» rW • k ♦ ♦ 1 July 13, 1988, Portland Observer, Page 5 HEALTH - SPECIAL Multnomah County Alcoholism and Drug Treatment System M ultnom ah County provides a variety of treatm ent services tor substance abusers, with priority for low incom e County residents. Funds are a com bination of Federal, State, and local dollars, including revenue from Beer and W ine Tax (House Bill 2145.) Services are provided through contracts with private service organ­ izations which must be licensed to provide the particular type of service for which they have a contract. To be licensed, an agency must meet specific standards set forth in the Oregon Administrative Rules per­ taining to that type of service. These govern client rights, confidentiality, quality of care, staff qualifications, and adm inistrative practices. An agency must pass an on-site review every two years to maintain their license, in addition to meeting all lo c a l fire , h e a lth , and s a fe ty standards. Cost Most agencies offer a sliding fee scale. DUII convicted clients are, by law , not a llo w e d to h ave th e ir treatm ent subsidized through tax- fu n d e d program s and th e re fo re generally pay for their own treat­ ment, unless they can be certified as food-stam p eligible or meet set criteria to be considered partially indigent. The latter clients must pay a partial fee. Types of Services 1. Com m unity Intensive Residential Treatm ent (CIRT) (14 beds for adult treatment; 10 beds for youth under 18.) T w e n ty -fo u r h o u r s u p e rv is e d residential care offering full day treatment. Target group: Middle to late-stage alcoholics needing intensive care and support, and unable to pay for their treatment. . Residential Care (97 alcohol beds including 11 targeted for Black and 24 for Native Am erican clients; 43 drug beds) Tw enty-four hour residential ser­ vice offering a sober environ­ ment, evaluation, weekly group counseling, and individual coun­ seling as needed. Clients usually w ork or seek work during the days and attend group or AA in the evening s. Som e alcohol p ro ­ gram s offer day programming; drug residential program s are full-day program s that preclude client employment, at least during the first six months. Target group: Serious to chronic alcoholics needing a sober envir­ onment, counseling, and support to e s ta b lis h s o b rie ty ; d ru g abusers requiring constant peer group and counseling support to establish drug-free living. 3. Outpatient Treatment (Funded capacity of 676 alcohol clients in a given month, including specialized programs for youth, w o m e n , B la c k s , H is p a n ic s , N ative Am ericans, and public inebriates; 333 drug slots includ­ ing s p e c ia liz e d pro g ra m s for youth, women, Blacks, and Native Americans.) Client resides outside the pro­ gram; services include evalua­ tio n , g ro u p a n d /o r in d iv id u a l counseling based on a treatment plan; minimum contact monthly, usually weekly. Drug outpatient program s generally require more frequent contact than alcohol programs. Target group: Persons needing support in maintaining sobriety or d ru g -fre e living w hile able to m a in ta in th e m s e lv e s in the community. 4. Adolescent Day Treatment (12 slots for alcohol and/or drug abusers under 18.) C lient resides outside of program; services are sim ilar to outpatient, but intensity is at least four hours a day, five days per week. This service is part of a continuum for youth that also includes CIRT and o u tp a tie n t s e rv ic e s fo r M u lt­ nom ah County adolescents. V O A o ffers care program for seniors. W estern States Chiropractic 'W estern States is very pleased to College and the volunteers of America expand chiropractic care to the senior Dregon, Inc. (V O A ), will provide population and to w ork w ith the Volun­ :hiropractic care for low income and teers of America. The elderly need aandcapped seniors in Portland begin- chiropractic care, "stated Dr. Roselyn. in g J u ly 2 5 . W estern States is the third oldest An open house to celebrate this new chiropractic college in the world and the service will be held on July 22 from 11 orty chiropractic teaching institution in a.m. to 3 p.m. at the V O A Senior Cen­ the N orthwest. The college, which of­ ter, 537 SE Alder. The event, which is free and open to the public, will feature fers a four-year program leading to a free spinal exams, refreshments, doctor of chiropractic degree, has 400 5. Non-Hospital Detoxification (47 alcohol beds; 2 drug beds.) A five-day residential program, non-hospital based, that provides evaluation, motivation counsel­ ing, alcohol education, and ref­ erral to alcohol treatment. Target group; Persons needing detoxification from recent alcohol abuse, in preparation for referral to a treatment program. 