{"id":67077,"date":"2025-08-08T07:18:07","date_gmt":"2025-08-08T07:18:07","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/67077\/"},"modified":"2025-08-08T07:18:07","modified_gmt":"2025-08-08T07:18:07","slug":"is-multnomah-countys-deflection-program-getting-enough-people-into-treatment","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/67077\/","title":{"rendered":"Is Multnomah County&#8217;s deflection program getting enough people into treatment?"},"content":{"rendered":"<p>Multnomah County defines completion of the program as accessing services. In three months, five people chose outpatient treatment, and one went into inpatient detox.<\/p>\n<p>PORTLAND, Ore. \u2014 It&#8217;s been nearly a year since Multnomah County opened its deflection center in Portland&#8217;s Central Eastside, its original role envisioned as a place for law enforcement to take people caught in possession of drugs for connection to treatment instead of jail and prosecution.<\/p>\n<p>The Coordinated Care Pathway Center <a href=\"https:\/\/www.kgw.com\/article\/news\/local\/homeless\/drug-deflection-center-multnomah-county-open-neighbor-businesses\/283-5b08c919-0298-4714-a01c-2aad08212bf0\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">opened in October<\/a> despite significant pushback from neighbors. But some of the problems those neighbors envisioned haven&#8217;t really materialized.<\/p>\n<p>&#8220;Nothing is really changing for the better,&#8221; said Jens Knudsen, co-chair of the Buckman Community Association. &#8220;We did anticipate a higher volume of people entering the neighborhood and sticking around \u2014 truth is, they haven&#8217;t been bringing that many people there in the first place.&#8221;<\/p>\n<p>County data bears that out. From January 1 to March 31 of this year, officers referred people to the deflection center 62 times. Of those, 42 actually &#8220;engaged&#8221; with the program, meaning they arrived and spoke with staff.<\/p>\n<p>Only six people completed deflection. And completion does not necessarily mean that someone has sought and received treatment \u2014 far from it. Completion means someone has accessed at least one service referral within 30 days.<\/p>\n<p>The six who completed deflection accessed eight services between them. Five went to outpatient treatment, two received peer services, and one person went into withdrawal management, also known as detox.<\/p>\n<p>&#8220;Cool,&#8221; Knudsen said flatly. &#8220;We paid how many millions of dollars for one person to go to detox?&#8221;<\/p>\n<p>Multnomah County spent $3.8 million in taxpayer dollars to turn this <a href=\"https:\/\/www.kgw.com\/article\/news\/local\/the-story\/multnomah-county-sobering-center-portland-funding-4-million-support\/283-32ac07d7-010c-4706-ac14-08aea339f9cb\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">temporary location<\/a> into the Coordinated Care Pathway Center. Since it opened, a $4.3 million state grant has been funding operations. That runs out next month, and the county said that it anticipates more state funding in October.<\/p>\n<p>&#8220;We should be getting people help, not spending money to do nothing,&#8221; said David Watnick.<\/p>\n<p>RELATED:\u00a0<a href=\"https:\/\/www.kgw.com\/article\/news\/health\/multnomah-county-sobering-center-bed-referral-outreach-crisis-law-enforcement\/283-5c029d06-63d0-43c0-9ee2-702a4707a5d3\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">Law enforcement no longer the sole source of drop-offs for Multnomah County&#8217;s sobering center<\/a><\/p>\n<p>Watnick&#8217;s children attend a neighboring preschool, which<a href=\"https:\/\/www.kgw.com\/article\/news\/local\/preschool-sues-multnomah-county-deflection-center-location\/283-55862652-98f9-4da0-b34b-fdd2fecad2c3\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">\u00a0sued the county<\/a> last year over closed-door decisions made about the center.<\/p>\n<p>&#8220;I think about it as a parent of the school, our biggest fear was that it was going to create an unsafe environment,&#8221; Watnick said. &#8220;If nobody&#8217;s using it, I guess that means there&#8217;s less risk to the neighborhood &#8230; but as a taxpayer, and also somebody who cares that people with serious drug addiction are getting clean, it&#8217;s like, what the hell is the point?&#8221;<\/p>\n<p>Tony Vezina runs 4D Recovery, and his outreach workers have been part of the county&#8217;s deflection program since day one, even before the center opened its doors. He doesn&#8217;t agree that it&#8217;s been a waste of time or money.