5A
THE DAILY ASTORIAN • MONDAY, MAY 30, 2016
Life: ‘Our priorities seem a little skewed’
Continued from Page 1A
“It makes me wonder what
would’ve happened three
months before he got arrested
if we could have helped him
get into treatment,” Kathleen
said.
Instead, Vincent and his
mother were struck by the
limited options available in
the county for addicts without
means.
Although both outpatient
and inpatient treatment are
available, most inpatient treat-
ment facilities require private
insurance, which the unem-
ployed Vincent didn’t have.
Private inpatient care is
pricey — “anywhere between a
couple of hundred dollars a day
to a couple of thousand dollars
a day,” said Rory Gerard, who
sits on the county’s Human
Services Advisory Council as
the mental health and addiction
representative.
“These people, they’re
barely scraping by and buy-
ing their drugs,” Kathleen said.
“They don’t have $6,000 to pay
for treatment.”
Clatsop Behavioral Health-
care is the sole treatment center
in Clatsop County that accepts
insurance through the Oregon
Health Plan — often the only
insurance option for low-in-
come Oregonians.
However, the agency has
come under heavy ire lately
for shortfalls in mental health
treatment and drug and alcohol
dependency services.
Clatsop Behavioral Health-
care employs numerous treat-
ment providers, but most are
not licensed. Rather, they work
under the supervision of some-
one who is licensed.
In other words, the agency
doesn’t have enough providers
with the right level of creden-
tialing to offer adequate treat-
ment, Gerard said.
The upshot for patients,
according to Temojai Inhofe,
Vincent’s attorney: “They’re
assessed by people who do
not necessarily hold the quali-
ications to assess them. They
are then treated by people who
don’t necessarily hold the qual-
iications to treat them.”
Addicts who need profes-
sional treatment the most —
people like Vincent — may be
the least likely to get it.
Waitlisted
Vincent and his family had
decided that what he really
needed was inpatient treatment,
a 24/7 care environment where
he could stay for a month or
more. He was in the process of
Danny Miller/The Daily Astorian
Jerrica Ratzlaff-Gilbert wipes a tear away during her brother Vincent Davidson-Gilbert’s
sentencing Friday.
applying for the Oregon Health
Plan when he was jailed.
Had Vincent enrolled in the
plan, he would still have faced
another problem: There are no
inpatient facilities in the county
that accept it.
“If you are poor in this com-
munity, and you need an inpa-
tient treatment program, you
have to leave the community,”
said Inhofe, who works with
indigent clients.
A person who ventures out-
side of the county for treatment
will likely face waiting lists for
facility beds.
“You can’t do anything for
them until a bed opens up —
possibly in Bend, possibly in
Pendleton, possibly in Eugene,”
she said.
When Gerard worked for
Clatsop Behavioral Healthcare,
which refers clients to inpatient
facilities, some people waited
months for a bed.
“Even though you may
want treatment, you may have
the money for treatment, you’re
going to be waitlisted,” he said.
Addicts with children have
it particularly rough, Inhofe
said. The children may get
placed in foster care while
their parents seek treatment
in another county. With wait-
ing periods often lasting 90 or
more days, followed by a three-
month treatment program, the
process may keep them sepa-
rated for a long time.
“We’re looking at six
months out, after their chil-
dren have been removed, that
they’re not in any kind of posi-
tion to be a parental resource —
primarily because this county
has no resources,” she said.
“It’s so infuriating.”
Gerard noted that Astoria
has several marijuana shops but
no inpatient beds for low-in-
come addicts ready to clean
themselves up.
“Our priorities seem a little
skewed,” he said. “I’d love to
see that tax money that they’re
going to hit on the pot shops go
to drug and alcohol treatment in
our community.”
Gerard said that, if a per-
son wants help, it can be
made available. “It may not be
locally. You may have to travel.
And you’ve got to be dogmatic
about it.”
Typically, though, that’s not
what addicts are about. “They
want to use,” he said. “It really
falls back on the family.”
Hoping for treatment
This week, Vincent will
be transferred from Clatsop
County Jail to Coffee Creek
Correctional Facility in Wil-
sonville. He will undergo vari-
ous tests and get assigned to a
prison where he will serve the
majority of his sentence.
Because he is locked up,
Vincent is clean. But, since his
arrest, he hasn’t had access to
the kind of drug and alcohol
treatment that he and family
believe he needs to stay sober
over the long run.
