Mental Health Association of Portland

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Jeff Cogen slams mayor’s “short-sighted” budget cuts to mental health crisis center

Posted by Jenny on 1st May 2013

County Chair Jeff Cogen

County Chair Jeff Cogen

Mayor Charlie Hales stunned Multnomah County officials Tuesday when he announced that the city would no longer pay its share of a 16-bed secure mental health treatment center that opened two years ago after the death of James P. Chasse Jr.

Portland police haven’t taken anyone to the Crisis Assessment Treatment Center despite a much-celebrated city-county agreement signed in 2011 that called for each to pay 20 percent, or $634,000, of the center’s $3.5 million operating costs. The state picks up the rest. Since the center’s opening in June 2011, 1,297 people have been treated there.

Hales said the city should fund public safety services, not public health programs.

“CATC is a mental health facility, plain and simple,” Hales said. “It’s not where police officers can drop people off.”County Chairman Jeff Cogen called the mayor’s budget recommendation “short-sighted” and a mistake. It will mean the county-run center must reduce its beds to 11 and serve about 200 fewer people a year — some of whom will undoubtedly come into contact with police on the street, he said.

The center opened in June 2011 off Northeast Martin Luther King Jr. Boulevard in response to the 2006 death of Chasse, 42, who was diagnosed with paranoid schizophrenia and died in police custody.

In addition to the city and county commitment, the Portland Development Commission provided $2 million for development and the state contributed $1 million to renovate the second floor of the David P. Hooper Sobering Center for the new center.

Its staff provides patients up to 14 days of assessment and treatment and develops a treatment plan for them after they leave the center.

“Going there means they can get stabilized in a humane and cost-efficient way,” Cogen said. “The genesis of this was James Chasse’s death.”

He said he was perplexed by the mayor’s proposal, considering a recent U.S. Department of Justice investigation that found Portland police have a pattern of using excessive force against people with mental illness.

He also pointed to the city’s proposed $2.3 million settlement with a man suffering from mental illness shot by a Portland officer two years ago.

That alone is “four times the amount the city spends for this center,” Cogen said.

Portland Police Chief Mike Reese said the memorandum of understanding between the city and county on the center’s operation has “a number of barriers” that make it prohibitive for police to take people there but declined to identify them.

Capt. Sara Westbrook, tapped to lead the Police Bureau’s new Behavioral Health Unit, said the county’s center “has never been on police radar.” The open-floor plan makes it unsuitable to drop off someone in crisis and a danger to themselves, she said.

“It’s a valuable service,” said Lt. Cliff Bacigalupi, who is overseeing the creation of a new police Enhanced Crisis Intervention Team of officers. “It just wasn’t a good fit for us.”

For years, Portland police have lamented the 2003 closing of the county-sponsored Crisis Triage Center at Providence Medical Center, where officers could drop off someone they encountered during a call who needed immediate mental health care. But the triage center quickly became overrun with patients. It also provided no treatment once people left. County budget cuts closed the triage center.

Cogen said the newer Crisis Assessment Treatment Center was never intended to be a “drop-off” center.” It’s designed for people suffering a mental health crisis who might hurt themselves or others. To be admitted, a person must first undergo an assessment at a hospital, a walk-in clinic or in the field by a mental health worker, such as a Project Respond staffer.

“The police, for some reason, don’t want to go through that step. They’d like a place they can go and dump people,” Cogen said. “The idea that it doesn’t deserve city support because it’s not that, even when it was never supposed to be, is preposterous.”

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Portland Police Bureau picks about 50 officers for specialized unit handling mental health crisis calls

Posted by Jenny on 9th April 2013

Chief Mike Reese (center)

Chief Mike Reese (center)

By Maxine Bernstein, The Oregonian, April 9, 2013

Portland police have selected about 50 officers who volunteered to be part of a new specialized unit to respond to mental health crisis calls.

The new unit is one of the initiatives that federal justice investigators last year urged the bureau to adopt to improve police encounters with people suffering from mental illness.

The U.S. Department of Justice found last year that Portland police engaged in a pattern of excessive force against people with mental illness.

The Portland officers assigned to the bureau’s Enhanced Crisis Intervention Team will remain on patrol but become the go-to responders on mental health crisis calls.

While all Portland patrol officers have received 40 hours of crisis intervention training, this group will receive an additional 40 hours over four days next month that’s based on input from mental health agencies and consumers.

The training will include classroom instruction, role-playing, tours of mental health facilities and a panel discussion with people living with mental illness and their family members.

Central Precinct Officer Amy Bruner-Denhart, who joined the bureau 8-1/2 yrs ago, will serve as the team coordinator.

“We have high hopes that when someone is a volunteer, they’ll be perhaps more familiar and more able to react in a highly supportive manner,” said Terri Walker, board president of the Multnomah County chapter of the National Alliance on Mental Illness.

Police have also created the Behavioral Health Coordination Team, with  police meeting twice a month with representatives of mental health care agencies. Together, they identify the city’s most vulnerable citizens who have been the subject of repeated police calls or are considered a heightened danger to refer them to appropriate treatment.

“Our hope is we can plug the right person with the right agency,” Central Precinct Cmdr. Bob Day said Tuesday.

Lt. Cliff Bacigalupi said the Behavioral Health Coordination Team is modeled after the bureau’s existing Service Coordination Team, which works to connect repeat low-level offenders with alcohol treatment and housing.

The Behavioral Health Coordination Team meets every other Friday, drawing representatives from agencies such as Cascadia Behavioral Healthcare, the U.S. Department of Veterans Affairs, Transition Projects and Multnomah County’s Mental Health and Addiction Services, along with a new county prosecutor assigned to mental health cases and county jail medical staff.

Laura Maurer, the county’s deputy district attorney assigned since September to work on mental health matters, said she attends the meetings to help police or mental health care providers navigate legal matters that might arise. She also works to educate officers and others on what’s needed for civil commitment hearings.

Last month, the U.S. Department of Justice urged the bureau to return to a specialized group of officers who have the desire, crisis intervention training and skills to work with people suffering from mental illness. The federal review found Portland’s crisis training sorely lacked key components: “live exposure” to mental health consumers and family members, role-playing scenarios and community collaboration.

Portland police had adopted the Memphis model in 1995, creating a specialized team of volunteer officers to respond to crisis calls after the 1992 Portland police shooting of Nathan Thomas, a 12-year-old held hostage by a mentally ill man with a knife. Portland police started it with 60 officers who volunteered for the 40-hour training and, within 18 months, grew to 185 officers.

But the bureau veered away from the voluntary training and required that all officers be trained in 2007. The switch came after the controversial 2006 death in police custody of James P. Chasse Jr., who suffered from paranoid schizophrenia.

Shannon Pullen, interim executive director of the National Alliance on Mental Illness’ Multnomah chapter, is co-chairing a new advisory committee for the police bureau’s Behavioral Health Unit.  It has met twice this year and includes members of Central City Concern, Volunteers of America, Cascadia, Disability Rights Oregon and mental health consumers.

Pullen said she’s excited that police are engaging a diverse group of people who work in the mental health field. The advisory panel will sit in on next month’s enhanced crisis intervention training and is coordinating a panel to address the officers.

“It’s what the community has wanted,” Pullen said. “My mantra is engagement. We can only work better together and try to see the issue from each other’s point of view. And, hopefully, it’ll result in better outcomes.”

