Commentary calls for dementia-level support to address cognitive impairment in homelessness
Cognitive impairment is a prevalent but often unaddressed factor in chronic homelessness, and it must be addressed to help reduce homelessness, argues the author of a commentary published in CMAJ
This commentary in the Canadian Medical Association Journal highlights the urgent need to address cognitive impairment in chronic homelessness. Dr. Sumantra Monty Ghosh, an addiction medicine specialist and associate professor at the University of Alberta, argues that cognitive dysfunction among homeless individuals often goes unrecognized and unaddressed, exacerbating their struggles to live independently.
Various factors, such as fetal alcohol syndrome disorder, childhood trauma, traumatic brain injury, substance use disorders, and mental health conditions, can contribute to cognitive impairment in this vulnerable population. Rather than adopting a one-size-fits-all approach, Dr. Ghosh advocates for dementia-level care, including 24-hour supervision, brain rehabilitation, and structured support beyond conventional interventions like Housing First.
Routine screening is crucial for identifying individuals with cognitive impairment and providing them with the appropriate care and support they need to address their complex needs. The commentary emphasizes that reframing chronic homelessness as a cognitive impairment crisis is essential, as many people experiencing chronic homelessness have substantial brain injuries.
By focusing on this often-overlooked aspect of chronic homelessness, Canada can achieve meaningful improvements in outcomes for vulnerable unhoused individuals and their communities.
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