I agree uptown,
I am a hospital social worker and you really hit the nail on the head. They usually want to be and then a dr. or nurse expects me to make them "different". What really makes it bad is when they develope serious medical problems and of course have no income or insurance.
Yes, I remember well a young woman who was diagnosed with severe paranoid schizophrenia who had written a song of which she was rather fond and would sing it for hours, with each subsequent verse slightly different than the one preceding it. This gal also had a genius IQ and would sometimes seeing the song in numbers instead of words. A university math prof heard her singing the song in numbers one day, so he recorded it.
Later in his office when he transcribed it, he found that the numbers corresponded to an extremely complex graph of the formula for a diminishing spiral!
This gal was used as a sex toy by the other "homeless" crazies, eventually killed and buried near a river.
I had to end my work with the "homeless" when I experienced "burnout" after a wonderful gal with whom I had an equally wonderful relationship experienced the adult onset of paranoid schizophrenia compounded with multiple personality disorder.
I came home one day and found that she had smashed the computers, stacked all the furniture in the house into the kitchen, had removed most of the sheet rock from the interior walls, such that the evil spirits living in the walls might be released, had killed her cat because she believed him to be a familiar of Satan and had set her car on fire to drive out the demons which had infected the engine.
Not making this up, by the way.
Turns out that not only did such maladies run in her family but that the causal or "triggering" factor in her case was most likely incredible sexual abuse perpetrated by her father and an uncle who is a "rocker"; one who rocks constantly while sitting.
The guy had a string of arrests but no convictions for sexual abuse of children; the family money had always bought off the victims.
How the Hell was I to know?
All of these things were closely guarded family "secrets" and the family denied all references to any kind of mental illness!
Since Daddy was more than well off, he scooped her up and took her to Europe where they would both be beyond the arm of US law.
I have no idea what became of her after that.
People often ask, why don't you talk to these "homeless" people and get them to change?
They are crazy, that's why!
Shit-house rat crazy and talking to crazy people is like talking to a telephone pole and just as effective.
That's why they are called "crazy"!
They cannot make rational decisions.
I do not mean anything bad by the use of the term "crazy"; those of you who have worked with the "homeless" will know what I mean!
Anyway, after that incident, I went into total burnout and can now only barely talk or write about the state of mental health treatment in this country and can no longer work with the "homeless" although I do occasionally act as a server at soup kitchens on holidays.
Carl Hiassen and Warren Zevon wrote up a song for Hiassen's book, "Basket Case", entitled the same, which very clearly describes the way that these people are and how the people who work with them can become:
"Basket Case"
by Warren Zevon and Carl Hiaasen
My baby is a basket case
A bipolar mama in leather and lace
Face like an angel--she's a perfect waste
My baby is a basket case
Dracula's daughter, Calamity Jane
Smoke on the water, water on the brain
She's pretty as a picture--and totally crazed
My baby is a basket case
She's gonna make a madman outta me
She's gonna make a madman outta me
She's manic-depressive and schizoid, too
The friskiest psycho that I ever knew
We're paranoid lovers lost in space
My baby is a basket case
My baby's gonna celebrate
I'm being dragged through the nuthouse gates
Got my straitjacket on and I'm taking her place
My baby is a basket case
She finally made a madman outta me
She finally made a madman outta me
My baby made a madman outta me
She finally made a madman outta me
+++++++++++++++++++++++++++++++++++++++++++++++++++
And I'm going to have to get outta this thread because I'm pushing my own limits and want to go to the bar for fun this weekend, not to treat depression!