6. Acupuncture Assisted Detox Provides acupuncture to individ­ uals addicted to alcohol or other drugs of abuse to alleviate dis­ com fort associated with withdra­ w al or abstinen ce syndrom e. Services provided for clients in in p a tie n t p rogram at H ooper D etox and at tw o o u tp a tie n t clinics. 7. Methadone Services (259 clients in a given month.) Methadone therapy a maintain or detoxify opiate abusers who are not a p p ro p ria te for d ru g -fre e tre a tm e n t s e rv ic e s . In c lu d e s counseling, drug education, and methadone administration. T arget group: O piate abusers who are unable to benefit from drug-free treatment options. 8. Driving Linder the Influence of Intoxicants (DUII) Services. Evaluation, alcohol or drug edu­ cation, and counseling services on an outpatient basis. T a rg e t group. F irst-tim e DUII offenders with a court petition to enter a diversion program; or persons convicted of DUII and m andated to a certified DUII program for treatment. 9. In e b ria te E m e rg e n c y F irs t Responder and Transport Servi- ces (CHIERS). Utilizes a specially equipped van and trained staff to patrol desig nated areas of downtown Por­ tland looking for individuals who are intoxicated to the point of in ca p a city. T ransports intoxi cated individua ls to sobering station. (Inebriate E m ergency First Responder Services also funded by the City of Portland.) The sobering facility admits intox­ icated individuals 24 hours per d a y, seven d a y s per w eek. Trained staff medically screen individuals admitted, provide a safe environment to sober up, and refer clients to a detoxifica­ tion program. There's only one way to come out ahead of the pack. students. speakers and entertainment. V O A Oregon, Inc., is part of one of Chiropractic interns, under the supervision of Lily Roselyn, D. C., will the nation's largest social service agen­ join a podatrist and four mecical physi­ cies and sponsors a variety of programs cians tw o afternoons a week. The including a shelter for homeless wom en chiropractic services will include a and their children, a drug and alcohol physical exam, thorough health assess­ treatm ent program, and day and child ment, spinal screen, and a treatm ent care programs. öm-büd.s-man Make a cake that's unimpeachi delicious with Fruit & Fibre. P O S T FRUIT 8< FIBRE CEREAl PEACH COFFEE CAKE W ith lots of sweet peaches and healthy high-fiber flakes this recipe takes the cake 1 cup all-purpose flour 1 cup firmly packed brown sugar T /i tsps CALUMET ’ Baking Powder ’/z tsp. cinnamon ’/ • tsp salt 56 cup (1 stick) butter or margarine 2 cups POST’ FRUIT & FIBRE Whole Wheat and Bran Cereal with Peaches, Raisins and Almonds 56 cup milk 1 egg, slightly beaten / Combine flour, sugar, baking powder, cm namon and salt in bowl Cut in butter until mixture is crumbly Add V i cups of the cerea Measure '? cup of the mixture, set aside Add milk and egg to remaining flour mature, blend thoroughly Pour into greased and floured 8 in square pan Mix measured crumb mixture with remaimngcereal and sprinkle on batter Bake at 350° for 35 to 40 min., or until cake tester inserted in center comes out dean Serve warm ip w 3ruit& {fibre TASTES SO GOOD YOU FORGET THE FIBER. 44; J - L zb ,K> ; Q FOOOS ENERAi Ft « 4 • • 5 ’ «•• r» at.« .~>-t a 1 ** Suzanne A Scopes \ IT. \iiliir n iiiiih ii Circle Clinic 423 SF 15th Portland. OR 97214 230 0812 P r o t e c t T h e i r R ig h ts Residents of nursing homes and adult foster homes need YOU to become an advocate. V o lu n te e r s D O m a k e -C a ll for m o re in fo rm a tio n - M u ltn o m a h C o u n ty re s id e n ts ca ll 796-5269 E lse w h e re in O re g o n call 1-800-522-2602 ■ '• P H r Innovative Naturai Health Care for acute and chronic illness Women’s Health Care Preventive Medicine Homeopathic Medicine N u tritio n Botanical Medicine Western and C hinese Herbs Hvdiolherapv Complete I aboratorv Services I i i. m . in , e . I ksih lc Pavment Plans A Woman Controlled, woman 's Choice Clinic IM AIDS is a killer. I Voted mx irseli PORTLAND OBSERVER The Eyes and Ears ot the Community 288-0033 • 4 . a * •• PORTI A Ñ U I F M IN IS I W O M I N'S H EAI IN C E N IF R Spr vims include • Walk In Prpqn.anry Scropnmq • Abortion through ?n w o k s m a r lime ’ nt tin g • Ruth Control (including thp Cervical Cao' Annual Fxam$ Inform ation A Ppfprrals