Mental Health Association of Portland

Oregon's independent and impartial mental health advocate

FolkTime 4th Annual Breakfast – Health Care Tranformation: “A Leap of Trust”

Posted by admin2 on 27th February 2012

Information provided by FolkTime

Forward this invitation to a friend

FolkTime Logo

This Wednesday FolkTime will host a delicious breakfast with valuable healthcare information from our Keynote Speakers. If you haven’t already registered at FolkTime.org, please do so today! This event is free of charge, so bring your friends and colleagues. We’ll have you out by 9am! Promise!

Don’t forget to reserve a seat at…

FolkTime’s

4th Annual Breakfast

Wednesday February 29, 2012

At the MAC Club starting at 7:30am

We are honored to present as Keynote Speakers:
Greg Van Pelt

Greg Van Pelt
CEO of Providence Health & Services, Oregon Region

Joanne Fuller

Joanne Fuller
COO of Multnomah County

Plan to join us as we enjoy a delicious complimentary breakfast and hear about Health Care Transformation, A Leap of Trust from Greg and Joanne.

We will include a Question and Answer time, and you’ll also hear from our Executive Director, Tom Brady and enjoy a heartwarming performance from our very own FolkTime Member Chorus!

Invite your friends and colleagues!

Reserve your seat today!

THANK YOU!!

Breakfast Location

Multnomah Athletic Club
Grand Ballroom
1849 SW Salmon Street

Free parking in structure on south side of Salmon – enter on 20th

*Program will include an opportunity to help support the work of FolkTime programs.

Extras include a raffle and surprise gifts…

not to mention the famous MAC club cinnamon rolls!

Tags: , , , , ,
Posted in Uncategorized | No Comments »

Multnomah County Rebalances Budget to Account for $12 million in State Cuts

Posted by admin2 on 15th September 2011

From the Lund Report, September 15, 2011 – by Amanda Waldroupe

The state’s new funding formula for allocating money to counties for mental health services takes funding away from some counties, gives money to others

Multnomah County’s board of commissioners voted this morning to use $8 million dollars of its one-time only and general fund reserves to make up a total of $12.4 million in state cuts affecting the county’s safety net services.

The county is using a mix of one-time only funding, remaining general funds, and the county’s Verity funds to pay for the programs, which include everything from domestic violence services, anti-poverty services, and behavioral health care.

Obviously, not all programs and services are being saved from the chopping block: the county is choosing to accept state cuts effecting mental health services for adults and children; gang intervention; juvenile detention services, and community prevention services relating to the county’s sexual transmitted disease (STD), HIV, and Hepatitis C program.

Much furor came from $5.56 million in cuts to the county’s mental health crisis services, which serve uninsured and low-income people with severe mental illnesses. Those cuts would have eviscerated the county’s safety net services, said County Commissioner Deborah Kafoury.

Approximately $4.7 million of the cuts were added back by the state, and preserve funding for adult residential services, addiction services, and commitment services for adults sent to the Oregon State Hospital when they have a severe mental breakdown.

It is not clear why the money was added back, but could be the result of a September 13 meeting between Joanne Fuller, the county’s chief financial officer, and Richard Harris, administrator for the state’s Addictions and Mental Health office. Neither returned a call for comment.

But at a September 13 Oregon Health Policy Board meeting, Harris told the board that the state’s mental health services serve less than forty percent of the demonstrated need. “As the population has grown, we have not kept up with services,” Harris said.

The cuts are the result of a new state funding formula that calculates how many state dollars each county gets for crisis mental health services. Karynn Fish, spokeswoman with the Oregon Health Authority, says the funding formula is based on a county’s population, as well as the prevalence of individuals with severe mental illness living in each county.

The funding formula applies to all counties with populations over 50,000 people, and the formula’s purpose is to equitably distribute state dollars.

Fish said the state cuts will not be finalized for another six weeks. But projections, which were shared with legislators in January, show that not all counties lost state funding. Some are actually getting additional funding, such as Deschutes, Lane, and Washington counties.

The Authority, Fish said, was “working with counties to make them aware of the fact” that the funding formula would change.

