Rooted in Community: Puentes

Aug 08, 2019

Since Ricardo shared with us last year in our CCC TurningPoints series that receiving treatment services from Central City Concern’s (CCC) Puentes program in his native Spanish language “was like music,” we’ve heard from many others who shared the same sentiment. Roberto, who also went through our culturally specific behavioral health program for Spanish speakers, says that his time receiving Puentes services helped him “feel like I belonged to a group of people that want to help the Latino community.”

But offering services in Spanish is only part of Puentes’ story. Over the years, thousands of clients have heard the music of treatment because Puentes worked hard to invite Portland’s Spanish-speaking community into a place they could trust. Puentes was never intended to simply drop into the Latinx community from above; Puentes staff members are the Latinx community, responding to the needs of their own. Puentes has worked hard to demonstrate that their services respect and respond to who the community is. They understand the Hispanic culture — in all its beauty, as well as its barriers — and the community has responded in kind.

Over the years, thousands of clients have heard the music of treatment because Puentes worked hard to invite Portland’s Spanish-speaking community into a place they could trust.

“Most Puentes staff are active community members inside and outside of Central City Concern,” shares Daniel Garcia, CCC’s director of Latinx services. “At Puentes, our clients finally feel at home, not only because we speak their language, we also understand their culture and their unique stories and histories.”

Historically in Multnomah County, the Latinx community has been disproportionately affected by poverty and by a lack of access to preventive services, including the knowledge of where to seek help, location of treatment facilities and childcare. Lack of insurance coverage has also been a significant barrier; even after Medicaid expansion in Oregon, documentation status still kept many from applying. The lack of Spanish-speaking providers who are trained to understand and meet the needs of Latinx individuals and families had also been a barrier to receiving care.

To start bridging the gap in treatment access, CCC received a federal grant in 2004 to serve Latinx families at risk of homelessness due to substance use disorders. Originally called Family Latino Outreach and Addictions Treatment (FLOAT), the program approached potential clients with care and humility, leaning on a partnership with Catholic Charities’ El Programa Hispano to establish trust with the Latinx community.

... from the start, Puentes integrated a deep and firsthand understanding of Latinx cultural values into how they approach and provide treatment...

Simply interpreting Western-style behavioral health treatment into Spanish would be setting up the program and its clients to experience many of the same cultural barriers to care and underwhelming results. Rather, from the start, Puentes integrated a deep and firsthand understanding of Latinx cultural values into how they approach and provide treatment, including:

  • Personalismo: upending the mainstream approach of providing care that is detached, overtly clinical and relatively impersonal, Puentes staff are intentional about being warm, willing to make a personal connection and self-revealing.
  • Respeto: Puentes staff understand that clients may avoid expressing doubt, disagreement or confusion in conversations with them, as Latinx culture lends significant importance and influence to authority figures like parents, elders and health care providers. In response, staff are trained to ask smart questions, listen to individual’s stories and validate their experiences.
  • Familismo and colectivismo: Puentes often embraces the potential that the family unit holds in the therapeutic process and its role in helping clients remain in treatment. The extended family serves as a support system for all members and puts the collective needs of the family above those of the individual.
  • Spirituality: The Latino culture tends to view health from a holistic position, implying a continuum of body, mind and spirit. Many cultural values and attitudes are heavily influenced by their spiritual beliefs that, in some cases, may become a barrier to care. On the other hand, la espiritualidad can provide a positive foundation for well-being and recovery.
  • Gender roles: The concepts of machismo and marianismo that reinforce gender roles can often be barriers for clients to talk about their addiction, mental health and traumas. Puentes staff provide treatment with an understanding of how these values affect how forthcoming and willing clients are about their addiction or mental health.

Some research suggests that Latinx clients, especially newcomers and Spanish-speaking clients who see Latinx therapists (who are both bilingual and bicultural), are more likely to remain in care and to have better outcomes. For people like Roberto, working with staff members who not only understood the values he was raised in but also created a treatment environment that acknowledged and worked within them “helped me have a special connection with the staff and even other clients of Puentes. I trust Puentes.”

Puentes has done well to earn that trust from its community of clients. People receiving care from the program have seen the program grow thoughtfully to continually respond to their needs: in addition to substance use disorder and mental health treatment, Puentes offers treatment for co-occurring disorders, early and specific interventions for Latinx youth who are using substances and are gang-affected, family support and connections to CCC’s primary care services. The program has even moved locations several times to relocate closer to the centers of Portland’s Latinx community, increasing accessibility.

For individuals and families, many of whom left behind extended families and friends to move to Oregon, Puentes has become a place where familiarity can promote healing, where shared values lead to communal victories.

“Geographically, we are so far removed from our home Latin American countries, and yet there is a place named Puentes, where Spanish-speaking people can come and receive treatment,” says Daniel. “We treat each person with the utmost friendliness, dignity, kindness and respect, leaving our clients without fears of being discriminated against, misinformed or misdiagnosed.”

For individuals and families, many of whom left behind extended families and friends to move to Oregon, Puentes has become a place where familiarity can promote healing, where shared values lead to communal victories.

The special connection that Puentes creates has also led to the development of a community within a community. Many people who complete treatment stay close to Puentes through El Senado, an advisory committee of former clients who find ways to give back and provide peer support and encouragement to newer clients. Empowering a community to recognize the collective strength of its experiences and to play an active role in its own healing is perhaps one of the truest hallmarks of how deep Puentes’ roots in the Latinx community have grown to reach.

“I am so proud that we can all — clients, former clients and staff —be leaders in and for our own community,” Daniel says.



Rooted in Community: Imani Center

Aug 07, 2019

Walk past the Imani Center on a sunny day and you’ll likely be greeted by a mix of staff, clients and neighbors chatting and connecting outside. An atmosphere of camaraderie is palpable, but it’s no coincidence that community building is a key feature at the Imani Center. In fact, it can be traced back over a century ago to the very building where the Imani Center now resides.

