Continuing to listen to trans voices

Nov 16, 2017


Happy Transgender Awareness Week 2017! According to GLAAD, this special week, Nov. 13 to Nov. 17, is set aside to “help raise the visibility of transgender and gender non-conforming people, and address the issues the community faces.”

In this space last year, we shared about the numerous steps Central City Concern was taking to ensure that our programs and services, as well as the staff members providing them, were as affirming and inclusive of our transgender patients and clients as possible. This year, we want to provide an update on our efforts to do so!

Trainings: CCC continues to offer trainings year-round to our staff members about working with trans and gender non-binary patients and clients. Several lead staff members have also made it a point to attend trainings hosted by community organizations so they can share what they learn with our program staff.

We continue to encourage our training attendees to approach the sessions from a place of humility. What Eowyn Rieke, CCC’s Associate Medical Director of Primary Care, said last year continues to apply to our approach: “We’re working toward a culture of humility as it relates to gender identity—recognizing that there are great differences at play here and that we need to be humble about our assumptions.”

"We’re working toward a culture of humility as it relates to gender identity—recognizing that there are great differences at play here and that we need to be humble about our assumptions.”
- Eowyn Rieke, Associate Medical Director of Primary Care

CCC Director of Equity and Inclusion Freda Ceaser says that this posture has provided the organization with a blueprint to fully operationalize trans affirming program services across the agency. She says that in the coming year, her goal is to work with every CCC program to begin an initial assessment of procedures and policies to become more trans affirming and inclusive.

“It’s so rewarding to see how the work of health services intentionally recognizes and affirms the identity of each of our patients. I want every person we serve, no matter their gender identity, to feel accepted, valued, and respected.” 

Trans Support Group: Chrysalis, the trans and gender non-binary support group that formed last year in response to what we heard from our patients, has been thriving. Open to patients of Old Town Clinic (OTC) and Old Town Recovery Center (OTRC), Chrysalis is a safe place where, according to facilitator Shanako Devoll, “people can talk about the difficulties of navigating everyday life and strategies used to address safety, mental health, and substance use.”

Group members say that Chrysalis helps them counteract the isolation they can feel by being part of a group that understands each other’s struggles and triumphs. At each session, attendees share their experiences, bring information about resources they’ve come across, and slowly build a community of shared experiences together.

The group meets bi-weekly. While the make-up of each meeting can differ, Chrysalis averages about five attendees each time the group comes together. Chrysalis is currently open to new members; in mid-December, the group will close for six weeks to allow the group members build trust and create the safe space they need.

"I want every person we serve, no matter their gender identity, to feel accepted, valued, and respected.”
- Freda Ceaser, Director of Equity and Inclusion

Electronic Health Records: Thanks to CCC’s amazing EHR implementation team, our health services can now make changes to patients’ gender identification information faster and easier than ever.  

Responding to the Needs of the Trans Community: As we continue to listen to our trans patients, we’re making changes that we believe are positive for them and the larger community.

All our multi-stall bathrooms inside OTC and OTRC now have signs that emphasize our support for individuals using the bathroom that best fits with their gender identity.

To better support trans patients and clients in substance use disorder treatment programs, our services are working toward making our urinalysis collection process more trans affirming.  

And finally, Margot Presley, an OHSU Doctorate of Nursing Practice candidate, used her doctorate project as a way to seek out and listen to trans voices at our Old Town Clinic. Margot’s project, “Patient Engagement in Quality Improvement: Raising the Voice of Transgender Patients Experiencing Homelessness” used patient engagement and qualitative inquiry techniques to interview people about their experiences as trans patients of OTC. Their feedback was used to recommend changes to our clinic operations with the goal of better meeting their needs.

Her manuscript is in process of being published in Transgender Health, “the first peer-reviewed, open access journal dedicated to addressing the healthcare needs of transgender individual;” Margot also presented a poster showing her work at several conferences. 

