The Impact of COVID-19 on Access to Resources among Individuals Experiencing Homelessness and Traumatic Brain Injury

Stephanie Chassman, Blair Bacon, Sara Chaparro Rucobo, Grace Sasser, K. Calhoun, Emily J. Goodwin, K. Gorgens, Daniel Brisson
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Abstract

The rates of traumatic brain injury (TBI) are higher among individuals experiencing homelessness compared with the general population. Individuals experiencing homelessness and a TBI may experience barriers to care. COVID-19 may have further impacted access to basic resources, such as food, shelter, and transportation for individuals experiencing homelessness. This study aimed to answer the following research question: What is the impact of COVID-19 on access to resources among individuals experiencing homelessness and TBI? A cross-sectional study design and purposive sampling were utilized to interview 38 English-speaking adults experiencing homelessness and who had sustained a TBI (ages 21–73) in one Colorado city. Qualitative questions related to the impact of COVID-19 were asked and qualitative analysis was used to analyze the responses. Three primary themes emerged regarding the types of resources that were restricted by COVID-19: basic/biological needs, financial needs, and a lack of connection. COVID-19 has shown the social work field the need for continued innovation and better practice standards for individuals who are not housed. For those living with a reported TBI history and experiencing homelessness, COVID-19 made it difficult to access basic services for survival.
2019冠状病毒病对无家可归者和创伤性脑损伤者获取资源的影响
与一般人群相比,无家可归者的创伤性脑损伤(TBI)发生率更高。无家可归和创伤性脑损伤的人可能会遇到护理障碍。COVID-19可能进一步影响了无家可归者获得食物、住所和交通等基本资源的机会。本研究旨在回答以下研究问题:2019冠状病毒病对无家可归者和脑外伤患者获取资源的影响是什么?采用横断面研究设计和有目的的抽样,在科罗拉多州的一个城市采访了38名说英语的无家可归的成年人,他们经历了创伤性脑损伤(21-73岁)。提出了与COVID-19影响相关的定性问题,并使用定性分析来分析回答。关于受COVID-19限制的资源类型,出现了三个主要主题:基本/生物需求、财务需求和缺乏联系。2019冠状病毒病向社会工作领域表明,需要不断创新,并为没有住房的个人制定更好的实践标准。对于那些报告有创伤性脑损伤病史并无家可归的人来说,COVID-19使他们难以获得基本的生存服务。
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