Central City Concern

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

NHCW Health Care Hero: Lydia Bartholow

Aug 17, 2018

Lydia Bartholow still isn’t absolutely certain how she came to become Central City Concern’s (CCC) associate medical director for outpatient substance use disorder services.

“I sort of feel like I’m still a crusty punk kid who magically got into this role,” she says.

But it’s exactly Lydia’s past—her upbringing, an adventurous young adulthood, the paths she chose—that informs her present and makes her an integral, guiding voice for how CCC serves those in need of addiction treatment. In her role, Lydia works primarily with the CCC Recovery Center and Eastside Concern programs, overseeing the outpatient services that engage individuals working to start or maintain their recovery journey. And while being an associate medical director carries a wide range of responsibilities, Lydia is singularly driven.

“My passion really is and shows up in working to make sure that our patients are the drivers of their health—that the patient experience is as good as possible.”

Lydia’s laser focus on CCC’s patients, many of whom are marginalized, living at or near poverty, and often cast aside or uncared for by mainstream health care systems, can be traced back to how she was raised. Growing up in a Unitarian Universalist household set the table for Lydia’s sense of who she wanted to work with—those “who are hardest to love”—as well as her obligation to them: “to love them as much as possible.”

“I sort of feel like I’m still a crusty punk kid who magically got into this role."

In her early 20s, Lydia lived as a self-described “gutter punk kid.” While living amongst the trees or hopping trains, she became familiar with many issues like substance use disorder that bring clients in to receive CCC services. At the same time, she was also exposed to ways of seeing how people relate to each other that greatly influence how she approaches her work.

“A core ethos in the punk world is being non-hierarchical. Believing that one person doesn’t have more power or worth than another,” Lydia shares. “I try to bring that into every encounter with a patient.”

Lydia’s goal is to preserve what she calls “patient autonomy.” Her training may give her a different kind of knowledge than her patients, but she aims to put her patients in position to drive their health care based on what they know best: their own experiences.

“I want to make sure that our system is one that allows our patients to feel safe enough to name what they need from us. I don’t mandate behavior change and I don’t judge them,” she says. “We don’t ask them to fit into our health care world.”

In recent years, Lydia’s effort to create a sense of safety for patients has led her to become one of CCC’s most outspoken proponents of trauma-informed care, a framework that acknowledges how trauma affects people. For those living with addiction, trauma can come from numerous places—even where they turn to for help. Trauma-informed care reorients care systems and practices to honor and center patients’ experiences.

“We can’t just chase positive patient outcomes,” she says. “We really want people to feel seen, heard and supported on the way to reaching those outcomes.”

Her training may give her a different kind of knowledge than her patients, but she aims to put her patients in position to drive their health care based on what they know best: their own experiences.

It’s difficult to imagine CCC having made so many strides toward integrating trauma-informed care without Lydia’s endless enthusiasm for and advocacy on behalf of the patient experience, but it took a number of twists in her own journey to get to where she is today.

She originally trained as a medical herbalist before choosing to follow her heart for working with marginalized populations. She took her time to decide between medical school and nursing school before choosing to pursue a career as a nurse practitioner. Realizing that those who are part of vulnerable populations often struggled with addictions and trauma, she further focused her goal to become a psychiatric mental health nurse practitioner (PMHNP). It was as a PMHNP that Lydia joined CCC, and she’s been improving how the organization provides care since.

In her work, Lydia wants little more than for her patients to find healing from addiction. What sets Lydia—and CCC—apart is focusing just as much on how they get there.

“Our job is to walk hand-in-hand with our patients and to make sure they’re at the center of everything we do,” she says. “They’re in such a vulnerable time and I want them know they can count on us.”



NHCW Health Care Hero: Steve Hardenbergh

Aug 17, 2018

Spend any time with Steve Hardenbergh and one thing becomes overwhelmingly clear: he’s an optimist who believes in the innate goodness of people, through and through. His hearty laugh and easy smile proclaim it. The life in his eyes shows it. And most importantly, his actions prove it.