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Community Court at Bud Clark Commons a good fit for low-level crimes – when defendants show up, that is

Posted by Jenny on 31st March 2013

By Peter Korn, Portland Tribune, March 28, 2013

Community Court at Bud Clark CommonsTen months ago Multnomah County opened the nation’s first court set in a homeless facility. Nobody showed up.

In what court authorities around the country labeled a potential breakthrough experiment, Multnomah County’s Community Court last year moved its Friday afternoon operation to Bud Clark Commons.

The court deals mostly with low-level citation crimes such as drinking in public and small thefts. Many of the accused are homeless. The hope was that defendants might be more willing to show up for their court dates if court were held in a facility where many of the defendants spend their daytime hours.

The second week the court was in session, one defendant showed up, out of 16 who had been issued citations and ordered to appear.

Last Friday, 65 people were ordered to appear at the Bud Clark Commons Community Court and 21 did so.

BCC mapDoreen Binder, executive director of Bud Clark Commons and the driving force behind the new court, says that’s progress. And, Binder says, the progress is best measured not by how many accused offenders actually make their court date, but by what happens to those who do.

Of the 15 who appeared in court two weeks ago, five agreed to perform community service and one chose to take his case to a full trial. Three opted to work with social workers to get treatment for addictions or attend groups to help them deal with the problems that have played a role in their homelessness. Six had returned to the court after completing work with social service agencies.

Those last nine, according to Binder, are the reason it makes sense to hold court in a facility that serves the homeless.

“We’re trying to turn the court into an entryway into services rather than something people view as a punitive institution,” Binder says.

Still, the fact that only about one in three defendants makes their court appearance shows there is still work to be done. Failure-to-appear rates for Community Court have long been a problem, though nobody can say exactly how large a problem since Multnomah County court officials don’t keep records on appearance rates.

The penalty for failing to appear can be a fine which many never pay, knowing they won’t be sent to jail anyway. At Bud Clark Commons, many of those who fail to appear are simply placed on the next week’s docket. Some are scheduled week after week and never appear. But Larry Turner, engagement director for Transition Projects, which runs the day facility, thinks holding the court at Bud Clark Commons gives him an opportunity to increase the appearance rate. In fact, he knows it does.

At Bud Clark Commons homeless men and women can use computers, do their laundry, take showers and connect with social service agencies. On a typical afternoon, dozens will be seated in the main lobby, waiting their turn or just hanging out. Every Wednesday Turner gets the docket for the Friday Community Court, which gives him two days to spot the familiar faces of those he knows are supposed to appear, or who failed to appear the week before.

When Turner finds them, he tries to persuade them to show up on Friday. He’s armed with a couple of convincing arguments. One section of Bud Clark Commons has overnight beds for the homeless. Four of those beds are reserved for people who have made their court appearances. On a Friday afternoon, a homeless man can go straight from his court appearance to one of those beds.

Turner’s bigger pitch has to do with longer term housing. All of the social services offered at Bud Clark Commons are aimed at getting homeless people off the street and into permanent subsidized apartments throughout the city. For some, the first step is an addiction recovery program, for others it might be mental health treatment.

But people with outstanding warrants and fines cannot legally be placed in those apartments. Which is why Community Court judges are willing to waive fines if an offender agrees to perform substitute community service or begin drug treatment.

Still, getting those defendants to court is an uphill battle. Turner says he can predict fairly well who will appear and who won’t. The most chronic offenders with multiple prior arrests for nuisance crimes rarely show up, he says.

“They know it’s just going to be a fine,” he says. “They’ll get picked up again. They’re always drinking, always loitering, because they know the most that can happen is a fine.”

A fine that likely will never be paid, according to Turner.

But, Turner says, those among the homeless who have been issued their first citations for drinking in public or small thefts are more likely to show up for court dates. Which, he says, makes a strong case for doing everything possible to get them into court before they become chronic offenders who never show up.

What Turner would like to do is begin an outreach program that would allow him to send social workers, possibly Bud Clark mentors, to search the streets for the people on each week’s docket and persuade them to come to court on Friday.

“Everybody knows where they are,” Turner says.

Training those mentors would take a little money that Transitions Projects can’t spare. But Turner remains optimistic about the community court program’s future.

“The court is still in its infancy,” Turner says. “It’s only been nine months. For people to expect this court to make drastic changes in people’s lives in nine months is expecting a miracle. But I believe with continuity, and the more familiar people get, the longer it happens, the more success we’re going to have.”

Multnomah County prosecutor Laurie Abraham says the still-high failure-to-appear rate doesn’t mean the community court isn’t working.

“Maybe it’s not getting a lot of people into housing and drug and alcohol treatment, but it is getting a few,” Abraham says. “Even when you get a few you save the criminal justice system a lot of money.”

Criminal justice officials around the country will be watching, says Julius Lang, director of technical assistance for the nonprofit Center for Court Innovation in New York City.

“It’s turning the paradigm on its head,” Lang says of the Bud Clark Commons approach of bringing the court to the defendants. “What we need is evidence of the impact that Bud Clark is having. Once we have a more complete story to tell I think it will be a very compelling example.”

At the Bud Clark Commons Community Court, about 1 in 3 defendants shows up. At Community Court in Hartford, Conn., better than 9 in 10 do.

The Bud Clark Commons Community Court experiment is intended to lower a historically high failure-to-appear rate. But in Hartford, Conn., tackling time, rather than place, is proving much more effective.

In Multnomah County, a police officer issues a citation for a court date that is usually two to four weeks away. In Hartford, no more than two days lapse between when police issue a citation and the court date.

“The quicker you get them here, the better it is,” says Hartford Community Court Judge Raymond Norko, who suggests Portland should at least attempt to have court dates the same week as citations are issued.

A shorter turnaround time makes sense, says Binder, the Bud Clark Commons executive director. “These are people who, some are sleeping on the streets. It’s almost impossible (for them) to remember dates,” she says.

The Hartford court, which is in session five days a week, does more than shorten the time between citation and court appearance. Every afternoon the court sends the next day’s docket to the homeless shelters in town. Shelter staff members check who in their facility is scheduled to appear in court, and then accompany clients to the courtroom.

Multnomah County prosecutor Abraham says “logistics” have made it impossible to shorten the time between citations and court dates here. Police officers have to get their reports to prosecutors who have to get them to the court, and in Multnomah County that paperwork process is often taking a month.

“We can’t seem to shorten that period up,” Abraham says. “We ought to be able to do that faster and I don’t really know why we can’t.”

The Hartford approach is vastly different from Portland’s, where nuisance offenders often tear up police citations as soon as they are issued, and know they likely will never be taken to jail if they fail to appear in court. Even if they are arrested after an abundance of failures to appear, they are released after a few hours, according to Abraham.

That wouldn’t fly in Hartford, according to Norko. Hartford defendants who don’t show up for their nuisance crime court dates face a $150 cash bond that can be worked off with community service, according to Norko. Social workers who offer addiction services and mental health treatment are part of the process as well.

But if offenders still don’t appear, Norko issues an arrest warrant, police bring them to jail, and their community service time increases. The failure-to-appear rate has dropped below 5 percent.

“You can make the argument you’re criminalizing the homeless, but the community in Hartford demands their quality of life be enforced by the police department and the court,” Norko says.

