CASCADIA BEHAVIORAL HEALTHCARE, INC./CASCADIA HOUSING

847 NE 19^th Avenue Suite 100
Portland, OR 97207-8459
(503) 238-0769
FAX: (503) 963-7711
www.cascadiabhc.org

AGENCY INFORMATION
Derald Walker, Chief Executive Officer
Jim Hlava, VP – Housing & Homeless Services
Margaret Jonsson, Senior Director of Housing
Total Number of Staff: 825
Housing Department Staff: 16
Annual Operating Budget: $42.5 million
Total Cost of Development: $42.3 million
Area Served: Multnomah, Clackamas & Lane Counties

Total number of people housed (total persons in households as of December 31, 2011): 615
Total Number of Units Developed: 626 (all Rental)
Total Number of Units under Development: 5 (all Rental)

SERVICES AND PROGRAMS OFFERED

• Resident Services
• Social Services
• Youth Programs
• Senior Programs
• Workforce Development
• Community Safety
• Mixed Use Development
• Green Building
• Community Facilities

MISSION

Cascadia’s mission remains to create hope and opportunity for people with mental illnesses and addictions, blending innovation and determination with competence and compassion. Cascadia provides a critical safety net for approximately 12,000 people each year who are struggling with serious mental illness, addictions, and who as a community are disproportionately impacted by physical health issues, poverty and homelessness. We pride ourselves in our ability and willingness to serve those who experience the most barriers and challenges to recovery. We realize that in order to equip our clients with skills and resources to live independently in the community, we must ensure that they have access to the full variety of services they may require to maintain personal stability. Our services include a continuum of crisis intervention, a range of residential treatment, supportive housing and homeless services, and housing, mental health and addictions outpatient services, forensic services, medical services, and affordable housing development. We manage 42 properties with 625 units of housing for people with disabilities.

Cascadia is focusing on the development of the following key initiatives in 2012 and beyond:

