"Down and out" ones are just the very ones for the Savior of sinners. He is the place of refuge for such destitute ones. Just as the hospital is for the sick and needy, so Christ is the Physician for the spiritually diseased and distressed.
A man does not try to make himself well before going to a hospital. He need not try to make himself righteous before going to Christ. Christ receives sinners, and only such. He came not to call the righteous but sinners to repentance.
He can save you. "Down and out" you may be; and the more you feel that to be your case, the better for you. But Christ can lift you up out of the mire and slavery of sin; and then He will take you in to a place of present and everlasting blessing.
"He brought me up also out of a horrible pit, out of the miry clay, and set my feet upon a rock, and established my goings. And He hath put a new song in my mouth, even praise unto our God." Psa. 40:2, 32He brought me up also out of an horrible pit, out of the miry clay, and set my feet upon a rock, and established my goings. 3And he hath put a new song in my mouth, even praise unto our God: many shall see it, and fear, and shall trust in the Lord. (Psalm 40:2‑3).