Homelessness Among Those with Mental Illness

The lack of mental health services available to the mentally-ill and the deinstitutionalization of mental health hospitals have created a public health concern. These issues along with a failed continuum of care plans and a lack of community mental health services have been major contributing factors to homelessness. In addition, the strict guidelines for psychiatric hospitalization are critical when analyzing homelessness. In many cases, only the critically ill are meeting clinical criteria for hospitalization, leaving those who have significant mental health problems to fend for themselves. The link between homelessness and mental health is acknowledged but requires reform.

Other housing needs for the mentally ill include specialized in- house primary care, health promotion programmes, open access mental services (accessible to all at any time, missed appointments are also tolerated), assertive management, street based service provision, holistic and generalist support apart from just clinical diagnosis, talking therapies and full access to mainstream services. Most importantly, the housed mentally ill persons have to be shielded from becoming homeless again. Such assurance that they will forever have a comfortable place to stay will relax their minds. This will go a long way in promoting their mental well being (Randall et al. 2006).

Homelessness is often accompanied by many other problems such as mental disorders, substance abuse issues, isolation from family and friends, and poor general health. Often time’s people that suffer from homelessness experience a lower quality of life than those who have a place to call home.

Seeing homelessness develop is a process that the older generation can say they have been apart of. The young generation, on the other hand, cannot say they have seen the development of homelessness. People who are thirty years old or younger have grown up believing that homelessness was always part of the landscape. The younger generation has come to believe that there have always been homeless people sitting on park benches. When an individual is asked what they see most in a large city like Chicago or New York, ‘homeless people’ is a common response. According to the United States Census Bureau, 320.8 million individuals currently live in the United States of America. Imagine the proportion of individuals that do not own a car or even a house to live in. The National Law Center on Homelessness and poverty did studied to conclude that in America more than 3.5 million people experience homelessness each year. Those concerned with the issue of homelessness are curious as to what events had to have happened that lead to the individuals living on the streets. The reasons are different for each and every person. Some of the more major issues that contribute to this are lack of affordable housing, declining welfare assistance, and most importantly, mental illness. Resolving the issue of homelessness is very possible with new ways of housing and treatment for the mentally ill. The relation between the homeless and the mental illness has risen, and the United States as a whole

Mental illness has played a pretty big role on homeless people and families. Researchers have said that most homeless people across the United States suffer from a mental illness. In the book The Glass Castle written by Jeannette Walls, there were multiple signs of mental illness within the author's parents. Homelessness can be caused by many reasons, but one of the main reasons for homelessness is mental illness. It is very likely that a person could have a mental illness before becoming homeless.

Homelessness as a result of deinstitutionalization in the US increased dramatically, tripling in 182 cities over the court of the 1980s (Bagenstos, 2012). In addition, mental health and substance abuse is a major problem in across the country because of homelessness. According to the Substance Abuse and Mental Health Services Administration,20 to 25% of the homeless population in the United States suffers from some form of severe mental illness (DMHAS, 2014). Consequently, mental illnesses disrupt people’s ability to carry out key aspects of daily life, such as self-care and household responsibilities. As a result of these factors and the stresses of living with a mental disorder, people with mentally illnesses are much more likely to become homeless than the general population (Karger, & Stoesz, 2014). Even if homeless individuals with mental illnesses are provided with housing, they are unlikely to achieve residential stability and remain off the streets unless they have access to continued treatment and services. In Connecticut there are a number of housing options that are in place like supportive housing. Research has shown that supported housing is effective for people with mental illnesses (DMHAS, 2014). Unfortunately, in Connecticut, lack of funding is a significant barrier to the successful implementation of supported housing programs. Because of homelessness people cycle between street corner, jail cell and hospital beds, in addition the homeless who are

However, in order to eliminate homelessness as a crisis in Canada, these individual factors must be analyzed alongside the structural influences that lead to homelessness. According to the literature, structural risk factors that contribute to homelessness are: transitioning from an institutional placement into the community, social policies such as a lack of affordable housing and the dismantling of national housing strategy, transferring the responsibility from federal to provincial governments, and discrimination (Gaetz 2010, 22; Piat et al. 2015, 2368). By acknowledging these structural risk-factors as contributing alongside individual factors, a social ecological viewpoint proves effective in preventing homelessness (Piat et al., 2379). As the literature suggests, the “social ecological perspective provides a lens for understanding homelessness in Canada as a complex social issue that warrants a coordinated response across sectors, levels of government, and society” (Piat et al., 2380). By considering the issue of homelessness across all levels of society, we are better prepared to formulate a proper and effective solution towards the national

In 2010, approximately 107,289 were chronically homeless. The national decrease in chronic homelessness was only about 10.6% from 2008 to 2009. Most people may not realize the difference between being homeless and being chronically homeless. However, these two are very similar but also very different. According to the United States Department of Housing and Urban Development (HUD), “chronically homeless individuals are those who have a disability, such as a mental illness, drug dependency, or a physical impairment, who have been living in a place unsuitable for habitation”(ECH pg. 1). Homelessness is a temporary condition where people can’t afford to pay for a place to live, or when a person’s house is not safe to live in. Some other factors that might come into being homeless are: job loss, physical or mental disabilities, and drug addiction (Dictionary.com). Chronic homelessness is a big problem in the United States, the Housing First Method will help to eliminate the amount of people in the United States that are chronically homeless.

