{"id":363,"date":"2025-08-29T20:55:53","date_gmt":"2025-08-29T20:55:53","guid":{"rendered":"https:\/\/fixmultnomah.com\/?page_id=363"},"modified":"2025-10-30T14:02:43","modified_gmt":"2025-10-30T14:02:43","slug":"the-big-issues","status":"publish","type":"page","link":"https:\/\/p3.alidigitalmedia.com\/?page_id=363","title":{"rendered":"The Big Issues"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"363\" class=\"elementor elementor-363\">\n\t\t\t\t<div class=\"aux-parallax-section elementor-element elementor-element-676d895 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"676d895\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-e2e9173 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"e2e9173\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7c882df elementor-widget__width-initial aux-appear-watch-animation aux-fade-in-left elementor-widget elementor-widget-aux_modern_heading\" data-id=\"7c882df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"aux_modern_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<section class=\"aux-widget-modern-heading\">\n            <div class=\"aux-widget-inner\"><h2 class=\"aux-modern-heading-primary\">The Big Issues<\/h2><div class=\"aux-modern-heading-divider\"><\/div><div class=\"aux-modern-heading-description\"><p><span style=\"font-weight: 400\">While at the County, I methodically engaged county professionals, other subject matter experts and people with lived experience to map the county\u2019s systems and services and create blueprints for transformation.\u00a0<\/span><br \/><br \/><b>Fortified by that knowledge - and my recognition of how County politics sandbagged reform - I am now convening stakeholders in order to plot action steps for changes that have only grown more urgent. I will share these detailed plans on this site.<\/b><b><br \/><\/b><br \/><span style=\"font-weight: 400\">In the meantime, the following are solution summaries that I have recently articulated in other channels. I have also included key reports I commissioned while at the County.<\/span><\/p><\/div><\/div>\n        <\/section>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6cb9433 elementor-widget__width-initial aux-appear-watch-animation aux-fade-in-left elementor-widget elementor-widget-aux_modern_heading\" data-id=\"6cb9433\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"aux_modern_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<section class=\"aux-widget-modern-heading\">\n            <div class=\"aux-widget-inner\"><h2 class=\"aux-modern-heading-primary\">Homelessness<\/h2><div class=\"aux-modern-heading-divider\"><\/div><div class=\"aux-modern-heading-description\"><p><b>What we have: <span style=\"font-weight: 400\">A scattered array of shelters with wide variation in (and no rationale for) cost per bed, no correlation between the types of shelters being funded and the needs of people being served, and no clear tracking of who is going where and whether they are progressing to stable, long-term housing.<\/span><span style=\"font-weight: 400\"><br \/><\/span><\/b><span style=\"font-weight: 400\"><b><br \/>What we need: <\/b>A shelter ecosystem designed to function as part of a comprehensive homelessness to housing continuum. Start with a real count of people, structure services to meet people\u2019s actual needs, budget effectively based on the resources available, measure results and course correct as needed.<\/span><\/p><\/div><\/div>\n        <\/section>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"aux-parallax-section elementor-element elementor-element-56f0052 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"56f0052\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-03154b7 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"03154b7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-251f04e elementor-widget elementor-widget-heading\" data-id=\"251f04e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Shelters in Multnomah County \u2013 2025 Overview<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dd87b5f elementor-widget elementor-widget-text-editor\" data-id=\"dd87b5f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>This report provides a comprehensive overview of shelters and alternative housing models across <strong>Multnomah County as of September 2025, <\/strong>categorizes more than a dozen types of shelter programs, including micro-villages, tiny home villages, Safe Rest Villages (SRVs), managed pod villages, Temporary Alternative Shelters (TAS), congregate shelters, family shelters, and transitional housing sites. This highlights the diversity of approaches, ranging from <strong data-start=\"954\" data-end=\"986\">small <\/strong>to <strong data-start=\"990\" data-end=\"1025\">large-scale county-run programs.