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The current study examines the factors that influence the service utilization of vulnerable individuals approached by a co-response program in Philadelphia. To respond to the prevalence of vulnerability conditions in Philadelphia’s transit system, transit police developed a co-response program in which police-outreach teams patrol vulnerability hotspots and offer transportation to services to individuals sheltering in and around the transit system. A recent program evaluation revealed that most individuals approached by co-response teams declined services. Using an innovative three-pronged approach, the current study examines service utilization through the perspectives of police and outreach workers who staff co-response programs, as well as prospective clients who are offered co-response services. Semi-structured interviews were conducted with each group. Insights from preliminary findings reveal the complexity of co-response service utilization decisions. Stakeholders identify how the limitations of the current service landscape combined with relationships between police, outreach workers and the vulnerable population affect service utilization decisions. Police stakeholders also discuss their complicated role which requires balancing treatment facilitation and enforcement challenges in the field. This study provides a comprehensive perspective of co-responder programs based on the lived experience of those involved in the operation of such programs and thus offers important empirical and practical implications.