In every corner of the world, there are people who are flagrantly ill, people who mutter to invisible others and box at the air. In India ... Madhu's relatives dealt with her illness by abandoning her at a healing shrine. She wandered the country [until] the outreach team from an organization called the Banyan found her ... on the street. Since the Banyan was started in 1993, it has rescued over 1,500 women from the street. The group's members wash, feed and medicate the women, and then they teach them to sew, cook and do other tasks. Families are more likely to take the women back if they come with medication and domestic skills. Over half the women have since been reunited with their kin. When I visited the Banyan, I was struck by how happy and grateful the women were. The atmosphere seemed so different from the palpable anger and fear in the shelters that catered to women with serious mental illness that I knew from working in Chicago. The challenge for the Banyan is to enable women to be useful to families who may not accept them back if they cannot work. In our country, it's different. Because of our underfunded and fragmented mental health system, it is commonplace for people with psychosis to become periodically homeless. They often end up living in a street culture that teaches them that they become crazy only if they are weak. They distrust help, and they have learned that they should never admit to being ill. To reach the people who need our help we need to understand what it means to be crazy in their world.