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3a65e98 elementor-widget elementor-widget-aux_modern_button\" data-id=\"3a65e98\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"aux_modern_button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t    <div class=\"aux-modern-button-wrapper aux-modern-button-align-left\" >\n                    <a class=\"aux-modern-button aux-black aux-modern-button-md aux-modern-button-normal aux-modern-button-default aux-icon-left\" href=\"https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/Shelters-in-Multnomah-County-9-16-25.xlsx\" target=\"_blank\">\n                <div class=\"aux-overlay\"><\/div>\n                                    <div class=\"aux-icon \">\n                        <i aria-hidden=\"true\" class=\"fas fa-file-excel\"><\/i>                    <\/div>\n                                <div class=\"aux-text\">\n<span class=\"aux-text-before\">Download Excel File<\/span>                <\/div>\n            <\/a>\n            \n    <\/div>\n\n    \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6c60af0 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"6c60af0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62702c6 elementor-widget elementor-widget-heading\" data-id=\"62702c6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Approach to Homelessness in Multnomah County <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-da9fa97 elementor-widget elementor-widget-text-editor\" data-id=\"da9fa97\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Homelessness is the biggest crisis facing Multnomah County. Billions of dollars, and immeasurable amounts of time and energy spent on plans to <strong>\u201cend homelessness\u201d<\/strong>, meaningful goals and ways to achieve them have never been established. Until problems with the County\u2019s approach to ending homelessness are clearly identified and directly addressed, the system will not succeed in ending homelessness.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b7832c1 elementor-widget elementor-widget-aux_modern_button\" data-id=\"b7832c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"aux_modern_button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t    <div class=\"aux-modern-button-wrapper aux-modern-button-align-left\" >\n                    <a class=\"aux-modern-button aux-black aux-modern-button-md aux-modern-button-normal aux-modern-button-default aux-icon-left\" href=\"https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/Approach-to-Homelessness-in-Multnomah-County-Proposed-Strategy-and-Recommendations-with-RA-4-22-25.pdf\" target=\"_blank\">\n                <div class=\"aux-overlay\"><\/div>\n                                    <div class=\"aux-icon \">\n                        <i aria-hidden=\"true\" class=\"fas fa-file-pdf\"><\/i>                    <\/div>\n                                <div class=\"aux-text\">\n<span class=\"aux-text-before\">Learn More \u2013 Download Report<\/span>                <\/div>\n            <\/a>\n            \n    <\/div>\n\n    \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e422096 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"e422096\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"aux-parallax-section elementor-element elementor-element-8232d10 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"8232d10\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3971b41 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"3971b41\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b635d8b elementor-widget__width-initial aux-appear-watch-animation aux-fade-in-left elementor-widget elementor-widget-aux_modern_heading\" data-id=\"b635d8b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"aux_modern_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<section class=\"aux-widget-modern-heading\">\n            <div class=\"aux-widget-inner\"><h2 class=\"aux-modern-heading-primary\">MENTAL HEALTH<\/h2><div class=\"aux-modern-heading-divider\"><\/div><div class=\"aux-modern-heading-description\"><p><b>What we have: <span style=\"font-weight: 400\">A disjointed, disconnected array of services for prevention, crisis response, and treatment of mental illness or addiction. As a result, many people end up in crisis in jails and emergency rooms before they can get mental health care, leading to costly stays at the Oregon State Hospital that drain state coffers before spitting people back out into bad situations without support - too often the streets.<\/span><span style=\"font-weight: 400\"><br \/><\/span><\/b><span style=\"font-weight: 400\"><b><br \/>What we need: <\/b>An \u201cair traffic control\u201d team that sees the big picture, connects the dots and directs the fragmented pieces of our disconnected behavioral health and homeless services systems. This requires:<\/span><\/p><\/div><\/div>\n        <\/section>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-440956d elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"440956d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"auxicon auxicon-primitive-dot\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Methodically assessing what\u2019s needed for prevention, treatment, crisis response, and recovery (including housing and shelter) in a holistic, person-centered system of mental health care.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"auxicon auxicon-primitive-dot\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Restructuring siloed programs into a continuum of linked services and supports designed to meet people\u2019s needs.