For more than 25 years, Steve has worked with people at or close to rock bottom because of their substance use disorder who had made their way to Central City Concern’s (CCC) treatment services. He’s seen people suffer, relapse or pass away. But before that, he saw rock bottom in the mirror.

“In the late 80s, I was using a lot of drugs and drinking too much while I was in acupuncture school. I was the one who reeked of alcohol during morning class,” Steve says. “So I ended up going into treatment back when CCC ran the Portland Addictions Acupuncture Clinic (PAAC).”

For more than 25 years, Steve has worked with people at or close to rock bottom…. He’s seen people suffer, relapse or pass away. But before that, he saw rock bottom in the mirror.

Steve committed himself to a life of recovery, and slowly but surely, his fortunes turned. He finished his acupuncture studies and came back to be an acupuncturist at PAAC (which would eventually become Portland Alternative Health Center, then the CCC Recovery Center). Since he also had a degree in social work, he was asked to step into a counseling role, too.

“People were always willing to test the waters of opening up to me,” Steve says. “I can only be honest and genuine with them, and they can know what to expect out of me. I think that helps.”

Today, two decades later, Steve is a mainstay at the Old Town Clinic: he’s (still) an acupuncturist, a counselor for patients utilizing medication supported recovery as well as those managing chronic pain while simultaneously in addiction treatment. He draws from his glass-half-full approach to remind even the most hardened clients that change is possible. Merely showing up to receive support, he’s quick to remind, means they’re listening to their inner selves.

“I give them encouragement that they’re good people. I strongly believe that listening to our true self is a real good way to help change behaviors. I want to help clients feel and realize that they are more than labels, that they’re more than an addict, more than an alcoholic. Inside, they are good.”

Steve’s message has won him scores of fans over the years. But even when clients linger after a group session to chat with him or come search him out when they’re at the clinic to thank him for his support, he points the conversation back to the client.

“He always reminds the patient that no matter how much he’s helped their recovery, ultimately, they're the one doing the work,” shares a colleague. “This happens a lot!”

While it may be tempting to reduce Steve’s optimism into a tidy belief about individual value and willpower, Steve says that tapping into one’s innate goodness and true self is only half the story. Finding people who can offer support, empathy and wisdom is crucial to making positive changes.

“Finding a community that understands you and what you’re trying to do can give you the confidence to change those behaviors,” he says. “It’s hard to see someone not experiencing connection. It’s hard enough to give people confidence that they don’t have to rely on drugs. It’s just as hard to give them the confidence to know they’re worthy of love and connection.”

“I want to help clients feel and realize that they are more than labels, that they’re more than an addict, more than an alcoholic. Inside, they are good.”

Counting on community is a lesson that Steve leans on in his own work, too. He knows he’s not perfect—“when I make mistakes, I have to own them and be more mindful and be better moving forward”—but he feels grounded by others he finds himself around daily.

“Whenever I feel like helping a person change is all on me, I remind myself that there are so many other awesome people at the clinic involved in their care,” he says. “And that’s a good thing, not just for me, but for our clients!”

In the rare times when Steve feels discouraged, something or someone eventually comes along to remind him that his eternal, vibrant optimism for those he works with is warranted.

“Once in a while, someone will come up to me, maybe at the grocery store or something, and ask if I remember them. And they’re there with their kid and they tell me they’ve been in recovery and sober for eight years,” Steve says, his eyes lighting up recollecting the last time it happened. “Things like that… they’re really good. Real good.”



NHCW Health Care Hero: Whitney Berry

Aug 16, 2018

Sometimes it takes a few steps off the path to find one’s way forward. It’s a lesson that Whitney Berry is grateful to have learned, and one that helps her empathize with the patients she sees each day when she comes into work.

