Policy changes aim to reduce homelessness and improve medical treatment for vulnerable populations in California, indicating state responsibility for care.
Persons with serious mental illness who cannot independently meet their basic needs (i.e., food, clothing, shelter, medical treatment) and who rely on government-based organizations for these supports can experience homelessness, destitution, illness, and death. Recent statutory initiatives in California, along with policy and programmatic developments that address grave disability, reflect a growing recognition of state governments' responsibility to care for people who are unable to meet their basic needs. These approaches, taken together, may serve as a model for other states serving this vulnerable population.
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Erickson et al. (2025) studied this question.
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