TL;DR (generated · confidence: high)

Community Health Assess and Treat (CHAT) operates 0800–1800 four days weekly with high turnover (separation reasons: 27% transfer to PFR, 22% to other fire/EMS roles, 22% to other paramedic jobs, 11% continuing education, 17% unknown). Current budgeted staffing of 23 FTE costs $3.89M; 7-day expansion to 39 FTE would cost $6.05M. Shuttling expansion adds $400K one-time and $350K ongoing; additional operational staff (coordinator, billing, outreach, MOUD team) add $730K annually.

Key points (each cites a PDF page):

CHAT operates 0800–1800 four days per week; follow-up team operates 0800–1800 seven days per week. (p. 1138)
Current budgeted CHAT staffing: 23 FTE (4 leadership/admin, 2 community health nurses, 13 community health medical responders, 1 community health paramedic, 2 supervisors, 1 community health worker). (p. 1138)
Current annual personnel budget: $3,640,007; total operating budget $3,887,531. (p. 1138)
7-day response expansion would require 39 FTE and cost $6,048,630 annually (personnel: $5,757,793). (p. 1138)
Recruitment and onboarding takes 5–9 months (3–6 months to replace, 2–3 months to train). (p. 1138)
Top reasons for staff separation: transfer to PFR (27%), move to other fire department (22%), move to other community health paramedic role (22%), continuing education (11%), unknown (17%). (p. 1138)
Expansion to shuttling (four additional vans and follow-up team) would cost $400K one-time and $350K annually. (p. 1138)
Additional operational staff (outreach coordinator, billing administrator, community health worker, MOUD team) would cost $730K annually. (p. 1138)

💰 $3,640,007 · $3,887,531 · $5,757,793 · $6,048,630 · $400,000 · $350,000 · $730,000 · $25,200 · 👥 23 FTE · 39 FTE · 4 FTE · 2 FTE · 📋 Community Health Assess and Treat (CHAT) · Portland Fire & Rescue (PFR) · CHAT follow-up team · MOUD team · 🏛️ Community Health Assess and Treat (CHAT) · Portland Fire & Rescue

Staffing & Budgetary Needs

Source: PDF p. 1138 · raw: 1138

Breadcrumb: 5 ps › PSR-and-CHAT-2025-Budget-Note-Memo › Response memo to FY2025 Budget Note: Direction to Develop Programmatic Mission, Scope, and Staffing Model for Portland Street Response & Community Health Assess and Treat › Appendix 2: Community Health Assess and Treat (CHAT) › Staffing & Budgetary Needs

HISTORICAL S TAFFING WITH HIRING P ROJECTIONS As with PSR, the limited term nature of the positions has instigated a high level of turnover in the program. It can take 3-6 months to replace an employee and then 2-3 months to train and onboard new staff. Reasons for separations: Separated CHAT Responders · Transfer to PF&R (27%) 8 60% 50% · Move to other Fire Department 6 40% (22%) FTE 4 30% 20% · Move to other Community 2 10% Health Paramedic Job (22%) 0 0% FY23 FY24 FY25 · Continuing education (11%) Separated Responders % of Total Staff · Unknown (17%) S TAFFING & B UDGETARY NEEDS CHAT is currently in operation 0800-1800 four days per week; the CHAT follow-up team operates 0800-1800 7 days a week. A 7-day response staffing would expand the same hours to 0800-2200 every day of the week and would add an additional follow-up team. Current Budgeted 7-day Response CHAT Positions Staffing (4 days) Staffing Leadership / Admin 4 4 Community Health Nurse 2 3 Community Health Medical Responders 13 25 Community Health Paramedic 1 2 Community Health Supervisor 2 3 Community Health Worker 1 2 Total FTE 23 39 Current Budgeted 7-day Response Budget Need Staffing (4 days) Staffing Personnel $3,640,007 $5,757,793 External Materials & Services $25,200 $36,000 Internal Materials & Services $222,324 $254,837 Total Budget $3,887,531 $6,048,630 The expansion to shuttling would add four vans and an additional follow-up team. The one- time costs would be $400K and the on-going costs would be $350K annually. In addition, the program has identified staff that would enhance its operations: Outreach Coordinator, Billing Administrator, additional Community Health Worker, and MOUD team. The ongoing costs for those additions would be $730K.

Parent: Appendix 2: Community Health Assess and Treat (CHAT) · PDF: p. 1138