“There’s winners and losers,” said Rep. Tina Kotek (D-Portland), who has followed the state cuts. “The funding formula has helped faster growing communities.”

Cindy Becker, the administrator of Clackamas county’s human services department, said the county is losing approximately $285,000 from the state, but she is not alarmed by it. “It’s always a big issue for us,” she said. “You cut the funding, but the services don’t go away.”

Jessica van Diepen, the interim executive director of the Association of Oregon Community Mental Health Programs, said the recently announced cuts did not put the association in a “panic.”

“We were part of that conversation, originally” to change the funding formula, she said. And she points out that “we live in a world, in the last 10 or 15 years, where we see cuts on a regular basis…it’s a no win situation when money is short.”

During a county budget work session last week, Fuller said that the state cuts may become the “new normal” for funding mental health services.

Kotek hesitated to agree, but did say that Multnomah County needs to work with surrounding metro counties to find an appropriate balance of services.

“The funding formula is here to stay based on population,” she said. “[Multnomah County] argues that they serve more people. If they are serving people from other counties, they need to show that. It’s not okay for the counties to have their own silos.”

The Lund Report
requested that Multnomah County provide data showing the prevalence of mental illness in Multnomah County. Dave Austin, the county’s spokesperson, did not provide that data.

Becker points out that some counties do not have enough people needing particular services, such as acute care or detox services for people with alcohol and substance abuse addictions, to warrant operating particular services in the county.

“We don’t have the critical mass to be able to sustain them on a county by county basis,” she said, making it necessary for some counties to contract with others that do have those services, such as Multnomah County. “We can’t afford to have those services.”

Kotek said she has requested that an informational hearing be held during the Legislature’s interim meeting in November to learn more about the funding formula’s effect on counties. Van Diepen did not say that the funding formula necessarily needs to change.

She said, “it’s a healthy tension we need to continue to have conversations with each other about.”

Tags: , , , , , , , ,
Posted in Uncategorized | No Comments »

Multnomah County’s Mental Health Services Expected to be Largely Preserved

Posted by admin2 on 10th September 2011

From the Lund Report, September 8, 2011

Services are proposed to continue for one year using one-time only money and reserves in light of $11 million in state budget cuts

September 8, 2011—Multnomah County Chair Jeff Cogen is proposing to use one-time only money and reserves from the county’s Verity funds to sustain funding for mental health crisis services and other social services effected by state cuts totaling $11 million, which were announced late last week.

 Joanne Fuller, Multnomah County Chief Operating Officer

Joanne Fuller, Multnomah County Chief Operating Officer

The proposal preserves funding for mental health crisis services, juvenile justice programs, public safety and domestic violence services through the end of this fiscal year –June 30 of next year.The county’s board of commissioners is scheduled to vote on the proposal on September 15 in order to rebalance the county’s budget.

The county is using a total of $7.8 million from a mix of general fund money, one-time only money, and the county’s Verity account to mitigate the state cuts.

“The mitigation proposal is designed to address the state cuts…in a very conservative way,” Joanne Fuller, the county’s chief financial officer, told the board during a Tuesday work session.

The proposal does not restore funding to all programs. The juvenile justice system is proposed to be partially cut, including alcohol and drug treatment and a gang outreach team, and services for mentally ill people committed to the Oregon State Hospital when that person experiences a sudden mental health crisis.

“We looked to fund those critical services that we felt the community couldn’t live without,” Fuller said.

Layoffs are also expected; however, it’s unclear how many positions will be cut.

Fuller said the proposal gives the board and the county’s human services department time to consider how to deliver services more efficiently and effectively. The worse case scenario, she said, is that services will be funded for one year, then eliminated.

“A lot of these cuts may be the new normal from the state,” Fuller worries. “The chances of getting money back in many of these areas may be very slim.”

The state cuts, Fuller said, are the result of a new funding formula that determines how much funding the counties receive for social service programs. Previously, such formulas were based on a variety of factors, including demand for services. Now, the formula is based solely on a county’s total population.

“We knew Multnomah County was going to get less money,” but it ended up being “a lot less money,” Fuller said.