In Tillamook County Jail —
where Vincent was briely held
because the beds at the Clatsop
jail were maxed out — inmates
with addiction issues can work
with a jail transition specialist
named Tami Long.
“When you’re talking
severe addiction — to the point
that you’re being incarcerated
over and over again — they
don’t stay clean long enough
to engage in any kind of treat-
ment, so it’s just this vicious
cycle,” she said.
Long, who helped develop
the position last year, meets
with interested inmates shortly
after their booking, evaluates
them, determines what their
treatment needs and goals are,
and creates a transition plan
with them. She gives the plan
to their attorney, who presents
it to the court. The information
may inluence how the inmate’s
sentencing is carried out.
A court may, for exam-
ple, postpone an inmate’s sen-
tencing and grant a conditional
release to receive treatment.
The goal is to reduce recidivism
rates, though Long said the pro-
gram is still too new to know
whether this is happening.
A comparable service
doesn’t yet exist for inmates at
Clatsop County Jail.
Vincent and Kathleen hope
the prison he is sent to will, in a
few years, deem him eligible for
a treatment program in the inal
stretch his sentence.
“I just hate the idea of him
losing ive years without him
getting any treatment,” she said.
Oregon spends about
$30,000 a year per inmate,
according to 2013 data from the
state Department of Corrections.
Kathleen thinks that money
would be better spent on drug
treatment as a means of crime
prevention.
President Barack Obama,
alarmed by the rise in prescrip-
tion drug and heroin abuse
across the nation, in February
proposed devoting $1.1 billion
over two years to expand treat-
ment and prevent overdoses.
The president wants to increase
patient access to buprenorphine,
a medication used to treat opi-
oid disorders, and make men-
tal health and substance abuse
treatment comparable to med-
ical and surgical beneits for
people in Medicaid, the health
insurance program for the poor
and disabled.
In April, Gov. Kate Brown
signed a bill into law that will
help doctors in Oregon use the
Prescription Drug Monitor-
ing Program database to lag
patients who might be suscepti-
ble to drug abuse.
The Oregon Health Author-
ity reported that prescription
painkillers were involved in
more drug overdose deaths than
any other type of drug in 2013.
The state has ranked among the
highest in the nation in the non-
medical use of prescription pain
relievers.
Underlying issues
Davidson-Gilbert knows he
must be held accountable for
his actions. His crimes, though
not drug-related — he wasn’t
caught selling or possessing, for
example — are drug-associated,
the sort of misdeeds addicts per-
petrate when their lives go into
free fall.
Inhofe said the criminal jus-
tice system has “criminalized
the mental health disease of
addiction.”
“Not directly,” she said. “But
the effect is that people who
have addiction issues end up
serving time in prison because
of what they do to feed their
addiction, what they do when
they’re under the inluence of
their addiction.”
Even in a world with abun-
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6 PM
dant and inexpensive treatment
options, addicts would still need
to be asked one fundamental
question: Why did they turn to
drugs to begin with?
“A lot of drug treatment pro-
grams don’t necessarily delve
underneath and deal with the
underlying issues,” Inhofe said.
“Most of these people need
therapy. Once you go through
detox, you’re physiologically
done with the addiction. It’s the
emotional and mental problems
that caused the seeking out of
that particular Band-Aid in the
irst place that need to really be
ixed.”
Asked why he irst took up
drugs as a teenager, Vincent said
he was a “young, dumb kid”
who would try anything put in
front of him.
But Kathleen also suspects
that the death of her oldest son,
Mark, in a car accident at 19
— when Vincent was 11 and
Devin 13 — precipitated both
boys’ later drug use. Devin,
who has overdosed several
times, is in an outpatient pro-
gram in Arizona.
Though devastated that Vin-
cent will soon return to prison,
Kathleen said she is grateful he
didn’t end up fatally overdosing
as a number of young men and
women have recently.
If Vincent could have given
himself advice six months ago
— or to anyone tempted to use
— it would be to “try to ind any
resource you can.”
“Find something that you
care about, to freaking want to
change what you’re doing at that
time,” he said. “Even if every-
thing’s going bad, there has to be
something good in your life, that
you can look forward to, instead
of just drugs and alcohol. Or
being in prison.”
His choices haunt him. “I
don’t know why I didn’t just go
ind another job.”
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