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Sex offender treatment clinic lands an office after two-month search

Posted by Jenny on 30th March 2013

Johneen Manno, owner of Whole Systems Counseling & Consultation

Johneen Manno, owner of Whole Systems Counseling & Consultation

By Steve Beaven, The Oregonian, March 30, 2013

A clinic that treats Portland-area sex offenders quietly moved into a nondescript office complex on Southeast Stark Street on March 1, two months after angry parents forced the clinic out of the Sellwood-Moreland neighborhood in Southeast Portland.

It wasn’t easy to find new offices for Whole Systems Counseling & Consultation. Owner Johneen Manno said she started with a list of about 20 office properties and checked out more than half before signing a lease at Plaza 125, at Southeast 126th Avenue and Stark Street.

Manno’s options were limited. She didn’t want to rent near a school or a daycare center or in a dense residential neighborhood with a lot of children. But she couldn’t choose an isolated industrial area, in part because many of her clients use public transit.

Throughout the Portland metro area, therapists who treat sex offenders face the same limits. They have to balance their clients’ need for treatment that is confidential and accessible with the public’s fear of their clients.

“When (people) hear ‘sex offender’ in any context, it’s like going to a doctor’s office and hearing ‘cancer,’” said Thomas Brewer, supervising clinical psychologist at Sunset Psychological and Counseling Services, which has a contract with Multnomah County to treat sex offenders. “They react out of fear.”

But there are no state laws, local ordinances or official guidelines to direct these clinics to appropriate locations. Multnomah and Clackamas counties, which pay Whole Systems to treat a portion of the sex offenders under supervision, don’t provide input either.

Patrick Schreiner, district manager in the county’s department of community justice, said in an email that the county doesn’t have the authority to tell Whole Systems where to locate.

“Neither Multnomah County nor any of the other 35 Oregon counties have a say in where sex offender treatment clinics are located because there is not a provision under state law which governs where they provide services,” he wrote.

Jenna Morrison, the community corrections manager in Clackamas County, said clinics avoid areas where clients could violate the conditions of their supervision.

“You wouldn’t put an A.A. meeting in the back of a bar,” she said.

Clackamas County currently supervises about 350 sex offenders, while Multnomah County supervises 750. Not all of the sex offenders under supervision are receiving treatment.

While therapists must deal with limitations on where they can open their offices, it’s not an issue statewide, said Kraig Bohot, a spokesman for the Oregon Sex Offender Treatment Board.

“It’s never really been a not-in-my-backyard issue until the specific incidents in Sellwood,” he said.

Manno, a licensed counselor, started Whole Systems in 2003. Her clinic treats anyone affected by sexual abuse. Manno also trains educators and others on treatment of sex offenders and the rules that govern their conduct.

She has a five-year contract with Multnomah County that pays more than $225,000 and a one-year contract with Clackamas County for $47,500.

Whole Systems moved to 7304 S.E. Milwaukie Ave. in Sellwood-Moreland in December 2011. Manno attracted little attention until the following November, when residents held a community meeting to express anger about the clinic’s proximity to a Montessori school and a family-oriented neighborhood.

Residents also said Manno didn’t do enough to notify the neighborhood about the clinic when it opened.

Manno said she didn’t know there was a Montessori school nearby until after she had moved in. It was “very disappointing” when she found out, she said.

She added that she relied on her landlord to inform surrounding businesses of her arrival. “The public shouldn’t expect us to be the ones to get the word out,” Manno said. “I think Sellwood was expecting me to go out door to door.”

Whole Systems moved out of the Milwaukie Avenue office at the end of December. For the first two months of 2013, Manno rented space at the Mead Building, at 421 S.W. Fifth Ave., where other Multnomah County community justice programs are housed. She also rented an office in Oregon City.

As she was looking for a new office, Manno said, she drove through some neighborhoods to make sure her clinic would fit. But it was difficult because of the density of commercial, residential and office development.

“There’s so much mixed-use in Portland it’s hard to find something that doesn’t include housing,” she said.

Whole Systems is now next to a clinic that provides addiction treatment. Plaza 125 is also home to other mental health providers, attorneys, dentists and other white-collar businesses.

Manno said she thinks her new neighbors will be less upset about the clinic.

“There aren’t as many houses around us,” she said. “I don’t know of any single-family houses around us.”

In fact, single-family homes line the streets behind the office complex. There are also several apartment complexes nearby.

But people in the surrounding homes, as well as in the office complex, offered muted responses to news of the clinic’s arrival.

Of more than a dozen people interviewed, most said they hadn’t been informed that Whole Systems had moved in. But none expressed outright opposition.

Leah Hunter said she brings her 8-year-old son to a dentist in the complex once or twice a month. Any parent would be concerned about a clinic that treats sex offenders, Hunter said.

“But I would be more concerned if they weren’t receiving care,” she said. “Then they wouldn’t be monitored.”

Marcia Harris is the director of client education for Senior Helpers, which provides in-home care for the elderly and has an office in Plaza 125. She supports Whole Systems’ mission.

“Everybody can be helped and everybody deserves to be helped,” she said.

But Harris said she was initially miffed that she hadn’t been informed of the clinic’s arrival. “The more information you have, the better decisions you can make about your environment and your comings and goings,” Harris said.

Manno said she has sent letters to nearby businesses and held an open house. One person showed up.

The primary fear about having sex offenders nearby is that they will target random children. But studies consistently show that the majority of sexual abuse victims know their attackers. And not all sex offenders victimize children.

One of the challenges people have is they assume that people who sexually offend are all the same,” said Maia Christopher, executive director of the Beaverton-based Association for the Treatment of Sexual Abusers. “We know that that’s not true.”

Manno’s current concerns are based on her experience in Sellwood, where she said one news crew came to the building’s back entrance and knocked on the door. She worried that her staff and clients wouldn’t be able to leave without being on television. Manno said she doesn’t want their safety or confidentiality compromised.

She’s eager to explain her work to neighbors.

“The more they can know, the better,” said Manno, adding, “It’s natural to have fear, but a lot of that is based on not having all the information.”

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Narcan could help keep some addicts alive long enough to recover, but Oregon restrictions keep it scarce

Posted by Jenny on 7th March 2013

By Erin Fenner, Willamette Week, March 6, 2013

Dr. Gary Oxman

Dr. Gary Oxman

Dr. Gary Oxman spent his career trying to save people who don’t care whether they live or die.

Oxman—who just retired as health officer for Multnomah, Clackamas and Washington counties—has long wanted to do more to rescue drug users.

He was one of the earliest supporters in Portland of free needle exchanges, aimed at stopping the spread of HIV among addicts who share syringes. That idea, first floated in the late 1980s, was often met with derision: Why should we condone the use of dangerous drugs by making it safer for addicts to keep shooting up?

Oxman helped champion a needle-exchange program in Portland, and he says it’s the reason the city never saw the explosion of HIV among drug users as other communities did.

“Pure and simple,” Oxman says. “Something that went very right.”

But Oxman, who retired last month, has been unable to reverse another epidemic: opiate addiction.

In Oregon, unintentional drug overdoses now kill more people than car accidents. The drugs that are driving up those numbers and killing most often are opiates—heroin and prescription pain medication, including methadone. In 2011, Oregon saw nearly 300 people die because of opiate overdoses—the highest year yet for heroin deaths. The rate of people dying from opiate-related overdoses has more than tripled in the past decade.

