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Mental Illness Does Not Cause Homelessness

6 hours ago
  • #public-policy
  • #housing-crisis
  • #homelessness
  • Homelessness rates across U.S. metropolitan areas are primarily predicted by housing market conditions like high rents and low vacancy, not mental illness or addiction.
  • Mental illness and addiction act as selection mechanisms determining who becomes homeless when housing is scarce and expensive, rather than being root causes at the population level.
  • Treatment-first approaches are misguided if homelessness is a housing problem; Housing First, which provides housing without treatment preconditions, is more effective and evidence-based.
  • Structural factors like rising housing costs drive homelessness globally, with no corresponding increase in mental illness or addiction rates in high-income countries.
  • Solutions include building social housing at scale and using Housing First, as seen in Finland and Scotland, rather than relying on private markets or mandated treatments.