11A
THE DAILY ASTORIAN • TUESDAY, JANUARY 31, 2017
Detox: Closest medical detox center is in St. Helens
including 60 from Clatsop County.
The detox center has around-the-clock
nursing and support staff and partners
with Oregon Health & Science Uni-
versity for medical expertise.
“The difficulty with addiction and
substance abuse is that people have
windows of readiness to be willing
to seek treatment,” Baker said. “And
if it’s really hard to get them into the
services that they need, then you often
lose that window of opportunity.”
Getting people from Clatsop
County into a detox or residential
treatment program, Baker said, can be
a real challenge.
“We’re grateful that we have that,”
Baker said of Bridge to Pathways. “It’s
just always harder when the resource
is not in your own community.”
While St. Helens is just an 80-min-
ute drive from Astoria, she said it
“feels like a much further distance
than what it necessarily is.”
Continued from Page 1A
Priorities
A community health assessment
released in 2014 ranked obesity, men-
tal health and substance abuse as Clat-
sop County’s health priorities.
Data from the Robert Wood John-
son Foundation show that 21 per-
cent in Clatsop County report binge
or heavy drinking, compared to 19
percent across Oregon. The Ore-
gon Health Authority put hospitaliza-
tions for drug overdoses in the county
at 39.6 per 100,000 between 2010
and 2014, about the same as Colum-
bia County but lower than Tillamook
County and urban Multnomah County.
Baker, who moved to the North
Coast last June to take over Clatsop
Behavioral Healthcare, the county’s
mental health contractor, said her out-
sider’s perspective is that substance
abuse and addiction are significant
concerns. Opioid abuse, in particular,
is prevalent, part of a national spike in
heroin and prescription painkiller use.
One of Baker’s crisis managers
noted, anecdotally, that about 75 per-
cent of the patients she assesses for
mental health in hospital emergency
rooms have “some sort of substance
on board.”
Trece Gurrad, the vice president
of patient care services at Columbia
Memorial Hospital, said the issue is
hard to quantify beyond her own gut
feeling, since the hospital does not
track whether patients who ask about
or need detox eventually find help.
It was the emergency room nurses,
she said, who thought it was important
to have the cards with contact infor-
mation for rehab and detox at their
fingertips.
“It was one of their projects,” Gur-
rad said. “They put all that together
and made a little card that we distrib-
ute for folks.”
Allison Whisenhunt, who leads
care management at Providence Sea-
side Hospital, said the lack of access
to detox is definitely a problem. She
said hospitals are not set up to han-
dle detox, even though patients who
are dependent on drugs or alcohol, if
they stay long enough for other med-
ical treatment, can often go through
withdrawal.
Ideally, Whisenhunt said, the
county would have a facility to man-
age detox and would accept any pay-
ment source. “It’s really difficult,” she
said. “Even when I see somebody in
the emergency room who says, ‘I’m
ready. I want to do this.’ We still have
to call their insurance and figure out
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Housekeepers
Unmet needs
Danny Miller/The Daily Astorian
A patient shows a drawing she made at Bridge to Pathways detox center in St. Helens.
which places are accepted. And, again,
they’re not usually local.
“So I think a place that was nearby,
that also had open access, would be a
huge first step.”
Larger issue
Lt. Matt Phillips, the jail com-
mander for the Clatsop County Sher-
iff’s Office, said questions about detox
are just a small part of a much larger
issue around substance abuse.
At the County Jail, Phillips said,
deputies do intake screenings and ask
about substance abuse and whether an
inmate believes they will experience
withdrawal. “Our medical staff will
monitor inmates and provide appro-
priate medical care during their time in
custody,” he said in an email.
Like patients at hospitals, Phillips
said some inmates stay long enough at
the jail to fully detox. He said having a
local detox option — or even a place
to hold suspects until they are sober
— would at times be helpful for law
enforcement.
A facility “would be nice for the
times when the arrest of an individ-
ual for a minor charge isn’t in the best
interest of the person, the justice sys-
If you have questions, please
Call Tamara at 503-436-1197
ERROR AND CANCELLATIONS
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then only to the extent of a cor-
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price paid. To cancel or correct an
ad, call 503-325-3211 or 1-800-
781-3211.
‘Windows of readiness’
Experts in substance abuse and
addiction say people have to want to
get sober for treatment to be effective.
