Factors Sustaining Homelessness in a Mentally Ill Patient:A Case Report
People who are living in a place not meant for human habitation, in emergency shelter, in transitional housing, or are exiting an institution where they temporarily resided are called homeless . Despite India’s growing economy, India is home to about 78 million homeless people and about half of homeless people live in Uttar Pradesh, Maharashtra, Rajasthan and Madhya Pradesh . In fact shelter, after food, is considered the most essential ingredient for survival and success. Their is no single factor which can predict homelessness and in majority of the cases, interaction of series of life events over a period of time can lead to this adverse situation. It may not be the occurrence of event, but the affect of the event on the person is more important determinant. In a study conducted by Paul Koegal et al (1995) , it was found that two or more predictors were identified in 62% of those homeless interviewed. This demonstrates the highly comorbid nature of experiences that lead to homelessness. The important predictors include disruptive childhood movement (Ravenhill, 2008)  physical and sexual abuse during childhood (McIntee & Crompton, 1997;) , violence against the child or violence witnessed by the child, living separately from the parents and receiving welfare benefits during childhood, substance abuse within the family (Koegal et al, 1995  and Meller et al ,1988) , and disability. Koegel’s study in 1995 reported conditions where individuals would be more likely to end up homeless. The findings showed that 25% of the homeless individuals indicated living separately from their parents at some point in their childhood and 60% reported receiving welfare during childhood and/or living in impoverished conditions with inadequate food or water and another 32% reported that there was a substance abuse within their house.