7A THE DAILY ASTORIAN • FRIDAY, APRIL 6, 2018 Water: Studies will Diagnosis: ‘She loved that dog with her life’ outline millions of dollars worth of work Continued from Page 1A Continued from Page 1A vice from the last time the four cells that purify water through a slow sand filtration process were cleaned and had the sand replaced. “We’re actually mak- ing headway,” Harrington said. “You just about have to borrow money for capital improvements. That’s pretty standard across the board. But borrowing money for maintenance is something you try to avoid and we’re pretty much out of needing to do that now.” At the end of 2017, Har- rington and his staff com- piled a list of ongoing public works projects. Under water projects, they listed relatively small updates. This summer, the department expects to complete a road bank sta- bilization project on Pipe- line Road to address a small spot where the water pipe- line diverges from the road and goes into the woods and passes a creek — another minor project. The depart- ment also plans to construct an emergency overflow weir for the Bear Creek Dam. The dam has stood for over 100 years and has never over- topped, as far as city records show, but the weir is an extra safety precaution for a very large storm. One of the bigger proj- ects is a two-year process to empty the city’s four water purification cells one by one, and replace the liners and the sand used in the filtra- tion system. Work on the first cell is more or less complete. The cost of the total project is $1.4 million. Resiliency The city’s budget pro- cess has just begun and Har- rington isn’t sure yet what if any change in water rates might be on the horizon. The City Council rejected a staff recommendation last year to increase water rates for the outlying districts and other users Astoria supplies. Public works’ staff had rec- ommended a jump from a 10 percent surcharge to a 25 percent surcharge over the next three years, with a 5 percent increase that would have gone into effect this July. Harrington and Cindy Moore, the assistant city engineer, said the increase would have addressed equity issues, bringing outside rates up to what other munici- palities charge and sharing maintenance costs across the water customer base, as well as put money toward the construction of a clearwell system. Though the clear- well system would be on the table even without the out- of-town customers, Moore noted it would provide stor- age of treated water for those consumers. The City Council split on the decision, with the major- ity voting not to increase rates until there was a clear road map for what it would mean to install a clearwell system. In years past, the city believed a clearwell sys- tem was more critical. There wasn’t yet a fourth cell for water purification and Astoria’s population was expected to grow. In this vision of the future, the fish- ing industry was booming. Instead, Astoria didn’t grow at the projected rate and the fishing industry slowed down. All the breweries in the city have yet to match the kind of water consumption fish processing facilities required. Still, the city believes the system is an import- ant addition to build resil- iency and capacity. Astoria is fortunate in that it owns its entire watershed — the Bear Creek water- shed to the east — and water is pulled from multiple sources in that watershed, city staff say. According to the state, the primary source of contamination in Asto- ria’s drinking water is from soil erosion. The West Coast expe- rienced drought in recent years, but Astoria’s water supply remained strong. Astoria’s water usage remains below the num- ber of gallons filtration and transmission systems can handle, and a study found Bear Creek Dam is not at risk of seismic failure though it is classified as a high haz- ard because of its proxim- ity to human populations downstream. Problems cleared Water quality issues in 2016 tied to construction of the Spur 14 water source have been cleared up. The city had notified custom- ers of a violation of a fed- eral drinking water standard when the city used a higher than normal amount of chlo- rine to treat organic matter in the Main Lake water, part of the Bear Creek watershed. An interaction between chlo- rine and organic matter pro- duced contaminants known as disinfection byproducts. The 2017 report indi- cates these byproducts are now well below the state’s threshold. privacy. But accounts from her family and court filings show the uncertainty over the exact cause of Moor’s mental health challenges. Her case is an example of the complexity of dealing with mental health and addiction, a web that can feel especially hopeless in Clatsop County and other rural communities where treatment options are limited. “The worst part of this work is to watch people become more ill and to feel helpless to do anything,” Amy Baker, the executive director of Clat- sop Behavioral Healthcare, the county’s mental health con- tractor, said in a statement. “I understand completely the frustrations families and cli- ents experience, because we often feel it too. “We wait for opportunities to insert ourselves and to help individuals get back on track. We also see miracles of growth and recovery every day.” ‘Difficult to diagnose’ Ryan hoped her daughter might be one of those miracles. Eight-and-a-half years ago, while in drug rehabilitation in Astoria for heroin, Moor left, threw a brick through a downtown window, and wan- dered around naked until she was picked up by police, her mother said. She spent sev- eral months afterward in men- tal hospitals. But no similar episodes surfaced over the past several years. Moor, 28, is on disabil- ity, her mother and fiance said, and appeared to be taking pre- scribed medications for bipolar disorder and opioid cravings. Bipolar disorder, accord- ing to the National Institute of Mental Health, can cause unusual