What Motivates and Influences People Who Use Drugs to Access Emergency Healthcare Services

People are dying behind dumpsters, abandoned buildings and alone on the streets. For many, it is "Game Over." Serious drug addiction carries significant risks, including long-term health complications and overdose death. These individuals often experience trauma, pain, poverty, homelessness, and mental illness. People who use drugs do frequently seek medical care, however, there are others who simply refuse leading to lower health outcomes, longer admissions, and preventable deaths. Barriers such as long wait times, fear of withdrawal, and anticipated discrimination by healthcare providers discourage access. However, little is known about what motivates people who use drugs to seek emergency care despite these barriers. This study involved interviews with individuals living unhoused and experiencing serious addiction. Participants shared insights into their social networks, healthcare experiences, and personal motivations. Findings reveal that feelings of self-worth and connection to others play a crucial role in accessing care. Connection—a deep bond formed through shared experiences, emotions, and actions aligns with the theoretical construct of mattering, which influences healthcare-seeking behavior. Healthcare providers must intentionally foster connection and self-worth in their interactions. When people feel they matter, they are more likely to seek care whichhas critical implications for practice, policy, and future research.