26/09/2026
Many of us who live in the metropolitan areas of our nation are acutely aware of the increase in rough sleeping in recent years. What has also become clear is that a large proportion of rough sleepers are suffering from mental illnesses like schizophrenia. Official numbers for this problem are difficult to come by but some homeless charities think that over half of their clients have some sort of mental health condition. In the US, where more research has been done, some studies have concluded that up to 10% of the rough sleeping population there are suffering from schizophrenia.
It should not surprise us that the mentally ill are ending up on the streets. In parallel with the increase in rough sleeping we have also seen the National Health Service progressively closing mental health inpatient beds for many years now.
Whilst the romantic notion of the rough sleeper as the idealistic “man-of-the-road” rejecting society’s comforts and mores for an independent free spirit lifestyle may appeal to some, the reality is that rough sleepers have appallingly high death rates exacerbated by inadequate living conditions and poor access to health care. Rough sleeping is inevitably accompanied by inadequate diets and poor living conditions. Drug and alcohol abuse, accidental death and hypothermia are common and living on the streets is far from conducive to managing long term physical conditions like diabetes or epilepsy.
With the high su***de rate and higher risk of physical illness like heart disease that people with schizophrenia already face the rough sleeping issue only adds to the enormous burden of suffering that people living with schizophrenia have to bear.
The problem of rough sleeping amongst people living with schizophrenia is critical. We must wake up to the enormous amount of suffering that rough sleeping imposes on people with schizophrenia for whom we must provide the highest quality of psychiatric care.
You can read more about the mental health condition that we call schizophrenia on our website at https://livingwithschizophreniauk.org/what-is-schizophrenia/ .
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