When I see a homeless person nowadays, I am reminded how badly America deals with this growing problem. Studies conducted by homeless assistance groups show that almost 80% of these people either have mental problems that prevent them from holding jobs and contributing to society, or have substance abuse problems with underlying mental health problems with the same result. These people require medical assistance, medication, even time in an institution, if we can reasonably expect them to become taxpayers again. What they mostly get is jail time, or at best a 28-day rehab program—which is only a way to get clean and learn of the tools of sobriety, not enough time to realize the rewards of sobriety— then they are thrown back into the same environment they were pulled from, and often as not as felons. 28-day rehabs don’t address individual underlying causes of substance abuse thoroughly enough because 28 days is not long enough to do so. Most of 28 rehab therapy is in group therapy with very little individual care, other than the weekly status checks of the various therapists with each patient. I think most of these people want to come back, but the pull of the substances they have become slaves to is stronger than their desire to return. Therefore, they must be treated for their substance abuse before any realistic accomplishment on their part can be expected.
Of the rest, these are people who either haven’t the skills that would enable them to earn a living wage, or are physically unable—due to age or physical disability—to do the work they had done previously. They need training in vocational schools or even state college in order to solve their problem realistically. Instead, they sleep on the street or are given a meal or three a day, a cot, and possibly a shower at a homeless shelter, then told to get a job and kicked back into the street until nightfall. At best they usually work fast food jobs, Walmart, or day labor jobs, then many just give up because this is not rewarded behaviour, and accept the life of the homeless denizen because, even if they work those jobs, all they can expect is a cot and a meal at the end, not enough to have a place of their own. They are usually too young to be so hopeless and hope can be re-instilled in them through counseling and training—if they were given more that three meals a day and a communal roof over their heads whether they work these jobs or not. I believe these people want to be part of it all, they really want to have rich lives, but they need to be actively connected because they evidently aren‘t able to get into school by themselves.
Then there is the skilled or educated person who is just in-between. He or she is in between jobs, in between catastrophic divorces, in between beatings, in between arrests, in between hospitalizations. These are people that, if given a place to stay with meals and a shower, they can find a job, save up a couple of paychecks, and get back into productive society. These are the easiest cases to assist. They are a counselor’s dream.
Then there is the small minority who have just up and quit society and have told the world to go to hell. Every society has these, we used to call them hobos. They will always be with us. It is their choice and so be it.
What we have in the US is a hodge-podge of homeless shelters, some local government sponsored, some faith-based, some are run by private charities. Providing a night’s sleep, even with meals, will not put a dent in solving most of these people’s problems in order to get them back to being productive individuals. To ignore this fact shows the low level of seriousness one places on the problem of homelessness.
To do what I propose—to provide comprehensive medical treatment to those who need it, to provide both life skills and vocational skills to those who simply need to become self-respecting members of the work force, and to feed, clothe, and shelter this growing mass of individuals while these services are being provided would start with assessment centers where the homeless can go, or be brought to by police officers in lieu of jail, where the appropriate services would be determined by a multi-disciplinary staff of nurses, a doctor or two, and social workers. From there they would be referred to, or even transported to the appropriate site for the services they required.
But this approach is very expensive and America is unwilling to do it. However, if you add up all the homeless costs in shelter and jail recidivism, the man hours and services costs in our ERs and hospitals, our police and jails, in the crimes: theft and property damage committed by some of these people, and even the cost of homeless shelters themselves, it is becomes way more expensive the way we are handling it now. At least, with this more rational approach, assistance to the homeless becomes an investment, rather than charity.