this post was submitted on 28 Mar 2024
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It's not just addiction, though that always plays a part. For many it's also about trust. I may be reaching as my knowledge is mostly for here in the U.S., though lack of trust in institutions is a learned reaction. They do not accept help because it has ended badly in the past, and badly may have been as simple as given some hope and had it swept out from under them.
I support aiding homelessness not through the creation of programs alone. Those programs should also come with trained specialists willing to work over time to gain the trust of these people. Who act as mobile case workers and intake personnel into these programs, and keep tabs throughout the process. Now I am sure some personnel exist, and perhaps it is being done this exact way. If it isn't though, some changes should be made. Elimination is unlikely, though there is a huge difference between perfection and incompetence.
The lack of trust in institutions is kind of in the American DNA. The country was formed by a revolt against institutions, natives who trusted the institutions were killed or forced onto reservations, when it looked like slavery was outlawed a bunch of people took up arms. The labor movement didn't have pleasant protests - they got shot and bombed by the government. More recently you've got things like COINTELPRO and the Tuskegee experiments and the war on drugs that had the CIA importing drugs.
If you know enough US history you learn that the institutions are not to be trusted.
Trust in institutions is really high here in Finland. Anecdotally, from what I've seen and heard from people who have struggled with issues (including addiction and on-off homelessness) they seem to regard those people well. Social workers, police, healthcare workers, volunteer people, those people from the "system" or close to it that interacts with them a lot are usually held in high or at least moderate regard. Of course miffed if the police "hassle" them by making them leave or stop drinking in public or something like that, but still respected and considered at least alright.
Not to say that the lack of trust couldn't exist. If we believe that most seem to have some level of trust, then it would fit in with the numbers in that Finland has fairly low levels of homelessness.