The Imani Center was once home to the Golden West Hotel, which opened in 1906 as the first hotel in Portland to accommodate Black patrons. Nestled between two of the most prominent Black churches in the city at the time, the Bethel AME Church and the Mount Olivet Baptist Church, the Golden West quickly became a social and business hub for Portland’s African American community. In addition to a hundred hotel rooms for Black workers who were denied accommodation in Portland’s white-owned hotels, the Golden West housed a number of Black-owned businesses including a barbershop, an athletic club and an ice cream parlor/candy shop. After 25 years in business as the largest Black-owned hotel west of the Mississippi, the Golden West was forced to close in 1931 due to the Great Depression.

The legacy of exclusion that spurred the founding of the Golden West Hotel was not unique – from the very start, Black communities were not supposed to exist in Portland or anywhere else in the state. Oregon joined the Union in 1859 as a “whites-only” state where African Americans were barred from living, working or holding property. In the 1920s, Oregon had the largest Ku Klux Klan membership per capita of any state, and KKK member Walter Pierce was elected governor in 1922. Oregon refused to ratify the 15th Amendment, which gave Black men the right to vote, until 1959, and did not ratify the 14th Amendment, which granted citizenship and equal protection under the law to all Americans, until 1973.

The legacy of exclusion that spurred the founding of the Golden West Hotel was not unique – from the very start, Black communities were not supposed to exist in Portland or anywhere else in the state.

In addition to exclusion, Black Portlanders faced displacement throughout the twentieth century, making it difficult for African American residents to maintain close-knit neighborhoods and communities. Urban renewal and industrial expansion projects such as Interstate 5, Highway 99, Emanuel Hospital, the Civic Center, the Memorial Coliseum and others displaced thousands of residents in the predominantly Black Albina neighborhood. In 1948, one of the only places in Oregon where African Americans could buy houses – the city of Vanport – was decimated in a single day due to flooding, leaving 18,500 residents – 6,200 of whom were Black – without a place to live. This history isn’t relegated to the past: Portland remains the whitest major city in the US, with persistent racial disparities in employment, poverty, homelessness, health outcomes and incarceration rates.

Despite more than a century of exclusion, displacement and disinvestment in Portland and throughout Oregon, our African American communities have rich histories of resilience and strength in the face of racial discrimination and prejudice. And in many ways, the Imani Center carries this torch. The Imani Center is the result of Central City Concern listening to the experience and knowledge of the African American community and responding to the need for culturally specific leadership, treatment and support services. Since 2015, the Imani Center has provided comprehensive approaches to mental health and addictions treatment for African Americans, by African Americans. Imani Center’s services empower clients to build community with other African Americans working toward recovery, with the support of staff members who have lived knowledge of Black culture and the African American experience.

One way clients at the Imani Center build community is through peer support. Peer Service Specialists “wrap around” clients both inside and outside Imani Center to support them in navigating mental health struggles, addiction and recovery. As clients work to change their lives, they are surrounded by a peer who understands not only the experience of recovery, but the unique challenges of navigating mainstream treatment programs as an African American. The result is a pathway to recovery built on shared cultural experiences and genuine peer connections.

Like the Golden West Hotel, which was situated between two of Portland’s most important Black churches, the Imani Center is similarly built on a foundation of faith and the sense of community that flows from it.

Like the Golden West Hotel, which was situated between two of Portland’s most important Black churches, the Imani Center is similarly built on a foundation of faith and the sense of community that flows from it. “Imani” is Swahili for “faith,” representing the faith that Imani Center seeks to instill in clients: faith not only in themselves and their journey, but in the support of their community to help them reach their highest potential.

The Imani Center and the Golden West Hotel share much more than a building. Deeply rooted in the shared history that brought so many African American workers and families to the Golden West Hotel at the start of the 20th century, the Imani Center stands in stark contrast to Portland’s legacy of race-based exclusion and displacement. As Imani Center clients heal from their past and current experiences with addiction and mental health struggles, they also help to heal wounds wrought by Portland’s past. By building a home for African Americans working toward recovery, the Imani Center continues the Golden West’s legacy of faith, resilience and community.



Rooted In Community: Reflecting on Blackburn Center's First Month

Aug 06, 2019

It's been just over a month since Central City Concern started serving patients and residents at Blackburn Center, our newest community health center site with integrated housing and employment services. For our second National Health Center Week post, we asked Dr. Eowyn Rieke, director of Blackburn services, to reflect on its first few weeks serving the community. Here, she reflects on the impact they're beginning to make and her hopes for how Blackburn Center will deepen its roots in the surrounding community.

• • •

It was Wednesday, July 3 — just the second day of services at Central City Concern’s Blackburn Center. I was walking around our newly opened clinic lobby in an effort to connect in person with new clients to welcome and thank them for coming in. One of the first clients I spoke with said to me, “I can’t believe all these services are in the same place. I don’t know what I would have done if you weren’t here.” We were offering her primary care, medication for substance use, and mental health care, with the hope for a placement in housing once she was in substance use treatment.

“It is too bad you have to be poor to get these services. I used to have private insurance and I never got care this good,” another client told me. He was at Blackburn Center to receive intensive substance use treatment and physical health care services and planning to connect with employment services soon.

And another new client, referred to Blackburn Center from CCC’s Hooper Detox, confided, “I knew I needed a primary care provider but I didn’t know how to get one. Then I went to Hooper and everything started to fall in to place.”

These clients represent several of our core principles at Blackburn Center: client-centered care and integration, with a focus on meeting clients where they are and offering an array of services, all focused on helping them move forward in their lives.

"I don’t know what I would have done if you weren’t here.”