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"auxicon auxicon-primitive-dot\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Identifying incremental achievable goals and overarching outcomes that define success based on people\u2019s movement through a system of care rather than a revolving door that makes them worse. <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"auxicon auxicon-primitive-dot\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Rigorously monitoring and assessing. <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"auxicon auxicon-primitive-dot\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Course correcting as necessary.<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"aux-parallax-section elementor-element elementor-element-518228b e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"518228b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-acb3b77 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"acb3b77\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-de6aa9f elementor-widget elementor-widget-heading\" data-id=\"de6aa9f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Multco Mental Health System Analysis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4029a31 elementor-widget elementor-widget-text-editor\" data-id=\"4029a31\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In <strong data-start=\"233\" data-end=\"241\">2017<\/strong>, Multnomah County commissioned the <strong data-start=\"277\" data-end=\"321\">Human Services Research Institute (HSRI)<\/strong> to conduct a comprehensive review of its publicly funded mental health system. The study focused on individuals of all ages who rely on public funds for mental health care, with the goal of providing a <strong data-start=\"524\" data-end=\"553\">data-driven understanding<\/strong> of how well the system meets community needs and how resources are aligned. The vision was to ensure a 21st-century mental health system.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5603379 elementor-widget elementor-widget-aux_modern_button\" data-id=\"5603379\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"aux_modern_button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t    <div class=\"aux-modern-button-wrapper aux-modern-button-align-left\" >\n                    <a class=\"aux-modern-button aux-black aux-modern-button-md aux-modern-button-normal aux-modern-button-default aux-icon-left\" href=\"https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/HSRI-MultCo-MH-Analysis-Final-Report-080918_0-1.pdf\" target=\"_blank\">\n                <div class=\"aux-overlay\"><\/div>\n                                    <div class=\"aux-icon \">\n                        <i aria-hidden=\"true\" class=\"fas fa-file-pdf\"><\/i>                    <\/div>\n                                <div class=\"aux-text\">\n<span class=\"aux-text-before\">Learn More \u2013 Download Report<\/span>                <\/div>\n            <\/a>\n            \n    <\/div>\n\n    \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-69aa6f5 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"69aa6f5\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6d870a6 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"6d870a6\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"aux-parallax-section elementor-element elementor-element-2ba6085 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"2ba6085\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-96dee5e e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"96dee5e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-43c961f elementor-widget__width-initial aux-appear-watch-animation aux-fade-in-left elementor-widget elementor-widget-aux_modern_heading\" data-id=\"43c961f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"aux_modern_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<section class=\"aux-widget-modern-heading\">\n            <div class=\"aux-widget-inner\"><h2 class=\"aux-modern-heading-primary\">Substance Use Disorder Continuum of Care<\/h2><div class=\"aux-modern-heading-divider\"><\/div><div class=\"aux-modern-heading-description\"><p><b>What we have: <span style=\"font-weight: 400\">A disconnect between policies and the real world; political goals and human needs, types and levels of services and what people actually need, supply and demand for services.<\/span><span style=\"font-weight: 400\"><br \/><\/span><\/b><span style=\"font-weight: 400\"><b><br \/>What we need: <\/b>To shift from a system organized around illness and crisis to one based on stabilization, wellness and recovery. From a problem and program based system to a person based system with centralized, effective leadership over the whole continuum, including optimizing data collection and management.<\/span><\/p><\/div><\/div>\n        <\/section>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"aux-parallax-section elementor-element elementor-element-76f993e e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"76f993e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-fccae8e e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"fccae8e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-427b113 elementor-widget elementor-widget-heading\" data-id=\"427b113\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">SUBSTANCE USE DISORDER CONTINUUM OF CARE <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-23f9f37 elementor-widget elementor-widget-text-editor\" data-id=\"23f9f37\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Leaders from the front line of the SUD continuum share their perspectives on what works, what doesn\u2019t, and what policymakers should know as they consider investing hundreds of millions of dollars in building and maintaining an effective SUD system of care.