Forty year celebration at Hooper Detox!

Clients, alumni, staff, neighbors, donors and friends, please join us at a free Recovery Month event celebrating 40 years of Hooper!

“Hooper” includes Hooper Detox Stabilization Center, the Sobering Station, CHIERS

Monday, September 10, 2012 – 4:30 p.m. to 7:00 p.m.

Left Bank Annex – 101 N. Weidler, Portland

Free, limited parking (100 spots) available in the Garden Garage at the Rose Quarter! Thank you Portland Trail Blazers, Rose Quarter and AEG.

Activities will include: Historical exhibits & videos, short presentation & recognition of Hooper Heroes, oral history project “tell-your-story” station, Hooper celebration cake, commemorative coins to the first 400 people.

Generously sponsored by the Oregon Association of Hospitals and Health Systems.

Public transportation is encouraged!

Central City Concern will also celebrate Recovery Month as a sponsor of the DePaul Treatment Center’s Shine a Light on Addiction & Recovery Vigil.

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OHSU Grand Rounds, author and educator Stephanie Coontz

Stephanie Coontz

Stephanie Coontz

The OHSU Department of Psychiatry would like to invite you to Psychiatry Grand Rounds.

We have a great line-up of presentations that we are looking forward to sharing with you!

Our first presentation will be held next Tuesday, September 11th from noon – 1pm in conference room 8B60/8th floor of the OHSU Hospital.

“For Better AND Worse: The Ongoing Revolution in Family Life”

Stephanie Coontz, M.A. – Professor of History and Family Studies, Evergreen State College, Olympia, WA, Director or Research and Public Education, Council on Contemporary Families

Coontz is the author of A Strange Stirring: The Feminine Mystique and American Women at the Dawn of the 1960s (Basic Books, 2011) and the award-winning Marriage, A History: How Love Conquered Marriage (Viking Press, 2005).

She also wrote The Way We Never Were: American Families and the Nostalgia Trap (1992 and 2000, Basic Books), The Way We Really Are: Coming to Terms with America’s Changing Families (Basic Books, 1997), and The Social Origins of Private Life: A History of American Families.

She edited American Families: A Multicultural Reader (Routledge, 2008). Her writings have been translated into French, Arabic, Spanish, Russian, Czech, German, Norwegian, Turkish, Greek, Chinese, Ukrainian, and Japanese.

Learning Objectives:

  • Identify the main changes in family relationships and structures over the past 30 years
  • Analyze emerging patterns of sociological and psychological dynamics in couple relationships and parent-child relationships
  • Distinguish between causes and correlations in evaluating the outcomes of these changes
  • Gain understanding of the new challenges facing individuals and families

Target Audience – Psychiatrists, psychologists, psychiatry residents and fellows, medical students, social workers, masters in administration, physician assistants, nurse practitioners, nurses and pharmacists.

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Oregon’s largest Coordinated Care Organization ready for launch

From the Portland Business Journal, September 1, 2012

The state’s largest Coordinated Care Organization will officially launch its services Saturday.

READ – Health Share of Oregon (formerly Tri-County Medicaid Collaborative) [temporary site]
READ – about Oregon Coordinated Care Organizations
READ – a message for members of the Oregon Health Plan
VISIT – CareOregon was the Medicaid provider for Oregon. Are they out of business? Who knows?

Health Share of Oregon, formerly known as the Tri-County Medicaid Collaborative, is set to begin providing treatment to Medicaid patients covered by the Oregon Health Plan.

Health Share of Oregon includes Adventist Health, CareOregon, Central City Concern, Kaiser Permanente, Legacy Health, Oregon Health & Science University, Providence Health & Services and Tuality Healthcare under a single umbrella organization for OHP services.

CCOs offer wide-ranging care, on a continuum of treatment plans, to Medicaid patients. The state won a $1.9 billion grant to demonstrate to federal officials that the program could save billions in future medical costs.

Health Share is one of four groups that’ll kick off its CCO services Sept. 1. Among them, Columbia Pacific Coordinated Care Organization LLC will serve several coastal counties while the Eastern Oregon Coordinated Care Organization will provide services on the east side of the Cascades.

Eight CCOs, including Trillium Community Health Plan in Lane County and FamilyCare Inc. in Portland began offering their services on Aug. 1.

