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<v Jamie Dunphy>Good afternoon.

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<v Jamie Dunphy>I am calling to order this joint work session of the City of Portland and Multnomah County.

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<v Jamie Dunphy>Thank you all so much for being here today.

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<v Jamie Dunphy>Wow, I got everybody to be quiet pretty quick.

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<v Jamie Dunphy>That was fun.

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<v Jamie Dunphy>Uh, thank you to my— our county colleagues for joining us.

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<v Jamie Dunphy>Um, briefly to my county colleagues, I just emailed you a Zoom link.

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<v Jamie Dunphy>If you have a laptop, you're welcome to log in.

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<v Jamie Dunphy>You don't have to, but it's there.

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<v Jamie Dunphy>Um, today's an opportunity for city councilors and county commissioners to brief— to hear briefly from our staff and to spend most of our time talking with one another about our hopes for help from the 2027 state legislative session.

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<v Jamie Dunphy>Our focus today is housing, homelessness, and behavioral health, areas where our responsibilities intersect and where state decisions have significant consequences on the people we serve.

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<v Jamie Dunphy>Each jurisdiction is developing their own legislative agendas.

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<v Jamie Dunphy>Today's conversation can deepen the understanding of those priorities and show us where coordination would be useful.

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<v Jamie Dunphy>We're not asking either body to revise their agendas or to adopt any joint positions today.

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<v Jamie Dunphy>We know that state and local resources are constrained.

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<v Jamie Dunphy>That makes it especially important to explain clearly what state investments would accomplish and what is at risk if those investments fall short.

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<v Jamie Dunphy>I hope we can better understand what each jurisdiction needs and where our priorities overlap and how we can reinforce one another's advocacy in Salem.

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<v Jamie Dunphy>I also hope this helps shape future quarterly meetings with both bodies helping develop the topics and more time reserved for substantive conversation among elected officials.

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<v Jamie Dunphy>A quick note on how questions will work.

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<v Jamie Dunphy>After each presentation, I'll call on the members who've been selected in advance to ask questions or remarks.

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<v Jamie Dunphy>At the end, anyone who hasn't yet spoken will be first in the queue, and then the floor will be open for conversation.

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<v Jamie Dunphy>My goal in arranging it this way is to make sure that everyone gets a fair chance to speak.

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<v Jamie Dunphy>So with that, I'm going to invite Chair Vega Pederson to offer some opening remarks.

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<v Jessica Vega Pederson>Thank you so much, Council President Dunphy.

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<v Jessica Vega Pederson>Thank you thank you.

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<v Jessica Vega Pederson>Thank you, Mayor Wilson.

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<v Jessica Vega Pederson>Thank you to the city for hosting us today.

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<v Jessica Vega Pederson>It is a little bit crowded up here, but I assure you it would be much more crowded if we were trying to do this in the Multnomah County building.

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<v Jessica Vega Pederson>So just appreciate being here today.

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<v Jessica Vega Pederson>I really have 3 goals for us today.

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<v Jessica Vega Pederson>One, I want us to all walk away here with an understanding of what it's actually going to take to move the dial in decreasing homelessness in our community, what we need to invest, what those resources need to look like, because that is within our reach, but it is going to take decisions from each of our bodies thank you.

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<v Jessica Vega Pederson>To take us along that path.

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<v Jessica Vega Pederson>The second thing is really understanding what is at stake for the City of Portland, for Multnomah County in this upcoming legislative session.

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<v Jessica Vega Pederson>We are using the resources we have from the state to do so much good work, and yet a lot of these dollars that we're receiving from the state are considered one-time only and are not guaranteed to follow— to flow through to our communities unless we fight for them this legislative session.

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<v Jessica Vega Pederson>And the third thing is to really get information thank you.

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<v Jessica Vega Pederson>We're going to get some good information today that is going to inform the decisions that we will be making as a council, as a board, about the legislative agendas that we're going to be having going into the, the long legislative session.

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<v Jessica Vega Pederson>So we're going to get some good information today on what things are looking like in terms of housing, in terms of shelter, in terms of our healthcare system.

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<v Jessica Vega Pederson>We know that those are 3 systems where it is critical that they are all working together, even when funding and responsibilities sit in different systems.

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<v Jessica Vega Pederson>So understanding how our work connects can help us make a stronger case for state support and improve outcomes for the people we serve, particularly those with complex health and behavioral health needs.

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<v Jessica Vega Pederson>So I'm glad we're here.

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<v Jessica Vega Pederson>This is a chance, I think, for us to get into alignment about the work that's ahead of us.

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<v Jessica Vega Pederson>And I know we have a lot of great information that is going to be coming to us today from our staff.

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<v Jamie Dunphy>Thank you very much, Chair.

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<v Jamie Dunphy>So colleagues, we're going to start today's discussion with a brief overview of the legislative landscape and agenda process for the City of Portland.

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<v Jamie Dunphy>I'm going to welcome to the dais Jillian Schoene, who's Director of the Homelessness Response System at Multnomah County, as well as Stacy Cowan with the Multnomah County Government Relations Director, and Sam Chase, who is the Government Relations Director for the City of Portland.

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<v Jamie Dunphy>Welcome.

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<v Jillian Schoene>Thank you.

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<v Jillian Schoene>Thank you, Chair, Council President.

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<v Jillian Schoene>As mentioned, the main topic of today is homelessness, but you can't talk about homelessness without talking about affordable housing and behavioral health.

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<v Jillian Schoene>As many have said before, homelessness exists and it is prolonged because of other broken systems.

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<v Jillian Schoene>Deeply affordable housing and behavioral health are at the top of that list.

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<v Jillian Schoene>So a conversation absent those other systems is inadequate because the solutions sit at the intersection of all 3.

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<v Jillian Schoene>That is also why you see all 3 of those systems represented in the new KPIs that these 2 bodies adopted last December, which are very different and much more comprehensive from the original 4 adopted by previous city and county elected officials.

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<v Jillian Schoene>Since that time, the SOC has adopted I'm not going to go over them today.

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<v Jillian Schoene>You received a detailed memo on September 25th, a summary one-pager, and you have slides here before you for just for the record.

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<v Jillian Schoene>But I do want them at top of mind today and every day that we talk about homelessness.

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<v Jillian Schoene>You'll hear from my colleagues at a very, very high level the programs and/or resources that are associated with each, all of which I hope we fight like hell next year in the legislative session to see that they continue.

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<v Jillian Schoene>In particular, if the Homelessness Response Team is not funded, we will not be able to system does not receive the same support it receives from Salem today, we will not be able to meet the goals announced just weeks ago that are up on the screen.

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<v Jillian Schoene>Those financial investments are baked into our calculations of what we can achieve related to those goals.

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<v Jillian Schoene>Next slide.

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<v Jillian Schoene>So at the end of the day, what these KPIs and goals offer to you are an understanding of the big picture and the inflow we are up against, a shared focus on the leading outcome to decrease the number of people experiencing homelessness, and finally, that they should be used to drive the overall investment strategy in Salem, at Metro, and in our local budgets.

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<v Jillian Schoene>With that, I will hand it off first to Stacy Cowan, Director of Government Relations for Multnomah County.

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<v Stacy Cowan>Thank you so much, Jillian.

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<v Stacy Cowan>Good afternoon, everyone.

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<v Stacy Cowan>My name is Stacy Cowan.

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<v Stacy Cowan>I use she/her pronouns.

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<v Stacy Cowan>I'm the Director of Government Relations at Multnomah County.

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<v Stacy Cowan>Sam and I are just going to give you a little bit of an overview of what we expect to work on in the legislative session, just to help kind of set the stage.

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<v Stacy Cowan>So looking ahead to the next legislative session, we really expect it to be about filling the deficit created by the federal tax and spend bill, HR 1.

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<v Stacy Cowan>We will know more exactly what that deficit is, but the budget gap that we're hearing right now is at least $421 million.

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<v Stacy Cowan>I've had it said to me by budget leaders that there's almost no scenario where we don't show up to the state legislative session in a deficit.

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<v Stacy Cowan>The other really important piece that budget leaders are really focused on is that that gap and that deficit is expected to grow to $868 million in the '29-'31 biennium.

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<v Stacy Cowan>So as budget leaders are approaching this next biennium, they really are also then looking ahead to the following biennium and hoping to bend some of that cost curve.

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<v Stacy Cowan>That's a little bit of the environment that we're currently in.

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<v Stacy Cowan>Again, we'll know more on November 18th when the state legislature releases its next state revenue forecast.

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<v Stacy Cowan>The role of my team this session, I believe, first and foremost is about preservation of existing state funding.

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<v Stacy Cowan>It's about protecting core services and really holding the line on current services.

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<v Stacy Cowan>Our goal for you here today, again, as been said, is about gaining a shared understanding of the 3 most important buckets of funding as it relates to homelessness response in our region, and to really understand what that current state of funding is for each of those buckets.

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<v Stacy Cowan>I also want you to make sure and take away something that the chair mentioned, and that's that while the legislature has made really significant investments in different important areas, including housing production, homelessness prevention, shelter, and rehousing, a substantial portion of these investments are not included in the state's ongoing budget base.

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<v Stacy Cowan>These are not ongoing current service level funds.

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<v Stacy Cowan>So what that means is for folks like me and Sam and our team is that in order to just maintain current service level, it requires additional legislative action in 2027.

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<v Stacy Cowan>Okay.

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<v Stacy Cowan>Multnomah County Board is going to come together on December 3rd.

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<v Stacy Cowan>We will provide a presentation where they'll approve the next state legislative agenda.

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<v Stacy Cowan>That will be the work that— that document will be what guides me and my team during the state legislative session.

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<v Stacy Cowan>I do want to extend a thanks to Sam Chase and his team for their continued partnership and alignment and working together as we prepare for the next state legislative session.

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<v Stacy Cowan>And with that, I'll hand it over to Sam.

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<v Sam Chase>Thank you, and I want to thank you for the opportunity to share some comments, and I really want to thank both of these bodies for the collaboration and work that you have done in past sessions and worked with us together.

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<v Sam Chase>One of the core principles that we have at the city for establishing and setting our agenda is to really do the hard work to try to seek consensus internally, to do the hard work of making sure that everyone is informed about decision-making and understanding those opportunities that also extend.

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<v Sam Chase>Because when we do that, we go down with solutions to the legislature that land well.

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<v Sam Chase>When we— that same principle applies here.

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<v Sam Chase>And so we're really excited about the opportunity here and learn more about the shared values and objectives and the policy work that really helps inform the agenda setting.

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<v Sam Chase>We're on a similar timeline with the county.

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<v Sam Chase>December 2nd, we have another work session set up to work with our council, and during that time and beyond, we will be working to coordinate and collaborate with the county on shared priorities.

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<v Sam Chase>Of course, we're expecting more than 3,000 bills in the legislature.

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<v Sam Chase>We're expecting that there's going to be a lot of work to defend and protect the city's authority to deliver services in a whole host of areas, you know, transportation, water, parks, all of that work that has to be protected and our ability to do that.

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<v Sam Chase>But today is really about those shared priority areas, those 3 buckets of homelessness, housing, behavioral health, and it's to learn from you and hear your perspective as we As we are working to develop this process and put the best possible packages forward and advocacy forward with legislators.

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<v Sam Chase>And while there's uncertainty before every legislative session, I will just again add that we have far greater success when we're not asking legislators to pick or choose different proposals that are put before them, but when we come aligned and unified, it truly has proven over and over again that that is a strategy that increases our odds for success dramatically.

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<v Sam Chase>And we look forward to hearing more from you today.

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<v Jamie Dunphy>Thank you very much.

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<v Jamie Dunphy>So colleagues, that moves us into our first— excuse me, colleagues— that moves us into our first substantive section focused on housing preservation and production.

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<v Jamie Dunphy>I'd like to welcome up Interim Portland Housing Bureau Director Quisha Light to speak on what the city needs from Salem to preserve and produce affordable housing and how that work is showing up locally.

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<v Jamie Dunphy>Welcome, Director Light.

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<v Quisha Light>Thank you.

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<v Quisha Light>Good afternoon, Chair, councilors, commissioners.

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<v Quisha Light>For the record, my name is Quisha Light.

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<v Quisha Light>I'm the interim director of the Portland Housing Bureau, and I use she/her pronouns.

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<v Quisha Light>I want to begin first with the connection to our homelessness response system.

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<v Quisha Light>We need affordable homes people can move into from shelter.

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<v Quisha Light>And we need to keep people stable in the homes they already have.

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<v Quisha Light>That means paying attention not only to housing supply but to affordability, building conditions, and providers' ability to operate successfully.

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<v Quisha Light>Production and preservation are complementary.

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<v Quisha Light>New development creates more opportunities, and preservation protects residents and the significant public investments we've already made.

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<v Quisha Light>From PHB's perspective, we have 3 priorities for Salem.

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<v Quisha Light>First, sustained investment in preservation and stabilization.

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<v Quisha Light>We need to sustain the 25-27 funding as it is.

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<v Quisha Light>We need resources to rehabilitate buildings, protect affordability as restrictions expire, and to intervene when properties face financial distress.

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<v Quisha Light>Importantly, a property can have decades left on its affordability restrictions and still struggle with failing systems or operating expenses that exceed revenues.

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<v Quisha Light>Restrictions alone don't keep a building viable.

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<v Quisha Light>We need the flexibility to address problems before they become crises.

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<v Quisha Light>Second, we need continued LIHTC support for LIHTC rental housing and homeownership.

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<v Quisha Light>Affordable developments depend on layers of local, state, federal, and private financing.

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<v Quisha Light>Predictable state investment helps us close gaps, Keep projects moving and sustain a development pipeline.

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<v Quisha Light>Homeownership investment also creates opportunities for households that are priced out of the market.

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<v Quisha Light>Third, housing-related infrastructure funding.

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<v Quisha Light>We have streets, water, sewer, and other improvements.

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<v Quisha Light>These things can determine whether a site is ready to build, and those costs can be more than an individual affordable project can absorb.

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<v Quisha Light>If these investments decline, repairs get deferred, distressed buildings become harder to stabilize, new production has to replace it before we make progress.

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<v Quisha Light>Excuse me.

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<v Quisha Light>And new— sorry, new projects get delayed, can be delayed, scaled back, or lost.

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<v Quisha Light>And those pressures compound.

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<v Quisha Light>When providers struggle to sustain existing buildings, they may also have less capacity to build more.

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<v Quisha Light>And when we lose an affordable home, new production has to replace it before we make progress.

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<v Quisha Light>For our homelessness response, this means fewer homes available for people exiting shelter and greater risk of displacement for people already housed.

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<v Quisha Light>So what are we doing locally?

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<v Quisha Light>Our unified housing strategy is bringing City Council and the mayor's administration together around shared priorities for production, preservation, innovation, and funding.

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<v Quisha Light>With clearer goals and accountability.

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<v Quisha Light>The Keep Portland Housed ordinance puts resources behind that strategy.

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<v Quisha Light>The $55.9 million supplemental budget is supporting rent assistance, portfolio stabilization, including rent and debt buydowns, safety and security improvements, and repairs to significantly damaged units so they can be leased.

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<v Quisha Light>It's all—.

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<v Quisha Light>It also supports a revolving loan pilot connected to our social housing work.

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<v Quisha Light>Thank you.

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<v Quisha Light>Our social housing study examines cooperative and community ownership, tenant stability, financing, and strategic acquisition.

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<v Quisha Light>Next, we'll test financing and acquisition approaches against actual properties and identify the staffing, partners, and resources needed to move viable options forward.

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<v Quisha Light>And then the Mayor's Housing Strike Team, that brings providers, property managers, and city bureaus together to address vacancies, a vacant apartment becomes a real housing opportunity only when the unit is ready, the rent works for the household, and the household can navigate the move-in process.

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<v Quisha Light>We're addressing those barriers alongside property safety, security, and resident experience, including the development of safety and security training.

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<v Quisha Light>We're also evaluating landlord-tenant policies, inclusionary housing, and development incentives, and looking at pertinent policies and programs to support the development of affordable housing.

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<v Quisha Light>Thank you.

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<v Quisha Light>Permitting improvements so our rules and processes better support stability and production.

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<v Quisha Light>So our message to Salem is about sustained partnership.

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<v Quisha Light>We cannot build our way out while losing the homes we've already created, and we cannot preserve our way out without creating more.

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<v Quisha Light>We need to do both and ensure those homes remain safe, stable, and occupied.

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<v Quisha Light>Thank you.

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<v Jamie Dunphy>Thank you, Director Light.

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<v Jamie Dunphy>I'm going to call on councilors in this order: Councilor Avalos, Commissioner Singleton, Councilor Koyama Lane, and Councilor Novick.

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<v Jamie Dunphy>Councilor Avalos kicks off.

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<v Candace Avalos>All right, thank you.

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<v Candace Avalos>Thank you so much, Director Light, for all of your work over this year.

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<v Candace Avalos>So as the Housing and Permitting Chair, the biggest body of work that I've been leading has been the Unified Housing Strategy.

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<v Candace Avalos>Thank you for giving a preface to that.

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<v Candace Avalos>So the purpose of UHS is pretty simple.

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<v Candace Avalos>Portland has a lot of housing problems, as we know, and policies and funding tools and partners, but they haven't all operated thank you.

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<v Candace Avalos>And so we're trying to take that step back, understand the full housing continuum, identify where the gaps still are, and help us as a council make clearer choices about where public investment can have the greatest impact.

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<v Candace Avalos>So that means, uh, looking at everything from homelessness prevention and deeply affordable housing, as we all know, to also workforce and middle-income housing, homeownership preservation, and market-rate production.

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<v Candace Avalos>They all are a part of this.

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<v Candace Avalos>It also means that we need to ask if we have enough tools for Portlanders who fall in between these existing categories.

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<v Candace Avalos>That's something that we're hearing in the listening sessions as well.

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<v Candace Avalos>One of the gaps that has become especially important to me is permanently affordable housing outside of our traditional inclusionary housing and affordable housing models.

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<v Candace Avalos>So that is where the social housing study and our UHS work begin to connect.

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<v Candace Avalos>And when I talk about social housing, I'm not talking about replacing the affordable housing system that we already have.

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<v Candace Avalos>We already have really strong nonprofit developers and community land trusts, affordable housing partners that are doing the work.

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<v Candace Avalos>I'm talking about adding tools that allow us to grow a larger non-market housing sector So that can include things like strategic acquisition of land and existing buildings, cooperative and community ownership, limited profit or cost-based housing, shared equity models, and financing structures where public investment can be recycled and reinvested into future housing.

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<v Candace Avalos>The goal is to create housing where affordability lasts, where people are not punished for earning more money, and where the value created through public investment actually stays within the public in our housing system.

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<v Candace Avalos>And so that is why the partnership with the state matters so much.

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<v Candace Avalos>What we need is sustained resources to preserve the affordable housing that we have already invested in.

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<v Candace Avalos>We need the state to continue investing in affordable rental housing and homeownership production.

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<v Candace Avalos>We need infrastructure investment that can unlock development, and we need enough stability and flexibility in those resources to begin testing new models and filling gaps in the housing continuum.

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<v Candace Avalos>The UHS process is helping us identify those choices now, and we have been working with practitioners and housing experts, and we just finished our last thank you.

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<v Candace Avalos>Thank you, Mayor.

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<v Candace Avalos>I want to thank everyone who participated in the last community event.

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<v Candace Avalos>Great, great work from the entire SEDSA department to really put on those events and hear directly from Portlanders about what housing stability means to them and where they think the city should put their focus.

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<v Candace Avalos>So ultimately, my goal is that when this strategy comes back to council, it's not just a list of things that we all agree are good.

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<v Candace Avalos>It should give us a real roadmap for how we produce more housing, protect what we already have, and grow permanently affordable non-market housing and make the hard choices now thank you, Council President.

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<v Shannon Singleton>Thank you, Director.

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<v Shannon Singleton>I've just been hearing nothing but praise for you and your work and your team, and just want to appreciate out loud your, your true authentic partnership with us on our eviction prevention work.

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<v Shannon Singleton>I've heard just lots of praise from DCHS, so thank you.

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<v Quisha Light>Great, thank you.

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<v Shannon Singleton>You know, I'm really excited about the unified housing strategy, social housing, and I'm worried about what we do in the meantime.

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<v Shannon Singleton>With a 2-year pipeline of just 720 apartments that are affordable for folks at the lowest income, I'm curious what, if anything, might be on your radar on how we increase production there.

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<v Shannon Singleton>I know there's the idea of also potentially buying down rents at the 60% AMI.

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<v Shannon Singleton>Thank you, Mayor Wilson.

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<v Shannon Singleton>I'm curious, kind of updates from the data of the housing strike team, and are we actually seeing decreases in vacancy?

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<v Shannon Singleton>What are our opportunities to activate some of those properties?

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<v Shannon Singleton>I'm just very concerned.

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<v Shannon Singleton>We have some goals, and the goals I think are set on what our budgets have been, but we had to take away a key performance indicator around housing production.

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<v Shannon Singleton>And I just want to be really honest, the market has never solved for 0 to 30, right?

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<v Shannon Singleton>We know that that's an ongoing challenge.

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<v Shannon Singleton>LIHTC seems to be increasingly challenging to actually make a project fungible in the long term.

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<v Shannon Singleton>So sorry, I know these are really big questions, but I'm just curious on your thoughts and how we can start to think about how we can work cross-jurisdictionally to address that lowest-income affordable need that we actually have.

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<v Quisha Light>Well, thank you for that question.

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<v Quisha Light>And I think you first— the first thing you said, I think, is really important, right?

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<v Quisha Light>It has to continue to be cross-jurisdictional, right?

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<v Quisha Light>We have to continue all be coming to the table to solve these problems because we are not— they're too big to do alone.

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<v Quisha Light>I think the other thing that we have learned, and it's one of the reasons why I really appreciate the strike team work that we're doing, it's given us an opportunity to see what it's really like to run these buildings, right?

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<v Quisha Light>We keep wanting to build more and build more, but we're not understanding the challenges that the affordable housing providers are facing.

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<v Quisha Light>And now we're digging in and we're understanding what it's taking for them to operate these buildings and the challenges that they, you know, it sounds great when we say we want to have all people, regardless of their circumstance or situation, in the same building, but there are challenges that come with that.

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<v Quisha Light>And I think that knowledge we need to take into the next phase of how we do production.

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<v Quisha Light>We can't just keep— we, you know, we can't just go and produce the units.

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<v Quisha Light>I think we have some opportunities with a lot of one-bedrooms to potentially bring in, you know, to help with some of that, because a lot of the vacancies we are seeing, we see that an opportunity to, particularly for some of our seniors, to bring— get them into some of those one-bedroom units where we're— to get some of that vacancy down.

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<v Quisha Light>I think the other thing, when you look at production, I go back to the social housing study, that opportunity for the city and the county to do that, to do the land banking, to actually make it affordable from the very beginning, to say, look, this isn't about profit, this isn't about us trying to compete with market.

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<v Quisha Light>This is already, from the foundation, it's non-market.

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<v Quisha Light>We are going to ensure that this is deeply affordable.

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<v Quisha Light>And we just need to know that that's what we're doing.

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<v Quisha Light>And we haven't necessarily— that hasn't been the plan.