<\/p><p>Behavioral health (<strong>Substance Use Disorder (SUD)<\/strong> and mental illness) is a crisis in our region and state. Fortunately, policymakers have recognized the need for commitment of substantial resources to address the crisis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5bbeb07 elementor-widget elementor-widget-aux_modern_button\" data-id=\"5bbeb07\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"aux_modern_button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t    <div class=\"aux-modern-button-wrapper aux-modern-button-align-left\" >\n                    <a class=\"aux-modern-button aux-black aux-modern-button-md aux-modern-button-normal aux-modern-button-default aux-icon-left\" href=\"https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/Final-Draft-SUD-Continuum-of-Care-Report-12-16-24-star-1-1.pdf\" target=\"_blank\">\n                <div class=\"aux-overlay\"><\/div>\n                                    <div class=\"aux-icon \">\n                        <i aria-hidden=\"true\" class=\"fas fa-file-pdf\"><\/i>                    <\/div>\n                                <div class=\"aux-text\">\n<span class=\"aux-text-before\">Learn More \u2013 Download Report<\/span>                <\/div>\n            <\/a>\n            \n    <\/div>\n\n    \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-eb7a13b e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"eb7a13b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3fee117 e-con-full e-flex wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-child\" data-id=\"3fee117\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"aux-parallax-section elementor-element elementor-element-efb760a e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no e-con e-parent\" data-id=\"efb760a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-72b1e2f elementor-widget__width-initial aux-appear-watch-animation aux-fade-in-left elementor-widget elementor-widget-aux_modern_heading\" data-id=\"72b1e2f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"aux_modern_heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<section class=\"aux-widget-modern-heading\">\n            <div class=\"aux-widget-inner\"><h2 class=\"aux-modern-heading-primary\">Recent Blogs<\/h2><div class=\"aux-modern-heading-divider\"><\/div><\/div>\n        <\/section>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc39ab5 aux-appear-watch-animation aux-fade-in-up elementor-widget elementor-widget-aux_recent_posts\" data-id=\"bc39ab5\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;columns&quot;:&quot;3&quot;,&quot;columns_tablet&quot;:&quot;2&quot;,&quot;columns_mobile&quot;:&quot;1&quot;}\" data-widget_type=\"aux_recent_posts.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<section class=\"widget-container aux-widget-recent-posts aux-parent-au4325c2c5\"><div data-element-id=\"au4325c2c5\" class=\"aux-match-height aux-row aux-de-col3 aux-tb-col2 aux-mb-col1 aux-total-2 aux-entry-boxed aux-ajax-view  \"><div class=\"aux-col post-676\">\n                        <article class=\"post column-entry post-676 type-post status-publish format-standard has-post-thumbnail hentry category-all-blogs category-the-big-issues\">\n                                                        <div class=\"entry-media\"><div class=\"aux-media-frame aux-media-image aux-image-mask\"><a href=\"https:\/\/p3.alidigitalmedia.com\/?p=676\"><img fetchpriority=\"high\" decoding=\"async\" width=\"636\" height=\"356\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" class=\"aux-attachment aux-featured-image attachment-636.66666666667x356.53333333333 aux-attachment-id-677  aux-preload aux-blank\" alt=\"Why are things as bad as they are\" data-ratio=\"1.79\" data-original-w=\"1920\" sizes=\"auto\" data-srcset=\"https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/Why-are-things-as-bad-as-they-are-150x84.png 150w,https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/Why-are-things-as-bad-as-they-are-300x168.png 300w,https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/Why-are-things-as-bad-as-they-are-768x430.png 768w,https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/Why-are-things-as-bad-as-they-are-1024x573.png 1024w,https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/Why-are-things-as-bad-as-they-are-637x357.png 637w,https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/Why-are-things-as-bad-as-they-are-1910x1069.png 1910w\" data-src=\"https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/Why-are-things-as-bad-as-they-are-637x357.png\" \/><\/a><\/div><\/div>\n                            \n                            <div class=\"entry-main\">\n                                                                                        \n                                <div