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Brief Treatment and Crisis Intervention 2005 5(1):85-94; doi:10.1093/brief-treatment/mhi004
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Brief Treatment and Crisis Intervention Vol. 5 No. 1, © Oxford University Press 2005; all rights reserved.

Original Article

Urban Hassles as Chronic Stressors and Adolescent Mental Health: The Urban Hassles Index

   David B. Miller, PhD, MSW, MPH
   Aloen Townsend, PhD

From the Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio

Contact author: David B. Miller, Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, Ohio 44106-7164. E-mail: dbm5{at}

This paper discusses the continued development, theoretical framework, and utility of the Urban Hassles Index (UHI), which was designed to measure stressors affecting adolescents in the urban environment. These stressors are chronic and differ in context and content from the more acute life events that are usually measured in adolescent stressor indices. This paper highlights factor analysis results of the UHI and the conceptualization of the dimensions of the index. The UHI's utility as a rapid assessment tool for practitioners and others working with adolescents is discussed. Directions for future research are also highlighted.

KEY WORDS: adolescence, mental health, urban hassles, major life events, chronic stressors, scales, indices

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