Getting Help for Marijuana Addiction

Alcohol, heroin and other drugs can have HARD consequences – jails, institutions and death. Marijuana addiction is different. Marijuana addiction has SOFT consequences – lost potential, missed opportunities, limited relationships, stunted development. Different, sometimes obscure, but no less real. But getting effective help to cease using marijuana is hard to find in Oregon.

Different consequences require separate treatment resources to be successful. Treatment for marijuana addiction should be provided SEPARATE from alcohol, cocaine, opiates, or other drugs. The experience, culture, and physical dependence caused by marijuana is not-comparable. Mixing clients effectively reduces access to recovery and increases resistance to reduction or sustenance. Agencies which provide “substance use disorder groups” and mixed clients should be avoided.

Many – most – people who smoke marijuana don’t have problems with it. In that way it’s like alcohol. A percentage of people have trouble; not everyone. And the percentage for marijuana is a minority – somewhere between 15% and 25% end up with problems caused by marijuana use. Marijuana is not nicotine or dilaudid, common legal drugs with high rates of addiction – 90% or more. That minority is harmed by the drug, by their addiction.

We don’t say marijuana should be illegal. The law is the wrong tool to help people with a medical problem. Instead, we advocate for access to effective treatment for those who want to stop smoking pot. The state, in legalizing marijuana, has an obligation and the resources to provide effective treatment for those who are harmed by marijuana.

But getting treatment may be a hassle.

In 2015 marijuana proponents told Oregon voters legalizing recreational marijuana would provide dollars for drug treatment. Unsurprisingly, state and local legislators failed to protect the minority who are harmed by marijuana.

We asked Oregon’s top addiction treatment professionals at the Oregon Health Authority and at Multnomah County Mental Health and Addictions Services Division about access to marijuana-specific treatment, and outcomes from those treatments. How can people get help for marijuana? What’s the result of that drug treatment – and the public funds spent on it?

Their answer? Oregon doesn’t provide treatment for marijuana addiction. Marijuana addicts are included in the same treatment provided for alcoholics, cocaine addicts and heroin addicts. Further, Oregon doesn’t collect data on the outcome of that treatment for marijuana addicts.

Addiction treatment professionals often discount marijuana addiction. Some deny marijuana is addictive, some think it’s a medicine. These people are part of the problem. Many addiction treatment professionals themselves use marijuana or used marijuana in the past without experiencing negative consequences. They are part of the majority but uneducated – and inexperienced. Be wary. Effective treatment is provided by educated and experienced clinicians.

So you may be on your own to get well.

Ask prospective treatment agencies during your intake call, “can you connect me with a clinician in recovery from marijuana addiction?” If they’re unwilling to make the connection or demur, disconnect and call another agency.

Look and listen for agencies which use language like “addiction” and not “substance abuse.” Look for agencies which talk about recovery, hire people in recovery, and refer to outside long-term community groups to provide continuing support for recovery.

Try Marijuana Anonymous. This is a twelve-step program based on Alcoholics Anonymous.

Marijuana Anonymous – Portland, Tigard, Salem, and Bend Meetings
Clark County Meetings
Online Meetings

Below is a good overview of marijuana science and treatment from Dr. Kai MacDonald, medical director at Lasting Recovery, an outpatient clinic in Southern California.

Here are some useful peer-reviewed texts on treatment for marijuana addiction.

Marijuana Dependence and Its Treatment
Alan J. Budney, Ph.D., Roger Roffman, D.S.W., Robert S. Stephens, Ph.D., and Denise Walker, Ph.D. – 2017

Attributes of long-term heavy cannabis users: a case-control study (PDF)
Gruber, Pope, Hudson, Yurgelun-Todd – 2003

Psychosocial interventions for cannabis use disorder (PDF)
Cochrane Drugs and Alcohol Group – 2016

Available Treatments for Marijuana Use Disorders – from NIDA

The Health Effects of Cannabis and Cannabinoids – The Current State of Evidence and Recommendations for Research (PDF)

Above is a massive review of clinical literature on marijuana treatment as of January 2017 – perhaps the largest ever mustered.

Is Marijuana Medicine?

Maybe. But almost 95% of state-approved medical marijuana patients in California weren’t sick in a way marijuana might help.

An Analysis of Applicants Presenting to a Medical Marijuana Specialty Practice in California
Helen Nunberg, MD, MPH, Beau Kilmer, PhD, Rosalie Liccardo Pacula, PhD, and James Burgdorf – 2015

Is Marijuana Dangerous for Teens?

There has been a substantial increase in teen use of marijuana in states which have legalized medical or recreational marijuana. Watch this documentary, made in Portland about Cleveland High School students who smoke marijuana.

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‘We’re specialized in detoxing them’

The Daily Astorian Feb 4, 2017

ST. HELENS — The basement rooms of a medical detox center may seem like a universe away from the world of Harry Potter and Harvard. The message on the bulletin board on a January afternoon, drawn in red marker, brought them closer together: “Rock bottom became the solid foundation in which I rebuilt my life.”

Nurses at Bridge to Pathways often write inspirational notes for patients going through the agony of withdrawal, reported The Daily Astorian. The quote from author J.K. Rowling’s commencement address at Harvard in 2008 is about the fringe benefits of failure, a useful lesson that can apply to struggling novelists as well as the addicted.

Bridge to Pathways, a nine-bed facility that opened in St. Helens in 2015, is the closest medical detox option for people in Clatsop County. The detox center mostly serves patients on the Oregon Health Plan, the state’s version of Medicaid, and concentrates on withdrawal from drugs or alcohol.

After they detox, patients can move into Pathways — a 16-bed residential treatment program upstairs — or other residential or outpatient therapy, but there is no requirement. Many residential treatment programs only accept private health insurance, often have high out-of-pocket costs, and do not offer a detox-only option.

“It’s meeting the client where they’re at,” said Kim Krause, the administrator at Pathways. “A client may not be ready to enter residential. They may think that they just need to be detoxed and then they’ll be stable and then they’ll be able to re-engage at home and in an outpatient facility.”

Krause said some patients may come into detox two or three times before they say, “It’s not working. Let’s do your way now.”

Patients usually stay at Bridge to Pathways for five to eight days.

“Your first two to three days, you’re pretty sick,” Krause said. “We give you meds. We make you comfortable. But you’re pretty sick.”