class=\"entry-info\">\n                                                                    <div class=\"entry-date\">\n                                        <a href=\"https:\/\/p3.alidigitalmedia.com\/?p=676\">\n                                            <time datetime=\"2025-09-09T05:16:15+00:00\" title=\"2025-09-09T05:16:15+00:00\" >September 9, 2025<\/time>\n                                        <\/a>\n                                    <\/div>\n                                                                                                    <span class=\"entry-meta-sep meta-sep\">by<\/span>\n                                    <span class=\"author vcard\">\n                                        <a href=\"https:\/\/p3.alidigitalmedia.com\/?author=2\" rel=\"author\" title=\"View all posts by Sharon Meieran\" >\n                                            Sharon Meieran                                        <\/a>\n                                    <\/span>\n                                                                                                                                                                        <\/div>\n                            \n                                <header class=\"entry-header\">\n                                \n                                    <h4 class=\"entry-title\">\n                                        <a href=\"https:\/\/p3.alidigitalmedia.com\/?p=676\">\n                                            Why Things Are As Bad As They Are?                                        <\/a>\n                                    <\/h4>\n                                                                    <div class=\"entry-format\">\n                                        <a href=\"https:\/\/p3.alidigitalmedia.com\/?p=676\">\n                                            <div class=\"post-format format-\"> <\/div>\n                                        <\/a>\n                                    <\/div>\n                                <\/header>\n                            \n                                                            <div class=\"entry-content\">\n                                                                            <p>\nA Yiddish word, \u201cfar-potshket\u201d, does a great job of encapsulating the problem \u2013 it refers to efforts to fix things that end up making them worse. The<\/p><div class=\"clear\"><\/div>                                <\/div>\n                                                                                        <footer class=\"entry-meta aux-after-content\">\n                                                                        <div class=\"readmore\">\n                                        <a href=\"https:\/\/p3.alidigitalmedia.com\/?p=676\" class=\"aux-read-more\"><span class=\"aux-read-more-text\">Read More<\/span><\/a>\n                                    <\/div>\n                                                                        <div class=\"comments-iconic\">\n                                                                            <\/div>\n                                                                    <\/footer>\n                            \n                            <\/div>\n\n                        <\/article>\n<\/div><div class=\"aux-col post-686\">\n                        <article class=\"post column-entry post-686 type-post status-publish format-standard has-post-thumbnail hentry category-all-blogs category-the-big-issues\">\n                                                        <div class=\"entry-media\"><div class=\"aux-media-frame aux-media-image aux-image-mask\"><a href=\"https:\/\/p3.alidigitalmedia.com\/?p=686\"><img decoding=\"async\" width=\"636\" height=\"356\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" class=\"aux-attachment aux-featured-image attachment-636.66666666667x356.53333333333 aux-attachment-id-687  aux-preload aux-blank\" alt=\"What is a by-name list why is it so crucial to ending homelessness Does the county have one (1)\" data-ratio=\"1.79\" data-original-w=\"1920\" sizes=\"auto\" data-srcset=\"https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/What-is-a-by-name-list-why-is-it-so-crucial-to-ending-homelessness-Does-the-county-have-one-1-150x84.png 150w,https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/What-is-a-by-name-list-why-is-it-so-crucial-to-ending-homelessness-Does-the-county-have-one-1-300x168.png 300w,https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/What-is-a-by-name-list-why-is-it-so-crucial-to-ending-homelessness-Does-the-county-have-one-1-768x430.png 768w,https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/What-is-a-by-name-list-why-is-it-so-crucial-to-ending-homelessness-Does-the-county-have-one-1-1024x573.png 1024w,https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/What-is-a-by-name-list-why-is-it-so-crucial-to-ending-homelessness-Does-the-county-have-one-1-637x357.png 637w,https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/What-is-a-by-name-list-why-is-it-so-crucial-to-ending-homelessness-Does-the-county-have-one-1-1910x1069.png 