shifts in mood, energy and the ability to carry out daily tasks. Last spring, her mother said, Moor was taken off the antipsychotic medication she had been using in favor of something else because of weight gain. Her mother said she noticed a small difference in her behavior in September, but was not concerned because she thought her daughter was keeping her appointments with Clatsop Behavioral Healthcare. Over the past few months, though, Ryan feared Moor was unraveling. Her daugh- ter showed extreme paranoia that culminated in an attack on Mitch Peak, her fiance, and her placement in Cedar Hills. As far as Ryan and Peak knew, they said, Moor was not abusing illegal drugs. In a consultation report to help the Circuit Court deter- mine whether Moor was able to aid and assist in her defense on the felony animal abuse charge, Clatsop Behav- Facebook Noel Moor with Bolt, her dog. ioral Healthcare drew a starker picture. Moor, the report found, had been unable to comply with medications or abstain from substances. She had also can- celed or missed several therapy sessions and medication-man- agement appointments since last summer. “It is very difficult to diag- nose and treat bipolar and psy- chotic symptoms when sub- stance use is occurring, as origin of symptoms is diffi- cult to determine,” the report advised. For her mother and fiance, the most obvious, uncharacter- istic thing about Moor’s behav- ior was acting out against her dog. Bolt, a 7-year-old male Chihuahua, was her compan- ion and a star of her Facebook page. “She loved that dog with her life,” her mother said in an email. Moor thought an ex-boy- friend was inside the dog, her mother and fiance said. She also told her fiance she thought her ex-boyfriend was inside him, too. In mental health interviews after her arrest, court filings show, she was at times delu- sional — “I’m God” — and seemingly aware of what hap- pened — “I feel horrible about killing my dog.” ‘Imminent risk’ Citing privacy laws, Cedar Hills said it could not disclose any information about patients. “We can share, however, that it is the policy of Cedar Hills Hospital to assess every patient on the day of discharge to ensure that they are safe to dis- charge and that the discharge disposition is appropriate for that patient,” Libby Hutter, the Portland hospital’s chief execu- tive officer, said in an email. Clatsop Behavioral Health- care can place holds on patients at Columbia Memo- rial. But the mental health agency — which came under intense scrutiny after a woman in crisis jumped off the Astoria Bridge in 2015 — has tried to clarify its role. Baker said Clatsop Behav- ioral Healthcare does not decide when patients are released from the hospital. “We do not make decisions about who is kept and who is discharged from emergency departments,” she said. “We provide consultations to the hospitals.” Nicole Williams, the chief operating officer at Colum- bia Memorial, said in a state- ment that “our hearts go out to the people and families in our community who are dealing with mental health issues.” She explained that when patients arrive in the emergency room, the hospital’s first responsibil- ity is to treat any emergency medical conditions. If a patient is experiencing a possible mental health crisis, the hos- pital collaborates with Clat- sop Behavioral Healthcare on whether they are an imminent danger to themselves or others. “Patients may be held for transfer to an inpatient mental health facility only if they meet strict federal and state criteria for involuntary commitment and have been deemed by the courts to be at imminent risk,” Williams said. “All patients with mental health concerns are released with a discharge safety plan that includes fol- low-up with a mental health professional.” The process can be exas- perating for police officers, who are often called to inter- vene when people are in crisis, and excruciating for families, who often have no place else to turn when their loved ones are in trouble. Peak, Moor’s fiance, described a harrowing back- and-forth with Warrenton police, mental health and hos- pital staff over Moor’s care that involved several trips to Columbia Memorial around the St. Patrick’s Day weekend. After one last violent encoun- ter with Moor at home, Peak said he took all the knives and his guns out of the house and, with the help of police, pressed mental health staff to place Moor on a hold. Anxious, Peak parked by the Warrenton Mini Mart while police located Moor on the street and again brought her to the hospital. When he got back home, he said smelled some- thing burning and found Bolt inside the oven. Moor was moved from the hospital to the county jail the next day. Macon Benoit, Moor’s attorney, asked the Circuit Court to find Moor unable to aid and assist in her defense based primarily on Clatsop Behavioral Healthcare’s con- sultation report. Judge Paula Brownhill ruled in late March that Moor lacked the fitness to proceed and committed her to the Oregon State Hospital for treatment and evaluation. A court hearing on the status of her capacity to stand trial is set for May. Ryan and Peak do not think Moor was ready for discharge from Cedar Hills to the crisis respite center, which does not have secure beds to prevent her from walking out. They believe there were enough warning signs in the days before Bolt’s death to keep her at Columbia Memorial until a mental health option could be found. “This was a clear case of the system letting her down when she went to them for help,” Ryan said in an email. “I let her down too. I should have seen and or acted on the signs sooner.” Peak, a log truck driver, said he researched mental health since his relationship with Moor so he could better understand what she is going through. He did what anyone would do when they see some- one they love in crisis. 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