) "Fact Sheet on Street Children and Drug Abuse".

CHILDHOPE (1989) "Fact Sheet on Street Children and AIDS/HIV".

Clark, D.G.; Tinston, D.J. (1982), "Acute Inhalational Toxicity of some Halogenated and Non-Halogenated Hydrocarbons". Human Toxicology, Vol. 1.

Cochi, S.L.; Fleming, D.W.; Hightower, A.W. (1986), "Primary Invasive Haemophilus Influenzae Type b Disease: A Population- Based Assessment of Risk Factors. J. Pedeatri.

Cortes, L.M. (1969), "Temas Colombianas: La Metamorfosis del 'Chino de la Calle'", Editextos, Bogota.

Cosgrove, J. (1990), "Towards a Working Definition of Street Children", Int. Social Work, Vol. 33, No 2.

Cunningham, S.R.; Dalzell, G.W.N.; Khan, M. M.; Mcgirr, P.; (1987), "Myocardial-Infarction and Primary Ventricular- Fibrillation After Glue Sniffing", British Medical Journal, Vol. 294, No 6574.

Dail, P.W. (1990), "The Psychosocial Context of Homeless Mothers with Young Children: Program and Policy Implications", Child Welfare League of America, Vol. LXIX, No 4.

Dembo, R.; Williams, L.; La Voie, L.; Berry, E.; Getreu, A.; Wish, E.D.; Schmeidler, 1.; Washburn, M. (1989), "Physical Abuse, Sexual Victimization, and Illicit Drug Use: Replication of a Structural Analysis Among a New Sample of High-Risk Youths", Violence and Victims, Vol. 4, No 2.

Dinwiddie, S.H.; Zorumski, C.F.; Rubin, E.H. (1987), "Psychiatric Correlates of Chronic Solvent Abuse", J. Clin. Psychiatry, Vol. 48, No 8.

Dinwiddie, S.H.; Reicht, T.; Cloninger, C.R. (1991), "Solvent Use as a Precursor to Intravenous Drug Abuse", Comprehensive Psychiatry, Vol. 32, No 2.

Dinwiddie, S.H.; Reicht, T.: Cloninger, C.R. (1990) "Solvent Use and Psychiatric Comorbidity", British Journal of Addiction, Vol. 85.

Done, A.K. (1967), "A Biomedical View of Substance Abuse", Juvenile Court Judges J., Vol. 18.

Durden, W.D.; Chipman, D.W. (1967) "Gasoline Sniffing Complicated by Acute Carbon Tetrachloride Poisoning", Archives of Internal Medicine, Vol. 119.

Edeh, J. (1989), "Volatile Substance Abuse In Relation to Alcohol and Illicit Drugs Psychosocial Perspectives", Human Toxicology, Vol. 8, No 4.

Edwards, G.; Arif, A. (1980), "Drug Problems in the Sociocultural Context: A Basis for Policies and Programme Planning". Geneva, World Health Organization.

Elliott, D., Huizinga, D. and Ageton, S. (1985) Explaining Delinquency and Drug Use. London, Sage.

Fagan, T. (1987), "Homeless Children", Testimony before the US House of Representatives Select Committee on Children, Youth and Families. In G. Miller (Chair), "The Crisis of Homelessness: Effects on Children and Families", Vol. 5, Washington D.C.

Feigelman, W.; Merton, H.M.; Amann, K.; Feigelman, B. (1990), "Correlates of Persisting Drug Use Among Former Youth Multiple Drug Abuse Patients", J. of Psychoactive Drugs, Vol. 22, No. 1.

Felsman, J. (1989) "Risk and resiliency in Childhood: The Lives of Street Children", in Dugan, T. and Coles, R. (Eds) The Child in Our Times: Studies in the Development of Resiliency. New York: Brunner/Mazel.

Fischer, P.J. (1989), "Estimating the Prevalence of Alcohol, Drug and Mental Health Problems in the Contemporary Homeless Population: A Review of the Literature", Contemporary Drug Problems.

Foley, M. (1983), "Coping Strategies of Street Children", Int. J. of Offender Therapy and Comparative Criminology, Vol. 27, No 1.