Nurses and support staff monitor the withdrawal process, with medical expertise in partnership through Oregon Health & Science University. A case manager works with patients on their next steps in recovery.

“We’re specialized in detoxing them. And we’re specialized in getting the clients where they need to go after detox,” Krause said. “That’s what we do here.

“We’re specialized in dealing with the grumpiness, the irritability, the yelling and the screaming, the tears, the sick. And we give it more of that one-on-one attention.”

Bridge to Pathways was conceived as a local alternative to detox options such as the Hooper Center and De Paul in Portland. The detox center is part of Columbia Community Mental Health and backed by the Columbia Pacific Coordinated Care Organization, the umbrella for the Oregon Health Plan in Columbia, Clatsop and Tillamook counties.

“Anybody in recovery needs to do it as close to their home environment as possible,” said Jay Yedziniak, the compliance officer at Columbia Community Mental Health. “And detox is an important part of that recovery for some people.”

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What happened to Michael Tyler Jacques

Shooting Investigation

For man killed by Bend police, a lifelong struggle
Michael Jacques’ short, traumatic life ended during a fatal traffic stop in downtown Bend
The Bend Bulletin – Jan 26, 2017

In the weeks since police killed her son, Karen Jacques has avoided online comments, news articles and cellphone videos that were broadcast on TV. She’d been told of the graphic content, and the way people characterized her son, Michael Tyler Jacques. They called him a pedophile and a violent drunk.

She stayed away because she remembers him differently. Her son, in her eyes still a boy in so many ways, was a funny, sensitive child with a penchant for being empathetic toward the misfits in his life.

He took kids with disabilities under his wing because he knew how it felt to not fit in, she said.

Jacques, 31 — most people called him Tyler — grew up in a normal family, his mother said. He played with plastic toy soldiers and went to school like everyone else. But in high school, he experimented with drugs and alcohol. He formed an addiction that he fought until the final days of his life.

“He has struggled with learning disabilities, mental heath issues,” Karen Jacques, 70, said. “But his primary diagnosis was post traumatic stress disorder. That’s from his time in prison.”

Over the years, Karen Jacques saw the transformation drugs, alcohol and prison forced upon him. In the wake of his death, she has seen the community quick to say he deserved to die. And while she admits he had his faults, she said she saw the sweet, compassionate boy she raised up until the day he died.

Jacques was sent to prison for three years when he was 19 for a lewd and lascivious acts conviction. There, he was a victim of several assaults that resulted in severe head trauma, Karen Jacques said. Many who knew Jacques said he was never the same after prison. After getting out, his learning disabilities were more pronounced, and he continued to struggle intermittently with drugs and alcohol. He also showed streaks of paranoia, or being hyper-alert, as well as bouts of violence.

“We would have these family dinners that would go really well, and then he would start to talk about prison, and the things they did to him in prison, and he just couldn’t let go of it,” Karen Jacques said.

Jacques was a white, middle-class kid from Laguna Beach, California. His mother said that made him stick out in the California prison system, but Jacques refused to join a prison gang for protection.

“He would not affiliate with the white skinheads,” Karen Jacques said. “So they beat him senseless.”

The fatal stop

Jacques was shot and killed in downtown Bend on Dec. 23 after Bend Police officers pulled him over near the intersection of Bond Street and Franklin Avenue following reports of erratic driving. Police have said Jacques — who was driving a 2002 Dodge Caravan with Rascal, an emotional service dog he got when he was released from prison — did not comply with orders and the situation escalated. Either one, or both officers — Scott Schaier and Marc Tisher — deployed a Taser, which they said was ineffective. Schaier then fired his service weapon, killing Jacques. Investigators have yet to say how many shots were fired.

Schaier and Tisher were placed on paid leave while the shooting is investigated.

More than a month later, police have yet to disclose what Jacques did to instigate use of lethal force, or what officers Tisher and Schaier did to deescalate the situation. At a press conference the day after the shooting, police said they did not know if Jacques was armed and have yet to say what, if anything, was found when officers searched the van. Similarly, Bend Police Chief Jim Porter described Jacques at the press conference as a drunk driver, though no toxicology report has ever been released.

Karen Jacques and her husband, Michael Sr., were awakened at 4:30 a.m. to police knocking on the door of their home in Bend, where their son had been living since last summer. Karen Jacques said it was a surprise, but something she always knew was possible.

“When you have a child that’s had so many difficulties, you have what I would call anticipatory grief,” she said. “Especially since so many of his friends have already died of overdoses, we were always afraid this day would come. And here it is.”

Forming an opinion

However, when police explained how her son died, Karen Jacques was caught off guard. She didn’t think the police characterization of her son’s actions that night fit his personality, she said.

Police asked for permission to search the home, and in a state of grief, Karen Jacques consented. Looking back, she is skeptical of police motives. What were they looking for, she thought, and how would it help an investigation? If police were to find something incriminating, she wondered, how would that justify a fatal shooting?

Karen Jacques said the search turned up little. She recalled police seizing a small folding knife Jacques used to clean his finger nails and an old cell phone.

Several hours later, when Bend police explained what happened to the media, Karen Jacques felt her son was deliberately painted in a bad light and she began to question how fair the investigation into his death was going to be.

Karen Jacques remembers the police telling her that morning that her son had provoked the officers and that’s why he was shot. She remembers a rush of empathy for Schaier, who was identified later as the officer who shot her son.

“I thought, that poor guy is never going to be right again because he had to shoot somebody,” she said. “Now I feel like he murdered him.”

A bleeding heart

Those who knew Jacques as a child say he was curious and compassionate.

Karen Jacques remembers her son being given an award in front of his entire middle school for having the biggest heart. He was honored for befriending a young girl who had been adopted and had a lot of emotional problems. Jacques often helped calm her down and walked with her to wherever she needed to go.

“He was particularly empathetic toward people with disabilities,” Karen Jacques said.

Leaving the straight and narrow

Others that knew him from a young age remember Jacques as a fun-loving kid. David Duker, a 69-year-old Laguna Beach, California, resident, knew Jacques through his son, Lewis. He remembers watching the two playing with toys, and later taking them on a trip to Mexico. As they got older, Duker recalled the two boys’ move from innocence to a more sordid lifestyle.

“They were stepping away from the mainstream as far as school work and (staying on the) straight and narrow goes,” Duker said.

