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The Economic Consequences of Homelessness in The US

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Below are their edited responses to common questions about mental illness and<br />

homelessness:<br />

Are most homeless people mentally ill?<br />

A relatively small percentage <strong>of</strong> all homeless people nationwide — 13% to 15% — are<br />

mentally ill, but their symptoms — paranoia and delusions — draw attention and<br />

mislead others <strong>in</strong>to th<strong>in</strong>k<strong>in</strong>g their numbers are greater, Culhane said.<br />

However, Los Angeles’ homeless population skews heavily to s<strong>in</strong>gle adults who have<br />

lived <strong>in</strong> the streets a year or longer — a subgroup with a high <strong>in</strong>cidence <strong>of</strong> mental health<br />

issues. Local authorities estimate that 30% <strong>of</strong> the county’s homeless people have<br />

serious mental illness.<br />

Does chronic homelessness cause mental illness, or is it the other way around?<br />

Lipka said employees at his agency don’t see people develop<strong>in</strong>g serious mental illness<br />

by virtue <strong>of</strong> their homelessness. But “I do believe long-term isolation can lead to mental<br />

illness,” said Steve Elam, Step Up lead life skills coord<strong>in</strong>ator.<br />

Culhane said severely mentally ill people sometimes get treatment and aid that prevents<br />

them from becom<strong>in</strong>g homeless.<br />

How many homeless people are physically or mentally disabled?<br />

Page 81 <strong>of</strong> 289

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