1910w\" data-src=\"https:\/\/p3.alidigitalmedia.com\/wp-content\/uploads\/2025\/09\/What-is-a-by-name-list-why-is-it-so-crucial-to-ending-homelessness-Does-the-county-have-one-1-637x357.png\" \/><\/a><\/div><\/div>\n                            \n                            <div class=\"entry-main\">\n                                                                                        \n                                <div class=\"entry-info\">\n                                                                    <div class=\"entry-date\">\n                                        <a href=\"https:\/\/p3.alidigitalmedia.com\/?p=686\">\n                                            <time datetime=\"2025-09-09T05:35:17+00:00\" title=\"2025-09-09T05:35:17+00:00\" >September 9, 2025<\/time>\n                                        <\/a>\n                                    <\/div>\n                                                                                                    <span class=\"entry-meta-sep meta-sep\">by<\/span>\n                                    <span class=\"author vcard\">\n                                        <a href=\"https:\/\/p3.alidigitalmedia.com\/?author=2\" rel=\"author\" title=\"View all posts by Sharon Meieran\" >\n                                            Sharon Meieran                                        <\/a>\n                                    <\/span>\n                                                                                                                                                                        <\/div>\n                            \n                                <header class=\"entry-header\">\n                                \n                                    <h4 class=\"entry-title\">\n                                        <a href=\"https:\/\/p3.alidigitalmedia.com\/?p=686\">\n                                            What is a by-name list? why is it so crucial to ending homelessness? Does the county have\u00a0one?                                        <\/a>\n                                    <\/h4>\n                                                                    <div class=\"entry-format\">\n                                        <a href=\"https:\/\/p3.alidigitalmedia.com\/?p=686\">\n                                            <div class=\"post-format format-\"> <\/div>\n                                        <\/a>\n                                    <\/div>\n                                <\/header>\n                            \n                                                            <div class=\"entry-content\">\n                                                                            <p>\nA By-Name List (BNL) is a comprehensive list of every person in a community experiencing homelessness, updated in real time.\n\n\u201cUsing information coll<\/p><div class=\"clear\"><\/div>                                <\/div>\n                                                                                        <footer class=\"entry-meta aux-after-content\">\n                                                                        <div class=\"readmore\">\n                                        <a href=\"https:\/\/p3.alidigitalmedia.com\/?p=686\" class=\"aux-read-more\"><span class=\"aux-read-more-text\">Read More<\/span><\/a>\n                                    <\/div>\n                                                                        <div class=\"comments-iconic\">\n                                                                            <\/div>\n                                                                    <\/footer>\n                            \n                            <\/div>\n\n                        <\/article>\n<\/div><\/div><\/section><!-- widget-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>The Big Issues While at the County, I methodically engaged county professionals, other subject matter experts and people with lived experience to map the county\u2019s systems and services and create blueprints for transformation.\u00a0 Fortified by that knowledge &#8211; and my recognition of how County politics sandbagged reform &#8211; I am now convening stakeholders in order to plot action steps for changes that have only grown more urgent. I will share these detailed plans on this site.In the meantime, the following are solution summaries that I have recently articulated in other channels. I have also included key reports I commissioned while at the County. Homelessness What we have: A scattered array of shelters with wide variation in (and no rationale for) cost per bed, no correlation between the types of shelters being funded and the needs of people being served, and no clear tracking of who is going where and whether they are progressing to stable, long-term housing.What we need: A shelter ecosystem designed to function as part of a comprehensive homelessness to housing continuum. Start with a real count of people, structure services to meet people\u2019s actual needs, budget effectively based on the resources available, measure results and course correct as needed. Shelters in Multnomah County \u2013 2025 Overview This report provides a comprehensive overview of shelters and alternative housing models across Multnomah County as of September 2025, categorizes more than a dozen