Fors, S.W.; Rojek, D.G. (1991), "A Comparison of Drug Involvement Between Runaways and School Youth", J. Drug Education, Vol. 21, No 1.

Fornazzari, L.; Wilkinson, D.A.; Kapur, B.M.; Carlen, P.L. (1983), "Cerebellar Cortical and Functional Impairment in Toluene Abusers", Acta Neurologica Scandinavica, Vol. 67.

Franchet Nguyen, C. (1991), "Health Programs for Street Children in Metro Manila, Philippines" (unpublished Report).

Garrett, G.R. (1989), "Alcohol Problems and Homelessness: History and Research", Contemporary Drug Problems.

Glaser, H.H.; Massengale, O.N. (1962), "Glue Sniffing in Children", J. of the American Med. Association (AMA), Vol. 181.

Grant, M. and Hodgson, R. (Eds) (1991) "Responding to Drug and Alcohol Problems in the Community". Geneva: World Health Organization.

Griesel, R.D.; Jansen, P.; Richter, L.M. (1990), "Electroencephalographic Disturbances Due to Chronic Toxin Abuse in Young People, with Special Reference to Glue-Sniffing", SAMJ, Vol. 78.

Hall, D.L. (1991), "Prevention of Drug Use Among Adolescents", Office of Justice Systems Analysis, Public Policy Report, Vol. 1, No 2.

Hawkins, J., Lishner, D., Catalano, R. and Howard, M. (1985) "Childhood Predictors of Adolescent Substance Abuse: toward an empirically grounded theory." J. Children in Contemporary Society, Vol. 18 (1 and 2): 1148.

Henry, P. (Ed) ( 1989) Practical Approaches in Treatment of Adolescent Chemical Dependency. New York, Hawthorn.

Hofmann, F.G.; Hofmann, A.D. (1975), "A Handbook on Drug and Alcohol Abuse", Oxford University Press.

Homel, R.; Burns, A. (1989), "Environmental Quality and the Well Being of Children", Social Indicators Research, Vol. 21.

Hopper, K. (1989), "Deviance and Dwelling Space: Notes on the Resettlement of Homeless Persons with Drug and Alcohol Problems", Contemporary Drug Problems.

Hormes, J.T.; Filley, C.M.; Rosenberg, N.L. "Neurologic Sequelae of Chronic Solvent Vapor Abuse", Neurology, Vol. 36.

Howard, J. (1992) "Therapeutic Issues in the Treatment of Drug Using Youth", Keynote Paper: Youth at Risk National Conference, September, Auckland, New Zealand.

Independent Commission on International Humanitarian Issues, (1986), "Street Children - A Growing Urban Tragedy", Weidenfeld & Nicolson.

Journal of Adolescent Health. (1991) Whole edition of Vol. 12, Number 7 is dedicated to Health Care of Runaway and Street Youth.

Jacobs, A.M.; Ghodse, A.H. (1988), "Delinquency and Regular Solvent Abuse: An Unfavourable Combination" British J. of Addiction, Vol. 83.

Karani, V. (1966), "Peripheral Neuritis After Addiction to Petrol", British Medical Journal, Vol. 1.

Knox, J.W.; Nelson, J.R. ( 1966), "Permanent Encephalopathy from Toluene Inhalation", New England J. of Medicine, Vol. 275.

Kohl, S. (1990), "The Challenge of Care for the Poor Child", AMA J, Nov. 30.

Kroeger, R.M.; Moore, R.J.; Lehman, J.H.; Geisyj; Skeeters, C.E.; (1980), "Recurrent Urinary Calculi Associated with Toluene Sniffing'', J. of Urology, Vol. 123.

Kufeldt, K.; Nimmo, M. (1987), "Youth on the Streets: Abuse and Neglect in the Eighties", Child Abuse & Neglect, Vol. 11.

Lee, J.T. (1989), "Volatile Substance Abuse Within a Health Education Context", Human Toxicol, Vol. 8.

Leite, L. and de Abreu Esteves, M. (1991) "Escola Tia Ciata --a school for street children in Rio de Janeiro." Environment and Urbanization, Vol. 3 (1): 130-139.

