Affordable housing construction begins in East Portland

Sep 19, 2017

Leadership from Housing is Health collaboration health systems visited the construction site of the Stark Street Apartments affordable housing project.Central City Concern, has begun construction on the second of three buildings in the Housing is Health initiative—a pioneering commitment from local hospitals and health systems in supportive, affordable housing. Health systems leadership visited the Stark Street Apartments site (333 SE 122nd Ave. at Stark St., Portland) on Friday, Sept. 15.

Attendees from the Housing is Health coalition included David Russell (Adventist Health Portland), Eric Hunter (CareOregon), Bill Wiechmann (Kaiser Permanente), Cindy Grueber (OHSU) and Dave Underriner (Providence Health & Services – Oregon). Legacy Health is also part of the Housing is Health coalition. The other two buildings in the Housing is Health initiative are Charlotte B. Rutherford Place (N Interstate Ave.) and the Eastside Health Center (NE 122nd Ave. and E Burnside).

"The health care organizations in the Housing is Health coalition understand that housing for lower income working people is critical to good health outcomes and a healthy community. "
- Ed Blackburn, CCC President & CEO

Stark Street Apartments, opening in 2018, will target people exiting transitional housing programs who have gained employment and seek a permanent home, but still may have barriers to housing. CCC expects to attract potential tenants from the immediate neighborhood. The four-story building contains 153 homes total: 92 one-bedroom and 61 two-bedroom apartments. Rents will range from $412 to $995 per month, depending on Median Family Income.

"These homes are important for supporting employed people with affordable housing. The health care organizations in the Housing is Health coalition understand that housing for lower income working people is critical to good health outcomes and a healthy community, " says Ed Blackburn, CCC president and CEO.

Stark Street Apartments' major contributors include the Housing is Health coalition of six health organizations: Adventist Health Portland, CareOregon, Kaiser Permanente Northwest, Legacy Health, OHSU and Providence Health & Services – Oregon. Other major funders are Portland Housing Bureau, Umpqua Bank, US Bank Community Development Corporation, Federal Home Loan Bank and PGE.

The design and development team is Central City Concern, the architect is Ankrom Moisan and the builder is Team Construction.



Making Suicide Prevention a Routine Part of Care

Sep 11, 2017

national suicide prevention week ribbon and logoSuicide Prevention Week is Sept. 10-16, but preventing suicide is something Central City Concern (CCC) thinks about every day of the year. “Zero Suicide” is the national model of treatment that CCC’s Old Town Clinic (OTC) has adopted and integrated into all aspects of the primary care it provides to more than 5,000 individuals it serves annually. It’s a commitment to the idea that every suicide can be prevented with the right kind of care.

“No matter what your position, we’re all responsible for suicide prevention,” says Brian Barnes, Associate Director for Behavioral Health in Primary Care at OTC. Barnes explains that making suicide prevention a system-wide priority and a routine part of care is the key to ensuring that no one falls through the cracks. Having clear, established procedures is better for patients and better for staff because it normalizes prevention and helps everyone know how to get the right kind of help.

“Suicide prevention starts way back so that when we see a patient we are looking at the whole picture."

At Old Town Clinic, this has meant incorporating questions about suicide into regular patient visits, establishing new protocols to ensure that clinicians are aware of patients who have a plan to harm themselves and designating a suicide "clinician of the day" who can respond to help, usually within five minutes. An intervention by the clinician of the day can last several hours—enough time to really engage someone in a moment of crisis, gain new perspective on a situation that may seem hopeless and come up with a concrete safety plan for the day, which clinic staff follow up on. Implementing these changes entailed a team-effort at the clinic, with leadership for designing and operationalizing the new procedures from Susan Marie, Senior Medical Consultant for Behavioral Health in Primary Care, and Lydia Bartholow, Associate Medical Director for Outpatient Substance Abuse Disorder Services.

“This type of work is more typical in a specialty mental health setting,” says Barbara Martin, Senior Director of Primary Care at CCC. But in serving some of Portland’s most vulnerable residents, OTC aims for a comprehensive approach. Many of the clinic’s patients face struggles that make primary care especially challenging: finding housing, getting and keeping regular access to health care, or dealing with addiction and other severe mental illness. At the same time, health care providers can lean on CCC’s extended network of wraparound services in housing, addiction treatment, employment services and social support.

