Central City Concern

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

NHCW 2017: Serving a population where they live

Aug 18, 2017

On September 23, 2016, leaders from six Portland health organization gathered at Central City Concern’s Old Town Recovery Center to announce an unprecedented $21.5 million dollar investment in the Housing is Health initiative that will fund three new CCC buildings in Portland. The crown jewel of this shining trio is the Eastside Campus, which will serve medically fragile people and people recovering from substance use disorders and mental illness with a health care clinic and 172 housing units.

“This significant contribution is an excellent example of health organizations coming together for the common good of our community,” said Ed Blackburn, CCC president and CEO. “It also represents a transformational recognition that housing for lower income working people, including those who have experienced homelessness, is critical to the improvement of health outcomes."

Each floor is designed to foster healthy peer relationships, with vibrant common spaces where residents, supported by CCC staff, can build community.

CCC will break ground on the Eastside Campus in late October 2017. The center will build on CCC’s existing Eastside Concern program, and will offer integrated housing and clinical services, including substance use disorder treatment, primary care and urgent care. More than 3,000 CCC patients each year will access care in a unique and welcoming health home environment.

The housing portion of the Eastside Campus will have about 172 units of housing, including short-term medical stabilization and palliative beds as well as transitional housing for people in recovery from behavioral health disorders. Each floor is designed to foster healthy peer relationships, with vibrant common spaces where residents, supported by CCC staff, can build community.

“It’s important to serve people where they live."

“It’s important to serve people where they live,” said Blackburn. “This project will replicate the integrated care we give at our Old Town campus to help people get back on their feet and achieve health and self-sufficiency.”

The Housing is Health initiative is supported by Adventist Heath Portland, CareOregon, Kaiser Permanente Northwest, Legacy Health, OHSU and Providence Health & Services. The new construction includes the Eastside Campus, Stark Street Apartments and Charlotte B. Rutherford Place apartments on N Interstate.

The CCC Eastside Campus is scheduled to open in Winter 2019.



NHCW 2017: Adapting the system to work for our most complex patients

Aug 17, 2017

Central City Concern's Summit team takes care of our Old Town Clinic's most complex and medically fragile patients. Instead of expecting patients to fit into a health care system, the Summit team adapts the system to work for them by offering flexible scheduling, around-the-clock availability, and even home visits. Like many of the programs we've featured during National Health Center Week so far, the Summit team goes above and beyond to break barriers and narrow the gaps that keep vulnerable individuals from becoming as well and healthy as they can be.

We're so excited to share this video about Summit with you, which features Summit team staff and several Summit patients talking about what sets this program apart and how it impacts the lives of those it serves. A version of this video was originally shown at the National Health Care for the Homeless Conference in June.




NHCW 2017: Starting primary care engagement outside clinic walls

Aug 16, 2017

There are few professions in the world that call on you to do your job in an RV, but that’s where Catherine Hull found herself a few weeks ago, helping the person who lived inside fill out intake paperwork. If she minds the odd working environment, she certainly doesn’t show it. After all, her role as Central City Concern’s Community Health Outreach Worker (CHOW) has also taken her under bridges and overpasses, into day centers and shelters, and onto most of the streets that form downtown Portland.

“My days are almost always pretty uncertain. A lot of the time, I get a phone call or an email and I’m off to respond at the drop of a hat,” she says. “Once I get to where I’m needed, I can help people figure out the different needs they have.”

CCC’s CHOW program was originally created partly in response to the difficulty of phone outreach to individuals who, though insured, weren’t engaging with our Old Town Clinic or any other primary care clinic, often leaving chronic health conditions unmanaged. Rather, these folks were utilizing the emergency room or acute care services at high rates for needs that could have been taken care of, and even avoided, with a primary care provider.

These potential patients—most unhoused or low-income—didn’t need reminders; they needed relationships to enter into and navigate a health care world that was as confusing as it was untrustworthy.

Calling people wasn’t enough. These potential patients—most unhoused or low-income—didn’t need reminders; they needed relationships to enter into and navigate a health care world that was as confusing as it was untrustworthy. So Catherine started hitting the pavement.

Hospitals contact Catherine when an emergency room patient who they had previously referred to the Old Town Clinic for primary care shows up again and again. Community members phone get in touch when they feel compelled to help someone on the street they see every day. CCC programs like Hooper Detox call her when a patient needs to establish a primary care provider in order to be referred to other programs. As long as there’s someone to meet, she goes.

Through it all, Catherine practices profound empathy. While following through on a primary care appointment may seem like a small task to many, she understands—and hears firsthand—what stands in the way.

“Patients typically have to wait a few weeks after their initial intake to see a provider, and that can clearly be frustrating when we’re asking them to take charge of their health,” Catherine says. “A lot of the time their primary concern isn’t primary care at all; it’s their substance use disorder or mental health or the simple fact that they don’t have a home.”

Lack of transportation, sleep deprivation, fear of being judged by a doctor, and a feeling of stuck in their situation place additional barriers to engaging with primary care. Catherine listens and then does what she can to help each person inch closer to primary care. She performs intakes on the spot, ensuring that the individual can see a provider even sooner. She hands out bus tickets, offers assurances that our care providers truly have heard it all before and are not in the business of judging, and true to her self-given title of “the queen of resources,” offers information that can be of any further help.

“It’s understandable that if someone doesn’t know where they’re sleeping each night, a clinic appointment two weeks from now won’t be at the top of their mind. So we’ll make a plan to look for each other on 4th Ave. every day to check in until the day of the appointment,” she says. “I’m hoping to bring what little bit of the clinic I can take with me to where they are.”

In addition to responding to calls and emails, Catherine holds hours twice a week at CCC’s Bud Clark Acute Care Clinic, which treats acute issues as a bridge until patients feel ready to engage with a primary care home. When a patient feels ready, Catherine is there to seize the moment.

“The ability of our patients to access care has improved markedly by having Catherine do her outreach,” says Pat Buckley, a provider who splits her time between Bud Clark Clinic and Old Town Clinic. “She facilitates people who desperately need to get into a primary care environment very quickly. CHOW’s been an amazing adjunct to CCC’s practice.”

“I’m hoping to bring what little bit of the clinic I can take with me to where they are.”

Catherine is aware that the CHOW program won’t result in every person she sees engaging with primary care, but she remains hopeful for each person she meets.

“Of course my goal is to get them excited about primary care, but if I can at least get them to start thinking about it, I’ll take it. I’ll keep trying as hard as I can to help them understand that primary care is a good thing to do, but I’ll always be understanding that there are so many things in the way.”

Until then, Catherine will continue going to where the people who don’t think they’re quite ready for primary care are. An RV one day, an underpass the next, and maybe an ER bed later. All of it is worthwhile as long as the people she meets get closer to setting foot inside Old Town Clinic.



Housing is Health

Six health care organizations will invest $21.5 million in a partnership with CCC as a response to Portland’s affordable housing, homelessness, and health care challenges. Learn more »

2016 Annual Report

Download Central City Concern's 2016 Annual Report to find out about the transformative impacts our housing, health care, and employment programs made last year. Learn more »

2017 Compassion in Action

Join CCC on October 10 for our annual luncheon to celebrate all that is possible when community members work together to bring lasting change to people in need. Learn more »