In fact, Oregon has the highest rate of opiate abuse among people under 25 than anywhere else in the country.

More than half the drug overdose deaths in Oregon are linked to prescription opiates such as OxyContin and Vicodin.

In Multnomah County, the top killer is heroin. Nearly half of drug users addicted to heroin here say they got hooked first by taking prescription pain pills.

Gov. John Kitzhaber has called the state’s addiction to these drugs “calamitous.”

Oregon has tried to battle drug addiction with education and treatment programs.

But Oxman wants the state to go further.

He wants to expand the use of another drug that will snap users out of an overdose of heroin, methadone or pain pills.

It’s commonly called Narcan, and for more than four decades paramedics and emergency-room personnel have injected it into people dying of opiate overdoses to give them a chance to hang on.

Across the country, recovery agencies and treatment centers have been making Narcan (also known by its generic name, naloxone) available to drug users’ friends, families, counselors and even addicts themselves—giving them a chance to deliver a life-saving dose before paramedics arrive.

Considered radical when it started, the wider use of Narcan has saved as many as 10,000 lives by reversing the effect of overdoses.

But Oregon—once in the forefront of helping protect the health of drug addicts—has not joined in.

Now, Oregon senators are considering a bill to make it easier to distribute Narcan. By doing so, lawmakers will shift the state’s efforts to fight drug overdoses not just with education, prevention and treatment, but by giving addicts a safety net even as they practice self-destructive behavior.

“These overdoses are individual and community tragedies,” Oxman says. “They can be treated, and so we don’t need to have people dying needlessly.”

A native of Minneapolis, Oxman came to Oregon after graduating from the University of Minnesota Medical School in 1978. When he was in private practice in the early 1980s, he recalls seeing patients he suspected were describing problems with pain that didn’t exist.

“They were trying to manipulate me into giving them opiates,” Oxman, 60, says. “That’s always been there in the community. It’s just way worse now than it was a few decades ago.”

Oxman was named Multnomah County medical director in 1984, and the county’s public health officer three years later. Around 2000, Oxman helped reverse the spike in heroin deaths, in part by targeting addicts themselves with information about how to use the drug more safely.

The overdoses the Portland area sees now are not driven by heroin alone. The long line of drug deaths often begin at the prescription pads of doctors.

Nearly half of the prescriptions tracked by state officials last year were for opiates. That amounted to 3.7 million painkiller prescriptions—nearly one for every resident of Oregon.

Drug users say painkillers lead to addiction—43 percent of heroin users in Multnomah County say they were first hooked on prescription painkillers. (Heroin is often cheaper and easier to get than prescription drugs.)

These drugs have created a widespread occasion of death. More than 60 percent of current opiate abusers say they’ve seen someone overdose in the past year.

“The docs are sort of trapped in this situation where patients are in pain and there’s no logical alternative,” Oxman says. “It’s not bad doctors. It’s the structure of the health-care system that’s really driving this.”

Tom Burns, director of pharmacy programs for the Oregon Health Authority, says in many cases physicians and dentists overprescribe pain meds to avoid having to write repeat prescriptions.

But Burns says the state has no intention of challenging physicians’ autonomy when it comes to making medical decisions. “We’re not Big Brother,” Burns says.

Instead, the state has tried educating doctors. In 2009, the Oregon Legislature created the Oregon Prescription Drug Monitoring Program, intended to help physicians track their patients’ prescriptions, no matter who writes them. A medical professional who’s concerned about a patient’s use of OxyContin, for example, can log on and see if the patient has been “doctor shopping” by getting prescriptions from other sources.

Ryan Lufkin is a deputy district attorney in Multnomah County who focuses primarily on drug crimes—he estimates he’s handled 1,100 drug cases in the last three years. He says too little money spent on recovery and treatment programs makes matters worse.

“The solution that seems to be the gold standard from a criminal-justice perspective is a treatment bed straight from a jail bed,” Lufkin says. “The ultimate goal is not conviction, but treatment.”

Last fall, Vero Majano came to Portland to help organize a film festival at the national convention of the Harm Reduction Coalition, an organization that works to help protect the health—and the rights—of people who use drugs.

Majano manages a drop-in center for the homeless in the Mission District of San Francisco. A social activist for years, Majano says most people don’t understand the goal of harm reduction—in part because they demonize the drug-using community.

“There’s this thing around drug use being evil,” she says. “So the idea is that drug users are also bad. If people were to look at trauma, how people self-medicate—people use [drugs] for good reasons.”

Majano’s views reflected the message at the conference, which drew hundreds from around the country: Drug users should have no fewer rights to have their health and welfare protected than anyone else.

Yet proponents say society should do more than simply jail people who use drugs, or try to combat addiction through education and treatment programs. It also means helping keep addicts alive and healthy, even when they show no signs of stopping their drug use.

Jake Rhew

Jake Rhew

Take the case of Jake Rhew.

Rhew was born in Pullman, Wash., in 1982, and attended Sam Barlow High School in Gresham. His family recalls Jake as a kid who loved to fish, raft the Clackamas River and stood up for people who were powerless—even as a kindergartner, he protected other kids from school bullies.

“He had a good heart—a compassionate soul,” Rhew’s stepmother, Kathy Thomes-Rhew, says.

Before he was out of high school, Rhew got hooked on pain pills and stole medication from his family.

Rhew earned a GED diploma and enlisted in the Army National Guard, only to get kicked out. He moved to his father’s house in Troutdale, stole to buy drugs, and tried to hide track marks on his arms. From 2009 to 2011, Rhew was arrested and charged five times for theft and once for possessing heroin.

“Jake was desperate,” Thomes-Rhew says. “It wasn’t the Jake we knew, and that’s what heroin can do to a person.”

Rhew often recorded his battle with drugs on his Facebook page. “5 months sober,” he wrote in June 2010. Two weeks before his last overdose, he wrote, “Damn going to sleep is a lot harder then [sic] passing out.” And three days before he died, he posted a photo of himself: short-cropped blond hair, broad nose, clean white T-shirt, cautious smile. “Lookin’ good Jake,” a friend wrote.

On Aug. 23, 2011, Rhew, 29, was living at the men’s residence center run by Volunteers of America in Northeast Portland when he and another client slipped into a bathroom to shoot heroin. Rhew was already in full nod by the time the center’s staff found him.

They couldn’t revive him and he choked on his vomit. It’s the center’s only death.

“The counselors did everything that could be done,” Thomes-Rhew says, but the staff didn’t have access to Narcan. “At least he would have had a chance.”

Greg Meenahan, director of development and communications for Volunteers of America, said medical privacy rules prevented him from talking about Rhew’s death. But he says he would want Narcan in the hands of the organization’s staff.

“We view this as a life-saving medication,” Meenahan says. “If we were able to have it, there’s little doubt that we would use it.”

Narcan is a brand name for naloxone, developed in New York in 1960 by researchers who found the drug had a remarkable ability to block the effects of heroin and other opiates.

The use of Narcan isn’t quite as dramatic as perhaps the most famous scene of reviving someone in the throes of a drug overdose: the stabbing of Uma Thurman’s character in the heart with an adrenalin-filled hypodermic needle in Quentin Tarantino’s Pulp Fiction.

