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Jan Reed's avatar

Beginning in the l970's with de-institutionalization, we developed the idea that treatment for mental illness and/or drug and alcohol addiction must be voluntary, i.e., the person experiencing these problems must WANT to undergo treatment and must seek it out voluntarily. But in my 30+ years as a social worker, I learned that many people are either unwilling or unable to seek help on their own. The prospect of change is too frightening; it's easier just to numb it down and continue on. And in Portland, we eliminated the types of housing where such troubled folks could at least afford a room with a lock on the door--the old SRO hotels like the Danmoore, the Hamilton, the Kenton, etc. So they gradually began to take up residence on our streets, and we began to normalize their behavior, calling it "compassion" when it's actually indifference. We convinced ourselves that we had no right to intervene in their lives, so what else could we do? We began to see the problem as intractable. I think we need to re-examine the policy of public intervention and, if necessary, civil commitment to appropriate treatment facilities. Of course, we no longer HAVE appropriate treatment facilities, but we can create them if we have the political will to do so. I'm certainly not advocating a return to long-term institutionalization, but I do not think people have a "right" to live on our streets, psychotic, violent, drug-using. They need medical treatment and basic care as much as people who suffer heart attacks or strokes. They may initially need to be forced into it. I know this strikes many people here in the Pacific Northwest as draconian. I used to believe that if we just offered enough support, people would want to get help. But I learned over the years, painfully at times, that this simply isn't true. Our non-intervention policy has failed and has even made the problem worse.

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Denise Foster's avatar

I tend to think that it is "all of the above"

1. Yes, I do think our mild climate has something to do with it - in the east of the Mississippi it gets WAY hot in the summer (and humid) and in the midwest and east coast it also gets bloody cold in the winter. Here, we have a week or two of super hot or super cold weather, but not as unliveable as elsewhere. So maybe not "the" reason, but it doesn't hurt.

2. We've had an influx of upper income people who can afford high rent (and rents in Seattle a few years ago went up by $650, $700 $850 PER MONTH in a whack).. Many also came from places where real estate was more expensive (California, I'm looking at you), and it allowed them to purchase without dickering and it's pushed up housing prices at all levels. I will never forget the 80 some year old lady standing in my checkout line with tears in her eyes - her rent was the one that went up $850 a month - and she asked me where she was going to go... I had no answer. Another of my customers was the one where rent went up $700... last I saw her she was living in her car, and she worked two jobs in the medical field. Uncontrolled rent increases forced some out. We may not see them in tents, but they are couch surfing or living in their car or paying for motels once a week to get showers... we really do not see all the misery of homelessness.

3. We have a huge addiction problem and mental health problems and do not have the infrastructure to deal with that. I don't know that ours is "worse" than anywhere else, but we seem to be unable or unwilling to expend the funds to deal with it, and Seattle SHOULD have the budget.

4. The cost of building low income - a few years ago I read a story that building low income housing was costing more than regular housing. Partly because the need for low income housing is greatest in the city limits where property is also more expensive... but it seems to me that there was more to it. Low income housing shouldn't cost "more" than other housing. Seattle is taking to purchasing hotels and motels that can be converted to housing, which I think is great. I think we also need more "tiny home" settlements with facilities. But even more, we need low income housing that exists to be supported. Where I live, the city allowed a business to purchase an entire block of homes that were zoned "residential" and flatten them for a parking lot (ostensibly). Businesses and devlopers ROUTINELY are allowed to do things that regular homeowners can't. And all too often, it is to eliminate low income housing for someone elses' profit. And "low income housing" really needs to be for LOW INCOME people. The rents on some "low income" I can't afford, and I'm a teacher.

I'm not an economist, so I likely missed something, but that's how it appears to me.

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