The CCOs will eventually be accountable for health outcomes of their patient population. According to a primer issued by Health Share, they will operate from one budget that grows at a fixed rate for mental, physical and ultimately dental care.

The CCO treatments themselves will be offered by provider teams that work “through common interventions, health home development and shared electronic health records.”

Dr. George Brown, the CEO of Legacy Health who’s leading the Health Share efforts, said providers are raring to go. Medicaid recipients may not notice any immediate changes in terms of billing or back-office systems, he said.

The health plans and providers are determining ways that CCOs can at first address treatments for patients with serious and chronic conditions.

“Those efforts are centered on, how do we keep people healthier, educate them in terms of how they participate in their own health care,” Brown said. “The significant different with (CCOs) is that there’s a level of accountability, and that’s precedent-setting.”

Brown acknowledged that his Health Share duties have become a second full-time job.

“These are great organizations working for the greater good,” he said. “Sometimes, the goals of the organizations aren’t in complete alignment, and this is a grand experiment where there are risks involved. We don’t have all the answers, and this is new. But we’re doing the right thing, and we’ll continue to do so until we’re successful.”


Tri-County Medicaid Collaborative Names Board of Directors

Posted on August 2, 2012

Tri-County Medicaid Collaborative (TCMC), which received certification from the Oregon Health Authority on July 31, 2012, has seated its entire voluntary board of directors as of August 1.

TCMC, which is the state’s largest Coordinated Care Organization (CCO) and serves Clackamas, Multnomah and Washington counties, has a broadly scoped board. In addition to the 11 founding members, nine additional clinical and community representatives joined the board today.

“Our goal is to enhance the health care experience for all members, improve health outcomes for individuals and the community, and spend health care funding wisely,” says Dr. George Brown, TCMC’s board chair. “By involving local caregivers and community members, transformation will be grounded in community goals.”

Board members of Health Share of Oregon include:
Community-At-Large:
Mel Rader – Co-Executive Director, Upstream Public Health
Ramsey Weit – Executive Director, Community Housing Fund

Chair of Community Advisory Council:
Stephen Weiss – Chair of the Elders in Action Commission of Multnomah County, Current Board President of Independent Living Resources, the Community Alliance of Tenants, and the Oregon State Council for Retired Citizens

Dentist – Michael Biermann, DMD – Pediatric Dentist, Owner, Co-Chair, Oregon Head Start Dental Home Project
Mental Health Provider – Mary Monnat – President and CEO, LifeWorks NW
Addictions Provider – Jacqueline Mercer – CEO, Native American Rehabilitation Association of the Northwest, Inc.
RN/NP – Jean-Claude Provost – Lead Clinician/Family Nurse Practitioner, Housecall Providers, Inc., Chair-Elect, Nurse Practitioners of Oregon
Primary Care Physician – Jill Ginsberg, MD – Retired, Northwest Permanente, Founding Board Member, North by Northeast Community Health Center
Specialty Care Physician – Walter Hoffman – Member, Past President, Practicing OB/GYN, Women’s HealthCare Associates, LLC

In addition, the founding members include:
George J. Brown, MD, FACP, Chair, Legacy Health
Cindy Becker, Clackamas County Health , Housing & Human Services
Ed Blackburn, Central City Concern
Rod Branyan, Washington County Dept. of Health & Human Services
David E. Ford, CareOregon
Andrew R. McCulloch, Kaiser Permanente
Joseph E. Robertson, Jr., MD, OHSU
Thomas Russell, Adventist Medical Center
Lillian Shirley, Multnomah County Health Department
Dick Stenson, Tuality Healthcare
Greg Van Pelt, Providence Health & Systems


Interim Health Share leadership team

Interim Executive Director: Janet Meyer janet@tricountycollaborative.org, (503) 416-1798

Janet Meyer has been the Chief Operating Officer of the Tuality Health Alliance since 2006. Prior to joining Tuality, she worked in the managed care industry for twenty years in Colorado and Oregon. Janet is currently the Interim Chief Executive Officer of the Tri-County Medicaid Collaborative, whose mission is to be an integrated community delivery system that achieves better care, better health, and lower costs for the Medicaid population and the Tri-County Community.