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<v Quisha Light>And we're restructuring that now.

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<v Quisha Light>We're really coming into it, I think, with a much more intentional approach.

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<v Quisha Light>One of the things that— I mean, all of this great— and all of this is great for us to talk about it because right now we don't even have the funding to even get there.

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<v Quisha Light>And so we need funding to even start doing— to build more.

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<v Quisha Light>Right.

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<v Quisha Light>But I'm glad that we actually have this time before we have the money, because through the UHS work, through the housing strike team work, we're learning.

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<v Quisha Light>We're—.

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<v Quisha Light>All the mistakes, what we did well, what we need, and what we're learning from.

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<v Quisha Light>And so that we can actually use that money to build and do it the right way.

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<v Quisha Light>Um, so I don't have a set plan of how we're going to get more units to you.

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<v Quisha Light>It is all across the Community Economic Development Service area.

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<v Quisha Light>Thank you.

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<v Quisha Light>We're all coming together from BPS to permitting, all of us trying to figure out how do we keep growing and making sure the system is set up so when we do have the funding, we build, we build faster, we build better, and we take care of people and we take care of the housing better because we're having to go and spend a lot of money now to preserve because we had— we've had to learn some hard lessons.

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<v Quisha Light>Yeah.

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<v Shannon Singleton>Thank you.

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<v Shannon Singleton>I really appreciate that.

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<v Shannon Singleton>And I would say let's continue to partner because We have to be hyper-focused at 0 to 30, maybe up to 40.

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<v Shannon Singleton>Our homeless families are not making 60%.

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<v Shannon Singleton>That's why there's vacancies, right?

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<v Shannon Singleton>We can't get them in those apartments.

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<v Shannon Singleton>And so I think as much as we can help use the income data we have in homeless services to help inform production, the better we'll be able to align the housing to the homelessness to housing continuum.

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<v Shannon Singleton>So thank you.

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<v Quisha Light>Thank you.

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<v Jamie Dunphy>Thank you, Commissioner Singleton.

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<v Jamie Dunphy>Councilor Koyama Lane.

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<v Tiffany Koyama Lane>Thank you.

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<v Tiffany Koyama Lane>Thank you so much for being here, for everything you shared, and I echo that I continue to hear so much about your amazing leadership, Director.

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<v Tiffany Koyama Lane>Thank you.

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<v Tiffany Koyama Lane>This— in this conversation, there's a particularly really important connection to— from housing stability, you know, being so connected to homelessness prevention, and our responsibility—

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<v Tiffany Koyama Lane>Our responsibility doesn't end when affordable housing is built.

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<v Tiffany Koyama Lane>Our responsibility extends beyond and also includes helping people, you know, access housing, making sure they can remain safely and successfully housed, and making sure that also these units, these homes, remain safe and taken care of, occupied, and are financially sustainable.

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<v Tiffany Koyama Lane>And I think having your leadership and support in this broader conversation around how is the city and county better coming together, coordinating resources and services to support residents, providers, affordable housing communities?

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<v Tiffany Koyama Lane>I think that is really important.

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<v Tiffany Koyama Lane>There's clearly more work to do around areas like occupancy rates and longer-term solutions to challenges that many of our affordable housing providers are facing.

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<v Tiffany Koyama Lane>And I'm wondering if—

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<v Tiffany Koyama Lane>I'm wondering if you can speak a bit to what is affecting occupancy rates around affordable housing.

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<v Tiffany Koyama Lane>What are some real ideas and solutions that we are focusing on or we can be focusing on locally?

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<v Tiffany Koyama Lane>What can we be asking from the state?

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<v Tiffany Koyama Lane>And I think it also goes without saying is, you know, what are some ideas and solutions that aren't just evicting people, you know, and people ending up in homelessness or back in homelessness?

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<v Tiffany Koyama Lane>Would love to hear some of your thoughts about what we can be doing around occupancy and, and making sure that, that those rates are, are going down, or the vacancy rates are going down and the occupancy rates are going up.

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<v Quisha Light>Yeah, well, this has been the heart of the work we've been doing with, uh, with the housing strike team.

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<v Quisha Light>I mean, going from building to building, we've been visiting, and, um, I, I will say safety and security,

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<v Quisha Light>I mean, it's a big one.

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<v Quisha Light>And if residents don't feel secure in their homes, they leave.

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<v Quisha Light>If they can leave, if they can afford to leave.

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<v Quisha Light>And that is something that we're, we're giving dollars to, to help these properties be able to beef up their security.

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<v Quisha Light>And we weren't giving those dollars in that way, you know, until recent— what, the last couple of years where we've actually been dedicating dollars for safety and security.

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<v Quisha Light>We are— one of the other things that we hear, it just goes back to what Commissioner Singleton said.

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<v Quisha Light>I mean, people can't afford to stay in the apartments.

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<v Quisha Light>The rent is too high.

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<v Quisha Light>And we have providers that are lowering rents and doing everything they can to offer concessions so that we can bring those vacancies down and help people stay housed.

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<v Quisha Light>But the rent is too high.

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<v Quisha Light>Um, we're hearing that, you know, they can't— some of the vacancy issues are because you had someone in the unit and they destroyed it, and it's going to cost that provider $20,000 to fix a unit to even get it back online.

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<v Quisha Light>They can't.

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<v Quisha Light>And you think, well, just pay the $20,000 and get it back online.

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<v Quisha Light>Well, they don't have that much money when it's yes.

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<v Quisha Light>It's 3 or 4 units that require that $20,000.

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<v Quisha Light>They don't have enough.

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<v Quisha Light>And if there's just one unit, they were also— one of the things that we've heard is just even finding vendors that will do this work for them is a challenge because they don't have faith that the vendor doesn't have faith that they're going to get paid.

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<v Quisha Light>So I think there's some workforce opportunities here that we can actually help them.

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<v Quisha Light>One of the things that we've been talking to them about is how we bring their resources together.

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<v Quisha Light>And so we, when we heard about the unit turn problem, We put dollars on the table so that they could do the unit turns.

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<v Quisha Light>So our recent notice of funding availability is allowing them to get up to $100,000 to help them with unit turns.

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<v Quisha Light>Right?

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<v Quisha Light>That is something that's significant because now they can go to a contractor and say, I have $100,000.

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<v Quisha Light>Can you please come and fix these units?

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<v Quisha Light>They didn't have that before.

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<v Quisha Light>So those are just some of the things that we're doing to get that vacancy down and to address and get occupancy up.

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<v Quisha Light>It is, but there are a lot of issues that are feeding into why those units are vacant.

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<v Quisha Light>And then I want to say this too.

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<v Quisha Light>Some of the units, they may be vacant as far as they're not physically vacant, they're economically vacant.

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<v Quisha Light>So people are sitting in the units and not paying.

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<v Quisha Light>So, you know, and we count that differently.

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<v Quisha Light>So there are a lot of issues that feed into this.

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<v Tiffany Koyama Lane>Thank you.

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<v Tiffany Koyama Lane>Have there been conversations around how the state can be supportive around this occupancy issue?

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<v Quisha Light>We've had some conversations, and I think some of this gets into the preservation dollars that we need.

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<v Quisha Light>There is also conversation around, you know, specific funding that can help seniors and others specifically to get them housed and into some of these units.

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<v Anthony Jordan>Yes.

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<v Jillian Schoene>And also, if I may just layer in here, the other thing— the, the county sits around this table with Director Light as well, and one of the projects that is, uh, launching next month is the Home Forward Eviction Prevention In-Reach Program.

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<v Jillian Schoene>That was an amendment by Commissioner Singel to actually go to families with a case manager, 2 case managers, and figure out what they need to stay housed and be successful, whether that's rent assistance or connection to services.

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<v Jillian Schoene>So we're trying that out in Home Forward properties specifically, and we're going to start with 3.

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<v Jamie Dunphy>Thank you, Councilor Koyama Lane.

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<v Jamie Dunphy>Councilor Novick, finish us off for this section.

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<v Jamie Dunphy>Thank you, Mr. President.

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<v Steve Novick>Director Light, I really appreciate your focus on understanding the challenges that affordable housing providers face.

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<v Steve Novick>Um, I've got a question about what if the legislature asks us about priorities?

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<v Steve Novick>If our—.

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<v Steve Novick>If Stacy and Sam and their folks are down in the legislature and they say, you know what, we've got this deficit, we know you want to continue investment in both preserving existing housing and adding more housing, but we're not going to do both, both of them at the same level, so you choose which would you prioritize.

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<v Quisha Light>What answer would you suggest that Stacy and Sam give to that question?

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<v Quisha Light>So I just want to start quickly with—

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<v Quisha Light>We were having this conversation at the— with the community in the UHS, and one of the community members said, why do you have this in this trade-off section?

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<v Quisha Light>Why do you— why does it have to be an either/or?

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<v Quisha Light>Because you know we need both.

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<v Quisha Light>So why are you telling us we have to choose?

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<v Quisha Light>And we said, because we're going to be forced to make a choice.

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<v Quisha Light>But they were insistent that it needs to be both.

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<v Quisha Light>But I will say this, if we have to prioritize, let's prioritize keeping people housed stably.

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<v Quisha Light>Let's prioritize preserving what we have and keeping people housed stably.

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<v Quisha Light>The reality is— and then if I can go to— and then if you get to go down from there, yes, we want to produce more.

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<v Quisha Light>And you can prioritize even the producing more by leveraging other resources.

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<v Quisha Light>Thank you.

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<v Quisha Light>And, you know, so if there are other resources there that can be leveraged, then let's prioritize that, um, too.

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<v Sameer Kanal>I really appreciate that answer.

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<v Anthony Jordan>Thank you.

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<v Jamie Dunphy>Thank you, Councilor Novick.

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<v Jamie Dunphy>Thank you, Director Light.

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<v Jamie Dunphy>We're going to move to our next section focused on prevention, shelter, and housing placement.

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<v Jamie Dunphy>I'd like to introduce, uh, Nathaniel Virgau— Virgau?

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<v Jillian Schoene>Virgau.

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<v Jeston Black>Virgau.

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<v Jamie Dunphy>Apologies, sir.

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<v Jamie Dunphy>Uh, Director of the Homeless Services Department, who will take about 5 minutes to walk us through what the city and the county need from Salem on prevention, shelter, and housing placement, and what that support would mean to us locally.

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<v Jamie Dunphy>Take it away.

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<v Nathaniel VerGow>Good afternoon, Council President, Council members, commissioners.

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<v Nathaniel VerGow>Deeply appreciate the opportunity to share with you all.

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<v Nathaniel VerGow>This is an exceptionally important source of funding for our system and one that would be extremely detrimental for us to lose.

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<v Nathaniel VerGow>So on the— on your screens, you've got the 3 primary sources of thank you, Mayor.

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<v Tiffany Koyama Lane>Thank you, Deputy City Administrator Millicent Williams.

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<v Elana Pirtle-Guiney>Thank you, Mayor.

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<v Nathaniel VerGow>So I'll start with the first point, the existing state funding streams.

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<v Nathaniel VerGow>These are the existing state funding streams that we receive for prevention, shelter, and rehousing that will expire in the next biennium if the state does not take action.

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<v Nathaniel VerGow>They represent financial investments that are key to the analysis that the HRS team includes in setting its goals.

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<v Nathaniel VerGow>So we will not likely achieve those goals if we do not have this funding next fiscal year.

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<v Nathaniel VerGow>In addition, I don't expect that local budgets would be able to make up for this gap.

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<v Nathaniel VerGow>So I want to share that in getting this message out, we are organizing a tour with our state legislators to understand what the investments and the importance of the impacts that those investments have.

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<v Nathaniel VerGow>So in November, we will be touring a number of legislators around the county, focusing on shelters that they're funding and also working with them to understand the impacts of prevention and the long-term rental assistance and rapid rehousing programs that their investments allow us to do.

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<v Nathaniel VerGow>In the end— pardon.

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<v Nathaniel VerGow>So I'll end by reminding us all to keep a focus on all 3 program areas.

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<v Nathaniel VerGow>I've heard a lot of focus on ensuring continued funding for shelter, which I absolutely agree with.

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<v Nathaniel VerGow>And we need to ensure that we also push for the long-term rental assistance and thank you very much, Director.

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<v Jamie Dunphy>I'm going to call— just as a note, colleagues, if there are questions, we have folks from Portland Solutions here available to answer questions as well.

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<v Jamie Dunphy>I'm going to call on Deputy City Administrator Donnie Oliveira.

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<v Jamie Dunphy>Thank you, Mayor.

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<v Jamie Dunphy>Commissioner Jones-Dixon, followed by Councilor Ryan, followed by Commissioner Brim-Edwards, followed by Councilor Morillo.

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<v Jamie Dunphy>So, Commissioner.

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<v Vince Jones-Dixon>Great, thank you.

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<v Vince Jones-Dixon>Thank you, President.

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<v Vince Jones-Dixon>Thank you, Director, for being here this, um, this morning.

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<v Vince Jones-Dixon>As most of you know, I'm the only commissioner that has 3 other cities outside of Portland, so I'm just going to approach my— or just share with you just my concerns based off of that.

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<v Vince Jones-Dixon>I know we've been talking about just the system out in East County specifically and what's worked out there.

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<v Vince Jones-Dixon>It's been employment services and then direct services and residential services.

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<v Vince Jones-Dixon>It sounds like we're already— we started that process through under your leadership as far as the conversations.

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<v Vince Jones-Dixon>I have nothing to recommend at this point as it pertains to the state because that's been a priority as far as the county is concerned.

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<v Vince Jones-Dixon>So I don't have a question.

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<v Vince Jones-Dixon>I just wanted to put that on record.

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<v Vince Jones-Dixon>And again, just thank you for your efforts and the work that you've been doing as far as gathering the East County leaders and developing a program or a response that actually works for the district.

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<v Sameer Kanal>Thank you.

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<v Nathaniel VerGow>I appreciate that recognition.

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<v Nathaniel VerGow>Thank you.

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<v Jamie Dunphy>Thank you, Commissioner.

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<v Jamie Dunphy>Councilor Ryan.

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<v Dan Ryan>Council President, hello Nathaniel, nice to meet you.

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<v Dan Ryan>Hello Jillian, good to see you.

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<v Dan Ryan>My questions will frame dialogue around the intersection of shelters and housing placement with behavioral health and workforce.

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<v Dan Ryan>To the opening comments, it's in the building of these intersections where local government struggled and frankly failed to build that system.

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<v Dan Ryan>So I'm looking for what that plan will be that will give us the results that our city and county deserve.

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<v Dan Ryan>The majority of those who are currently homeless are men between the ages of 25 and 44—or 54, sorry—who are experiencing untreated behavioral health, namely untreated for their addiction and mental health challenges.

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<v Dan Ryan>This demographic will benefit greatly from workforce opportunities as well.

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<v Dan Ryan>With that core audience in mind, how are we building a better system?

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<v Dan Ryan>And I'm struggling to find that in this and how we're prioritizing our work.

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<v Dan Ryan>I want us to think about how we create a more coordinated pathway.

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<v Dan Ryan>I'd like our partners in Salem to see the importance of a full continuum of care.

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<v Dan Ryan>To witness someone enter the shelter system who needs mental health or substance abuse treatment, then when they accept the services and take steps towards treatment, we need to make sure that they're placed in a safe, stable place to live while they're working towards recovery.

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<v Dan Ryan>When I listen to recovering addicts who are now in stable housing and workforce, they all say the same thing.

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<v Dan Ryan>Why are those doing this work not talking to us?

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<v Dan Ryan>We need transitional housing for those in recovery, which would, which would be the most to, to, which would do the most for those who are on the streets.

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<v Dan Ryan>When someone's in recovery, is moved into housing with residents who are using, or selling drugs in a unit down the hall, those conditions promote a relapse.

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<v Dan Ryan>So my questions to that end is, how can the city, county, and state create meaningful incentives that recognize and reward individuals who are actively taking steps towards stability, whether they're participating in behavioral health treatment, maintaining sobriety, engaging in case management, engaging in workforce, demonstrating positive behavior within this is behavior change work.

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<v Dan Ryan>Where's the rewards program for those who are improving their behavior?

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<v Nathaniel VerGow>There's a lot there.

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<v Nathaniel VerGow>So let me, let me just start by saying, to give you some updates in terms of the work that we are already doing to do this cross-sector coordination and collaboration, because I wholeheartedly agree with you, that is where that's where local governments struggle and where we collectively have struggled, but we are making improvements.

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<v Nathaniel VerGow>So over the last couple years, we've been working with Health Share Oregon.

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<v Nathaniel VerGow>We have a data sharing agreement with them, so we're able to see within our homeless management information systems database the folks that we're serving through the homelessness system.

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<v Nathaniel VerGow>We're able to see how they show up in the health data as well.

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<v Nathaniel VerGow>So we're looking at specifically—.

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<v Nathaniel VerGow>Thank you.

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<v Nathaniel VerGow>What the outcomes are relative to their utilization and specific types of utilization within the healthcare system so that we can be designing programs specifically to be able to address those.

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<v Nathaniel VerGow>And that includes substance use, mental health, as well as physical health challenges.

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<v Nathaniel VerGow>So we are actively building the framework and the base that we will need to be able to expand programs and design appropriate programs.

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<v Nathaniel VerGow>We've done some testing already.

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<v Nathaniel VerGow>We're going to think about talking— talk about it later.

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<v Nathaniel VerGow>But I'll just mention that there was a pilot that was done with the behavioral health system to work on getting folks who are coming out of psychiatric hospitalizations to make sure that they can stabilize in behavioral health shelter beds where they're getting the support they need from the behavioral health system and the shelter that they need to be able to receive and, uh, and take advantage of that care, uh, and that, that, um, uh, those services.

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<v Nathaniel VerGow>Additionally, this year the county has, uh, invested money in, um, utilizing recovery housing, uh, so that there are specific opportunities to be able to provide shelter for folks exiting substance use treatment programs.

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<v Nathaniel VerGow>Um, so that is, uh, it's a one-time-only funding this year, but it is really a test to see how that can So that we can explore that in future budget years.

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<v Nathaniel VerGow>And then additionally, we are working with potential philanthropic funding to be able to expand access for substance use treatment, specifically for folks with stimulant use disorder, which is exceptionally prevalent here in Multnomah County.

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<v Nathaniel VerGow>And we've seen in the data sharing with Health Share is a contributing factor to folks having challenges in retaining their places in shelter and permanent housing.

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<v Nathaniel VerGow>So we're working to be able to develop a test pilot to be able to have treatment options specifically for those folks that we can use to stabilize them across our system.

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<v Nathaniel VerGow>So the work is happening.

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<v Nathaniel VerGow>It is not advanced— as advanced as I would like it to be and clearly is as you all would like it to be, but it is happening.

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<v Nathaniel VerGow>So there's, there are foundations that we need to build on.

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<v Jillian Schoene>And I'll talk more about all of that in the behavioral health section, Councilor.

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<v Dan Ryan>Pardon me?

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<v Jillian Schoene>I'll talk more about some of the stuff that Nathaniel just mentioned in the behavioral health section.

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<v Dan Ryan>I realized I did a hybrid between this section and the next one because I was controlled to be in this one, but I wanted to be in the other one.

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<v Dan Ryan>That was a deserved laugh.

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<v Dan Ryan>I just want to apologize.

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<v Dan Ryan>This is becoming a priority.

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<v Dan Ryan>That's my point.

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<v Dan Ryan>And it— in my 6 years, it's obviously been a frustration that it hasn't been.

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<v Dan Ryan>You don't hear anyone in Salem say Multnomah County, Portland, Oregon is coming to us with this type of focus for transitional housing and to reward those that are improving their behavior, and then they can become part of the workforce.

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<v Dan Ryan>And then they can become independent.

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<v Dan Ryan>And so when we listened to a recovering addict come to the dais 2 weeks ago, she said, why isn't anyone talking to us?

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<v Dan Ryan>Like, we're the— we're somehow— we beat the odds.

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<v Dan Ryan>It's kind of like in education, we want to talk to the kids that somehow beat the odds to be ready to go on to college in spite of all their challenges.

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<v Dan Ryan>And those are the ones that you get the wisdom from.

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<v Dan Ryan>I think we continue to fail to really listen to that focus group and then promote them into a better life and then become a part of the workforce.

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<v Dan Ryan>They'll be great doing outreach work.

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<v Dan Ryan>God knows we need more outreach work.

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<v Dan Ryan>So anyway, just wanted to make sure that I could use my 2 minutes or more to really promote this idea.

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<v Vince Jones-Dixon>I would— can I jump in real quick?

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<v Vince Jones-Dixon>I would argue— I would say that we as Ward County, we are— we have recognized that that is a gap, and that's one of the reasons why we're saying that we need residential services for property for apartment complexes, especially affordable housing complexes, you have property managers that are acting as or trying to be resident— try to provide residential services and wraparound services, and that's not their job.

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<v Vince Jones-Dixon>And then you have like there's a Father's Heart in Clackamas County.

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<v Vince Jones-Dixon>Their retention rate is— I think their retention rate is like 90% because they have wraparound services and property managers are in their lane.

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<v Vince Jones-Dixon>So we just— we're building off that system now.

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<v Vince Jones-Dixon>That's why I'm extremely appreciative of the conversation.

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<v Vince Jones-Dixon>And the groups that are focusing on that, and we're focused on that at the county.

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<v Dan Ryan>Thank you, Commissioner Dixon, and thanks for lifting some best practices that aren't too far away from us.

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<v Dan Ryan>Yeah, appreciate it.

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<v Vince Jones-Dixon>Building America's favorite county.

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<v Jamie Dunphy>Thank you, councilors— our councilor.

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<v Jamie Dunphy>Thank you, Commissioner, for jumping in on that.

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<v Jamie Dunphy>Commissioner, uh, Brim-Edwards.

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<v Julia Brim-Edwards>Well, since, uh, Councilor Ryan went out of his section, I'm gonna do the same thing.

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<v Julia Brim-Edwards>Um, and, um, I'm doing this because thank you.

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<v Julia Brim-Edwards>There was the first section we skipped over, which was the goals.

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<v Julia Brim-Edwards>But since this body— we haven't had a meeting of this body since those were adopted.

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<v Julia Brim-Edwards>The presentation outlined the goals to reduce overall homelessness by 10%, reduce unsheltered homelessness by 8%, and move approximately 12,350 people into permanent housing over the next 2 years.

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<v Julia Brim-Edwards>So Nathaniel, this is sort of an operational question for you.

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<v Julia Brim-Edwards>What are you doing or going to do to ensure that the goal is embedded at the contract level since so many of our services are offered or provided by contractors?

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<v Julia Brim-Edwards>And how are you going to ensure that contract managers keep a close eye on the use of these funds to ensure that we meet the goals?

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<v Nathaniel VerGow>I appreciate that question.

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<v Nathaniel VerGow>So the specific goal of reducing by 10% in 2 years is not itself in the goals because that is the higher benchmark.

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<v Nathaniel VerGow>Within all of our contracts, however, there are metrics specific to each program that contribute to our overall achievement of that 10%.

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<v Nathaniel VerGow>So in the— you'll recall in the budget process, we were explicit in bringing to you information about how decisions that you would make around funding programs within my department would have an impact on our ability to achieve a goal like this or not.