“Suicide prevention starts way back,” Barnes says, “so that when we see a patient we are looking at the whole picture.” It requires going beyond crisis-intervention and stabilization to address long-term needs that support overall health and well being. Recalling how the clinic staff helped one person who recently attempted suicide, Barnes notes: “We were able to get her treatment here, at Old Town Clinic, change some things with her mental health medications, and get her housed in CCC housing with programming specifically designed for people recovering from addiction. We consider all of that primary care, because it’s primary to the person, to their overall care.”

Having clear, established procedures is better for patients and better for staff because it normalizes prevention and helps everyone know how to get the right kind of help.

Barnes and Martin both emphasize that everyone can help make zero suicide a reality. Go with your gut, they say, and reach out to a hotline or many of the other resources available if it seems that someone is at risk of harming themselves. “The most important thing is to listen,” Martin says, “because the evidence shows that if someone is getting close to a point of despair, thinking about hurting themselves, they often talk to people.” And Barnes adds: “Every person’s behavior can be explained if you understand the context, but if you don’t have time to understand the context, then get someone who can.”

• • •

The Multnomah County Crisis Line is available 24/7: 503-988-4888. 
The National Suicide Prevention Lifeline is also available 24/7: 1-800-273-8255
The David Romprey Oregon Warmline offers confidential peer support from 9:00 a.m. to 11:00 p.m. every day: 1-800-698-2392



CCC’s Employment Access Center teams with WorkSource to offer even more services

Sep 04, 2017

Labor Day represents more than just mattress sales, camping and the unofficial start of fall. At Central City Concern (CCC) we celebrate the importance of employment on a person’s path to self-sufficiency. CCC’s Employment Access Center (EAC) offers CCC clients a one-stop employment assistance center with multiple resources including access to computers, the internet, tutorials, personal voicemail, a printer and copier, and telephone and fax services.

In late 2016, WorkSource Portland Metro opened an Express Center at the EAC (2 NW 2nd Ave.) to serve the public. The CCC WorkSource Express Center is open on Tuesday and Thursday mornings from 8:30 a.m. to 12:30 p.m., and is staffed by WorkSource employment specialists. So far in 2017, the center has helped about 600 job seekers to engage with training programs, obtain job search assistance including referrals and get help with online applications, document formatting and general questions.

“We are very pleased to host a WorkSource Express Center in our Employment Access Center,” says Clay Cooper, CCC’s director of Social Enterprises and Employment Services. “We want to expand CCC’s employment services to include everyone in the downtown area seeking employment. WorkSource helps us do that, and adds value for our existing clients.”

“We want to expand CCC’s employment services to include everyone in the downtown area seeking employment. WorkSource helps us do that, and adds value for our existing clients.”

Finding a job can be overwhelming, especially for people entering or reentering the workforce after a rough patch in life. CCC’s EAC and WorkSource Express Center has many resources to help. In 2016, the EAC assisted nearly 1,000 job seekers. And every time a client gets a job, he or she rings the bell in the front lobby. It’s the sound of achievement and celebration!



Monthly Volunteer Spotlight: August 2017 Edition

Aug 30, 2017

For this month's volunteer spotlight, we are turning to another volunteer who has multiple roles at Central City Concern. While Michael initially got started with Central City Concern as a volunteer at the Old Town Recovery Center Living Room program, much like last month’s spotlighted volunteer, his interest in the behind the scenes work for nonprofit organizations led to him expanding his role to include a variety of work in the Public Affairs department. Both roles are well-served by Michael’s ample ability to be an open ear to others. Hayden Buell, who supervises Michael at the Living Room, summed it up, saying, “Michael stands out as a volunteer in his ability to listen to our members and get to know them and their stories in a way that really honors their individuality. He’ll just sit down and give them space to share themselves.”

Michael was so generous in turn as to share himself with us for this month’s spotlight!

• • •

Peter: What is your name and volunteer position?

