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.



Detox & Yoga: An Unlikely, but Beneficial, Pair

Apr 27, 2017

Oftentimes a first step for those who are looking to make a serious change in their lives, Hooper Detoxification & Stabilization Center is, as the program’s mission states, “a place where hope is constantly reborn.” Many are surprised to hear that our medical detoxification center incorporates the practice of yoga into the program, but it has become a vital tool in helping patients finish the treatment protocol, improving their chances of better health and recovery. We sat down with Steve Mattsson, CCC’s Director of Detoxification Services, to have a National Volunteer Week chat about the unique way in which Living Yoga’s volunteer instructors have helped patients at Hooper not only find comfort but also helped Hooper improve its outcomes.

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Can you tell me the basics? What prompted Hooper to bring Living Yoga on board?
Hooper is approximately a week-long program where people are medically detoxed. The first few days they’re not feeling very well but after that they start getting up and walking around and wanting to do stuff.

We didn’t really have a lot of activities for them, especially anything at all physical, so unfortunately we occasionally lost people who left against medical advice. We explored various things that they could do that were more physical to keep them engaged and we’d heard that—I believe it was Old Town Clinic—had some experience with Living Yoga and said great things about them. So we brought them in and initially did a pilot program with just the men and when that worked out well we expanded it to both men and women.

What kind of feedback were you wanting to hear in order to decide whether you wanted to move on with the pilot project or not?
Really the bottom line was, did the APA (Against Professional Advice) rate come down? Clients saying, “Hey, I really like this. Thank you for offering it.” is really important and we want to improve their experience here. But we also had to really assess if fewer people were leaving against medical advice now than before.

Did you see objective evidence that this worked?
Yes. We added several things during the same year as ways to bring the APA rate down. Overall our APA rates are down this year, and we believe that the Living Yoga instructors have something to do with that.

From what you see, besides the fact that it is some sort of physical activity, what about yoga is beneficial to the people who are here?
Central City Concern—and Hooper especially—have had a long partnership with acupuncturists. I think we’ve been doing it for close to 40 years, acupuncture in conjunction with the detox. And both the yoga and acupuncture really come together for these patients who aren’t feeling well. They are not at peace. Their body chemistry is out of whack and they are uncomfortable. And anything that gets them to calm down, slow their roll—yoga, acupuncture—it really helps.

With western-style medicine the nurses have to get vital signs and assess withdrawal levels and it’s all done confidentially with only one or two patients at a time. With both the acupuncture and the yoga you can work on the whole group at once and help reduce those withdrawal symptoms and that stress level and anxiety.

We have 30 to 45 patients at any time who are all detoxing and by and large not feeling well; they’re cranky. We want them to stay as calm as possible. The yoga and the acupuncture really help us keep the whole floor calm.

I know that a lot of Living Yoga volunteers have gotten some sort of trauma-informed care training. Is that something you would say is applicable to Hooper?
Absolutely. As an agency, and as a program here at Hooper, we’re all moving in a much more trauma-informed direction. Partnering with agencies like Living Yoga that are familiar with trauma-informed terminology and know what our clients have been through is wonderful. It’s excellent.

Has there been anything especially beneficial to having Living Yoga here as opposed to just any kind of yoga volunteer off the street?
Living Yoga is really sympathetic with our mission. Obviously they’ve been partners with CCC for a while and they really are about calming people down, grounding them, and showing them different ways to relax. We’ve really appreciated it. And they’re all volunteers, so they have to want to be here. They feel like they are—and they are—performing a service and giving back because otherwise they wouldn’t keep on coming. That tells us that they’re getting the kind of response from our patients that makes them want to come back again.