Janet earned her M.H.A. from The University of Michigan in 1989 after completing her B.S. in Public Administration at The University of Oregon. Janet is currently active on numerous State and Community Workgroups and is on the Board of Directors for Centro Cultural.

Interim Medical Officer: David Labby, MD david@tricountycollaborative.org, (503) 416-1425
Interim Operations Director: Jon Hersen jon@tricountycollaborative.org, (503) 416-1753
Interim Information Systems Director: Daniel Dean daniel@tricountycollaborative.org, (503) 416-8063
Interim Health Strategy Director: Rosa Klein rosa@tricountycollaborative.org, (503) 416-1761
Interim Director of Government Relations & Public Policy: Erin Fair erin@tricountycollaborative.org, (503)416-1797
Interim Communications Manager: Jeanie Lunsford jeanie@tricountycollaborative.org, (503) 416-3626

TCMC STAFF:
Alpesh Parikh, Senior IT Business Analyst, alpesh@tricountycollaborative.org
Alyssa Craigie, Interim Project Director, alyssa@tricountycollaborative.org
Dina Kalmeta, Administrative Assistant, dina@tricountycollaborative.org
Jacob Figas, Community Engagement Program Coordinator, jacob@tricountycollaborative.org

Office Manager/Operations
Kathy Schuler, IT Project Manager, kathy@tricountycollaborative.org
Merrin Permut, Interim Project Director, merrin@tricountycollaborative.org
Sandra Clark, Project Director for Community Health Strategies, sandra@tricountycollaborative.org

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PPB video shows a mom’s perspective on a mental health crisis

The Portland Police Bureau released the video below on September 1, in conjunction with a press release (see below). The “video debrief” recounts a successful (non-fatal) mental health intervention, which involved officers from both Portland and Gresham.

Sylvia Zingeser tells the story through her perspective as the mother of the young man in crisis, and Portland police Officer Zachary Zelinka adds to the narrative.

 

PORTLAND POLICE BUREAU NEWS RELEASE
Portland Police Release Video Debrief of Mental Health Crisis Call

Saturday, September 1, 2012 10:31 AM

Recently Portland Police officers, with the help of officers from the Gresham Police Department, assisted a family in need in East Portland. An adult son of a woman who is a member of the Police Bureau’s Crisis Intervention Training Advisory Board called police asking for help with her son, who was suffering from a mental health crisis.

The Portland Police Bureau prepared a short video about the incident which chronicles the incident through the eyes of a mother in distress and an officer who responded to help.

The video can be viewed at: http://youtu.be/EFpclOOSOnY

Everyday Portland Police officers safely resolve encounters with people who are intoxicated, on drugs, suffering from mental illness or are suicidal.

If you or someone you know is experiencing a mental health crisis or want help to avoid a crisis we are available to help. Call the Multnomah County Crisis Line at (503) 988-4888 or toll-free: 1-800-716-9769.

The Mental Health Call Center is staffed 24 hours a day, seven days a week by a highly-educated, well-trained staff. The Call Center offers: Crisis counseling by phone, with translation services for non-English speakers; 24/7 mobile outreach for in-person crisis assessment; Referral to low-cost or sliding-scale agencies; Help finding mental health or addiction providers, including those with linguistically specific services; and, information about non-crisis community resources.

In emergency situations where you or someone you know needs immediate help, please call 9-1-1.

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Understanding Psychiatric Medications Workshop Oct 21 w/ Will Hall 5.75 CEUs

Understanding Psychiatric Medications: A Harm Reduction Approach

Sunday, October 21, 10:00 am – 5:00 pm
Process Work Institute, 2049 NW Hoyt St. Portland

with Will Hall MA, Dipl PW

$120 ($108 before Oct. 8th)
Space limited; pre-registration recommended
Registration: info@processwork.org
Scholarship info: portlandhearingvoices@gmail.com
5.75 CEUs available for this workshop

Download flyer here: http://www.portlandhearingvoices.net/files/PsychMedicationsWorkshopOct21-2012WillHall.pdf

How can anti-psychotics, anti-depressants, mood stabilizers, and other drugs be used wisely? What are the risks and benefits? How can we collaborate effectively with prescribers, and what about reducing and withdrawal from medications? Come learn a pragmatic harm reduction approach that is neither pro- nor anti- medication, but instead based in mental diversity. Everyone is welcome: professionals, survivors, students, family, and anyone taking or not taking medications.

