The prevalence of cognitive impairment was assessed among a cohort of homel
ess men and women selected randomly from the dining rooms of the seven larg
est hostels offering emergency shelter in inner Sydney. They were interview
ed using sections of the Composite International Diagnostic interview 2.0.
A total of 204 subjects (155 men and 49 women) were interviewed, of whom 20
(10 percent) showed evidence of cognitive impairment as assessed by the Mi
ni Mental State Examination, Subjects with cognitive impairment were signif
icantly older than those without impairment (mean ages of 57 and 41, respec
tively). Reasons for cognitive impairment among homeless individuals are co
mplex and remain to be elucidated.