Homelessness is a deeply misunderstood and complex issue. When people hear the term, they tend to associate it with mental illness or problematic substance use. Individuals experiencing homelessness are heavily stigmatized, dehumanized and perceived to be less competent and trustworthy. But the reality is far more complicated than these perceptions.
A 2020 count by the BC Non-Profit Housing Association in Metro Vancouver found there were 3,634 people experiencing homelessness; among them, 1,029 unsheltered and 2,605 sheltered. Only about half had mental health challenges or substance use issues. This count did not include the hidden homeless: people who might couch surf or sleep in their cars.
The longer someone remains homeless, the more likely they are to face trauma, problematic substance use and mental health challenges. This often leads to worse health outcomes in the long term.