County Commissioner Deborah Kafoury said state legislators have reacted with surprise to the reductions caused by the new formula, not “realizing the cuts were basically eviscerating the entire mental health system.”

“I’m still trying to figure out why nobody seemed to know this was coming,” she said.

If the commissioners approve Cogen’s proposal, the county will have approximately $2.2 million left in unspent one-time only money, and $100,000 in unspent general funds.

Fuller said it makes sense to use one-time only money from a service delivery perspective, but that it puts the county in a less sound financial position moving into the next budget year. “Verity is not an ongoing resource,” she said.

Cogen expects more funding cuts as the federal government attempts to trim the national deficit. And he expects the Legislature to make more cuts during its February session. “This is not the only bad news we’re going to have this budget year,” he said.

“The cuts that are coming will probably be even worse than these,” Kafoury said.

In a moment of grim irony on Tuesday, Cogen summed up what local governments may expect if the economy doesn’t improve and cuts to human service programs continue: “The good news is that they’ll have to stop cutting eventually, because they will have nothing to cut.”

Tags: , , , , ,
Posted in Uncategorized | 1 Comment »

Multnomah County to lose $11 million in state funding, must refigure budget

Posted by admin2 on 31st August 2011

From the Oregonian, August 31, 2011

Jeff Cogen, Multnomah County Chair

Jeff Cogen, Multnomah County Chair

Nearly three months after passing its budget, Multnomah County must now figure out how to fill an $11 million hole passed down from the state.

County commissioners knew when they adopted the $412 million general fund budget in early June that they’d lose millions once the state Legislature passed its own. Commissioners put aside $4.8 million to minimize the loss and to ramp down programs that the county would have to eliminate once the extent of the cuts were known. But that won’t be enough.

The state cuts include:

    *$3.2 million to mental health crisis and adult services, would eliminate staffing for crisis call center and reduce emergency mental health services.

    *$1.2 million in Oregon Health Plan funding for those seeking mental health services.

    *$260,000 would reduce outpatient services for the severely mentally ill.

    *$1 million to Sheriff’s Office, would close the 59 jail beds and a program that lets some offenders serve jail time on weekends so they can keep their jobs.

    *$2.8 million to the Dept. of Community Justice, would eliminate eight probation officer positions and the nation’s second oldest drug court.

    *$300,000 in aging and disability services for adult protective services.

County Chairman Jeff Cogen said the cuts are devastating.

“These cuts are eviscerating our mental health crisis system.” he said. “It’s just wrong. No one should believe these cuts aren’t going to hurt.”

Joanne Fuller, the county’s chief operating officer, said the county may be able to access some of the $15 million in a health plan fund to close the budget gap but said she’s waiting on the county attorney to tell her how much the county can legally use.

Fuller will bring a plan before the board Sept. 8.

“We already took cuts in the budget when we started in June. We’re not going to probably be able to (mitigate) all of these,” she said.

Tags: , ,
Posted in Uncategorized | No Comments »

Financial crisis hits hard at the county level, too

Posted by admin2 on 5th December 2010

From The Oregonian, December 2, 2010

When timber was king, harvest receipts in southwest Oregon’s coastal counties filled municipal coffers, and residents enjoyed the state’s lowest property tax rates.

These days, balancing county budgets has become an exercise in backfilling a sinkhole, one that threatens to swallow the levers of government whole.

In early November, voters in Curry County overwhelmingly rejected a public-safety levy to fund the sheriff’s office, the Juvenile Department and the district attorney’s office. As things stand, even if the county eliminates every service it provides from its general fund budget over the next two years — juvenile, patrol deputies, 9-1-1, the DA, commissioners, the treasurer’s office, the county clerk and so on — the $1.3 million raised annually from property taxes may be insufficient to cover just the cost of running its jail.

“There has to be some form of government in rural coastal Oregon,” Curry County Commissioner Bill Waddle said. “Is it going to be Curry County or some form that the state of Oregon imposes? I don’t know.”

Curry and neighboring Josephine are among the handful of Oregon counties facing an unprecedented collapse in revenues because of the loss of federal timber payments.