Lewis, D.M. (1988), "Adolescent Substance Abuse", J. Med. Assoc. Ga., Vol. 77, No 11.

Linden, C.H. (1990), "Volatile Substance Abuse", Emergency Medicine Clinics of North America, Vol. 8, No 3.

Lohr, K.A. (1987), "Rheumatic Manifestations of Diseases Associated with Substance Abuse", Seminars in Arthritis and Rheumatism, Vol. 17, No 2.

Lubran, B. (1990), "Alcohol and Drug Abuse Among the Homeless Population: A National Response" in: "Alcoholism and Drug Abuse Among Homeless Men and Women", Haworth Press.

Lusk, M. (1989) "Street Children Programs in Latin America." J.Sociology and Social Welfare, Vol. 16 (1): 55-77.

Massengale, O.N. (1963), "Physical and Psychologic Factors in Glue Sniffing", New England J. of Medicine.

Mcchesney, K.Y. (1987), "Homeless Families and Children. Testimony before the US House of Representatives Select Committee on Children, Youth and Families. In: G. Miller (Chair), "The Crisis of Homelessness: Effects on Children and Families", Vol. 5, Washington D.C.

Mchugh, M.J. (1987), "The Abuse of Volatile Substances", Pediatric Clinics of North America, Vol. 34, No 2.

Medina-Mora, M.E.; Ortiz, C.; Caudillo, C.; Lopez, S.; Gomez, F. (1982), "Inhalacion Deliberada de Disolventes en un Grupo de Menores Mexicanos", Salud Mental, Vol. 5, No 5.

Medina-Mora, M.E.; Ryan, P.; Ortiz, A.; Campos, T.; Solis, A. (1980), "Methodologia para la Identificacion Intensiva de Casos y la Vigilancia del Uso de Drogas en Una Comunidad Mexicana", Bolenn de Estupefacientes, Vol. XXXII, No 2.

Medina-Mora, M.E.; Ortiz, A. "Epidemiology of Solvent/lnhalant Abuse in Mexico, Instituto Mexicano de Psiquiatria.

Miller, D.S.; Lin, E. (1988), "Children in Sheltered Homeless Families: Reported Health Status and Use of Health Services", Pediatrics, Vol. 81.

Moncher, M., Holden, G. and Schinke, S. (1991) "Psychosocial Correlates of Adolescent Substance Use: a review of current etiological constructs." Internat.J.Addictions, Vol. 26 (4): 377414.

Moosa, A.; Loening, W.E.K. (1981), "Solvent Abuse in Black Children in Natal", S. African Med. J., Vol. 59.

Morton, H.G. (1987), "Occurrence and Treatment of Solvent Abuse in Children and Adolescents", Pharmacology Therapeutics, Vol. 33.

"Muchachos de la Calle (Street Youth)". Report submitted to the Inter-American Commission for the Control of Drug Abuse (CICAD), Organization of American States (1987).

Newcomb, M. and Bentler, P. (1989) "Substance Use and Abuse among Children and Teenagers." American Psychologist, Vol. 44 (2): 242- 248.

Newsweek, (1 May 1989), "Children of the Gutter".

de Nicolco, J.; Ardila, I.E.; Castrellon, C.P.; Marino, G.S. (1981), "Musaranas", Servicio Juvenil, Bogota D.E. Colombia.

Ogborne, A.C. (1988), "School-Based Educational Programs to Prevent the Personal Use of Psychoactive Drugs for nonmedical Purposes", Australian Drug and Alcohol Review, Vol. 7.

Ojanuga, D. (1990) "Kanunda Beggar Children: A Study of Child Abuse and Neglect in Northern Nigeria." Child Welfare, Vol. LXIX (4): 371-380.

Ortiz, A.; Sosa, R.; Caudillo, C. (1988), "Estudio de Seguimiento de Usuarios y no Usuarios de Sustancias Inhalables en Poblacion Abierta: Comparacion de sus rendimientos cognitivos", Psiquiatria, Vol. 2.

Ortiz, A. "El Consumo de Inhalantes en Mexico - Variables Psicosociales Asociadas y Consecuencias de su uso".

