7A THE DAILY ASTORIAN • MONDAY, JUNE 26, 2017 Duo: Both entered military in 2009 Gov. Kate Brown held a ceremonial signing cere- mony Friday in Salem for new laws to help the mentally ill. Continued from Page 1A Though now it feels rou- tine, waking up in the mid- dle of the night to respond to a car accident or house fire together wasn’t exactly what the two envisioned as their life together when they started dating 11 years ago. But after both TJ and Shaunna served a tour in the U.S. Marine Corps, firefighting began to play a critical role in easing them back into the community they called home. In fact, 11 years ago, Shaunna envisioned the exact opposite. “I actually swore I’d never get into the fire industry,” Shaunna said. Growing up, her mom worked for Medix in emergency medicine in Sea- side, and she said she became irritated with her working long hours at strange times of day. “I hated the sound of that pager going off,” Shaunna said. But this irritation wasn’t enough to dissuade the crush she developed for TJ when she was 14, who at the time was a volunteer firefighter and her sister’s best friend. To help move the rela- tionship, her sister suggested she ask TJ to help her fix the radio in the car she just pur- chased at 16. One thing led to another, and suddenly she found herself loving another first responder. Unique challenges While it’s not uncommon for couples to be in the same business, some things get more complicated when the business is saving lives. “It’s one thing when you’re risking your own life,” TJ said. “But it’s different when it involves people you love. Potentially sending my wife into a structure fire is a little bit of a tall order, but it’s a job that has to be done.” That personal connection is a benefit, too, TJ said. The two have an immense trust and respect for the other’s abilities and judgments. They rarely have to communicate because both know what needs to be done and how. “When we get done with a call, we both experienced all the same stuff,” TJ said. “Because of privacy issues, we can’t talk about our work with people who weren’t there. But since we both were there, we can help each other process. You see some terrible things sometimes.” It’s a lifestyle and under- standing the two developed while serving in the Marine Corps. Both entered the mil- itary in 2009 — TJ after vol- unteering with Cannon Beach Fire and Rescue for seven Submitted Photo New laws: Tragedies have drawn attention to treatment gaps Continued from Page 1A Photos by Colin Murphey/The Daily Astorian Cannon Beach volunteer firefighter Shaunna White, right holding onto car door, partici- pates in a training exercise last week. More photos online at DailyAstorian.com her to try firefighting with him, to help recreate the structure and team atmosphere of the military. “It doesn’t necessarily make the transition easier, but it will help you give a direc- tion to feel like you are doing something, instead of hanging up your uniform and remem- bering the good old days. That’s hard.” Into the future Cannon Beach volunteer firefighter Shaunna White, far right, watches over a vehicle-extrication training exercise last week. years and Shaunna right out of high school. TJ was inspired by his father, who served as a police officer in Cannon Beach. Serv- ing his country was a way to help replicate the safe, simple childhood he got to experience in Cannon Beach, TJ said. When the fire department threw a going-away party for TJ at the Driftwood, one of the wives asked him why he was joining the service. “I pointed back at my team, and said, ‘That’s why’ — to make sure people could continue to do whatever they want to do without fear of something else.” “Wow,” Shaunna said. “That’s a beautiful story. I just didn’t want to go to college. And I wanted to be a Marine.” “So basically you were more scared of college than going into combat?” TJ asked. “Yeah, I guess so,” Shaunna laughed. Strong, unstoppable For Shaunna, it was her grandfather — a veteran of both the Korean and Vietnam wars — that inspired her to enlist. Being a Marine meant being strong, being unstoppa- ble. It meant success. “So when I finally got in, I remember asking, ‘Can I be a tanker?’ and they said that was for only men. I asked to be a grunt, and again, only men,” Shaunna said. “I could be a cook or a tactical switch- board operator, so I chose the last one.” The two separated for 11 months for training before TJ managed to transfer near Camp Pendleton in California, where Shaunna was stationed. A year-and-a-half in, they were married, which allowed them to stay together through- out their tours. “It put a tremendous stress on our relationship,” TJ said. “It’s a lifestyle that’s hard to understand if you’re not in it.” After living in a world where 4 a.m. runs and six- hour packing trips in the beat- ing sun are status quo, both TJ and Shaunna found something missing in their lives when returning to the civilian world. “The Marine Corps made me feel unstoppable. It made me who I am today, instead of college. I had this overall important mission. Only 6 per- cent of Marines are female,” Shaunna said. “So when I got out, I felt like I was