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<v Nathaniel VerGow>So our funding was designed specifically to be able to help us achieve this goal.

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<v Nathaniel VerGow>We've ensured that within the contracts there are specific key performance indicators, outcomes, and outputs that we're expecting from our providers that are embedded in their contracts.

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<v Nathaniel VerGow>We have— this year we've set up communities of practice yes.

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<v Nathaniel VerGow>We have a biweekly process where our staff are meeting with program staff on a biweekly basis to review their progress towards those key performance indicators, to be looking at data together to see where there may be struggles, where one agency may be doing really well and can share that with other agencies that may be struggling, but to be able to identify where there are challenges and address them through training and technical assistance or looking at other resources that may need to be brought So we're doing that work on a regular basis with the providers.

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<v Nathaniel VerGow>We also have dashboards that are available to our providers so that they can see their own data about how they are performing relative to their contracts.

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<v Nathaniel VerGow>And my data team is just about to launch a new data dashboard specifically for shelter providers to be able to track, in addition to their progress on key performance indicators, metrics around utilization of beds and other factors that are specific to shelter that may not apply to some of the other programs.

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<v Nathaniel VerGow>So we're continually working to improve how we work with our providers and that we are using data to do so.

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<v Julia Brim-Edwards>Yeah, and so it's understandable that you wouldn't have embedded in an individual contract the 10%, but if you took the collective body of contracts, you feel confident that if I have confidence that we would be able to do the placement and retention that would be necessary to reach the goal based on those metrics.

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<v Nathaniel VerGow>The reaching of those metrics are also dependent on a lot of external factors that are going to impact the entire community.

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<v Nathaniel VerGow>I think that's a fair statement.

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<v Nathaniel VerGow>The HR1 and the impact on Medicaid, just the affordability of everyday life that is crushing low-income households and their ability to retain their housing puts at risk our ability to achieve those goals because— and those are factors that we can't control.

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<v Nathaniel VerGow>The pieces that we can control, I do think we have within our contracts the mechanisms that we need to be able to do our piece to achieve that 10%.

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<v Eric Zimmerman>Thank you.

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<v Jamie Dunphy>Thank you, Commissioner.

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<v Julia Brim-Edwards>Thank you.

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<v Nathaniel VerGow>Thank you.

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<v Jamie Dunphy>Councilor Morillo.

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<v Angelita Morillo>Thank you.

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<v Angelita Morillo>Thank you so much for being here, and I will stick to my topic area because as a Virgo moon, it's making me anxious how everyone's going off topic area.

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<v Angelita Morillo>So thanks for being here today.

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<v Angelita Morillo>I'm not going to catch you off guard.

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<v Angelita Morillo>I think, you know, something we've been thinking a lot about with this upcoming legislative session is the different buckets of funding that we are going to be asking the state legislature to fulfill for our local communities.

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<v Angelita Morillo>And that usually has to do with prevention, you know, keeping people housed in the first place, placing people either into shelter or into long-term housing.

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<v Angelita Morillo>And of course, as Councilor Ryan brought up as well, behavioral health.

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<v Angelita Morillo>And I am sort of wondering what it means for us locally, if you know of any specific programs that are going to be jeopardized if we don't get funding for these specific areas, or if you know, like, what are the vulnerable spots that we should be considering?

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<v Nathaniel VerGow>So for each of these specific interventions, for the prevention, the funding this year is slated to keep housed 420 households.

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<v Nathaniel VerGow>So that's 420 households that would end up on the doorsteps of our shelter system and in need for rehousing.

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<v Nathaniel VerGow>So we would be looking at shelter beds that are in excess of essentially $30,000 per year.

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<v Nathaniel VerGow>So for the, you know, $5,000 to $10,000 that we can use to prevent a family from experiencing homelessness, we would be looking at paying upwards of $30,000 for a shelter for them plus the cost of rehousing them.

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<v Nathaniel VerGow>Tremendous ROI in terms of the prevention dollars.

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<v Nathaniel VerGow>On the flip side, our— let me see if I— our shelter funding provides 526 shelter beds across the city and the county.

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<v Nathaniel VerGow>So that is at risk there.

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<v Nathaniel VerGow>And then across our permanent housing initiatives, the rapid rehousing and the long-term rental It's well over 200 households.

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<v Nathaniel VerGow>The long-term rental assistance alone is 170 households that receives funding for long-term assistance.

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<v Nathaniel VerGow>That's essentially permanent supportive housing.

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<v Nathaniel VerGow>And this is funding that we've received from the state over multiple bienniums.

486
00:57:29.036 --> 00:57:38.322
<v Nathaniel VerGow>And so we would have 170 households that would either be on the doors of our prevention system or shortly thereafter asking for shelter assistance and rehousing.

487
00:57:38.434 --> 00:57:38.547
<v Angelita Morillo>Thank you.

488
00:57:39.688 --> 00:57:53.784
<v Angelita Morillo>Yeah, and if, if I recall correctly from the last presentation that we had jointly, it's around 400 people that are becoming unhoused every month that are not being, you know, funneled back into the shelter or housing system.

489
00:57:53.849 --> 00:57:54.570
<v Angelita Morillo>Is that correct, Jillian?

490
00:57:54.907 --> 00:57:59.304
<v Jillian Schoene>Yeah, you're probably recalling the difference between inflow and outflow.

491
00:57:59.496 --> 00:58:05.159
<v Jillian Schoene>We have on average about 400 more people coming into our system than we are able to help.

492
00:58:05.304 --> 00:58:05.367
<v Jillian Schoene>Yeah.

493
00:58:06.217 --> 00:58:07.291
<v Jillian Schoene>And then we are able to rehouse.

494
00:58:07.356 --> 00:58:09.762
<v Jillian Schoene>So it's a net gain of that every month.

495
00:58:10.387 --> 00:58:16.177
<v Angelita Morillo>So that 400 prevention number is huge considering how many people are becoming unhoused.

496
00:58:16.722 --> 00:58:18.215
<v Angelita Morillo>Thanks for adding that clarification.

497
00:58:19.465 --> 00:58:24.630
<v Angelita Morillo>And I think obviously the legislature, the state legislature is facing the same difficult funding questions that we are.

498
00:58:25.239 --> 00:58:40.206
<v Angelita Morillo>But I know at least in my office, our constituent liaison just yesterday was telling me that she exhausted literally every possible service to get a family to try to find a deposit for them because they're staying on vouchers in motels.

499
00:58:40.782 --> 00:58:47.217
<v Angelita Morillo>But, and they have a job, they have everything else they need to become housed, but they literally don't have enough money to save up for the deposit.

500
00:58:47.699 --> 00:58:53.572
<v Angelita Morillo>And all of these types of things, we keep hitting the wall as far as those services go.

501
00:58:54.983 --> 00:59:02.123
<v Angelita Morillo>And so I guess my question to you is, given— I think you said it a little bit, but how would you prioritize those difficult buckets?

502
00:59:02.172 --> 00:59:02.668
<v Angelita Morillo>Yeah, I think that's a great question.

503
00:59:06.512 --> 00:59:14.574
<v Nathaniel VerGow>Yeah, so I mean, I've been doing this work for over 30 years, and we have to focus on retention.

504
00:59:15.027 --> 00:59:24.922
<v Nathaniel VerGow>So the rapid rehousing dollars, the long-term rental assistance, and prevention reduce our overall costs in the long run.

505
00:59:25.360 --> 00:59:32.014
<v Nathaniel VerGow>So by keeping people housed, we are essentially saving money that we could be using elsewhere.

506
00:59:32.978 --> 00:59:36.505
<v Nathaniel VerGow>Shelter is a day-to-day life-saving intervention, however.

507
00:59:36.601 --> 00:59:44.661
<v Nathaniel VerGow>So I don't want to dismiss the importance of shelter, but if forced to prioritize between the two, I would prioritize keeping people housed.

508
00:59:45.577 --> 00:59:54.954
<v Angelita Morillo>Thank you for that honest, and it's not an easy question for any of us to answer, but during a time where all of our governments are having to make those difficult decisions, it's important to hear, I think.

509
00:59:56.094 --> 00:59:59.003
<v Angelita Morillo>And the last question I have is around—

510
00:59:59.052 --> 01:00:06.121
<v Angelita Morillo>You know, we're hearing from the state legislature that some folks don't necessarily want to continue funding shelter operations or rent assistance.

511
01:00:08.489 --> 01:00:10.507
<v Angelita Morillo>How— and we're seeing the impacts of that.

512
01:00:10.701 --> 01:00:25.405
<v Angelita Morillo>And I think that we're also getting pressured to do sort of what I would recall— what I would call the cleaning up after the mess is created of let's do sweeps because we haven't had adequate shelters or we haven't had adequate housing stabilization efforts.

513
01:00:26.505 --> 01:00:36.610
<v Angelita Morillo>And so how can we help the legislature understand the importance of our shelter and rent assistance funding and that that's something that we desperately need at the local level?

514
01:00:36.804 --> 01:00:40.922
<v Angelita Morillo>What's been effective in convincing them that this is the right step to take?

515
01:00:42.646 --> 01:01:00.206
<v Nathaniel VerGow>I think the key is helping them understand the implications that it's— again, we'd be looking at, you know, 600-plus households that would be experiencing homelessness immediately or relatively immediately if not for this assistance.

516
01:01:00.989 --> 01:01:11.032
<v Nathaniel VerGow>That is already, that's a, you know, a month plus of inflow that we're experiencing now above what we can rehouse while also cutting our capacity to rehouse.

517
01:01:11.565 --> 01:01:33.269
<v Nathaniel VerGow>So I think it's, I use an analogy and folks that know me are probably getting sick of this analogy, but the homelessness system is— I envision us as a canoe at the bottom of a waterfall, and the amount of funding that any funder gives us is the tool that we have to bail our canoe so it doesn't go under.

518
01:01:33.431 --> 01:01:34.650
<v Nathaniel VerGow>Hmm.

519
01:01:34.987 --> 01:01:52.190
<v Nathaniel VerGow>The water flowing over the falls is everything from failures from our healthcare system, our criminal justice system, our education systems, all of those other systems of care that have not been able to help our poorest and most vulnerable citizens remain in housing.

520
01:01:53.105 --> 01:01:59.407
<v Nathaniel VerGow>That is the flow over the falls and what we are given in the homelessness response system in funding.

521
01:01:59.744 --> 01:02:06.815
<v Nathaniel VerGow>It's either a Dixie cup or a bucket, but we are constantly bailing to try to keep us afloat.

522
01:02:07.552 --> 01:02:11.400
<v Nathaniel VerGow>So it is work that needs to happen both at— within the boat.

523
01:02:11.465 --> 01:02:14.143
<v Nathaniel VerGow>We have to have a big enough implement to be able to bail.

524
01:02:14.809 --> 01:02:24.838
<v Nathaniel VerGow>And we have to be doing investments upstream to fix the broken systems that are causing people to experience dire poverty and the loss of housing.

525
01:02:25.898 --> 01:02:35.949
<v Jillian Schoene>And I just want to layer onto that, that especially when it comes to our Salem audience, we have to show the value of investments, that they actually work.

526
01:02:36.351 --> 01:02:39.177
<v Jillian Schoene>So that will be what we do with the tour.

527
01:02:39.322 --> 01:02:54.065
<v Jillian Schoene>That is what my team does when we meet with the governors office and hopefully many others to come in collaboration with government relations over some of the data work that we now have, that data we've never had access to that just gives us a much better window in who we're serving.

528
01:02:54.643 --> 01:03:00.809
<v Jillian Schoene>So we are trying our best to make sure they understand what they're funding and the value of that funding.

529
01:03:01.307 --> 01:03:08.695
<v Angelita Morillo>Well, and I think rent assistance too is sort of that like invisible labor work where because it prevents something bad from happening, people don't see it.

530
01:03:09.293 --> 01:03:12.791
<v Angelita Morillo>So I appreciate you answering that.

531
01:03:12.887 --> 01:03:35.250
<v Angelita Morillo>And I know we're getting close on time, but I think the last thing I'll say, and maybe you can answer quickly, is my understanding is that the vast majority of unhoused people who have behavioral health or addiction issues, those— they either become addicted on the streets as they are trying to survive, or the mental health crises that they have increase based on the conditions that they have.

532
01:03:35.297 --> 01:03:36.068
<v Angelita Morillo>It's not necessarily—.

533
01:03:36.085 --> 01:03:36.148
<v Elana Pirtle-Guiney>Right.

534
01:03:37.590 --> 01:03:47.980
<v Nathaniel VerGow>And certainly for those who may have been experiencing challenges with substance use or mental health, those are dramatically exacerbated by the experience of homelessness.

535
01:03:48.489 --> 01:03:48.909
<v Angelita Morillo>Gotcha.

536
01:03:48.909 --> 01:03:49.409
<v Angelita Morillo>Thank you so much.

537
01:03:50.530 --> 01:03:51.730
<v Jamie Dunphy>Thank you, Councilor Morillo.

538
01:03:52.090 --> 01:03:55.909
<v Jamie Dunphy>And colleagues, our final topic is around the area of behavioral health.

539
01:03:56.030 --> 01:03:57.619
<v Jamie Dunphy>Everyone was excited to jump ahead of there.

540
01:03:57.630 --> 01:03:58.000
<v Dan Ryan>I appreciate it.

541
01:03:58.650 --> 01:04:01.949
<v Jamie Dunphy>This area of focus touches on every conversation we've had so far and really highlights and the importance of addressing the also needs of our residents.

542
01:04:02.373 --> 01:04:05.188
<v Jamie Dunphy>Ultimately every conversation we've had in my 2 years of office.

543
01:04:06.748 --> 01:04:09.001
<v Jamie Dunphy>Um, Rachel Banks, Director of Multnomah County Health Department, is going to be here.

544
01:04:09.291 --> 01:04:14.108
<v Jamie Dunphy>Oh no, hey, oh, hello Anthony.

545
01:04:14.784 --> 01:04:17.023
<v Jillian Schoene>Director Banks is ill, so—.

546
01:04:17.123 --> 01:04:17.297
<v Sam Chase>Good.

547
01:04:17.362 --> 01:04:17.942
<v Jamie Dunphy>Well, excellent.

548
01:04:18.007 --> 01:04:26.416
<v Jamie Dunphy>Well, I'm going to turn it over to you all, uh, for a presentation on our homelessness response system and the behavioral health interventions.

549
01:04:26.547 --> 01:04:27.130
<v Jamie Dunphy>So take it away.

550
01:04:27.389 --> 01:04:28.469
<v Anthony Jordan>Hey, thank you.

551
01:04:28.469 --> 01:04:29.989
<v Anthony Jordan>My name is Anthony Jordan.

552
01:04:29.989 --> 01:04:30.480
<v Anthony Jordan>I use he/him.

553
01:04:30.730 --> 01:04:34.349
<v Anthony Jordan>I'm the interim behavioral health director for Multnomah County.

554
01:04:34.889 --> 01:04:36.360
<v Anthony Jordan>Thank you for having me.

555
01:04:37.750 --> 01:04:40.619
<v Anthony Jordan>The health department and the housing— thank you.

556
01:04:41.750 --> 01:04:54.869
<v Anthony Jordan>The health department and the housing service departments are working together on ways to effectively address our community members with the highest health and housing needs and break the cycle of homelessness for those who have substance use or mental health disorders.

557
01:04:55.467 --> 01:05:01.981
<v Anthony Jordan>Through increased access and referrals, our mental health residential treatment bed capacity has increased.

558
01:05:02.686 --> 01:05:10.163
<v Anthony Jordan>However, the Oregon Health Authority policies prioritize the aid and assist population to ease Oregon State Hospital legal backlog.

559
01:05:11.028 --> 01:05:14.782
<v Anthony Jordan>This restricts access to those in inpatient units at local hospitals.

560
01:05:15.697 --> 01:05:20.655
<v Anthony Jordan>Policies and funding must be developed to build residential capacity for non-justice-involved patients.

561
01:05:22.621 --> 01:05:29.784
<v Anthony Jordan>The county has— the county also continues to build multiple front-door services to address individuals that are unhoused with behavioral health issues.

562
01:05:30.699 --> 01:05:33.876
<v Anthony Jordan>I will briefly describe 3 of these front-door programs.

563
01:05:35.032 --> 01:05:42.380
<v Anthony Jordan>One, our crisis service team program focuses on services that meet individuals where they are when crisis happens.

564
01:05:42.990 --> 01:05:52.717
<v Anthony Jordan>For example, Project Respond supports unhoused individuals for those in low-income housing providing follow-up support and linkage to housing resources.

565
01:05:55.746 --> 01:06:01.112
<v Anthony Jordan>Our Behavioral Health Division offers deflection and sobering services at the Coordinated Pathways Center.

566
01:06:02.280 --> 01:06:05.838
<v Anthony Jordan>Well over 90% of those individuals referred to deflections are houseless.

567
01:06:06.983 --> 01:06:14.351
<v Anthony Jordan>Everyone who enters the program are screened for housing needs, ensuring that individuals experiencing homelessness have those specific supports.

568
01:06:15.619 --> 01:06:21.409
<v Anthony Jordan>Staff also check to see what engagement with housing services each individual may already have in place.

569
01:06:22.420 --> 01:06:28.309
<v Anthony Jordan>If a housing need is identified, a referral is made to shelters and appropriate housing.

570
01:06:29.289 --> 01:06:41.436
<v Anthony Jordan>Our care coordinators can continue to work with individuals at any time during their participation in the deflection program, even if they did not choose to immediately opt into shelter or housing.

571
01:06:41.532 --> 01:06:41.757
<v Anthony Jordan>Thank you.

572
01:06:43.057 --> 01:06:46.445
<v Anthony Jordan>The SOBER program follows a similar process during discharge planning.

573
01:06:47.938 --> 01:06:55.036
<v Anthony Jordan>The program can refer to a broad array of housing-related services, including Housing Services Department supported shelters.

574
01:06:56.192 --> 01:07:03.465
<v Anthony Jordan>Referrals are made to, to low-barrier transitional housing, recovery supportive housing, and even permanent supportive housing.

575
01:07:04.364 --> 01:07:26.599
<v Anthony Jordan>And then our third, the Behavioral Health Resource Center is a the BHRC, as it's called, day program and outreach staff provides support and service linkage, including regularly assessing individuals and moving into shelters, detox, or substance use treatment.

576
01:07:27.219 --> 01:07:36.099
<v Anthony Jordan>The 52-bed shelter and bridge housing program has integrated behavioral health supports that allows for the program to work with a higher acute— with higher acute individuals.

577
01:07:36.110 --> 01:07:36.139
<v Anthony Jordan>Thank you.

578
01:07:36.927 --> 01:07:41.918
<v Anthony Jordan>Including those referred by Aid and Assist, crisis services, or interacting with first responders.

579
01:07:42.786 --> 01:07:50.016
<v Anthony Jordan>It also supports individuals who have not successfully been successful in traditional shelter environments.

580
01:07:50.063 --> 01:07:59.264
<v Anthony Jordan>Now I'll turn it over to Jillian, who's going to speak to a number of projects that are underway that demonstrate we can take action locally to make a difference.

581
01:08:00.755 --> 01:08:01.452
<v Jillian Schoene>Thank you, Anthony.

582
01:08:01.534 --> 01:08:05.690
<v Jillian Schoene>So for this final part, I'm simply going to list and briefly describe some of the current projects thank you.

583
01:08:05.695 --> 01:08:13.710
<v Jillian Schoene>I'd like to share a few highlights from the work that we've done over the last year on a variety of projects tied to the Homelessness Response Action Plan that speak to the collective efforts to better integrate the healthcare system with the housing and shelter systems.

584
01:08:14.789 --> 01:08:23.909
<v Jillian Schoene>First, know that all of this work is a clear demonstration of our willingness to try new things, and if we fail, or as we learn, we pivot as needed and try again.

585
01:08:24.010 --> 01:08:29.609
<v Jillian Schoene>That's precisely what the public expects of us given the complex health issues of many served in homeless services.

586
01:08:30.229 --> 01:08:43.573
<v Jillian Schoene>It also demonstrates our commitment to data-driven data-driven decisions, continuous quality improvement, and because new resources for new things are few to none, a commitment to tripling down on administrative coordination across systems.

587
01:08:44.405 --> 01:08:53.296
<v Jillian Schoene>That is just a wonky way of saying that the health system and the shelter and housing systems must reorient themselves to talking and working together each and every day.

588
01:08:54.483 --> 01:09:04.127
<v Jillian Schoene>Cost savings and efficiency, yes, but it's first and foremost about how we are wrapping ourselves collectively around the individual to put them on a path toward greater stability.

589
01:09:04.175 --> 01:09:04.287
<v Jillian Schoene>Thank you.

590
01:09:05.105 --> 01:09:08.997
<v Jillian Schoene>So here are just several projects I will attempt to highlight in brief.

591
01:09:10.219 --> 01:09:12.078
<v Jillian Schoene>Medical respite bed capacity and payment.

592
01:09:12.353 --> 01:09:12.951
<v Jillian Schoene>We need more.

593
01:09:13.565 --> 01:09:25.515
<v Jillian Schoene>And this is a regional cross-sector workgroup problem-solving about how to increase the availability of medical respite beds in our region, and yes, how to sustainably pay for them through Medicaid.

594
01:09:26.538 --> 01:09:28.046
<v Jillian Schoene>Psych hospital-to-housing pilot.

595
01:09:28.095 --> 01:09:43.068
<v Jillian Schoene>The goal of this pilot is to carry forward the stabilization people gain when they are in an inpatient psychiatric facility, and for now continuing that stabilization in the county's behavioral health shelter, a different one than Anthony mentioned.

596
01:09:43.886 --> 01:09:55.180
<v Jillian Schoene>Teams work to reconnect people to outpatient behavioral health and help them find the permanent supportive housing or residential treatment options that best meet their ongoing needs.

597
01:09:55.917 --> 01:10:02.127
<v Jillian Schoene>The pilot will likely conclude in November, and then there will be an evaluation to see what we learn and what we're— how we're going to move forward.

598
01:10:03.153 --> 01:10:07.146
<v Jillian Schoene>The third item that I would highlight is long-term care for people with severe mental illness.

599
01:10:07.484 --> 01:10:16.032
<v Jillian Schoene>1915 and are entitled Medicaid benefits for home and community-based services to people who need assistance with activities of daily living.

600
01:10:16.689 --> 01:10:21.613
<v Jillian Schoene>For people with mental health-related disabilities, enrollment is challenging at best.

601
01:10:22.301 --> 01:10:27.177
<v Jillian Schoene>County staff are making a concerted effort to get eligible individuals approved by the state.

602
01:10:28.431 --> 01:10:41.363
<v Jillian Schoene>County staff from Homeless Services, Behavioral Health, and the Homeless Mobile Intake Team, which is housed in the Human Services Department at Multnomah County, are all working together and participating in a workgroup with the state of Oregon to expand enrollment.

603
01:10:42.118 --> 01:10:47.823
<v Jillian Schoene>That work is ongoing, and we believe the county will be able to enroll people successfully come the end of this fiscal year.

