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Homeless adults with mental illness and a history of traumatic brain injury are also more likely to use emergency departments, report unmet health care needs and have contact with the criminal justice system than those without a history, according to a study published today in the Journal of Psychiatric Research. This population also experienced an increased likelihood of being suicidal or having previously attempted suicide, the study said. “Though it didn’t prove a causal relationship, our research demonstrates that there is an association between specific mental health diagnoses and traumatic brain injury,” said Dr. Stephen Hwang, lead author of the study and director of the Centre for Urban Health Solutions of St. Michael’s Hospital. “Head injuries are clearly a significant burden to people who are homeless or vulnerably housed, and we need to consider offering specialized services such as clinical treatment plans and supportive housing to help alleviate that burden.” Approximately 53 per cent of homeless adults with a mental illness had a reported history of traumatic brain injury, which is comparable to the rate of reported traumatic brain injury in the general homeless population. Aboriginal participants were two times more likely than Caucasian participants to have a reported history of TBI. All 2,088 study participants had a severe mental illness diagnosis with or without a diagnosis of a substance use disorder. Nearly all mental health and both alcohol and substance misuse diagnoses were associated with increased likelihood of a history of TBI in the study sample, with the exception of psychosis. Although all participants had a mental illness, participants with specific mental illnesses were substantially more likely to have reported a history of TBI, most notably post-traumatic stress disorder (three times more likely than those without the disorder), panic disorder (2.5 times), depression (two times) and alcohol misuse disorder (two times).
For the original version including any supplementary images or video, visit https://www.eurekalert.org/pub_releases/2016-12/smh-hot122016.php
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