Will Hall, MA, DiplPW, is a therapist who has himself recovered from a diagnosis of schizophrenia and now teaches internationally. Director of Portland Hearing Voices and host of KBOO’s Madness Radio, Will has written in the Journal of Best Practices in Mental Health and in the upcoming Oxford University Press Modern Community Mental Health Work. He is author of the Harm Reduction Guide to Coming Off Psychiatric Drugs, used widely in the peer recovery movement. http://www.willhall.net.

Co-Sponsored by: Process Work Institute, Portland Hearing Voices, Mental Health Association of Portland, and Empowerment Initiatives

For more information: www.processwork.org and www.portlandhearingvoices.net

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Friday Night Flicks: Choosing to Die

Choosing to Die

In a frank and personal documentary, author Sir Terry Pratchett considers how he might choose to end his life. Diagnosed with Alzheimer’s in 2008, Terry wants to know whether he might be able to end his life before his disease takes over.

Traveling to the Dignitas Clinic in Switzerland, Terry witnesses first hand the procedures set out for assisted death, and confronts the point at which he would have to take the lethal drug. From BBC Two, 2011 – one hour.

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City Takes Another Step Toward Easing Cops out of the Suicide Business

From The Portland Mercury, August 30, 2012

Heeding calls by advocates to find new ways to keep police officers and public-safety dispatchers out of the very touchy suicide-response business, this fall Portland officials are moving forward with yet another initiative meant to divert mental-health calls from 911.

On Wednesday, August 29, Portland City Council was expected to spend $150,000 to shore up the suicide prevention services offered by Lines for Life (formerly known as the Oregon Partnership). The six-month program will help the nonprofit roll out a new hotline that government officials, ministers, and leaders in the queer community will all promote as the first and best number to call—not 911—for someone in crisis.

Final details will be released in a few more weeks—just in time to mark Suicide Prevention Awareness Month—and skeptics already are coming forward. But if the project is successful, it could prompt even deeper changes in the way suicide calls are handled in Portland.

“The hope is people will call this number instead of 911,” says Commissioner Amanda Fritz, who oversees the city’s 911 dispatchers and who helped push for the grant along with Mayor Sam Adams. “Their staff and volunteers have extensive training in risk assessment and counseling. Our operators get some training, but not nearly to the same extent.”

The shift comes as traditional safety-net services for the mentally ill unravel in the face of budget cuts, contributing to a doubling, just over the past decade, in the number of suicide calls handled by Portland police. The perils of that dynamic came into focus earlier this year when Portland police officers wound up shooting a suicidal man atop a downtown parking garage.

Lines for Life claims that 98 percent of its calls—more than 17,000 last year—are solved without help from cops. Tom Parker, a spokesman for the nonprofit, says that’s because its volunteers can do things that 911 dispatchers can’t do: take calls that involve a weapon or the prospect of imminent harm, and spend as long as it takes until a call “de-escalates.” Lines for Life also can accept text messages and has specialists on hand if someone like, say, a veteran calls and threatens suicide.

“By us picking up the slack, with the city pointing more people in our direction,” says Parker, “we can do what we’re really effective at. It’s not a timed phone call. We’d talk as long as you needed us to talk.”

All that said, the project isn’t without detractors. Some advocates worry the city will send mixed signals about where people in crisis—or loved ones worried about them—should turn.

The city is already in the midst of a separate 911 experiment, advocates note. Under that project, when suicide calls do come to 911, dispatchers are supposed to send the “non-threatening” ones over to Multnomah County’s crisis call center. County and city officials both confirm that hundreds of calls have been diverted from 911 to the county since that program started on May 30. Meanwhile, the police bureau also has tentative plans to create its own mental health reporting unit.

“We need one number that people in crisis can call for immediate, knowledgeable information. We just put a lot of time and energy into making a go of the county program,” says Jason Renaud of the Mental Health Association of Portland. “This sounds like a competitive, confusing scenario.”

City officials, including the mayor, agree the goal should be one suicide hotline number. It could be, however, that the city is already thinking of ending its 911 relationship with the county. Which would leave the Lines for Life project as the city’s main focus.

