The Disturbing Link Between Brain Injury And Homelessness

The Disturbing Link Between Brain Injury And Homelessness
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A new study finds that almost half of homeless men surveyed suffered a traumatic brain injury in the past -- most of which occurred before the men lost their homes.

The finding could lead to a greater understanding about how current behavioral issues among the homeless could in fact be rooted in an injury that happened a long time ago, said lead researcher Jane Topolovec-Vranic, Ph.D., to The Huffington Post.

Researchers at St. Michael's Hospital in Toronto surveyed 111 homeless men and found that 45 percent of them had suffered at least one traumatic brain injury (or TBI) in their life, and 87 percent of those injuries occurred before they were homeless. Among the general population, TBI rates are estimated to be 12 percent, according to a 2013 meta-analysis of studies from developed countries.

"I'm not saying that traumatic brain injuries will lead to homelessness," said Topolovec-Vranic. "It's very complex, and there are a number of factors," like mental illness, substance abuse and poverty.

"But the data do show that the majority of these men sustained at least one injury before they became homeless," Topolovec-Vranic continued. "And for the most part, on average, these injuries occurred in early teenage years."

Traumatic brain injuries can range from mild to severe. Most concussions, for instance, are an example of a mild TBI. Severe TBIs, in which the brain moves against the skull or is injured by a penetrating object, can impair cognitive and motor function. They can also cause people to fall into comas or have amnesia.

Topolovec-Vranic's study found that most of the study participants had suffered only mild to moderate TBIs at some point in the past.

The participants were recruited from a downtown Toronto men's shelter and aged 27 to 81. Forty-four percent of total TBIs were sustained during sports or recreation, while 42 percent were from car collisions or falls. The largest share of TBIs, however, was from assault (60 percent).

For men under 40 years old, the leading cause of TBI was drug or alcohol blackout, while in those over 40 years old, assault was the leading cause of TBIs.

Because 70 percent of the TBI injuries were sustained as a child or teen, there is a take-home message for parents, too, said Topolovec-Vranic. If you're a parent of a teenager who may have sustained a concussion or traumatic brain injury, for instance, be sure to watch for sudden dramatic changes in behavior or personality. Topolovec-Vranic admits it can be a struggle to stay vigilant, however.

"It's such a difficult time because there are so many dramatic personality and behavioral changes that happen in those teenage years," said Topolovec-Vranic. "It might be difficult to link it back to having had an injury, and sometimes kids don't even tell their parents they've had their concussions."

Topolovec-Vranic's research echoes another recent Canadian study published in the Journal of Head Trauma Rehabilitation that found up to 61 percent of homeless or "vulnerably housed" people have also suffered a TBI.

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Before You Go

The Homeless Struggle During The Polar Vortex
(01 of16)
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A homeless man who wanted to be identified as John, tries to stay warm on a steam grate in Washington. (credit:AP Photo/ Evan Vucci)
(02 of16)
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Project H.O.M.E. Outreach Response Worker Sam Santiago encourages Carl, a homeless man, to come in out of the cold in Philadelphia. (credit:AP Photo/Matt Rourke)
(03 of16)
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Prince, who is homeless, sits on a subway grate to keep warm on a frigid day in New York. (credit:Photo by Spencer Platt/Getty Images)
(04 of16)
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A homeless man steels himself against single-digit temperatures with blankets and a jet of warm air coming up from the McPhearson Square Metro station beneath the Department of Veterans Affairs in Washington. (credit:Chip Somodevilla/Getty Images)
(05 of16)
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A homeless man bundled against the cold walks at McPherson Square as temperatures dipped into the single digits Fahrenheit and minus degrees with the wind chill in Washington. (credit:Getty Images)
(06 of16)
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Homeless men try to get sleep at a Metro station entrance in Washington. (credit:Getty Images)
(07 of16)
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A woman bundled against the cold walks past a homeless man in McPherson Square, Washington. (credit:Getty Images)
(08 of16)
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A homeless man bundled against the cold, tries to get some sleep at the Metro station in Washington. (credit:KAREN BLEIER/AFP/Getty Images)
(09 of16)
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A homeless man goes through the trash as temperatures dipped into the single digits in Washington. (credit:KAREN BLEIER/AFP/Getty Images)
(10 of16)
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Project H.O.M.E. Outreach Response Worker Sam Santiago, right, encourages Ramon Perez of Mexico who is homeless, to come in out of the cold in Philadelphia. (credit:AP Photo/Matt Rourke)
(11 of16)
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Michael Best, right, and others who identified themselves as homeless, use donated wood and a fire barrel to keep warm in Knoxville. (credit:AP Photo/Knoxville News Sentinel, Michael Patrick)
(12 of16)
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Nicholas Simmons, 20, of Greece, N.Y., left, warms himself on a steam grate with three homeless men by the Federal Trade Commission, just blocks from the Capitol, during frigid temperatures in Washington. (credit:AP Photo/Jacquelyn Martin)
(13 of16)
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Simmons disappeared from his parents house in a small upstate New York town, leaving behind his wallet, cellphone and everything else. Four days later, an Associated Press photographer, looking for a way to illustrate unusually cold weather, took his picture as he warmed himself on a steam grate. (credit:AP Photo/Jacquelyn Martin)
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Four homeless men warm themselves on a steam grate by the Federal Trade Commission. (credit:AP Photo/Jacquelyn Martin)
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Nick warms himself on a steam grate with three other homeless men. (credit:AP Photo/Jacquelyn Martin)
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Victoria Morris, 28, panhandles in Portland, Maine, where the temperature at dusk was 7 degrees Fahrenheit. Morris, who is homeless, decided to seek shelter when she could no longer feel her toes. (credit:AP Photo/Robert F. Bukaty)