Cognitive Impairments

Diagnosis and Treatment of Traumatic Brain Injury (2011) | Webinar addressing the diagnosis and treatment of TBI in the homeless population.

Traumatic Brain Injury Among Homeless Persons: Etiology, Prevalence & Severity (2008) | This monograph by Jennifer L. Highley, PMHNP-BC, and published by the HCH Clinicians’ Network, describes the etiology, prevalence and severity of cognitive dysfunction as a result of traumatic brain injury (TBI) among persons experiencing homelessness. It is hoped that this information will improve our ability to identify, assess, diagnose, treat, house and create aftercare services for those homeless persons who have sustained TBI and other insults to the central nervous system. The paper concludes with a series of practice, administration and policy recommendations.

Cognitive Impairment & Homeless Individuals (2007) | PowerPoint presentation by Virginia Luchetti, EdD, licensed psychologist specializing in homeless services, Contra Costa County, California | 2007 National Health Care for the Homeless Conference | Washington, DC

Hidden Trauma: Studies Cite Head Injuries as Factor in Some Social Ills | New research suggests that hidden traumatic brain injuries can cause social or educational failure, such as alcoholism or homelessness. If broadly verified, the findings could have a significant impact in dealing with these difficulties.

Traumatic Brain Injury (2004) | Chapter from The Health Care of Homeless Persons | Boston Health Care for the Homeless Program

Clinical Guidelines

Adapting Your Practice: Recommendations for the Care of Patients Who Are Homeless or Unstably Housed Living with the Effects of Traumatic Brain Injury (2018) | National Health Care for the Homeless Council

Brain Injury Rehabilitation in Adults: A National Clinical Guideline (2013) | Scottish Intercollegiate Guidelines Network

Case Report

Traumatic Brain Injury in a Homeless Male (2008) | Traumatic brain injury (TBI) is a leading cause of disability in the United States, where about 1.4 million people have a reported head injury each year. There is evidence that homeless individuals experience a greater incidence of severe head injury than the general population. This case report illustrates the sequelae of a moderate traumatic brain injury and comorbidities in a young homeless adult.

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Relevant Articles

Additional Resources

  • TBI Central comprises the websites of the Rehabilitation Research & Training Center on Traumatic Brain Injury Interventions and the New York Traumatic Brain Injury Model System at Mount Sinai School of Medicine and The Mount Sinai Medical Center. These sites provide diverse resources-including training, research and publications-for service providers, researchers, people with TBI, and their family members. You can also be added to the TBI Central Mailing List.
  • Traumatic Brain Injury | Department of Health & Human Services, Centers for Disease Control & Prevention, National Center for Injury Prevention & Control – This site provides information for professionals and the general public regarding TBI. Topics include prevention, causes, outcomes and research. Data reports regarding TBI in the U. S., many free publications and fact sheets can be downloaded.
  • Traumatic Brain Injury Screening: An Introduction (2006) | Health Resources and Services Administration – This document describes 20 screening instruments currently used in a number of different systems (e.g., education and military) and shares the challenges faced as well as the lessons learned by States in developing and integrating these instruments into existing processes. It also has links to all the screening tools described.