Central City Concern

Providing comprehensive solutions to ending homelessness and achieving self-sufficiency.

Monthly Volunteer Spotlight: January 2017 Edition

Jan 31, 2017

Our first Volunteer Spotlight of 2017 highlights the unique role of Dr. John Bishop, a clinician who has chosen to spend time in Old Town Clinic’s Wound Care Clinic. As the Wound Care Clinic program is in its relative infancy, our lead practitioner, Pat Buckley, had this to say about Dr. Bishop’s contributions:

“Having his expertise as we were developing the program was extremely beneficial because it really helped us ramp up the quality of care more quickly than we otherwise would have been able to… He’s the bomb.”

If you’d like to learn more about Old Town Clinic’s Wound Care program we recommend you check out the National Health Care for the Homeless’s Healing Hands newsletter, where they highlight this young, yet valuable, Old Town Clinic service. In the meantime, take a look below to find out both what distinctive challenges Dr. Bishop encounters while at Old Town Clinic, but also what makes the care process so rewarding to him.

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Name and Volunteer Position: John Bishop, provider in the Wound Care Clinic of Old Town Clinic.

How long have you been volunteering with us?
About year and a half now; it’s been very positive. It’s a different kind of wound care than I was used to, a different kind of situation, but it’s been very positive. Good, nice, qualified people to work with... pleasant, friendly. I like the patients, too. The patients, for the most part, are very nice.

What made you want to volunteer at Central City Concern?
I decided to be retired. And moving to Oregon from Florida there was no real employment for me, financially, in a semi-retired level. I spent many years learning how to do wound care and I didn’t want to just give up that knowledge overnight. It took a long time to develop what I know and I didn’t want to just throw it away so I figured I could use what I know positively for a few more years. And since I don’t get paid, I’d rather take care of people who can’t pay [Note: All Old Town Clinic patients are on a sliding scale fee.] They need the care and there’s no reason why they shouldn’t get it.

Have there been any surprises at Old Town Clinic so far?
Well, the biggest problem I have here is with continuity of care and follow-up. Part of it is me as I only volunteer but two times a week, but part of it is the patients that don’t come back. That’s probably the biggest disappointment.

Then again, that’s the challenge from which we have to work. That’s what’s different from my civilian or private practice before I got here. That’s just one of those things in the practice of medicine.

Have you tried strategies to combat that?
Well it does direct how we administer our care. We have to prescribe a type of care with the assumption that maybe the patient won’t come back. That way, if they don’t, they’re not going to get themselves into more trouble from the care. My philosophy is to be positive, develop a little relationship with them, and have them feel like I’m expecting them so that they might feel more of an obligation from that. I make sure to say “I will see you next week!” and I hope they think, “If he cares enough to be there to look for me I ought to show up.” I don’t know if that’s how it works but that’s my goal.

I like doing wound care, I like taking care of people, and I like seeing wounds get well. It’s a very satisfying thing to start off with a mess and then see the patient eventually walk out and to tell them, “Don’t come back, you’re all done!" And along the way, since many wounds are chronic, there’s a big effort to teach the patient how to take care of it themselves so that they won’t have to come back. I don’t know how successful I am with that but it’s always been my guiding light in wound care. It’s  "Okay, this is what I want to do; if it happens again, this is what you can do for yourself.”

Having practiced medicine at Old Town Clinic, if somebody were on the fence about volunteering here is there anything you would want them to know?
Well I think the volunteering business is pretty nice. The state of Oregon has their physician emeritus program that kind of gives you liability coverage and allows you to practice and keep your skills alive. It lets you use the skills you already have and I think more physicians ought to consider that.

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If you are a licensed practitioner interested in volunteering time with Portland’s vulnerable populations, we recommend checking out the Coalition for Community Health Clinics, a community and care-driven collaborative (of which Old Town Clinic is a partner).

For any other Central City Concern volunteer inquiries, please visit our volunteer webpage.