• • •

Each year, Trans Awareness Week leads up to the Trans Day of Remembrance on Nov. 20, an observance to honor and remember those whose lives were lost to acts of anti-trans violence. There are a number of events in the Portland metro area to participate in that day. All descriptions are from the event hosts: 

Thursday, Nov. 16
Keynote featuring Jennicet Gutiérrez: How to Get Involved, Hosted by Portland State Temprr Month and PSU Queer Resource Center
: Join us for our TEMPRR keynote panel event with activist Jennicet Gutiérrez! As a founding member of La Familia: Trans Queer Liberation Movement, Gutiérrez's activist experience with transgender rights and immigrant rights has given her great knowledge on how to get involved with various types of activism. This panel will also have local activists who will answer questions and share more about their activism. (Link) 

Friday, Nov. 17
5th Ave. Presents: ReAgitator, hosted at Fifth Avenue Cinema
: Join us in honoring Trans Day of Remembrance a few days early with an incredibly inventive film from independent trans-filmmaker Dylan Greenberg. Her film Re-Agitator: Revenge of The Parody, tells the bizarre story of a mad scientist using a cynical serum to revive a beautiful woman back from the dead leading to complete and total chaos. Using an arsenal of homages and spins off of classic and modern horror, Re-Agitator is bound to satisfy a weird and experimental itch. The film will feature an introduction from Dylan herself, including discussion of her experience with being an indie filmmaker and multi-media artist in NYC. This event will be donation-based instead of our regular ticketing prices, all proceeds will go to the artists. (Link) 

Sunday, Nov. 19
Trans Day of Remembrance March & Interfaith Vigil
: Please all Transgender folk and Cisgender allies join us in reverence and solidarity to honor the fallen and make a stand against Transphobia. We will gather at Terry Schrunk plaza for a staging and a brief program whereupon we will process to the First United Methodist Church for a candle lighting ceremony for the fallen and a message of hope and renewal from local area spiritual leaders followed by a reception where light refreshments will be served. (Link)

Monday, Nov. 20
Transgender Day of Remembrance 2017, hosted at Portland Community College
: This event is being planned by the Portland Transgender community, with the support of Portland Transgender organizations, Portland LGBTQIA2+ organizations, and allies, and is being led by Portland Transgender People of Color. (Link)

Transgender Day of Remembrance Memorial Meeting, hosted at Multnomah Friends Meeting House: We welcome you to join us on this day to mourn and honor the lives of those who have been murdered in the previous year because of anti-transgender hatred.

We gather to remember. We also gather to pray for, and to dedicate ourselves to work for, a world where transgender people are safe from hatred and violence. (Link)



CCC breaks ground on Blackburn Building that will "bring hope and healing to thousands of people like me"

Nov 07, 2017

CCC President & CEO Rachel Solotaroff, MDMultnomah County District 3 Commissioner Jessica Vega PedersonMetro Councilor Shirley Craddick, District 1
Drew Hammond, Assistant Vice President of Business Development for U.S. BankTricia Tillman, a member of the Oregon Housing and Community Services Housing Stability CouncilMelissa Garcia, National Lending Initiatives Director for the Low Income Investment FundHeather Lyons, Director of the Northwest Region at CSHMike Holevas, a community member who has received services through Central City Concern’s Eastside Concern program and lives in CCC’s supportive housingDavid Russell, President and CEO of Adventist Health Portland
Next

On Monday, Nov. 6, Central City Concern ground onthe Blackburn Building, the last of three buildings in the Housing is Health initiative, a pioneering commitment from local hospitals and health organizations to bring 379 units of affordable housing to Portland.

• • •

Yesterday, Nov. 6, Central City Concern (CCC) broke ground on the third of three buildings in the Housing is Health initiative, a pioneering commitment from local hospitals and health organizations to supportive, affordable housing. CCC also announced the name of the building (25 NE 122nd Ave., Portland)—the Blackburn Building—which honors CCC’s President and CEO Emeritus Ed Blackburn, who recently retired after 26 years at CCC. Ed was instrumental in pulling together the Housing is Health initiative, which was the culmination of years of outstanding leadership and relationship building.