In high school, Jacques was sent from his Laguna Beach world, where his friends had disposable income and access to drugs, to Bend where he started wilderness therapy through Bridges Academy. Joan McOmber, the school’s executive director until it closed earlier this month, remembers him well.

She called him a bright but different learner. Through a structured school environment, he saw a lot of academic success, she said. However, he had what she called auditory processing issues, and could become easily overloaded when flooded with information. She said teachers at Bridges would work slowly with him to understand what he was absorbing, and what he wasn’t.

Not too long after he left Bridges, an 18-year-old Jacques met a girl who told him she was 15, Karen Jacques said. The girl was actually 13, but never told Jacques, and the two had sex several times. When the girl’s parents found out, they pressed criminal charges.

“You know, she was five-foot-eight, she didn’t look like a little girl,” Karen Jacques said.

Jacques went to prison, but stayed in touch with McOmber. When he got out, she noticed a difference.

“He just wasn’t the same,” she said. “I would guess it was the head injuries. Head injuries can change someone drastically. When I knew him as a high schooler, he was more fun-loving. Just more easy-going.”

Life on the outside

Life after prison left Jacques fractured, his friends and loved ones said. Signs of the compassionate little boy remained, but new characteristics surfaced. He struggled at times with drinking and illegal drugs, but also had long stretches of sobriety. He started working as a landscaper informally for several of the people in his father’s Laguna Beach neighborhood, including Matt Warner.

“He was very smart, very creative,” Warner said.

Warner recalled Jacques enjoyed watching the butterflies that visited his yard. But Warner also saw signs of learning disabilities that Jacques had suffered with his entire life.

“There was something that didn’t click right. It was just really weird,” Warner said. “He could know incredible amounts of stuff about things, and then there was just something that prohibited him from having a normal, everyday job.”

He also knew Jacques’ time in prison had an impact.

“It destroyed him,” Warner said. “He went to prison as a child molester. Do you know what it’s like in prison for a child molester?”

Warner said Jacques was trustworthy and he never worried about giving him unsupervised access to his home.

Neither did Duker, who reconnected with Jacques and hired him to work on his yard.

“I would leave the money out for him in advance,” Duker said. “There was never any issue with him taking the money and him not doing the work.”

Seeking a fresh start

Jacques had a spate of interactions with law enforcement, though mostly parole violations. He moved to Bend to live with his mother May 16, 2016, the day after he got off parole. His dad, who is an art professor in California, would split his time in Bend and Laguna Beach. Karen Jacques said her son was seeking a fresh start. He was sober, attending Alcoholics Anonymous meetings and working out. He was fixing things around the house and going on hikes with Rascal.

But Jacques wasn’t able to stay out of trouble. In July, he got in a bar fight at the Westside Tavern in Bend. According to a Bend Police report, Jacques was very drunk when taken into custody by an officer, and on the ride back to the police station started insulting the cop. The insults were interrupted by apologies for being disrespectful.

When walking through the jail, a handcuffed Jacques told the officer he could spin around and head-butt him. Jacques then spun around, and the officer sat him down on a bench. He later was convicted of attempted assault on an officer.

It was typical of the many relapses Karen Jacques saw in her son. But with each slip, Jacques also worked to push forward she said.

“He was fighting so hard. He wanted to have a fresh start and a normal life,” Karen Jacques said.

The final push for change

He took medication for his psychological issues, but it was expensive, and Jacques had run out in the weeks before his death. On Dec. 20, Karen Jacques purchased some for her son. The night before he was killed, the family went out to sushi to formulate a plan on how Jacques could stay sober.

“Tyler said ‘I know I need to get it together,’” Karen Jacques recalled. “‘I am starting to self-medicate, this isn’t going to work.’”

Jacques had lost a job as a painter over the summer when his employer did a background check and found out he was a registered sex offender. He was discouraged, but his parents offered to help him try and get back on his feet.

The next night, Jacques’ life ended during a traffic stop in Bend.

“It was every parent’s worse nightmare,” Karen Jacques said through tears. “He was not very mature. And during the time he spent in prison, he didn’t exactly grow up. So we still think of him as our boy.”

Jacques’ family, and those who knew him, said they can’t see Jacques doing something to warrant death.

Karen Jacques believes her son was overwhelmed by the police presence, and shut down — something that often happened in stressful situations. McOmber, a licensed therapist in California, said that would fit with Jacques’ mental processing issues.

“There’s the fight, flight or freeze, and I could definitely see Tyler in that situation freezing,” she said

Karen Jacques said she believes the shooting was unlawful.

“The police have got to learn to be a little more controlled,” Karen Jacques said.

In the weeks since, Karen Jacques said she has been a mess. Some days, she is unable to get out of bed or leave the house. Other days, she moves around the home, Rascal by her side, with constant reminders of her son in the form of pictures, or little projects he was working on.

She thinks about the piece of her family that was taken away and how she will never have grandchildren.

“This changed the whole course of our lives,” she said.

Where the case stands today – January 26, 2017

The actions of the Bend Police Department are being investigated by Oregon State Police under the direction of the Oregon Department of Justice.

Although an autopsy was done, authorities have not released any information about whether Michael Tyler Jacques was drunk or under the influence of illegal drugs.

Authorities have also declined to say what prompted officers to use deadly force or whether or not Jacques was armed.

OSP has said it will not release any details about the case until its investigation is complete, but an attorney for Jacques’ family is conducting an independent investigation.

On Dec. 23, Michael Jacques was shot and killed during a traffic stop by Bend police. Here’s what’s happening in the aftermath.
By Brian Jennings for The Source (Bend Weekly)

It was a Friday night around 10:30 when a Bend police officer stopped Michael Jacques in his Dodge Caravan near Franklin and Bond, after 911 reports of a van being driven erratically on Third street, allegedly nearly hitting a bicyclist. According to Oregon State Police, the officers on the scene first used a Taser on Jacques, eventually shooting him. In the wake of his death, attorneys representing Jacques’ family say police have “used the media to paint Jacques as the bad guy.” For one, Jacques’ mother and eyewitnesses have claimed he was not armed.

Michael Tyler Jacques

Michael Tyler Jacques

“The cynical part of my brain tells me the command level officers and chief knew this was a bad shooting,” says Michelle Burrows, of the firm Brothers, Hawn & Coughlin. “They needed to get ahead of it and start vilifying the victim immediately.”

