Intellectual Disability and Homelessness: a Synthesis of the Literature and Discussion of How Supportive Housing Can Support Wellness for People with Intellectual Disability

Durbin, Anna; Isaacs, Barry; Mauer-Vakil, Dane; Connelly, Jo; Steer, Lorie; Roy, Sylvain; Stergiopoulos, Vicky

doi:10.1007/s40474-018-0141-6

Cited by 22 publications

(17 citation statements)

References 42 publications

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“…Present findings support existing calls (Durbin et al 2018;Lougheed and Farrell 2013) to consider screening for intellectual functioning in programs that serve homeless individuals, and tailor interventions to better support this disadvantaged population. The prevalence of intellectual disabilities compared to borderline intellectual functioning among homeless people, and the experience of these groups with respect to homelessness and barriers to getting housed, should be examined in future work.…”

Section: Resultssupporting

confidence: 75%

Borderline Intellectual Functioning and Lifetime Duration of Homelessness among Homeless Adults with Mental Illness

Durbin

Lunsky

Nisenbaum

et al. 2018

hcpol

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This paper reports on the association between intellectual functioning and lifetime homelessness duration among 172 homeless adults with mental illness in Toronto, Canada. Using a standardized test of intellectual functioning, we created two groups: individuals with borderline or lower intellectual functioning (16%) and individuals with above borderline intellectual functioning (84%). Lifetime homelessness duration was approximately three years longer, or almost twice as long, for individuals with borderline or lower intellectual functioning. Implementing more systematic strategies for identifying and supporting individuals with cognitive impairments may hasten transitions out of homelessness for this population. Brief intellectual functioning assessment tools are available. Résumé Cet article porte sur les liens entre le fonctionnement intellectuel et la durée de l'itinérance dans le cas de 172 adultes itinérants ayant une maladie mentale à Toronto, Canada. Nous avons créé deux groupes au moyen d' un test normalisé portant sur le fonctionnement intellectuel. Ces deux groupes sont : les personnes qui présentent un fonctionnement intellectuel limite ou moins élevé (16 %) et les personnes qui présentent un fonctionnement intellectuel plus élevé que l'état limite (84 %). La durée de l'itinérance était approximativement trois ans plus longue, soit près de deux fois plus importante, chez les personnes ayant un fonctionnement intellectuel limite ou moins élevé. La mise en place de stratégies plus systématiques pour repérer et soutenir les personnes qui présentent des déficits cognitifs pourrait accélérer leur sortie de l'itinérance. Il existe des outils pratiques pour évaluer le fonctionnement intellectuel.

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Section: Resultssupporting

confidence: 75%

Borderline Intellectual Functioning and Lifetime Duration of Homelessness among Homeless Adults with Mental Illness

Durbin

Lunsky

Nisenbaum

et al. 2018

hcpol

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“…Although the study sample is small, the demographic and clinical characteristics of participants are similar to those described in other studies of this population, including multiple comorbid health conditions and complex support needs (Durbin, Isaacs, Mauer-Vakil, et al, 2018;Leedham, 2002;Van Straaten et al, 2014. Our findings of improved housing outcomes 12 months after programme enrolment are in keeping with previous studies of HF interventions for homeless adults with mental disabilities (Aubry et al, 2015;Durbin, Isaacs, Mauer-Vakil, et al, 2018;Stergiopoulos, Cusi, et al, 2015;;Stergiopoulos et al, 2019;Tsemberis & Eisenberg, 2000).…”

Section: Discussionsupporting

confidence: 84%

“…Adults with intellectual and developmental disabilities (IDD) are thought to be overrepresented among homeless populations, with a handful of small studies estimating a prevalence of 12% to 39% among homeless adults, compared to approximately 1% in the general population (Dubé, 2016; Durbin, Isaacs, Mauer‐Vakil, et al, 2018; Roy, Nuamah, Hewitt, Budin, & Svoboda, 2016). Although research describing the cognitive deficits, health status and support needs of adults with IDD experiencing homelessness is limited, available evidence suggests that this sub‐population faces unique and complex challenges (Durbin, Isaacs, Mauer‐Vakil, et al, 2018; Leedham, 2002; Van Straaten et al., 2014, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Building Bridges to Housing for homeless adults with intellectual and developmental disabilities: outcomes of a cross‐sector intervention

Reid

Kron

Lamanna

et al. 2020

Research Intellect Disabil

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Background: Adults with intellectual and developmental disabilities (IDD) have high rates of homelessness. This observational study evaluates Bridges to Housing, a cross-sector intervention offering immediate access to housing and supports to this population in Toronto, Canada. Methods: Twenty-six participants, enrolled between April 2016 and December 2017, were assessed at baseline, six and 12 months post-enrolment. Descriptive statistics and generalized linear modelling evaluated quality of life (QOL) and service needs outcomes. Twenty-one service users and providers participated in semi-structured interviews between August 2017 and June 2018 to elicit their experiences of the intervention, which were analysed thematically. Results: Twelve months post-enrolment, 24 participants were successfully housed and reported increased QOL scores (F(2,43) = 13.73, p = <.001) and decreased perceived unmet service needs (Wald χ 2 (2) = 12.93, p = .002). Individual-, interventionand system-level characteristics facilitated housing stability in this population. Conclusions: Cross-sector approaches can improve outcomes for homeless adults with IDD and may have an important role in supporting this marginalized population.

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“…With regard to contacts with the social environment, friendly relationships and activities with friends are closely associated with the subjective feeling of quality of life as confirmed in a research by Duvdevany and Arar [15]. Persons with ID who live in institutions and even those living with their families have an evident deficit in social interactions [16].…”

Section: Introductionmentioning

confidence: 81%

Stress factors in persons with intellectual disabilities in different types of housing

2020

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Introduction. Type of housing is of great importance for the overall quality of life and general psychosocial well-being of persons with intellectual disabilities, as evidenced by the results of numerous studies showing that people with intellectual disabilities living in institutions have a lower level of life satisfaction compared to those living in the open community. Material and Methods. In order to determine the levels of experienced stress related to the type of housing in people with intellectual disabilities, we carried out a study including 122 persons with intellectual disabilities living in different types of housing; in institutions (n = 51), with families (n = 38), and in the supported housing program (n = 33). The Life Stress Inventory was used for the purpose of this research. Results. The results showed that people who were included in the supported housing program experienced the least stress, compared to the subjects who lived with their families or in institutions (p < 0.001). Stress was the least prevalent in the supported housing program, but the other two groups had similar results. The presence of stress did not differ significantly between subjects living with their families and those living in institutions. Conclusion. We can conclude that subjects living in supported housing experienced significantly less stress compared to the other two groups. Different types of housing were associated with different levels of stress. Overall, negative interpersonal relationship was identified as the stress factor that correlated most significantly with other stress factors.

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Intellectual Disability and Homelessness: a Synthesis of the Literature and Discussion of How Supportive Housing Can Support Wellness for People with Intellectual Disability

Cited by 22 publications

References 42 publications

Borderline Intellectual Functioning and Lifetime Duration of Homelessness among Homeless Adults with Mental Illness

Borderline Intellectual Functioning and Lifetime Duration of Homelessness among Homeless Adults with Mental Illness

Building Bridges to Housing for homeless adults with intellectual and developmental disabilities: outcomes of a cross‐sector intervention

Stress factors in persons with intellectual disabilities in different types of housing

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