The two-story health care facility will serve 3,000 people each year with recovery and mental health services, as well as targeted primary care services. The clinic will include a pharmacy and 52 units of respite care, including 10 units of palliative care. Additional housing will include 90 units of transitional housing and 34 permanent homes. Integrated resident and health support services will help residents stay housed.

The groundbreaking celebration began at 2 p.m. CCC President and CEO Rachel Solotaroff, M.D., Multnomah County Commissioner Jessica Vega Pederson and Metro Councilor Shirley Craddick spoke about the new project. Other speakers included Tricia Tillman from Oregon Housing and Community Services, Drew Hammond of US Bank, Melissa Garcia of Low Income Investment Fund and Heather Lyons from Corporation for Supportive Housing.

Community member and CCC client Mike Holevas described his journey from high school science teacher to addict, to a person in recovery working toward wellness and self-sufficiency. He once bought drugs on the very corner where the Blackburn Building will be. “This corner now can be the site where thousands who are suffering—and believe me, we suffer—can come for transformation, healing; families will be restored,” he said. “I’m so proud to be part of something that will bring hope and healing to thousands of people like me."

"This corner now can be the site where thousands who are suffering—and believe me, we suffer—can come for transformation, healing; families will be restored.”
- Mike Holevas, former CCC client

Additional speakers included representatives from the Housing is Health initiative’s six hospitals and health organizations: David Russell, Adventist Health Portland president and CEO; Eric C. Hunter, CareOregon president and CEO; Janet O’Hollaren, Kaiser Foundation Health Plan and Hospitals chief operating officer; Mark Enger, OHSU vice president of Network Operations; Pam Mariea-Nason, Providence Health & Services – Oregon executive, Community Health Division; and George Brown, M.D., Legacy Health president & CEO.

“The Housing is Health collaboration is an excellent example of health systems recognizing the impact housing has on an individual’s health,” said Rachel. “They’ve united for improving health outcomes as well as the common good of our community.”

"[The Housing is Health collaborative has] united for improving health outcomes as well as the common good of our community.”
- Rachel Solotaroff, M.D., CCC President & CEO

The developer is Central City Concern, the architect is Ankrom Moisan, the general contractor is Walsh Construction and the construction manager is GLI.

In addition to the Housing is Health partners, funding for the development of the Blackburn Building is provided by Oregon Housing and Community Services, US Bank, Portland Housing Bureau, CSH, Low Income Investment Fund, Oregon Health Authority, Metro, Energy Trust of Oregon and Multnomah County.

CCC is engaged in a $3.5 million capital campaign to complete funding for the Blackburn Building. Early supporters of this campaign include The Collins Foundation; Downtown Community Housing, Inc. Fund of OCF; Harbourton Foundation; The Hearst Foundations; Meyer Memorial Trust; PGE Foundation; Silvey Family Foundation; The Standard; Wells Fargo Housing Foundation; Building Owners & Managers Association of Oregon; Downtown Development Group; Melvin Mark Companies; Meridian Wealth Advisors; R2C Group; Acme Bader Fund of OCF; Brody Family Charitable Fund; Crooke Family Charitable Fund; Ginny & George Charitable Fund; Mitzvah Fund of OCF; the Paul & Sally McCracken Fund of OCF; and numerous individuals.

Find a full list of contributors to the Housing is Health initiative here.

For more information about the campaign or to make a contribution, please contact Kristie Perry, Director of Donor Relations, at 503-200-3926 or kristie.perry@ccconcern.org.



Monthly Volunteer Spotlight: October 2017 Edition

Oct 30, 2017

We’re very excited to turn this month’s spotlight to a volunteer from Puentes, Central City Concern’s culturally-specific program that supports Latinxs in recovery. Developed in 2005, Puentes uses a multidisciplinary approach to provide alcohol and drug treatment and mental health care to individuals and to the entire family in a way that mitigates stigma and fear.