Michael: My name is Michael Thomas Taylor, and I volunteer with CCC in two places. I’ve been at the Old Town Recovery Center Living Room since February and I’ve been helping in the Public Affairs department as well. I actually came in to talk to Susan [CCC’s Marketing and Communications Director] just because I wanted to do an informational interview, as I’m interested in moving into nonprofit work. Then Matt [CCC’s Grants Manager] said, “Hey, if you’re looking for an opportunity to help out and get some experience, you can help me with grants.” I’ve written a lot of grants as a professor, so that seemed like something that made sense. Then Susan had some projects, doing interviews with CCC clients, and blog posts.

P: So, you got most of your grant writing experience from your time as a professor?

M: Yeah, that’s one of the things you do as a professor – research, and if you want to do research you have to pay for it, and if you want to pay for it you have to write grants.

P: How did you get in to that line of work?

M: Short answer? I ran away to Europe. I grew up in the States, but I wanted to see more of the world pretty quickly. I spent a year abroad in Hungary as a foreign exchange student in high school. I wanted to stay connected with that, so in college, I started out as a music major and ended up as a German major, which worked because it got me back to Europe. I spent a year in Austria and a year and a half Germany, and then one thing led to another and I ended up doing a PhD in German. [A PhD in German] is an in-depth study of language and literature, but for me it also became a study of cultural history. A lot of my published research is in queer history or the history of sexuality, with a focus on Germany, and I branched out to do some work in curating exhibitions and communicating queer history to the public. That gave me some pretty awesome experiences and a fairly international background. I had some post-docs in Germany, and I was in France for a summer. Then my first job was in Canada, so I’ve kind of lived in lots of different places.

“Recovery can’t happen if you’re alone, that’s the first step is getting help. That’s why the connection is so crucial.”

P: What was that job in Canada?

M: I was an assistant professor of German. I was there for five years before I came to Reed College. We loved Canada – and even took Canadian citizenship! – but frankly it was too cold. I kind of thought [Reed] would be the next step in my career, but things have turned out differently and I’ve decided to make a career change.

P: And I guess part of that change and interest in nonprofit work is your time here! What initially drew you to CCC?

M: Being in recovery myself, but I also knew lots of people who’d been helped through CCC programs. I feel really strongly about the mission, and I have friends who work at CCC. [One of those friends and I] were actually snowshoeing on Mt. Hood, and we were just talking about this career change and what goals do I have. I mentioned I was interested in learning more about social service work. He was just like, “If you want to get a sense of what that might look like, you could come volunteer in the Living Room!” We had talked about what that space looks like and the community model they have there. What I love about the Living Room is that it’s not necessarily about clinical services. It’s really about a safe space, it’s about a community in which everybody is a member and everybody participates.

P: So there’s no barriers in between people there.

M: Yeah, the hierarchy is flattened out and everyone participates equally. A lot of the spiritual tools I’ve learned from being a Radical Faerie, about holding space and community, are happening at the Living Room and I just thought that was something I would love to be a part of.

P: Any experiences that have stuck out?

M: Well, getting to know some of the people. Everybody has their own story, and some people are more open about that or not. You need to build trust and sometimes you just need to be there and be present for people, so they see that you’re there, and you’re safe, and you’re interested in them and their success.

Sometimes we color, we just sit down and color and you just kind of talk with people and see what’s going on in their lives. There’s mental illness in my family and I don’t think my family had the tools that it needed to deal with that. You know, pills were often the solution, and that doesn’t always work without some sort of community support and skills model.

It was super powerful for me to come in to a room and see people, some of whom have very severe mental illness, just have a place to be to be understood, to be accepted, to be safe, to fit in, to connect in their own particular way. That has been really powerful and meaningful. It just puts a human face to people that we all live with. We all live in the same space together. That’s important, just to recognize that.

Every morning we sit down for an hour and do a group. There’s an icebreaking question like, “What would you do if you had a million dollars?” Or sometimes something more intense, like, “What does recovery mean for you?” Everyone gets to speak, we have a stuffed bunny we pass around to indicate it’s your turn to speak. It’s often a lot of practice in holding community norms and values, letting other people speak, not interrupting, balancing “I have a lot to say” against “everybody needs to speak.” So slowing things down, and just learning how, practicing, being a community together.