Detox can be an initial step toward
recovery, but withdrawal should be
followed by therapy.
The North Coast has several res-
idential treatment centers and outpa-
tient treatment options for substance
abuse, from Astoria Pointe and Rose-
briar to Klean and the North Coast
Medical Clinic. Clatsop Behavioral
Healthcare also provides substance
abuse counseling.
Local residential treatment cen-
ters typically only take private health
70 Help Wanted
80 Work Wanted
The City of Warrenton is accepting
applications for temporary help.
The position will only be up to
June 30, 2017. Work will consist
of general labor and construction,
maintenance and repair of streets,
parks facilities, and sidewalks.
Some operation of light trucks,
backhoes and power equipment
may be required. Previous utility
work is helpful, but not required.
Applicants must be 18 years of
age and older, submit to and pass
drug testing and a background
check. A valid Driver's License is
required
at
the
time
of
employment.
Salary is $14.00
per hour. Applicants must be able
to work Monday through Friday, 7
a.m. to 3:30 p.m. Some overtime
and weekend work may also be
required.
Applications may be
picked up at Warrenton Municipal
Center, 225 S. Main Ave.,
Warrenton, OR from 8:30 a.m. to
5:00 p.m., Monday through Friday
or http://ci.warrenton.or.us/ under
Jobs
Temporary
Application
Packet and returned to the above
address or mailed to P.O. Box
250, Warrenton, OR 97146 before
5:00 p.m., Wednesday, February
14, 2017.
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tem or the community. An example is
an extremely intoxicated person walk-
ing in the road and yelling. This behav-
ior is dangerous to the individual, but
primarily causes public annoyance or
inconvenience.
“Often when the person is unwill-
ing to change behavior, he or she
is arrested on a disorderly conduct
charge, and brought to the jail. The
District Attorney’s Office may choose
not to file charges, which really results
in the misuse of the jail.”
NOTICE:
Oregon
Landscape
Contractors Law (ORS 671)
requires all businesses that
advertise landscape contracting
services be licensed with the
Landscape Contractors Board.
This 4-digit number assures the
business has a bond, insurance
and an associated individual
contractor who has fulfilled the
testing
and
experience
requirements for licensure. For
your protection call (503)378-
5909 or use our web site:
www.lcb.state.or.us
to
check
license status before contracting
with the business. Persons doing
landscape maintenance do not
require a LCB license.
Oregon state law requires anyone
who contracts for construction
work to be licensed with the
Construction Contractors Board.
An active license means the
contractor is bonded and insured.
Verify the contractorʼs CCB
li)ense through the CCB
Consumer Website
insurance and require pricey out-
of-pocket expenses. A detox-only
option is rare.
The community health assessment
found that about a third of Clatsop
County residents have public insur-
ance, such as the Oregon Health Plan,
the state’s version of Medicaid. People
who need detox and are uninsured are
urged to sign up for the Oregon Health
Plan.
“There are not enough treatment
facilities on the planet to treat every-
body that needs it,” said Scott Ward, a
regional director in California for Sun-
spire Health, which operates Astoria
Pointe and Rosebriar.
Ward, who used to be the exec-
utive director at Astoria Pointe, said
Sunspire Health refers people who
are unable to get into their residential
treatment programs to other providers.
For people on the Oregon Health
Plan, the closest option is Bridge to
Pathways, the medical detox center in
St. Helens. The facility is backed by the
Columbia Pacific Coordinated Care
Organization, which serves Columbia,
Clatsop and Tillamook counties.
Since opening in 2015, Bridge to
Pathways has treated 417 patients,
105 Business-Sales
Op
230 Houses,
Unfurnished
585 Antique-Classi)
Cars
Be an Astoria Carrier!
For all our available rentals.
CPSMANAGEMENT.COM
(503)738-5488/ (888)916-RENT
Astoria Automotive Swap Meet
Vendors Wanted
Clatsop Fairgrounds
Saturday, March 11th 8am-2pm
Contact Fred at
503-325-8437-evenings
1-800-220-0792-days
or Rod 971-219-5517
$100 Signing Bonus!
The Daily Astorian is )urrently
seeking independent
)ontra)tors to deliver its paper
and related produ)ts in the
Astoria Oregon area. Interested
individuals must have valid
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Please )ome in person to
The Daily Astorian offi)e at
949 Ex)hange St, Astoria OR
97103 to pi)k up more
information.
