This report details findings from a joint research initiative developed by Ariadne Labs and the Schmidt Institute in Bangor, Maine with funding provided by the Maine Health Access Foundation. The research team conducted 46 interviews with frontline medical, dental, nursing, EMS, behavioral health, long term care, tribal health, patient and community groups in Washington County, Maine. Researchers aimed to identify systemic constraints that affected Washington County residents’ ability to access and use health and social services and to understand what factors would have the most impact in removing barriers.