That had been the model for years: get people housed, then treat their drug use. But P2P meth changed the model. These folks invited other users over, and together they tore up the apartments. Ortenzio watched this and realized that the new meth required places for users to detox, then spend time recovering—six weeks at least. Otherwise, “these people are unhousable,” he told me. “They can’t be managed. It’s not sane to just put folks in housing when they’re in this condition.”

