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HomeMy WebLinkAboutItem 01 White Bird Clinic Outreach Report AGENDA ITEM SUMMARY Meeting Date: 10/26/2020 Meeting Type: Work Session Staff Contact/Dept.: Emily David/EOC ESF6 Staff Phone No: 541-726-2235 Estimated Time: 15 Minutes S P R I N G F I E L D C I T Y C O U N C I L Council Goals: Foster an Environment that Values Diversity and Inclusion ITEM TITLE: White Bird Outreach Team Report ACTION REQUESTED: Feedback on the information shared and guidance on continuing the service. ISSUE STATEMENT: Alex Farmer, Front Rooms Coordinator for the White Bird Clinic will present to Council on the White Bird outreach teams work to reach people living outside in response to the Coronavirus pandemic. In late May, 2020 the City of Springfield through the Emergency Management Center (EOC) hired White Bird Clinic to do outreach in Springfield and Glenwood in order to help unhoused people successfully shelter in place in compliance with the Oregon Executive Order 20-12, Stay Home Save Lives, with the objective to prevent or slow the community spread of COVID-19. White Bird outreach teams began to work in the community on May 25, 2020 and the current contract ends on November 30, 2020. Outreach teams provide information about COVID-19 as it relates to people living outside as well as provide information and referral to services when appropriate. In addition, the White Bird Clinic outreach teams distribute supplies purchased through the Springfield EOC and provide medical screening and triage to unhoused individuals during the COVID-19 health emergency. ATTACHMENTS: Attachment 1: Draft presentation slides Attachment 2: Oregon Executive Order 20-12 Attachment 3: Sample weekly report provided by White Bird to the EOC Attachment 4: Fourth Amendment White Bird Contract DISCUSSION/ FINANCIAL IMPACT: Alex Farmer, who manages the White Bird outreach efforts in Springfield and Glenwood, will present to council on the impact of the outreach to date and what the teams have learned about the unhoused population that they are serving (ATT 1 draft presentation slides). In response to Oregon Executive Order 20-12, Stay Home Save Lives (ATT 2), the Springfield EOC contracted White Bird Clinic to provide outreach to people living outside with the objective to prevent or slow the community spread of COVID-19 by providing information about COVID-19 as it relates to people living outside as well as provide information and referral to services when appropriate. In addition, the White Bird Clinic outreach teams distribute supplies and provide medical screening and triage to unhoused individuals. Outreach began on May 25, 2020 with no outreach occurring June 6- 24, 2020 and August 6 – September 20, 2020. The current contract (ATT 4) is for services through November 30, 2020. White Bird provides a weekly report of services provided. The report includes a brief overview of encounters, symptomatic encounters, and referrals. Miles tracked and supplies remaining are also included in the report. (ATT 3: report for the week 10-/5-10/9) The supplies listed are provided through the Springfield EOC. They are stored by the EOC with White Bird picking up supplies each week as needed. Financial Impact: The weekly cost of White Bird outreach is not to exceed $3,830 and the total for 15.5 weeks of outreach is not $59,365. Total cost of the supplies to date: approximately $12,000 This cost is reimbursable by CARES (The Coronavirus Aid, Relief, and Economic Security) money and FEMA funds. Springfield Outreach COVID-19 Response | White Bird Clinic | Attachment 1, Page 1 of 5 Outreach Objectives Support unhoused community members through the COVID-19 pandemic by providing: Information about how to stay safe and healthy during the pandemic Necessary shelter-in-place materials COVID-19 health screenings Information and referrals to community resources Evaluation of client needs Attachment 1, Page 2 of 5 Outreach Teams Teams of two trained White Bird Staff Monday-Friday Shifts Variable schedule to meet the needs of clients Providing a trauma-informed approach to client interactions Meeting people “where they are” Attachment 1, Page 3 of 5 Outreach Statistics Encounters –656 Individual Encounters Referrals –204 Referrals to White Bird and other community services Screenings –112 COVID-19 screenings provided Attachment 1, Page 4 of 5 Why Outreach? Providing stability by meeting basic needs Connecting people to relevant services Building trusting relationships with vulnerable populations Empowering our unhoused neighbors through supportive services Attachment 1, Page 5 of 5 / Governor Kate Brown (/gov/Pages/index.aspx) / Administration (/gov/admin/Pages/default.aspx) / Executive Order 20-12 Executive Order 20-12 Office of the Governor State of Oregon EXECUTIVE ORDER NO. 20-12 STAY HOME, SAVE LIVES: ORDERING OREGONIANS TO STAY AT HOME, CLOSING SPECIFIED RETAIL BUSINESSES, REQUIRING SOCIAL DISTANCING MEASURES FOR OTHER PUBLIC AND PRIVATE FACILITIES, AND IMPOSING REQUIREMENTS FOR OUTDOOR AREAS AND LICENSED CHILDCARE FACILITIES On February 28, 2020, I appointed the State of Oregon's Coronavirus Response Team. On February 29, 2020, the Department of Human Services issued strict guidelines, restricting visitation at congregated care facilities, including nursing homes. On March 2, 2020, the State of Oregon Emergency Coordination Center was activated. On March 8, 2020, I declared an emergency under ORS 401.165 et seq. due to the public health threat posed by the novel infectious coronavirus (COVID-19). On March 12, 2020, I prohibited gatherings of 250 or more people, and announced a statewide closure of Oregon K-12 schools from March 16, 2020, through March 31, 2020. On March 13, 2020, the President of the United States declared the COVID-19 outbreak a national emergency. On March 16, 2020, the Department of Human Services imposed its most recent protective measures to restrict visitors to long-term care facilities and other residential facilities. The Oregon Health Authority has adopted similar measures at the Oregon State Hospital and other behavioral health settings and has limited admissions to the Oregon State Hospital. The Oregon Department of Corrections has suspended all visits to state prisons. On March 17, 2020, I prohibited gatherings of 25 or more people, banned on-site consumption of food and drink at food establishments statewide, and extending school closures until April 28, 2020. I also encouraged all businesses not subject to the prohibitions to implement social distancing protocols. On March 18, 2020, I suspended in-person instructional activities at higher education institutions through April 28, 2020. On March 19, 2020, I ordered the postponement of non-urgent health care procedures, in order to conserve personal protective equipment and hospital beds for the state's COVID-19 emergency response efforts. I also directed the Oregon Attachment 2, Page 1 of 6 / Health Authority to provide guidance regarding limitations and screening for visitors to hospitals and ambulatory surgical centers. COVID-19 may cause respiratory disease leading to serious illness or death. The World Health Organization considers COVID- 19 to be a global pandemic. COVID-19 spreads person-to-person through coughing, sneezing, and close personal contact, including touching a surface with the virus on it and then touching your mouth, nose, or eyes. To reduce spread of COVID-19, the United States Centers for Disease Control and Prevention (CDC) has recommended community mitigation strategies to increase containment of the virus and to slow transmission of the virus, including cancellation of gatherings of people and social distancing in smaller gatherings. State and local public health officials advise that the virus is circulating in the community and expect the number of cases to increase. The CDC reports that COVID-19 is most contagious when the individual is most symptomatic but may also spread before symptoms appear. The number of COVID-19 cases continues to rise in Oregon. On March 8, 2020, at the time I declared an emergency, there were 14 presumptive or confirmed cases in Oregon. By March 12, 2020, there were 21. As of today, there are at least 161 cases and five deaths. In a short time, COVID-19 has spread rapidly. Additionally, some Oregonians are not adhering to social distancing guidance provided by the Oregon Health Authority, as represented by crowds this last weekend at the Oregon Coast, Smith Rock State Park, the Columbia River Gorge, and other places around the state. To slow the spread of COVID-19 in Oregon, to protect the health and lives of Oregonians, particularly those at highest risk, and to help avoid overwhelming local and regional healthcare capacity, I find that immediate implementation of additional measures is necessary. The purpose of this Executive Order is to reduce person-to-person interaction with the goal of slowing transmission. NOW THEREFORE, IT IS HEREBY DIRECTED AND ORDERED THAT: Stay Home, Save Lives 1. It is essential to the health, safety, and welfare of the State of Oregon during the ongoing state of emergency that, to the maximum extent possible, individuals stay at home or at their place of residence, consistent with the directives set forth in my Executive Orders and guidance issued by the Oregon