[bsder]

> That model clearly isn't working in SF where they spend >$100k per homeless person per year.

That borders on irrelevant when 33% of your homeless population qualify as having a traumatic brain injury, etc. Hospital stays are about $5K per day--if a homeless person hits the hospitals for 20 days in a year you've already spent more than $100K.

After Saint Reagan (hack ... spit) "closed the institutions", there was supposed to be something better. That never happened. So, now you have the mentally ill cycling between the streets, the emergency rooms, and the prisons.

You can't fix homelessness without first fixing healthcare. Otherwise you're just rearranging the deck chairs.

[scarmig]

> After Saint Reagan (hack ... spit) "closed the institutions", there was supposed to be something better. That never happened. So, now you have the mentally ill cycling between the streets, the emergency rooms, and the prisons.

The Lanterman-Petris-Short Act, which made it possible to close the institutions, was almost unanimously passed in the Assembly and the Senate, in an unholy union of civil libertarian do-gooders and budget cutting conservatives. In fact, the lone dissenter in either legislature was a law-and-order Republican.

And it's not like Democrats have been shut out of the government of California ever since.

[bsder]

The funding for the original institutions came from the Community Mental Health Act (CMHCA).

The funding for the alternatives was also slated to come from the federal government: https://en.wikipedia.org/wiki/Mental_Health_Systems_Act_of_1...

But Reagan and a Republican controlled Senate killed it. Because funding was supposed to magically "trickle down" from thin air.

And, through it all, the mental health facilities were always chronically underfunded.

[scarmig]

The emptying of institutions in California happened long before that, in the late 60s and through the 70s; it became very hard to commit anyone, which justified further cuts.

If you pass a bill that destroys mental health systems for the sake of civil libertarian concerns, "its issues weren't magically fixed through half a century later, which was totally unforeseeable" is not a good excuse.