“I guess it’s a recovery cliché, but the stories are so different, and they are all the same. To really recognize that sameness as a source of strength and community, I think is really powerful.”

P: With the client stories that you have been writing, have there been any stand out moments from the interviews?

M: You know, I am just consistently amazed at the resilience of people. That’s really powerful. I guess it’s a recovery cliché, but the stories are so different, and they are all the same. To really recognize that sameness as a source of strength and community, I think, is really powerful.

P: Being able to identify with others or see models for success?

M: And normalizing the struggles that people have gone though. So much about mental illness and addiction is about isolation, and I think breaking that sense of isolation is crucial to recovery.

P: Big or small, I think we’ve all felt that sense of relief when someone says, “No, I feel the same way, I’ve been through the same thing.”

M: I think recovery needs that. Recovery can’t happen if you’re alone; that’s why the first step is getting help. That’s why the connection is so crucial.

P: So, what keeps you volunteering at CCC?

M: I feel deeply committed to the work CCC is doing, and I’m getting some great experience. And I love the people. It’s just fun to be here and I’m genuinely excited about the work I am doing.

P: What would you say to someone who is on the fence about volunteering?

M: Try it out! What do you have to lose?

• • •

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



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.



NHCW 2017: Breaking down the walls between housing & health

Aug 15, 2017

While he waited for his name to rise to the top of the Central City Concern housing wait list, Glenn O. lived out of his van in northwest Portland. As he walked back to where he had last parked, he found his van stolen. Gone. And with it, all his possessions, including his dentures.

Not long after, he moved into CCC housing. But even with a roof over his head, his troubles weren’t over. The doctor he had begun seeing wanted him to eat healthier, but without dentures, the list of foods he could eat was short. What he could eat, and how he ate them, led to intestinal problems and months of feeling sick and uncomfortable.

He called his insurance to see if they would cover new dentures. After all, they were stolen, not carelessly lost. They said that they could only cover new dentures once every 10 years. He’d only had his dentures for three.

Glenn went back to gumming his food, feeling unhealthy, and going against his doctor’s orders.

• • •

Moving into Central City Concern permanent housing is often reason enough for our new residents to feel good about their trajectory. The assurance of having a roof over one’s head feels like a giant step forward toward something better. Indeed, we know that having housing is one of the most significant determinants of health, so becoming a resident of CCC housing is definitely an occasion to cheer.

However, being housed isn’t a guarantee that better health is on the horizon. Even for residents of CCC housing, especially those with more complex health care needs, successfully engaging with CCC’s health care services—or any health care services, for that matter—can feel like a world away. The connection between housing and health care is crucial: how well a resident's health needs are met is tied closely to a resident’s likelihood of successfully staying in housing, says Dana Schultz, Central City Concern’s Permanent Supportive Housing Manager.

Though CCC provides both housing and health care, the nature of the programs, as well as privacy considerations, have traditionally made it difficult to share information between the two areas of service. But where Dana saw walls, she also saw an opportunity. The situation called for a way to put teeth behind a core belief that housing is health. That way? A program called Housed and Healthy (H+H).

"Our supportive housing program realized that we can’t distance ourselves from our residents’ health—it’s everything to them and it’s everything to us."

“We started Housed and Healthy as an initiative to better support our residents’ health by engaging with them where they are: in our housing,” Dana says. “Our supportive housing program realized that we can’t distance ourselves from our residents’ health—it’s everything to them and it’s everything to us.”

The Housed and Healthy program serves to improve the connection between health clinics—be it CCC’s own Old Town Clinic and Old Town Recovery Center or other community providers—and CCC’s supportive housing program, and vice versa. Since H+H started, all new residents of CCC’s permanent housing are given a health assessment so that staff can gain a fuller picture of the new tenant. They are asked about their health insurance status, any chronic health conditions they may be dealing with, and who, if anyone, their primary care provider is.

Perhaps most importantly, new residents are asked to sign a release of information, which unlocks the line of communication between CCC’s housing and health service programs.

“Once the two program areas can start talking, we can immediately map out a web of support,” says Dana. “Our clinic can flag the resident’s electronic health record to show that they live in our housing and note who their resident service coordinator is in case they need their help reaching out to a patient. In turn, our resident service coordinators can know which providers and clinics their tenants are connected to in case health issues arise.”

