In the early morning hours of a Vancouver winter, Elena, a social worker with over two decades of experience, sits in a cramped community health center waiting for a client who has been missing for three days. The client, whom Elena knows only by his first name, struggles with severe schizophrenia and a long-standing dependency on opioids. Elena’s frustration is palpable; she watches as the emergency room, overwhelmed by acute cases, turns the client away, while the shelter system, operating at capacity, cannot accept him without a designated bed.