The drug is often injected into the skin or a muscle, such as the biceps or thigh, and also comes as a nasal spray. Narcan throws the overdose into reverse—people can go from being blue and not breathing, to gasping for air in an instant withdrawal.

John Sanborn

John Sanborn (who asked that his face not be photographed)

John Sanborn knows how it feels.

He says he’s been “Narcanned” by paramedics during heroin overdoses. Like the time he cooked up shot after shot in a Portland State University restroom. Or the time other junkies dragged him into a downtown apartment hallway and left him for dead.

“It’s horrible if you’re living with an addiction,” Sanborn says of Narcan’s effects. “It brings you right down to where you were before you started shooting.”

Narcan, Sanborn says, gave him a new chance at recovery. He’s currently in Central City Concern’s Community Engagement Program and is reconnecting with his 9-year-old son. “I realized that if I ever wanted to have any kind of a life,” he says, “I was going to have to stop using drugs.”

Sanborn got Narcan the way almost everyone in Oregon does: from a medical professional. But nearly 20 years ago, activists in other states realized the greater potential of the drug to save lives.

Dan Bigg, executive director of Chicago Recovery Alliance, says his organization had already seen harm-reduction strategies work with needle exchanges, slowing the AIDS epidemic among IV drug users.

“[We] turn to the next big issue, which is overdose,” Bigg says. “Why not use the existing pathways to get [Narcan] into the hands of people who overdose?”

In 1996, Bigg’s organization began to train and distribute naloxone to laypeople. He says he has administered naloxone to an overdosing person at least six times.

In 2010, Illinois finally made it legal to do what Bigg’s group had been practicing, but he says he’s frustrated that other parts of the country are behind.

“It’s a pure antidote,” Bigg says, “and you’d think it’d be available to scores of people suffering from premature death.”

By that time, according to the Centers for Disease Control and Prevention, the use of Narcan by nonmedical professionals had broadened: Nearly 200 programs in 15 states and the District of Columbia were making Narcan more available. A 2012 CDC report said these programs helped reverse the effects of drug overdoses in more than 10,000 cases.

The CDC also found “many states with high drug-overdose death rates have no opioid-overdose prevention programs that distribute naloxone.” That includes Oregon.

Allan Clear, executive director of the Harm Reduction Coalition in New York, says Narcan should be ubiquitous, especially in a city like Portland that has an opiate-overdose problem and has been a leader in needle exchanges.

“Overall, nationally, it’s not that well-known as a community intervention program,” Clear says. “In New York City and San Francisco—when the health department got on board—it really added that level of legitimacy to it. There’s always been this level of caution because naloxone is one of those drugs you prescribe to use on someone else.”

Dr. Sharon Stancliff, medical director of the Harm Reduction Coalition, says Narcan hasn’t proved controversial in many communities.

“In New York, we actually have it set up so different kinds of agencies can distribute it to whoever they want,” she says. “It has gone from being this sort of edgy thing to really becoming mainstream.”

Dr. Sandro Galea, chairman of the epidemiology department at Columbia University, says Narcan was controversial in New York because people believed making it widely available would encourage drug users to indulge in opiates.

Galea’s studies showed that drug users were not encouraged to be more reckless with heroin by having Narcan handy.

“There is no excuse for not making naloxone widely available to the [drug-using] community,” Galea says.

If drug-overdose deaths are so common here, why is Oregon so far behind in the movement toward Narcan?

Oxman says cities and states that moved ahead with making Narcan more available also have more vocal and organized groups advocating for the welfare of drug users.

“I think when you get a critical mass of folks who believe in a particular issue, that makes organized action easier,” Oxman says. “It’s not that Portland lacks the drug users—we have lots and lots of drug users.

“Government is not in a position to be the leaders of harm reduction. It’s really a community activity. And it is really bewildering why that hasn’t been more prominent here.”

Kathy Oliver, executive director of Outside In

Kathy Oliver, executive director of Outside In

In Portland, the organization that helped pioneer the needle-exchange program, Outside In, has been the obvious place to experiment with making Narcan more available.

Outside In works with homeless youth and what it calls “marginalized people.” Kathy Oliver, Outside In’s executive director, says health-care workers in the organization’s clinic on Southwest 13th Avenue near Main Street are allowed to both inject and prescribe Narcan to people for use only on themselves.

Oliver would like to see Narcan more widely available. “The reason I want to do it is the same reason I wanted to open the syringe-exchange program,” she says. “Death by overdose is preventable, so giving people the means to protect themselves makes sense.”

But Outside In has been largely silent on the issue, despite the high overdose rates in Multnomah County. Oliver says she’s aware that scores of other organizations like hers around the country have distributed Narcan or promoted its use.

“We did think the best way to achieve [a community pathway for naloxone] would be through the legislative and not through Outside In being a political advocate,” she says.

In Salem, state Sen. Alan Bates (D-Medford) has introduced a bill to expand access to Narcan. Jackson County, where Bates lives, saw 30 people die in 2012 from opiate drug overdoses, according to Dr. Jim Shames, the county health officer.

Ashland, a community known for staging the Oregon Shakespeare Festival, was stunned recently by the death of three men within six weeks of each other—all from opiate overdoses.

Maxwell Pinsky, 25, the son of a local blues musician, died Jan. 15 of a suspected opiate overdose; the Jackson County sheriff’s office says the toxicology reports aren’t finished yet. A month earlier, Ashland had two heroin-overdose deaths within a day of each other: Pinsky’s friend Jordan Roth, 34, the son of a retired physician; and Colin McKean, 36, son of actor Michael McKean.

Bates’ bill would make Narcan a drug that anyone—from social workers to drug users—can get training to use and be able to purchase to have with them in the case of an emergency. Part of the bill also makes people who administer Narcan in an overdose situation immune from civil prosecution.

Emergency-room physicians have warned legislators the drug can cause a powerful reaction in people coming out of an overdose if the dosing isn’t done properly.

“It’s still a large question as to whether the public should have access to this powerful drug,” says Jim Anderson, lobbyist for the Oregon Chapter of the American College of Emergency Physicians. “We have mixed emotions about it.”

Oxman says passage of the bill will mark a big step in Oregon moving toward accepting the idea that government has a role to play in helping drug users stay alive, regardless of whether they stop using.

“I think people have really come around,” he says, “to seeing what we’re trying to do is help people who have problems with drug abuse, and there’s a variety of different pathways to get there.”

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Multnomah County Has a Special Crisis Hotline for Cops. The Cops Rarely Call It

Posted by CoffeeX3 on 20th January 2013

From The Portland Mercury, January 18, 2013

Here’s something you probably didn’t know—something that’s never really been mentioned all that much in any recent discussion of policing and mental health services and federal reform in Multnomah County.

Multnomah County’s Mental Health Call Center has a special hotline in place for Portland police officers who might need help on a call where someone’s having a mental health crisis. It’s akin to a Batphone, and it’s there so a cop’s call can leap ahead of the hundreds of other calls that come into the call center on a daily basis.