*Provision of affordable housing and social supports

*Integration of care — mental health, addictions, and primary health

*Improving race relations and culturally competent services

*Effective Recovery-oriented and Trauma-informed clinical services

*Prominent consumer involvement

*Fiscal stewardship

KEY ACCOMPLISHMENTS

• Multnomah released an RFP for their adult mental health system resulting in a 130 page Cascadia proposal. In response, Cascadia continues to provide the greatest range of services in Multnomah County.
• The year has been one of extensive collaboration with OSHU; specifically in coordination with our neighbor, the Richmond Clinic, which is a primary care center near our Plaza Clinic at 43^rd and Division. We continue to explore the integration of primary care and behavioral health services with them.
• We opened our second crisis respite clinic, located in Oregon City and serving Clackamas county citizens.
• We opened our fourth full services community mental health clinic located in Milwaukie, Oregon. This followed a successful RFP response that qualified the agency to provide a wide range of community mental health services in Clackamas County.
• We were active in the 2010/11 legislature in areas such as PSRB and HB 3650, the Healthcare Transformation bill.
• Two Cascadians, Meghan Caughey and Maggie Bennington-Davis served on two governor-appointed work committees of the Oregon Health Authority Transformation planning.
• For the first time since 2007, about one third of Cascadia employees received a salary increase. This positively affected 230 employees. We are actively working on the next phase of salary increases for other employees.
• Cascadia established its first Senior Director of Peer and Wellness Services. The highly accomplished and respected peer advocate and educator, Megan Caughey, MA, MFA, joined Cascadia in July.
• Cascadia just graduated our first class of Peer Wellness Specialists. These 13 trained professionals are now able to be certified by the State of Oregon to provide services.
• NW Health Foundation’s Kaiser Community Fund awarded Cascadia a grant for $200,000, which will assist in the development of a robust Cascadia Peer Wellness program.
• Cascadia continues to guide the Steering Committee for a nationwide Performance Improvement Project spearheaded by the Bazelon Center for Mental Health Law, intended to facilitate system change to reduce the need for police contact with persons in mental health crises.
• Cascadia presented at two workshops at the 2011 National Council of Community Mental Health Centers conference.
• Also at the 2011 National Council conference, Derald Walker received an award for Visionary Leadership; The very same week, Cascadia’s CFO, Beth Barker, received the Portland Business Journal’s CFO of the year award for non-profit!
• Cascadia had a very large turnout in May for the NAMI Walk; one of the largest groups participating.
• Cascadia launched Inside Cascadia; an internal online information source for Cascadia staff including news, program information, helpful documents and more to bring all of Cascadia staff members closer together.
• Housing Services at Cascadia experienced many transformations this year. The Housing Board worked throughout the year to develop new bylaws that redefine the very important relationship between Cascadia’s invaluable Housing Services and Clinical Services.
• The Housing Division itself restructured to better integrate the full continuum of services that Cascadia provides related either directly or indirectly to the importance of having a home for those we serve. We now have services to those that are homeless closely aligned with our other important services. Next to Central City Concern, Cascadia is the largest provider of homeless services and first in providing services to those suffering from mental illness while being homeless.
• Key staff from Cascadia’s Housing Department completed a 2 year training series “Asset Management & Preservation Program” (AMPP) sponsored by the Housing Development Center.
• Cascadia hosted its Second Annual Minority Mental Health Summit last summer. Drs. Ted Corbin and John Rich presented. They presented on Healing Hurt People.  This has been followed up by monthly diversity caucuses.
• Cascadia continues to demonstrate excellence in its financial and business systems infrastructures; Moss Adams completed an unqualified audit for 2010 and Multnomah County’s financial review findings that resulted in the highest scores possible on all categories.
• Multnomah County conducted an audit that focused on the clinical programs and evaluates their quality. This year we received very high marks that led to a three-year license, the longest licensing period the organization can obtain, thanks to the excellent Quality Department guidance and oversight coupled with staff documentation efforts.
• We had a busy year working in partnership with the Portland Police Bureau that included the joint staffing of the Mobile Crisis Unit.
• This year we began a program housed at our Garlington Center that serves at risk African American children and youth.  The kids are identified to be at risk of out-of-home placement into foster care.
• Information Technology (IT) hired a new director who’s been making Cascadia’s backend systems more robust and secure.And last but not least:
• Cascadia finished its 12 month budget year on June 30, 2011 with a $4.5 million dollar surplus. This is largely due to the amazing work done in our residential division, increased productivity in outpatient program, and with hard work and attention to the multitude of details of both financial and clinical operations. The surplus allowed us to pay off the Meyer loan, and pay down our loan from Multnomah County, thereby reducing the overall debt of the organization.

CURRENT PROJECTS

• Participation in the Oregon Health Care Transformation process.
• Expansion of our Crisis Services system.  This will likely include a 24-hour clinic with integrated primary and behavioral health care provided as an alternative to the current hospital emergency department.
•  Expansion of crisis and clinical outpatient services in Clackamas County.
• Focus internally on making Cascadia one of the best companies to work for through WE, Cascadia! (Workplace Excellence, Cascadia!).  This initiative will be gathering information about the improvements that staff would like to see in the Cascadia workplace.  This will result in concrete action plans to achieve what is possible.  In addition to this, there will be a continued emphasis on salary assessments and improvements.
• We look forward to resuming housing development activities in both Multnomah and Clackamas.  Cascadia received an award from the State to develop a Residential Treatment Home for young adults in transition in Multnomah County.  Clackamas County has also awarded a services contract for 2 Residential Treatment Facilities.
• Continued improvements in our clinical services programs.  As health care transformation increasingly focuses on outcome, we will continue to shape our programs to ensure the best possible services for Cascadia clients.
• Wellness and Peer Services.  We are eager to expand our peer work force and focus both staff and clients on wellness.
• Continued focus on Finances.  Cascadia will continue the excellent track record of financial stewardship that has been established over the past 2-3 years.  This initiative will also focus on retiring outstanding debt.
• Continued expansion of Supported Housing Program models, with Clinton Street Apartments and a collaboration with Multnomah County’s “Adult Mental Health Initiative” (AMHI).
• Strategic alignment of Housing with Cascadia’s Homeless Services to increase the focus on housing people with mental illness who are homeless.

PARTNERS IN DEVELOPMENT

Oregon Housing and Community Services Department • Oregon Department of Human Resources, Addictions and Mental Health Division • Portland Development Commission • Multnomah County • Clackamas County • Lane County • Enterprise Community Investments • Enterprise Green Communities • Network for Oregon Affordable Housing • City of Gresham • U.S. Department of Housing and Urban Development • Meyer Memorial Trust • US Bank