But counties’ budget woes aren’t limited to timber problems, and fiscal cracks have spread throughout the state. The ongoing recession and housing busts mean that property taxes and development-driven fee revenue — permits, inspections, etc. — have stagnated everywhere.

And there’s more — or less — to come as the state Legislature prepares to balance its own budget by slashing through a projected $3.5 billion deficit. Many of those cuts will target services that counties provide under shared funding or that they contract with state and federal authorities.

The list includes services for the state’s neediest residents — children, the elderly and people with disabilities, veterans, those needing alcohol and drug treatment, or family planning. With voters in no mood for new taxes, balance sheets weakened by previous years of budget cutting and increasing expenses to fund retirement and medical benefits, counties are left with few choices.

“Counties can’t go bankrupt,” said Mike McArthur, executive director of the Association of Oregon Counties. “There’s no provision for municipal bankruptcy under Oregon law. They simply ratchet back services to the point the budget is balanced.”

Structural problems

Cities are the geographic stars. States have the broad mandate. But when it comes to fixing aging bridges, providing drug and alcohol treatment for juvenile offenders, or aiding the elderly and disabled, counties are where the social safety net hits Main Street.

County budgets are a tangle of revenue streams, programs, contracts and mandates. There are property taxes, fees, sin-tax receipts, state contracts, federal matching dollars and so on. Some services are mandated, others aren’t. No two counties are alike.

Counties everywhere, however, rely on property taxes for discretionary revenue, the lion’s share of which supports public-safety functions such as sheriff’s deputies, jails and parole officers. With the passage of Measures 47 and 50 in 1996 and 1997, Oregon voters tied counties’ hands by limiting assessed valuations and putting a 3 percent lid on their annual growth.

Still, in theory that provides slow and steady revenue growth to underwrite programs.

In practice, however, the limit creates structural deficits, as revenues fail to keep pace with payroll costs, including spiraling pension and medical benefits.

Booming construction temporarily spiked property taxes and fees for many counties, masking the problem. But the real estate crash closed that spigot. Counties across the state have responded with pay freezes, furlough days and layoffs.

Lincoln County Commissioner Don Lindly says his coastal county has been through the full menu of budget reductions: prioritizing services, freezing pay, laying off 25 percent of the county staff, making employees cover two jobs. Nothing, he said, has been held harmless.

The county considered shutting the animal shelter, but voters passed a five-year levy that actually increased the staff. Lindly notes that no similar groundswell resulted when the county decided to eliminate mental health specialists.

“I’m not saying anything against animals. … I’ve got a yellow Lab that pretty much runs our family,” he said. “But it’s interesting what people will choose to support.”

Timber time bomb

Declining timber harvests on federal forestlands is an old story, as is the threatened elimination of safety-net payments to compensate rural counties for their loss. Those payments are currently in a four-year step-down and will sunset in 2012, carving big holes in the budgets of 18 Oregon counties.

Congress has twice reinstated the payments, avoiding a budget meltdown for many rural counties. But their decline gradually is sapping services and reserves, particularly in counties where Measure 47 froze permanent property tax rates at low levels. Those counties have had a few years to wean themselves from the payments, establish reserves and go to voters for local levies to backstop services. But the prospect of reauthorization has created a cry-wolf scenario, where voters refuse to make up the gap until it’s certain the government money has dried up.

If the federal payments expire, some counties simply won’t be viable. The payments already have declined from $265 million in 2007 to about $200 million today, and if they end in 2012 counties will be left with only a trickle of the river of money that once flowed — about 10 percent of the peak payments.

As recently as 2008, the payments made up two-thirds of the general fund in Curry, Douglas and Josephine counties, 40 percent in Coos County, a third in Jackson and Lane counties.

“We’re past cutting,” said Dave Toler, a commissioner in neighboring Josephine County, which eliminated 250 of its 650 employees during the last five years. “We’re talking about providing what normal American citizens would expect in a First World nation.”

Thirty-three of 36 counties received some portion of the $200 million distributed this year. And even those that escape any direct impact could feel the loss as the state tries to backfill funding by redistributing its own budget pie.

Columbia County would lose $2 million a year — roughly 20 percent of discretionary funds.

