TY  - JOUR
PY  - 2024//
TI  - Exploring the role of rehabilitation medicine within an inclusion health context: examining a population at risk from homelessness and brain injury in Edinburgh
JO  - International journal of environmental research and public health
A1  - Eshun, Edwin
A1  - Burke, Orla
A1  - Do, Florence
A1  - Maciver, Angus
A1  - Mathur, Anushka
A1  - Mayne, Cassie
A1  - Mohamed Jemseed, Aashik Ahamed
A1  - Novak, Levente
A1  - Siddique, Anna
A1  - Smith, Eve
A1  - Tapia-Stocker, David
A1  - FitzGerald, Alasdair
SP  - e769
EP  - e769
VL  - 21
IS  - 6
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph21060769
ID  - ref1
ER  -