604
01:10:48.993 --> 01:10:50.708
<v Jillian Schoene>4, Recovery Housing Pathways.

605
01:10:50.774 --> 01:11:00.597
<v Jillian Schoene>It's been mentioned during the fiscal year '27 budget process, an amendment passed to show of $2 million in shelter rehousing monies to support placements into recovery housing.

606
01:11:01.110 --> 01:11:09.730
<v Jillian Schoene>Program design is complete, and we expect county staff to be able to start making placements in the coming weeks so they can continue their recovery journey.

607
01:11:10.564 --> 01:11:13.112
<v Jillian Schoene>And finally, the permanent supportive housing analysis.

608
01:11:13.305 --> 01:11:14.779
<v Jillian Schoene>Nathaniel mentioned that in brief.

609
01:11:15.114 --> 01:11:21.541
<v Jillian Schoene>We have completed a 2-year look back at permanent supportive housing using matched HMIS and Medicaid claims data.

610
01:11:21.604 --> 01:11:21.748
<v Jillian Schoene>Thank you.

611
01:11:22.298 --> 01:11:26.194
<v Jillian Schoene>Specifically, we looked at folks in the high acuity behavioral health cohort.

612
01:11:26.676 --> 01:11:44.170
<v Jillian Schoene>While there is good news in that data, such as the 24-month retention rate being anywhere between 82% and 92%, and outpatient mental healthcare utilization increasing by 75% after placement in housing, there are improvements to make.

613
01:11:44.490 --> 01:11:45.117
<v Jillian Schoene>We know it.

614
01:11:45.372 --> 01:11:46.304
<v Jillian Schoene>Everybody knows it.

615
01:11:46.721 --> 01:11:47.716
<v Jillian Schoene>HSD is taking the lead.

616
01:11:47.780 --> 01:11:47.908
<v Julia Brim-Edwards>Thank you.

617
01:11:48.037 --> 01:11:48.118
<v Candace Avalos>Thank you.

618
01:11:48.181 --> 01:11:54.627
<v Jillian Schoene>We will proceed to meet with all the providers and go over their data together, make meaning of it, and take action from there.

619
01:11:55.703 --> 01:11:59.310
<v Jillian Schoene>Finally, I just want to refer back to something I said in my opening remarks.

620
01:11:59.551 --> 01:12:06.671
<v Jillian Schoene>This is in service to this— all of this is in service to the solutions that exist at the intersection of the housing system, homeless services, and behavioral health.

621
01:12:07.664 --> 01:12:31.932
<v Jillian Schoene>By working together, I am hopeful, and I believe that hope is shared, to see fewer people becoming homeless in the first place decreasing the length of time people are homeless, what Councilor Morillo mentioned, and fewer folks, of course, like cycling through our local jails, our emergency departments, and unnecessarily long stays in hospital settings.

622
01:12:32.381 --> 01:12:36.552
<v Jillian Schoene>So thank you, and I will hand it back to you, Council President Dunphy.

623
01:12:36.873 --> 01:12:37.627
<v Jamie Dunphy>Thank you very much.

624
01:12:38.944 --> 01:12:41.766
<v Jamie Dunphy>I have 4 councilors or 4 elected officials for this section.

625
01:12:41.831 --> 01:12:50.310
<v Jamie Dunphy>I'm not I have Councilor Pirtle-Guiney first, but I think she may not be joining us online anymore, uh, followed by Commissioner Moyer, Councilor Kanal, and Councilor Zimmerman.

626
01:12:50.422 --> 01:12:52.057
<v Jamie Dunphy>I'm going to hold for a second.

627
01:12:52.490 --> 01:12:52.810
<v Elana Pirtle-Guiney>Thank you.

628
01:12:53.515 --> 01:12:59.399
<v Meghan Moyer>Um, so I'm just going to start by zooming back a little bit.

629
01:12:59.462 --> 01:13:23.701
<v Meghan Moyer>I think there are many people at the county who would like me to be less involved in this particular policy area, but it is my passion, um, and my professional background I think one thing that is really important to understand about the depth of the challenge of addressing the intersection of homelessness and behavioral health is that Oregon does not have a functional behavioral health system.

630
01:13:24.390 --> 01:13:34.212
<v Meghan Moyer>Um, and I think there's a misunderstanding about what the county's role is, what we are funded to do, and sadly what we do not receive funding to do.

631
01:13:34.677 --> 01:13:55.520
<v Meghan Moyer>Multnomah County is the safety net for behavioral health, but that is largely a very crisis-related process, and we do not get funding to provide these wraparound or long-term supports, nor are we the funder or placer in hospital or residential treatment or even long-term treatment.

632
01:13:56.177 --> 01:14:05.740
<v Meghan Moyer>We are largely due to state policy focused on restoring people to a minimal degree of capacity to be prosecuted.

633
01:14:06.207 --> 01:14:12.738
<v Meghan Moyer>That is what the state of Oregon has told us is our job, and we don't actually have any money to do much beyond that.

634
01:14:13.429 --> 01:14:17.506
<v Meghan Moyer>That doesn't mean we don't have the expertise or the passion to do more.

635
01:14:17.586 --> 01:14:17.890
<v Meghan Moyer>I have—.

636
01:14:18.019 --> 01:14:27.135
<v Meghan Moyer>I'm constantly in awe of the very small behavioral health department we do have and how hard they work to try to fill all of these gaps.

637
01:14:27.300 --> 01:14:27.408
<v Meghan Moyer>Yeah.

638
01:14:28.019 --> 01:14:29.512
<v Meghan Moyer>But that is our starting place.

639
01:14:30.042 --> 01:14:39.890
<v Meghan Moyer>And so we do have to engage with our state partners and our healthcare partners because they have been given the funds to do a lot of the work that frankly is not happening.

640
01:14:40.645 --> 01:14:42.139
<v Meghan Moyer>That's for a lot of reasons.

641
01:14:42.573 --> 01:14:57.672
<v Meghan Moyer>But the way I would really talk about the work that's being done at the county is how do you build a system when one does not exist and how do you create flow In a system that has never been connected to each other.

642
01:14:58.073 --> 01:15:08.369
<v Meghan Moyer>And so some of the things that Anthony mentioned are really about— we are creating a front door so people can access service that is not the criminal justice system.

643
01:15:08.498 --> 01:15:09.591
<v Meghan Moyer>That is our current front door.

644
01:15:09.944 --> 01:15:10.796
<v Meghan Moyer>That is appalling.

645
01:15:10.859 --> 01:15:12.546
<v Meghan Moyer>It does not lead to good outcomes.

646
01:15:12.610 --> 01:15:14.810
<v Meghan Moyer>It often makes people's crisis worse.

647
01:15:16.208 --> 01:15:20.192
<v Meghan Moyer>Our criminal justice system is not equipped to provide behavioral healthcare, and it does not.

648
01:15:20.240 --> 01:15:20.337
<v Meghan Moyer>Thank you.

649
01:15:21.447 --> 01:15:24.775
<v Meghan Moyer>Um, so we are actively working to create front doors.

650
01:15:24.904 --> 01:15:29.662
<v Meghan Moyer>It's everything from the redesign of outreach that our homeless services is doing.

651
01:15:30.000 --> 01:15:39.405
<v Meghan Moyer>It is everything from the, uh, Pathway Center that people can go to and get real access to treatment through to recovery and the housing voucher.

652
01:15:39.854 --> 01:15:51.779
<v Meghan Moyer>It is our mobile intake team through Department of Human Services who will meet people at hospitals, at shelters, and they will assess them for access to long-term care, which is finally happening.

653
01:15:52.131 --> 01:15:59.556
<v Meghan Moyer>That is going to bring tens of millions of dollars of service to this population that they have been not able to access.

654
01:15:59.604 --> 01:16:01.400
<v Meghan Moyer>It's a huge change.

655
01:16:01.913 --> 01:16:10.091
<v Meghan Moyer>We are looking at how to better support permanent supported housing so people with higher needs get that wraparound care and can stay stably housed.

656
01:16:10.814 --> 01:16:13.011
<v Meghan Moyer>We are building the front door.

657
01:16:13.604 --> 01:16:19.064
<v Meghan Moyer>We are finally see a light at the end of the tunnel on the permanent support.

658
01:16:19.707 --> 01:16:27.625
<v Meghan Moyer>Where we need to talk and come together is the access to the middle, because we have crisis and we have keeping you stable.

659
01:16:27.752 --> 01:16:29.134
<v Meghan Moyer>That's, that's on the verge.

660
01:16:29.198 --> 01:16:31.206
<v Meghan Moyer>It hasn't happened yet, but we really have a pathway.

661
01:16:31.527 --> 01:16:37.582
<v Meghan Moyer>But we don't have get you better, and that's what residential treatment and these post-acute settings are.

662
01:16:38.256 --> 01:16:45.621
<v Meghan Moyer>And it was mentioned by Jillian and Anthony that the state had made a policy that they get first dibs on all of those beds.

663
01:16:46.069 --> 01:16:47.753
<v Meghan Moyer>So I am proud of the state.

664
01:16:47.818 --> 01:16:49.951
<v Meghan Moyer>Yes, we have grown residential capacity.

665
01:16:50.224 --> 01:16:53.479
<v Meghan Moyer>Do you want to know how much capacity Multnomah County has to put somebody in?

666
01:16:54.136 --> 01:16:54.426
<v Meghan Moyer>Zero.

667
01:16:54.875 --> 01:17:00.568
<v Meghan Moyer>We have zero beds that we can place somebody in if they're coming— if they are not involved in the criminal justice system.

668
01:17:01.529 --> 01:17:03.181
<v Meghan Moyer>We have to change that state policy.

669
01:17:03.694 --> 01:17:10.722
<v Meghan Moyer>We have to have access to helping people move from crisis, which is hospital, into real recovery.

670
01:17:11.462 --> 01:17:12.761
<v Meghan Moyer>That's residential treatment.

671
01:17:12.922 --> 01:17:13.822
<v Meghan Moyer>That's substance use.

672
01:17:13.869 --> 01:17:19.985
<v Meghan Moyer>There is a huge overlap between mental illness and substance use disorder, particularly if you experience homelessness.

673
01:17:20.306 --> 01:17:21.703
<v Meghan Moyer>We've got to get access to that.

674
01:17:22.153 --> 01:17:33.694
<v Meghan Moyer>And then we got to be able to move them at their highest level of capability into a permanently supportive environment, which could be lots of things, including out of the homeless system entirely.

675
01:17:34.355 --> 01:17:37.703
<v Meghan Moyer>Into, um, independence or residential care.

676
01:17:38.119 --> 01:17:58.960
<v Meghan Moyer>So I, I wanted to do the big picture because that was some very good, like, very targeted things we're doing, but it does fit into an overall system that we are trying to develop with partners and why, why we're gonna come again and talk about, like, what does our region really need?

677
01:17:59.039 --> 01:17:59.185
<v Meghan Moyer>Yeah.

678
01:17:59.905 --> 01:18:01.158
<v Meghan Moyer>From the behavioral health system.

679
01:18:01.206 --> 01:18:15.612
<v Meghan Moyer>And I, I think we have to understand that the state is a major player in behavioral health and frankly has absolutely failed for over 50 years to ever have a functioning behavioral health system.

680
01:18:15.740 --> 01:18:22.238
<v Meghan Moyer>And you cannot look at District 4 or my District 1 and not see the results every day on the street.

681
01:18:22.622 --> 01:18:36.759
<v Meghan Moyer>Homelessness is complicated, but in District 4, you go to Old Town and you go to downtown, you cannot we can't ignore that that is the result of a totally broken behavioral health system for decade upon decade.

682
01:18:36.823 --> 01:18:39.984
<v Meghan Moyer>And so we are doing as much as we can.

683
01:18:40.095 --> 01:18:41.507
<v Meghan Moyer>We are pushing every day.

684
01:18:42.037 --> 01:18:45.664
<v Meghan Moyer>We are clawing at improvements here.

685
01:18:46.451 --> 01:18:56.704
<v Meghan Moyer>But, um, we have to talk to our legislative representatives because I am really tired of them coming to me asking me when we're going to fix Old Town and downtown.

686
01:18:56.752 --> 01:18:56.864
<v Meghan Moyer>Thank you.

687
01:18:57.908 --> 01:19:01.538
<v Meghan Moyer>And I want to show them a mirror and say, you created Old Town and downtown.

688
01:19:02.244 --> 01:19:12.056
<v Meghan Moyer>You did it over 50 years, and you have to be part of the solution because frankly, you took all the money away from us to do this and you gave it to OHA and CCOs.

689
01:19:13.326 --> 01:19:23.780
<v Meghan Moyer>And no, and CCOs are coming to the table, but they got to also talk about money because there are levels of care that they are not providing that they are legally required to.

690
01:19:23.828 --> 01:19:23.925
<v Meghan Moyer>Thank you.

691
01:19:24.457 --> 01:19:29.411
<v Meghan Moyer>So like, I bring this up because I know that people here are frustrated.

692
01:19:30.341 --> 01:19:34.304
<v Meghan Moyer>We absolutely are trying to rebuild this.

693
01:19:34.448 --> 01:19:41.554
<v Meghan Moyer>Everything Jillian talked about, I can't tell you the number of hours people have put into this, but we can't do it alone.

694
01:19:41.810 --> 01:19:46.125
<v Meghan Moyer>We've got to ask together, and we've got to get very real with the state about their failures.

695
01:19:46.654 --> 01:19:48.692
<v Meghan Moyer>I don't have a question.

696
01:19:48.884 --> 01:19:51.451
<v Eric Zimmerman>We should cheer for that.

697
01:19:51.952 --> 01:19:53.489
<v Jamie Dunphy>Thank you, thank you, Commissioner Moyer.

698
01:19:53.922 --> 01:19:56.027
<v Jamie Dunphy>Uh, and Councilor Pirtle-Guiney is joining us online.

699
01:19:56.909 --> 01:20:02.626
<v Elana Pirtle-Guiney>Hi there, I'm sorry to be remote for this, but I am so glad that I'm going after Commissioner Moyer.

700
01:20:03.750 --> 01:20:40.692
<v Elana Pirtle-Guiney>Um, so as, um, some folks at the county know, but maybe not everybody, the city has done some significant work with providers over the last year plus to ask providers to come to the table and show us what a unified behavioral health ask of the state could look like to significantly, um, I'm gonna say advance the challenges we are having to make things noticeably better in our community around the provision of behavioral health services.

701
01:20:41.322 --> 01:20:55.262
<v Elana Pirtle-Guiney>And I want to be really clear that when we did this, We were very, very firm that what we wanted were proposals that we could ask the state for, for folks already providing services, and that the city does not want to open a new book of business.

702
01:20:55.376 --> 01:21:02.560
<v Elana Pirtle-Guiney>But we know that we can't address any of the other challenges we've been talking about today unless we have better on-the-ground services in our community.

703
01:21:03.494 --> 01:21:04.671
<v Elana Pirtle-Guiney>The county has been at the table.

704
01:21:04.720 --> 01:21:07.880
<v Elana Pirtle-Guiney>I really appreciate the partnership you all have had with us on this.

705
01:21:07.944 --> 01:21:08.703
<v Elana Pirtle-Guiney>Thank you.

706
01:21:08.751 --> 01:21:28.291
<v Elana Pirtle-Guiney>But I'd like to hear a little bit more about how homeless services and behavioral health services are working together, and specifically the connection that the county sees between your homeless services work that we partner on very closely and some of the behavioral health asks that we have.

707
01:21:29.029 --> 01:21:41.676
<v Elana Pirtle-Guiney>The agenda that the city is going to be moving forward— and we are yet to vote on our final agenda, but we have talked about making this a very high priority on our agenda includes the building out of psychiatric respite and subacute beds.

708
01:21:42.493 --> 01:21:56.819
<v Elana Pirtle-Guiney>It includes addressing the reimbursement rates so that providers of inpatient psychiatric care, that middle level there, are getting a break-even reimbursement rate, as well as a few other very specific tangible asks.

709
01:21:57.475 --> 01:22:21.101
<v Elana Pirtle-Guiney>So I'm wondering both whether the county is willing to jump on board with these very specific asks and also, if we are successful, probably not in year one, but over the course of a few legislative sessions in increasing funding for these services, how that might address our ability to better meet our goals around homeless services.

710
01:22:22.886 --> 01:22:23.841
<v Jillian Schoene>Thank you for the question.

711
01:22:24.036 --> 01:22:33.365
<v Jillian Schoene>Let me, let me just say that all of that continues to be in progress because what y'all were presented during the city behavioral health work session and what county commissioners got one-on-one was simply what the city was proposing.

712
01:22:35.470 --> 01:22:38.286
<v Jillian Schoene>The bed simulation tool tells us about the data.

713
01:22:38.670 --> 01:22:40.817
<v Jillian Schoene>The data work was step one.

714
01:22:41.715 --> 01:22:41.970
<v Jillian Schoene>That—.

715
01:22:41.970 --> 01:22:47.418
<v Jillian Schoene>Those conversations are now in what, let's call it phase 2, because it isn't just about bed capacity.

716
01:22:47.498 --> 01:22:57.529
<v Jillian Schoene>There are associated policy and financial questions to answer that also may need to be related asks to that.

717
01:22:57.594 --> 01:23:07.268
<v Jillian Schoene>And that is, those conversations are happening now, and when we're ready to report out on that, we will I'm looking up here because that's where her face appears.

718
01:23:07.332 --> 01:23:07.510
<v Jillian Schoene>Sorry.

719
01:23:07.783 --> 01:23:08.833
<v Jamie Dunphy>Thank you.

720
01:23:11.981 --> 01:23:12.484
<v Elana Pirtle-Guiney>Thank you.

721
01:23:12.890 --> 01:23:16.636
<v Elana Pirtle-Guiney>Just off camera because I am juggling a few things right now.

722
01:23:18.668 --> 01:23:19.280
<v Jamie Dunphy>Thank you, Councilor.

723
01:23:22.113 --> 01:23:25.108
<v Jamie Dunphy>And Councilor Pirtle-Guiney, uh, any further follow-up from that?

724
01:23:25.466 --> 01:23:26.117
<v Jamie Dunphy>Just making sure.

725
01:23:27.788 --> 01:23:28.835
<v Elana Pirtle-Guiney>I'm gonna leave it there.

726
01:23:28.998 --> 01:23:31.636
<v Elana Pirtle-Guiney>I, I I guess I will just say I hear you.

727
01:23:31.684 --> 01:23:44.998
<v Elana Pirtle-Guiney>This is step one, but we are talking in part about how we align our legislative agendas today, and I think it would be helpful for us to know what your asks will be in this space.

728
01:23:46.414 --> 01:23:52.362
<v Elana Pirtle-Guiney>We've been pretty clear about the direction we're going, and the more we can be aligned here, I think the more successful we will be.

729
01:23:54.161 --> 01:23:54.922
<v Jillian Schoene>Yeah, 100%.

730
01:23:55.134 --> 01:23:58.100
<v Jillian Schoene>And I just, I love the alignment related to the timeline.

731
01:23:58.728 --> 01:24:02.122
<v Jillian Schoene>Of each elected body developing their legislative agendas.

732
01:24:02.251 --> 01:24:05.470
<v Jillian Schoene>All of that is happening with your respective government relations departments.

733
01:24:06.033 --> 01:24:10.795
<v Jillian Schoene>And I believe the city goes on December 2nd and the county on December 3rd.

734
01:24:11.662 --> 01:24:14.957
<v Jillian Schoene>So the timelines are connected.

735
01:24:15.439 --> 01:24:18.342
<v Jillian Schoene>That alignment is there and the conversations are active.

736
01:24:20.090 --> 01:24:21.137
<v Jillian Schoene>But yes to everything you said.

737
01:24:24.560 --> 01:24:25.533
<v Jamie Dunphy>Thank you, Councilor Pirtle-Guiney.

738
01:24:25.778 --> 01:24:27.612
<v Jamie Dunphy>Councilor Kanal, followed by Councilor Zimmerman.

739
01:24:30.899 --> 01:24:31.676
<v Sameer Kanal>Thanks, Council President.

740
01:24:33.020 --> 01:24:34.662
<v Sameer Kanal>Always good to have everyone here, uh, together.

741
01:24:34.743 --> 01:24:35.404
<v Sameer Kanal>Thanks for being here.

742
01:24:35.694 --> 01:24:46.844
<v Sameer Kanal>Um, so I want to talk about the behavioral health piece that more directly relates to the city's work, and there's a portion of that that I think, um, on the back end that needs to be coordinated.

743
01:24:46.891 --> 01:24:48.048
<v Sameer Kanal>I'm interested in prevention.

744
01:24:48.096 --> 01:25:00.525
<v Sameer Kanal>I agree with Councilor Morillo's point that while homeless populations often have high prevalence of mental illness and other behavioral health concerns, that correlation is not causation for that houselessness, especially as we know that being houseless is detrimental to mental health.

745
01:25:01.262 --> 01:25:10.623
<v Sameer Kanal>You mentioned both trying to see fewer people become homeless, and we know that both housed and unhoused people may need mental health support, and if untreated, that could cause those who are housed to become unhoused.

746
01:25:11.056 --> 01:25:23.002
<v Sameer Kanal>You also mentioned having fewer folks cycling through local jails, and we have some programs like Portland Street Response where addressing the disruption to others that a person in behavioral crisis poses does not automatically link to justice system involvement.

747
01:25:23.822 --> 01:25:30.112
<v Sameer Kanal>So we recently authorized Portland Street Response to shuttle clients to services, which I think was broadly supported at City Hall and around the community.

748
01:25:30.689 --> 01:25:36.033
<v Sameer Kanal>One thing we hear from responders is that the ability to help move people is only as helpful as the places we have to take them.

749
01:25:37.043 --> 01:25:50.189
<v Sameer Kanal>And so, you know, one of the ways we— the best ways we can reduce the burden on all of our first responders, but specifically PSR, is more funding for those behavioral health services and supports that are Sobering centers, stabilization, et cetera.

750
01:25:50.463 --> 01:25:54.576
<v Sameer Kanal>Some of this was talked about, you know, in the last 2 comments, and just coming at it from a different angle here.

751
01:25:56.460 --> 01:26:06.631
<v Sameer Kanal>In order for us to best be able to handle frontline first response, we need the state to support the infrastructure and services to get us the second step so we're off of sort of a hamster wheel.

752
01:26:07.246 --> 01:26:24.226
<v Sameer Kanal>And I guess the question I'm asking is, what's our strategy at the state to reframe, to get away from sort of the problem statement that Commissioner Moyer described, but to build a menu of options, not to just have enough of one or two of the different places that we might need to take folks, but to have many of them.

753
01:26:25.869 --> 01:26:29.181
<v Sameer Kanal>And that's sort of what's the, what's the state strategy to build that menu.

754
01:26:31.420 --> 01:26:44.484
<v Jillian Schoene>And I think that reflects back on what I just said, that the conversations that are following the data work, what are the other associated financial asks or policy to make that work, because it isn't just about adding beds.

755
01:26:44.868 --> 01:26:58.457
<v Jillian Schoene>How we operationalize them and who has access to those beds ultimately will define whether or not that really expensive resource that we bring online works for people.

756
01:26:59.291 --> 01:26:59.451
<v Jillian Schoene>So—.

