PROPOSAL & RECOMMENDATIONS
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 › PROPOSAL & RECOMMENDATIONS — 1 pages · p. 1127
Intro from p. 1127
Scope of Service Low-acuity crisis response, de- Medical assessment and escalation, mental health treatment in the field, health assessments, substance education, resource connection, use/intoxication-related crisis, medication for opioid use resource connections, trauma- disorder (MOUD), care informed care, short-term case coordination and case management. management for chronic health needs. Target Population Individuals in mental or Individuals with low-acuity behavioral health crises or drug- medical needs, often requiring affected, often unhoused or healthcare system navigation and marginalized. those struggling with substance use disorder. Below are the program outcomes of each service. The outcomes for CHAT have been updated as the program has evolved; the PSR outcomes represent the originally agreed upon goals approved by community and staff. In the appendix, there is additional detail about the mission, scope, and budgetary history of these programs. PORTLAND STREET RESPONSE COMMUNITY HEALTH ASSESS AND TREAT Reduce the number of non-life-threatening Reduce the number of calls traditionally medical calls and overdose calls while responded to by police where no crime is reducing the burden on the city’s overtaxed being committed. emergency department system by providing real-time, compassionate medical care at the location of immediate need. Reduce the number of behavioral health Connect/reconnect patients to healthcare and non-emergency calls traditionally providers through education to self-empower responded to by police. patients, decrease the burden on the 911 system, and protect the firefighter resource for higher-acuity needs. Reduce the number of non-life threatening Respond effectively to calls for medical mental and behavioral health 911 calls assistance that can be treated on site. Reduce that are transported to the emergency unnecessary ambulance transports and department. emergency room stays. PROPOSAL & RECOMMENDATIONS To ensure the long-term success, sustainability, and scalability of Portland Street Response (PSR) and Community Health Assess and Treat (CHAT), this proposal outlines key investments and operational improvements that respond to Portland's evolving community needs. Both programs have proven to be innovative and effective in reducing reliance on traditional emergency services, alleviating strain on hospitals, and delivering compassionate, trauma- informed care to vulnerable populations.
Contents
| Section | PDF pages | ~tokens |
|---|---|---|
| 📄 Funding Sustainability | p. 1128 | 710 |
| 📄 Staffing and Workforce Resilience | p. 1129 | 602 |
| 📄 Operational Enhancements | p. 1129 | 602 |