Information about Mental Illness & Homelessness
 

Metro Atlanta’s Homeless - How Many Have A Mental Problem?

The March 2003 homeless census by the Tri-Jurisdictional Collaboration was in two parts: the census count and the survey of about 1000 people. The census simply counted people. The survey provided information about the homeless from which we can obtain extremely limited data about those with a mental illness.

The survey was based solely on information provided by the homeless people—self-reporting and that was by design. What is surprising is that the sample was not random, nor were the number of people surveyed in proportion to the numbers on the streets versus sheltered, male vs. female, etc. The report acknowledges this when it states ”the extent to which the survey respondents compare to or differ from the homeless population in general is unknown.” Hopefully, the findings will be used cautiously and not as if they were fully reflective of the 6956 homeless people in the census.

The survey, based solely on self-reporting, showed 6.2% of the 993 who were asked, “What are the primary reasons that caused you to become homeless?” mentioned “mental illness.” It was the purpose of the survey to get the opinions of the homeless men and women themselves.

Most national experts estimate that about a third of the nation’s homeless population has a mental illness. An estimate is all we will ever have since it is not possible to determine either the mental condition of every homeless person and even if it could be done, no one could determine if that condition was the main reason that caused homelessness. Those who conducted the census and survey understand that self-reporting is not reliable in determining what percent of homeless people became homeless due primarily to a mental illness. Though the one-third estimate appears to be generally accepted, does the one third apply to the entire homeless population or just adults? Does it include anyone with a mental illness, or only those with a serious, chronic mental illness? These questions are rarely answered by anyone.

If the one-third estimate is applied to the total homeless count taken during the March 2003 census, then it can be said there are 2295 homeless people with a mental illness. If the one-third is applied only to adults, then there are 2042 with a mental illness (6190 adults vs. 766 children) If the self-reported 6.2% of the homeless as having a mental illness is accepted (the percent of homeless in the survey that specifically mentioned “mental illness” as the primary reason for their being homeless) and that percent is applied only to adults, then there are 383 homeless people with a mental illness.