It is the case that we have difficulty placing public toilets because of the risks their abuse will pose to unsuspecting users. I don't think it does anybody any good to pretend that these aren't real problems, or that we can moralize past them.
I think, at least in most major metros, we're past the point of it being a live issue whether to fund services to transition homeless people off the streets. Residents will fund those services simply because the alternatives are so disruptive. With that in mind, I feel like any response to this problem that centers on "well we should fund more services" is basically stalling.
Decades ago there were institutions that these people were placed in. We decided not to do that any more, for good reasons and bad, and I think maybe we should revisit that decision.
First big wave of it (when you started to see tents appear under the highways and such) was 2008. Second big wave where that seemed to metastasize were Rahm Emmanuel's budget cuts. In particular, he shut down all the mental health clinics, and you ended up with a lot of people getting forced off their meds.
EDIT: Another thing, when I moved here there were still quite a few housing projects. I am not going to pretend they weren't rough. I walked through the ABLA homes most days and watched them get torn down. I had a kid hit me with a rock while biking through Cabrini. But there was a place where people could be off the streets back then. Now where do you go? What's waitlist for section 8 up to?
Section 8 has long wait lists. It seems kinda unbelievable to argue that destruction of thousands of units of low income housing didn't cause people to not have housing.
I don't doubt that many people are mentally ill. Before Rahm's cuts, we had a taxpayer-ran system of caring for the mentally ill.
(I've been a renter and a homeowner in Chicago; I grew up here).
To the extent that your premise is true (and I believe that, for many individuals, it is) that also speaks to our city pulling up the ladder on people. I was living in Logan Square when Rahm shut the mental health clinics down. There was one on Milwaukee. People protested for months. People on the streets obviously being in a very bad place and not getting help became a lot more noticeable after.
We’ve spent billions and billions on the “homes are the solution to homelessness” crowd. And the problem has only grown worse.
The agenda for during my adult life has been cutting services for needy (public housing, mental health, etc). Since we seem to agree that homelessness is getting worse isn't it also rational to agree that cutting these services is, at the very least, not helping.
Hard to make compulsory though. Nixon didn't do it, but that era also gave asylums a horrible reputation.