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She is barefoot, caked in dirt, may be pregnant and is often naked as she wanders the streets of Silver Lake. One resident said she came upon Kristal one night while driving on Sunset Boulevard.

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The story, unfortunately, sounds so heartbreakingly familiar here in the homelessness capital of the United States. Nearly four homeless people die daily in Los Angeles County, and so many others are visibly tormented by mental illness.

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But the pleas about Kristal sounded urgent. So I made a few phone calls.

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Charlotte Innes, who lives near Sunset and Descanso Drive, told me she has seen Kristal in and around that intersection for at least three years. Innes said some neighbors have gotten involved out of compassion and others out of frustration, and she understands both, saying there have been episodes of late-night screaming, defecating in public, trespassing and lots of drug-related activities.

On Thursday, late afternoon, residents told me they had seen Kristal and her boyfriend sleeping in a little alcove at a car wash on Sunset. I drove over and found them there, still asleep, nestled up against each other, trash and belongings strewn about. They were barefoot, lying on a blanket that covered the grimy pavement. When Kristal woke up, I tried to engage, calling out to her several times. Her face was dark with dirt — dark as charcoal. She lay back down, and I could see that the bottom of one bare foot was pocked with wounds.

In the city and county of Los Angeles, the outreach to mentally ill homeless people is made up of a thousand moving parts and an army of good people doing noble work. Some cases are extremely complicated, said Dr. Jonathan Sherin, L. County mental health director, and he is dirty nudity on new strategies to engage those who resist help. He told me efforts have been underway to get Kristal conserved, a legal step in making sure she gets whatever help she needs.

Outreach dirty nudity had been in touch with her early in the week, he said, and a doctor was being sent back Friday afternoon to determine whether she needs immediate hospitalization. I know from personal experience how hard it is to help someone with severe mental illness who resists help.

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I know how long it can take to dirty nudity a breakthrough, that sometimes there is no breakthrough and that your humanity demands you keep trying. Against the drab gray wall of the car wash stall in Silver Lake, Kristal and her boyfriend looked like cave dwellers. In civil society, you have to fight against becoming overwhelmed or jaded; you have to demand more of policymakers and of those who resist housing and other services in their neighborhoods.

Ambulance coming …". California native Steve Lopez has been a journalist for 45 years. His work has won numerous national awards for newspaper and magazine writing. Rancho Cucamonga pastor accused of sexually abusing girl. After police killing of a Zapotec man in Salinas, questions about a language barrier. As noxious fumes sicken residents, anger grows about Hyperion plant sewage discharge.

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A homeless woman known to neighbors as Kristal rests with her boyfriend behind a car wash in Silver Lake. Facebook Twitter Show more sharing options Share Close extra sharing options. By Steve Lopez Columnist. Kristal and her boyfriend, Julio, walk together at a car wash in Silver Lake where they are often seen. Steve Lopez. Follow Us twitter instagram facebook. More From the Los Angeles Times. California Rancho Cucamonga pastor accused of sexually abusing girl. California After police killing dirty nudity a Zapotec man in Salinas, questions about a language barrier.

California As noxious fumes sicken residents, anger grows about Hyperion plant sewage discharge.

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