Medicaid Waiver Extension is Good News for Central City Concern

Jan 13, 2017

On Friday, Jan. 13, Governor Brown announced the federal government extended Oregon’s Medicaid Demonstration Waiver for another five years, effective immediately to run through June 2022.

“This is great news for Central City Concern,” said Executive Director Ed Blackburn. “As a health care provider serving people with very low incomes or experiencing homelessness, we have many patients who are highly dependent on Medicaid to access medical, mental health, and substance use disorder treatment.”

In 2013, the year before Medicaid expansion in Oregon, 47 percent of CCC’s patients were uninsured; two years later in 2015, only 11 percent of CCC’s patients lacked health insurance coverage. This expansion of Medicaid coverage improved CCC patients' access to needed care as well as enabling CCC to offer a more intensive care model that responds appropriately to the needs of these high-risk populations. Without Medicaid expansion, CCC could lose the capacity to serve as many as 2,000 homeless and very low-income patients.

“We treat every patient as an individual,” said Blackburn, “and many of those individuals rely on the Oregon Health Plan to access desperately needed services. Lisa G. is just one example of the many people who need this support and benefited from Oregon’s Medicaid expansion here at CCC.”

Lisa G. was terrified of losing her health insurance. Before Medicaid expansion, the Oregon Health Plan denied her coverage three times. “It’s something I think about all the time. Without the Oregon Health Plan,” Lisa said, “I just don’t know where I’d be.”

Lisa, 23, used drugs such as heroin and methamphetamine for five years. She also struggled with bipolar disorder, which further complicated her ability to stop using drugs. She tried quitting with no luck, until eight months ago when she accessed recovery support services through CCC. In Lisa’s case, medication assisted treatment helped her tackle her opioid addiction, so she could then focus on her severe bipolar disorder and other medical issues at CCC’s Old Town Clinic.

Lisa now lives in supportive alcohol and drug-free recovery housing and works in CCC’s On-Call Staffing program. She hopes one day to become a peer mentor and help others to overcome their opioid addiction. Without Medicaid expansion, Lisa wouldn’t have had access to critical recovery services that led to integrated health care, housing and employment services.

“Medicaid not only supports these individuals in their health and well-being,” said Blackburn, “but also leverages other resources such as housing and employment, further enhancing the health and well-being of our entire community. Though there are uncertainties about health care on the national scene, we’re tremendously relieved Oregon’s Medicaid Waiver will continue for five more years.”

CCC is a large non-profit organization, founded in 1979 in Portland, OR, that serves people experiencing or vulnerable to homelessness by providing health care and recovery services, housing, and employment services. In the last year, CCC helped more than 13,000 people, most through our 11 Federally Qualified Health Center (FQHC) sites that offer integrated behavioral health and primary care. For more information, visit centralcityconcern.org.



Monthly Volunteer Spotlight: December 2016 Edition

Dec 22, 2016

Old Town Clinic’s Wellness Program offers a variety of classes and activities to further patient care, healing, and connectedness within the Central City Concern community. This month we wanted to emphasize the outstanding work of Jeff Beers, an art therapy volunteer who Program Manager Moira Ryan refers to as “a co-conspirator toward the Wellness Program’s aim of encouraging self-acceptance while building community.”

In fact, when approached about Jeff’s wonderful service being the spotlight for December, Moira jumped at the opportunity to provide a glance into her work and experience with Jeff:

San Francisco-based artist Jeff Beers has years of experience working with diverse populations as an arts educator. Jeff joined us in July and has been a fantastic peer volunteer and co-facilitator of several Wellness groups. In our Art for Everybody and Art Journaling groups, he’s brought a more tactile experience of art-making as we practice trying out working with oils, inks, powder tempera, collage, collagraphy, and even found items! He draws upon his experience as a self-taught artist and encourages mistake-making, regularly reminding folks that we have permission to practice not being perfect here. Additionally, drawing from his experience as a certified instructor of Thai Massage, he’s developed curricula for a group we’re calling Eastern Techniques for Health and Longevity. In that group, we draw on trauma-informed somatic experiencing precepts as we explore tapping, brushing, acupressure, stretching, and other acts of gentle self-love.

