Schizophrenia affects a little more than 1 percent of the U.S. population, but it’s much more prevalent among homeless persons. Estimates are wide ranging, but some go as high as 20 percent of homeless population. That’s thousands of people living with schizophrenia and experiencing homelessness each day.
Nearly 10 million Americans suffer from a severe mental illness (SMI) – schizophrenia, bipolar disorder or severe depression. Schizophrenia is generally the most stigmatized of these three disorders, and can be the most burdensome. The symptoms, which include hallucinations, delusions and sometimes incoherent speech patterns, often make it difficult for people with the disorder to maintain relationships, access treatment, or keep employment or housing.
This resource, developed by consultant Carol Wilkins, is meant to help service providers and other stakeholders compare services delivered in supportive housing with services Medicaid can likely reimburse. This process of comparison is known as a “crosswalk” activity.
In August, the Centers for Disease Control and Prevention held a meeting in Atlanta with several representatives from emergency shelters, health experts, federal officials, and national homeless organizations to discuss the spread of Tuberculosis (TB) in homeless shelter populations.
TB can be a fatal disease; it is transmitted through the air and can remain in the air for many hours, which means that people staying in jails or shelters jails are especially susceptible to TB. Not only do homeless people spend extended periods in crowded shelters, they’re more likely to have compromised immune systems from living on the streets.
A chronically homeless person costs the tax payer an average of $35,578 per year. This study shows how costs on average are reduced by 49.5% when they are placed in supportive housing. Supportive housing costs on average $12,800, making the net savings roughly $4,800 per year.Congress can enact bipartisan solutions to finally end chronic homelessness by 2017. To make this happen, Congress must increase funding for HUD’s Homeless Assistance account by $414 million to $2.664 billion total, as requested by the budget.
Homelessness costs taxpayers a lot of money. Take, for example, the infamous case of Murray Barr, aka “Million Dollar Murray,” a chronically homeless man in Reno, Nevada who accrued more than a million dollars in emergency room, substance abuse treatment, police, jail, ambulance, shelter and other costs.
Despite all these costly interventions, Barr ultimately died homeless on the streets. His tragic case highlights the need for a cost-effective solution to chronic homelessness. Cost studies demonstrate that Permanent Supportive Housing (PSH) is that solution.