My colleagues and I spent a few years dreaming about these services and how we’d deliver them, and worked remarkably hard to design them. A month ago, we finally opened our doors to serve the community. In our first month we’ve served 450 people across Blackburn Center’s housing, health care and employment services. Some of our most significant accomplishments since we opened include:

  • Successfully moving our Eastside Concern outpatient program to Blackburn Center, with its staff making incredible efforts to complete assessments for new housing residents referred from Hooper Detox
  • Getting 33 of our 34 permanent homes occupied
  • Getting 33 of our 80 transitional housing units occupied, with new residents coming from a wide range of referral partners in the community, including Women’s First, NARA, CODA and Multnomah County, as well as CCC’s own Hooper Detox, Puentes and Blackburn substance use disorder programs
  • Serving more than 100 new clients with primary care services
  • 90 referrals to employment services
  • Enrolling 20 new clients in our low-barrier Suboxone program
  • Managing the Recuperative Care Program’s (RCP) move from downtown Portland into Blackburn Center and admitting many new residents each week while RCP staff continue to provide excellent care and case management

As the director of Blackburn Center, one of the things that excites me most — one of the clearest visions for Blackburn Center that we’ve carried since we started dreaming of the building — is its eventual role in the community as a hub of activity for our neighbors and clients: a place people can come to get a wide array of health services, as well as a space to host community events that bring people together to share their joys and struggles.

While the building itself is beautiful, and our services have already kept us busy, I look forward to inviting even more stories, struggles and victories into Blackburn Center. One of the ways we’ll start doing that soon is by hosting many community-based recovery groups in our Weinberg Community Room, an open and light-filled gathering space on the building’s first floor. These groups will be open to the community and will offer new opportunities for people in recovery to gather and support each other in their East Portland neighborhood.

... one of the things that excites me most — one of the clearest visions for Blackburn Center that we’ve carried since we started dreaming of the building — is its eventual role in the community as a hub of activity for our neighbors and clients...

Our first month of Blackburn Center was focused on getting our services up and running; now we turn our attention to building and deepening our relationships with community groups to work toward our ultimate goal of ending homelessness. We work closely with health and social service organizations also doing work in East Portland, including Bridges to Change, Multnomah County and Transition Projects. Working together, we can strengthen the safety net for people experiencing homelessness and build new opportunities for them to move into housing and more stable lives. We will also open mental health services in the next few months to meet the needs of our community members struggling with severe mental illnesses.

Every connection we make is one string in a web that supports our neighbors. We look forward to many years working with partners to build a strong net that helps all of us build healthier community.



Rooted in Community: Old Town Clinic

Aug 05, 2019

For 40 years, Central City Concern (CCC) has been caring for people in Portland who are impacted by homelessness. In the late 1970s, we offered recovery treatment with housing, which was a new but logical approach: it’s easier for people to get better if they have a place to live. This was the beginning of CCC’s deep roots in the Portland community that expanded through the decades with new ideas and innovations in response to evolving patient needs.

By the early 80s, Old Town was only a few years removed from the height of living up to its “Skid Row” reputation. Thankfully, agencies were beginning to make headway toward helping people into better, more stable situations. For example, Burnside Consortium (as CCC was then known) sprouted up a few years earlier to save and increase the safety and maintenance of the single room occupancy (SRO) housing stock in the neighborhood and to fund local alcohol treatment providers. In 1983, Old Town Clinic (OTC), a small medical but sorely needed facility run by the Burnside Community Council, opened in neighborhood fixture Baloney Joe’s, a shelter serving homeless people located at the east end of the Burnside Bridge.

OTC moved to W Burnside and Third Ave in 1985; the next year Ecumenical Ministries took over management and continued to run the facility, providing primary care to the neighborhood’s homeless population for the next 15 years.

In 1983, Old Town Clinic (OTC), a small medical but sorely needed facility run by the Burnside Community Council, opened in neighborhood fixture Baloney Joe’s, a shelter serving homeless people located at the east end of the Burnside Bridge.

By 2001, CCC had recognized just how important health care is for helping people to realize their full potential; we took over management of the clinic. A decade of running CCC’s Portland Addictions Acupuncture Clinic (later renamed the Portland Alternative Health Center), which provided acupuncture, naturopathic and light primary care services to those living in and around Old Town, demonstrated the importance of comprehensive care to the success of long-term recovery. Assuming OTC’s operations solidified our commitment to providing holistic care. We quickly expanded the clinic’s services while continuing to operate in a low-cost setting. OTC began to offer both primary and naturopathic care, preventive exams, injury treatment, and connections to mental health and substance use disorder services. The clinic became a crucial starting point to help many patients end their homelessness and began a path to better health. 

Gary Cobb, CCC community outreach coordinator who has been with the agency since 2001, remembers how things fell in to place for the Old Town Clinic, as if it was all meant to be. “Sometimes you can’t sit and wait for opportunities to arise,” he said. “You need to jump and make things happen.”

At first, OTC operated under Multnomah County’s Federally Qualified Health Center (FQHC) status. But in 2003, CCC became its own FQHC site. This new designation allowed CCC to receive federal reimbursement for uninsured and underinsured poverty-level clients, opening up opportunities to bring much-needed medical services to our other programs like Hooper Detoxification Stabilization Center, Letty Owings Center and the Community Engagement Program. (CCC now has 13 FQHC sites.)

“Sometimes you can’t sit and wait for opportunities to arise. You need to jump and make things happen.”

In 2003, OTC moved temporarily to NW 5th Ave. and Everett for about a year. But in 2004, CCC opened a shiny new building on W Burnside and Broadway where OTC and PAHC essentially consolidated into a single program to offer both primary care and complementary medicine services under the same roof. Old Town Clinic and our pharmacy continue to thrive there today. “We had leadership who had been community organizers, so their expertise in building relationships made the clinic into the national model it is today,” said Cobb.

OTC began a partnership with Oregon Health & Science University (OHSU) in 2006. This partnership placed volunteer OHSU resident physicians in safety net clinics where they are trained by CCC staff to meet the medical needs of Portland’s homeless and low-income community. This “social medicine” partnership was a mutually beneficial one that allowed CCC to expand its medical services while training a future physician workforce to be familiar with and responsive to the needs of safety net clinics’ patient populations.