There’s just one problem: The cops don’t really use it. Here’s the data from Multnomah County:

Total calls to Call Center (988-4888)
1) 2010 – 43,612
2) 2011 – 54,759
3) 2012 – 67,375 (highest ever)

Police calls to Call Center on dedicated police line
1) 2010 – 27
2) 2011 – 27
3) 2012 – 21

I [Denis Theriault] asked for the data after talking with county officials about some of Police Chief Mike Reese‘s comments in this week’s cover story. The bureau is hungry for a new drop-off center where cops can take people in crisis, lobbying hard to wrap the facility into the city’s police reform settlement with the US Department of Justice.

And county officials bristled when Reese said the county’s Crisis Access Treatment Center—a 16-bed mental health facility made possible with and state funding—wasn’t working because “they have procedures against” taking people there. That’s not exactly true, county spokesman David Austin told me. Cops can take someone to the CATC provided they phone first. On the dedicated police line! But here’s some more distressing county data, looking at both the CATC and the county’s urgent walk-in clinic in Southeast:

Calls by police on dedicated line requesting Drop-Off to CATC
1) 6/2011-12/2011 – 0
2) 2012 – 0

Calls on police line for information/referral to UWIC (Urgent Walk-in Clinic)
1) 2010 – 0
2) 2011 – 0
3) 2012 – 0

So, yeah, something’s not working. The question, maybe, is what. The gold standard for the police bureau is a place, like a 24-hour drop-off center, where officers don’t have to spend any time on intake—something they used to have in Providence’s old Crisis Triage Center until it closed because of budget cuts. The CATC doesn’t operate that way. But it’s got to be better than the revolving door of the emergency room, which is where cops currently take people in crisis.

And if it’s not any better, given that no officer has ever called to start the CATC intake process, how would anyone actually know?

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Mike Reese might have been mayor; for now he’d rather be the face of police reform

Posted by Jenny on 18th January 2013

By Denis Theriault, The Portland Mercury, Jan. 16, 2013
Chief Mike Reese

Chief Mike Reese

The thought was hard to escape. If life had gone just a little bit differently—if the feds had waited to crack down on Portland cops for years of rough treatment of the mentally ill, if Occupy Portland hadn’t sprouted right when it did in 2011, if last year’s mayoral election hadn’t shaped up as a frantic fundraising race—Mike Reese might still be sitting down with me.But he wouldn’t be in uniform.We’d be a few blocks away from his spacious office on the 15th floor of downtown’s Central Precinct. We’d be on the third floor of city hall—in the mayor’s office.

That isn’t, of course, what came to pass. Reese, who became chief in May 2010, only briefly chased the job eventually won by Charlie Hales. He bowed out just early enough to keep things from being too awkward when Hales officially became, as of this month, Reese’s boss. And now? Reese says he wants to stay right where he is—joining, if Hales lets him, the ranks of Portland’s longest-tenured police chiefs.

That won’t be so easy. Though he could choose at any point to float off into a young retiree’s life of guitar practice, youth sports coaching, and running, Reese will instead guide the police bureau as it enters into its most tumultuous chapter in decades.

Federal reforms will force new limits in how officers use force, fire Tasers, and interact with mentally ill people—a potentially unsettling shift for the rank and file that’s already sparked tension with the police union, the Portland Police Association (PPA). Money is tight, raising the specter of job cuts. And police accountability groups, despite a palpable opening of the bureau under Reese, still rail at an institution they see as too insular and self-interested to ever create real change.

The chief talked about all of it during a wide-ranging interview earlier this month. Responses are slightly edited for length and clarity.


MERCURY: Let’s start with the US Department of Justice (DOJ) settlement. The court process is obviously still unfolding, but the federal judge overseeing the agreement has also said the city and the feds are free to privately implement whatever they want while waiting for his blessing.

REESE: We’re moving forward on critical issues irrespective of what happens at the courthouse. We’re forming a behavioral health unit—selecting officers and creating an advisory board. We’re working on training for crisis intervention officers and the selection process for those folks. We’re going to move forward as quickly as possible, being mindful that there is a process. We want to get the advisory board in place and have them help us design some of the training.


Who are you recruiting for that panel?

I’ve met with the head of the [local chapter of] the National Alliance on Mental Illness [NAMI] and some of their constituents. We want Cascadia and Central City Concern and Transition Projects to be part of that, and other treatment providers, too.


How close is the crisis intervention team to launching?

We had 55 people apply. We’ll take everybody who meets the standards. So if we have 55 officers who want the job, and they have no performance issues and they’re hard-working and their supervisors think they’re right, we’ll train them all.


What will be the policy changes on use of force?

We want to move forward on the Taser policy. We want to make sure our officers are trained on recent court rulings and community expectations. We are at the final stages of getting feedback from the Portland Police Association and the Department of Justice. Then we’re going to start training on it. And our overall use of force policy? Same thing.


What are you hearing from PPA President Daryl Turner? He’s been critical of the process.

The PPA was frustrated that they weren’t at the table during our negotiations with the DOJ. But the DOJ was very clear that conversations were confidential and between the city and the Department of Justice. We recognize there might be labor contract implications, and that’s written into the agreement.


Some changes, like assigning sergeants to go out to do hands-on use of force investigations, happened months before the settlement took shape. But you told community groups you wanted to wait before tightening the bureau’s Taser policy. How did you draw that distinction?

With the Taser policy, we had a lot of conversations with community groups. So that took a while. And then there were some court cases before the Ninth Circuit Court of Appeals that we were waiting for, to give us guidance on overall Taser policy. That happened probably in July or August. By then we knew the Department of Justice findings were going to come out. They were telling us it was going to be soon, so we said let’s wait on what happens with that before moving forward.


The deal calls for a new medical facility where officers can drop off people in crisis. It’s supposed to open this summer. I’m not sure that’s going to happen.

Some of those things are out of my control.


How did that get into the settlement?

Both the Department of Justice and the police bureau sought a different model than the one we have. The DOJ had looked at other cities that had a single location to drop people off. We used to have that model. It worked very well for us, so we strongly advocated for it.


The county pretty recently opened its own Crisis Access Treatment Center. How well has it been working?

I don’t know. It doesn’t work for us. We’ve never taken anyone there.


What about it isn’t working?

They have procedures against it. I can’t take anybody there.

[Asked for comment, Multnomah County spokesman David Austin clarifies that police are free to take people in crisis to the CATC, provided they call first to start the admissions process. “The police absolutely have access to the CATC and to other critical mental health services designed to help people in crisis. Because we’re all partners. This is a community issue, and we all have a stake in figuring out the best ways to serve anyone a mental health crisis.”]


The mayor has repeatedly stressed the need for a “culture change” in the bureau. What comes to mind when your new boss says that about an organization you’ve run for nearly three years?

He heard from a lot of folks in our community who want the Portland Police Bureau to be in sync with their values. You know, these are challenging times for police organizations around the country, because as crime has fallen, the work that officers do has fundamentally changed.

As I have said since I became chief, our officers have to have better relationships with social service providers than they do with the jail. Homelessness and drug addiction, poverty and mental health issues are not problems easily solved by society, much less law enforcement.


Has the bureau’s new training advisory committee started meeting?

I don’t know if Bryan Parman, the training captain [and also president of the city's other police union, the Portland Police Commanding Officers Association], has made final selections or not.


Will you release their names?

Absolutely. We had, I think, 41 people put in for it. I didn’t look at all 41 résumés. But I saw the list and thought it was a great group. We were hoping we would get nine to 12 people to participate. Obviously a group of 41 is hard to manage. But I told Bryan I don’t want nine or 12 happy people and another 29 who are pissed off at me.

