Barriers put up by social services

The lack of common purpose and co-ordination of social welfare, health, and criminal justice agencies lies at the heart of many difficulties faced by homeless mentally ill people. A young homeless person, for example, may be too chaotic to undertake the retraining programme that is his only route to welfare support, may be unable to register with a local family health centre because of his lack of a permanent address, and may be summarily rehoused without reference to health services involved in his care. Psychiatric services seldom have the same geographical boundaries as the areas covered by welfare or housing. Finally, the prejudices of professionals can make services unacceptable and the emphasis on treatment is seldom attractive to a homeless person whose immediate needs are for food, shelter, and security.

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