noth- ing, insignificant. It made me depressed.” That’s when TJ convinced One of the largest benefits Fire Chief Matt Benedict sees in veterans who serve as vol- unteer firefighters is an innate sense of responsibility, work ethic and respect. “They understand struc- ture, and that is critical. They will fall back on their military background in a major inci- dent,” Benedict said. For the past year, Bene- dict has seen veterans, such as Shaunna and TJ, transition and grow more comfortable with the job. “It’s important to keep their minds busy, and we give them an opportunity to do that,” Benedict said. Shaunna is pursuing her fire-science degree at Clat- sop Community College with the hopes of making firefight- ing her career. TJ is pursuing a degree is psychology at Ore- gon State University while working as a phlebotomist at Providence Seaside Hospi- tal in the hopes of becoming a physician’s assistant in emer- gency medicine. What type of first responder work and where are to be deter- mined for TJ and Shaunna’s future, but no matter what, they are committed to keeping Cannon Beach safe. “When I left the mili- tary, I missed the challenge,” Shaunna said. “It took me awhile to get here, but I fell in love.” Warrenton: Epicenter of housing development Continued from Page 1A withdraw the biological opin- ion, and for FEMA to suspend implementation of new flood plain development rules until after a public rule-making pro- cess and a review under the National Environmental Pol- icy Act. “These proposed rules would undo decades of urban growth management and nat- ural resource protection,” Jon Chandler, CEO of the Oregon Home Builders Association and president of Oregonians for Floodplain Protection, said in a release announcing the lawsuit. “And they would result in millions of dollars of economic loss and expense for Oregon property owners and local governments, not to men- tion years of uncertainty.” Alex Pajunas/The Daily Astorian Warrenton has struggled with flood insurance and levee certification issues. The coalition includes sev- eral trade groups represent- ing homebuilders, Realtors, farmers and the construction industry, along with individual landowners and several county and city governments, including Warrenton. Warrenton Mayor Henry Balensifer said the city, which has taken multiple hits regard- ing flood insurance and levee certification, felt the need to join the coalition to make sure its voice was heard. The city paid $500 to be a part of the coalition but is not helping finance the litigation. “I can understand the sci- entific basis for protecting or enhancing ecology, but it’s not taking into consideration the human aspect,” Balensifer said. Warrenton has become the epicenter of new hous- ing development amid a hous- ing shortage. But much of the city’s lands are low-lying and considered at risk from a 100- year flood, which can restrict development and significantly increase flood insurance rates. “We want to make sure we’re protecting the future of our town, in terms of being able to provide spaces for housing and encouraging development in our city,” Balensifer said. and potential barriers in car- rying out the law. Another new law signed by Brown this month requires public and private health insurers to cover behavioral health assessments and med- ically necessary treatment for people in mental health crisis, a mechanism to help finance care. “These bills ensure that when Oregonians reach out for help in a behavioral health crisis, they can access a broad range of mental health profes- sionals, emergency services and critical support systems,” Brown said in a statement Fri- day after a ceremonial signing in Salem with advocates for the mentally ill. “Now, Orego- nians in their most vulnerable moments will have the tools they need to recover, without undue financial burden.” Crisis response Columbia Memorial and Providence Seaside work with Clatsop Behavioral Health- care — Clatsop County’s mental health contractor — on crisis response to the men- tally ill. A crisis respite cen- ter that opened last summer in Warrenton is also intended as an alternative to emergency rooms or, in more severe cir- cumstances, the county jail. The hospitals are a partner in the crisis respite center. “CMH has been following this practice already and we are glad to have the state make this the standard policy for everyone,” Trece Gurrad, the vice president of patient care services at Columbia Memo- rial, said of the emergency room protocol in an email. Janiece Zauner, the chief operating officer and chief nursing officer at Providence Seaside, said in an email that “we are working on develop- ing innovative, sustainable solutions that actively engage community resources to meet the needs developed in these policies. We are beginning the work in each ministry this summer, and hope to have community-based solutions identified later this fall, before the legislation takes effect. “Caring for patients with behavioral health needs is a priority, and we will be work- ing on how best to implement targeted strategies in support of people in need.” Tragedies Social workers, police officers and prosecutors who regularly encounter