Bend Police Chief Jim Porter doesn’t see it that way. While not able to talk about specifics, he spoke highly of the two officers, identified as Scott Schaier and Marc Tisher, now on administrative leave.

“They are exceptional officers. They have a history of good decision-making. They’re good husbands and fathers, and they’re good people in their heart. I know that,” he said.

Eyewitnesses: Shot at Point Blank Range

Eyewitnesses have told Burrows that Jacques was shot at almost point blank range. One account is he was shot in the back of the head after officers used the Taser. A series of four or five gunshots are heard on a grainy eyewitness video.

“Based on our eyewitnesses, there was almost no justification for it,” said Burrows, saying eyewitnesses have told her that Jacques was cooperative, non-combative, unarmed and likely seat-belted in the car when an officer opened the door, used the Taser, and within another 15-20 seconds shot Tyler.

“I’m sure the police investigation will reveal a somewhat different view,” she told us. “There seems to be a concerted effort by homicide investigators to sanitize and clean up the investigation to make the officers look as good as possible.”

State Investigators Take Over

The investigation has since been taken over by Oregon State Police, after a conflict of interest arose with Deschutes County District Attorney John Hummel, who’s represented in a personal case by the same firm hired by Jacques’ family. According to OSP, it was Schaier’s duty weapon that was fired. Regardless, Burrows’ colleague, Jennifer Coughlin, questions the investigation. “I do believe that having one police organization investigate whether the officers of another police organization were justified in their shooting of a citizen is a flawed system. I have no doubt that if an independent panel of citizens were appointed to review police officer shootings, many more bad shootings would be found and the officers would be held accountable,” Coughlin told us. Burrows and Coughlin are demanding evidence not be tampered with, and have requested access to the Dodge Caravan.

Background: Michael Tyler Jacques

According to Burrows, Jacques led a troubled life dealing with autism, mental issues, drugs and alcohol. Quoting his mother, Burrows told us, “They struggled in taking care of Tyler his whole life. He was a methamphetamine addict.”

She contends that many meth users develop a different way of thinking. “In their mind, meth makes them think better. I think that’s what happened with Tyler.” Burrows also says Jacques suffered from alcoholism, going through “a couple of different treatment programs.”

He impregnated his juvenile girlfriend, according to Burrows, and was imprisoned for “lewd or lascivious acts with a child under 14 years of age.” While serving two and a half years in a California jail, Burrows says Jacques was nearly beaten to death on two occasions. After release, she thinks he suffered from severe Post Traumatic Stress Disorder (PTSD).

“He did not have the neurological capacity to deal with regular life. Couple that with severe anxiety and PTSD, and he struggled. He was a fragile human being,” says Burrows.

Bend Police Training

A 16-year veteran officer, Sgt. Brian Beekman, is one of two trainers in the Bend Police department.

“When I started in the early 2000s, going to a suicidal or mental crisis call would be an infrequent occurrence,” he stated. “Our officers are now responding to three to five a day.” Chief Porter says mental health calls have doubled in the last three years and last year increased 35 percent over 2015.

Bend PD has modified its training to respond to this increase, including staffing three officers to respond to mental health crises. For the past several years the department has also been offering Crisis Intervention Training, a 40-hour block of training, helping officers determine if they’re dealing with a criminal or mental health problem. About 80 percent of Bend’s Police Officers have been trained in advanced confrontational management— including Schaier and Tisher, according to Beekman.

Noting that officers often have to make split second decisions, Beekman said, “It’s critical training for law enforcement because many times a mental crisis contact can appear aggressive or confrontational.”

No Police Cameras

Although eyewitness videos have surfaced, the Bend Police Department doesn’t currently use individual cameras to record encounters. Still, Beekman thinks it’s only a matter of time. Chief Porter says, “We just have to find the funding and staffing to support the project.”

Attorney Burrows contends they help police behave better because they know they are being taped. “It should be mandated. It helps them, too. If an officer is accused of doing something they didn’t do, a video will end the discussion. It’s a protective tool for everybody involved.”

What Next?

When asked if he thinks the officers will be exonerated, Chief Porter said he couldn’t answer that question. “We have a policy of using the minimum amount of force possible and I can unequivocally say there’s not an officer in my department that I have a concern about in that regard.”

Burrows speculates the investigation will take months if not over a year. “I think they will label their investigation of the two officers as thorough and it will not be. It won’t be accurate. That’s why we want the minivan preserved so we can do our own science that includes bullet trajectories to the body,” she says.

Burrows concluded, “I predict the officers will not be indicted. They will be cleared. We will probably file a lawsuit at that point and then we will do the investigation.”

Michael Jacques

A hearty thump on the back to Deschutes County District Attorney John Hummel for interrupting a longstanding practice of treating police with kid-gloved reverence, and treating justice not at all.

By yielding the Michael Jacques investigation to the Oregon Department of Justice, Hummel veered off the path of impunity and neatly extracted his office from a clear conflict of interest.

Police shot Jacques, an unarmed man in mental health crisis, four to five times at close range as he sat, still seat belted, in the driver’s seat of his car. His family pleaded for a fair investigation; under Hummel, that was by no means guaranteed.

District attorneys are part of law enforcement. In use-of-force cases, this means law enforcement investigates law enforcement. In 2015, we asked Hummel about the inherent conflict of interest. He replied, “In the last 20 years, my office has not charged a police officer or deputy with a use of force crime for force used while on duty.” Well, yes. That’s exactly the sort of thing that results from such conflict.

Whenever police use lethal force, there must be independent, unbiased, non-conflicted review.

We join with the Deschutes County District Attorney and the Jacques’ family in pleading for a truly impartial inquiry.

—Jenny Westberg and Jason Renaud for the board of directors of the Mental Health Association of Portland

Family of man killed by Bend police said he was unarmed, still had seat belt on when shot

From The Oregonian, December 29 2016

Bend police fired four to five times at close range at Michael Tyler Jacques as he sat still belted in the driver’s seat of his car during a traffic stop last week, his family’s lawyers said Thursday.

Jacques was unarmed and traveling with his service dog at the time, the lawyers said in a statement.