Let’s take this opportunity to reimagine what we thought about the training advisory committee. So we’ll have three different subcommittees looking at defensive tactics, our patrol tactics, and looking at, maybe, firearms or Tasers. And you have a smaller executive committee. We would let people pick which area they were most interested in. I’m hoping everybody who put in will get to participate.


And, let’s confirm: Despite initial reports, the meetings will be open?

The meetings will be open. If the committee decides there’s something confidential to review, then it can close the meeting. But otherwise the meetings will be open.


Let’s talk about your relationship with the PPA. Daryl Turner has said the DOJ reforms are already causing injuries, citing an unusual spike in hurt officers late last year. Is he correct?

I haven’t seen any of the recent injuries tied to the settlement agreement. One, the agreement hasn’t been finalized yet. It’s in the court process now. Certainly officers now are, I think, considering it. They want to know what our Taser policy will be, where it will end up. And our force policy, where will that end up. They want to be trained so they can be in sync with court rulings around Tasers and use of force. Those officer injuries occurred because we interacted with people who were violent and intent on hurting us and the community.


And you don’t foresee injuries being an issue when the settlement is finalized?

All those injuries came in a very short amount of time. We’ve had a couple of months since then. Things seem to be moving along as they always have. Use of force is down. We just had our most recent report for 2012, and force incidents have continued to drop. Our officers continue to be very thoughtful, and judicious, in how they approach their job. Force is very little of what we do. In a city of 600,000 people we use force on average twice a day to take someone into custody or enforce the law. It is a quarter of a percentage of all contacts. It’s only 3 percent of all arrests.


Daryl Turner also has come out and accused you—after Sam Adams challenged an arbitrator’s reinstatement of Ron Frashour, the officer who killed Aaron Campbell—of lying and conspiring in the case. He’s attacked Lieutenant Robert King, formerly your top spokesman and a co-author of Frashour’s training review, implying he wasn’t truthful during arbitration. What’s it like being in the same room with Turner?

Daryl and I get along very well. There’s always going to be tension between labor and management. He has a role to play. He has a bully pulpit as the elected union president. Some of it’s because we are in a contract year, so he’s positioning for a contract. You’ll have to ask Daryl why he’s messaging things that way. Certainly, just on a personal level, Daryl and I like each other. We get along very well.


So when he says those things about you, those strong statements he’s put out in the press, that doesn’t…

Well, that’s in the press. I don’t know if he has said them or not.


Yes, but he’s also written them. He’s put them out in the union newsletter.

I disagree with his characterizations of the arbitration process. Certainly Robert King is one of the most respected people in this organization, a person of high integrity and ethics. I stand behind his work on the training review. Robert did an exceptional job. It’s interesting that no one is picking a part of the training review and saying it’s wrong. They’re going after the process. The training review, if you read it, is spot on. It is a very accurate reflection of the issues in play in the Frashour case.


You mentioned the media. You’re alluding to the fact that reporters may not shade things correctly.

I don’t mean that. I just mean that Daryl will say something, and different media sources pick that up. You know, controversy sells papers. I respect the fact you guys have a job to do, and a little tension between labor and management doesn’t hurt things.

We are both on the same page in terms of keeping our officers safe, and doing everything we can to train our officers. There is a process that gets us there. And that process, because of the federal investigation, was a little compressed. We tried to get the policies done quickly. We may have not followed the best process at times. At the end of the day, Daryl and I really agree that we want the members of the bureau to be safe and well trained. We both agree we have exceptional officers here.


Which reporters do that the most? I fully realize you might be looking in my direction.

The media can create a perception that government isn’t working. And it really matters that you get the story right. If we are doing something wrong, and you want to outline whether or not we’re doing our best work, I’m okay with that. But I don’t think it helps to create controversy just to create controversy. Does that make sense? I have a responsibility to this community. You have a responsibility, too. You have to provide balance. If it’s there.

Sometimes it isn’t.



Charlie Hales has told me he won’t declare—during the budget process—that the police automatically will suffer less than other bureaus. What does a 10 percent cut for the bureau look like?

Those are going to be difficult decisions for the city council. I really respect the fact that they have difficult decisions to make and balancing to do.

It can be counterproductive to community safety to close a community center—where kids have opportunities to play and interact in a positive fashion—just to save police jobs. Or to lay off firefighters to save police jobs.

And I respect the members of the council. They are good people, very thoughtful. We will provide them with information about the police bureau’s priorities, but We are not policing in a vacuum. We police in a community that has a lot of competing issues.

For example, our top priority with our school police officers is the safety of kids and staff and visitors. But our second priority is to help kids graduate. That has very little to do with our mission as a bureau, but everything to do with the future health of the city and long-term public safety issues. If we can get kids to graduate and become productive members of society, then they’re not in the criminal justice system. We’re all about looking at long-term ways to reduce people’s intersection with the criminal justice system.


It sounds like you’re at least contemplating the possibility of layoffs.

I don’t know if it’ll get to layoffs. We may have vacancies we don’t fill. There are some opportunities to look at other cuts. In the past we’ve paid for some functions at the county. The county may have to pick those up. We fund a couple of deputy district attorneys. We pay for identification techs who work in the jail. We’ve got the Hooper Detox Center and the CHIERS service. Those are all areas that elected officials can work through.


Some reports have come out, recently, charting racial disparities in police statistics. The most controversial looked at the bureau’s traffic and pedestrian stops. But a lot of people were heartened when, at a community meeting where those stats were revealed, officers actually said that yes, maybe, racism might be a factor in police work. Do you agree—and does that merit more introspection?

It does, and also the fact that there is a disparate impact on people of color throughout the criminal justice system—both as victims and as people who are incarcerated. We have to look at that impact, but it crosses so many different lines. You look at schools. Kids of color—there is a disparate impact in the discipline process there. You look at graduation rates. It’s everywhere in society.

It’s not just in law enforcement. And I really think it requires us to take a very frank look at everything we do with an equity lens.


The bureau is improving how it collects and tracks data. Will that lead to answers?

Yeah, I mean, certainly you want to look at that. Because that can help you question why it looks that way. But, um, you know, sometimes the answer is obvious. You look at gang violence right now. Some 75 percent of the victims in gang shootings are African-Americans. That is a disparate impact. Most of the gang problem in Portland involves African-American gangs. So we have to ask ourselves as a community why a young person of color sees more hope in joining a gang than staying in school. Certainly, because of the role we play in law enforcement, we need to be at the forefront of that discussion.


Only two people died last year as a result of officer-involved shootings. Other shootings obviously also happened, but that number is down. What’s changed?

With officer-involved shootings, again, we are a city of 600,000 people. They fluctuate. Last year we had six. Before that we had four. The year before that, six again. It goes up and down. They are such a small number that it’s hard to say it’s going this way or that for any specific reason. You have to look at larger trends.

Nationwide, if you look at us in terms of population, we are at the lower end of major cities in terms of shootings. If you just look at the metrics of it, the drop in our force numbers has been significant over the past five years. Not just officer-involved shootings but in broader categories where there’s enough data to actually get a sense that this is changing the culture of the organization.


