Southwest Virginia hadn’t seen meth for almost a decade when suddenly, in about 2017, “we started to see people go into the state mental hospital system who were just grossly psychotic,” said Eric Greene, a drug counselor. “We wondered where all these people were coming from. Since then, it’s caused a crisis in our state mental health hospitals. It’s difficult for the truly mentally ill to get care because the facilities are full of people who are on meth.”

