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Challenges associated with screening for traumatic brain injury among US veterans seeking homeless services
Leah M Russell1, Maria D Devore, Sean M Barnes
1Leah M. Russell, Maria D. Devore, Sean M. Barnes, Jeri E. Forster, Trisha A. Hostetter, and Lisa A. Brenner are with the Veterans Integrated Service Network (VISN) 19 Mental Illness Research, Education and Clinical Center (MIRECC), Denver, CO. Ann Elizabeth Montgomery and Vincent Kane are with the Veterans Affairs National Center on Homelessness Among Veterans, Philadelphia, PA. Roger Casey is with the Veterans Affairs National Center on Homelessness Among Veterans, Tampa, FL. Vincent Kane is a guest editor for this supplement issue.
Abstract:
We identified the prevalence of traumatic brain injury (TBI) among homeless veterans and assessed the TBI-4, a screening tool created to identify TBI history. Between May 2010 and October 2011, 800 US veterans from two hospitals, one eastern (n = 122) and one western (n = 678) completed some or all measures. Findings suggested that 47% of veterans seeking homeless services had a probable history of TBI (data for prevalence obtained only at the western hospital). However, psychometric results from the screening measure suggested that this may be an underestimate and supported comprehensive assessment of TBI in this population.

