Claudia Boyd-Barrett

Older approaches to homelessness required people to achieve sobriety or enter treatment before being moved into permanent housing. Under Housing First, people receive support to stay in their homes and are later paired with services such as health care, substance abuse treatment, and job counseling.

Many homeless people have severe mental disorders yet remain on the streets for months or even years. The challenge for social service providers and authorities is that these vulnerable and sometimes volatile people often refuse help.

Among Ventura County’s chronically homeless, 37 percent reported a mental illness in the 2015 count. Some officials believe the real percentage is likely higher because the annual survey relies on homeless people self-reporting mental illness, and some may not realize it or don’t want to admit it.