the men- tally ill recognize the chal- lenge for emergency room doctors and nurses. But some have observed that hospitals at times seem unprepared to handle people in a behavioral health crisis and unable to link patients to treatment. Tragedies, like the sui- cide of Carrie Barnhart, who jumped from the Asto- ria Bridge in 2015 after sev- eral interactions with police, Clatsop Behavioral Health- care and Columbia Memorial involving her schizophrenia and depression, have drawn attention to treatment gaps. Barnhart’s family has filed a $950,000 lawsuit against Clatsop Behavioral Health- care and Columbia Memorial alleging negligence. Another suicide — Susanna Gabay’s Vicodin overdose in 2010 — inspired state action. The 21-year-old University of Oregon student from Mosier, who struggled with depression, had a psy- chotic breakdown and was placed in a hospital psychi- atric unit on suicide watch. She killed herself just before a counseling appointment a month after her discharge. Her parents, Jerry and Susan Gabay, said the hospital did not disclose their daugh- ter was on suicide watch and told them she may — or may not — have another psychotic episode, not enough informa- tion to alert them of suicide risk. The 2015 law that set a protocol for hospitals when discharging mentally ill patients also clarified medi- cal privacy to help avoid leav- ing loved ones in the dark. Patients are encouraged to authorize hospitals to disclose information to caregivers, such as prescribed medica- tions and behavioral warning signs that demand immediate medical help. Follow-up appointments must be scheduled within seven days after discharge, or hospitals must document why the seven-day goal is not possible. The law was named the Susanna Blake Gabay Act. Jerry Gabay, who now serves on the board of the National Alliance on Mental Illness-Oregon, said he and his wife learned that medical providers are reluctant to talk with families about mental health “in a way that would be shocking if you came in with a broken hip.” Research New research released in April found that suicide risk among emergency room patients in mental health crisis is reduced if they receive sui- cide screening from an emer- gency room doctor, guid- ance on treatment options when they are released and follow-up phone calls. The study, led by Ivan Miller, a professor of psychiatry and human behavior at Brown University in Rhode Island, showed a 30 percent decline in suicide attempts over a 52-week follow-up period. “It’s very important, par- ticularly with people in a fragile mental state, and super important if they may be sui- cidal, to want to have done an adequate assessment of their mental health condition, which is not always done. And in my personal expe- rience, with my daughter, it was not done, when I was there anyway,” Gabay said. “So you need to have an adequate assessment of what is the problem here. And then don’t just release them and say, ‘Hey, good luck.’ Give them a little bit of a transition. Have some plan about what you’re going to do. Make an appointment for them to see somebody.” Vanderpool: Gearhart resident started volunteering in November 2015 Continued from Page 1A Instead, Vanderpool tries to snap photos when the dogs are more playful and in front of better scenery, such as a tree in the shelter backyard. A welcome sight When Vanderpool walks through the doors each day at about noon, the kenneled dogs — sensing an upcom- ing trek outside — burst with enthusiasm. Vanderpool employs a num- ber of techniques to improve their behavior as she walks or plays with them. For start- ers, she’s mindful of her own temperament. “If I’m getting nervous and I’m not patient, the dog will catch on,” she said. In the shelter backyard, she sometimes helps other volun- teers teach the dogs tricks or correct behavioral issues. One exercise involves her and a leashed dog walking toward a pile of toys. If the pup becomes too hyper along the way, she shortens the leash. If it misbehaves too much, she may turn around, go back to the starting point and walk the dog toward the area again. She repeats the process until the dog calms down. Later when a potential adopter meets a dog, she dis- cusses its background with them to make sure the pet is the right fit. Volunteer honors Vanderpool, 29, of Gearhart, has been volunteering at the shelter since November 2015, soon after her family moved from Portland. Since then, she said she’s become more com- fortable handling dogs with behavioral issues. Animal Shelter Supervisor Stephen Hildreth presented Van- derpool with a volunteer award at a county Board of Commis- sioners meeting in April. “She is a dedicated young lady,” he said. “She sometimes is the only one out there in the downpouring rain or the windy storms walking the dogs.” Lengthy commute times meant Vanderpool was unable to volunteer at a shelter in Port- land, and she hasn’t lived with a dog since she was a young girl. Her move to the county allowed her to volunteer regularly, and she said she has no plans to stop in the near future. “I just really like helping,” she said. “I really like coming here and walking with them and interacting.” — Jack Heffernan