Exploring the Role of Rehabilitation Medicine within an Inclusion Health Context: Examining a Population at Risk from Homelessness and Brain Injury in Edinburgh
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Abstract
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.
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Cites
Using thematic analysis in psychology
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“The final themes reflect “patterns of shared meaning” that are methodologically consistent with our reflexive approach, as further defined by Braun and Clark [23,24].”
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The ICF Model of Functioning and Disability: Incorporating Quality of Life and Human Development
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- Authors
- Eshun, E., Burke, O., Do, F., Maciver, A., Mathur, A., Mayne, C., Mohamed Jemseed, A. A., Novak, L., Siddique, A., Smith, E., Tapia-Stocker, D., & FitzGerald, A.
- Affiliations
- NHS Lothian (GB)
- Edinburgh Medical School, College of Medicine & Veterinary Medicine, University of Edinburgh, 47 Little France Crescent, Edinburgh EH16 4TJ, UK
- University of Edinburgh (GB)
- Corresponding author
- Eshun, Edwin
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2024-06-14
- Volume
- 21
- Issue
- 6
- Pages
- 769
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC11203637
- OpenAlex
- W4399672474
- Cited by
- 6
- References
- 9
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 1
- FWCI
- 3.50
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- Preprints.org (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Keywords
- homelessness, traumatic brain injury, rehabilitation medicine, inclusion health, mental illness, infection, barriers to care, interdisciplinary care teams, psychological trauma, prevalence, Edinburgh
- MeSH terms
- Brain Injuries, Traumatic, Adult, Aged, Mental Disorders, Brain Injuries, Female, Ill-Housed Persons, Humans, Male, Middle Aged, Prevalence, Young Adult
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