Abstract
Homelessness is a significant social problem. Yet, homelessness among individuals with serious mental illness, and particularly among those with complicating forensic issues, is even more problematic. This clinical reflection discusses available data regarding mentally ill individuals who are homeless and have had involvement with the criminal justice system. In addition, case studies are presented to illustrate the complex issues and nuances faced when interfacing with this underserved group. The historical context of this dilemma, characteristics of forensic mentally ill populations that are homeless, social/institutional responses (or lack thereof) to the problem, and recommendations for viewing the problem differently to maximize potential solutions are presented and discussed.