Ortiz, A.; Caudillo, C. "Family Characteristics of Inhalant Users Versus Non-Inhalant Users", Instituto Mexicano de Psiquiatria (Internal Report), Project PCSAXNA-002109.

Ortiz, A.; Caudillo, C. (1985), "Alteraciones Cognitivas en Menores Usarios Cronicos de Sustencias Inhalables - Informe de un Estudio Experimental", Salud Mental, Vol. 27.

Pardo, A.; Vergara, E. (1964), "Estudio Medico-Social de la Vagrancia Infantil de Bogota", Revista Colombiana de Psychiatria, Vol. 1.

Parker. R.M.; Recorla, L.A.; Finkelstein, J.A.; Barnes, N.; Holmes, J.H.; Stolley, P.D. (1991) "A Survey of the Health of Homeless Children in Philadelphia Shelters", AMA J.

Parker, G.; Knaul, F. (1989), "Exploited Entrepreneurs: Street Children in Developing Countries", ChildHope-USA, Working Paper No 1.

Parvey, C.F. (1987), "Homeless Women: Priorities", Christianity and Crisis, Vol. 74, No 4.

Prochaska, J. and di Clemente (1986) "Towards a comprehensive model of change". In Miller, W. and Heather, N. (Eds) "Treating Addictive Behaviours. Processes of Change". New York, Plenum.

Ramsey, J.; Anderson, H.R.; Bloor, K.; Flanagan, R.J. (1989), "An Introduction to the Practice, Prevalence and Chemical Toxicology of Volatile Substance Abuse", Human Toxicology, Vol. 8.

Rebalsam, Encuentro (1991), "Programa Ninos de la Calle - Una Alternativa de Prevencion Integral del Consumo de Drogas", No 3.

Reiss, A.J. (1951), "Delinquency as the Failure of Personal and Social Controls", American Sociological Review, Vol. 16.

Rhodes, J. and Jason, L. (1988) "Preventing Substance Abuse Among Children and Adolescents". New York, Pergamon Press.

Rialp, V. "Street Children", New York, UNICEF.

Richardson, H.; (1989), "Volatile Substance Abuse: Evaluation and Treatment", Human Toxicology, Vol. 8: 319-322.

Roberston, M.J.; Koegel, P.; Ferguson, L. (1989), "Alcohol Use and Abuse Among Homeless Adolescents in Holywood", Contemporary Drug Problems.

Ron, M.A. (1986), "Volatile Substance Abuse - A Review of Possible Long-Term Neurological, Intellectual and Psychiatric Sequelae", British Journal of Psychiatry, Vol. 148.

Roosevelt, W.; Watts, T.D. (1989), "Alcohol and Minority Youth", The Edwin Mellen Press, Chapter 1.

Rutter, M. (1985) "Resiliency in the Face of Adversity", Brit.J. Psychiatry, Vol. 147: 598-611.

Rutter, M. and Giller, H. (1983) "Juvenile Delinquency: Trends and Perspectives", Harmondsworth: Penguin.

Samper, L.N. (1984), "Ressurge el Gaminismo", El Tiempo, Bogota.

Shepherd, R.T. (1989), "Mechanism of Sudden Death Associated with Volatile Substance Abuse", Human Toxicol, Vol. 8.

Shiffman, S. and Wills, T. (Eds) (1985) "Coping and Substance Abuse". New York, Academic Press.

Sidel, R. (1986), "Women and Children Last: The Plight of Poor Women in Affluent America", New York, Viking Penguin.

Smart, R.G.; Adlaf, E.M. (1986), "Patterns of Drug Use Among Adolescents: The Past Decade", Soc. Sci. Med., Vol. 23, No. 7.

Smart, R. and Adlaf, E. (1991) "Substance Use and Problems among Toronto Street Youth", Brit.J.Addiction, Vol. 86:999-1010.

Smart, R., Adlaf, E., Porterfield, K. and Canale, M. (1990) "Drugs, Youth and the Streets". Ontario: Addiction Research Foundation Ontario.

Sosa, R., Ortiz, A. and Caudillo, C. (1989) "Patron de consumo de solventes y dano neuropsicologico asociado a su uso." Salud Publica de Mexico, Vol. 31(5): 634-641.

