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The analogy I use is an iceberg by AquinasDomer

It's far easier to fall into the visible homeless (mental health crisis, drug addiction, etc.) When your housing situation is unstable. Bad policy can worsen the number of people in prominent areas (see SF vs NYC, if I remember they have similar homelessness rates). But the overall number of homeless people drives the number of people who we think of as capital H homeless.

But if drug addiction caused homelessness you'd see west virgina leading the pack. If alcoholism caused it you'd see Wisconsin totally inundated with homeless people. A ranking of mental health disorder prevalence balanced with treatment resources doesn't really match either.