“By discretionary I don’t mean money for lattes,” Columbia County Commissioner Tony Hyde said. “This is money we use to supplement law enforcement and criminal justice. It’s pretty sad when you can’t call a cop and get an answer.”

State cuts

State and federal money accounts for $3 of every $10 counties spend on veterans and economic development, $4 of every $10 on community corrections and public health, $5 of every $10 for roads and nearly $7 of every $10 on mental health, according to Association of Oregon Counties.

Most counties are in wait-and-see mode until the governor and Legislature reveal specific strategies for coping with the state’s own shortfall. But cuts are coming.

State cuts can have a multiplier effect, reducing federal matching funds — say for Medicaid reimbursements or family planning. Counties also fear cuts in cigarette and liquor revenues they share with the state.

Officials expect the deepest cuts in human services — public health, mental health, children and family services. Those programs have seen big caseload increases during the recession and were supported by the biggest chunk of federal stimulus dollars, which are unlikely to recur. Various mandates preclude the Legislature from making across-the-board cuts, so they are likely to be concentrated in specific programs.

If cuts go deep enough, and counties can’t provide a minimum level of mandated service, they simply can hand the obligation back to the state. Douglas and Linn counties already have done so with community corrections. The state, officials say, generally spends more to provide the same service levels.

Mary Shortall, director of aging and disabilities services for Multnomah County, expects state cuts to include in-home services for the elderly and people with disabilities. In Multnomah County, that includes 2,800 residents who qualify for state-paid nursing home care, but who can be served more economically at home if they have help with bathing, eating or continence care. Shortall says her division’s caseload grew 13 percent during the recession, while staffing shrank 5 percent.

If the state cuts payments to home health aides, some clients can manage with help from family. But the burden eventually will fall to taxpayers again, as clients apply for more expensive nursing home care that the state is obligated to cover.

Joanne Fuller, human services director in Multnomah County, says she doesn’t even want to speculate on what the Legislature will do.

“This is a lot bigger hole than we’ve seen before,” she said. “We’re cutting deeper at a time when there are a lot more needs in the community. There’s no replacement for these services. It’s not like there’s some way we can do them cheaper.”

Tags: , , , , , , , ,
Posted in Uncategorized | No Comments »

Mental health facility doesn’t satisfy police

Posted by admin2 on 22nd October 2009

From the Portland Tribune, October 22, 2009, & see OUR COMMENT below.

Frustration builds as county crisis center proposal falls short

The closet-sized room near the emergency department entrance at Oregon Health & Science University isn’t much — a few chairs, a footstool and a counter. It’s not a place police officers want to spend time, but frequently it is a place where they spend half their day, or more, finishing paperwork or just hanging around.

That’s because nearly every day Portland police officers pick up people from the streets who are suffering psychotic episodes and might be dangerous to themselves or to others. The officer has the option of taking that person to jail, which police say usually doesn’t make sense. The other option is a trip to a hospital emergency room, where staff can assess the newly arrived patient and eventually find placement, most likely in a hospital psychiatric room.

That’s where the little waiting room comes in. Police officers are required to stay with people they have brought in until a physician tells them they can leave. But with inpatient psychiatric rooms often filled, and hospital psychiatrists often unavailable, assessment and placement can take hours. So the police officers wait.

Police had hoped that a solution to this longstanding issue was at hand, now that Multnomah County is proceeding with a new crisis assessment and treatment center for mental health patients. But ironically, as plans for this project become clearer, it appears that police officers still will be left frustrated — and still waiting.

In July, county commissioners voted to build the new crisis center, also known as a sub-acute facility, to fill what police, mental health providers and hospitals have long seen as a serious gap in mental health services. The new center would share space in a building that houses nonprofit Central City Concern’s David P. Hooper Detoxification Center, east of the Burnside Bridge. Remodeling for the new center is expected to begin next spring.

In most American cities, police can take people displaying psychosis to a psychiatric emergency room — similar to a regular hospital emergency room but set up to quickly triage psychiatric patients and get them off the hands of the police. Portland hasn’t had such a facility since the county’s Northeast Portland crisis triage center closed in 2001, but some sort of triage center is what Portland Assistant Police Chief Brian Martinek would like from the new sub-acute facility.

