This is a story about worthy causes...

How do you decide who is worth helping, and who has made their own problems? It's easy, right? People who drink and take drugs are the architects of their own misery, or so we think. Homeless people have to be clean & sober before they're worthy of our help and support. Alcoholism and addiction aren't symptoms, they're the root cause of problems, we believe.

But what if we got it wrong? What if people drink and take drugs to escape problems? What if people's lives are so miserable and hopeless that they need something to anaesthetise the pain, the discomfort and the fact they're treated like dirt, shunned by society and even their own friends and family.

Once somebody has the label attached to them as a waste of space, a lost cause, it's hard to shake it off. We don't like to see our own shortcomings, our own demons, reflected back to us in the eyes of the suffering addict, alcoholic. We'd sooner that the person just disappears into obscurity or dies, so that we can repaint them in some kind of idealistic light. We want to remember them as an innocent child, and having them hanging around as a living adult is rather inconvenient. The living embodiment tarnishes this false image we want to remember.

Some homeless people have poked fun at the ridiculous notion that giving them money will only 'enable' them to continue with their habits. We see images splashed all over the internet of signs begging for money to spend on drink & drugs "but at least I'm not bullshitting you" the signs say. This is confirmation bias. We have preconceived notions about a homeless person, a bum, a junkie... we find it hilarious, and pleasing, to see a sign that confirms our prejudices.

When I met Frank, he was keen to tell me that he wasn't an opiate addict. Because almost all of us have an innate fear of needles, the heroin addict is very bottom of the pile. Almost every non injecting drug addict will tell you "at least I'm not a junkie" as if it somehow makes them a better person. Every stoner will tell you "at least I don't take hard drugs". Every alkie will tell you "at least I don't take drugs". Every person on antidepressants or anxiety medication will tell you "at least I don't drink". There is a clear hierarchy here, but it's no different than a bullied person finding somebody weaker than themselves in order to bully, in order to make themself feel better.

This infighting amongst humans is uncivilised, inhumane. Where did the empathy go? Where did the sympathy go? Where did all this ignorance come from?

You really think you could make things any worse by helping? In actual fact, charitable giving is far more likely to make you feel smug about yourself, and feel like you've done your bit for society, so you don't need to feel guilty about your comfortable existence. The fact of the matter is though that going on a sponsored fun run was something you wanted to do anyway. The fact is, that the coins in your pocket aren't amounting to even 1% of your wealth. You're buying a clean conscience very cheaply.

To actually sit down with people, hear their story, get involved in their lives, take a risk... that's a big deal. We all have busy lives, so who has the time to do that, and aren't charities so much better, more qualified? Well, no, not really. Charities have salaries to pay. Charities have offices and need to pay bills. The amount of money that actually reaches the front line, through charitable giving, is clearly not making any difference. The levels of poverty and deprivation are bigger than ever. The rich:poor gap is the widest it's ever been.

Economists trumpet the fact that a large number of people who were living on $1 a day are now living on $2 a day. An increase of 100% in somebody's wealth sounds like a lot in percentage terms, but would you honestly feel happy if your pay rise for the last 10 years was just $365?

Perhaps we should just be happy and content to even have a job. But why? Why should we be content to live with insecurity? Why should we "count ourselves lucky" to have a job where we're exploited, and we don't even have enough money to comfortably pay our rent and bills and have anything left over in case the car breaks down?

Don't you think that living with Damocles Sword dangling over us is unhealthy? Worrying about unemployment, and the ensuing rent arrears or mortgage defaults is not a healthy way to live. The stress and anxiety of working all hours, commuting for long distances, being away from our families, the uncertainty over our finances and the security of our homes and livelihoods... surely it's this constant stress that's destroying countless numbers of people's mental health.

We can't shy away from the fact that there's a mental health epidemic. 5 million Prozac prescriptions get written in London alone, every year. A quarter of Londoners feel like crying on public transport at least once a week.

City living can be isolating and lonely, but it doesn't get any better outside of London. There are less jobs and wages are lower outside the capital. Rents are a bit lower, but bills are just as high, and public transport isn't as good so you probably need to own a car to get to work. Food costs much the same wherever you are in the country. Many towns and suburbs can be just as isolating, and there's always the fear that you don't want your friends and neighbours finding out how unhappy you are, how stressed and anxious, how depressed.

If you live in some poxy little town with only a few major employers in the area, you can't risk burning your bridges. If you get sacked because your mental health got unmanageable, you can potentially make yourself unemployable in the place where you live. You can potentially end up labelled amongst people. If it gets really bad, you can be known to friends and neighbours as a "troubled" individual. You'll be a joke, a laughing stock.

London offers some anonymity at least, and a much bigger pool of jobs, to compensate for the fact that you can feel totally overwhelmed by the impersonal and seemingly uncaring nature of the dog-eat-dog rat race. People do stop and listen, and can be very kind and compassionate. Sometimes, it feels like we're all clinging onto the pieces of our wrecked ship in a storm. There is gratitude when you connect with another person who understands the sheer terror of facing a hostile world, out to label you, to shun you, to try and trample you.

In a way, London has led the way for the country to adopt a kind of blinkered attitude, where we're all working too hard, and our communities have been destroyed, families pulled apart by the need to spend hours at work, commute long distances and live with unbearable stress. However, London has passed the point where it was completely unable to continue any more, and I actually find it far friendlier and caring than anywhere else I've been.

London has provided, where even my own family has failed me.

Many homeless and addicts are fleeing a life of blah

Tags: #homeless #frank #addiction #alcohol #drugs #london #mentalhealth