Critical Characteristics of Housing and Housing Supports for Individuals with Concurrent Traumatic Brain Injury and Mental Health and/or Substance Use Challenges: A Qualitative Study

Traumatic brain injury (TBI) and mental health and/or substance use challenges (MHSU) are commonly co-occurring and prevalent in individuals experiencing homelessness; however, evidence suggests that systems of care are siloed and organized around clinical diagnoses. Research is needed to understand...

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Autores principales:	Maria Jennifer Estrella, Bonnie Kirsh, Pia Kontos, Alisa Grigorovich, Angela Colantonio, Vincy Chan, Emily Joan Nalder
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	housing homelessness traumatic brain injury mental illness substance use concurrent disorders Medicine R
Acceso en línea:	https://doaj.org/article/5d3371abdf8349d5aba3e9c78b70c7a0
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spelling	oai:doaj.org-article:5d3371abdf8349d5aba3e9c78b70c7a02021-11-25T17:52:02ZCritical Characteristics of Housing and Housing Supports for Individuals with Concurrent Traumatic Brain Injury and Mental Health and/or Substance Use Challenges: A Qualitative Study10.3390/ijerph1822122111660-46011661-7827https://doaj.org/article/5d3371abdf8349d5aba3e9c78b70c7a02021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12211https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Traumatic brain injury (TBI) and mental health and/or substance use challenges (MHSU) are commonly co-occurring and prevalent in individuals experiencing homelessness; however, evidence suggests that systems of care are siloed and organized around clinical diagnoses. Research is needed to understand how housing and housing supports are provided to this complex and understudied group in the context of siloed service systems. This study aimed to describe critical characteristics of housing and housing supports for individuals with concurrent TBI and MHSU from the perspectives of service users with TBI and MHSU and housing service providers. Using basic qualitative description, in-depth interviews were conducted with 16 service users and 15 service providers. Data were analyzed using thematic analysis techniques. Themes capture core processes in finding and maintaining housing and the critical housing supports that enabled them: (1) overcoming structural barriers through service coordination, education and awareness raising, and partnerships and collaborations; and (2) enabling engagement in meaningful activity and social connection through creating opportunities, training and skills development, and design of home and neighborhood environments. Implications for practice, including the urgent need for formalized TBI and MHSU education, support for service providers, and potential interventions to further enable core housing processes are discussed.Maria Jennifer EstrellaBonnie KirshPia KontosAlisa GrigorovichAngela ColantonioVincy ChanEmily Joan NalderMDPI AGarticlehousinghomelessnesstraumatic brain injurymental illnesssubstance useconcurrent disordersMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12211, p 12211 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	housing homelessness traumatic brain injury mental illness substance use concurrent disorders Medicine R
spellingShingle	housing homelessness traumatic brain injury mental illness substance use concurrent disorders Medicine R Maria Jennifer Estrella Bonnie Kirsh Pia Kontos Alisa Grigorovich Angela Colantonio Vincy Chan Emily Joan Nalder Critical Characteristics of Housing and Housing Supports for Individuals with Concurrent Traumatic Brain Injury and Mental Health and/or Substance Use Challenges: A Qualitative Study
description	Traumatic brain injury (TBI) and mental health and/or substance use challenges (MHSU) are commonly co-occurring and prevalent in individuals experiencing homelessness; however, evidence suggests that systems of care are siloed and organized around clinical diagnoses. Research is needed to understand how housing and housing supports are provided to this complex and understudied group in the context of siloed service systems. This study aimed to describe critical characteristics of housing and housing supports for individuals with concurrent TBI and MHSU from the perspectives of service users with TBI and MHSU and housing service providers. Using basic qualitative description, in-depth interviews were conducted with 16 service users and 15 service providers. Data were analyzed using thematic analysis techniques. Themes capture core processes in finding and maintaining housing and the critical housing supports that enabled them: (1) overcoming structural barriers through service coordination, education and awareness raising, and partnerships and collaborations; and (2) enabling engagement in meaningful activity and social connection through creating opportunities, training and skills development, and design of home and neighborhood environments. Implications for practice, including the urgent need for formalized TBI and MHSU education, support for service providers, and potential interventions to further enable core housing processes are discussed.
format	article
author	Maria Jennifer Estrella Bonnie Kirsh Pia Kontos Alisa Grigorovich Angela Colantonio Vincy Chan Emily Joan Nalder
author_facet	Maria Jennifer Estrella Bonnie Kirsh Pia Kontos Alisa Grigorovich Angela Colantonio Vincy Chan Emily Joan Nalder
author_sort	Maria Jennifer Estrella
title	Critical Characteristics of Housing and Housing Supports for Individuals with Concurrent Traumatic Brain Injury and Mental Health and/or Substance Use Challenges: A Qualitative Study
title_short	Critical Characteristics of Housing and Housing Supports for Individuals with Concurrent Traumatic Brain Injury and Mental Health and/or Substance Use Challenges: A Qualitative Study
title_full	Critical Characteristics of Housing and Housing Supports for Individuals with Concurrent Traumatic Brain Injury and Mental Health and/or Substance Use Challenges: A Qualitative Study
title_fullStr	Critical Characteristics of Housing and Housing Supports for Individuals with Concurrent Traumatic Brain Injury and Mental Health and/or Substance Use Challenges: A Qualitative Study
title_full_unstemmed	Critical Characteristics of Housing and Housing Supports for Individuals with Concurrent Traumatic Brain Injury and Mental Health and/or Substance Use Challenges: A Qualitative Study
title_sort	critical characteristics of housing and housing supports for individuals with concurrent traumatic brain injury and mental health and/or substance use challenges: a qualitative study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/5d3371abdf8349d5aba3e9c78b70c7a0
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Critical Characteristics of Housing and Housing Supports for Individuals with Concurrent Traumatic Brain Injury and Mental Health and/or Substance Use Challenges: A Qualitative Study

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