<\/p>\n<p>&#8220;I think deflection overall has been going really, really well,&#8221; he said. &#8220;I mean, I would say to (skeptics), if deflection wasn&#8217;t intervening on people where else would they be going? Would there be anybody intervening on them?&#8221;<\/p>\n<p>Since the deflection program launched in September 2024, officers have referred 283 people. Of those, 183 engaged with the program and 43 completed it. In terms of services, 16 went to outpatient treatment, 11 went into a shelter and seven went into withdrawal management.<\/p>\n<p>&#8220;I&#8217;m actually encouraged about the number of people going into the program, but I&#8217;m not surprised to see the poor conversion rate for treatment because of the lack of capacity,&#8221; Vezina said. &#8220;One of the problems that we face is when someone is intervened on and they want to go into treatment \u2014 specifically, withdrawal management, detox \u2014 they have a hard time getting in the same day.&#8221;<\/p>\n<p>That lack of capacity has been a complaint for years, but there are signs that it isn&#8217;t the only issue throwing up barriers these days. In March, administrators at Fora Health \u2014 which operates one of Portland&#8217;s only two large-scale withdrawal management centers \u2014 told KGW that demand had <a href=\"https:\/\/www.kgw.com\/article\/news\/local\/the-story\/portland-drug-treatment-detox-withdrawal-management-empty-beds-fora-health\/283-9984012a-5cd7-4df6-988d-9022db375eee\" target=\"_blank\" rel=\"noopener noreferrer nofollow\">dropped precipitously over the year prior<\/a>.<\/p>\n<p>Al, a homeless man who camps about a block from the deflection center, said he uses fentanyl and methamphetamine. He&#8217;s been on the streets since he was 14, he said.<\/p>\n<p>In Al&#8217;s opinion, having deflection as an option instead of arrest isn&#8217;t going to get people like him into treatment. It may be a choice, but it isn&#8217;t exactly voluntary, either.<\/p>\n<p>&#8220;Anybody that&#8217;s using isn&#8217;t trying to get caught, so obviously, that&#8217;s going to deter people from getting into the program,&#8221; he said. &#8220;Treatment should be something you want to go to on your own \u2014 nobody&#8217;s ever going to get sober if they don&#8217;t want to do it.&#8221;<\/p>\n<p>Vezina understands that perspective. He might have said the same, not so long ago.<\/p>\n<p>&#8220;I felt that at one time \u2014 and I went to treatment voluntarily a couple times \u2014 and the last time I got clean, I got arrested and taken to jail. I got an opportunity to think about what I want to do with my life \u2014 and the research shows there really is no difference between compelled treatment and voluntary treatment success,&#8221; Vezina said.\u00a0<\/p>\n<p>What the research does show is that the county&#8217;s current system is slow to meet the need.<\/p>\n<p>&#8220;Where is all the funding going if only one person has done it?&#8221; Al said. &#8220;We&#8217;re still out here on the streets.&#8221;<\/p>\n<p>&#8220;Why is it worth that much money and that much disruption, that much dollars and planning?&#8221; echoed Knudsen.<\/p>\n<p>Vezina stressed that the deflection program isn&#8217;t the only way people are getting into treatment \u2014 groups like his do outreach work every day. And soon, he said, the deflection center will also be able to host people waiting for withdrawal management beds to open up, so they aren&#8217;t just turned back out onto the streets.<\/p>\n<p>According to Multnomah County, data will be released later this month, showing deflection outcomes for April through June.<\/p>\n","protected":false},"excerpt":{"rendered":"Multnomah County defines completion of the program as accessing services. In three months, five people chose outpatient treatment,&hellip;\n","protected":false},"author":2,"featured_media":67078,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[192,79],"class_list":{"0":"post-67077","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-environment","8":"tag-environment","9":"tag-science"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/67077","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=67077"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/67077\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/67078"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=67077"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=67077"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=67077"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}