In the United States, almost 2 people out of every 1000 people experience homelessness (National Alliance to End Homelessness). In 2014, statistics have revealed that on any given night, almost half a million people experienced homelessness. Many people have a misconception that homelessness simply means living on the street. The United States Department of Housing and Urban Development suggests homelessness is a whole spectrum. According to the HUD, people experiencing homelessness are people who don’t have a fixed and regular residence (shelter, house, hotel, etc…), people running away from all sorts of domestic violence and sexual abuse, and/or people living in places not intended for residence, such as streets, cars, etc...(U.S. Department of Housing and Urban Development). Regardless of what definition society uses, homelessness is, and will always be, unjust.

Homelessness has been a problem in the United States for well over a hundred years. Major economic downturns have always had a large role in effecting the homeless population. However, the deinstitutionalization of the psychiatric hospitals in America has greatly increased the size of the mentally ill homeless population, particularly in large urban areas. This increase in homelessness among people with

The issue my team chose to research and tackle was homelessness in the Ozarks. Specifically, we wanted to look at the demographics of the issue and then ultimately we wanted to look into the effects the issue of homelessness is having on another serious issue, mental illness, and vice versa. The Merriam-Webster Dictionary defines homelessness as one having no home or permanent place of residence. It defines mental illness as any of a broad range of medical conditions that are marked primarily by sufficient disorganization of personality, mind, or emotions to impair normal psychological functioning and cause marked distress or disability and that are typically associated with a disruption in normal thinking, feeling, mood, behavior, interpersonal interactions, or daily functioning. Some of the examples of mental illnesses given by Merriam-Webster are major depression, schizophrenia, obsessive-compulsive disorder, or panic disorder. The main aspects of the issue that will be covered are the current status of the issue, the causes, current organizations involved in finding solutions, and what more needs to be done.

The problems of homelessness and mental illness are inextricably intertwined. One way that mental illness impacts people's lives is that it oftentimes renders them unable to carry out the functions of daily life, such as keeping a job, paying their bills, and managing a household. In addition to disrupting the events of daily life, mental illness "may also prevent people from forming and maintaining stable relationships or cause people to misinterpret others' guidance and react irrationally" (National Coalition for the Homeless, 2009). What this means is that a population that is already vulnerable because of an inability to consistently manage self-care lacks the same safety net as much of the rest of society.

Critical time intervention (CTI) was designed to be bridge that filled the gap between institutionalization and transition into the community. The hope of CTI is to prevent homelessness among individuals suffering from mental illness as well as develop a step- by- step initiative that could combat the growing problem (Critical Time Intervention, 2012). Buchanan (2006) estimates that 3.5 million individuals are likely to experience homelessness in a given year (Sadowski, 2009). The epidemiology of homelessness suggest that serious mental illness is neither a necessity nor sufficient enough for homelessness. It suggests; however, that individuals suffering from socioeconomically difficulties could inevitably accompany serious mental illnesses to form the abundance of homeless individuals, considering the majority of homelessness is attributed to mental illness cases (Montgomery, 2013). The purpose of this EBP is to integrate critical time intervention with programs simulated by Medicaid and already established initiatives of the Affordable Care Act of 2014.

In our communication they made clear that they also looked at themes that did not match, such a voluntary leaving of the home. However, no member took into consideration metal health. All members also focused on the cause and problems of homelessness with no member viewing the possible solutions to it. An article by Bassuk, E., Rubin, L., & Lauriat, A. (1984). “Is homelessness a mental health problem?”  Looked at Seventy-eight homeless men, women, and children staying at an emergency shelters and found The vast majority have severe psychological illnesses that remained untreated. The authors discuss the relationship of mental health policy to the homeless and suggest that shelters have become alternative institutions to meet the needs of mentally ill people who are no longer cared for by departments of mental health. The findings of the management of metal issues for those who are homeless is mirrored by the case studies of Stephanie’s and Teresa’s mental health playing a large role in their homelessness. Fischer, P. J., & Breakey, W. R. (1991) in their “The epidemiology of alcohol, drug, and mental disorders among homeless persons” look into the prevalence of alcohol, drug, and mental disorders and the characteristics of homeless substance abusers and persons with mental illnesses. They found that prevalence rates of disorders are much higher in homeless

Understanding how both individual and structural factors contribute to and sustain homelessness is a critical factor in successfully addressing homelessness. All to often service providers blame homeless individuals for the circumstances they are in, making assumptions that substance abuse or other irresponsible behaviors have caused the problems leading to the individual to become homeless. Hoffman and Coffey (2008) suggest, “the perpetuation of homelessness is not internal to the homeless individual as many claim, but rather may be embedded in the service industry itself, which subjects both clients and providers to bureaucratic forms of authority and experiences of disrespect.” While not all homeless people suffer from mental illness or substance abuse, all of