“The family urges Bend PD and the Oregon State Police to conduct a fair and honorable investigation of this shooting not with the goal of exonerating the officers but with the sole purpose of determining the truth of what occurred that night,” attorney Jennifer Coughlin wrote.
Screen Shot 2016-12-30 at 9.31.00 AM.pngMichael Tyler JacquesCourtesy of family

State police said they’re investigating the shooting Friday night but have released few details about what occurred beyond that Jacques was stopped for driving erratically and then resisted arrest.

They said an officer fired a stun gun at Jacques to take him into custody but that didn’t work and gunshots followed. State police haven’t said how many officers fired shots or if Jacques was armed.

Bend Police Chief Jim Porter called the encounter an “unavoidable, tragic situation.”

State police spokesman Sgt. Kyle Hove said Thursday he had no new information to release on the shooting.

According to the lawyers, Bend police responded to calls about an erratic driver. The first call to 911 came in at 10:26 p.m. and police fired shots less than five minutes later.

Jacques pulled into a parking lot in a Dodge Caravan and came to a complete stop at Franklin Avenue near Bond Street, according to Coughlin and attorney Michelle Burrows.

A video from a witness showed the driver side door of the van open and two officers standing between Jacques and the door when shots are heard, the lawyers said.

Jacques, 31, had a service dog with him because he suffers from severe post traumatic stress disorder stemming from time in prison on a sex abuse conviction in California, Coughlin said. Once he was off parole, he moved to Oregon to start fresh, Coughlin said.

The family’s lawyers also said they were disturbed that some witnesses contacted by their investigators relayed that law enforcement officials told them not to speak to anyone but them.

“These various actions by law enforcement send a disturbing message of cover up and a profound lack of empathy with the victims of police violence, which is the opposite of responsible conduct the public expects of law enforcement,” the lawyers wrote.

Deschutes County District Attorney John Hummel said the investigation is continuing, and he doesn’t expect to release any more information until next week. He said two officers were present when Jacques was shot, and both have been interviewed. He would not say whether one or both officers fired their handguns.

“My sympathies are with the family of Michael Jacques and with the involved officers and their families,” Hummel said Thursday.

Bend police officer fatally shot motorist while trying to arrest him after erratic driving, police say

The Oregonian, December 24, 2016

A Bend police officer shot and killed a 31-year-old motorist Friday night after officers spotted him driving erratically, stopped his car and then had difficulty taking him into custody, according to state police Capt. Bill Fugate.

Once an officer stopped the 2002 Dodge Caravan in downtown Bend on Franklin Avenue, near Bond Street, about 10:30 p.m., a second officer arrived. The driver, Michael Tyler Jacques, “did not cooperate,” and the two officers attempted to place him under arrest, police said.

At least one of the officers fired a stun gun at Jacques, before an officer shot and killed Jacques, according to Fugate. It’s unclear if one or both officers fired their handguns.

The officers removed Jacques from the vehicle and rendered first aid. Emergency medical personnel who responded to the scene pronounced Jacques dead.

Detectives and forensic experts are continuing to investigate the officer-involved fatal shooting in downtown Bend.

The encounter occurred after Deschutes County 911 received calls about a white minivan driving erratically southbound on Third Street near Butler Market. At least two callers described the vehicle and its erratic driving, saying it had driven into snow banks and had almost struck a bicyclist. The 2002 Dodge Caravan drove through a 7-11 parking lot before it was stopped by police on Franklin Street.

The state police criminal investigations division and state police forensic divisions are investigating, along with officers from a multi-agency task force that includes the Deschutes County Sheriff’s Office, Redmond police, Sunriver police, Madras police, Warm Springs police and the Deschutes County District Attorney’s office.

Anyone who may have witnessed the vehicle or police shooting are urged to call state police Det. James Koehler at 541-633-2215.

DOWNLOAD – Press Release from Jacques family attorney Michelle Burrows (PDF)

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Arrest of Roger David Hardesty During Federal Status Conference – VIDEO

During a break in a public hearing on US DOJ v. City of Portland on October 25, 2016, justice activist Roger David Hardesty was tackled and arrested by security guards in the courtroom of Federal Judge Michael Simon and before his clerk Mary Austad.

Arrest occurs at 1:30 in the file above. There is no audio available with the security camera video.

As directed by Judge Simon earlier in the hearing, Hardesty was waiting in line with others at Austad’s desk to sign up to testify before the court when he was pulled from the line by security guards, thrown to the floor and shackled. Federal attorneys, attorneys for the city of Portland, court staff, Mayor Charlie Hales, Commissioner Amanda Fritz, members of the media and dozens of justice activists witnessed the arrest. Judge Simon did not; he had left the courtroom moments prior to his security guards moving in on Hardesty. It’s unknown whether Hardesty’s arrest was directed by Simon or Austad. Hardesty was removed from the Mark O. Hatfield Federal Courthouse by guards, cited and released.

In January, Hardesty pleaded guilty to an unknown charge and paid a small fine.

The Status Conference was to discuss the progress of the Portland Police Bureau in it’s response to the DOJ’s finding in 2014 that the Bureau had a pattern and practice of harming people with mental illness. According to PPB Force Data Summary Reports and despite elaborate efforts by the police and community, there has been no reduction in force against people with mental illness to date.


Charges against Hardesty were dismissed on 6 January, before Magistrate Judge Youlee You.

Order for 25 October arrest was issued by Judicial Security Inspector Robert Enderson, based on false statement offered by Deputy US Marshal Jesse Lindstrom, corroborated by Inspector Karl Knobbs. The others, unnamed in the surprise attack, were identified as members of Federal Protective Service.

At issue, under Code of Federal Regulations §102-74.390, was whether Hardesty had created a ‘loud or unusual noise’ on Federal property.


Negotiations between state security agents and Federal Public Defender Lisa Hay, representing Hardesty impromptu at arrest (entering video at 6:23), revealed Homeland Security does not report to the Judiciary. Had District Judge Michael H. Simon again called for Hardesty’s testimony on City non-compliance with USA v City of Portland, Enderson was prepared to refuse to allow it.

Violation of Federal this regulation did not permit a jury trial. Hardesty’s case would have been heard by Judge You. Testimony against him would have been supplied by security agents with whom she is in daily contact, and who have responsibility for protecting her life.

READ – PPB Force Data Summary Reports

READ – Transcipt of the October 25,2016 Status Conference of US DOJ v. City of Portland (PDF)

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With a new mayor, Portland should kickstart police reforms to help those with mental illness

Published in The Oregonian, January 19, 2017
By Jenny Westberg and Jason Renaud

As Portland shifts leadership from Charlie Hales to Ted Wheeler, it’s important to remember one Hales administration failure that continues to threaten the most vulnerable among us.

