The inter-relationship between acquired brain injury, substance use and homelessness; the impact of adverse childhood experiences: an interpretative phenomenological analysis study
| Autor: | Mark Holloway, Alyson Norman, Christian D Adshead |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
030506 rehabilitation medicine.medical_specialty Substance-Related Disorders medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Adverse Childhood Experiences Medicine Humans Cognitive decline Psychiatry Child Acquired brain injury Alcohol Use Disorders Identification Test Rehabilitation Interpretative phenomenological analysis business.industry medicine.disease Mental health Substance abuse Alcoholism Brain Injuries Ill-Housed Persons 0305 other medical science business Psychosocial 030217 neurology & neurosurgery |
| DOI: | 10.6084/m9.figshare.11356802.v1 |
| Popis: | Acquired Brain Injuries, caused by a range of illnesses and injuries, can lead to long-term difficulties for individuals; mental health problems, cognitive and executive impairment and psychosocial problems including relationship breakdown, substance abuse and potentially homelessness. The study aimed to seek and gain a more definitive understanding of the inter-relationship of Acquired Brain Injury, substance abuse and homelessness by identifying key themes associated with the inter-relationship between these variables. The study recruited eight participants through homeless organisations and treatment centres. Participants were screened for suitability (Brain Injury Screening Index; Drug Abuse Screening Tool; Alcohol Use Disorders Identification Test and then participated in recorded semi-structured interviews, transcribed and analysed using Interpretative Phenomenological Analysis. The study identified five master themes: Adverse Childhood Experiences and Trauma; Mental Health; Cognitive Decline and Executive Function; Services; Relationships. Healthcare professionals need to engage with children, their families, and adults, who have been exposed to adverse childhood experiences and should employ routine screening tools for brain injury to ensure their presence is factored into developing appropriate models of intervention.IMPLICATIONS FOR REHABILITATIONNeed person-centred approaches to intervention for those with acquired brain injury who are homeless and have substance abuse issues.Need to screen for the presence of acquired brain injury when engaging with individuals who are homeless or have substance abuse.Need screening of acquired brain injury and adverse childhood experiences to improve access to services post-brain injury. Need person-centred approaches to intervention for those with acquired brain injury who are homeless and have substance abuse issues. Need to screen for the presence of acquired brain injury when engaging with individuals who are homeless or have substance abuse. Need screening of acquired brain injury and adverse childhood experiences to improve access to services post-brain injury. |
| Databáze: | OpenAIRE |
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