Equity considerations in clinical practice guidelines for traumatic brain injury and homelessness: a systematic review

Chan, Vincy; Estrella, Maria Jennifer; Hanafy, Sara; Colclough, Zoe; Joyce, Julie Michele; Babineau, Jessica; Colantonio, Angela

doi:10.1016/j.eclinm.2023.102152

Cited by 2 publications

(1 citation statement)

References 51 publications

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“…Policy guidance regarding the health of people experiencing homelessness is clear: Identification of brain injury and management of its sequelae should be priority areas in inclusion health efforts [ 2 , 18 ]. Despite this, a recent review looking at clinical practice guidelines for management of brain injury found most guidelines did not have any special provision for management of brain injury in people who are experiencing homelessness [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Role of Rehabilitation Medicine within an Inclusion Health Context: Examining a Population at Risk from Homelessness and Brain Injury in Edinburgh

Eshun,

Burke,

et al. 2024

IJERPH

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People experiencing homelessness are at risk from a number of comorbidities, including traumatic brain injury, mental health disorders, and various infections. Little is known about the rehabilitation needs of this population. This study took advantage of unique access to a specialist access GP practice for people experiencing homelessness and a local inclusion health initiative to explore the five-year period prevalence of these conditions in a population of people experiencing homelessness through electronic case record searches and to identify barriers and facilitators to healthcare provision for this population in the context of an interdisciplinary and multispecialist inclusion health team through semi-structured interviews with staff working in primary and secondary care who interact with this population. The five-year period prevalence of TBI, infections, and mental health disorders was 9.5%, 4%, and 22.8%, respectively. Of those who had suffered a brain injury, only three had accessed rehabilitation services. Themes from thematic analysis of interviews included the impact of psychological trauma, under-recognition of the needs of people experiencing homelessness, resource scarcity, and the need for collaborative and adaptive approaches. The combination of quantitative and qualitative data suggests a potential role for rehabilitation medicine in inclusion health initiatives.

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Section: Introductionmentioning

confidence: 99%

Exploring the Role of Rehabilitation Medicine within an Inclusion Health Context: Examining a Population at Risk from Homelessness and Brain Injury in Edinburgh

Eshun,

Burke,

et al. 2024

IJERPH

View full text Add to dashboard Cite

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Interdisciplinary rehabilitation for the transition out of homelessness with a traumatic brain injury

Lam,

Hurwitz,

Ngankam

et al. 2024

BMJ Case Rep

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People experiencing homelessness (PEH) face higher rates of traumatic brain injury (TBI), which is associated with greater unmet healthcare and social needs and increased difficulty transitioning out of homelessness. While efforts have emerged to address this TBI disparity via screening, staff training and case management, gaps exist in the delivery of evidence-based TBI rehabilitation to PEH. This case report describes the delivery of interdisciplinary TBI rehabilitation to a male patient experiencing homelessness within a US context. Physical medicine and rehabilitation and occupational therapy focused on managing cognitive and chronic pain symptoms to improve daily life function across community settings (ie, outdoors, shelter, the transition to stable housing). After 4 months, the patient demonstrated improved daily life function with changes in objective measurements and housing status from unsheltered homelessness to housed. This case demonstrates the feasibility of delivering equitable TBI rehabilitation to PEH to mitigate health and housing disparities.

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Equity considerations in clinical practice guidelines for traumatic brain injury and homelessness: a systematic review

Cited by 2 publications

References 51 publications

Exploring the Role of Rehabilitation Medicine within an Inclusion Health Context: Examining a Population at Risk from Homelessness and Brain Injury in Edinburgh

Exploring the Role of Rehabilitation Medicine within an Inclusion Health Context: Examining a Population at Risk from Homelessness and Brain Injury in Edinburgh

Interdisciplinary rehabilitation for the transition out of homelessness with a traumatic brain injury

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