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The Psychological Toll of Homelessness

Homelessness is a persistent issue in society. It appears in various forms, including living on the streets, staying in shelters, or couch-surfing with friends or relatives. While homelessness can affect anyone, specific regions see a particularly high prevalence of this crisis.

Oregon, in particular, grapples with a significant homeless population, exacerbated by economic disparities, housing shortages, and other systemic issues. Southern California also is facing a surge in the rate of homelessness, with thousands of individuals and families facing the harsh reality of living without shelter. 

Homelessness and mental health are deeply intertwined, creating a vicious cycle that’s difficult to break. Individuals experiencing homelessness often suffer from severe mental health issues, which can be both a cause and a consequence of their situation. Understanding this connection is crucial in addressing the psychological toll that homelessness takes on individuals and finding practical solutions to mitigate its impact.

The Link Between Homelessness and Mental Health

The relationship between homelessness and mental health is complex. On one hand, mental illness can be a contributing factor to homelessness. Individuals struggling with mental health disorders, such as depression, anxiety, schizophrenia, or bipolar disorder, may find it challenging to maintain employment, manage their finances, or navigate social relationships. Without adequate support, these challenges can lead to the loss of housing, pulling individuals into homelessness.

Conversely, the experience of homelessness can severely exacerbate existing mental health issues or even lead to the development of new ones. The stress of not knowing where one will sleep, where the next meal will come from, or how to stay safe can trigger or worsen conditions like depression, anxiety, and post-traumatic stress disorder (PTSD). 

Substance abuse is also common among homeless populations and is often used as a coping mechanism to deal with the harsh realities of life on the streets. Cultural pressure and easy access to substances within homeless communities can lead individuals down the path of addiction and dependency.

Immediate Psychological Effects of Homelessness

Constant stress and uncertainty

The constant stress and uncertainty that come with not having a home can create an environment of increased and difficult-to-manage anxiety. Individuals who face homelessness are always on guard against potential dangers, which can lead to chronic stress and its associated health problems. Long periods of high stress are challenging not only for the mind but also for the body. This can lead to sleep deprivation, which can also worsen mental illnesses. 

Feelings of hopelessness and low self-esteem

Feelings of hopelessness and despair are shared among the homeless due to the difficulties of escaping their situation. This hopelessness is often compounded by a loss of self-worth, as societal stigma and personal failures create a sense of shame. Many homeless individuals internalize the negative perceptions that society holds about them, leading to a loss of identity and self-esteem.

Social isolation

Social isolation is another immediate psychological consequence of homelessness. Cut off from the support networks that most people rely on, homeless individuals often find themselves alone in their struggles. This isolation can worsen mental health issues, as the absence of social connections deprives individuals of the emotional support they need to cope with their circumstances.

Long-Term Psychological Consequences of Homelessness

Chronic mental health conditions

The longer a person faces homelessness, the more severe its psychological consequences become. Homelessness can lead to the development of long-term mental health conditions that are difficult to treat. Depression, anxiety, and PTSD symptoms may worsen over time as the individual's situation remains unchanged and unpredictable.

Trauma caused by lack of stability

One of the most damaging aspects of long-term homelessness is experiencing repeated dislocation. The lack of stability and threat of violence or exploitation can lead to psychological trauma. This trauma not only affects mental health but also impairs cognitive functioning, making it increasingly difficult for individuals to make decisions, plan for the future, or engage in problem-solving.

Cognitive decline

Over time, the cumulative effect of homelessness can result in a significant decline in cognitive functioning. This decline can manifest in memory, attention, and executive functioning. Individuals may find it increasingly difficult to access services, seek employment, or even care for themselves.

The Role of Residential Mental Health Treatment

Residential mental health treatment offers a lifeline for homeless individuals struggling with mental health issues. These treatment centers provide a safe and stable environment where individuals can receive the care they need to address their mental health conditions. By offering a structured setting, residential treatment centers can help homeless individuals begin the process of recovery, addressing both the immediate symptoms of their conditions and the underlying issues that contribute to their homelessness.

One of the most significant components of successful mental health treatment for homeless individuals is stable housing. Without a secure place to live, it’s nearly impossible to achieve a lasting mental health recovery. Aftercare and discharge support, such as that provided by Jackson House, are crucial in ensuring that individuals can transition from residential treatment to independent living. By offering continued support and resources, these programs help individuals maintain their mental health gains and avoid returning to homelessness.

Mental Health Treatment in Southern California and Oregon

The psychological toll of homelessness cannot be overstated. In Southern California and Oregon, where homelessness rates are particularly high, the need for accessible mental health services is critical. Many individuals experiencing homelessness or on the verge of homelessness are in desperate need of mental health care. Sadly, they often have nobody to turn to for help. Jackson House aims to be a beacon of hope and support for these individuals.

If you or someone you know is struggling with homelessness and mental health issues, it’s essential to reach out for help. Our programs at Jackson House provide mental health treatment and the necessary support for long-term recovery and stability.

For more information or to seek help, contact our team today. Pursuing treatment could be your first step out of homelessness and into a healthier, more stable future.

About the author

Jackson House

Jackson House

We built Jackson House because we realized there was a critical gap in our healthcare system and many individuals with mental illnesses and substance abuse problems were struggling because of it. While there are many outpatient treatment options and locked, inpatient facilities there was nothing in the middle. Nothing to help people who needed around the clock care but wanted to receive treatment voluntarily, on their own terms. Jackson House is different. We provide clients with the level of care they need in a welcoming environment. When you walk through our doors, we will meet you wherever you’re at and help you on your journey toward feeling better.

It's time to feel better

We are here to help and we are in-network with most insurance providers. Call us for a free and confidential consultation.

If you’re a provider and need to send us information on a client, please feel free to fax us at 619-303-7044. If you need help immediately, call our 24-hour crisis line at 1-800-766-4274. If you have a medical emergency, call 911. Jackson House is licensed by the State of California Community Care Licensing Division and certified by the Department of Health Care Services. We are also CARF Accredited. If you have any client or quality of care concerns, please reach out to us at (888) 255-9280. If your concerns need further attention, you can contact the Department of Public Health at 619-278-3700 or the Community Care Licensing Division at 1-844-538-8766.