He’s not going to get it, however, largely because a number of conflicting interests have prevailed.

Administrators at local hospitals would like the center to relieve them of the hundreds of psychiatric patients — many uninsured — who clog their emergency departments even though they don’t need traditional emergency services.

Mental health advocates want a place where people in need of immediate psychiatric care and assessment are not mixed in with others who may be experiencing severe psychosis and needing physical restraint.

So the county’s plan calls for a 16-bed facility that would use the sanctuary model of care favored by many hospital psychiatric facilities, and that emphasizes minimal use of restraint and seclusion on patients who appear to be out of control.

Not enough money

Joanne Fuller, director of the Multnomah County Department of Human Services, which runs the public mental health system that will include the new center, says the renovation project is expected to cost between $3 million and $4 million. The county has spent $1 million to move the detox center, freeing up space at the Hooper building, which freed up $2 million of Portland Development Commission funds for the remodeling. Fuller says the county is still working on finding the last $1 million to $2 million.

The county estimates that operating the new center could cost around $3 million per year, about half of which could come from Oregon Health Plan coverage of patients. Fuller says the county doesn’t yet know where the rest of the money is going to come from — though some money currently spent on hospitalization of mental health patients might be reallocated to the center.

The shortage of available cash will require the new center to perform a limited role, with most patients there no more than 10 days. The hope is that short stays will help patients stabilize to the point that they can access community outpatient mental health services.

What nobody wants, according to Ed Blackburn, Central City Concern’s executive director, is a repeat of the last version of a crisis triage center. Blackburn says that plans for that facility were too grand, including 10 units of housing, case managers to help residents, a sub-acute facility with four holding rooms for triage, and a pharmacy.

In the end, Blackburn says, there wasn’t enough funding to support the old facility.

“What you had was a lot of people coming in to get their prescriptions refilled and it was a drop off place for police. Once the services started being taken away it collapsed,” Blackburn says.

No place for restraint

The less ambitious sub-acute center, which the county hopes to open by late 2011 or early 2012, has a chance of succeeding, according to Blackburn.

“This is going to be much more focused on people who are actually in crisis,” he says. “We’re not going to try to do too much.”

That is why the police won’t have their dropoff station.

Fuller says the new center will not be the place for people who need restraint, but it might be appropriate for some patients in psychosis who don’t appear violent.

Under current plans, if police officers think they have someone appropriate for the new center, they first would need to have the county’s mental health call center or Cascadia Behavioral Healthcare’s mobile Project Respond unit authorize placement at the new center.

But assistant chief Martinek says Project Respond too often is not available to police, who need an immediate response. And calls to the crisis line will put police officers in the position of having to assess the status of the person they’ve just picked up — a role Martinek says police would rather not have.

But that extra assessment step, Fuller says, will help keep the new center from becoming overloaded with patients who need detox from drugs or drinking more than they need mental health services — a problem at the previous crisis triage center.

The police often pick up people who need emergency medical treatment before they need mental health triage. County officials want to keep those pickups from overcrowding the center as well.

“If you become a triage center, you become an emergency center and you fill up too soon,” says David Hidalgo, senior operations manger for Multnomah County’s mental health division.

All of which leaves the police still looking for a way to disengage from assessing and spending time with psychotic citizens.

“This doesn’t solve the police problem,” Martinek says. “The mental health field and the law enforcement field are in way different places philosophically.”

OUR COMMENT – The Portland Police Bureau are not the users of this facility, or the deciders about what services are provided by this facility. The PPB, and the City of Portland, are not financial contributors to the project. The County has a long-standing agreement that it’s mental health services are PATIENT CENTERED. That means the needs and interests of the PATIENT are the foremost consideration in the planning and delivery of services.


The police are impatient for a solution to what they now are recognizing as a long-term shortcoming in their orientation to the issue of mental illness. For thousands of years they’ve been the cruel cudgel, the push out the door, the clang of a cell door. Now, with limited insight into their role as punishers of persons with mental illness, they’re seeking quick solutions.