I was reminded of something that emerged in the transcript of the Frashour arbitration hearing. You said, “We don’t have a right to shoot him. He never displayed a weapon. He didn’t take any offensive action for the officer.” That’s a strong standard others have taken umbrage with. Officers don’t think that’s realistic. It also could apply to some of the other police shootings last year. Is that the lens through which you see discipline?

All of these situations, you have to look at them individually. Specific to Aaron Campbell, and not any other incident, you had a young man who had not committed a crime, who had not threatened to harm anyone except himself, who hadn’t displayed a weapon, and who was running away from the officer. So all of that goes into the totality of the circumstances that I weigh when I look at whether that shooting was justified. My answers in arbitration were specific to that set of circumstances.

In other circumstances, we will look at those on an individual basis.


So if an officer is reading those remarks in the paper, on our blog, on the union newsletter, they shouldn’t assume that it applies to them?

Yeah, again, officers have a duty and a responsibility to protect themselves and the public from imminent danger. It’s hard to sit in hindsight and look at those incidents and judge them—but I have to. It’s my job. I respect that officers have to make split-second decisions. And I think we make really good decisions in the vast majority of cases. In the Campbell case, the officer didn’t make the best decision.


The mayor has said he doesn’t support the ongoing court fight against Frashour’s reinstatement. Right now, he’s not on active duty. Will that change under Charlie Hales?

That’s a question for the mayor.


That’s not something you’ve discussed yet?



If he asked you to do that, would you?

I respect the arbitration process. The city entered into it with the PPA in good faith.


The arbitrator said he should be on active duty. So if Hales agrees, then…

At this point the council and the mayor have made a decision. I work for the mayor, and I’m going to follow his direction.


Hales said pretty early that he wanted you to stay. And it’s January, and here you are. Has he laid out any goals for you? You’re eligible for retirement.

Now why did you have to go and say that?


I’m just asking. Are you here to help him get on his feet? Or do you want to see this through longer than you actually have to be here?

I really believe that stability of leadership through this organizational change is critically important for the bureau and the community. I serve at the will of the mayor. I have a civilian boss, and I give him my best advice and I follow his direction.

But I would like to stay for a few more years, and the management team I have up here, I hope, can stay with me. I believe this is one of the longest tenures, since I’ve been a police officer, of any chief’s office.

It is two and a half years for all of us, and that’s a long time for a group of leaders to stay in place. I feel like I’ve got a team, with [Assistant Chief] Eric Hendricks and [civilian director of operations] Mike Kuykendall and [Assistant Chief] Larry O’Dea, who are just superb. I really appreciate the fact that they are willing to keep at it.


One last question. Will you run for political office again?

I have a great job.

[Laughter erupts. Reese's current spokesman, Sergeant Pete Simpson, chimes in with: "Did he ever run for political office before?" Reese replies: "Yeah, exactly!" Reese, in late 2011, had set up a fundraising committee to run for mayor and was reaching out to endorsers and donors, but decided against formally filing papers.]


People don’t consult [political adviser] Mark Wiener just to consult Mark Wiener.

I am very humbled by the opportunity to serve. And I really like our new mayor. And the council. I respect every one of them. This is going to be a really good year.

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Peer-delivered services draw capacity crowd at statewide conference

Posted by Jenny on 14th January 2013

By Jenny Westberg, Portland Mental Health Examiner, Jan. 14, 2013

Kristi Jamison

Kristi Jamison

“My life and the lives of others depend on it.”

That’s how Amy Anderson describes peer-delivered wellness services. So it’s not surprising that peer services — a key part of the CCO (coordinated care organization) model used in health care reform — were on the program for last week’s CCO Oregon conference. What’s surprising is that these services were not originally on the agenda.

Although getting a place on the program “does demonstrate a progressive, flexible, collaborative approach, ‘we’ had to ask to be a part of the conference. We hope to be asked in the future,” said Kristi Jamison, executive director of Empowerment Initiatives in Portland, who led the breakout session.

In fact, Jamison added, “This is the first time any consumer panel at a statewide provider conference occurred.”

Sellout crowd

The two-day conference, Transforming Care 2013, was held Jan. 8-9 at the Oregon Convention Center.

Jamison led a panel discussion the second day of the conference, called “Effective Community Engagement.” Every seat in the house was filled.

Panelists were:

  • Amy Anderson, CAC and Executive Board member for Multnomah County
  • Chris Bouneff, executive director of NAMI Oregon
  • Jawanza Hadley, Wellness & Organizational Development Consultant
  • Angel Prater, Director, Intentional Peer Support, Community Counseling Solutions
  • Beth Quinn, board director of Cascade Peer & Self Help Center

Backed by evidence

In 2011, landmark legislation wrote Peer Wellness Specialists, Personal Health Navigators and Community Health Workers into Oregon law (see ORS 414.665).

There is ample evidence for Peer Wellness Specialists. “A research base has been established that demonstrates that peer-delivered services are an effective component of mental health care” with a range of positive results, according to draft committee recommendations by members of the Oregon Health Policy Board.

Amy Anderson (L) and Jawanza Hadley

Amy Anderson (L) and Jawanza Hadley

A sign of hope

“The importance of peer-delivered services, in my experience, is that when we receive a service from someone who has had similar lived experience and seeking or in recovery of some sort, there is a natural connection,” said Hadley.

Hadley also said he was encouraged by the language being used by providers during the conference when discussing self-direction, wellness and recovery. “To me,” he said, “this is a sign that there is hope that we are moving away from the traditional medical model and towards the idea that everyone and anyone can recover from whatever challenges we may be experiencing in our life.”

Love, time, commitment

Anderson said peer-delivered services have been vital in helping her meet the challenges of two life-threatening health conditions, diabetes and cirrhosis of the liver.

“Without peers, mentors and community health workers in my life I would probably not be alive today,” said Anderson, whose health is now stable. “Just knowing there is another person out there I can talk with when I have my fear moments brings happiness and comfort.”

“Peers help teach and guide others by giving back, of their love, their time and finally their commitment to seeing the person improve no matter how long it takes,” Anderson said. “No one could begin to understand what facing death feels like, except those who also live on the edge.”

“Someone to walk with”

According to Jamison, “Having someone with similar life experience to go to appointments, facilitate provider contact, assist with provider appointments — someone to walk with — can not only reduce missed appointments (which providers care about) but it enables the person to learn to be a better self manager. Ideally, as they gain skills and tools, they share with others in their previous situation.”

Peer-delivered services are “based on the concept of mutuality,” Jamison said. “Everyone needs an advocate and a friend. I think providers finally understand that improved health outcomes include a truly person-based holistic approach, and Peer Wellness Specialists bridge that gap.”

Focus on quality

The conference, which was attended by over 500 people, included a video address by Kathleen Sebelius of the U.S. Department of Health & Human Services.

“We’re emerging from a system of skyrocketing costs and mediocre results, and we’re moving toward a new system that emphasizes care coordination, prevention, and quality care rather than quantity,” Sebelius said. “This transformation will mean better health, better care, and lower costs for all Americans. But it can’t happen without leaders like [those at the conference] showing the way.”

Insult to injury

Jamison said the panel she moderated was well received and the topic resonated with the audience.

However, after having to ask to be on the program, insult was added to injury — the session was cut short, leaving no time for questions and answers.

“It was very offensive and frustrating,” said Jamison.

CCO Oregon, when planning next year’s conference, should take note.

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