Claudia, this month’s spotlighted volunteer, lends a hand to Puentes’ program that works with Latinx youth ages 14-21 who have drug or alcohol issues or are susceptible to gang involvement, Esperanza Juvenil. Marysol Jimenez, who oversees Esperanza Juvenil, says about Claudia, “It's been a satisfying experience to train a young adult that wants to learn about addiction counseling field, and is interested in working with our Latinx youth.”

Read on to hear how Claudia came to Puentes and how her own experience informs her work.

• • •

Peter: What is your name and volunteer position?

Claudia: Claudia Aparicio, and I’m volunteering at Puentes with Esperanza Juvenil, which in English is Youthful Hope.

P: And what does the Esperanza Juvenil program do?

C: The program is specifically for youth that are struggling with drug and alcohol addiction. It’s a reduction method. Marysol, who is the Esperanza Juvenil staff member, her goal is to get the youth to reduce their addiction. So, sometimes they ask her, “Do we have to quit?” and she’s like, “No, but it would be good if you could quit!” So she works with them in reducing the harm until they stop.

P: How did you find out about CCC?

C: When I was studying for the Certified Recovery Mentor position, [CCC staff member] Ricardo, who helped us get certified, would always call on me and say it would be really cool if I could volunteer with Puentes. He never really told me about the program, but was always trying to get me to volunteer, so finally I ended up coming here to volunteer.

P: I should probably know this, but what is a Certified Recovery Mentor?

C: A Certified Recovery Mentor is a first level of what a certified Alcohol and Drug Counselor would do. So we’re mentors for people that are working to recover from their addiction. I did my certification with the Instituto Latino, so it was a group of Hispanic people [getting certified].

P: How did you get involved with that organization?

C: I knew someone from Volunteers of America who was the one who started the group for Hispanics to get certified as CRMs. I went with a church, called Ministry of Jesus Christ of Men and Women Seeking Lost Souls. We work more with the homeless population, which not a lot of pastors do in the Hispanic area. We go to the streets and try to reach the homeless and give them resources.

P: What do see as the benefit of having a culturally specific program?

C: It just helps to see that there’s a lot of need in the Hispanic community, especially because they don’t really speak English. Ever since I was 19 I’ve been working with the Hispanic population, which I never thought I would do, because I had to help my mom with translations and filling out papers, and so I never saw myself doing that as a grown up. And now that I find myself serving the Hispanic community, trying to get them resources, and telling them where to go for resources, whether it’s a light bill, whether it’s to find an apartment, for a kid’s food boxes or clothing, I see that as a big challenge, because there is a big need in the Hispanic community.

P: And what is the importance of serving youth specifically?

C: I think it’s because they’re in their teen years, so they’re growing up. It’s better to stop or try to reduce the harm when they are young. It’s like a baby when it’s small. When a baby is small, you don’t start disciplining them when they’re 10 years old, because then it’s a little bit late.

P: What are the challenges of that?

C: The challenge is the youth can be a little bit rebellious, but there’s a saying in Spanish that says, “Es más mejor la palabra de una madre ajena quell tu propia madre”— we’d sometimes rather listen to a person that is not our mom than our own mom. Which is true because I lived it, I didn’t listen to my mom, but when I met my pastor I listened to her more.

“There’s a saying in Spanish that says, ‘Es más mejor la palabra de una madre ajena quell tu propia madre’—we’d sometimes rather listen to a person that is not our mom than our own mom.”
- Claudia, CCC Volunteer

P: For those that are rebellious, how do you reach them?

C: We try to talk to them and see where their rebelling comes from, because from my own experience, a kid is going to be rebellious because something happened. Like me, I was rebellious because something happened in my life and there was a root of bitterness in my heart, which made me really stubborn in my teen years and got me in to a lot of trouble as well.

And sometimes we’re young but have to mature faster than our age. I just had to mature a lot younger than I would because of my experience. Especially since I didn’t get disciplined, and sometimes self-discipline is much harder than getting disciplined by your own parent.