Secondly, this facility is far from defined. The county plans many public meetings to develop a complete service plan. The police are going to be part of that planning – but it won’t be a drag-and-drop.

Tags: , , , , , , ,
Posted in Uncategorized | No Comments »

Dear Mental Health Advocate,

Posted by admin2 on 4th September 2009

We are pleased to invite you to a series of meetings designed to provide information on Multnomah County’s creation of a Crisis Assessment and Treatment Center.

The facility will serve as a place where people can receive mental health treatment instead of being sent to a hospital or a jail.

The center is a top priority for Multnomah County and its Board of Commissioners, and it’s slated to open roughly in 2012.

It will be an integral piece of the mental health care system. In order to make sure the center opens on time and meets the needs of the community, we need your help.

We would like you to attend two community engagement meetings this fall. The first will be held on Sept. 21 from 2 p.m. to 5 p.m. in the Lincoln Building, 421 S.W. Oak St.

The meetings will:

    * Give community members a chance to look at architectural drawings and learn about the redesigned building; and

    * Allow stakeholders to gain an understanding of the program’s overall goals and provide input.

After these community engagement meetings, our Mental Health and Addictions Services Division will create an advisory committee to continue looking over the project.

The advisory committee and the community will receive regular updates from the Mental Health and Addictions Services Division staff until the center is completed.

There’s a lot of work to be done before we can open the Crisis Assessment and Treatment Center. But we’d love to have your participation in creating this critical piece of our county’s mental health care system.

Please RSVP to Lisa Rand-Thibeau by e-mail at lisa.rand-thibeau@co.multnomah.or.us or by phone at 503-988-4055 no later than September 15th.

We look forward to hearing from you.

Sincerely,

Joanne Fuller, Director Multnomah County Human Services

OUR COMMENT – Ed Blackburn, executive director of Central City Concern told Multnomah County Commissioners on July 2 2009 this facility would be open in April 2010.


Remember – mental health treatment delayed is mental health treatment denied.

Tags: , , ,
Posted in Uncategorized | No Comments »

Partial Settlement, New Allegations in Chasse Lawsuit

Posted by admin2 on 9th July 2009

From the Portland Mercury, July 8 2009

Terminal Energy – Partial Settlement, New Allegations in Chasse Lawsuit

“There is a lot of positive energy that has developed out of this tragedy,” said Multnomah County Chair Ted Wheeler last Thursday morning, July 2, discussing the county’s record $925,000 settlement for its role in the death of James Chasse Jr.

Wheeler coupled the county’s settlement with a more positive announcement about finally building a sub-acute facility for those who are in mental health crisis like Chasse, who died in custody after an encounter with two Portland police officers and a county sheriff’s deputy in the Pearl District on September 17, 2006. Chasse—who was pursued and tackled by police after allegedly being witnessed urinating in the street—was 42, and had suffered with schizophrenia since his teens.

“I think this is in the best interest of the community and the Chasse family, and it allows us to get beyond the legal issues in the case and move toward a better system of delivery for people in mental health crisis,” said Wheeler.

The new center is expected to open on East Burnside and MLK, on the second floor of Central City Concern’s (CCC) existing Hooper detoxification center, in late 2011. In the spring, the county gave CCC $1 million to move the detoxification center to a new CCC building at the old Ramada Inn in the Rose Quarter by May 2010—thereby making space for an overhaul of the Hooper building and the new sub-acute facility.

The Portland Development Commission (PDC) has approved $75,000 in pre-development for the project, setting aside $2 million in its 2012-13 budget to cover the cost of the sub-acute center, said PDC government affairs specialist Keith Witcosky at last Thursday’s county meeting. Witcosky said PDC will “be as creative as we need” to cover the time lag between now and 2012, and hopefully move the money into this fiscal year so that work can begin on the center as soon as possible.

The county currently faces an $800,000 per-year budget hole in opening the sub-acute center, said county mental health director Joanne Fuller, but it hopes to plug the gap by working with the city, state, and CCC. “There is also the potential for stimulus dollars,” said Fuller.

