All posts by wwalker

Mental Healthcare Crisis in Dallas

mentalhealth
One of volunteers comforting someone having an emotional breakdown.

I have decisions to make.
Do I want another cup of coffee? What do I want for lunch? Which message will I return first? What am I going to be doing this weekend?
However many of my friends don’t get to make any choices. Because of severe mental health challenges, some of my friends can’t comprehend the choices that we make. Nor can they function in a world that demands choice and action.

The majority of the people we serve at OurCalling make choices every day. They choose when to come, if they want to attend a Bible study, meet with a chaplain, or read the Bible. They also choose whether to eat a meal, ask for a change of clothes or take a shower. The choice to seek help is a privilege that not every homeless person in Dallas has.

The homeless community has a pandemic of mental health challenges. For those with severe illness, they have no choice. The task of accepting help, is bound by an illness that does not allow them to grasp the services they desperately need.

The homeless community of Dallas is suffering a mental health crisis.

This individual refused help from the city and was sitting in the ice and snow last winter.
This individual refused help from the city and was sitting in the ice and snow last winter.

In the 2014, a national survey of homelessness concluded that 28 percent of homeless adults (in their study) were severely mentally ill. Dallas reported 43 percent of our homeless are severely mentally ill.( The 2014 U.S. Conference of Mayors’ Task Force on Hunger and Homelessness)
If this statistic is correct, four out of every ten homeless individuals in Dallas are severely mentally ill. I personally believe that if we consider the unsheltered homeless (those whom OurCalling focuses on) the rate is much higher.  Those in shelters, hospitals and even jail are usually more stable than those sleeping outside. At OurCalling, we count 80% of the entire homeless population in Dallas as unsheltered. I believe that the rate of those with severe mental illness is closer to eight out of every ten within the unsheltered homeless population in Dallas.

With this growing trend, shouldn’t we recognize this need and apply adequate state funding to address this? However, Texas is number 48 in per-capita spending on mental health among US states. (bottom of the list is NOT good)
But what do we excel at? Poverty.

  • Dallas is Number 1 in child poverty rate among cities larger than 1 million people.
  • Dallas is Number 2 in the largest growth in poverty rate
  • Dallas is Number 3 in the worst overall poverty rate

Source ( Mayor’s Poverty Task Force Issues Recommendations )

High levels in severe mental health combined with the highest poverty rates in the country is a recipe for disaster. Serving on the streets of Dallas, we are in the middle of it. And there isn’t a sign of relief.

  • What about housing first? Most housing options in Dallas don’t provide adequate support services – especially for those with severe mental illness. In fact, the push for rapid rehousing is outpacing ALL support services. The scattering and isolation of these relocation programs are causing devastating results. Imagine the chaos when someone with severe mental illness gains their own apartment (with no food, furniture or hygiene) and only has a case worker visit once a month?
  • What about the shelters? All of the shelters in Dallas face this tough reality every day. Most offer clinic referrals and access to healthcare, however no shelter is equipped for the most severe cases.
  • What about the hospitals? Our experience (over 14 years) has been loads of frustration as individuals are discharged with medications and plans yet don’t have the capacity or accountability to follow through.
  • What if they resist? Healthcare can’t be forced (and shouldn’t be). Anyone can voluntarily resist treatment. Even if their situation and condition is detrimental to their survival, they can’t be forced to accept treatment.
  • What about the mental health clinics and psych hospitals? Mental Healthcare providers are slammed with requests, but do not have adequate resources to meet the growing needs. Now that Timberlawn lost federal funding, there aren’t many viable alternatives.

Can we dream?

– I would love to see a mental health crisis team that would accompany us under bridges or in wooded encampments.
– Imagine a mental health clinic where we could take the most severe cases to a Psychological Emergency Room, bypass long lines and take someone directly in for treatment.
– Dream about dispensing psych meds in smaller controlled doses through vending machines placed throughout the city. Biological scanners (fingerprint, face recognition) or IDs could be used. Smaller dosages makes it easier to manage, easier to replace if lost or stolen, more difficult to sell, and easier to track the whereabout of the patients. Smaller dosages also help prevent psychological episodes when an individual has been off-meds for an extended period of time.
– Imagine having access to every mental health provider on a smart phone app (wait – we already did that! Download the OurCalling App )

I meet with Directors of many different ministries that struggle with this issue. How can we meet the spiritual and physical needs of the community, when their health needs aren’t being adequately addressed? How can we expect someone to recover from physical scars and addiction when the mental wounds run deep? What is the role of the Church in this process and how can ministries get better equipped to address this challenge?

Pray for our friends struggling with mental illness. There is no easy solution. They need medical treatment, a relationship with the Lord, and a Church loving them well.

Interview on Street View Podcast

I was asked to be on a podcast called “Street View” hosted by a homeless friend, Rashad Dickerson. This is a new venture hosted and produced by the Dallas Public Library. Libraries across the country have challenges serving their homeless customers. The DPL is embracing the challenge by using this new podcast to engage their homeless guests and different non-profits that serve the homeless community.

What’s gonna work? Teamwork

Why do some nonprofits fail to work together? Do they really believe they can meet every need alone? And why do they claim they are the “only organization” doing a particular work and fail to partner with and recognize others? This baffles me.

There is no race. This isn’t a competition. We aren’t comparing the number of “likes” on our Facebook pages. We don’t want to take your volunteers or donors. Continue reading What’s gonna work? Teamwork

When I grow up I want to be homeless.

I want to be a felon.
I want to be abused.
I want to be addicted.
I want to be mentally ill.
I want to be in abject poverty.
I want to be emotionally bankrupt.

Why do some individuals look at homeless people as if they chose to be homeless? Is it our sense of moral superiority or our attempt to absolve our own responsibility of our fellow man? Continue reading When I grow up I want to be homeless.

Some people love us, some not so much…

We aren’t into self-help or glossing over problems. We don’t offer emotional bandaids, and we might ask you a question that you don’t want to answer.

This doesn’t win popularity contests. In fact, some days people don’t like us.
If you’re smoking crack every day and blaming the world for your problems, your biggest enemy might be yourself. If you come to us seeking help, you might not like the answer. Continue reading Some people love us, some not so much…

No Secret Sauce

So what really works?
I’ve been asked that question countless times. It often comes from families struggling with an addicted child, by the spouse of an addict, by the grown children of homeless parents, or friends looking for answers regarding a loved one that appears to be making the wrong choices.
Shelters, rehabs, counselors and even your local governments ask the same question. How can we get people off of the streets, away from destructive lifestyles and to make better choices?
I’ve struggled through addiction first person, counseled untold numbers of homeless individuals, and taken lots of notes. In my parents’ foster home in East Texas I was first introduced to homeless and hurting individuals over 25 years ago. Since then I’ve invested time with gang members in Santa Cruz, Sudanese & Palestinian refugees on the opposite side of the globe, and now for the past 12 years, thousands of homeless men, women and children in Dallas. This blog is a collection of thoughts on the “secret sauce” to life change.

Spoiler: It’s not your 12 step book, classroom experience, dynamic sermon or even your Bible. The secret sauce is no secret at all. Lives are prompted, challenged and even counseled through blood, sweat and tears. But true lasting life change only comes through the Holy Spirit. The Holy Spirit only comes through a personal relationship with God through Jesus Christ. If you think I’m shoving Jesus down people’s throats then you don’t understand that I’m not writing about religion.

Jesus said in the sermon on the mount “blessed are the poor in spirit”. Imagine your spiritual tank is on “E”. You are empty.
Our calling is to be the filling station.
I’m just one beggar pointing another beggar to the bread (of life).

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