757
01:26:59.551 --> 01:27:05.381
<v Sameer Kanal>And when you say beds, I mean, we have folks who that might not be the only thing that they're going to need.

758
01:27:06.378 --> 01:27:11.916
<v Sameer Kanal>So I'm trying to understand, do you understand what I— like, am I, am I being clear?

759
01:27:12.060 --> 01:27:14.341
<v Jillian Schoene>Yeah, not everybody needs a residential treatment bed.

760
01:27:14.438 --> 01:27:15.225
<v Jillian Schoene>There's outpatient.

761
01:27:15.722 --> 01:27:20.926
<v Sameer Kanal>And that's the kind of missing piece, and I, I haven't heard that piece from the perspective of sort of the first response side of it.

762
01:27:22.002 --> 01:27:24.974
<v Jillian Schoene>Oh, for first responders and outpatient to take folks to?

763
01:27:25.697 --> 01:27:36.658
<v Jillian Schoene>Okay, well, uh, I'm gonna skip over deflection for a moment, and I'm gonna actually go to the urgent walk-in clinic over over on Southeast Division that the county is required to run per state statute.

764
01:27:37.171 --> 01:27:40.907
<v Jillian Schoene>I will tell you, I did a tour of that over a year ago with first responders.

765
01:27:41.323 --> 01:27:43.135
<v Jillian Schoene>They can be dropping off there right now.

766
01:27:43.488 --> 01:27:46.630
<v Jillian Schoene>All that clinic asked for was a phone call in advance.

767
01:27:46.966 --> 01:27:48.586
<v Jillian Schoene>So we can be doing more of that.

768
01:27:48.939 --> 01:27:56.201
<v Jillian Schoene>But the vast majority that that clinic— the vast majority of folks that that clinic sees today are actually housed individuals, right?

769
01:27:56.248 --> 01:28:00.256
<v Jillian Schoene>Which tells you something about our— the behavioral health crisis we're in, right?

770
01:28:00.322 --> 01:28:01.475
<v Jillian Schoene>We're talking about housed and unhoused.

771
01:28:01.684 --> 01:28:02.100
<v Jillian Schoene>Councilor Smith.

772
01:28:03.467 --> 01:28:07.490
<v Jillian Schoene>And that is who they're serving, but they have the capacity to do more.

773
01:28:07.699 --> 01:28:15.239
<v Jillian Schoene>And so in that tour over a year ago, I encouraged first responders to start using that resource, to use it as an example.

774
01:28:15.336 --> 01:28:21.930
<v Jillian Schoene>And then of course there's the deflections and the Pathway Center that Commissioner Moyer mentioned, and also Anthony.

775
01:28:22.538 --> 01:28:34.685
<v Sameer Kanal>Yeah, so it sounds like— and this is something that I know that Councilor Ryan talks about a lot too— is, you know, our coordination in this area is A known need, but our coordination on the public safety side is an unknown need or a less known need.

776
01:28:34.814 --> 01:28:35.186
<v Sameer Kanal>Mm-hmm.

777
01:28:35.268 --> 01:28:58.957
<v Sameer Kanal>And so I'm curious, you know, as I'm looking over across the way, the assessment that you just gave, Jillian, about this being an underutilized sort of option by the city in terms of our first responders, I don't know if there's a— if that's a shared understanding by the folks our city administrator and the mayor.

778
01:28:59.664 --> 01:29:15.271
<v Sameer Kanal>And I just, I'm not, I'm curious if they can, either of them can speak to that piece of it because that's surprising if that's still occurring at the same rate that it was a year ago in terms of underutilized capacity at the Southeast Center.

779
01:29:15.399 --> 01:29:15.577
<v Loretta Smith>Yeah.

780
01:29:15.962 --> 01:29:17.086
<v Jillian Schoene>And I can check in on that.

781
01:29:17.182 --> 01:29:19.398
<v Jillian Schoene>And then I think deflection is a different conversation.

782
01:29:19.832 --> 01:29:20.009
<v Jillian Schoene>I would—.

783
01:29:20.153 --> 01:29:21.502
<v Jillian Schoene>Oh yeah.

784
01:29:22.902 --> 01:29:24.212
<v Keith Wilson>Yeah, thank you for the question.

785
01:29:24.341 --> 01:29:25.688
<v Keith Wilson>It's really about the gap.

786
01:29:25.863 --> 01:29:26.905
<v Keith Wilson>It's the transport.

787
01:29:26.985 --> 01:29:30.737
<v Keith Wilson>I'm glad you noted PSR Chat now can do transport.

788
01:29:31.297 --> 01:29:36.668
<v Keith Wilson>We're working with officers to do transport, but we also— and we're talking about the facility in Buckman, correct?

789
01:29:37.551 --> 01:29:38.239
<v Jillian Schoene>You know what I need?

790
01:29:38.416 --> 01:29:39.795
<v Jillian Schoene>Jeston Black is in the audience.

791
01:29:39.875 --> 01:29:40.900
<v Jillian Schoene>Do you have an update on that?

792
01:29:40.997 --> 01:29:43.001
<v Jillian Schoene>Can you— I'm phoning a friend.

793
01:29:52.305 --> 01:29:56.273
<v Jeston Black>For the record, Jeston Black, he/him pronouns, Deputy COO, Multnomah County.

794
01:29:56.337 --> 01:29:57.654
<v Jamie Dunphy>I'm sorry, Mayor, can you repeat the question?

795
01:29:57.831 --> 01:30:05.170
<v Keith Wilson>Yeah, Jillian, I thought you said the facility was on Southeast Division, and I'm unaware of a facility on Southeast Division.

796
01:30:05.234 --> 01:30:08.671
<v Jillian Schoene>That's the urgent walk-in clinic that Cascadia Health—.

797
01:30:08.720 --> 01:30:10.711
<v Keith Wilson>I didn't even know that existed.

798
01:30:11.256 --> 01:30:13.072
<v Keith Wilson>So I think it's about sharing information.

799
01:30:13.827 --> 01:30:17.664
<v Keith Wilson>Councilor, was that what you were referring to, or were you talking about the deflection facility in Buckman?

800
01:30:17.829 --> 01:30:24.277
<v Sameer Kanal>Well, we, we were talking about both, but the, the specific one that came up first was the, was the walk-in center that was just discussed.

801
01:30:24.903 --> 01:30:26.347
<v Keith Wilson>Yeah, unaware.

802
01:30:26.427 --> 01:30:27.887
<v Keith Wilson>Looking forward to learning more about that.

803
01:30:28.176 --> 01:30:30.006
<v Keith Wilson>That's exciting, exciting information.

804
01:30:30.439 --> 01:30:41.641
<v Keith Wilson>But as far as transport goes, that's our weakness as a system, is, is we have so many people suffering and we're unable to utilize our laws appropriately, uh, open drug use, behavioral health holds and such.

805
01:30:41.753 --> 01:30:45.216
<v Keith Wilson>So we're really working on that with our public safety systems To fill that gap.

806
01:30:45.297 --> 01:30:49.271
<v Keith Wilson>And I know that there's a lot of people on this dais who are and share that focus.

807
01:30:49.320 --> 01:30:49.659
<v Keith Wilson>So yeah.

808
01:30:50.759 --> 01:30:51.016
<v Vince Jones-Dixon>And there's—.

809
01:30:51.016 --> 01:30:59.079
<v Sameer Kanal>I know there's an 80— just to kind of get back to the folks who might need different types of transportation.

810
01:30:59.663 --> 01:31:09.684
<v Sameer Kanal>And I know there's a particular legal definition of transportation, so I'll note I'm using it colloquially, not legally right now, that in order to sort of figure out what the best way to get someone—

811
01:31:09.692 --> 01:31:09.716
<v Sameer Kanal>Thank you, Mayor.

812
01:31:09.716 --> 01:31:28.010
<v Sameer Kanal>I think the challenge with getting someone from point A to point B is that we have to acknowledge that there's sort of an 80/20 rule here in the sense that the folks who need those involuntary holds and things like that are a small percentage of the population but often require the most, uh, the highest amount of, of sort of, um, government employee hours to be spent on, on that type of need.

813
01:31:28.470 --> 01:31:37.039
<v Sameer Kanal>And if we were to handle the other 80% of it very well, we would have the attention and resources more freed up to focus on that, that population.

814
01:31:37.341 --> 01:32:00.358
<v Sameer Kanal>So I'm asking primarily about those folks for whom a PSR shuttle or a CHAT shuttle might be appropriate, and just trying to make sure that, that I'd ask, you know, um, that those on the executive side in the public safety space, that, that we're able to ensure that they're informed on what, what may be being underutilized in terms of those resources at the county level.

815
01:32:01.162 --> 01:32:01.275
<v Sameer Kanal>Okay.

816
01:32:01.387 --> 01:32:07.761
<v Sameer Kanal>Um, that's a little outside of my original question, but I'm really glad you brought it yeah, and then I'll say, do you want to speak more to—.

817
01:32:08.065 --> 01:32:15.270
<v Jeston Black>I mean, I think what I can talk more about is transportation because I think this has been a problem that's been identified on all sides of the equation.

818
01:32:15.318 --> 01:32:35.752
<v Jeston Black>And I know that we've had a lot of conversations at the staff level between the city and the county on ways we can improve transportation to the Pathway Center, you know, whether that looks like, you know, expanding, you know, how PSR transports folks, You know, making the process as frictionless as possible for public safety to bring folks to the Pathway Center.

819
01:32:35.832 --> 01:32:49.297
<v Jeston Black>And also, you know, engaging the current provider in a conversation of whether or not they would be able to provide transportation, you know, and actually go out and meet folks, you know, who are, you know, engaging with an officer on the street.

820
01:32:49.603 --> 01:33:06.770
<v Jeston Black>You know, if we could send out a van quickly and safely out there to bring somebody back to the Pathway Center, because I think at the end of the day, our priority is to get as many folks access as possible into the center so that we can do the work of connecting them to other services and helping them along the way.

821
01:33:06.850 --> 01:33:13.358
<v Jeston Black>And that's for both folks who are involved with law enforcement and folks who are not involved with law enforcement at that moment.

822
01:33:13.421 --> 01:33:17.109
<v Jeston Black>But just to get people into the center as easily as possible.

823
01:33:17.974 --> 01:33:30.796
<v Sameer Kanal>Yeah, I would love to see that for not only— certainly for police, to enable them to go to the next call a little bit faster, but also I imagine there's also an impact with fire, in particular rescue units.

824
01:33:31.293 --> 01:33:31.568
<v Jillian Schoene>So yeah.

825
01:33:32.033 --> 01:33:35.181
<v Jillian Schoene>And the next update on the Pathways Center is due in December.

826
01:33:36.033 --> 01:33:41.207
<v Jillian Schoene>And your staff member actually attended a recent county behavioral health work session last week.

827
01:33:41.302 --> 01:33:42.010
<v Jillian Schoene>So thank you for that.

828
01:33:42.091 --> 01:33:45.336
<v Jillian Schoene>I love it when folks cross the river both directions.

829
01:33:45.930 --> 01:33:55.073
<v Jillian Schoene>But we'll make sure that you're aware of that so you can tune in and sort of the latest updates around some of the this— the, the partnership with PSR will be reported out on.

830
01:33:57.939 --> 01:33:58.519
<v Sameer Kanal>Okay, thank you.

831
01:33:58.921 --> 01:33:59.582
<v Jamie Dunphy>Thank you, Councilor Kanal.

832
01:33:59.823 --> 01:34:00.436
<v Jamie Dunphy>Councilor Zimmerman.

833
01:34:02.868 --> 01:34:07.940
<v Eric Zimmerman>Um, just to end on that, is Pathways Center the rebranding of the Deflection Center?

834
01:34:09.603 --> 01:34:10.529
<v Eric Zimmerman>Is this like the joint office?

835
01:34:10.886 --> 01:34:11.130
<v Jamie Dunphy>Yes.

836
01:34:11.372 --> 01:34:12.332
<v Eric Zimmerman>Okay, got it.

837
01:34:12.672 --> 01:34:15.206
<v Jillian Schoene>We should all be calling it the Pathways Center.

838
01:34:15.353 --> 01:34:17.658
<v Eric Zimmerman>All right, I just like making sure I know what we're talking about here.

839
01:34:17.867 --> 01:34:20.382
<v Eric Zimmerman>Um, okay, we love a rebrand.

840
01:34:20.591 --> 01:34:21.712
<v Jillian Schoene>Pathways to Treatment.

841
01:34:21.792 --> 01:34:25.141
<v Eric Zimmerman>Um, that's a little bit more addictions-focused.

842
01:34:25.238 --> 01:34:32.144
<v Eric Zimmerman>I, I do want to speak a bit about— I mean, it was— I'm, I'm glad that this is our— we're ending here, right?

843
01:34:32.224 --> 01:34:39.530
<v Eric Zimmerman>Director Light, when she spoke earlier, she used the words only when the unit is ready, because we were talking about broken units.

844
01:34:39.578 --> 01:34:40.940
<v Eric Zimmerman>You can't put people in broken units.

845
01:34:41.677 --> 01:34:43.970
<v Eric Zimmerman>And the great learning over the last 2 and a half to 3 yes.

846
01:34:44.018 --> 01:35:03.757
<v Eric Zimmerman>The pushback that we've had over the last 3 years has been from the housing providers who are coming to us and saying only when the tenant is ready, because we have this terrible scar tissue in this community of forcing placement for folks who are not ready for placement, and that is directly related to the topic we're on.

847
01:35:03.805 --> 01:35:18.238
<v Eric Zimmerman>And so I just, I think the only when the unit is ready, but also only when the person is ready, is the healthy approach that all the providers are asking us to discuss and talk about in ways that 5, 6 years ago, I think you would've been canceled in this community if you'd said such a thing.

848
01:35:18.336 --> 01:35:20.086
<v Eric Zimmerman>So that's really important.

849
01:35:20.134 --> 01:35:24.275
<v Eric Zimmerman>And I'm glad that we are ending on this topic.

850
01:35:24.340 --> 01:35:37.761
<v Eric Zimmerman>I think it was almost 2 years ago at this very meeting, I think I was in Meghan's chair that day when I asked, I think the county and the city should take our legislative agenda on camera, rip it up and say we need a mental health hospital north campus if we're ever gonna have anything.

851
01:35:38.747 --> 01:35:39.978
<v Eric Zimmerman>Make a difference in this state.

852
01:35:40.042 --> 01:35:40.851
<v Eric Zimmerman>I still believe it.

853
01:35:40.932 --> 01:35:56.770
<v Eric Zimmerman>Now, we've gone through a year and a half worth of, I think, very good work to save perhaps not a mental health hospital north campus, but to the same extent, the number of beds that we're talking about is needed.

854
01:35:56.851 --> 01:35:58.479
<v Eric Zimmerman>And I want to keep that hyper-focused.

855
01:35:58.623 --> 01:36:10.650
<v Eric Zimmerman>This is the only time in my career where I think the number one legislative agenda of my government should be a thing that that helps and is more of the wheelhouse of another government, which is actually not just the county now, it's actually the state.

856
01:36:10.730 --> 01:36:17.175
<v Eric Zimmerman>So I appreciate the language and the discussion around the crisis focus at the county.

857
01:36:18.393 --> 01:36:30.414
<v Eric Zimmerman>I've spent 11 years, 4 different chairs at Multnomah County, and parts of the health department have definitely, I'd say, leaned in and stretched their charter a bit.

858
01:36:31.635 --> 01:36:36.645
<v Eric Zimmerman>And they work in areas in our community, in places that maybe you never would have thought that the health department would work in.

859
01:36:37.496 --> 01:36:55.046
<v Eric Zimmerman>But in this area, I've found our experts to be deeply silent on this topic, meaning the work of crisis work in the mental health only gets worse when there's no more of the work that Meghan— Commissioner Moyer talked about, the more of the stabilizing, the recovering.

860
01:36:55.222 --> 01:37:00.586
<v Eric Zimmerman>I think that that is is such an important connecting nugget now that we've really gotta focus on.

861
01:37:01.645 --> 01:37:18.921
<v Eric Zimmerman>Unity Behavioral Health making 500 referrals to the Oregon State Hospital in 2019 and 3 last year because the judicial system has essentially stopped the mental healthcare system in this state, to Commissioner Moyer's point, is the only thing that any candidate for governor should be talking about.

862
01:37:19.099 --> 01:37:21.314
<v Eric Zimmerman>I don't care about anything else.

863
01:37:22.284 --> 01:37:23.609
<v Eric Zimmerman>I really don't.

864
01:37:24.523 --> 01:37:29.752
<v Eric Zimmerman>I constantly have been asked, I think many of us are asked, what is it going to take to solve homelessness in Portland?

865
01:37:29.817 --> 01:37:30.891
<v Eric Zimmerman>It's always about Portland, right?

866
01:37:31.036 --> 01:37:45.680
<v Eric Zimmerman>But well, that we can't— I don't believe Portland can solve it if Multnomah County doesn't have the tools to handle the patients in our community whom they're responsible for, and that the state isn't doing their piece.

867
01:37:45.729 --> 01:37:54.176
<v Eric Zimmerman>So this mental health bed and capacity and what it looks like is the most important part of this entire homeless continuum as far as I'm concerned.

868
01:37:54.224 --> 01:38:02.546
<v Eric Zimmerman>I sit on the steering committee as the mayor's appointee, and I'm very proud when I look at our metrics for our poverty-based interventions.

869
01:38:03.944 --> 01:38:14.307
<v Eric Zimmerman>I don't think it gets enough attention in our community about how well, if a person, a family is facing just poverty-based issues, our homeless dollars work.

870
01:38:14.372 --> 01:38:15.158
<v Eric Zimmerman>That's rent assistance, right?

871
01:38:15.420 --> 01:38:15.884
<v Eric Zimmerman>Right.

872
01:38:15.932 --> 01:38:19.951
<v Eric Zimmerman>It's a medical bill, it's a car bill, it's losing a job, but it's staying housed.

873
01:38:20.595 --> 01:38:30.332
<v Eric Zimmerman>But we— and so we do well, but we use only this much money on it because we use a lot of other money in an area that we're not as effective, which is homeless dollars after medical care.

874
01:38:31.435 --> 01:38:37.377
<v Eric Zimmerman>And you can split that medical care into behavior health, mental health, or into addictions health.

875
01:38:38.055 --> 01:38:42.993
<v Eric Zimmerman>But we're using homeless service dollars, ones that the Portland metro area voters put into the SHS.

876
01:38:43.076 --> 01:38:44.829
<v Eric Zimmerman>So this is very important to me.

877
01:38:44.895 --> 01:38:54.234
<v Eric Zimmerman>I'm glad that we're I believe we can't do it alone, and that's why I think it is the most important thing for both, both governments to put on their legislative agenda.

878
01:38:55.182 --> 01:39:06.814
<v Eric Zimmerman>I'm a little concerned in the way that it's put forward, Jillian, in just the presentation, because I think to be clear-eyed down at the state, we're going to have to just be doggedly clear about we need money for this many beds.

879
01:39:07.810 --> 01:39:11.280
<v Eric Zimmerman>I don't need soft language about how it's going to flow and all this other garbage.

880
01:39:11.426 --> 01:39:12.358
<v Eric Zimmerman>It's like we got to get real.

881
01:39:12.421 --> 01:39:12.759
<v Eric Zimmerman>Councilor Dan Ryan.

882
01:39:13.104 --> 01:39:20.533
<v Eric Zimmerman>Real, real, because I'm worried they're going to hold the deflection money from a few years ago against us for not good outcomes and say, meh.

883
01:39:21.545 --> 01:39:25.560
<v Eric Zimmerman>And so this is different, and we've got to articulate how it's different.

884
01:39:25.706 --> 01:39:40.591
<v Eric Zimmerman>And lining up the CCOs, so CareOregon and Health Share, who have been a big part of this conversation over the last year and a half about this type of bed in this location, this many of them provided this way with reimbursement rates at this level, that's the the specificity, I think, is helpful.

885
01:39:41.680 --> 01:39:48.845
<v Eric Zimmerman>But I do think that it's also okay for Oregon to admit it's not this bad in other states.

886
01:39:50.176 --> 01:39:59.505
<v Eric Zimmerman>Yes, Ronald Reagan really screwed the pooch for the social services in this country, and we have continued down that for a long time.

887
01:39:59.552 --> 01:40:02.390
<v Eric Zimmerman>But many states have reversed course.

888
01:40:03.015 --> 01:40:06.509
<v Eric Zimmerman>But I believe to my core that Oregon's own compassion.

889
01:40:07.122 --> 01:40:13.556
<v Eric Zimmerman>Prevented us from actually being compassionate, and we've let a lot of stuff linger, fester, and die, and that's not okay.

890
01:40:14.167 --> 01:40:18.951
<v Eric Zimmerman>So this is— I don't know why they put us in the corner over here, Megan, but I just—.

891
01:40:19.368 --> 01:40:20.252
<v Meghan Moyer>I'll say no.

892
01:40:20.347 --> 01:40:26.545
<v Eric Zimmerman>I'm glad that if you haven't been into Commissioner Moyer's office in Multnomah County, it's the only one that doesn't have windows into the rest of the corridor.

893
01:40:26.594 --> 01:40:31.233
<v Eric Zimmerman>And I think that's good because when she and I get on this topic, we're pretty animated and quite loud about it.

894
01:40:31.282 --> 01:40:33.432
<v Eric Zimmerman>So it's probably for the safety of all all of us.

895
01:40:34.074 --> 01:40:59.030
<v Eric Zimmerman>But, um, we agree deeply on this, and it is the only thing I want to hear from any governor, any speaker, any president of the Senate, because Oregon's recovery— whether you care about mental health or economics, whether you care about schools or mental health, whether you care about clean streets or no tents or being in the shelter business or in the housing business— it all comes back down to this.

896
01:41:00.345 --> 01:41:05.712
<v Eric Zimmerman>We spend $100 million at the City of Portland on things that I think are really a state role here.

897
01:41:06.626 --> 01:41:13.547
<v Eric Zimmerman>And even regardless of who's cutting the check, it's the right thing because there are people who aren't getting the access they need.

898
01:41:13.595 --> 01:41:15.726
<v Eric Zimmerman>And I just want to kind of close with a few things.

899
01:41:15.774 --> 01:41:24.747
<v Eric Zimmerman>I just— Anthony, you and I have gone around a few times on different things over the years, but I just appreciate the crisis aspect that you were telling us about.

900
01:41:24.828 --> 01:41:26.686
<v Eric Zimmerman>And it makes me think back to when was this system set up?

901
01:41:26.734 --> 01:41:27.055
<v Anthony Jordan>2006.

902
01:41:28.628 --> 01:41:32.550
<v Eric Zimmerman>And why do, why do most of the folks who go to Division to get dropped off, why are they housed?

903
01:41:32.613 --> 01:41:34.461
<v Eric Zimmerman>Because a lot of this was set up before.

904
01:41:34.685 --> 01:41:40.645
<v Eric Zimmerman>Right now in our collective society, we think of homelessness and mental health as the same thing, and they're not.

905
01:41:40.791 --> 01:41:41.626
<v Eric Zimmerman>They're just so intertwined.