After more than four years of attempted compliance with legally-prescribed reforms, and despite new hires, media hand-wringing and millions spent on consultants and public process, the city’s police have yet to reduce their use of force against people with mental illness.

Force data summary reports now available on the Portland Police Bureau website show that, from spring 2015 through last fall, the number of use-of-force incidents involving persons with mental illness has remained flat, if not slightly increasing.

This apparent lack of improvement could reflect changes in how such incidents are counted and reported. But we suspect there’s more going on.

Foremost, the chronic underfunding and anemic management of the public mental health system leaves many people unable to get effective care when it would actually do some good: before the crisis, before the escalation, before the bullets.

Insisting mental health is not city business, Hales failed to engage county and state administrators in any relevant discussion about the problem as it relates to the city. He maintained the “It’s not my job” stance, arguing care for people with mental illness is the province of state and county, not city. But thoughtful observers note people with mental illness are patiently petitioning city bureaus, including housing, the Independent Police Review, police and fire; they’re giving testimony at City Council, participating in committees, and when they get hurt or killed, filing complaints.

The welfare of the sick and suffering is everyone’s business.

Instead, Hales waged a campaign to diminish and deny findings by the Department of Justice that the Portland Police Bureau had a “pattern and practice” of harming people with mental illness. He directed the city attorney to file petty appeals, thereby delaying reform. He refused to meet with a public oversight committee as required by a settlement agreement and failed to support it as members quit in frustration.

People so ill they need police engagement don’t respect clearly defined governmental boundaries. They hop from state to county to city to another state or county. This is a well-documented, well-understood consequence of not providing access to mental health care, so wholly a responsibility of all governments. As former County Chair, Wheeler has the experience to understand this consequence, and skills to bring all parties to the discussion.

We need police who are well-trained, well-resourced and accountable, who serve and protect, who treat all Portlanders with compassion and dignity, who don’t harm people for being different. Mayor Wheeler can do a lot to move us toward such a future and he should start now.

Jenny Westberg and Jason Renaud are board members of the Mental Health Association of Portland.

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Deaths on the streets in Portland – Winter 2016/2017 (updated = 5)

UNKNOWN, infant – born to mother with mental illness
Karen Batts, 52 – person with mental illness
Zachary Young, 29 – person with mental illness
David Guyot, 68 – unknown
Mark Johnson, 51 – person with alcoholism

A Baby is Dead After Being Found With His Homeless Mother at a Portland Bus Stop – The child lived less than 24 hours and never had a name.
Willamette Week, January 16 2017

Who were the homeless people who died this winter, and could there be more?
Oregonian, January 16 2017

From Rose Festival Court to death on frozen streets: Karen Batts’ lonely struggle
Oregonian, January 14 2017

Four homeless people die of exposure in Portland in first 10 days of 2017
The Guardian, January 11 2017

29-year-old’s (Zachary Young) mental illness led to living in woods where he died from exposure
Oregonian, January 12 2017

Man (David Guyot) dies of hypothermia; third to die of exposure this winter in Portland
Oregonian, January 10 2017

Woman (Karen Batts) evicted from low-income housing died of exposure three months later
Oregonian, January 9 2017

Portland Police: Woman Believed To Have Died Of Exposure During Storm, January 8 2017

Freezing temperature claims life of Portland homeless man, January 3 2017

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Coos County’s continuing inability to treat people with mental illness – illustrated

Bay Area Hospital turns away man despite hold order

The Coos Bay World Dec 6, 2016

COOS BAY — The Bay Area Hospital on Saturday turned away a Coos Bay man as too dangerous to hold despite a hold order being placed on the man by the director of Coos County Health and Wellness.

Coos Bay police apprehended a 25-year-old man Coos Bay Toyota, 2001 North Bayshore Dr., after the man allegedly used a knife to threaten people at the dealership. Police took the man to the hospital after a hold was placed on him, “but the hospital still did not hold him,” City Manager Rodger Craddock said.

Craddock said the hospital held the man for just a few minutes before determining he was too dangerous.

“We don’t have a mental facility in this part of the state,” Craddock said. “The hospital has a mental ward.”

Police took the man to Coos County Jail, where he was held while officers sought an emergency commitment from a judge in order to get the man into the state hospital in Salem. Police Chief Gary McCullough said Monday afternoon they still haven’t had the emergency evaluation.

“The hospital has refused to hold some people in the past,” McCullough said. “They are a private entity so ultimately have their own policies they operate under, which means they don’t have to take people they don’t want.

“I don’t necessarily agree with that since they are the only mental health lock-up facility in the county, but those are the parameters we operate under.”

However, Bay Area Hospital Director Paul Janke said the fact that they even take mental health patients is unusual.

“To put this whole issue in context, we’re one of the few hospitals outside of Portland, Salem and Eugene, in a community this size that even has an in-patient mental health unit,” Janke said. “We think it’s important and necessary, and that’s why we do it. As a hospital, we take our role and responsibility, especially caring for people with mental health issues, very seriously. I think we do a good job with that.”

Craddock said people whose mental illness causes them to be a danger to themselves or others need to have a hold placed on them.

“This is a great concern to us,” Craddock said. “The hospital seems like an obvious location, a place to sedate and maintain them. The jail, if a crime isn’t committed, doesn’t hold them because they don’t have the space and they aren’t a mental ward. It’s a difficult situation for the community.”

Mental subject still in custody

Bay Area Hospital says it handled situation “appropriately”
The Coos Bay World Dec 10, 2016

COOS BAY — The man who walked into the Toyota Dealership a week ago is still at the Coos County Jail awaiting an emergency evaluation from a judge.

But the Saturday, Dec. 3 incident spotlighted the problem local authorities have when dealing with the mentally ill who become violent.

Coos Bay police took the 25-year-old man into custody last week after threatening in the car dealership at knife point. He was ordered to be placed on a director’s hold from Coos Health and Wellness, but stayed only a brief time at the region’s only mental facility at Bay Area Hospital.

“We don’t have a mental facility in this part of the state,” Coos Bay City Manager Rodger Craddock said. “The hospital has a mental ward.”

Hospital workers called the police to take him out after he continued to be combative.