P: And it’s hard when you’re older than your years, because your experience is going to be so different from you friends.

C: I had a hard time fitting in school, I always thought I was superior than my classmates. I would just go in my shell and always find the library, because I always liked reading books. I would look for stories that were not relatable to me so I could learn more about other life experiences.

P: And that kind of ties in to what you’re doing now, hearing other people’s stories and being a mentor to people whose experiences may be different from your own. Have there been any particular stories that have stood out?

C: I heard a story of a girl who was getting her treatment here and she was going through the same experiences that I had gone through as a teen. Her mother didn’t try to connect with her and see to her needs, or understand why she was going through what she was going through. A lot of that happens because of culture shock. We’re born here and our parents are from Mexico or Guatemala, or some other Hispanic county, so we learn different things. Whether or not we want it, our culture is American culture, even though our parents are from Spanish-speaking counties. And sometimes we want to adapt to their culture as well, but since we don’t really know about it, we have to research it on the internet. We’re also more free. They didn’t go to school, they had to work, they had to feed the horses and the chickens. We don’t do that. So sometimes our parents don’t realize it’s a bit of culture shock between us and they don’t understand us or they don’t try to understand us. So when I heard that girl’s story, my heart went out to her.

"I learn more every day. I learn from the people here, and I see people I learn a lot from."

P: What keeps you coming back to volunteer?

C: I learn more every day. I learn from the people here, and I see people I learn a lot from.

P: And our traditional last question: What would you say to someone who was on the fence about volunteering with CCC?

C: I would definitely recommend CCC, because it’s a good agency and I’ve learned a lot. And at Puentes, it’s family based. Ever since I came they were like, “We’re a family here. We don’t see any of you guys aslower than us, and when we eat, we eat together.” We don’t eat in our own offices, we’re always eating together in the kitchen, and sometimes we don’t always have room so we’re all squished together, all talking and laughing.

• • •

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.



Downtown Clean & Safe Appreciation Day 2017

Oct 09, 2017

On a crisp, sunny morning in Portland’s Director Park, the Downtown Clean & Safe board members gathered to celebrate the good work of the organization and appreciate some key people.

Clean & Safe board chair, Peter Andrews, welcomed the crowd of about 75 people and shared how the program helps make Portland a walkable city. “Just a few statistics so you can get a feel for how much this program makes a difference in our city,” he said. “In 2016, our cleaners picked up 638 tons of trash, 16,822 needles, cleaned 52,048 biohazards and removed 37,265 graffiti tags. This year we are on track to pick up more than 23,000 needles. Last year, our Sidewalk Ambassadors made 51,532 visitor contacts, making Portland the wonderful and inviting place it is. We also placed all of the twinkly lights up on the trees you see downtown during the holiday season, decorating 750 trees. These numbers speak for themselves. Downtown Clean & Safe is an ongoing advocate for a vital downtown.”

Mayor Ted Wheeler presented the Downtown Champion Award to Central City Concern’s (CCC) President and CEO Emeritus, Ed Blackburn. “Ed’s leadership, passion and compassion have influenced policy and funding at the state and local level,” Mayor Wheeler said, “and has directly impacted the lives of thousands of individuals who struggle with addiction and homelessness.”

“Ed’s leadership, passion and compassion have… directly impacted the lives of thousands of individuals who struggle with addiction and homelessness.”
- Mayor Ted Wheeler

CCC’s President and CEO Rachel Solotaroff then presented two Cleaner of the Year awards to Greg Davis and Matt Carr.

Davis is the lead employee on the Clean & Safe graveyard crew. He came to CCC through Hooper Detoxification Stabilization Center in 2013. He graduated from CCC’s Community Volunteer Corps (CVC), completed a trainee period with Clean & Safe and was hired as a permanent pressure washer in 2015. Two years later, he was promoted to lead worker. “On a daily basis, Greg makes sure the trash is cleaned up, graffiti is removed and that all service calls are completed,” said Solotaroff. “Greg is extremely personable, professional and a fantastic ambassador for Central City Concern and Clean & Safe.”