Soueif, M.; Youssuf, G. Taha, H. et al. (1990) "Use of Psychoactive Substances among Male Secondary School Pupils in Egypt: a study on a nationwide representative sample." Drug and Alcohol Dependence, Vol. 26: 63-79.

Sourindhrin I.; Baird, J.A.; (1984), "Management of Solvent Misuse - A Glasgow Community Approach", British Journal of Addiction.

Stephens, R.C.; Mcbride, D.C.; (1976), "Becoming a Street Addict", Human Organization, Vol. 35, No 1.

Swadi, H.S. (1988), "Adolescent Drug Taking: Role of Family and Peers", Drug and Alcohol Dependence, Vol. 21.

Swadi, H. (1990), "Experimenting with Drugs: A Critical Evaluation", Drugs and Alcohol Dependence, Vol. 26.

Swadi, H. (1990) "Validating and Improving the Validity of Self- Reports in Adolescent Substance Misuse Surveys", J. Drug Issues, Vol. 20 (3): 473-486.

Szara, S. (1986), "Neurobiology of Behavioral Control in Drug Abuse", NIDA Research Monographs.

Tarter, R. (1990) "Evaluation and Treatment of Adolescent Substance Abuse: a decision-tree method. " Amer. J. Drug Alcohol Abuse, Vol. 16 (1 and 2): 146.

Tennant, C.; Bernardi, E. (1988), "Childhood Loss in Alcoholics and Narcotic Addicts". British Journal of Addiction, Vol. 83.

Ungerleider J.T.; Siegel, N.l. (1990), "The Drug Abusing Adolescent: Clinical Issues", Psychiatric Clinics of North America, Vol. 13, No 3.

Velasquez, E., (1991), "The Street Children and the Services for the Drug Abuse Treatment Access and Accessibility", Programme on Substance Abuse, WHO.

Washington Post, (1989), "Bolivia's Cocaine Trade is Consuming its Children".

Watson, J.M.; (1980), "Solvent Abuse by Children and Young Adults: A Review", British J. of Addiction, Vol. 75.

Werner, E.E., (1989), "Children of the Garden Island", Scientific American.

West, D. and Farrington, D. (1977) "Who Becomes Delinquent?", London: Heinemann.

Wiedmann, K.D.; Wilson, J.T.L.; Power, K.G.; Hadley, D.M. (1987), "Recovery from Chronic Solvent Abuse", Journal of Neurology NeuroSurgery and Psych., Vol. 50, No 12.

Windle, M. (1991), "The DIfficult Temperament in Adolescence: Associations with Substances Use, Family Support, and Problem Behaviors", J. Clinical Psychology, Vol. 47, No 2.

Winters, K. Stinchfield, R. Henly, G. Schwartz, R. (1990-91) "Validity of Adolescent Self-Report of Alcohol and Other Drug Involvement", Internat. J.Addictions, Vol. 25 (llA): 1379-1395.

Wiseman, M.N.; Banim, S. (1987), "Glue Sniffer's Heart", British Medical Journal, Vol. 294.

Wittman, F.D., (1989), "Housing Models for Alcohol Programs Serving Homeless People", Contemporary Drug Problems.

World Health Organization, Programme on Substance Abuse, (1990), "Strategy Document".

World Health Organization, Programme on Substance Abuse, (1989), "The Health of Youth: Facts for Action: Youths and Drugs".

Wright, J.D.; Pearl, L. (1990), "Knowledge and Experience of Young People Regarding Drug Abuse, 1969-1989", British Medical Journal, Vol. 300.

Wright, J.D., (1990), "Children in and of the Streets - Health, Social Policy, and the Homeless Young", AMA J., December.

Zagar, R.; Arbit, J.; Sylvies, R.; Busch, K.G.; Hughes, J.R., (1990), "Homicidal Adolescents: A Replication", Psychological Reports, Vol. 67.

SOURCES FOR

Section 3: Howard (1992) and country reports prepared for the February 1992 Meeting.

Section 4: PSA material prepared for February 1992 Meeting, and Rhodes and Jason (1988).

Sections 5-8: PSA material prepared for February 1992 Meeting, based on an extensive review of the international literature, and a second review of the literature in January 1993, and country reports.