Police took the man to Coos County Jail, where he was held while officers sought an emergency commitment from a judge in order to get the man into the state hospital in Salem.

“The hospital has refused to hold some people in the past,” said Police Chief Gary McCullough. “They are a private entity so ultimately have their own policies they operate under, which means they don’t have to take people they don’t want.

“I don’t necessarily agree with that since they are the only mental health lock-up facility in the county, but those are the parameters we operate under.”

The hospital disagreed with the statement, announcing through a press release that the decision to turn the mental subject over to police was the “most prudent decision under the circumstances.”

Hospital manager of psychiatric services Kera Hood spoke with a representative from the Oregon Health Authority following the incident, stating that Keith Breswick, civil commitment coordinator, reviewed the situation and agreed that the hospital acted appropriately.

Breswick has not returned several calls from The World for an interview.

In the hospital’s press release, Hood explained that on the day the subject was brought to Bay Area Hospital at 9:09 a.m., he was evaluated and determined to meet hold criteria. But when he was transferred to the in-patient psychiatric unit at 11:30 a.m., he “immediately presented as aggressive, agitated and threatening. He was placed in seclusion due to his aggressive nature at 11:45, and a team meeting was called at noon.”

According to the release, the hospital can’t legally restrain and medicate an individual against his will except per individual acts of aggression.

“This unfortunately shows just how far we still need to go as a community to manage our mentally ill patients in a way that protects and serves all involved,” Hood said. “We have come a long way, but this shows we have a long way still to go in working to resolve a true community issue.”

“This is a great concern to us,” Craddock said in an earlier interview. “The hospital seems like an obvious location, a place to sedate and maintain them. The jail, if a crime isn’t committed, doesn’t hold them because they don’t have the space and they aren’t a mental ward. It’s a difficult situation for the community.”

Our mental health quagmire

The Coos Bay World Dec 10, 2016 – OPINION EDITORIAL

Hopefully, our story earlier this week about authorities juggling with the fate of a mental patient upset you.

An obviously disturbed man, wielding a knife, walked into the Coos Bay Toyota dealership last Saturday morning. Coos Bay police did as expected and subdued the man, then determined he was mentally disturbed. Instead of charging him with a crime, they sought mental health care for him. The county health director concurred and ordered a mandatory hold.

The only facility on the South Coast with a mental health ward is Bay Area Hospital. But after his initial admittance, the hospital refused to hold the man, saying he was too violent for them to handle.

So, a man clearly in need of psychiatric intervention ended up in Coos County jail, where there’s not even enough room for the sane people who need to be behind bars.

What’s wrong with this picture?

It would be easy to simply blame Bay Area Hospital, especially with the initial antiseptic response of hospital director Paul Janke.

“To put this whole issue in context, we’re one of the few hospitals outside of Portland, Salem and Eugene, in a community this size that even has an in-patient mental health unit,” Janke said. “We think it’s important and necessary, and that’s why we do it. As a hospital, we take our role and responsibility, especially caring for people with mental health issues, very seriously. I think we do a good job with that.”

Contrast that response with the reality. The hospital apparently isn’t equipped to handle patients like the man police encountered last week. And according to Coos Bay police Chief Gary McCullough, this isn’t the first time the hospital has turned away patients it determines it can’t handle.

We are reminded, too, of the bludgeoning death earlier this year of 64-year-old Richard Perkins, allegedly at the hands of his 36-year-old nephew Lucas Perkins. The arrest records say that the older man had tried repeatedly over the years to get the mental health care his nephew so desperately needed – and many would argue, he deserved. But the system currently in place allowed him to walk away from Bay Area Hospital after being placed there on a hold just weeks before the uncle’s murder.

Richard Perkins had told authorities: “Lucas will have to kill me before he gets any help.”

Again, who’s to blame here, realistically? Our current system doesn’t allow for people to be summarily held against their will for an indeterminate length of time. People with mental disorders still are entitled to the rights we all enjoy.

But when these cases become public health and safety issues, we need a better response.

We’ve written about this issue frequently over the years and we get the same responses from agencies we assume should be responsible. Public health and safety officials seem to sincerely want to be more effective, and have had monthly meetings for apparently a long time now, according to a hospital press release issued in response to our repeated inquiries four days after this incident. The press release was delivered with a comment from the hospital spokeswoman, saying, “You should have waited” for the official statement.

Despite the meetings, something is always in the way — funding, leadership, creativity in finding solutions, lack of coordination, etc. The list goes on. You should get upset about that.

Another disturbed person is going to walk into a public place somewhere here on the South Coast sooner than we’d like to think, and this whole scenario is destined to play out one more time.

You should be upset about that, too.

More than that, you should be pressuring leaders to focus on solutions. They exist, but it will take leadership, community resolve and a realization and acceptance that resources and effort must be steered toward those solutions.

Meetings and four-day response times don’t solve the issue. Actions do.

Bay Area Hospital takes exception with stories on mental patient

By Paul G. Janke, chief executive officer of Bay Area Hospital
The Coos Bay World Dec 26, 2016

As chief executive officer of Bay Area Hospital, I’d like to add my perspective regarding the recent mental health-related incident covered in multiple articles in The World. Bay Area Hospital staff takes pride in what we do. As a publicly-owned facility, we strive to be responsive to a wide variety of health needs in our community and the region. Offering psychiatric services is one challenging, yet vital, part of that mission. As one of the very few acute care hospitals in Oregon that offer inpatient psychiatric services, we take our responsibility seriously.

Situations such as the one currently under scrutiny by The World lead to frustrations from all involved. It can also lead, as it has in this case, to uncovering problems with communication among groups that need to be doing a better job working together. That miscommunication can snowball into bigger issues and to societal finger-pointing. Mental health is a community issue that requires a tremendous amount of collaboration. This is a community problem that needs to be solved by the community.

The World intimated that you should be upset with the status quo. In that, I believe, we are all in agreement. But, getting upset is only beneficial if it inspires action. Hopefully, this incident will compel all key agencies including the city, law enforcement, district attorney, the courts, county and state mental health and Bay Area Hospital to work more collaboratively. I am committed to doing my part to help make this happen. It is easy to assume the problem is lack of mental health resources. In this situation I do not believe resources to be the problem. What was lacking was effective communication, cooperation and problem solving.