“I don’t think a celebration is in order today,” said Wheeler. “There’s an opportunity here.”

Wheeler said the new center, which is expected to house those in mental health crisis for up to 10 days while they stabilize, before moving them into housing through CCC, “is going to be effective, and cost-effective, and I don’t want to overlook the fact that it’s humane.”

“What was very encouraging in hearing Ted speak was that he was taking what happened to James seriously and straightforwardly,” said Jason Renaud of the Mental Health Association of Portland.

Meanwhile, the Chasse family’s attorneys filed documents on Wednesday, July 1 in their ongoing case against the City of Portland that contained troubling new allegations based on testimony about Chasse’s death in police custody. They are as follows:

1. Chasse’s broken ribs were most likely the result of kicks or a dropped knee. State medical examiner Karen Gunson, who performed Chasse’s autopsy, told attorneys for the Chasse family during depositions that some fractured ribs in Chasse’s back were unlikely to have been caused by his fall to the ground, but that a “knee in that particular area on the back of the neck” was a “better scenario.” Gunson found 48 separate abrasions or contusions on Chasse’s body, including 16 possible blows to the head. Chasse would most likely have lived if he had been given proper medical care, Gunson said.

2. Chasse never urinated in the street.
Deposition of Portland Police Bureau Officer Christopher Humphreys reveals he never saw Chasse urinate on the sidewalk—an alleged detail of their encounter, which has been widely reported as a possible legal basis for the officers stopping Chasse. At most, Humphreys thought he saw Chasse urinating in his own pants because there was possibly a wet patch on his trousers, he said. But Chasse was causing no distress or alarm, Humphreys admitted.

3. Chasse screamed before going unconscious. Several witnesses described Chasse’s screams during his struggle with police. “He seemed like a scared animal,” said witness Melissa Jane Gaylord. Electrician Tony Lee Carter “thought [Chasse] was dead” for a period during which Chasse was unconscious on the sidewalk, following his beating. Bike lawyer Mark Ginsberg, another witness, said: “I did hear Mr. Chasse yelling ‘mercy, mercy, mercy,’ and that was personally pretty disturbing to me.”

4. Paramedics did not adequately assess Chasse’s injuries. Sergeant Kyle Nice radioed for backup saying Chasse was “unconscious” on the street corner of NW 13th and Everett, but never informed paramedics of the extent of force used or of Chasse’s prolonged unconsciousness, according to the documents. Paramedic Tamara Hergert wrote only that Chasse had become “extremely quiet” on the sidewalk. “Police thought he may have passed out, he came to quickly,” she wrote. Hergert also apparently neglected to do a body check on Chasse, beyond checking his vital signs, which she wrote down were normal. Hergert also told lawyers she was directed by Nice to have Humphreys sign a medical release form on Chasse’s behalf.

5. Witnesses were shocked Chasse wasn’t taken to hospital in an ambulance. Local developer Homer Williams said Chasse looked like a “bag of bones” when police put him in a squad car.

6. There was mocking of Chasse’s distress. “There was clear vocal mocking, the mocking of Mr. Chasse’s cries for help,” said eyewitness Randall Stuart, referring to emergency workers on the scene. Later TriMet sergeant Terry O’Keefe, who was supervising Humphreys and Sheriff’s Deputy Bret Burton that night, sent them a message on their in-car computers: “NICE WORK BOYS. GLAD U R OK N HE ISN’T.”

7. Police experts say cops were in the wrong. An expert witness says Officers Nice, Humphreys, and Sheriff’s Deputy Burton did not follow police policies and practices in the treatment of someone who is at least suspected of being mentally ill. Lou Reiter, former Deputy Police Chief of the Los Angeles Police Department, described the officers’ use of force as “unreasonable,” and their failure to disclose to paramedics the force used on Chasse as “unreasonable.”

“We should have known all this within hours of Chasse’s death, not three years later,” says Renaud of the Mental Health Association. “The public is stuck in the middle without the facts, waiting patiently for legal documents to emerge so that we can discern the truth.”

It is against the city attorney’s policy to comment on ongoing lawsuits.

Tags: , , , , , , ,
Posted in Uncategorized | No Comments »