Events in John's life that led to his downward spiral included growing up with alcoholic parents and an abusive father, which negatively impacted his social development and mental health. When he lost his job, the stress exacerbated his drinking which damaged his marriage and left him homeless. As a homeless person, John faced barriers to healthcare including a lack of insurance and money that prevented him from getting treatment for recurring infections, injuries, depression, and suicidal thoughts. Screening tools during medical visits could have identified these issues earlier to connect him with services addressing his social, mental health, and medical needs.