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Not surprisingly, mental illness often prolongs homelessness. Approximately 26 percent of homeless adults staying in shelters live with serious mental illness and an estimated 66 percent live with severe mental illness and/or substance use disorders.
The number of mentally ill homeless surged in the 1970s and '80s as the second half of the Baby Boom generation reached the age of onset for schizophrenia, which typically begins when a person reaches their 20s, and psychiatric hospitals and group homes struggled to keep up with demand, says Dennis Culhane, a University of Pennsylvania researcher who has studied the issue for more than a decade.