Anti-alcohol emergency shelters in the Czech Republic face dual pressure. The economics of their operations are undermined by low collection rates for accommodation fees, with only 20 to 35 percent of clients paying. Simultaneously, care is becoming more demanding as more patients use other addictive substances or medications alongside alcohol and suffer from psychiatric or internal complications. Staff face increasingly aggressive behavior from clients who often damage facility equipment. In various cities such as Prague, Ostrava, and Hradec Králové, there is a rising number of clients with combined intoxication and mental health disorders. In Prague, invoices exceeding 21 million crowns were issued in 2025, but only approximately five percent of this amount was recovered. The social situation of clients, including homeless individuals and foreigners from outside the European Union, significantly reduces the possibility of debt collection.