To improve in that area we need to start by clarifying several specific statements and factual inaccuracies from the series of articles related to this incident. Specifically, the World articles stating “BAH turned away” this man, when nothing could be further from the truth. References were also made to the effect that BAH held the man for only a few minutes. Again, that is completely inaccurate. In truth, he was screened in the emergency department before being admitted to the inpatient psychiatric unit. He was cared for at BAH for 3 ½ hours before being transferred back to police custody.

An issue addressed in our press release that, for some reason, was not included in any of the follow-up stories by the paper was an explanation of why we felt that decision had to be made. BAH psychiatric unit staff determined that jail was a safer alternative based upon the population of patients who were on the BAH psychiatric unit at that time and the aggressive nature of the patient.

Workplace violence has become a huge concern for hospitals in Oregon and across the United States. Nearly 60 percent of all non-fatal assaults and violent acts that occur in the workplace occurred in the healthcare industry. Level of violence is also the reason 26.6 percent of emergency nurses have considered leaving their department for another unit. Patient and staff safety simply must be factored highly when making these types of determinations.

The articles also suggested a developing pattern of Bay Area Hospital turning patients back to the police. To put this incident in perspective, since January 2016, BAH has had 513 inpatient admissions to our psychiatric unit. 132 of these admissions were mental hold orders. Of that number, there was only one other time in the past year where we felt it more prudent to turn the patient over to police. It is very, very rare that we have taken the position we cannot safely care for patients in a mental health hold status.

There are other technical inaccuracies in the reporting, but I want to take this opportunity instead to focus on one additional factor I believe contributed to this situation. The man was placed on a mental health hospital hold and due to his violent behavior he was subsequently turned over to Coos Bay Police. It is my understanding that the patient involved has been placed on mental health holds at least twice in the past two months, including the weekend of the case in question. Each time the court chose not to commit. Bay Area Hospital cannot, by law treat a patient’s mental illness in the absence of a court order without the patient’s consent.

Finally, I feel a need to say I’m disappointed this matter is being litigated in the World. This is simply not an effective form of collaborative problem solving.

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CCO set to yank clients from Jackson County Mental Health

Mail Tribune, Dec. 21, 2016

A major client of Jackson County Mental Health is pulling its patients – putting a halt to the county’s ambitious plans for expansion and new hires.

Whether layoffs will result because of the reduction in Oregon Health Plan patients served by the county is yet to be determined, mental health officials said.

Beginning in January, Jackson Care Connect, a coordinated care organization, will begin shifting its OHP clients who get mental health treatment from Jackson County Health & Human Services to other providers.

It will begin referring adults to ColumbiaCare for outpatient mental health treatment. ColumbiaCare provides a variety of mental health services in the Rogue Valley, including residential treatment and supportive housing.

Youths will be referred to Kairos, a Grants Pass-based provider of residential and community-based mental health care.

The transition from using mental health workers employed by the Jackson County government to using ColumbiaCare and Kairos will happen over an 18-month period, said Jackson Care Connect CEO Jennifer Lind.

“We’ve worked really hard to minimize disruption in the community and to our patients,” she said.

Meanwhile, AllCare, a coordinated care organization also serving OHP patients, will keep using Jackson County mental health workers to directly serve patients, but will shift administrative duties such as claims processing to Grants Pass-based Options for Southern Oregon.

“Our hope is there will be little change and low or no impact. We want to make sure members’ needs are being seen to and we don’t destabilize any systems,” said AllCare Behavioral Health Director Athena Goldberg.

AllCare and Jackson Care Connect have been paying Jackson County to provide mental health services to OHP patients. The number of county residents on OHP skyrocketed from 30,000 four years ago to about 65,000 after Congress expanded coverage through the Affordable Care Act.

Jackson County received about $15 million annually from Jackson Care Connect to provide mental health care, and another $13 million from AllCare, said Health & Human Services Director Mark Orndoff.

To meet the demand for mental health services, the county has been recruiting workers from around the country and currently has the equivalent of 240 full-time mental health employees, Orndoff said.

Jackson County had been trying to fill 60 vacancies, but will now put those hiring plans on hold because of the changes with the coordinated care organizations, he said.

Orndoff and County Administrator Danny Jordan said they aren’t certain yet whether the changes will lead to any layoffs of existing staff.

The county had hoped to lease a building in Ashland to provide more mental health services on the south end of the Rogue Valley, but will also postpone that expansion, Orndoff said.

Jackson County has a mental health worker embedded with the Ashland, Talent and Phoenix police departments, and another worker stationed at Southern Oregon University, he said.

The county had hoped to expand drug and alcohol treatment services and begin accepting patients with private insurance, but those plans are being reassessed as well, Orndoff said.

Lind said Jackson Care Connect and Jackson County were not able to come to an agreement during negotiations. Cost was one of the issues.

Lind said the Oregon Health Authority is requiring coordinated care organizations to do a better job of integrating physical and mental health care. Jackson Care Connect needs to stay within its budget.

She said organizations are entering an era of increasing scrutiny over the use of resources. Jackson Care Connect’s goal is to increase services at a sustainable rate.

Dr. Mark Bradshaw, chief medical officer with AllCare, said Oregon has made an agreement with the federal Department of Justice to improve care for people with severe, ongoing mental health issues.

For decades, Oregon has moved to deinstitutionalize people, with the goal to shift them into community care settings. But too many people fell through the cracks, with chronically mentally ill people sometimes ending up homeless and without treatment.

Coordinated care organizations are facing deadlines to get people coming out of the state psychiatric hospital into community housing, Bradshaw said.

“We’re under scrutiny to meet the expectations,” he said. “We’ll be under the watchful eye of the Oregon Health Authority.”

Bradshaw said Options has more experience with supportive housing, but AllCare wants to keep Jackson County as the main provider of mental health services for patients.

Orndoff said Jackson County will continue to provide a range of mental health services to local residents, including Assertive Community Treatment for high-risk patients who would otherwise bounce around hospitals, the criminal justice system and sobering facilities.

The county’s Early Assessment program will keep helping youths with emerging mental illness so they stay connected to work, family members and the community.

Other ongoing Jackson County mental health services include crisis services and a wrap-around program for children and their families with complex needs.

Orndoff said Jackson County and the coordinated care organizations are trying to minimize disruptions, but he remains concerned.

“We’re very concerned about our most vulnerable clients and the impact of this transition,” he said. “We’re also concerned about impacts to our staff.”

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