GOLF GAME gone to pot? Sell those
old clubs with a classified Ad.
210 Apartments,
Unfurnished
Housekeepers
Front Desk
Laundry
Night Audit
The Seashore Inn in
Seaside Needs you.
APPLY IN PERSON!
60 N. Prom., Seaside
Under new management
JANRIC CLASSIC SUDOKU
EVERYTHING is coming up results
when you use a Classified Ad!
250 Home Share,
Rooms &Roommate
Home share:
1 furnished bedroom,
$650. First/last month,
$300 security deposit.
No pets/smoking.
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Master suite Seaside, Furnished.
Everything included call for details
(503)717-1486 $550 month.
300 Jewelry
Buying Gold, Silver, Estate Jewelry,
Coins, Diamonds, Old-Watches.
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Try one today!
HAY FOR SALE 65lb bales, $7 each.
Call 503-338-8145 for information.
Specialty
The Seashore Inn is now
hiring for the following
full time positions:
Clatsop County, like many other
rural, geographically isolated places in
Oregon, has significant gaps in medi-
cal and mental health care. Compound-
ing the limited financial resources, the
community health assessment found
there is often difficulty coordinating
care between hospitals, behavioral
health agencies and social-service
providers.
Astoria and other communities
have stepped forward to help fill some
of those gaps. Columbia Memorial
Hospital, for example, has partnered
with Oregon Health & Science Uni-
versity on the Knight Cancer Collab-
orative, which will enable patients to
receive radiation therapy locally and
spare them long drives to Longview,
Washington, and to Portland. A crisis
respite center in Warrenton — a col-
laboration between the county, Colum-
bia Memorial, Providence Seaside and
the regional mental health authority —
can be an alternative to hospitals and
jail for people with a mental health
emergency.
A local detox option would likely
require similar partnerships. Thomp-
son, the county commissioner, said a
community conversation on unmet
mental health and substance abuse
needs would be valuable.
“That’s a great place to start,”
Thompson said. “Because if you
have detox, you’re giving them a
chance right then when they’re at a
crisis point, and maybe that’ll be their
bottoming out point and they’re ready
to go forward and recover or gain
help.”
Services
We urge you to patronize the local
professionals advertising in
The Daily Astorian Specialty
Services. To place your Specialty
Services ad, call 325-3211.
95 S)hools &
Edu)ation
IF YOU HAVE QUESTIONS about
a Business or S)hool
Advertised, we advise you to call:
The Consumer Hotline in Salem
at (503)378-4320, 9 AM-1 PM,
Monday-Friday or in Portland at
(503)229-5576
Brand New Units, near Cost)o
Warrenton. 2 bedroom/2 bath
$1150/mo. Call 541-921-8807 or
jvb.management.ll)@gmail.)om
For Rent:
Studio Apartment in Warrenton
$525/Month
Call Mary at Astoria Coast, Inc
503-325-9093
HAY FOR SALE 65lb bales, $7 each.
Call 503-338-8145 for information.
500 Boats for Sale
17ʼ Fiberglass boat w/trailer,
Me)ury 70hp, needs some
repair. First $1,200 takes all. See
at lot next to 766 Avenue S.,
Seaside.
DUST off the old pool table and sell it
with a classified ad.
Legal Noti)es
AB6111
Main Street Storage(North)
Pursuant to its lien rights
Intends to sell at Cash only
Public oral auction
The property of:
Leeann Travenshek #64
Sale to be held at
51 NE Harbor Ct.
Warrenton, Oregon
2/8/17 at 10:30am
(503) 861-2880
Published: January 24th and
31st, 2017
AB6112
Main Street Storage(South)
Pursuant to its lien rights
Intends to sell at Cash only
Public oral auction
The property of:
Ri)hard Matthew #174A
Torrie Jones #302
Jeffrey Miller #185
Sale to be held at
1805 S. Main Ave.
Warrenton, Oregon
2/8/2017 at 11:00am
(503) 861-2880
Published: January 24th and
31st, 2017
BUSIN ESS D IRE CTORY
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Specialty
Services
We urge you to patronize the local
professionals advertising in
The Daily Astorian Specialty
Services. To place your Specialty
Services ad, call 325-3211.
P ROFESSIONAL S ERVICES
Terry Marshall Bookkeeping Service
(503)298-0750
•Payables •Receivables •Payroll
•Quarterly Reporting