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Article

The Unmet Rehabilitation Needs in an Inclusion Health Integrated Care Programme for Homeless Adults in Dublin, Ireland

1
School of Medicine, University College Dublin, D04 V1W8 Dublin, Ireland
2
National Rehabilitation Hospital, A96 E2H2 Dublin, Ireland
3
St James’s Hospital, D08 NHY1 Dublin, Ireland
4
School of Medicine, Trinity College, D02 PN40 Dublin, Ireland
*
Author to whom correspondence should be addressed.
Academic Editors: Cesar Fernández-de-las-Peñas and Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(15), 7917; https://doi.org/10.3390/ijerph18157917
Received: 26 May 2021 / Revised: 23 June 2021 / Accepted: 6 July 2021 / Published: 27 July 2021
(This article belongs to the Special Issue Health and Homelessness)
Background: People who become homeless have higher morbidity and mortality, use a disproportionate amount of healthcare resources, and generate a large volume of potentially preventable healthcare and other costs compared to more privileged individuals. Although access to rehabilitation is a human right under article 26 of the United Nations Convention on the Rights of Persons with Disabilities, the rehabilitation needs of individuals with homelessness have not been explored, and this project’s purpose was to establish a baseline of need for this cohort. Methods: A prospective audit of case discussions at an inclusion health service over a 2-month period in 2018. Results: Four multidisciplinary inclusion health clinics were observed with over 20 cases discussed in each and data were extracted using a bespoke audit data extraction tool. The inclusion health needs were diverse and complex with many unmet rehabilitation needs. Physical and cognitive rehabilitation needs were identified in over 50% of cases discussed. Musculoskeletal problems and acquired brain injuries were the most common cause of activity limitation. Most had concurrent medical conditions and addiction and/or mental health needs. None had access to rehabilitation services. Conclusion: The results of this study show that the rehabilitative needs of this cohort are significant and are not being met through traditional models of care. We are currently exploring innovative ways to provide appropriate services to these individuals. View Full-Text
Keywords: inclusion health; homelessness; disability; rehabilitation; integrated care; acquired brain injury; addiction; musculoskeletal inclusion health; homelessness; disability; rehabilitation; integrated care; acquired brain injury; addiction; musculoskeletal
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MDPI and ACS Style

Carroll, Á.; O’Brien, S.; Harrington, D.; Cheallaigh, C.N.; Lawlee, A.-M.; Sukumar, P. The Unmet Rehabilitation Needs in an Inclusion Health Integrated Care Programme for Homeless Adults in Dublin, Ireland. Int. J. Environ. Res. Public Health 2021, 18, 7917. https://doi.org/10.3390/ijerph18157917

AMA Style

Carroll Á, O’Brien S, Harrington D, Cheallaigh CN, Lawlee A-M, Sukumar P. The Unmet Rehabilitation Needs in an Inclusion Health Integrated Care Programme for Homeless Adults in Dublin, Ireland. International Journal of Environmental Research and Public Health. 2021; 18(15):7917. https://doi.org/10.3390/ijerph18157917

Chicago/Turabian Style

Carroll, Áine, Siobhan O’Brien, Dee Harrington, Clíona N. Cheallaigh, Ann-Marie Lawlee, and Prasanth Sukumar. 2021. "The Unmet Rehabilitation Needs in an Inclusion Health Integrated Care Programme for Homeless Adults in Dublin, Ireland" International Journal of Environmental Research and Public Health 18, no. 15: 7917. https://doi.org/10.3390/ijerph18157917

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