When Oregon began its statewide health system transformation to coordinated care organizations (CCOs) and expanded Medicaid coverage, CCC jumped on board to help achieve the triple aim of better care, better health and lower costs for all Oregonians. In 2012, CCC joined 10 other local health care and social service organizations to become a founding member of Health Share of Oregon CCO, which serves Medicaid members in Multnomah, Clackamas and Washington counties.

In 2013, OTC was one of a handful of clinics nationwide singled out by the Robert Wood Johnson Foundation as an “exemplar practice” for our innovative work making health care more accessible to patients. The clinic hosts many innovative teams and programs, such as the Summit team that treats medically complex and fragile patients with integrated flexible care.

Being part of an organization that also provides affordable, supportive housing also gives OTC an unprecedented opportunity to serve its surrounding community. With some ingenuity, CCC’s Housed and Healthy program breaks down walls to lower barriers to quality care for hundreds of area residents.

Being part of an organization that also provides affordable, supportive housing also gives OTC an unprecedented opportunity to serve its surrounding community.

OTC and its pharmacy recently began using highly effective drugs to treat hepatitis C, a serious chronic liver disease that can lead to cirrhosis, cancer and even death. Oregon’s rate of hepatitis C is one of the highest in the country, and people with substance use disorders experience higher rates of hepatitis C. In 2018, OTC treated and cured 107 people who were infected with the hepatitis C virus, giving them a much healthier and brighter future. This treatment program continues to save lives.

Through OTC has hopped around the neighborhood and changed management over the past 36 years, one thing has always been constant: caring for the community that needs us the most. We respond to challenges with new ideas, and grow stronger with change. And we welcome and honor the people who entrust us with their health; they are the reason we’re here.



"Transformation" Mural Brings the CCC Story to Life

Jul 30, 2019

The mural is located in the second floor lobby of Blackburn Center.Baba Wagué Diakité fills in a pattern. Portland artist Kendra Larson assisted Wagué throughout the project.Ronna Neuenschwander, a professional artist represented by Froelick Gallery and Wagué's wife, worked by his side and was a constant presence throughout the entire mural project.

"Transformation" is a wall-length mural in CCC's Blackburn Center, designed and painted by Baba Wagué Diakité, and partially funded by Regional Arts and Culture Council. The mural is based on the stories of CCC clients and staff. Click on a photo to begin the slideshow.


The walk up the steps from the main lobby of Central City Concern’s (CCC) Blackburn Center to the second floor is an exercise in slow revelation. “Transformation,” a new mural created for Blackburn Center by renowned Portland artist Baba Wagué Diakité, is positioned at the top of the stairs to meet all visitors — less a gatekeeper and more a welcoming party.

Upon the very first stretch of the upper floor wall that comes into view, it takes a second to register the figure of a vibrantly colored tree, evaporating any expectation of a sterile, sparse waiting room. Your eyes can’t help but trace left to follow the procession of animals large and small, winged, scaled and legged. Bright music notes pop out from what you quickly realize is a mostly black and white, wall-length mural of a fantastical scene framed in earthy gold.

As you reach the top of the steps and approach the wall, you notice the impossibly intricate patterns that fill in the animal outlines. Only now do you find a mandala of words: “hope,” “caring,” “journey” and “joy,” among others. And as much as you want to press your nose up to it, you feel similarly pulled to take several steps back to take the entire mural in at once.

There’s no wondering what would be said if this wall could talk. This one proclaims the CCC story.

Months before Wagué first laid his brush to the wall, CCC Art Task Force volunteer Alice McCartor came across a Regional Arts and Culture Council (RACC) grant intended to support projects that invite the community to participate, including underserved communities. With the Art Task Force — an all-volunteer group of community members who procure donations of and curate fine art to beautify CCC buildings — already in the thick of procuring art for Blackburn Center, Alice immediately saw a golden opportunity.

“I thought a mural here could be a good match because RACC makes an effort to bring art to the public in multiple ways,” Alice shared. “I could envision many people walking into the clinic — people who don’t have easy access to galleries or the museum — and being able to see fine art in a mural.”

There’s no wondering what would be said if this wall could talk. This one proclaims the CCC story.

The rest of the Art Task Force agreed and began discussing local artists whose style and experience would be right for such a project. Wagué, whose work and reputation as a writer, illustrator, ceramicist and muralist is eclipsed only by his truest artistic identity as a storyteller, quickly became the group’s first choice.

Growing up in Mali, Africa, the power and magic of stories settled deep into Wagué’s bones as he listened to stories told by his grandmother and village elders. These stories often depicted animals as the characters to represent our human foibles, our strengths and our resiliency.

As an established artist, he developed a storytelling program called “What’s Standing on Your Soul?” that allows participants to exchange ideas based on their own lives. What better person, what better way, to bring to life a mural based on and in CCC’s community of clients who receive support to find stability and wellness, as well as the staff who offer that help?

“I first learned of CCC’s work when an artwork of mine was donated to the organization’s Healing Through Art collection a few years back,” Wagué shared. “I was absolutely humbled when I was approached about this project.” A few months later, RACC notified CCC that they would award the grant for a mural project.

CCC arranged three sessions for Wagué to facilitate his workshop: the first for a group of Old Town Clinic patients, the second for a group of CCC staff members and the last for staff members specifically from CCC’s Eastside Concern program, which would soon be absorbed into Blackburn Center to provide substance use disorder counseling and peer support services.

Over the course of a few hours, Wagué shared about storytelling’s capacity to connect and challenge, recounted stories he’d heard growing up in Mali and set the stage for participants to share stories based in their own experiences.

“It meant quite a bit for me to be a part of that,” shared Zibby, an Old Town Clinic patient. “To me, it meant that my story has value. It recognized my love for art.”

Though a skilled facilitator, Wagué knew that participants would have to meet him halfway to fully unlock the power of storytelling. “They have beautiful ambitions of many good things they want to accomplish, but I would have never learned any of that without them trusting me. So I’m grateful,” he says. “It was also evident how much pride they have in their daily progress. They are determined and grateful for the opportunity to become the best they can be. That really stuck out to me.”