Whitney is the clinic coordinator for Central City Concern’s (CCC) Old Town Clinic (OTC), a position that, until just a few years ago, she didn’t know existed. Yet, in retrospect, many of her experiences, instincts and preferences point to exactly the place she finds herself in now.

Growing up, what Whitney did know was that she wanted to work with people. The allure of intersecting with a limitless universe of stories and personalities and journeys was too much for her to imagine anything else.

The allure of intersecting with a limitless universe of stories and personalities and journeys was too much for her to imagine anything else.

“I think people are just so fascinating. We all have something to bring to the table, and I love learning about what the something is,” she says.

Whitney initially pursued a future in nursing, but realized that it wasn’t the right avenue for her to work with people. Instead, she earned a degree in family and human services, which introduced her to ways of working with her community that deeply resonated with her values of helping those in need. Her brief time in a nursing program was the detour she needed to unearth a bit more of the path she was making for herself.

Her route to CCC was similarly winding. She worked with youth with behavioral hardships, then tried out office work with a retail business. During the latter, she unexpectedly found a knack for administrative work, but found herself missing interaction with others more than ever before.

CCC had always been in Whitney’s periphery. Her father has served on the board for many years, and a family member found stability through CCC’s addiction treatment services. Without any clinical credentials, Whitney didn’t consider the possibility of working with the population CCC serves. But when she found out about the clinic coordinator opportunity, she knew that it was a prime opportunity.

“It was a combination of working in health care, administrative duties, and meeting all sorts of people,” Whitney says. “I also felt the need to give back to the place that changed the life of my family member who went through CCC’s services.”

Since arriving as the clinic coordinator, Whitney has become a crucial staff member whose work behind the scenes as a do-everything, know-everything resource “greases the wheels of Old Town Clinic,” as one colleague describes.

When new employees start at Old Town Clinic, Whitney becomes their guide, helping them find their place in the bustling operation that sees more than 20,000 visits each year. When the clinic needs to coordinate access with local hospitals, Whitney is likely on the phone making that happen. When the clinic’s care teams identify a new way to help patients, they’ll often call on Whitney to help execute their idea.

“Everyone in the clinic has their own work, so I fill in gaps so they don’t necessarily have to worry about connecting the dots,” Whitney says. “No matter which clinic staff I’m helping, I’m helping someone who cares for our patients. And by helping them, I’m part of lowering the barrier to receiving care at OTC.”

“No matter which clinic staff I’m helping, I’m helping someone who cares for our patients. And by helping them, I’m part of lowering the barrier to receiving care at OTC.”

Several times a month, Whitney also meets one-on-one with prospective patients as part of a new Old Town Clinic initiative to provide same-day intake appointments, allowing patients to meet with a provider much sooner. Before the initiative, a patient waited an average of 14 days for an intake appointment. With Whitney’s willingness to step in and draw from her passion for hearing people’s stories, the average wait is now effectively zero days.

“In the past, people came in to OTC and realized they had to schedule two weeks out. They went through a rollercoaster of emotions,” she says. “That they can get in with an intake and potentially be seen even that day is amazing.”

Though the majority of her days is spent making sure the needs of clinic staff are met, Whitney absolutely shines in this role. The opportunities to meet directly with patients affirm for Whitney that her path, indirect as it’s been, has led her to where she wants—and needs—to be.

“Being the clinic coordinator has pushed me to want to work with our population even more. Seeing what I’ve seen and hearing what I’ve heard, I can tell people that this is not the end.”



Housing

Central City Concern helps people find the stability of home, as well as a new community to support their goals. Our Housing Choice model allows people to choose the kind of housing based on their personal needs. Learn more »

Health and Recovery

Access to integrated primary and behavioral health care is key to successful recovery. CCC offers exceptional, compassionate care to meet patients' primary care, mental health care and substance use disorder treatment needs. Learn more »

Employment

The journey from being homeless to finding a living wage job can be arduous, especially without a guide. CCC's employment programs provide vital supports to those desiring to make progress toward self-sufficiency. Learn more »