Housed and Healthy represents a big shift in the way supportive housing sees its role in the well-being of its residents. Housing staff are integral to extending health care out from the clinic setting into where their patients live.

The health assessment can also help H+H coordinators identify potential issues—related to their physical or mental health, or to substance use disorder—that, if unaddressed, could result in a resident losing their housing because of violations that put the safety and peace of the rest of the housing community at risk.

“In the past, we’ve seen people not succeed in our housing for reasons that, in retrospect, were preventable,” she says. “If we know what to look out for and the team of support people we can coordinate with, we can put out fires before they really burn down a person’s entire life.”

Housed and Healthy represents a big shift in the way supportive housing sees its role in the well-being of its residents. Housing staff are integral to extending health care out from the clinic setting into where their patients live. H+H even brings opportunities for health education, such as chronic pain workshops and classes like Cooking Matters, straight to residents. In doing so, the chances that patients continue to have a place to live increase.

Glenn, who had seen Dana in his building frequently as part of her work as the H+H Coordinator, approached her about his denture problem. His issues didn’t put him at high risk of losing his housing yet, but he wanted to follow his doctor’s eating advice. He was, after all, nearly three years sober, and he wanted to continue feeling healthier.

She promised him that she’d look into it. She consulted with Glenn’s Old Town Clinic care team. She researched resources and made countless phone calls. Several weeks later, she gave Glenn the best news he’d received since learning that he had his own CCC apartment: she found a city program that would cover nearly the entire cost of new dentures.

“Dana did all the work I didn’t know how to do. The questions she asked me sounded like she knew a lot about what I needed,” Glenn says. “Now that I have dentures again, oh yeah, I feel healthier now. I’m so grateful to her.”

While Housed and Healthy is ostensibly a housing program, it functions as a way to not only expose residents to the many ways to better health, but as a de facto arm of health services that can reach into where their patients live. Gaps in care get caught and filled; residents are supported in better utilizing health care services; and people like Glenn find trustworthy faces to bring health-related concerns.

“Our housing staff want to see our residents healthier; health care providers want to see their patients housed,” Dana says. “It just makes sense.”



Introducing CCC's new President & CEO, Rachel Solotaroff, M.D.

Aug 14, 2017

Rachel Solotaroff, M.D. has been named new President & CEO for Central City Concern (CCC), a major provider of housing, health care and employment support to people experiencing homelessness in Portland, Oregon. The role will be effective at the end of September 2017.

Rachel has been working with CCC since 2006, first as CCC’s and Old Town Clinic’s Medical Director and as Chief Medical Officer since 2014. She has been a member of CCC’s Executive Leadership Team since November 2014. During her time at CCC, Rachel has overseen inpatient and outpatient alcohol and drug treatment, primary care and mental health care. She has developed key strategic initiatives and stakeholder partnerships to respond to community needs and has championed data-driven models of care for specific populations, from expansion of treatment for homeless people with opioid use disorder to an advanced medical home for medically complex homeless individuals.

In her leadership of Old Town Clinic, she secured national recognition from the Robert Wood Johnson Foundation's LEAP project as one of the 30 highest-performing clinics in the United States, as well as achieving recognition as an NCQA Tier 3 Patient-Centered Medical Home. In 2014, Rachel received the Karen Rotondo Outstanding Service Award from the National Healthcare for the Homeless Council.

In addition to her work at CCC, Rachel was Assistant Professor at Oregon Health Sciences University (OHSU) from 2007 to 2014. She has also worked as a staff physician from 2004 to 2006 at the Portland VA Medical Center. Rachel earned her BA from Brown University and her medical degree from Dartmouth Medical School.

“There is no greater honor than serving as the leader of such an extraordinary organization as Central City Concern,” said Rachel. “I am humbled and excited to partner with our staff, clients, stakeholders and community members to advance our collective mission of ending homelessness in our community.”

Central City Concern’s board and staff worked with a recruiting company in an exhaustive, national talent search for its new leader; the search attracted more than 300 inquiries. “While we always knew that CCC had top talent, it was an illuminating experience to have this knowledge vetted and confirmed by a rigorous, national process,” said CCC Board of Director’s Chair, William Wiechmann. “The board is confident about Rachel’s ability to lead the agency in an evolving health care landscape, oversee the building of nearly 400 units of new housing and guide the expansion of the organization’s employment services.”