David Austin, a spokesman for Multnomah County, says it’s too early to draw conclusions about the success of the program after just a few months. Both sides are supposed to step back in November and see if they want to deepen the relationship. But sources in city hall tell the Mercury that officials are cooling on the arrangement.

Fritz says the Portland Bureau of Emergency Communications would review both projects next year. Asked about the chance that 911 dispatchers would also start sending calls to Lines for Life instead of the county, she wouldn’t rule it out.

“We may eventually get to that,” she says. For now, “we’re seeing how it works out. Next year, we can modify all of our protocols.”

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Lukus Glenn verdict of $2.5 million ‘moment of accountability’ for Washington County

From The Oregonian, August 30, 2012

Moments after a federal judge read the jury’s $2.5 million verdict, Hope Glenn turned away from the counsel table and clung to her husband, in tears.

Jurors decided Thursday that Washington County sheriff’s deputies violated the Fourth Amendment rights of 18-year-old Lukus Glenn when they fatally shot him in 2006. The unanimous verdict also faulted retired Sheriff Rob Gordon, who approved of the shooting after an administrative review.

The teen’s parents, Hope and Brad Glenn, first brought the wrongful death lawsuit against the county and its deputies, Mikhail Gerba and Timothy Mateski, in 2008.

U.S. District Judge Michael Mosman dismissed it on summary judgment in 2010. On appeal, the 9th U.S. Circuit Court of Appeals ordered a trial in the case, saying the facts were in dispute and the court was not allowed to act as fact-finder on summary judgment.

Attorney Michael Cox said the Glenns in 2006 didn’t get a fair, transparent investigation into the shooting of their son.

In the face of “untold grief,” Cox said, the parents continued seeking justice for their only child, whose death they witnessed in front of their Metzger home Sept. 16, 2006.

But jurors this week confirmed what the Glenns knew from the start, he said.

“They could see with their own eyes that this was wrong,” he said.

The trial provided Washington County “a moment of accountability,” Cox said. “This is a call for change.”

The shooting occurred after Hope Glenn called 9-1-1 just after 3 a.m. reporting her son was drunk, armed with a pocketknife and threatening suicide.

Minutes later, deputies arrived to find Lukus Glenn outside the family’s Metzger home, holding the knife to his neck. With the teen at gunpoint, deputies shouted commands.

When Glenn did not drop the knife, a Tigard police officer shot him with beanbag rounds. Gerba and Mateski then opened fire after determining that Glenn was moving toward the house, where his parents and grandmother were inside.

Hope and Brad Glenn watched the shooting from the entrance to their home, while two of Lukus Glenn’s friends watched outside, from behind the deputies.

Larry Peterson, an attorney for the Glenns, argued to jurors that a number of mistakes led to a “false narrative” by police attempting to disguise an unreasonable shooting.

William Blair, attorney for the county and its deputies, argued the shooting was tragic but justified. The deputies acted in response to the threat Glenn presented to himself, to his family and friends and to them, he told jurors.

The trial lasted seven days. A seven-member jury left the courtroom on the 16th floor of the federal courthouse in Portland late afternoon Wednesday. About eight hours of deliberation later, the Glenns had validation.

When the verdict was read, the family had about a dozen supporters in the room.

Hope Glenn teared up, covered her mouth with her hand and cried. Her lawyers hugged her. She turned away and reached for her husband, seated behind her.

Speaking through tears later, Hope Glenn said the moment “felt like we finally got justice for Lukus.”

The verdict doesn’t bring back their son or take away their pain, she said, but she hopes it changes the outcome for other families who call the police in moments of need.

“It’s hard to fight against the police,” she said.

Brad Glenn said witnessing their son’s killing fueled their resolve to see the case to trial.

“We knew the truth,” he said.

His wife added that they drew strength from one another.

“We had each other,” she said. “Brad’s my rock.”

At every turn, she said, they never forgot their purpose.

“We knew we’d just continue to fight for Lukus,” she said.

The two officers were stoic after the verdict was read and were quickly ushered out of the courtroom by their attorneys. Sheriff Pat Garrett was also in the courtroom.

The Washington County Sheriff’s Office said it has not yet decided whether to appeal the verdict.

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