-

Position statement: Homelessness and serious and persistent mental ill-health 

30 January 2026

Currently, at least 31,000 Australians living with mental health challenges experience homelessness or housing insecurity (1). People living with serious and persistent mental health challenges are over-represented in the homelessness sector and are one of the fastest-growing cohorts accessing Specialist Homelessness Services (SHS) (2).

People living with serious and persistent mental ill-health (SPMI) are one of the most excluded groups in our communities (4). They face a complex interplay of challenges to accessing safe, affordable and sustainable housing, including

  • unemployment, underemployment, financial hardship and poverty
  • pervasive stigma and discrimination in both the private rental market and social housing system
  • difficulties managing the practical, social and emotional aspects of daily living, affecting interpersonal relationships and effective self-advocacy
  • serious or episodic distress affecting motivation, memory and functional capacity.(5)

For people living with SPMI, housing provides a foundation for economic, educational and social participation. Support to secure and sustain housing integrated with wrap-around homelessness and mental health and wellbeing support drives improved health, mental health and wellbeing outcomes. This reduces expenditure associated with inpatient treatment and other high-cost or avoidable interventions across the health,(9) justice (10) and welfare sectors (11).

Neami’s position

Neami’s position statement outlines the scale of homelessness among people with serious mental ill-health and calls for Housing First, integrated supports, and housing as a legislated human right.