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J R Soc Med 2007;100:46-50
doi:10.1258/jrsm.100.1.46
© 2007 Royal Society of Medicine

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J R Soc Med 2007;100:46-50
© 2007 The Royal Society of Medicine

A systematic review of cognition in homeless children and adolescents

Randolph W Parks Richard J Stevens   Sean A Spence

Academic Clinical Psychiatry, University of Sheffield School of Medicine, The Longley Centre, Norwood Grange Drive, Sheffield, England S5 7JT

Correspondence to Dr Randolph W Parks E-mail: r.parks{at}sheffield.ac.uk

Objectives The cognitive function of homeless children and adolescents may be overlooked, albeit understandably, when societal interventions focus on their immediate housing needs. Nevertheless, homelessness might be hypothesized to carry many risks for the developing mind and brain. We wanted to discover whether this hypothesis had been tested previously.

Design A systematic review to examine whether cognitive impairments were reported in homeless children and adolescents.

Setting Objective, systematic review of standard databases, examined by key word searches.

Participants Children and adolescents.

Main outcome measures Formal assessments of cognition.

Results We found that in spite of there being many homeless children in the world, fewer than 2000 have been assessed cognitively and reported in the literature. Yet when compared with those who are domiciled, these children tend to have lower intellectual functioning and decreased academic achievement. Furthermore, adolescents evince cognitive impairments in the contexts of drug, physical, and sexual abuse.

Conclusions We suggest that cognitive and mental health screening be incorporated into those intervention programs deployed to facilitate societal reintegration of homeless children and adolescents.


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