ArticleFrontiers in psychiatry2026
Systems and policy factors affecting service delivery for homeless adults with intellectual and developmental disabilities.
Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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3 authors.
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Abstract
Background: Intellectual and developmental disability (IDD) is characterized by impairment of cognitive function that results in daily living limitations. Adults with IDD face barriers to meeting basic needs and must navigate multiple public systems to access services. The housing affordability crisis has contributed to a disproportionate overrepresentation of adults with IDD who experience homelessness. Little evidence has articulated the unique systems- and policy-level issues facing homeless adults with IDD. Objective: The purpose of this study was to 1) map the systems with which adults with IDD who experience homelessness must interface in order to access needed services and 2) describe the systems- and policy-level issues impacting service delivery and care coordination of this population. Methods: This qualitative study interviewed professionals providing disability, homeless, and/or social care services to adults experiencing homelessness between March and June 2021. Data were analyzed using qualitative content analysis. Results: Participants ( Conclusion: Homeless adults with IDD exist in a nearly perpetual process of cycling through public systems, and health equity cannot be attained without attention to the structural ableism that is embedded throughout. Findings highlight the importance of moving away from a crisis-driven model of care to a cohesive care ecosystem, and future research is needed to develop and test models of care that eliminate system churn so that all individuals are supported.
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