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No one wants to see people struggling on the street. And homelessness is a complex issue--it's so much more than drug use.

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Substance use is a side effect of our bigger social problems. I know I have used at least one substance to get thru all the stress today!

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Just like anyone, some people who experience homelessness use drugs, but this is not the majority of people on the streets.

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That's what you might think -- sounds logical. If only people could get the help they needed, they would get better. Unfortunately, 33-80% of people who are forced to go to treatment experience worse outcomes than if they had never gone to treatment.

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Per Victor, "Rock bottom" always seems to be associated with suffering. It could also be seen as a moment of self-recognition of one's worth.

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-External societal systems are inherently intertwined with substance use (i.e. high-barrier-housing, capitalism, disproportionality with access to healthcare)
-Marginalized communities disproportoionately bare this burden

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Emphasizing people’s autonomy and staying with them in “rock bottom” moments allows us to amplify the significant moments of self-recognition. Being able to connect folks to opportunities and resources when they realize their worth is what our compassion is doing. It would be great to be able to do that for everyone, but currently most resources are going toward ineffective services-as-usual – which evidence disproves time and time again

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(not quite "drug" related, but still relevant): The other common misperception is that people who are experiencing homelessness don’t want housing. That, they are making a "lifestyle choice."
Not true, they just may not want high barrier housing. They may not want conditions that they can not abide by. This is why housing first has become such a successful model.

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The reality is that while it is true that people experiencing homelessness tend to have a higher prevalence rate of substance use problems than the general population, it is NOT true that everyone who is homeless uses or misuses substances.

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Our “liberal love” is not enabling people, but it is also not able to address community needs because we don’t have the resources yet to do so completely!  

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Only 1 out of 10 people in the US who have a substance use disorder sought treatment in 2018. 96% of the 18 mil people who did not get help said tx was not for them. So... we need to find other options for people to be well in their communities where they are now.

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Who is under “attack”? Who is “attacking”?  

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Who is under “attack”? Who is “attacking”?  

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Whose lives/opportunities are actually vulnerable or currently being taken away?  

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Whose lives/opportunities are actually vulnerable or currently being taken away?  

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People experiencing homelessness don't choose their paths. Can you imagine how difficult it would be not to have a house of your own? It's a public health issue, but there are plenty of models that we can follow that don't create hostile environments for people experiencing homelessness (e.g., public bathrooms, community gardens, wash stations)

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A person we work with once said something that really made an impression on me -- "Being homeless was not a part of my little  girl dreams." Maybe some people prefer to live outside, but most people don't want to be without a roof over their head.

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1) breathe
2) grow something (especially mushrooms, says Xia!)

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The 'Recovery movement' was created for white people. 

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The 'Recovery movement' was created for white people. 

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We need to restructure this with ALL races/ethnicities in mind. You need to think about recovery in a broader system and how we can reduce stigmas. You cannot put it all on the person who is trying to change. Substance use "problems" are constructs of environments and the social networks that people have. It is important to look at natural recovery and how that is facilitated, and learn what wee can do to help people recover contextually, the network is critical to help people achieve and maintain their recovery.