If you’ve spent any time in the public mental health system, you know that folks diagnosed or labeled as having serious mental illnesses are poor. If you’ve been poor or worked with poor folks, you know that many poor folks suffer from affective and cognitive disorders or, to quote Bentall, “complaints” (1,2). But what comes first, the poverty or the presumed mental illness? Does poverty play a role in causing a person’s mental illness or does a person become ill and simply drift down the socioeconomic ladder into poverty? And how many people are we talking about?. According to the U.S. Bureau of the Census (3), 4.1 million persons aged...

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