906
01:41:41.673 --> 01:41:52.551
<v Eric Zimmerman>But it used to be that you could go to a crisis center, we could stabilize in crisis, and that system worked because generally there was a place in which they went which was home afterward, and that, that mattered.

907
01:41:52.599 --> 01:41:54.125
<v Eric Zimmerman>There were support systems around it.

908
01:41:54.189 --> 01:41:57.768
<v Eric Zimmerman>And We may have to break some of these systems.

909
01:41:57.815 --> 01:42:10.478
<v Eric Zimmerman>That's where I'm looking to the health department to help us know where to lean in and lean further than maybe our charter has generally been at, because we need help to say that system was built in 1980 and the system has crumbled since then.

910
01:42:11.939 --> 01:42:20.828
<v Eric Zimmerman>Maybe it has to adjust because this is such a big book of business now, because so many of these were set up with the idea that there was a stabilizing place after the crisis.

911
01:42:22.371 --> 01:42:38.581
<v Eric Zimmerman>And when we get this focused on it, and it's only in the homeless continuum, we also have a duty as a community to still have a system for those who are not on the brink of homelessness or not in addiction, because mental health hits every family.

912
01:42:39.015 --> 01:42:40.829
<v Eric Zimmerman>It hits every corner of society.

913
01:42:41.890 --> 01:42:55.873
<v Eric Zimmerman>And there is a lack of access, not just within the homeless continuum, but there's a lack of access that's across the economic sphere, which means you've got to be rich enough to send your family outside of the state of Oregon to get health, and that's not okay.

914
01:42:56.181 --> 01:42:56.814
<v Eric Zimmerman>So thanks, Jillian.

915
01:42:57.880 --> 01:42:58.975
<v Jamie Dunphy>Thank you, Councilor Zimmerman.

916
01:42:59.345 --> 01:43:06.240
<v Jamie Dunphy>So colleagues, we are now moving into the final section of our time here, which is, uh, time for all of us to keep talking.

917
01:43:06.900 --> 01:43:10.246
<v Jamie Dunphy>Uh, we got about 45 minutes left here.

918
01:43:10.358 --> 01:43:24.560
<v Jamie Dunphy>We've heard about the needs within each of the systems and how they connect, and for the for the remainder of the time we have today, I'm going to— we'd like us for— I would like for us to focus on what we better understand about one another's priorities and where coordination could strengthen our advocacy in 2027.

919
01:43:25.297 --> 01:43:29.552
<v Jamie Dunphy>I'll try to— I'm going to start by prioritizing folks who have not already had an opportunity to speak.

920
01:43:29.600 --> 01:43:38.592
<v Jamie Dunphy>You certainly don't have to if you don't want to, but I'm going to call Vice President Clark, Councilor Smith, Councilor Green, Mayor Wilson, and Chair Vega Pederson in that order.

921
01:43:39.813 --> 01:43:40.454
<v Jamie Dunphy>Vice President Clark.

922
01:43:41.497 --> 01:43:43.006
<v Olivia Clark>Well, thank you, Council President.

923
01:43:43.247 --> 01:43:58.430
<v Olivia Clark>Um, I want to thank you so much for the way you've structured this today, um, and, uh, thanks to, uh, Chair Vega Pederson for, um, working together on structuring something that gave everybody a chance to participate.

924
01:43:58.510 --> 01:44:00.854
<v Olivia Clark>We weren't just sit and get for 2 hours.

925
01:44:00.917 --> 01:44:02.024
<v Olivia Clark>I really appreciate that.

926
01:44:02.908 --> 01:44:06.261
<v Olivia Clark>Um, and I know we're at the end.

927
01:44:06.439 --> 01:44:17.521
<v Olivia Clark>I don't normally have a lot to say, and I— but I— what I do want to say is that I, I feel much more sensitized after this discussion, um, to some of the issues that the county wrestles with.

928
01:44:18.244 --> 01:44:24.976
<v Olivia Clark>But— and, and particularly about the budget issues, that we're going to have budget issues, you're going to have budget issues, the state's going to have budget issues.

929
01:44:25.555 --> 01:44:38.484
<v Olivia Clark>But my, um, my biggest concern about today, and I'm, I'm hoping that we walk out of here today hand in hand on a legislative agenda that focuses on what we've learned about behavioral health.

930
01:44:39.207 --> 01:44:52.859
<v Olivia Clark>And, um, kudos to the 2 people over there in the windowless offices who, uh, I work with, uh, my, my commissioner and my colleague, for really, um, laying it out.

931
01:44:53.163 --> 01:45:05.250
<v Olivia Clark>Um, you know, I was here, I was working on affordable housing issues when Ronald Reagan was the president, and I went through all those budget and I know that we're still suffering 50 years later from all that stuff.

932
01:45:05.363 --> 01:45:07.059
<v Olivia Clark>We have a long way to go.

933
01:45:08.090 --> 01:45:12.472
<v Olivia Clark>But Commissioner Moyer, your painting that big picture was so valuable to me.

934
01:45:12.635 --> 01:45:14.770
<v Olivia Clark>I just really, really appreciate that.

935
01:45:14.899 --> 01:45:23.115
<v Olivia Clark>But I do hope that we can come together, our 2 government affairs teams, to make this our number one issue.

936
01:45:23.212 --> 01:45:27.798
<v Olivia Clark>Because as my colleague Councilor Zimmerman said, thank you.

937
01:45:27.926 --> 01:45:28.875
<v Olivia Clark>This touches everything.

938
01:45:29.148 --> 01:45:31.203
<v Olivia Clark>The behavioral health issue, it touches everything.

939
01:45:31.782 --> 01:45:37.980
<v Olivia Clark>Economic development, our reputation, our sense of safety, the victimization of people on the street.

940
01:45:38.078 --> 01:45:40.422
<v Olivia Clark>This is, to me, the number one issue.

941
01:45:40.936 --> 01:45:48.229
<v Olivia Clark>So I really hope— that was my big takeaway today, or what I wanted to get out of this, was a shared legislative agenda on behavioral health.

942
01:45:49.368 --> 01:45:51.890
<v Olivia Clark>And I think that really came through loud and clear.

943
01:45:52.436 --> 01:46:02.484
<v Olivia Clark>I hope we can make that the number one, no matter what the budget issue is at the state level, We have to start working on this issue as a team together and get the state to take more responsibility.

944
01:46:03.652 --> 01:46:04.378
<v Olivia Clark>So thank you.

945
01:46:04.524 --> 01:46:05.429
<v Olivia Clark>I don't have any questions.

946
01:46:05.493 --> 01:46:06.317
<v Olivia Clark>I just want to leave it at that.

947
01:46:06.381 --> 01:46:09.484
<v Olivia Clark>But thank you so much for painting the big picture, Commissioner.

948
01:46:09.628 --> 01:46:10.662
<v Olivia Clark>I really appreciate it.

949
01:46:11.163 --> 01:46:11.568
<v Olivia Clark>Thank you.

950
01:46:11.729 --> 01:46:12.762
<v Jamie Dunphy>Thank you, Vice President Clark.

951
01:46:13.060 --> 01:46:13.399
<v Jamie Dunphy>Councilor Smith.

952
01:46:14.537 --> 01:46:16.095
<v Loretta Smith>Thank you.

953
01:46:16.646 --> 01:46:17.783
<v Loretta Smith>Thank you, Council President.

954
01:46:17.881 --> 01:46:19.292
<v Loretta Smith>I, I appreciate that.

955
01:46:19.341 --> 01:46:19.682
<v Loretta Smith>Thank you.

956
01:46:19.975 --> 01:46:31.985
<v Loretta Smith>Um, Councilor Clark, um, you're right on target, and I so appreciate you, um, Commissioner Meghan Moyer.

957
01:46:32.469 --> 01:46:41.457
<v Loretta Smith>Having been a county commissioner, I, I feel your pain and trying to paint a picture of what your book of business is.

958
01:46:42.604 --> 01:46:51.198
<v Loretta Smith>And I think that I feel like I'm a parliamentarian sometime about what the city's book of business is.

959
01:46:51.878 --> 01:46:59.225
<v Loretta Smith>And I'm glad you went down that road because it makes my talking points a little bit easier to, um, to explain.

960
01:47:00.234 --> 01:47:07.927
<v Loretta Smith>And I think like Councilor Clark said, getting back to basics, that is a mandate of our charter.

961
01:47:09.765 --> 01:47:21.524
<v Loretta Smith>And our charter explicit mandate, if we want to look at the core business of the City of Portland, we must look at our founding document.

962
01:47:23.130 --> 01:48:02.752
<v Loretta Smith>The Portland City Charter explicitly mandates under Article 4 that the executive branch must actively promote economic development to broaden and strengthen the commercial and employment base of the so when we start talking about affordability and homelessness, we always cross it with people need drug and alcohol, people need mental health services, and nobody, Councilor Ryan, is talking about workforce development.

963
01:48:03.779 --> 01:48:08.099
<v Loretta Smith>And workforce development has to be a leg of this—

964
01:48:08.162 --> 01:48:12.787
<v Loretta Smith>This stool, you all, it's, it's not always drug and alcohol and mental health.

965
01:48:13.605 --> 01:48:17.893
<v Loretta Smith>I'd have mental health problems too if I had to sleep out on the streets and didn't have a job to go to.

966
01:48:18.695 --> 01:48:22.983
<v Loretta Smith>So we need to actually talk about some other things.

967
01:48:23.078 --> 01:48:43.695
<v Loretta Smith>We need to include some other books of business of what we're trying to do, because if we treat the root cause, this— the city's true business is funding localized job training, union apprenticeships, and workforce development initiatives that lift Portlanders out of poverty.

968
01:48:44.675 --> 01:48:57.344
<v Loretta Smith>And if we focus on workforce development, we fulfill the charter obligations to broaden our employment base and to treat the root cause of the housing crisis.

969
01:48:57.858 --> 01:49:05.135
<v Loretta Smith>We're talking about wage stagnation rather than permanently managing poverty as a government landlord.

970
01:49:05.649 --> 01:49:08.829
<v Loretta Smith>That is not the answer for us to become a landlord.

971
01:49:09.746 --> 01:49:19.465
<v Loretta Smith>We got to start creating jobs so folks can pay, you know, market-rate housing, whatever it is, because they will have the skill set to go out and do that.

972
01:49:19.529 --> 01:49:25.795
<v Loretta Smith>We're just assuming that everybody has a mental health and drug and alcohol problem, and that's not the case.

973
01:49:27.528 --> 01:49:29.076
<v Loretta Smith>They just have a problem getting a good job.

974
01:49:31.055 --> 01:49:34.560
<v Loretta Smith>And so, you know, I'm going to go back to just earlier this year.

975
01:49:35.186 --> 01:49:52.158
<v Loretta Smith>Mayor Wilson explicitly warned that our regional affordable housing infrastructure is facing a near-immediate financial insolvency, threatening the closure of critical assets and taking on property management as a core business yes.

976
01:49:52.222 --> 01:50:02.823
<v Loretta Smith>Um, I think it will bind Portland's general fund to like a burning financial, uh, ledger, threatening our bond rating and fiscal stability.

977
01:50:02.952 --> 01:50:10.793
<v Loretta Smith>So we have to stay— I guess what I'm saying is the county's here, the city's here, everybody's here, the mayor— we all have to stay in our own lanes.

978
01:50:12.011 --> 01:50:18.090
<v Loretta Smith>And if we stay in our lanes and we create this other leg to the—

979
01:50:18.203 --> 01:50:28.768
<v Loretta Smith>If we don't take this stool and put workforce development in it, then we're going to still be running around in the same circle, and we're going to be talking about city services and, and, and social housing.

980
01:50:29.024 --> 01:50:38.354
<v Loretta Smith>And, you know, and then we're going to say, Multnomah County, you need to do all this mental health, and you can't do it because you don't have the funding because the state hasn't given it to you, they took it away.

981
01:50:38.835 --> 01:50:53.940
<v Loretta Smith>And we're going to just be sitting here saying the same thing while we have, um, Our housing director, who has the stats, it takes 185 days to house somebody in the city of Portland.

982
01:50:54.296 --> 01:50:56.123
<v Loretta Smith>185 days.

983
01:50:57.676 --> 01:51:04.046
<v Loretta Smith>And so if it takes that long to house someone, how do you think we're going to deal with this crisis?

984
01:51:04.449 --> 01:51:06.002
<v Loretta Smith>We have to treat it like a crisis.

985
01:51:06.131 --> 01:51:08.458
<v Loretta Smith>And, and that's why I've been supporting the shelter system.

986
01:51:09.363 --> 01:51:14.239
<v Loretta Smith>Because it gives people who need a place to stay, like right now, today, someplace to go.

987
01:51:15.300 --> 01:51:27.984
<v Loretta Smith>So unless we're going to be talking about workforce development in addition to mental health when we go down to Salem, I don't think we're doing ourselves a, a big justice here.

988
01:51:28.113 --> 01:51:31.243
<v Loretta Smith>I think we're just talking about the same thing every time we talk.

989
01:51:31.886 --> 01:51:36.399
<v Loretta Smith>So I, I, I, for one, Mr. Mayor, I want to start talking about that.

990
01:51:36.399 --> 01:51:41.640
<v Loretta Smith>And if we don't, this is the same conversation, just a different day.

991
01:51:41.640 --> 01:51:43.199
<v Loretta Smith>Thank you.

992
01:51:43.239 --> 01:51:44.520
<v Jamie Dunphy>Thank you, Councilor Smith.

993
01:51:44.520 --> 01:51:49.600
<v Jamie Dunphy>Uh, Mr. Mayor, I have time for you also for final remarks, but for this section, do you want to ask any questions to staff or anything further?

994
01:51:50.220 --> 01:51:50.939
<v Keith Wilson>Not in particular.

995
01:51:50.939 --> 01:51:51.720
<v Jamie Dunphy>I can wait till the end.

996
01:51:51.720 --> 01:51:52.020
<v Jamie Dunphy>Thank you.

997
01:51:52.100 --> 01:51:52.859
<v Jamie Dunphy>Okay, sounds good.

998
01:51:52.960 --> 01:51:56.579
<v Jamie Dunphy>Uh, Chair Vega Pederson, anything further, uh, before final remarks also?

999
01:51:56.619 --> 01:51:58.319
<v Jessica Vega Pederson>Uh, yeah, no, these aren't my final remarks.

1000
01:51:58.319 --> 01:52:06.269
<v Jessica Vega Pederson>I will just say, um, I think that what— I mean, we do have about a month before our Our respective legislative bodies are going to be voting on our agenda.

1001
01:52:06.332 --> 01:52:21.282
<v Jessica Vega Pederson>I think that this is a really good kickoff conversation to like, this is what's on the table, this is what the need is, and, um, and then this is how we can really use this month to find the align— the spaces of alignment around, uh, behavioral health agenda, legislative agenda.

1002
01:52:21.345 --> 01:52:30.623
<v Jessica Vega Pederson>I think also in our homelessness agenda, um, and specifically really asking the question, what what is the state investment?

1003
01:52:30.671 --> 01:52:39.123
<v Jessica Vega Pederson>What is the state policy change we need that is really going to move the dial on the challenges that we're facing here in Multnomah County and the city of Portland?

1004
01:52:39.171 --> 01:52:44.224
<v Jessica Vega Pederson>And I think that's where we should be having these conversations following this meeting between us.

1005
01:52:44.304 --> 01:52:50.783
<v Jessica Vega Pederson>So just really have enjoyed the conversation today, really appreciated it, and I think we've got like the job in front of us for the next few weeks.

1006
01:52:51.503 --> 01:52:51.809
<v Jamie Dunphy>Brilliant.

1007
01:52:51.889 --> 01:52:53.509
<v Jamie Dunphy>Thank you, Councilor— or thank you, Chair.

1008
01:52:54.688 --> 01:52:57.698
<v Jamie Dunphy>Councilors, feel free to jump in the queue at this point, even if you have spoken in any regard.

1009
01:52:57.779 --> 01:53:01.346
<v Jamie Dunphy>We have about 30 minutes for councilors to share their thoughts.

1010
01:53:01.395 --> 01:53:04.404
<v Jamie Dunphy>We're going to go with Councilor Morillo, followed by Commissioner Singleton.

1011
01:53:06.212 --> 01:53:07.359
<v Angelita Morillo>Thank you, Council President.

1012
01:53:07.521 --> 01:53:12.467
<v Angelita Morillo>I think I just have one more technical question, which I think might be for you, Jillian, or for you, Director.

1013
01:53:14.439 --> 01:53:16.829
<v Angelita Morillo>And bear with me as I sort of read this out.

1014
01:53:16.958 --> 01:53:30.832
<v Angelita Morillo>But in the spring, the county projected that thousands more people homeless that there are thousands more people homeless at current funding levels, and now you're projecting a 10% decline with the same funding.

1015
01:53:31.970 --> 01:53:34.518
<v Angelita Morillo>And as far as I'm aware, nothing has changed in those services.

1016
01:53:35.030 --> 01:53:35.847
<v Angelita Morillo>I see you shaking your head.

1017
01:53:35.895 --> 01:53:36.873
<v Angelita Morillo>Am I already wrong on that?

1018
01:53:36.953 --> 01:53:38.877
<v Jillian Schoene>Actually, something fundamentally did change.

1019
01:53:39.117 --> 01:53:39.292
<v Jillian Schoene>Okay.

1020
01:53:39.630 --> 01:53:42.305
<v Jillian Schoene>So, and Nathaniel, weigh in here as you like.

1021
01:53:43.443 --> 01:53:49.420
<v Jillian Schoene>So we identified our key performance indicators last year, right, and used them thank you.

1022
01:53:49.547 --> 01:54:07.444
<v Jillian Schoene>I've been working with them during the budget processes, more so on the county side of the equation, to show that if you put the fiscal year '26 budget on the Xerox machine and copy and paste that and do it again in fiscal year '27, overall homelessness and unsheltered homelessness get worse.

1023
01:54:08.454 --> 01:54:15.671
<v Jillian Schoene>We were investing in shelter at the expense of housing placement, moving people out of the system.

1024
01:54:17.719 --> 01:54:26.789
<v Jillian Schoene>The county commission saw that and made different decisions for the fiscal year '27 budget process.

1025
01:54:27.693 --> 01:54:29.243
<v Jillian Schoene>We have rebalanced our system.

1026
01:54:29.323 --> 01:54:36.952
<v Jillian Schoene>We now have better balance between prevention, shelter, and moving people out of homelessness and rehousing them.

1027
01:54:37.466 --> 01:54:46.126
<v Jillian Schoene>So because of that investment shift, We are now on a much better trajectory in the context of fiscal year '27.

1028
01:54:46.654 --> 01:54:57.515
<v Jillian Schoene>And then to just round that out, in order to meet the goals that we've set for the 2-year period, we have to do fiscal year '27 exactly the same again.

1029
01:54:57.965 --> 01:55:06.387
<v Jillian Schoene>And that's why we're here today talking about what we need from Salem, what we'll need from your local budgets to rinse and repeat fiscal year '27 and fiscal year '28.

1030
01:55:06.932 --> 01:55:07.686
<v Jillian Schoene>Nathaniel, anything to add?

1031
01:55:10.005 --> 01:55:17.520
<v Nathaniel VerGow>I think the only piece that I would add is that in these budget-constrained environments, we are tasked with doing more with less.

1032
01:55:18.323 --> 01:55:25.527
<v Nathaniel VerGow>And the homelessness system grew exponentially across the nation as a result of COVID funding.

1033
01:55:26.184 --> 01:55:29.698
<v Nathaniel VerGow>And so this is work that we were doing prior to that growth.

1034
01:55:30.372 --> 01:55:35.811
<v Nathaniel VerGow>And so we are— we're in a better position fiscally than we were 10 years ago.

1035
01:55:36.967 --> 01:55:40.627
<v Nathaniel VerGow>Still not even close to what we need in terms of investment, especially at the federal level.

1036
01:55:42.009 --> 01:55:53.457
<v Nathaniel VerGow>But we need to get back to the scrappiness that we as a system did prior to the funding that came through COVID.

1037
01:55:53.971 --> 01:56:11.791
<v Nathaniel VerGow>So a lot of the work that I'm doing in addition to the shifts in investments are really focused focused on what I shared earlier around the work that we're doing with our providers to make sure that the work every day is as impactful and effective as possible so that every dollar is being used to its maximum.

1038
01:56:12.368 --> 01:56:19.137
<v Nathaniel VerGow>So those are the keys to continued progress in a constrained environment.

1039
01:56:20.332 --> 01:56:46.521
<v Angelita Morillo>Okay, so based on that, let me ask a follow-up on sort of the data that we're looking Um, you know, we have the by-name list that we're looking at, and last, um, you know, there— last month the inactivity window went from 90 days to 60 days, resetting to 30 with each contact instead of 90.

1040
01:56:47.136 --> 01:56:50.404
<v Angelita Morillo>So people fall off faster and the forecast drops with them.

1041
01:56:50.987 --> 01:56:58.546
<v Angelita Morillo>This list was built Built for Zero to count everyone experiencing homelessness, including people not engaging with services.

1042
01:56:59.300 --> 01:57:03.854
<v Angelita Morillo>The September memo now says that it measures people who are actively seeking help.

1043
01:57:05.009 --> 01:57:14.359
<v Angelita Morillo>So from my perspective, it sort of looks like this is a significant departure from the purpose of the by-name list as it was previously presented to us.

1044
01:57:15.483 --> 01:57:20.261
<v Angelita Morillo>We're no longer looking to count who are homeless generally or the chronically homeless in particular.

1045
01:57:20.310 --> 01:57:20.694
<v Angelita Morillo>Councilmember Herbold.

1046
01:57:21.097 --> 01:57:28.693
<v Angelita Morillo>We're basically saying that we're only counting those who seek help, and everyone else is not going to be seen in that data.

1047
01:57:29.359 --> 01:57:34.501
<v Angelita Morillo>And there are plenty of reasons someone doesn't touch the HMIS system for a period of time.

1048
01:57:34.646 --> 01:57:42.966
<v Angelita Morillo>They could be in treatment, in jail, or just getting help from one of the many organizations that provide good services but don't have the resources to deal with that system.

1049
01:57:43.596 --> 01:57:47.422
<v Angelita Morillo>So what values, incentives, and goals does this methodological change reflect?

1050
01:57:47.520 --> 01:57:47.842
<v Angelita Morillo>Councilor Smith.

1051
01:57:52.488 --> 01:57:52.771
<v Jillian Schoene>Go for it.

1052
01:57:53.369 --> 01:57:57.894
<v Nathaniel VerGow>So yes, we made refinements in our by-name list.

1053
01:57:58.944 --> 01:58:02.987
<v Nathaniel VerGow>And I would argue that it's not at all a departure from the intent of the by-name list.

1054
01:58:03.779 --> 01:58:07.189
<v Nathaniel VerGow>It is ongoing continuous quality improvement that we are doing with our data.

1055
01:58:07.819 --> 01:58:14.185
<v Nathaniel VerGow>So the decision to shorten that inactivity policy was based on our analysis of the data that we had collected over the last 2 years.

