I'm sorry that makes you feel uncomfortable. I view degeneracy as the moral decay that causes the societal and familial ties to dissipate, as well as the inability for a local or state government to manage its people, that results in feces and tents littering my street from broken humans unable to take care of themselves.
Obviously it's both, right? Although "help" is an interesting term. It can span a lot of policies, some that make sense, others that don't. Meanwhile the degeneration of familial support networks and moral codes plays a part in a more atomized society, where falling into drug addiction with no non-state help becomes increasingly common.