types of shelter programs, including micro-villages, tiny home villages, Safe Rest Villages (SRVs), managed pod villages, Temporary Alternative Shelters (TAS), congregate shelters, family shelters, and transitional housing sites. This highlights the diversity of approaches, ranging from small to large-scale county-run programs. Download Excel File Approach to Homelessness in Multnomah County Homelessness is the biggest crisis facing Multnomah County. Billions of dollars, and immeasurable amounts of time and energy spent on plans to \u201cend homelessness\u201d, meaningful goals and ways to achieve them have never been established. Until problems with the County\u2019s approach to ending homelessness are clearly identified and directly addressed, the system will not succeed in ending homelessness. Learn More \u2013 Download Report MENTAL HEALTH What we have: A disjointed, disconnected array of services for prevention, crisis response, and treatment of mental illness or addiction. As a result, many people end up in crisis in jails and emergency rooms before they can get mental health care, leading to costly stays at the Oregon State Hospital that drain state coffers before spitting people back out into bad situations without support &#8211; too often the streets.What we need: An \u201cair traffic control\u201d team that sees the big picture, connects the dots and directs the fragmented pieces of our disconnected behavioral health and homeless services systems. This requires: Methodically assessing what\u2019s needed for prevention, treatment, crisis response, and recovery (including housing and shelter) in a holistic, person-centered system of mental health care. Restructuring siloed programs into a continuum of linked services and supports designed to meet people\u2019s needs. Identifying incremental achievable goals and overarching outcomes that define success based on people\u2019s movement through a system of care rather than a revolving door that makes them worse. Rigorously monitoring and assessing. Course correcting as necessary. Multco Mental Health System Analysis In 2017, Multnomah County commissioned the Human Services Research Institute (HSRI) to conduct a comprehensive review of its publicly funded mental health system. The study focused on individuals of all ages who rely on public funds for mental health care, with the goal of providing a data-driven understanding of how well the system meets community needs and how resources are aligned. The vision was to ensure a 21st-century mental health system. Learn More \u2013 Download Report Substance Use Disorder Continuum of Care What we have: A disconnect between policies and the real world; political goals and human needs, types and levels of services and what people actually need, supply and demand for services.What we need: To shift from a system organized around illness and crisis to one based on stabilization, wellness and recovery. From a problem and program based system to a person based system with centralized, effective leadership over the whole continuum, including optimizing data collection and management. SUBSTANCE USE DISORDER CONTINUUM OF CARE Leaders from the front line of the SUD continuum share their perspectives on what works, what doesn\u2019t, and what policymakers should know as they consider investing hundreds of millions of dollars in building and maintaining an effective SUD system of care. Behavioral health (Substance Use Disorder (SUD) and mental illness) is a crisis in our region and state. Fortunately, policymakers have recognized the need for commitment of substantial resources to address the crisis. Learn More \u2013 Download Report Recent Blogs September 9, 2025 by Sharon Meieran | Edit Why Things Are As Bad As They Are? A Yiddish word, \u201cfar-potshket\u201d, does a great job of encapsulating the problem \u2013 it refers to efforts to fix things that end up making them worse. The Read More September 9, 2025 by Sharon Meieran | Edit What is a by-name list? why is it so crucial to ending homelessness? Does the county have\u00a0one? A By-Name List (BNL) is a comprehensive list of every person in a community experiencing homelessness, updated in real time. \u201cUsing information coll Read More<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/page-builder-content.php","meta":{"footnotes":""},"class_list":["post-363","page","type-page","status-publish","hentry"],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/p3.alidigitalmedia.com\/index.php?rest_route=\/wp\/v2\/pages\/363","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/p3.alidigitalmedia.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/p3.alidigitalmedia.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/p3.alidigitalmedia.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/p3.alidigitalmedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=363"}],"version-history":[{"count":40,"href":"https:\/\/p3.alidigitalmedia.com\/index.php?rest_route=\/wp\/v2\/pages\/363\/revisions"}],"predecessor-version":[{"id":1710,"href":"https:\/\/p3.alidigitalmedia.com\/index.php?rest_route=\/wp\/v2\/pages\/363\/revisions\/1710"}],"wp:attachment":[{"href":"https:\/\/p3.alidigitalmedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}