Homelessness has been on the rise since 2016 and the pandemic only exacerbated an acute shortage of resources to help people living on the streets. Now, many communities are struggling to provide support as some homeless people turn away from emergency shelters and remain in outdoor encampments. In Charleston, West Virginia, the city’s opioid response program also now focuses on homelessness. Outdoor encampments have been a focus at the state legislature as debate continues over how best to help people living on the street. At the same time, some people say they’re more afraid of people living on the street than in the past. Providing sustained care for homeless people continues to elude and divide even well-meaning and determined communities.