"It meant quite a bit for me to be a part of [the storytelling sessions]. To me, it meant that my story has value. It recognized my love for art.”

At each session, Wagué was accompanied by his wife, Ronna Neuenschwander, an accomplished and well-known artist in her own right. She listened alongside Wagué, documenting phrases and narratives the participants shared. After the workshops, Wagué and Ronna reviewed her notes, identifying themes that emerged across the conversations. Then he got to work translating the collective story of CCC staff and clients into imagery steeped in Malian traditions.

“I focused on the positive direction people want to shape their lives toward, such as ‘being well and doing well in life,’ ‘being able to trust again,’ and ‘helping others so they will not experience what I went through.’

“Some things we heard are represented by words, others are represented with images of favorite animals and scenes of nature that have helped them through hard times.”

The resulting design was a sprawling, 30-feet by 10-feet mural, as bold in its entirety as it is delicate in its individual elements. Creatures of all kinds march, fly or catch a ride on others toward a lizard playing music.

“I wanted to include animals that are metaphors for the stories that they shared: in my culture, Elephant represents strength, Turtle represents courage and endurance, Hippo is the symbol of large vision, Birds are symbols of knowledge, Lizard represents welcoming and happiness,” Wagué explains. “All of them are carrying others on their backs, symbolizing diversity and acceptance. The bird’s nest shows nurturing and caring. The baobab tree carried on the back of the tortoise is the sturdy and long-living tree of life.”

Transferring the design on paper to the wall was a month-long endeavor that, like the best of stories, took a few unforeseen turns. Wagué and Ronna worked side by side nearly every day in June. They initially invited one other Portland artist, Kendra Larson, who wanted to learn about mural painting techniques.

“They have beautiful ambitions of many good things they want to accomplish.... It was also evident how much pride they have in their daily progress. They are determined and grateful for the opportunity to become the best they can be.”

As the weeks passed, many others came along to help, delightfully mirroring the caravan of creatures in the mural itself. Ronna recounts, “One of Kendra’s students was interested in helping, so he joined. Construction workers and electricians and CCC’s own tech people would comment on the job daily, explaining our mural to us as it progressed. Then they began asking if they could paint a little spot in the mural. We felt honored that they had taken on ownership of the mural and wanted to leave a visual mark of their hand in the building.”

Blackburn Center staff — in the building to prepare for the start of services— popped by between meetings and tasks, eager to fill in a pattern here, widen a line there. CCC’s Art Task Force volunteers joined in, too. Wagué hadn’t set out for the painting to be a totally communal task, but he and Ronna readily embraced it. “Many helping hands involved in the mural to me is a symbol of love and harmony and the mural itself is now a monument of our accomplishment together.”

No Blackburn Center staff member would take credit for more than the tiniest contribution, but the opportunity to make a mark colored how they view their own experience at the new program.

“Many helping hands involved in the mural to me is a symbol of love and harmony and the mural itself is now a monument of our accomplishment together.”

“I painted one tiny orange circle and one tiny blue circle,” says Lydia Bartholow, Blackburn Center’s Associate Director of Behavioral Health. “But painting these circles felt very much to me like my involvement in the overall Blackburn project: there was a larger vision that centered the stories of our clients, and I was lucky enough to get to contribute to something much larger and more beautiful than myself.”

Dalando Vance, a peer case manager for Blackburn Center Apartments, shares, “I felt a great deal of gratitude. Even though the part I painted was super small, I got a feeling of empowerment and togetherness.”

Wagué made his final dabs and strokes on June 28. Since then, scores of staff members, clients and community partners have stopped in their tracks in the second floor lobby, pausing to interpret the images for themselves. Often, what they hear is their own story spoken back.

Alice, the Art Task Force volunteer who first set this project in motion, couldn’t be more pleased. “Wagué's story-telling process, his resulting design and his welcoming of all comers to share in painting the mural is just what we hoped for — a joyous reflection of the healing process at CCC for and by clients and staff.”



CCC Public Policy Mid-year Update

Jul 23, 2019

In December 2018 Central City Concern’s (CCC) Executive Leadership Team and the Board of Directors approved the 2019 CCC Public Policy Agenda, intended to guide our public policy and advocacy engagement efforts. Since then, CCC has sought engagement opportunities for staff, clients, residents and patients that aligned with the agenda. Dozens of staff and nearly 100 current and former clients have participated in advocacy activities across local and regional efforts, Oregon’s 2019 state legislative session and the 116th Congress and federal administration.

During the first six months of the year the state legislative session has dominated our public policy team’s attention; we reviewed and tracked more than 40 bills through the legislative process. Dialogue about any of our policy focus areas often circled back to two main issues: affordable housing and the needs of communities impacted by the criminal justice system. For example, the State of Oregon is currently working on a waiver update to the substance use disorder 1115 Medicaid waiver. When this effort was initially announced in January 2019, housing was not part of the expected changes; seven months later, we expect supportive housing and better engagement with reentry populations for the purpose of improving access to substance use disorder treatment.