With Moira’s enlightening recap of Jeff’s involvement, read below to hear his own words about how he utilizes personal experience with a desire to help others through one of his greatest passions—art!

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Name and Volunteer Position: My name is Jeff Beers and my volunteer positions are for Art for Everybody on Mondays, and then on Wednesdays we do table-top Games and then I lead a group in Eastern Techniques for Health. On Thursdays I do ceramics and the art journaling as well.

So a pretty wide array of activities. What’s your background?
My background is in art for the most part; that’s what I do. Every year I choose an organization I want to volunteer for. Money comes very low on my priorities so I feel like it’s a way I can give back since I can’t give back monetarily. So I just find places that I really believe in and then volunteer. I get to pay it back and do what I love.

How have you been able to use those skill sets to connect specifically with those that CCC serves?
Well, I really like the clients. I have a lot of admiration for them because I know that they’re struggling with one thing or another and I just admire their efforts to reach out for help and be there. A lot of the groups, they vary in sizes, but it’s just cool to see the people regularly and to be a part of their lives. And just to contribute whatever I can, which would be a positive attitude, and some skill sets, but mostly just showing these people my admiration for what they’re doing.

And I want to make it worth their time too. I always feel conscious that if people make the effort to be in the class or in the group it should be worth their while. I keep that in mind and try to get a lot of feedback from the people and just tune-in to what they’re interested in; that’s been a lot of fun.

Have you had any cool projects that have been more successful or well-received that stick out?
Yeah! In Art for Everybody on Mondays I’ve been having a lot of fun introducing different techniques to the clients and they’re usually always interested in at least trying it out which is great. They find their voice and the right materials they want to work with. Then all of a sudden they become artists. Before they were always saying, “I’m not an artist, I’m not an artist,” and that’s hard for me to hear, so I like to bring them forward and show them what they can find in themselves.

And then the Eastern Techniques Class, that’s been a blast. Although it takes more preparation for me to package and present all of these techniques I’ve learned through the years, it’s been a lot of fun. I ask the clients for a lot of feedback and they’re usually pretty forthright about just coming up with critiques so it’s been fun to constantly let that group grow in that way.

Do you feel like the activities are a good fit for CCC and the Wellness Program?
Oh, very much so. Your guys’ program is just fantastic. When I was a client I just was blown away by all of the services that were provided under one roof so people didn’t have to go to different parts of the city to receive different services. I thought that was great. Of all of the private insurances I’ve had in the past this was easily, no contest, the most fantastic clinic I’ve ever seen. And so, it was an easy choice to volunteer.

I mean you even have volunteers who work at Old Town Clinic cleaning up things, setting up different things, I think it’s great. I think your program should be like a model for most of the clinics in the United States. It’s a great example of what you can do.

And lastly Jeff: if somebody were on the fence about volunteering with Central City Concern or about getting involved, would you have any advice or words of wisdom for them?
For me, I’ve always had a respect for people no matter what their situation is and I want them to know that. I think it’s a good thing for volunteers to show their genuine respect or admiration and not feel that it’s something out of obligatory need. I’m blown away by some of the people CCC serves and what their stories are that they share. So I think for volunteers in general that would be the most important thing.

And I think that anybody that would find interest or have the time to volunteer at CCC should never have to have any doubt about the value of what they’re bringing.

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If you are interested in learning more about volunteer positions in at Central City Concern’s health and recovery, housing, or employment programs contact Eric Reynolds, CCC’s Volunteer Manager, at eric.reynolds@ccconcern.org or visit our volunteer webpage.



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Hotel Alder Fire Update

January 18, 2017: The latest update from Central City Concern regarding the fire at the Hotel Alder. Learn more »

Central City Coffee

Through craft roasting coffee in Portland, OR, Central City Coffee supports the clients and mission of Central City Concern. Available at local retailers and as office coffee! Learn more »