Health Authority. To that end, pursuant to ORS 433.441(3), ORS 401.168(1), ORS 401.175(3), and ORS 401.188(2) to (3), I am ordering the following: Attachment 2, Page 2 of 6 / a. Non-essential social and recreational gatherings of individuals outside of a home or place of residence (e.g., parties, celebrations, or other similar gatherings and events) are prohibited immediately, regardless of size, if a distance of at least six feet between individuals cannot be maintained. b. Individuals are prohibited from patronizing businesses that are closed pursuant to paragraph 2 of this Executive Order, and from engaging in conduct prohibited by prior Executive Orders or inconsistent with guidance provided by the Oregon Health Authority. c. When individuals need to leave their homes or residences, they should at all times maintain social distancing of at least six feet from any person who is not a member of their immediate household, to the greatest extent possible, and comply with the other Social Distancing Requirements guidance issued by the Oregon Health Authority. d. Individuals may go outside for outside recreational activities (walking, hiking, etc.), but must limit those activities to non-contact, and are prohibited from engaging in outdoor activities where it is not possible to maintain appropriate social distancing (six feet or more between individuals). e. Failure to comply with any of the provisions of this Executive Order constitutes an imminent threat and creates an immediate danger to public health. Any person found to be in violation of this Executive Order is subject to the penalties described in ORS 401.990. Closure of Certain Businesses 2. Pursuant to ORS 433.441(3)(a), (b), (d) and (f), ORS 401.168(1), and ORS 401.188(1) to (3), and effective 12:01 a.m. on March 24, 2020, I prohibit the operation of the following businesses, for which close personal contact is difficult or impossible to avoid: Amusement parks; aquariums; arcades; art galleries (to the extent that they are open without appointment); barber shops and hair salons; bowling alleys; cosmetic stores; dance studios; esthetician practices; fraternal organization facilities; furniture stores; gyms and fitness studios (including climbing gyms); hookah bars; indoor and outdoor malls (i.e., all portions of a retail complex containing stores and restaurants in a single area); indoor party places (including jumping gyms and laser tag); jewelry shops and boutiques (unless they provide goods exclusively through pick-up or delivery service); medical spas, facial spas, day spas, and non-medical massage therapy services; museums; nail and tanning salons; non-tribal card rooms; skating rinks; senior activity centers; ski resorts; social and private clubs; tattoo/piercing parlors; tennis clubs; theaters; yoga studios; and youth clubs. 3. Paragraph 2 of this Executive Order does not apply to restaurants, bars, taverns, brew pubs, wine bars, cafes, food courts, coffee shops, or other similar establishments that offer food or drink, which remain subject to Executive Order No. 20-07 (prohibiting on-premises consumption of food or drink, but allowing take-out or delivery service). 4. Indoor and outdoor malls, and other businesses subject to paragraph 2 of this Executive Order, are not prohibited from operating to provide food, grocery, health care, medical, pharmacy, or pet store services. 5. Subject to approval by the Governor, the Oregon Health Authority has the authority to determine if additional business closures are necessary to slow the spread of COVID-19 during the ongoing state of emergency. Required Social Distancing for Other Retail Businesses Attachment 2, Page 3 of 6 / 6. Pursuant to ORS 433.441(3)(a), (b), (d) and (f), ORS 401.168(1), and ORS 401.188(1) to (3), and effective 12:01 a.m. on March 24, 2020, I prohibit the operation of any other retail business not subject to paragraph 2 of this Executive Order, unless the business designates an employee or officer to establish, implement, and enforce social distancing policies, consistent with guidance from the Oregon Health Authority. 7. Retail businesses that fail to comply with paragraph 6 of this Executive Order will be closed until they demonstrate compliance. 8. Paragraphs 6 and 7 of this Executive Order do not apply to grocery, health care, medical, or pharmacy services, which also are encouraged to comply with social distancing guidelines. Workspace Restrictions 9. Pursuant to ORS 433.441(3)(a), (b), (d) and (f), ORS 401.168(1), and ORS 401.188(1) to (3), and effective March 25, 2020, all businesses and non profit entities with offices in Oregon shall facilitate telework and work-at- home by employees, to the maximum extent possible. Work in offices is prohibited whenever telework and work-at-home options are available, in light of position duties, availability of teleworking equipment, and network adequacy. 