Our public policy team, other staff and clients have also participated in a number of legislative activities since the beginning of the year:

City of Portland passed the Fair Access in Renting (FAIR) ordinance

  • Two CCC staff members attended regular meeting for seven months to support the crafting of this legislation
  • CCC’s Flip the Script program staff and participants provided public testimony and a joint letter of support during the council’s review of the legislation

Multnomah County Budget hearings

  • 100 clients and former clients from the Recovery Mentor Program, Law Enforcement Assisted Diversion (LEAD® program) and Puentes attended to advocate for substance use disorder treatment, mental health care and housing investments
  • Eight clients and former clients provided direct testimony to county commissioners

State legislative session

  • CCC staff, clients and program alumni took 31 meetings with 14 of the 17 legislators that represent CCC programs/properties and sent in more than 140 emails to senators and representatives
  • CCC’s Health Service Advisory Council, a group of current patients, sent a budget letter seeking more funding for behavioral health and palliative care
  • Staff and clients participated in four lobby days with our community partners at, the Housing Alliance, Partnership for Safety and Justice, Oregon Primary Care Association and Oregon Council for Behavioral Health
  • Staff provided public comment at five committee hearings to advocate for palliative care, supportive employment, opposing criminalization of homelessness, supportive housing and self-sufficiency/wraparound services for families on Temporary Assistance for Needy Families (TANF)
  • Significant state budget and policy changes for which CCC advocated include:
     
    • – $334 million in new revenue for Oregon Health Plan
    • – $13 million to increase reimbursement rates for behavioral health
    • – $54.5 million capital and rental subsidy investment for permanent supportive housing
    • – $20 million for TANF recipients to access stable housing, employment and behavioral health services in addition to standard TANF benefits
    • – Substance use disorder was declared a chronic illness to support more health focused responses over criminalization
    • – 1% increase in the Oregon state Earned Income Tax Credit (EITC) for low-income families
  • CCC sent in letters to the federal registry opposing federal administrative changes that will hurt our communities

    • Public Charge: CCC opposes the federal government changing its policy on how low-income immigrant communities can use social services, including access to urgent care clinics and food stamps. While the “public charge” rule has been in place for several decades, the current administration seeks to make it even more penalizing for community members to seek assistance in times of crisis. We believe the current rule is burdensome enough and doesn’t need to increase targeting of low-income communities.
    • Mixed Status in affordable housing: CCC opposes evicting immigrant families from subsidized housing. Current rules prohibit non-citizens (including immigrants in the US with legal status) from using housing benefits. The current rules allow for parents of citizens or spouses of citizens receiving housing benefits to also reside in the same home. The current administration seeks to remove allowances for families to stay together in the same household even if the non-citizen member is not receiving the housing assistance directly.

    CCC advocated for some bills, including SB 179 for Palliative Care and HB 2310 for supported employment, that were not successful this session and we are committed to continuing the work needed to make these services available to those most in need. In the big picture, we saw great movement toward solutions for the communities we serve during this first half of the year.

    There is always more work to be done and more advocacy that will be needed to secure the future we know our communities deserve. For the remainder of the year we will stay focused on our priorities, including the Coordinated Care Organizations (CCO) 2.0 roll out, funding for Community Health Centers in the federal budget ($1.68 billion), ensuring equitable access to housing developed by funds from the Metro Bond, additional improvements to our criminal justice system and the statewide strategic plan for improving access to substance use disorder treatment.

    As we move forward, we aim to involve friends and supporters of CCC even more in our advocacy work! Check in regularly with our newly refreshed Advocacy and Public Policy page to find out what we're working on. You can also sign up below for our periodic advocacy emails to learn about ways to get involved, including attending meetings, contacting elected officials and spreading awareness about the legislative issues that affect those we serve.   

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CCC Celebrates the Grand Opening of Blackburn Center!

Jul 16, 2019

On the afternoon of Tuesday, July 9, Central City Concern (CCC) welcomed nearly 300 community partners, funders and friends of the organization into our Blackburn Center in East Portland for a grand opening event.

The day marked a celebration of the building's completion, the start of services, the incredible breadth of partners and funders who made this possible, the impact Blackburn Center will make on the lives of thousands of people, and the tremendous amount of work that has gone into the project. Blackburn Center is the final and flagship project of the Housing is Health initiative.

As CCC's President and CEO Dr. Rachel Solotaroff reminded the guests, everything about Blackburn Center points back to the people we serve. "This beautiful space is a testament to the dignity and potential each person we serve holds, with an elegant and elevating environment to prove it," she said.

Blackburn Center is located at the corner of E Burnside and 122nd Ave.      CCC President & CEO Dr. Rachel Solotaroff opened the program.

Julie Smith, an apprentice laborer who worked on the building for Walsh Construction, shared her story, revealing that she had herself received CCC's services to find the path of recovery and stability. Working on the building that would serve thousands of people on similar paths as her own was so meaningful, she said.

Ed Blackburn, CCC's president & CEO emeritus after whom the building is named, reflected on what the services we offer here will mean to those we serve. Pain and hurt would enter through our doors, yes, but healing and hope would be shared back out into the world.

Other speakers included Multnomah County Chair Deborah Kafoury, Portland Mayor Ted Wheeler, Metro Councilor Shirley Craddick, and representatives from funders Portland Housing Bureau, Corporation for Supportive Housing, U.S. Bank, Oregon Housing and Community Services, Oregon Health Authority and the Hazelwood Neighborhood Association.

Representatives from each of the six Housing is Health initiative partners, who came together to provide a trailblazing $21.5 million gift to fund Blackburn Center and two other affordable housing projects, spoke as well: Adventist Health Medical Group, CareOregon, Kaiser Permanente Northwest, Legacy Health, Oregon Health & Science University and Providence Health & Services - Oregon.

Julie Smith spoke about CCC's recovery and housing services crucial to helping her find stability. She was the event's honorary ribbon cutter.      Ed Blackburn, CCC president & CEO emeritus, was instrumental in bringing the six Housing is Health partners together under a common cause.

The first two floors of Blackburn Center are a community health center that will eventually serve 3,000 people each year with comprehensive and integrated primary care services, mental health and addiction treatment care, employment assistance, housing resources and a pharmacy.

The third floor is the new home of CCC’s Recuperative Care Program (RCP). Since 2005, RCP has offered respite care to 30 people at a time, offering medical care, case management and housing to people discharged from local hospitals with nowhere else to go and heal. With their move to Blackburn Center, RCP can now care for up to 51 people. Mental Health RCP will start in the next month, while 10 beds for people in palliative care will be added in the future.

Blackburn Center also includes 80 units of alcohol- and drug-free transitional housing on the fourth and fifth floors, and 34 permanent homes on the sixth floor. Integrated resident and health support services will help residents stay housed and in recovery.

