Oregon has for years struggled with a drug crisis, reporting one of the highest rates of substance use disorders in the US and ranking last in the nation for access to treatment. The problem is systemic, rooted in decades of failure to invest in the level of behavioral health services needed for people with mental illnesses and addiction. The Pacific north-west state's significant affordable housing shortage has compounded the challenges, as people languish on the streets without care. On 12 November 2024, Cameron Washam, 45, was lying on the street by Portland's Union Station, on the brink of death. He and his wife, Christina Bell, 47, had long struggled with homelessness and addiction. Workers from a Portland street outreach initiative coordinated by the Mental Health and Addiction Association of Oregon (MHAAO), a non-profit dedicated to peer recovery services, approached and offered help, saying they could immediately take them to a detox program. They entered detox, Washam got emergency surgery for his infection, and after eight days, they were placed in an outpatient program, then a sober recovery home. The outreach effort [is] called the Provider-Police Joint Connection Program. Since its launch, the program has connected 1,005 people to services, including 651 who received access to programs on the same day outreach teams met them and 159 who got into detox and treatment.