Skip to content

Cognitive impairment and homelessness: A scoping review

Research output: Contribution to journalReview article

Standard

Cognitive impairment and homelessness : A scoping review. / Stone, Beth; Dowling, Sandra; Cameron, Ailsa; Patsios, Demi.

In: Health and Social Care in the Community, Vol. 27, No. 4, 01.07.2019, p. e125-e142.

Research output: Contribution to journalReview article

Harvard

APA

Vancouver

Author

Stone, Beth ; Dowling, Sandra ; Cameron, Ailsa ; Patsios, Demi. / Cognitive impairment and homelessness : A scoping review. In: Health and Social Care in the Community. 2019 ; Vol. 27, No. 4. pp. e125-e142.

Bibtex

@article{d02339d0879145d3b53f9681559c93d7,
title = "Cognitive impairment and homelessness: A scoping review",
abstract = "This paper reports the findings of a scoping review designed to identify research which has explored the relationship between cognitive impairment and homelessness. A systematic search of databases for articles published between 2007 and 2017 was conducted using keywords relating to cognitive impairments and homelessness. Sources were expanded using manual searches of citations and grey literature. Forty studies represented in 45 papers were selected for review using predefined inclusion criteria. Sources were subject to quality appraisal and data was extracted in line with review questions. Prevalence studies were overrepresented in the review, whilst qualitative data was lacking. Aetiology of impairments was delineated by acquired and developmental causes. A variety of measures were employed by studies which were not validated in homeless populations. Studies did not give sufficient consideration to co-occurring disorders and overlapping symptoms between aetiologies. Because of these factors, it was difficult to conclude all studies had accurately measured what they set out to, however, the evidence suggested cognitive impairment was disproportionately over-represented in homeless populations. Cognitive impairment was found to be both a risk factor to and perpetuator of homelessness. Risk factors for homelessness were similar to those of the general population, though exaggerated by sequalae of certain cognitive impairments. The results of this review suggest more attention needs to be paid to the underlying socio-economic disadvantages persons with cognitive impairments face which may lead to homelessness. Further research should prioritise the voice of homeless persons with cognitive impairments, to better understand both causes of homelessness and effective methods of rehabilitation.",
keywords = "brain injury, cognitive impairment, developmental disabilities, homelessness, scoping review",
author = "Beth Stone and Sandra Dowling and Ailsa Cameron and Demi Patsios",
year = "2019",
month = "7",
day = "1",
doi = "10.1111/hsc.12682",
language = "English",
volume = "27",
pages = "e125--e142",
journal = "Health and Social Care in the Community",
issn = "0966-0410",
publisher = "Wiley",
number = "4",

}

RIS - suitable for import to EndNote

TY - JOUR

T1 - Cognitive impairment and homelessness

T2 - A scoping review

AU - Stone, Beth

AU - Dowling, Sandra

AU - Cameron, Ailsa

AU - Patsios, Demi

PY - 2019/7/1

Y1 - 2019/7/1

N2 - This paper reports the findings of a scoping review designed to identify research which has explored the relationship between cognitive impairment and homelessness. A systematic search of databases for articles published between 2007 and 2017 was conducted using keywords relating to cognitive impairments and homelessness. Sources were expanded using manual searches of citations and grey literature. Forty studies represented in 45 papers were selected for review using predefined inclusion criteria. Sources were subject to quality appraisal and data was extracted in line with review questions. Prevalence studies were overrepresented in the review, whilst qualitative data was lacking. Aetiology of impairments was delineated by acquired and developmental causes. A variety of measures were employed by studies which were not validated in homeless populations. Studies did not give sufficient consideration to co-occurring disorders and overlapping symptoms between aetiologies. Because of these factors, it was difficult to conclude all studies had accurately measured what they set out to, however, the evidence suggested cognitive impairment was disproportionately over-represented in homeless populations. Cognitive impairment was found to be both a risk factor to and perpetuator of homelessness. Risk factors for homelessness were similar to those of the general population, though exaggerated by sequalae of certain cognitive impairments. The results of this review suggest more attention needs to be paid to the underlying socio-economic disadvantages persons with cognitive impairments face which may lead to homelessness. Further research should prioritise the voice of homeless persons with cognitive impairments, to better understand both causes of homelessness and effective methods of rehabilitation.

AB - This paper reports the findings of a scoping review designed to identify research which has explored the relationship between cognitive impairment and homelessness. A systematic search of databases for articles published between 2007 and 2017 was conducted using keywords relating to cognitive impairments and homelessness. Sources were expanded using manual searches of citations and grey literature. Forty studies represented in 45 papers were selected for review using predefined inclusion criteria. Sources were subject to quality appraisal and data was extracted in line with review questions. Prevalence studies were overrepresented in the review, whilst qualitative data was lacking. Aetiology of impairments was delineated by acquired and developmental causes. A variety of measures were employed by studies which were not validated in homeless populations. Studies did not give sufficient consideration to co-occurring disorders and overlapping symptoms between aetiologies. Because of these factors, it was difficult to conclude all studies had accurately measured what they set out to, however, the evidence suggested cognitive impairment was disproportionately over-represented in homeless populations. Cognitive impairment was found to be both a risk factor to and perpetuator of homelessness. Risk factors for homelessness were similar to those of the general population, though exaggerated by sequalae of certain cognitive impairments. The results of this review suggest more attention needs to be paid to the underlying socio-economic disadvantages persons with cognitive impairments face which may lead to homelessness. Further research should prioritise the voice of homeless persons with cognitive impairments, to better understand both causes of homelessness and effective methods of rehabilitation.

KW - brain injury

KW - cognitive impairment

KW - developmental disabilities

KW - homelessness

KW - scoping review

UR - http://www.scopus.com/inward/record.url?scp=85056397770&partnerID=8YFLogxK

U2 - 10.1111/hsc.12682

DO - 10.1111/hsc.12682

M3 - Review article

C2 - 30421478

AN - SCOPUS:85056397770

VL - 27

SP - e125-e142

JO - Health and Social Care in the Community

JF - Health and Social Care in the Community

SN - 0966-0410

IS - 4

ER -