Ankrom Moisan Architects, Inc. did an award-winning job on the design of the building; Walsh Construction Co. brought it into touchable, walkable, livable reality.

Thanks to all who joined in our journey to open Blackburn Center. And now we get to the real work of helping people find home, healing and hope.

Learn more about Blackburn Center’s services here. View the complete set of photos from the event here.

     

     



Central City Coffee Unveils a Bold New Look!

Oct 31, 2018

Wake up people! Women are finally getting the respect they deserve, especially at Central City Coffee.

Central City Coffee's previous branding was appropriate for a young social enterprise, but as the program has grown, the time was right to make a bold move.In 2013, Central City Concern (CCC) started a coffee roasting and distribution social enterprise to provide training and employment opportunities for people who live in CCC housing. In the beginning, our packaging featured coffee variety descriptions and highlighted CCC’s nonprofit mission. The coffee bags were kraft brown with pastel labels featuring our tag line: Drink well. Do good.

Over the past five years, Central City Coffee expanded our retail presence and is now available in more than 30 Oregon and Washington stores, as well as online.

Our training program has grown as well. Early on, we decided to train some of CCC’s most vulnerable clients: single moms working to rebuild their lives after facing homelessness and substance use disorder. We found that Central City Coffee’s full-time, day shift hours were a great fit for mothers who needed a set schedule and reliable childcare to reenter the workforce. And the skills they learned—marketing, office administration, sales—set them up for success when seeking meaningful employment after training.

Today, we remain committed to working with and training these amazing women. The Central City Coffee rebranded packaging is inspired by the hard work, determination and strength these women bring to our business every day. Our rebrand is a tribute to them.

Our new packaging is all about empowered—and empowering—women! With the help of design firm Murmur Creative, CCC’s Marketing Advisory Council and CCC staff and trainees, we have created bright, beautiful and bold coffee packages that showcase women, share their most inspiring qualities and stand out on store shelves.

The best part is our new tagline, created by one of our brilliant trainees: Nonprofit brew. Female crew.

Our new coffee line is infused with the spirit and resilience of the women who pull it all together every day. Please check us out at a specialty grocer near you. The women at Central City Coffee thank you for your support!


Varieties with new names:

  • Gutsy Goddess: French roast, bold, balanced, dark chocolate
  • Punk Princess: Dark roast, milk chocolate, nutty
  • Warrior Woman: Medium roast, most popular, caramel, pear, cinnamon
  • Magic Mama: Light roast, floral, berries, vanilla
  • Serene Sorceress: Medium/dark decaf, Swiss water processed, rich, nutty, chocolatey
  • Solstice Sister: Seasonal holiday medium roast, currants, spices, sweet


Monthly Volunteer Spotlight: September 2018 Edition

Sep 29, 2018

This month’s volunteer spotlight focuses on a volunteer with the Living Room program at the Old Town Recovery Center (OTRC). The Living Room is a shared, safe place for OTRC members, many of whom are actively living with and managing behavioral and mental health challenges. The Living Room functions as an empowering healing center, a place for members to come and hang out, eat, volunteer, build a community, and participate in regular group activities.

Lisa has been a dedicated volunteer at the Living Room and shares her story as part of National Recovery Month. Read on to hear how Lisa’s recovery informs her service at the Living Room and why peer representation is such an important piece of recovery.

• • •

What is your name and volunteer position?
My name is Lisa and I am a volunteer in the Living Room.

How long have you been volunteering with the Living Room? 
I think it was April, so about five months ago.

How did you find out about the opportunity? 
I just was online looking for volunteer opportunities and I read a description and I really loved the idea of this community environment for people with mental health and/or addiction issues, and the vibe of everyone being equal.

"A lot of people will ask me, 'Oh, do you work here?' or 'Are you going to school?' and I’ll say, 'No, I just like being here. I really want to be around you.'"

And have you seen the community environment and structure of equality in practice during your volunteering? 
Absolutely, yes. Everybody is here to support each other. I feel like the staff treats everyone that walks through the front door like family. It’s really lovely actually and helpful to me.

I have a history of my own mental illness diagnoses and as well as alcoholism and I was very involved in recovery for a long time, and then I had a relapse for about a year and I think that there is a definite connection between my current sobriety and volunteering.

Do see you role as a peer as important to your work in the Living Room? 
Yes, I feel like no matter what our outside life circumstances are, people with mental health struggles and addiction struggles speak the same language. Nothing really compares to that when it comes to feeling a part of a community and even the people who may or may not have the exact same situation for themselves, they understand in one way or another, either through family or other experiences that they’ve had. I feel at home here and I think that’s just because mental health is such a focus here. I come here and I get a lot out of it.

What do you think the importance of a peer is in recovery? 
It’s almost everything. If you don’t have anyone to relate to, you feel alone. I think it’s really important for the Living Room to have volunteers too. A lot of people will ask me, “Oh, do you work here?” or “Are you going to school?” and I’ll say, “No, I just like being here. I really want to be around you.” People that come in will say thank you and I’ll say, “Thank you for being here. I’m getting just as much from this as you are.”

"Everything happens here... all of it."

Have there been any stand out moments at the Living Room during your time as a volunteer? 
There’s so many, every time I’m here. Just washing dishes with someone and chatting about life is great. I find I have so much in common with people that I didn’t realize I would. And it’s not always about addiction or mental health, it’s just as people. And I’ve really enjoyed doing little craft projects here and there and seeing a smile on someone’s face from having a flower in their hair. It goes all the way from serious to something fun. Everything happens here... all of it.

And, our customary last question: What would you say to someone who was interested in volunteering but was on the fence?
I would say that you must be thinking about it for a reason, so it’s in your heart to do it and you can give it a shot. There’s a lot of opportunities here, so I think there’s something for everyone.