1056
01:58:15.113 --> 01:58:36.195
<v Nathaniel VerGow>The impacts of that, that we were seeing folks— it gets really technical, so I don't want to belabor too long, but there are challenges with programs that, including outreach, where folks may be engaged and remain enrolled in a program even though they haven't been touched and offered a service for extended periods.

1057
01:58:37.592 --> 01:58:54.380
<v Nathaniel VerGow>Doesn't mean they're not experiencing homelessness, but but if an outreach team is doing the work that they are expected to do, which we are tracking both in terms of the services they are providing and where they are providing those services, and they are not seeing that person, we need to make sure that they are off this list.

1058
01:58:55.488 --> 01:59:00.564
<v Nathaniel VerGow>And so it is looking at being really effective in the measurements.

1059
01:59:01.368 --> 01:59:06.670
<v Nathaniel VerGow>The inactivity policy was one of only a number of changes that we made in this data.

1060
01:59:06.751 --> 01:59:06.878
<v Nathaniel VerGow>Thank you.

1061
01:59:07.393 --> 01:59:09.932
<v Nathaniel VerGow>To be able to better reflect our reality.

1062
01:59:10.511 --> 01:59:17.576
<v Nathaniel VerGow>I'd like to call up our Director of Data to be able to talk through some of the nuances.

1063
01:59:18.912 --> 01:59:28.498
<v Jillian Schoene>But I would just layer on that this was a plan that we had when HSD launched the inaugural by-name list in April of 2025.

1064
01:59:30.479 --> 01:59:34.050
<v Jillian Schoene>Part of the methodology behind that was that 90-day inactivity policy.

1065
01:59:35.121 --> 01:59:44.020
<v Jillian Schoene>That is based on national best practices that Community Solutions, the Built for Zero folks, that start with 90-day inactivity policy, revisit it a year later.

1066
01:59:44.421 --> 01:59:46.216
<v Jillian Schoene>So that's exactly what they did.

1067
01:59:46.552 --> 02:00:01.118
<v Jillian Schoene>Communities across the country make adjustments depending on how they're using their by-name list, whether it is sort of that comprehensive, most accurate you can get snapshot, or you're using it for coordinated entry.

1068
02:00:01.550 --> 02:00:02.158
<v Jillian Schoene>It just differs.

1069
02:00:02.302 --> 02:00:08.466
<v Jillian Schoene>So but this was all based on national best practices and this continuous quality improvement project.

1070
02:00:09.172 --> 02:00:25.447
<v Angelita Morillo>Okay, I don't mind getting technical if you have an expert here, but I think I'm still sort of left wondering how much of that projected decline in homelessness is attributable to these changes to the by-name list as opposed to the service changes that you were speaking to, Jillian.

1071
02:00:26.667 --> 02:00:27.998
<v Angelita Morillo>Like, what is the way that we parse that out?

1072
02:00:32.019 --> 02:00:32.819
<v Jillian Schoene>Can you ask that again?

1073
02:00:33.903 --> 02:00:46.293
<v Angelita Morillo>Yeah, um, I'm wondering how much of that projected decline in homelessness is attributable to these changes to the by-name list as opposed to the service changes that you spoke to earlier.

1074
02:00:51.195 --> 02:00:51.974
<v Nathaniel VerGow>I'm phoning a friend.

1075
02:00:52.056 --> 02:01:02.057
<v Angelita Morillo>So I'm just gonna say, yeah, How are we going to know that the goals are being reached because of the investments, or is it because we changed how we're collecting by-name list data?

1076
02:01:03.425 --> 02:01:05.250
<v Jillian Schoene>Well, 2 separate tracks.

1077
02:01:09.634 --> 02:01:17.555
<v Jillian Schoene>One on the 90, the revised activity policy, the data team in HSD is going to see what happens over time.

1078
02:01:18.056 --> 02:01:22.935
<v Jillian Schoene>That is also a policy that can be revisited based on what we see in the data.

1079
02:01:24.970 --> 02:01:25.127
<v Jillian Schoene>Right.

1080
02:01:25.287 --> 02:01:27.262
<v Jillian Schoene>So put that aside for a second.

1081
02:01:28.177 --> 02:01:36.368
<v Jillian Schoene>What we will be doing as Team HRS is, as the data comes in monthly on the HSD dashboard, we will look at it.

1082
02:01:37.492 --> 02:01:43.144
<v Jillian Schoene>When we see variances up or down, we will dig in as to why that is happening.

1083
02:01:43.899 --> 02:01:51.189
<v Jillian Schoene>And yeah, we can include, like, is it the effects of this shift in this 90-day inactivity policy, or did inflow get worse?

1084
02:01:51.943 --> 02:01:57.881
<v Jillian Schoene>Or are we rocking it on housing placements and that's why we had more people leave homelessness?

1085
02:01:58.523 --> 02:02:01.653
<v Jillian Schoene>And our first phone call after that honestly is to Nathaniel.

1086
02:02:02.375 --> 02:02:29.578
<v Jillian Schoene>Let's talk about what we're seeing in the data, the why behind it, and then we are committed to reporting out to y'all on a monthly basis when we see those variances and how we're doing in the context of our goals to tell you if we're on track, if we're off track, And I would just state that we're projecting the 10% based on the realignment of the data.

1087
02:02:29.805 --> 02:02:35.993
<v Nathaniel VerGow>So it's not 10% change from the prior by-name list to the new by-name list.

1088
02:02:36.122 --> 02:02:40.273
<v Nathaniel VerGow>It is— we're comparing apples to apples as we're looking at that 10%.

1089
02:02:41.115 --> 02:02:41.310
<v Angelita Morillo>Okay.

1090
02:02:41.554 --> 02:02:43.287
<v Angelita Morillo>Okay, that's helpful.

1091
02:02:43.752 --> 02:02:48.047
<v Jillian Schoene>Yeah, sorry, we didn't do our final calculation until after the CQI process.

1092
02:02:48.225 --> 02:02:49.914
<v Jillian Schoene>That's why on that one slide it says post-CQI.

1093
02:02:51.960 --> 02:02:52.039
<v Elana Pirtle-Guiney>Sorry.

1094
02:02:52.378 --> 02:02:53.055
<v Angelita Morillo>Okay, no worries.

1095
02:02:53.104 --> 02:02:57.605
<v Angelita Morillo>We'll have more of these meetings and I'll have more boring detailed data questions.

1096
02:02:58.041 --> 02:03:00.234
<v Nathaniel VerGow>Glad to have a one-on-one to go deep with you as well.

1097
02:03:01.573 --> 02:03:02.380
<v Jamie Dunphy>Thank you, Councilor Morillo.

1098
02:03:02.703 --> 02:03:03.430
<v Jamie Dunphy>Commissioner Singleton.

1099
02:03:05.368 --> 02:03:06.548
<v Shannon Singleton>Thank you, Council President.

1100
02:03:07.893 --> 02:03:10.537
<v Shannon Singleton>Um, I had just a couple of things.

1101
02:03:11.380 --> 02:03:16.547
<v Shannon Singleton>One, I think we have to do a lot of education with the legislature.

1102
02:03:17.431 --> 02:03:24.319
<v Shannon Singleton>Just looking briefly at the committees that we'll be touching around behavioral health and housing and homelessness, they're not all our delegation.

1103
02:03:24.908 --> 02:03:28.331
<v Shannon Singleton>So we have to figure out how to do some education and outreach more broadly.

1104
02:03:28.588 --> 02:03:33.448
<v Shannon Singleton>And I would really encourage us to see how we can link with the housing lobby table that comes together in Salem.

1105
02:03:35.735 --> 02:03:37.047
<v Shannon Singleton>It's— I feel like it's always a need.

1106
02:03:37.096 --> 02:03:37.277
<v Shannon Singleton>Councilor Smith.

1107
02:03:38.158 --> 02:03:45.380
<v Shannon Singleton>Every time I talk about Salem, Ryan, somebody behind you shaking your head because that's what I felt like what our job was when we were housing policy advisors.

1108
02:03:45.493 --> 02:03:47.275
<v Shannon Singleton>Like, all right, let's start the education again.

1109
02:03:49.239 --> 02:03:54.170
<v Shannon Singleton>The other— I'm concerned about the timeline on developing our legislative strategies.

1110
02:03:54.510 --> 02:03:57.242
<v Shannon Singleton>I want to make sure that we have built into the work plan.

1111
02:03:57.420 --> 02:04:07.224
<v Shannon Singleton>I want the city to be telling us what we need to be advocating for when it comes to preservation and production, and I want I want us to be telling the city what we need them to advocate for when it comes to behavioral health.

1112
02:04:07.753 --> 02:04:19.667
<v Shannon Singleton>I think the story that has been told so far is one part of that picture, and it comes a lot from what our CCOs need, but it misses some of the things that I think we may think we need as well locally in our services.

1113
02:04:19.939 --> 02:04:28.610
<v Shannon Singleton>And I hope that we're going to add to that, which is my understanding, but we need to have that conversation and share with the city before they're voting on their legislative agenda.

1114
02:04:29.399 --> 02:04:41.802
<v Shannon Singleton>So I would look for an update, whether that comes in a memo or whatever makes sense, of what the actual government relations plan is, work plan on each side of the river, and not just rely on the end dates when we're actually voting on these things.

1115
02:04:44.042 --> 02:04:54.412
<v Shannon Singleton>Um, I also will say, as somebody who worked on the front lines of, of this, uh, at the intersections of behavioral health and homelessness for so long, there are also things we can do right now.

1116
02:04:55.255 --> 02:05:04.295
<v Shannon Singleton>And I think, Anthony, I keep looking at you on this because you and I have had a lot of conversations around— we have to open up referrals into behavioral health shelter for homeless services.

1117
02:05:04.792 --> 02:05:12.539
<v Shannon Singleton>I remember being a homeless service provider before I got my clinical degree, and I couldn't get anybody into behavioral health services because I couldn't diagnose them.

1118
02:05:13.229 --> 02:05:14.786
<v Shannon Singleton>That's ludicrous.

1119
02:05:15.234 --> 02:05:21.266
<v Shannon Singleton>We have to be able to make those intersections so that when I know my client needs these services, I can actually get them in there.

1120
02:05:21.314 --> 02:05:21.458
<v Shannon Singleton>Thank you.

1121
02:05:22.037 --> 02:05:27.224
<v Shannon Singleton>And that's not the fault of anybody in this room, but it is stuff that we can fix before we fix the state problem.

1122
02:05:27.993 --> 02:05:32.730
<v Shannon Singleton>So I do want— I don't want us to rest only on there's a state funding issue.

1123
02:05:32.795 --> 02:05:33.951
<v Shannon Singleton>There's a both/and for me.

1124
02:05:34.801 --> 02:05:40.244
<v Shannon Singleton>And then just lastly, I would say I want to just appreciate Councilor Smith, the workforce conversation.

1125
02:05:40.518 --> 02:05:44.146
<v Shannon Singleton>That is something that I know you and I have talked a lot about.

1126
02:05:44.275 --> 02:05:46.940
<v Shannon Singleton>And as a county board, we saved our employment program.

1127
02:05:47.270 --> 02:05:58.854
<v Shannon Singleton>This year in our budget, but part of that was for them to look at how do they become a continuum so that we have low-barrier employment opportunities, but they also can increase— people can increase their income.

1128
02:05:59.511 --> 02:06:02.173
<v Shannon Singleton>And I think we have— you were on the workforce table with me.

1129
02:06:02.319 --> 02:06:11.314
<v Shannon Singleton>We didn't invest in a lot of what the trades and manufacturing told us are needed investments to be able to help people get out of poverty and into a better job.

1130
02:06:11.698 --> 02:06:16.762
<v Shannon Singleton>I'd rather pay somebody's rent for 2 years while they complete an apprenticeship program so they can pay their own rent forever.

1131
02:06:17.278 --> 02:06:18.596
<v Shannon Singleton>And we haven't figured that out yet.

1132
02:06:18.661 --> 02:06:21.748
<v Shannon Singleton>So I, I totally appreciate you bringing that up as well.

1133
02:06:23.068 --> 02:06:23.341
<v Shannon Singleton>Thank you.

1134
02:06:23.470 --> 02:06:24.418
<v Shannon Singleton>Those are all my comments.

1135
02:06:25.970 --> 02:06:26.403
<v Jamie Dunphy>Thank you, Commissioner.

1136
02:06:27.127 --> 02:06:27.818
<v Jamie Dunphy>Councilor Zimmerman.

1137
02:06:30.742 --> 02:06:31.963
<v Jamie Dunphy>Commissioner—.

1138
02:06:32.028 --> 02:06:33.618
<v Meghan Moyer>Sorry, I couldn't get online.

1139
02:06:34.020 --> 02:06:34.310
<v Jamie Dunphy>Perfect.

1140
02:06:34.743 --> 02:06:35.242
<v Meghan Moyer>I phoned a friend.

1141
02:06:35.872 --> 02:06:46.081
<v Meghan Moyer>Um, I really appreciate what Commissioner Singleton said, and I agree about um, the timeline of a joint legislative ask.

1142
02:06:46.145 --> 02:06:53.141
<v Meghan Moyer>And, and I'll be honest, I have pushed back on Health Share, um, on their legislative priorities.

1143
02:06:53.189 --> 02:07:01.599
<v Meghan Moyer>I spent a good chunk of my career, uh, lobbying in Salem, um, on healthcare-related issues, um, and behavioral health specifically.

1144
02:07:02.176 --> 02:07:07.905
<v Meghan Moyer>And the current recommendations are incredibly beneficial to hospitals and CCOs.

1145
02:07:07.953 --> 02:07:08.099
<v Meghan Moyer>Thank you.

1146
02:07:09.260 --> 02:07:15.404
<v Meghan Moyer>And leave some other major parts of the system a little bit less attention.

1147
02:07:16.159 --> 02:07:21.141
<v Meghan Moyer>I have had conversations with Health Share, and I encourage others to.

1148
02:07:21.287 --> 02:07:22.469
<v Meghan Moyer>I know they have made their rounds.

1149
02:07:23.539 --> 02:07:28.043
<v Meghan Moyer>I think there is definitely room for alignment.

1150
02:07:28.514 --> 02:07:34.314
<v Meghan Moyer>The thing that I, I really want us to be willing to do is think a little bolder.

1151
02:07:34.380 --> 02:07:34.529
<v Olivia Clark>Yeah.

1152
02:07:34.765 --> 02:07:34.869
<v Elana Pirtle-Guiney>Thank you.

1153
02:07:34.917 --> 02:07:42.695
<v Meghan Moyer>And I think it's going to be better than how the system currently functions because the system currently is a totally crisis-driven system.

1154
02:07:43.579 --> 02:07:57.194
<v Meghan Moyer>And because of that, people— I mean, you know, we talk about some of these pathways, and I think there are, um, some, some pathways for very specific situations.

1155
02:07:57.627 --> 02:08:01.998
<v Meghan Moyer>Substance use disorder, we have seen improvement in access.

1156
02:08:02.046 --> 02:08:05.234
<v Meghan Moyer>We're not there on treatment, but we've seen growth.

1157
02:08:05.891 --> 02:08:07.958
<v Meghan Moyer>There is no front door to behavioral health.

1158
02:08:09.032 --> 02:08:09.609
<v Meghan Moyer>There isn't.

1159
02:08:10.858 --> 02:08:14.350
<v Meghan Moyer>If you are experiencing psychosis, you can walk in.

1160
02:08:15.104 --> 02:08:20.774
<v Meghan Moyer>Most people lack the executive functioning to navigate that, but you could walk in.

1161
02:08:21.752 --> 02:08:35.567
<v Meghan Moyer>That is hours of care, not the, the type of care we're talking about that really allows you to regain competency and, and go back to your life.

1162
02:08:35.631 --> 02:08:46.266
<v Meghan Moyer>I think there's a real misunderstanding of hospitalization, um, particularly, uh, private inpatient hospitalization.

1163
02:08:46.538 --> 02:08:47.823
<v Meghan Moyer>It does not restore you.

1164
02:08:47.903 --> 02:08:50.003
<v Meghan Moyer>That is not what civil commitment is.

1165
02:08:50.068 --> 02:08:52.282
<v Meghan Moyer>That is not what hospital level of care is.

1166
02:08:52.715 --> 02:08:58.842
<v Meghan Moyer>You take somebody who is in active psychosis and it intervenes to end the psychosis, and then you are discharged.

1167
02:08:58.890 --> 02:08:58.987
<v Meghan Moyer>Thank you.

1168
02:08:59.894 --> 02:09:09.010
<v Meghan Moyer>It is not the treatment that lets you regain your ability to executive function and decision make.

1169
02:09:10.198 --> 02:09:11.740
<v Meghan Moyer>And that's residential treatment.

1170
02:09:12.222 --> 02:09:18.439
<v Meghan Moyer>And it's good that we are reserving hospitalization for that very intensive level.

1171
02:09:19.050 --> 02:09:25.731
<v Meghan Moyer>But I think people think if they were just hospitalized, it's going to turn this situation around.

1172
02:09:25.796 --> 02:09:26.823
<v Meghan Moyer>And that is not statistically correct.

1173
02:09:26.920 --> 02:09:27.145
<v Meghan Moyer>Thank you.

1174
02:09:28.000 --> 02:09:28.319
<v Meghan Moyer>Correct.

1175
02:09:28.414 --> 02:09:37.850
<v Meghan Moyer>Most people who only receive psychiatric hospitalization decompensate within 6 to 9 months, which means they are largely back to where they were.

1176
02:09:38.496 --> 02:09:44.462
<v Meghan Moyer>As an investment, hospitalization alone is a very poor long-term solution.

1177
02:09:46.326 --> 02:09:50.176
<v Meghan Moyer>It is a necessary intervention, it's safe, and it is incredibly expensive.

1178
02:09:50.225 --> 02:10:03.556
<v Meghan Moyer>I think somebody brought up, and it may have been, um, Councilor Clark in a conversation about like, why do we have the worst outcomes in the nation and yet our spending is on par with states who get significantly better outcomes?

1179
02:10:04.070 --> 02:10:05.242
<v Meghan Moyer>We spend the money wrong.

1180
02:10:05.996 --> 02:10:06.894
<v Meghan Moyer>That is just a fact.

1181
02:10:07.921 --> 02:10:20.453
<v Meghan Moyer>Where we spend the money is the most expensive, most crisis moment, and we do nothing to prevent it, both before somebody hits crisis or after that level of crisis.

1182
02:10:20.516 --> 02:10:26.890
<v Meghan Moyer>And again, you are not going to be involuntarily hospitalized unless you are very, very much in crisis.

1183
02:10:27.195 --> 02:10:29.974
<v Meghan Moyer>Some people are never a danger to themselves or others.

1184
02:10:30.150 --> 02:10:35.480
<v Meghan Moyer>That does not mean they are not in desperate need of, of psychiatric care.

1185
02:10:36.011 --> 02:10:43.605
<v Meghan Moyer>So we have to have front doors that don't start with you've threatened or have hurt another human being.

1186
02:10:43.717 --> 02:10:47.778
<v Meghan Moyer>But let's be very real, that's what Oregon does.

1187
02:10:48.452 --> 02:11:10.399
<v Meghan Moyer>And so, um, I bring this up because that is like, that is the challenge that we have with our state partners and our CCOs and our hospitals, is we can't just defend our piece and make sure we, we fund our piece, because fundamentally we have to re—.

1188
02:11:10.447 --> 02:11:10.494
<v Vince Jones-Dixon>Yes.

1189
02:11:10.615 --> 02:11:10.720
<v Olivia Clark>Thank you.

1190
02:11:10.818 --> 02:11:14.207
<v Meghan Moyer>We have to redesign the system and redistribute the money.

1191
02:11:14.369 --> 02:11:15.823
<v Meghan Moyer>I don't believe we need more money.

1192
02:11:17.076 --> 02:11:32.868
<v Meghan Moyer>I believe we have to spend the money radically different, and that is going to be potentially poking some sacred cows, but we got to be willing to do that for the outcomes I think we all are talking about how necessary that is.

1193
02:11:32.917 --> 02:11:48.131
<v Meghan Moyer>So I just put that out because I got really nervous when, you know, and I have talked and very much appreciate my conversations with but I don't believe hospital rates will significantly move the dial at all.

1194
02:11:49.442 --> 02:11:51.210
<v Meghan Moyer>Might be helpful to preserve beds.

1195
02:11:52.615 --> 02:11:54.578
<v Meghan Moyer>It will not fix what's happening on our streets.

1196
02:11:56.692 --> 02:11:57.225
<v Jamie Dunphy>Thank you, Commissioner Moyer.

1197
02:11:57.886 --> 02:11:58.354
<v Jamie Dunphy>Councilor Ryan.

1198
02:11:58.628 --> 02:11:59.823
<v Dan Ryan>Yeah, thank you, Council President.

1199
02:12:00.323 --> 02:12:06.033
<v Dan Ryan>This is, um, probably the best joint session I've been in, um, for about how many years we've been doing this?

1200
02:12:06.085 --> 02:12:06.466
<v Dan Ryan>Around 6 years.

1201
02:12:07.362 --> 02:12:19.832
<v Dan Ryan>So I'll just name that, um, because for about 6 years I've been saying that it's really smart to meet people where they are, but it's not so smart to leave them where they are.

1202
02:12:21.426 --> 02:12:24.065
<v Dan Ryan>And we do that a lot in recovery.

1203
02:12:24.113 --> 02:12:26.014
<v Dan Ryan>We know it's always about a system.

1204
02:12:26.127 --> 02:12:35.524
<v Dan Ryan>So those of us that are in recovery know that, and we know that whether it starts with a family, so whether it's your your spouse, your parents, they got to be all in.

1205
02:12:36.458 --> 02:12:57.859
<v Dan Ryan>And then their training is usually, I think, the training that government needs, which is to move you from what you think is compassionate, where you enable them, as opposed to being compassionate because you truly care and you love them so much there's some consequences, some toughness, some accountability.

1206
02:12:59.215 --> 02:13:04.567
<v Dan Ryan>The person has to be willing, and you have to try to create an environment where they will be willing.

1207
02:13:05.511 --> 02:13:11.192
<v Dan Ryan>And I think that's what the public is getting impatient with, is that we've been so slow to move towards that.

1208
02:13:13.600 --> 02:13:15.523
<v Dan Ryan>It's the hardest thing to do is to get sober.

1209
02:13:16.779 --> 02:13:22.779
<v Dan Ryan>When I listen to Commissioner Moyer speak about the hospitals, it's no different than when someone goes into an inpatient treatment program.

1210
02:13:23.407 --> 02:13:32.063
<v Dan Ryan>But if they don't have that's why I keep talking about the importance of transition housing.

1211
02:13:32.238 --> 02:13:42.605
<v Dan Ryan>That's why the recovery community, I think, is our— one of our best investments to have that type of transition housing in sober living with those with lived experience.

1212
02:13:43.247 --> 02:13:50.645
<v Dan Ryan>The peer-to-peer engagement is magical, and it's a lot cheaper than many other systems that are in place.

1213
02:13:50.711 --> 02:13:50.871
<v Dan Ryan>Thank you.

1214
02:13:51.626 --> 02:13:58.145
<v Dan Ryan>And I realize we're not lifting some of the PhDs and the folks with master's degrees in this regards.