“Greg is extremely personable, professional and a fantastic ambassador for Central City Concern..."
- Dr. Rachel Solotaroff

Carr, born and raised in New York, and moved to Portland in 1992. He spent the majority of his adult life struggling with addiction. After a few attempts to trying to get clean on his own, he realized he couldn’t do it alone. In June 2016, Matt was accepted into Central City Concern’s Recovery Mentor Program. During this time, Matt successfully completed CVC by spending 80 hours giving back to the community at local non-profits. After his completion of the CVC, he was hired to work as a trainee at Clean & Safe in February 2017.

Right from the start he proved to have an incredibly strong work ethic and the desire to learn and grow in his position. Over the next six months Matt proved to be an extremely reliable and dedicated employee, who was always willing to go above and beyond. Matt showed so much pride in his work, he was promoted to be the third Clean & Safe special projects bicycle cleaner. “Matt’s dedication and hard work has contributed to a higher level of service provided throughout the district,” said Solotaroff. “Matt has repeatedly proven he is an asset and a great ambassador for Central City Concern, Downtown Clean & Safe and everyone who lives, works or visits in the Downtown Portland area.”

Matt proved to be an extremely reliable and dedicated employee, who was always willing to go above and beyond. Matt showed so much pride in his work, he was promoted to be the third Clean & Safe special projects bicycle cleaner.

Andrews then presented the Security Officer of the Year awards Officer Josh Dyk and Officer Samson Blakeslee.

The Portland Downtown Business Improvement District contracts with CCC to keep clean a 213-block area in central downtown and along the bus mall. In six-month trainee positions, CCC Clean & Safe employees remove graffiti, contribute to public safety, and keep downtown free of litter and debris. Clean & Safe hires its employees from CCC's Community Volunteer Corps program.

Toward the end of their six-month work experience, Clean & Safe employees engage in practical, employment development workshops at the Employment Access Center where they also may also access one-on-one assistance in the job search process. Some graduates of Clean & Safe move onto employment at Central City Concern in janitorial, maintenance, pest control and painting roles that maintain CCC’s 23 buildings.



"This can be you, too..."

Sep 27, 2017

September 27 is National Gay Men's HIV/AIDS Awareness Day, and September is Recovery Month.

Ryan's recovery has helped him find stability, get his HIV under control, and become a straight-A student.Two years ago, Ryan D. got off the streets and started to get his addiction in check. Today, he’s a straight-A student at Portland State University with plans to become a speech therapist, and the recipient of four scholarships worth $9,000 from local queer community organizations. He’s also been able to get his HIV infection under control.

Housing from Central City Concern has been one foundation for his success. “I could focus on me, going to school, my meetings, and being of service,” he says. And this has given him a new perspective on his life. “Fortunately for me right now,” he explains, “what helps reinforce my sobriety is all these mini-successes: getting in to the Richard Harris Building from the men’s shelter, then getting in to Miracles Central, winning this scholarship, being successful at this service commitment. Little things to look forward to, just a million little different things that help reinforce my wanting to stay sober."

“...what helps reinforce my sobriety is all these mini-successes.... Little things to look forward to, just a million little different things that help reinforce my wanting to stay sober.”
- Ryan D.

Both of his parents suffered from addiction, and his own addiction took off when he moved away for his first year of college, forcing him to drop out of school. As his disease progressed untreated over the next 15 years, he encountered legal troubles, jail time, and, eventually, homelessness. Getting help took time. “I didn’t really think I had a problem,” he says. “I just thought that gay guys party. We love to party, and everyone does it. I was entitled to my own life because I wasn’t hurting anyone but myself.”

When he did seek help, he found that the pressure of waiting tables made it hard for him to establish solid recovery. “It’s a high stress job, you’re replaceable, you’re talked down to a lot, and it’s not easy.”