Monthly Volunteer Spotlight: August 2018 Edition

Aug 29, 2018

For this week's volunteer spotlight, we're turning to a volunteer who has already appeared twice before in our spotlights, but never as the sole featured volunteer. Given her dedicated service (Judy was one of thirteen volunteers to give more than 100 hours of service in 2017) we thought it was high time she got her own entry.

Judy is one of several volunteers who serve at the Old Town Clinic as a clinic concierge. The role was designed to help promote the clinic as a welcoming, inclusive place, where the first person you would encounter would be someone who is smiling and asking how you day is going. Judy exemplifies this role to a 'T.' In addition to the warmth she bringing to her conversations with people, where almost every sentence is punctuated with a smile and a laugh, Judy also brings experience into her interactions with patients at the clinic. Read on to see how volunteering helps her connect with her community and about the moments that have made the role particularly special for her.

• • •

While Judy's career has spanned from community development to paleontology (really!), a deep personal connection brought her to volunteer with CCC.What is your name and volunteer position?
My name is Judy Sanders and I volunteer as a concierge at the Old Town Clinic.

How long have you been volunteering with CCC?
I’ve been here probably not quite a year-and-a-half yet. It was a year in the spring.

How did you find out about this opportunity and/or CCC?
Well, I knew about CCC because one of my sons was a client of CCC’s for a number of years. When I moved back to Portland after I retired for real—I retired once and went off and worked for ten more years—I wanted to do volunteer work. As you get older, you kind of start to question if you’re earning your place to still be around, so I needed something to do to make me feel like I had some function left in the world. So, I just called up and asked if you had volunteers.

Had you worked in a clinic before?
No, I had never done anything in health care before, but I had worked with people a lot. I did community development work for 20 years for the City of Portland, so I was used to working with all kinds of people. I was actually in charge of regulatory compliance, so I have come out and monitored CCC a couple of times over the years!

And your “other job” was in…?
Dinosaur paleontology. I did that for ten years while I still had a day job, then when I retired from the City my mentor said, “Come and work for me,” so then I worked in paleo full time for ten years.

“People sometimes come up and thank me for being there, but for me it’s like 'thank you' for letting me come because it’s some of the best fun I have all week."

Do you find that those jobs inform your work as a concierge?
Well, I’ve worked with all kinds of people, and I did oversee some projects in the city serving people experiencing homelessness. But probably more than anything it was my son, because he was homeless for some time and he had alcohol and drug addiction. One of the things that I remember he used to say—that I utilize here—is that he would talk about how he just wanted to feel like a regular person. He hated that everywhere he went he was a patient or a client and he just sometimes wanted to feel like everybody else. So, when I talk to people at the clinic we talk about all sorts of things.

And some people do want to talk about [their medical stuff] and that’s fine, but I do try to find something to talk to people about other than the fact that they’re sick or injured.

Since you’ve been here for a while, do you find that patients are recognizing you when they come in?
Yeah, a lot of them that come in regularly know who I am and I know more or less who they are. I was talking to [an acupuncture client] today and he was saying that it made him feel good to have someone there to talk to and I said, “Yeah, it makes me feel good to see you guys.” I think it’s nice for people to see someone who is familiar; I think it makes them more comfortable. But I think for a lot of people it’s just having someone smile and say hi, notice them. And for me it’s great. People sometimes come up and thank me for being there, but for me it’s like thank you for letting me come because it’s some of the best fun I have all week.

Have there been any stand out moments in your time so far?
One was just a younger fellow who reminds me some of my son, and this fellow is in and out of sobriety, and when he was in sobriety last he was staying with his mother and she would come with him [to appointments]. While he was in his appointment, I just sat with his mother and talked to her and she told me what she was going through and I shared a little of what I went through with my son and kind of said, “It’s okay to feel this way. I did too.”

And so I think it helped her to have someone to talk about it with, because I know when I was going through that with my son, you just don’t feel comfortable talking to people who haven’t experienced it because you feel like they can’t understand and they tend to judge and tend to think you did something bad and weren’t a good mother. So, it was nice to be able to be there for somebody else who needed to say what they had to say and not feel that someone was going to judge them or judge him.

“...it was nice to be able to be there for somebody else who needed to say what they had to say and not feel that someone was going to judge them or judge him."

There are also a couple people who are deaf that come and there’s one lady who’s really good at reading lips, but I decided, “I’m going to learn a little bit of sign language.” I just learned to say a few things and I was so proud of myself when she came in the first time and I signed to her and she perked up. And then there were two other ladies that came in later and they saw me talking to her and they came running over, because they were deaf as well, and said, “You sign?” And then they gave me some flashcards with the alphabet, because I always have trouble with some of the letters, so now those two ladies come in and we chat a little.

And what keeps you coming back to volunteer, now that you’ve done a year-and-a-half?
For me personally, one thing is just that I do need to be out and doing things, I need to feel like I’m still productive in life. But particularly now that I’ve been here a while and know some staff and a lot of the clients, I miss them if I don’t come. I wonder if they were there and if they were okay.

Usually my last question is what would you tell folks who were interested in volunteering, but since you host so many prospective volunteers who are shadowing the concierge role, I wonder if there’s something that you tell them about the role to win them over?
For one thing, I just tell people how much I enjoy it and just what a good time I have! I just find it really rewarding and if I have the chance to spend time with someone that you know really needed somebody to talk to, it just makes you feel good. I would always, with my son, hope that when he wasn’t around, there would be somebody that would be there to be nice to him. So, hopefully I’m doing that for other mothers who can’t do that for their kids.

Was there anything else you were hoping to tell us?
I think one of the things I like about having people come and shadow, particularly ones who haven’t really had much experience with [this population], is that I think it’s really important that as many people as possible get to be involved with all different parts of the community. The people that come to the clinic, they’re not any different than anybody else. They have the same issues and problems and I find, in life, that over the years people just live in their little box and you only meet people like you and it makes all the other people around in the world seem different. It’s not until you get to know people, and whether its people from other counties or life experiences, you just don’t understand that there is actually so little difference. So, I really like the fact that people are willing to come and try it out.