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The Economic Consequences of Homelessness in The US

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IV. Mental Health<br />

Mental Health<br />

<strong>The</strong> Canadian Observatory on <strong>Homelessness</strong>/Homeless Hub<br />

People with poor mental health are more susceptible to the three ma<strong>in</strong> factors that can<br />

lead to homelessness: poverty, disaffiliation, and personal vulnerability. Because they<br />

<strong>of</strong>ten lack the capacity to susta<strong>in</strong> employment, they have little <strong>in</strong>come. Delusional<br />

th<strong>in</strong>k<strong>in</strong>g may lead them to withdraw from friends, family and other people. This loss <strong>of</strong><br />

support leaves them fewer cop<strong>in</strong>g resources <strong>in</strong> times <strong>of</strong> trouble. Mental illness can also<br />

impair a person’s ability to be resilient and resourceful; it can cloud th<strong>in</strong>k<strong>in</strong>g and impair<br />

judgment. For all these reasons, people with mental illness are at greater risk <strong>of</strong><br />

experienc<strong>in</strong>g homelessness.<br />

<strong>Homelessness</strong>, <strong>in</strong> turn,<br />

amplifies poor mental<br />

health. <strong>The</strong> stress <strong>of</strong><br />

experienc<strong>in</strong>g<br />

homelessness may<br />

exacerbate previous<br />

mental illness and<br />

encourage anxiety, fear,<br />

depression,<br />

sleeplessness and<br />

substance use. <strong>The</strong><br />

needs <strong>of</strong> people<br />

experienc<strong>in</strong>g<br />

homelessness with<br />

mental illnesses are<br />

similar to those without<br />

mental illnesses: physical<br />

safety, education,<br />

transportation, affordable<br />

hous<strong>in</strong>g, and affordable<br />

medical/dental treatment.<br />

When provid<strong>in</strong>g care to<br />

those experienc<strong>in</strong>g<br />

homelessness, it is<br />

essential to create a nonthreaten<strong>in</strong>g<br />

and supportive atmosphere, address basic needs (e.g. food and shelter),<br />

and provide accessible care.<br />

People with mental illness experience homelessness for longer periods <strong>of</strong> time and<br />

Page 79 <strong>of</strong> 289

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