A2 • Friday, July 22, 2022 | Seaside Signal | SeasideSignal.com New pretrial release policy takes eff ect By ERICK BENGEL The Astorian Photos by Lydia Ely /The Astorian The van housing the mobile clinic includes a private room for meeting with patients. County launches a mobile clinic with van By ERICK BENGEL The Astorian A new Clatsop County mobile clinic will help bring public health services, such as disease testing and vacci- nations, to remote areas on the North Coast. The county has purchased a van for $160,000 using an Oregon Health Authority grant for services related to pandemic response. The 2021 Ford E-450, previously used by a New York university, has been refurbished for the county Public Health Department, which rolled out the van this month. Lisa McClean, the coun- ty’s nurse manager and clinic supervisor, said the department is working out the van’s schedule. In a given week, the mobile clinic may spend time in Astoria, Warren- ton or Seaside, as well as smaller, underserved com- munities such as Knappa and Jewell. The van will be staff ed with at least two pub- lic health employees. Emblazoned with the health department logo, the mobile clinic will reach schools, workplaces and central locations in com- munities, but is unlikely to make home visits or park on residential streets, as it should be kept near a power source. In Cannon Beach, the van may be used to serve the Hispanic community, deliv- ering vaccines as the Oregon Health Authority has done. The front of the van is equipped for blood draws; the back has an exam table. “We have new and emerging diseases, for as long as nature and humans have commingled,” McClean said, “and so as Public Health continues to build stable infrastructure, we have this van.” The van arrives as coro- navirus cases spike and the county dismantled its COVID-19 vaccina- tion and drive-thru test- ing services at Camp Rilea Armed Forces Training Cen- Lucas Marshall, left, the environmental health manager for the county Public Health Department, shared COVID-19 statistics during a meeting. ter in Warrenton. The county had been giving weekly boosters at Camp Rilea. Since July 1 , the county’s drive-thru test- ing takes place at the house- hold hazardous waste facil- ity on Williamsport Road in Astoria. At fi rst, the department will use the van primarily to off er COVID-19 vaccina- tions and boosters. “That’s kind of our priority right now,” McClean said. COME FALL, THE MOBILE CLINIC MAY BE USED IN SCHOOLS’ STUDENT IMMUNIZATIONS EFFORTS. In December, the coun- ty’s overall COVID-19 vac- cination rate reached 70% — among the highest in Oregon — but as of earlier this month had yet to breach 75%. Come fall, the mobile clinic may be used in schools’ student immuniza- tions eff orts. “Our hope is, we will be able to off er other vaccines with the van,” McClean said. As for workplaces, McClean imagined a sce- nario where a large employer — a mill or cannery, say — has an employee who tests positive for tuberculosis. To investigate how many oth- ers contracted the disease, the Public Health Depart- ment would normally send out a team and convert that employer’s lunchroom or other workspace into a clinic. With the van, the county could bring its own. Recently, a company contacted the Public Health Department to vaccinate their employees against hep- atitis B. The company was looking to schedule appoint- ments for more than a dozen people at the county’s clinic on Exchange Street in Asto- ria. Getting everyone vac- cinated at the clinic could take about two days. “This time we can just take the van out there and probably be done within an hour or two,” McClean said. A mobile clinic has long been on the department’s wish list, Margo Lalich, the county’s interim pub- lic health director, said at a recent Board of Com- missioners work session. Mobile clinics are used widely by public health departments, including in Tillamook County. “This is quite historic for Public Health in Clatsop County, and I think it’s just a huge relief for us,” Lalich said. “And it will be, I think, a relief for the community once they get more famil- iar with seeing us out on the streets.” A new Oregon law directs courts to take a more consistent approach when deciding which off enders should stay in jail before trial. The law, which went into eff ect this month, replaces the state’s bail schedule with pretrial release crite- ria tied to the seriousness of the charges and an off end- er’s criminal history. The goal is to have a standardized pretrial release program throughout the state and to move away from a system where an off ender’s release depends on how much money they have available, according to Julie Vredeveld, the trial court administrator at Clat- sop County Circuit Court. The changes were approved by the state Leg- islature and signed into law by Gov. Kate Brown last year. Oregon Supreme Court Chief Justice Martha Walters issued guidelines in June to help courts com- ply with the law. Under these guidelines, off enders are sorted into one of three categories based on the nature of the charges and potential risk factors. Judge Dawn McIn- tosh, the presiding judge of the Clatsop County Cir- cuit Court, signed an order establishing these catego- ries for her judicial district. In category No. 1, off enders who commit low- level misdemeanors and felonies can be released on their own recognizance. Category No. 2 includes off enders with higher-level misdemeanors or class B or C felonies whose crimes don’t include domestic vio- lence. They can be released with court-imposed conditions. Off enders in category No. 3 are alleged to have committed the most serious crimes, such as domestic A new pretrial release program began in July. violence, violent felonies and sex abuse. They will be held until they appear before a judge. For the past several years, Clatsop County has used a pretrial release pro- gram with some of the same tools as the new order. These include a risk assess- ment tool that helps the sheriff ’s offi ce determine which off enders can be released safely and under what conditions. The county adopted the pretrial release policy amid concerns about over- crowding at the county jail in Astoria and the fact that too many off enders were locked up before trial. “We are really fortu- nate in Clatsop County that we had a very eff ective and well-designed pretrial release program, so much of our pretrial release in Clatsop will stay the same,” Vredeveld said. “The big diff erence is that, instead of people using money to get out of jail, the jail will fol- low the information as laid out in that presiding judge order. So I think it will feel very similar from the outside.” Although the county’s pretrial release program has been replaced with a new one, the two are similar enough that the impact to the county won’t be as dras- tic as elsewhere, according to Judge McIntosh. “I don’t think it’s going to have a dramatic impact on who gets out of jail in Clatsop County and who doesn’t,” she said, “except that folks that are safe to release into the commu- nity, but don’t have enough money and are charged with a crime that previ- ously would have necessi- tated bail, can be released.” In addition, people who commit serious crimes, and would previously have been released after posting a substantial bail, can now be held. The new order allows certain conditions to over- ride the category criteria. If an off ender isn’t capable of understanding the pretrial release program, or poses a credible threat of violence to people associated with the case, they may be slot- ted into a diff erent category. Sheriff Matt Phillips will still be able to manage the jail population and accom- modate additional holds based on available beds. Phillips said it is good that the law creates more uniformity in how courts use pretrial processes throughout the state. “There are some things that I think a lot of us in law enforcement see as con- cerning,” he added. For example, a per- son could be released if the victim isn’t a human being. Category 2 could allow crimes against ani- mals to result in a condi- tional release — the sus- pect wouldn’t be allowed to have pets — unless other factors in the off end- er’s history qualifi es them for an override and allows the jail to hold them until arraignment. In the old system, any- one arrested for a crime could be held. “So there’s a few things that raise eye- brows,” Phillips said. The sheriff , Judge McIn- tosh and Vredeveld believe it is too early to predict the eff ects. 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