Ed Blackburn, Central City Concern’s leader since 2008, will move to an Emeritus President & CEO status. He will assist with leadership transition and will work to complete the organization’s $3.5 million capital campaign related to three housing projects. Ed’s 25 years of service to Central City Concern will be honored at the organization’s annual Compassion in Action luncheon on October 10 at the Hilton Portland & Executive Tower.

“I have had the wonderful opportunity to work closely with Rachel for 11-some years,” said Ed. “She has consistently demonstrated a remarkable devotion to our mission, a highly intelligent approach to organizational development, a special ability to communicate to a diversity of people and a truly impressive work ethic. I enthusiastically support the Board's decision in selecting Rachel as the new President & CEO of CCC.”

CCC was founded in 1979 and helps nearly 14,000 people yearly. It employs approximately 900 people and has an annual budget of more than $80 million. It is a Federally Qualified Health Center, providing primary, behavioral and substance use disorder care across 13 locations in the metro area. It also owns/manages more than 1,700 units of affordable housing with nearly 400 additional units in development. Its employment services help roughly 1,000 people gain jobs each year. Learn more at www.centralcityconcern.org.

Click here to read a recent Oregonian interview with Ed as he reflects on the history of homelessness and his 25 years of service to CCC.



NHCW 2017: A clean safe resting place with a dedicated staff

Aug 14, 2017

Central City Concern’s Sobering Station for people incapacitated by alcohol or drugs might not sound like an uplifting place, but there is plenty to love about it. “My favorite part is getting to know people and hearing their stories,” says Amanda Guevara, program director. She has worked for CCC for 11 years and is dedicated to helping people in the community.

“We have return visitors,” she says, “and when they decide to make a change, we can be a part of it.”

Sobering visitors range from repeat visitors to weekend warriors.... Last year, the CHIERS van conducted 1,128 street assessments, and 3,757 people were admitted into sobering.

The Sobering Station in inner-southeast Portland takes people who need a safe place to come down from drinking too much alcohol or taking too many drugs. The Portland Police Bureau or community members refer people in need. The Central City Concern Hooper Inebriate Emergency Response Service (CHIERS) van picks people up and transports them to the Sobering Station where they receive an assessment from a medical professional. Anyone can call for the CHIERS van (503-238-8132, 1:45-11:45 pm) to pick up someone on the street who is incapacitated, and the van also roams the streets looking for people who may need help.

Sobering visitors range from repeat visitors to weekend warriors. PDX airport often calls for travelers who have had too much to drink, and Portland police refer people who have not done anything illegal, but need a safe place to sober up. Last year, the CHIERS van conducted 1,128 street assessments, and 3,757 people were admitted into sobering. 

Once someone is admitted into sobering, they get a medical assessment, a clean place to rest and referral to additional resources. But mostly, they receive a level of caring that only a dedicated staff can provide.

“I like knowing there is a population we help and know best,” says Kevin Smith, Sobering Station supervisor. “They know us—these are our people.” Kevin says he likes being able to offer resources and problem solve for people. The Sobering Station staff sometimes washes visitors’ clothes, provide hygiene kits and shoes, and even cut hair and apply lice treatments. “We see some people regularly,” says Kevin, who has worked for CCC for seven years. “We know what they need.”

“We’re here for people who may have burned bridges. We’re here for people who have nowhere else to go.”

The Sobering Station also does anything it can to serve the community at the street level. In the summer, the CHIERS van staff passes out water and sunscreen; in winter, hats, gloves and hot soup. On extremely bitter nights, volunteer crews make the rounds after hours and give people rides to shelters. The Sobering Station building sometimes opens as a warming shelter. In Sept. 2017, CCC will unveil a new CHIERS van with updated features that will ensure safe and comfortable transport for people going to the Sobering Station.

“We’re here for people who may have burned bridges,” says Amanda. “We’re here for people who have nowhere else to go.”

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Download a card as a handy reminder of how to contact the CHIERS van in case you see someone in need.