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The Guardian - US
The Guardian - US
World
Sam Levin in Portland, Hillsboro and Medford, Oregon

How to help people with addictions on the streets? These Oregon programs have solutions

View from inside a car of two Latino people handing out supplies that are organized in the back of the car's trunk, as someone waits to receive the supplies
Israel Pineda, center, and Roberto Parades of El Jardín, an organization offering low barrier culturally and linguistically specific recovery support services for the Latino community, offer outreach in Hillsboro, Oregon, on 27 February 2025. Photograph: Amanda Lucier/The Guardian

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. Many drug users spiral downward until they overdose, wind up in jail or prison or are forced into Oregon’s overcrowded psychiatric system.

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