It’s not just an access to treatment issue. Follow the data and money. Oregon’s Addictions and Mental Health system has deferred accountability for building a responsive level of care system for over a decade, focusing on unfounded ideological policies to address rising addiction and mental health issues in the state. It has built a complicated, siloed, multiagency system that focuses on unrealistic goals without sufficient higher level of care capability, expecting counties to do it on their own, despite failures over the years. Their is a lack of integration and leadership by professional administrators, and a focus on endless regulations without administrative support, as well as no useful data feedback to providers on ‘what is working and what isn’t.’ AMH has neglected the needs of the behavioral health system for over a decade. More money won’t fix it. Reorganization might..
Reorganization (and trimming off a decent amount of bureaucratic fat) are definitely needed. But more money is also going to be needed. The problem with data in situations like this is that you need a lot of data (over a long term) to really see how effective an implemented plan (or plans) is. A strategy that, from the data, looks like it's working in the short term may not really work in the long term when a bigger data set is available to analyze. This is a big, long-term project that needs a lot of funding and a lot of big, long-term data analysis to be honest, adaptive, and effective.
I disagree with you Jonathan. Having much time spent working with the homeless as well as having 2 sisters and a dad that have suffered grom addiction. And myself having 14 years of sobriety.... Tough organized experienced leadership can easily fix this problem. More analytical garbage will do nothing. This is not a new problem to American society. We do not need a new solution. We need to stop this progressive lawfare and deregulate our state. Tough organized experienced leadership. Get rid of these college educated analytical liberals
I think maybe getting people help before they get to that point could be useful, you have to be one foot in the grave before you can get any help in Multnomah County for real.
To improve the health and vitality of the central city, move these services to outside the central city, and even distribute such services across Oregon. CCC is a big part of the problem of what is digging us deeper into the hole - the more money you throw at the problem here, the more services you provide to desperate people here, the more desperate people will come here in the hopes of receiving assistance. This is nice from the perspective of helping desperate people, but it's corrosive poison for the health of the city and its economy over the long term. The city mayor and the county leadership should work with the government to come up with a better plan for having distributed support services throughout the state. It's just common sense.
Go figure... talk to someone from CCC and all they want is more money for their programs... housing. This is the kind of grift we all need to push back on and there needs to be an audit and investigation into the government waste of money. Our society has experienced tremendous harms from the decriminalization and "housing first" philosophy, and we won't bounce back from this debacle for decades. These programs all need to end and we need to get back to sanity.
Motivational interviewing doesn't work when the patient is amped up out of their mind on meth. We need to mandate substance use treatment through every mechanism available including Wellness Courts, Drug Courts, PSRB, guardianship, and outpatient civil commitment.
It’s not just an access to treatment issue. Follow the data and money. Oregon’s Addictions and Mental Health system has deferred accountability for building a responsive level of care system for over a decade, focusing on unfounded ideological policies to address rising addiction and mental health issues in the state. It has built a complicated, siloed, multiagency system that focuses on unrealistic goals without sufficient higher level of care capability, expecting counties to do it on their own, despite failures over the years. Their is a lack of integration and leadership by professional administrators, and a focus on endless regulations without administrative support, as well as no useful data feedback to providers on ‘what is working and what isn’t.’ AMH has neglected the needs of the behavioral health system for over a decade. More money won’t fix it. Reorganization might..
Reorganization (and trimming off a decent amount of bureaucratic fat) are definitely needed. But more money is also going to be needed.
The problem with data in situations like this is that you need a lot of data (over a long term) to really see how effective an implemented plan (or plans) is. A strategy that, from the data, looks like it's working in the short term may not really work in the long term when a bigger data set is available to analyze.
This is a big, long-term project that needs a lot of funding and a lot of big, long-term data analysis to be honest, adaptive, and effective.
I disagree with you Jonathan.
Having much time spent working with the homeless as well as having 2 sisters and a dad that have suffered grom addiction. And myself having 14 years of sobriety....
Tough organized experienced leadership can easily fix this problem.
More analytical garbage will do nothing.
This is not a new problem to American society.
We do not need a new solution.
We need to stop this progressive lawfare and deregulate our state.
Tough organized experienced leadership. Get rid of these college educated analytical liberals
Problem is...these individuals do not want the Nanny state getting into their business.
I think maybe getting people help before they get to that point could be useful, you have to be one foot in the grave before you can get any help in Multnomah County for real.
To improve the health and vitality of the central city, move these services to outside the central city, and even distribute such services across Oregon. CCC is a big part of the problem of what is digging us deeper into the hole - the more money you throw at the problem here, the more services you provide to desperate people here, the more desperate people will come here in the hopes of receiving assistance. This is nice from the perspective of helping desperate people, but it's corrosive poison for the health of the city and its economy over the long term. The city mayor and the county leadership should work with the government to come up with a better plan for having distributed support services throughout the state. It's just common sense.
Keep defunding the State Hospital while pardoning the State prisons this is what we get. No real incentive but greed
Go figure... talk to someone from CCC and all they want is more money for their programs... housing. This is the kind of grift we all need to push back on and there needs to be an audit and investigation into the government waste of money. Our society has experienced tremendous harms from the decriminalization and "housing first" philosophy, and we won't bounce back from this debacle for decades. These programs all need to end and we need to get back to sanity.
Motivational interviewing doesn't work when the patient is amped up out of their mind on meth. We need to mandate substance use treatment through every mechanism available including Wellness Courts, Drug Courts, PSRB, guardianship, and outpatient civil commitment.
This is hard to watch. It’s almost like they’re trying to hold back laughter. I can’t tell if they actually want to solve this problem…..
There is no homelessness problem there is a drug and mental health problem
I would add the cost of renting a house or apartment.
@@preacherpdx5519 true!
need to have a “dry out” center that can house 1,000s of folks, pick them up and then start treatment. this strategy is not working obviously
CCC avidly supports the failed 110 measure, right? One if not THE reason behind these issue.
Good work CCC!
No. They haven't done any. They've taken millions and grown the problem
Terrible
Democratic owner of central city concern
They liar 🤥