But Ryan rose to the challenge, and now he’s proud to invite friends over to watch “RuPaul’s Drag Race” and have a good laugh. “It’s nice when newcomers come over to my house and say, ‘Oh my gosh, this is amazing. This is where you live, you’re so lucky.’ And I’m like, this can be you, too, if you just don’t pick up a drink or a drug. It’s that simple.” Ryan sings in the Gay Men’s Chorus, volunteers regularly at Cascade AIDS Project and loves to dance.

"People on the street smile at me all the time and I must be glowing—they like my energy."

Ryan says it’s been nice to be recognized and awarded in front of his peers, but what matters most is he’s come a long way. “I’m just doing the right thing,” he says. “I’m not doing anything more than is expected of normal people. But because of where I’m coming from, it’s amazing.” And although he says there’s always room for improvement, he’s happy. “It’s just nice being clean and sober,” he explains. “People respect you and smile at you and look at you. People on the street smile at me all the time and I must be glowing—they like my energy. I look in people’s eyes and it’s magical. I love being clean and sober.”

• • •

For information on confidential HIV testing, call the Cascade AIDS Project at 503-223-5907 or Multnomah County HIV Testing at 503-988-3700.



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



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: 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.”

• • •

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



CCC Celebrates National Health Center Week 2017!

Aug 14, 2017

Happy National Health Center Week from Central City Concern!

The health center movement was born during a time of extraordinary challenge, opportunity, and innovation in the United States. Today, as we face threats to the Affordable Care Act, a HUD budget proposal that would reduce housing subsidies by more than $900 million nationwide, and crises like the opioid epidemic and Portland’s housing affordability crisis, I find myself reflecting on our predecessors in the good fight for health care, housing, and equal opportunity and against poverty, homelessness, and oppression. We have a long way to go, but I take heart in recognizing how far we’ve come in the past fifty years.

Today, one in fifteen members of our community receive their care at a federally qualified health center. Here in Oregon, almost all of our FQHCs are designated by the state health authority as patient-centered primary care homes, meaning that they meet six core performance standards (access to care, accountability, comprehensiveness, continuity, coordination and integration, and patient and family-centered) that support positive patient outcomes, good experience of and access to care, and cost control and sustainability. Just a few weeks ago, we at CCC were thrilled to have our Old Town Clinic recognized as a Tier 5 patient-centered primary care home, achieving the highest level of recognition possible in the state. Being homeless or low-income in Portland doesn’t mean receiving substandard care: we should feel deep pride as a community that our most vulnerable friends and neighbors have access to excellent care through our health centers.

Along with providing high-quality, sustainable, accessible care, health centers like Central City Concern also partner closely with other social services providers and health care organizations. At CCC, we bring together health, housing, and jobs under one organizational roof, and we also rely on and treasure our relationships with community partners, who enable us to reach far more people than we would on our own. At the Bud Clark Commons, we partner with Home Forward, Transition Projects, Inc., and others to provide urgent care, mental health, and case management services to homeless and formerly homeless Portlanders. At our Puentes program, which provides culturally and linguistically specific behavioral health care to Portland’s Latino community, our close partnership with El Programa Hispano Católico enables us to bring care into places where the community already gathers. And across our continuum of substance use disorder services, we’re partnering closely with our friends at CODA, Inc., and Health Share of Oregon to develop and implement Wheelhouse, a hub-and-spoke model of care that will enhance access to medication-assisted treatment for people with opioid use disorders. When homeless and low-income Portlanders access services through Central City Concern, they’re tapping into a much larger network of support both within CCC and with our partners.

This year, in keeping with National Health Center Week 2017’s theme of Celebrating America’s Health Centers: The Key to Healthier Communities, we wanted to share some of the ways in which CCC, together with many partners, works to bring high-quality care into our surrounding community by extending our work past clinic walls and directly to where people are. You’ll learn about how our programs work to improve access, outcomes, and sustainability to support the people we serve and our larger community. We may still have a way to go, but we’re going together.

Leslie Tallyn
Chief Clinical Operations Officer