Homelessness Resources

Intersectionality with Brain Injury

Traumatic Brain Injury is both a cause and consequence of homelessness. Over half of those who are homeless or are in an insecure living situation have a TBI. Twenty-five percent of those were moderate to severe brain injuries. (10Xs higher than the general population). They have poorer general health and functioning than people who are homeless without brain injury. More than half experience their first TBI before becoming homeless. People who are homeless and have a TBI are more likely to report childhood trauma or violence.

Common Challenges in people who are homeless and have a TBI include: memory and new learning, attention, speed of processing, headaches, dizziness and balance Issues, problem-solving, impulse control, communication, irritability, frustration and agitation. These changes may make it harder to budget, apply for housing, pay rent, hold a job, maintain a property, remember appointments, remember to take medication, communicate needs, and be aware that they need services. Best practice when working with someone with a TBI who is homeless is to screen for prior history of Brain Injury, screen for deficits if they have a prior history, teach them to use accommodation and have staff use accommodations, and follow up more often and longer.