1215
02:13:59.608 --> 02:14:07.332
<v Dan Ryan>That's okay, because it's a lot of— it's really lived experience goes a long way with others that have that same shared experience.

1216
02:14:08.296 --> 02:14:17.529
<v Dan Ryan>My point is, I'm really looking forward to seeing behavioral health finally be prioritized as one of the top issues, if not the top issue.

1217
02:14:17.595 --> 02:14:17.690
<v Keith Wilson>Thank you.

1218
02:14:17.956 --> 02:14:18.134
<v Elana Pirtle-Guiney>Thank you.

1219
02:14:18.360 --> 02:14:22.144
<v Dan Ryan>Of the city and the county, and it's taken us a long time to get to this place.

1220
02:14:22.805 --> 02:14:27.268
<v Dan Ryan>I hope you're experiencing the momentum from people who haven't always agreed with each other.

1221
02:14:29.140 --> 02:14:31.560
<v Dan Ryan>And so I hope that we really ride with that momentum today.

1222
02:14:32.626 --> 02:14:40.528
<v Dan Ryan>I wanted to ask just one quick thing before I forget, and that is please include the recovery community.

1223
02:14:40.609 --> 02:14:41.712
<v Dan Ryan>I hope I've made that clear.

1224
02:14:42.069 --> 02:14:43.934
<v Dan Ryan>I think that there's really good investments there.

1225
02:14:45.408 --> 02:15:01.743
<v Dan Ryan>And Mayor, I think that we haven't heard anything about the unification plan program that you've been doing, and that's always been a top priority for cities that have made gains here, and that is to have a really sophisticated, smart, effective unification plan.

1226
02:15:02.195 --> 02:15:03.667
<v Dan Ryan>I haven't heard anything about that today.

1227
02:15:03.811 --> 02:15:05.489
<v Dan Ryan>Could you give us a couple minutes on that, please?

1228
02:15:07.520 --> 02:15:08.083
<v Keith Wilson>Yeah, you bet.

1229
02:15:08.583 --> 02:15:16.849
<v Keith Wilson>So reunification is It's not just a rapid exit mindset approach, whether it's from the street or from shelter, but it's providing connection with a loved one.

1230
02:15:17.378 --> 02:15:22.368
<v Keith Wilson>So we have reconnected 728 souls now to 46 states.

1231
02:15:22.817 --> 02:15:31.432
<v Keith Wilson>Last couple weeks, we provided connection into treatments for an individual in Nampa, Idaho, Boston, Massachusetts, Fort Myers, Florida.

1232
02:15:31.480 --> 02:15:37.274
<v Keith Wilson>Anytime we can connect somebody into the treatment in their home communities with their family, It really helps us out.

1233
02:15:37.323 --> 02:15:46.673
<v Keith Wilson>It takes the pressure off of our public safety system, takes pressure off of the shelters, takes pressure off of housing and our behavioral health systems so the whole thing can start getting unlocked and moving forward.

1234
02:15:46.738 --> 02:15:52.360
<v Keith Wilson>But it's been successful, and every week it's about 15 to 17 souls per week right now.

1235
02:15:53.068 --> 02:15:59.511
<v Dan Ryan>And can you make sure that you distinguish between this and some cities who just give a one-way ticket?

1236
02:15:59.654 --> 02:16:06.721
<v Dan Ryan>Can you explain that when they get off that bus, Who receives them and how we're connected to caring about that family.

1237
02:16:06.786 --> 02:16:12.838
<v Keith Wilson>Yeah, it's always a connection with a mother, a father, an uncle, a friend.

1238
02:16:13.385 --> 02:16:17.255
<v Keith Wilson>Whatever the case, the connection has to be made before we do any sort of connection.

1239
02:16:17.319 --> 02:16:18.587
<v Keith Wilson>And then it's a rapid exit.

1240
02:16:18.684 --> 02:16:23.742
<v Keith Wilson>So it could be a plane in a matter of a few hours or a bus or a train, but that connection's always made.

1241
02:16:24.238 --> 02:16:40.402
<v Keith Wilson>The good thing about that is, is like if someone's getting stabilized at Unity, the Behavioral Health Resource Centers, which has been a great partner, is we will help somebody transit, stabilize right into that, whether it's recovery or behavioral health system.

1242
02:16:40.497 --> 02:16:45.931
<v Keith Wilson>So they're going right from our system to their system with their loved one connections and social network helping them out.

1243
02:16:45.978 --> 02:16:47.823
<v Keith Wilson>So it's been very helpful.

1244
02:16:48.191 --> 02:16:55.933
<v Keith Wilson>Takes the pressure and the financial burden off of our system as well, allowing our public safety system really to respond more and spend more time with individuals.

1245
02:16:55.980 --> 02:16:58.095
<v Keith Wilson>So it's really It's been successful.

1246
02:16:58.691 --> 02:17:03.243
<v Dan Ryan>Thank you for your leadership in launching this innovative program and the early success it's showing.

1247
02:17:05.270 --> 02:17:05.877
<v Jamie Dunphy>Thank you, Councilor Ryan.

1248
02:17:06.189 --> 02:17:07.730
<v Jamie Dunphy>Councilor Kanal and then Councilor Zimmerman.

1249
02:17:09.930 --> 02:17:10.748
<v Sameer Kanal>Thank you, Council President.

1250
02:17:10.989 --> 02:17:13.175
<v Sameer Kanal>Um, quick hits here.

1251
02:17:13.255 --> 02:17:17.049
<v Sameer Kanal>I agree with Councilor Morillo on the counting methodologies points, everything that was raised there.

1252
02:17:17.177 --> 02:17:26.834
<v Sameer Kanal>I agree with Commissioner Singleton on, uh, the paying for rent for an apprentice example you gave, so we can get someone to where they can earn a living wage going forward.

1253
02:17:26.962 --> 02:17:31.188
<v Sameer Kanal>I wanted to flag that we need to collaborate with Portland Community College on this part as well.

1254
02:17:31.781 --> 02:17:38.915
<v Sameer Kanal>And, um, it's, I think, a resource that, um, is— that, that potential partnership has been underutilized, in my opinion, on the city end.

1255
02:17:39.268 --> 02:17:41.998
<v Sameer Kanal>I can't speak to county, um, relationships, so I won't.

1256
02:17:42.159 --> 02:17:46.239
<v Sameer Kanal>But, um, I think this is a really important place that, that, that comes, uh, up.

1257
02:17:46.881 --> 02:17:49.662
<v Sameer Kanal>Uh, I agree with most of what, what Councilor Smith said as well.

1258
02:17:49.950 --> 02:17:50.239
<v Sameer Kanal>The mayor thank you.

1259
02:17:50.280 --> 02:17:50.644
<v Sameer Kanal>Thank you, Mayor, for that.

1260
02:17:50.644 --> 02:17:55.840
<v Sameer Kanal>And I just want to echo the mayor's role in economic development, the importance of including wages and jobs and workforce development in this too.

1261
02:17:55.840 --> 02:18:06.079
<v Sameer Kanal>I did want to just add, you know, the part about as long as the rent is going up faster than the wages, it doesn't really matter what we do on the wages side.

1262
02:18:06.079 --> 02:18:08.329
<v Sameer Kanal>They're always going to be out of balance.

1263
02:18:08.540 --> 02:18:16.479
<v Sameer Kanal>And so in order to create the conditions for people to be able to afford, there's— it's the mismatch.

1264
02:18:16.479 --> 02:18:19.704
<v Sameer Kanal>You need to hit that from both sides between wages and rent.

1265
02:18:20.105 --> 02:18:24.912
<v Sameer Kanal>And so us being, um, in the social housing business is a critical part of that.

1266
02:18:25.537 --> 02:18:28.117
<v Sameer Kanal>Um, and I, I don't think that's just us being a landlord.

1267
02:18:28.197 --> 02:18:29.157
<v Sameer Kanal>That's bigger than that.

1268
02:18:29.622 --> 02:18:42.440
<v Sameer Kanal>It's, it's about creating the conditions to change how the market actually operates by being a player in it to a greater degree and making sure that there's an option for someone to be able to afford something no matter what.

1269
02:18:42.680 --> 02:18:46.493
<v Sameer Kanal>And it doesn't— you know, we're not looking at, um, making, making McMansions affordable.

1270
02:18:46.993 --> 02:18:56.271
<v Sameer Kanal>We're looking at making basic housing affordable for, for everyone, and doing so by taking the profit motive out in at least a section of the market is a really important part of that.

1271
02:18:56.559 --> 02:18:58.873
<v Sameer Kanal>So I wanted to make sure that that got on the record before we were done here today.

1272
02:18:59.194 --> 02:18:59.435
<v Sameer Kanal>Thank you.

1273
02:19:00.078 --> 02:19:00.801
<v Jamie Dunphy>Thank you, Councilor Kanal.

1274
02:19:00.962 --> 02:19:01.525
<v Jamie Dunphy>Councilor Zimmerman.

1275
02:19:03.774 --> 02:19:12.125
<v Eric Zimmerman>I think my closing comment, since we kind of centered this on a legislative agenda, is to our government relations folks.

1276
02:19:12.903 --> 02:19:17.858
<v Eric Zimmerman>That inevitably you're going to hit a wall, and that wall is going to be titled OHA.

1277
02:19:19.763 --> 02:19:28.954
<v Eric Zimmerman>And I would just remind everybody around this dais, this focus on mental health did not come from mental health providers, OHA, or Multnomah County Health.

1278
02:19:30.202 --> 02:19:30.893
<v Eric Zimmerman>It came from us.

1279
02:19:31.515 --> 02:19:32.386
<v Eric Zimmerman>It came from community.

1280
02:19:33.888 --> 02:19:45.164
<v Eric Zimmerman>The community and its elected representatives waved the red flag in ways that we've never seen and when OHA puts up the Bonneville Dam of progress, bring us in to blow it up.

1281
02:19:45.729 --> 02:19:48.202
<v Eric Zimmerman>That is my ask, because inevitably they will.

1282
02:19:49.718 --> 02:20:10.959
<v Eric Zimmerman>The revolving door between the health departments and OHA is nonstop, but I have little to no faith that they are going to approach this legislative session with as much progress and fire in the belly as I think that these that this dais and these governments and others, frankly, around LOC and AOC feel.

1283
02:20:12.697 --> 02:20:16.042
<v Eric Zimmerman>So I don't even know who the director of OHA is anymore.

1284
02:20:16.512 --> 02:20:22.414
<v Vince Jones-Dixon>I would say they have new leadership, they have a new focus with their new DEI manager, Dr. Nakano.

1285
02:20:22.461 --> 02:20:27.188
<v Vince Jones-Dixon>We should invite them here to possibly present between now and the, the long session.

1286
02:20:28.878 --> 02:20:29.625
<v Eric Zimmerman>I, I know, right?

1287
02:20:29.852 --> 02:20:32.156
<v Eric Zimmerman>I think that person just left months ago and now we've got a new one.

1288
02:20:32.221 --> 02:20:38.716
<v Eric Zimmerman>This is a constant So I'm always hopeful that a state agency will do their job, but I don't believe that they have.

1289
02:20:38.796 --> 02:20:42.090
<v Eric Zimmerman>And I feel like that this is the wall we have to be prepared for.

1290
02:20:42.636 --> 02:20:57.323
<v Eric Zimmerman>And if we hear later from legislators of OHA said we couldn't or wouldn't or whatever, I really hope that we're hearing in the moment that we are ready to go because many of us have expressed a desire to be in Salem more for this session.

1291
02:20:58.384 --> 02:21:07.079
<v Eric Zimmerman>And and if that's what it's going to take to take our legislators aside and say, look, this agency is not the one to listen to right now, I think that's worth talking through.

1292
02:21:07.290 --> 02:21:09.806
<v Eric Zimmerman>And I think we've got partners around the community who can help us do that.

1293
02:21:09.853 --> 02:21:10.691
<v Eric Zimmerman>So that's my ask.

1294
02:21:11.302 --> 02:21:18.697
<v Eric Zimmerman>Obviously it's controversial, but I'm ready to put a sacred cow on the table.

1295
02:21:19.479 --> 02:21:20.360
<v Eric Zimmerman>So let's do it.

1296
02:21:22.333 --> 02:21:23.215
<v Jamie Dunphy>Thank you, Councilor Zimmerman.

1297
02:21:24.079 --> 02:21:26.171
<v Jamie Dunphy>All right, colleagues, we are in the home stretch here.

1298
02:21:26.884 --> 02:21:30.735
<v Jamie Dunphy>I'm going to turn it over to Chair Vega Pederson, followed by Mayor Wilson, and I'll close this out.

1299
02:21:30.783 --> 02:21:32.100
<v Jamie Dunphy>So Chair Vega Pederson.

1300
02:21:32.227 --> 02:21:33.688
<v Jessica Vega Pederson>Yeah, well, thanks again for hosting us.

1301
02:21:33.753 --> 02:21:35.292
<v Jessica Vega Pederson>Thank you so much, Council President.

1302
02:21:35.341 --> 02:21:42.273
<v Jessica Vega Pederson>I will say, Councilor Ryan, I do think that you have said a couple meetings in a row now it's the best you've ever had.

1303
02:21:42.354 --> 02:21:45.756
<v Jessica Vega Pederson>So I hope we're continuing to improve your experience in these meetings.

1304
02:21:45.869 --> 02:21:47.361
<v Dan Ryan>It's continuous improvement.

1305
02:21:47.474 --> 02:21:48.067
<v Jessica Vega Pederson>Yeah, that's great.

1306
02:21:48.180 --> 02:21:48.983
<v Dan Ryan>That's what we love to see.

1307
02:21:49.078 --> 02:21:50.442
<v Dan Ryan>We've both been here to watch it.

1308
02:21:50.572 --> 02:22:06.752
<v Jessica Vega Pederson>I also, I mean, one of the things that just occurred to me as we were having this conversation that we haven't One thing that we haven't talked about yet is the impacts of HB 1 on the number of people in our state, in our county, that are going to be losing, potentially losing Medicaid access.

1309
02:22:06.799 --> 02:22:12.040
<v Jessica Vega Pederson>I know that there's work actually happening right now to kind of get a better sense of what those numbers will look like.

1310
02:22:12.088 --> 02:22:13.932
<v Jessica Vega Pederson>That's something that we're waiting to hear from OHA.

1311
02:22:14.013 --> 02:22:36.504
<v Jessica Vega Pederson>But they're very— it's very likely that we ask for additional resources for folks who are uninsured because that is exactly the population that we um, serve in Multnomah County is the uninsured and underinsured might be a very smart ask in terms of the resources that we could get from the state that would make a very real difference on the populations that we're serving here.

1312
02:22:36.552 --> 02:22:37.549
<v Jessica Vega Pederson>So I just put that out there.

1313
02:22:38.222 --> 02:22:41.868
<v Jessica Vega Pederson>Um, I, I do want to take us back though to the present— at the beginning of this presentation.

1314
02:22:41.932 --> 02:22:50.458
<v Jessica Vega Pederson>I think with the, with the goals that we have now for the homeless response system in the HRAP, both the city and the county have for the first time thank you.

1315
02:22:50.569 --> 02:23:10.452
<v Jessica Vega Pederson>We have a real data-backed path to reducing overall homelessness and unsheltered homelessness in our community, and we have a measurable way of tracking our work and a system that is developing to address the complexity of the challenges that we face, especially those that are at the intersection of housing, shelter, and health.

1316
02:23:11.351 --> 02:23:18.245
<v Jessica Vega Pederson>And it is also a system that holds both our governments and our providers accountable for the work that is happening and making sure that we are, we thank you.

1317
02:23:18.293 --> 02:23:18.871
<v Jessica Vega Pederson>—We are reaching those goals.

1318
02:23:19.706 --> 02:23:23.331
<v Jessica Vega Pederson>But our ability to actually do that is going to take commitment.

1319
02:23:23.492 --> 02:23:32.906
<v Jessica Vega Pederson>It is going to take commitment when the Homeless Services Department, the Portland Housing Bureau, the other department and bureau budgets come before these bodies in the spring.

1320
02:23:33.565 --> 02:23:59.316
<v Jessica Vega Pederson>But it is going to take that commitment to have alignment in our legislative asks to make sure that the dollars from the state that we are currently getting, that they— that are— that we have right now flowing through our systems continue to flow through our systems, including those one-time-only dollars that the state is considering one-time but we know are really vital for people keeping housed in our community and preventing people from becoming homeless in our community.

1321
02:24:00.296 --> 02:24:11.574
<v Jessica Vega Pederson>And it also is going to mean looking at the investments that we need and having really strategic asks around the very limited amount of dollars that will be at the state budgets for what we need to prioritize.

1322
02:24:11.622 --> 02:24:27.284
<v Jessica Vega Pederson>So I really am thank you, Chair.

1323
02:24:27.834 --> 02:24:28.222
<v Jamie Dunphy>Mayor Wilson.

1324
02:24:30.521 --> 02:24:33.013
<v Keith Wilson>Just want to thank the commission, thank the council.

1325
02:24:33.790 --> 02:24:43.256
<v Keith Wilson>We've been focusing on the shelter-to-housing continuum, on the shelter and the public space, we've made a great deal of progress this last 2 years.

1326
02:24:44.397 --> 02:24:54.945
<v Keith Wilson>On the housing side of it, I want to thank the council for their investment in our Portland Housing Bureau and that $55 million that was brought over that is being deployed right now.

1327
02:24:55.556 --> 02:25:03.537
<v Keith Wilson>And Interim Director Light is doing a great job working with the county, working with our providers to really deploy that as fast as possible.

1328
02:25:03.601 --> 02:25:03.697
<v Keith Wilson>Thank you.

1329
02:25:04.242 --> 02:25:05.942
<v Keith Wilson>To get the most out of that.

1330
02:25:06.006 --> 02:25:07.162
<v Keith Wilson>So I want to thank you for that.

1331
02:25:07.834 --> 02:25:16.063
<v Keith Wilson>And then when it comes to behavioral health, I think the conversation we all just had right now, it just really says that there's not one jurisdiction that can handle this on our own.

1332
02:25:16.191 --> 02:25:21.836
<v Keith Wilson>And this is the first time in my 2 years here that I've seen a collaboration across jurisdictions to say singular focus.

1333
02:25:22.606 --> 02:25:28.349
<v Keith Wilson>While we're helping on the shelter, the public space, and the housing, what we're left with is humans that are suffering.

1334
02:25:29.005 --> 02:25:32.503
<v Keith Wilson>And we need a collective effort, that collaboration to really care for those individuals.

1335
02:25:32.550 --> 02:25:32.679
<v Keith Wilson>Thank you.

1336
02:25:33.465 --> 02:25:34.699
<v Keith Wilson>So thank you all for this conversation.

1337
02:25:35.435 --> 02:25:50.536
<v Keith Wilson>And I also want to thank Chair Vega Pederson for your effort in bringing us together, for your commitment to our community, to our shared interests in our city and our county, and just your commitment to Multnomah County.

1338
02:25:50.825 --> 02:25:52.540
<v Keith Wilson>You've done a great job.

1339
02:25:52.667 --> 02:25:56.274
<v Keith Wilson>I got a couple words I want to just read to thank you as I close it out.

1340
02:25:56.995 --> 02:25:59.960
<v Keith Wilson>I want to express my appreciation for the partnership you've brought to the joint work.

1341
02:26:00.439 --> 02:26:08.218
<v Keith Wilson>Especially here today and ongoing for this last 2 years that I've been a part of it, and certainly for your time as Chair.

1342
02:26:09.806 --> 02:26:18.513
<v Keith Wilson>I believe together we've helped foster a more constructive relationship between the city, the county, and we've navigated difficult decisions together and challenges.

1343
02:26:18.578 --> 02:26:21.174
<v Keith Wilson>And thank you for being here and on this dais with us.

1344
02:26:21.239 --> 02:26:21.450
<v Keith Wilson>Mm-hmm.

1345
02:26:21.886 --> 02:26:39.430
<v Keith Wilson>And as you attend your final session in this role, I wanna acknowledge the time, the care, and the commitment you've brought and we are very grateful for your willingness to show up, to engage in this dialogue, and to work towards solutions alongside us.

1346
02:26:39.575 --> 02:26:43.545
<v Keith Wilson>And thank you for your service as you move forward in your next endeavor.

1347
02:26:43.610 --> 02:26:44.191
<v Keith Wilson>So thank you.

1348
02:26:44.885 --> 02:26:46.013
<v Keith Wilson>Thank you, Council President.

1349
02:26:46.159 --> 02:26:46.920
<v Jamie Dunphy>Thank you, Mr. Mayor.

1350
02:26:47.405 --> 02:26:51.611
<v Jamie Dunphy>Colleagues, thank you all for a really thoughtful and substantive conversation today.

1351
02:26:51.755 --> 02:26:53.997
<v Jamie Dunphy>I really appreciate the candor and the

1352
02:26:54.047 --> 02:27:00.781
<v Jamie Dunphy>thoughtful questions and the time that you each put into understanding how our systems work and in some senses how they don't work.

1353
02:27:01.503 --> 02:27:14.844
<v Jamie Dunphy>And it's really important for us to make sense of how these things work as we look to our state partners to ensure that limited resources are best utilized in our work and that we are spending dollars where they are going to be the most effective.

1354
02:27:15.614 --> 02:27:23.550
<v Jamie Dunphy>I also want to thank all the staff and to our county colleagues for their presentations I would like to reiterate something that I said at the start.

1355
02:27:23.647 --> 02:27:26.740
<v Jamie Dunphy>Today was not about adopting joint positions.

1356
02:27:26.997 --> 02:27:32.656
<v Jamie Dunphy>Each jurisdiction will continue developing and adopting its own legislative agenda for 2027 through our own processes.

1357
02:27:33.424 --> 02:27:43.011
<v Jamie Dunphy>The city will keep working towards our goal of having a work session on December 2nd and mid-December adoption of our legislative agenda, while the county will follow their own goals and timelines.

1358
02:27:43.122 --> 02:27:54.279
<v Jamie Dunphy>But I— what we heard today can and should inform that work, as we all now have a clearer picture of where our priorities overlap and where coordinated advocacy could help us in Salem.

1359
02:27:55.082 --> 02:28:00.191
<v Jamie Dunphy>I also want to affirm our goal of holding regular quarterly sessions like this one shaped by both bodies.

1360
02:28:00.865 --> 02:28:09.621
<v Jamie Dunphy>I'd like to see them centered on conversations among elected officials with real time set aside for discussion of key milestones and decisions related to our homeless response.

1361
02:28:10.103 --> 02:28:18.070
<v Jamie Dunphy>There will be a new chair and a new president organizing these next year, so I hope I hope that whoever is in these seats will improve on the work we've been doing here.

1362
02:28:19.099 --> 02:28:23.932
<v Jamie Dunphy>Thank you again, all of you, for your partnership and the work that you do every day for the people that we serve.

1363
02:28:24.397 --> 02:28:25.602
<v Jamie Dunphy>This work session is adjourned.

1364
02:28:26.147 --> 02:28:26.404
<v Jamie Dunphy>Thank you.

1365
02:28:26.837 --> 02:28:27.816
<v Dan Ryan>May I have the gavel?