10. When telework and work-from-home options are not available, businesses and non-profits must designate an employee or officer to establish, implement, and enforce social distancing policies, consistent with guidance from the Oregon Health Authority. Such policies also must address how the business or non-profit will maintain social distancing protocols for business-critical visitors. 11. Businesses and non-profits that fail to comply with paragraphs 9 and 10 of this Executive Order will be closed until they demonstrate compliance. Government Buildings 12. Pursuant to ORS 433.441(3)(a), (b), (d) and (f), ORS 401.168(1), and ORS 401.188(1) to (3), and effective March 25, 2020, all state executive branch offices and buildings, to the maximum extent possible, shall close to the public and provide public services by phone and online during regular business hours. To the extent that closure is not feasible, in- person interactions between staff and the public should be by appointment, whenever possible. When public services require in-person interactions, social distancing measures must be established, implemented, and enforced, to the maximum extent possible. 13. State executive branch offices and buildings shall facilitate telework and work-at-home by employees, to the maximum extent possible. When telework and work-from-home options are not possible, agencies must designate an employee or officer to establish, implement, and enforce social distancing policies, consistent with guidance from the Oregon Health Authority. 14. Paragraphs 12 and 13 of this Executive Order apply to all offices and buildings owned or occupied by the state executive branch. This Executive Order does not apply to offices and buildings owned or occupied by the state legislative and judicial branches, federal government, local governments, and tribal governments, but those governments are nonetheless strongly encouraged to adhere to the policies underlying these directives. Childcare Facilities Attachment 2, Page 4 of 6 / 15. Pursuant to ORS 433.441(3)(a) and (d), ORS 401.168(1), and ORS 401.188(2) and (3), it is ordered that any childcare facility licensed under ORS 329A.030 and ORS 329A.250 to ORS 329A.450 that does not meet the requirements of paragraph 16 of this Executive Order shall close from March 25, 2020, through April 28, 2020 ("effective period"), unless that period is extended or terminated earlier by the Governor. 16. Notwithstanding paragraph 15, childcare facilities are allowed to remain open during the effective period if they meet the following requirements: a. Childcare must be carried out in maximum stable groups of 10 or fewer children ("stable" means the same 10 or fewer children are in the same group each day), and in a classroom that cannot be accessed by children outside the stable group; and b. Facilities must prioritize the childcare needs of first responders, emergency workers, health care professionals, followed by critical operations staff and essential personnel, consistent with guidance provided by the Oregon Department of Education, Early Learning Division. 17. I delegate authority to the Oregon Department of Education, Early Learning Division, to set forth exceptions to the rules provided by paragraph 16 of this Executive Order, if it becomes necessary to do so. Outdoor Recreation and Travel 18. Pursuant to the powers vested in me by ORS 433.441(3), ORS 401.168(1) and (3), and ORS 401.188(1) to (3), I hereby order all private and public campgrounds to be closed immediately. This order does not prohibit camp hosts or veterans from remaining in state campgrounds, nor does it extend to RV parks and other housing. 19. I authorize the Oregon Parks and Recreation Department to close any property or facility, when proper social distancing cannot be maintained. 20. I order the immediate closure of all pools, skate parks, outdoor sports courts, and playground equipment areas. 21. For public recreational areas that are permitted to remain open subject to this Executive Order, signs requiring social distancing must be posted at all entrances, exits, and in prominent areas. On-site restrooms must have trash cans, and soap and water or hand sanitizer available. Users of open public recreational areas must strictly adhere to social distancing guidelines. 22. Individuals are directed to minimize travel, other than essential travel to or from a home, residence, or workplace; for obtaining or providing food, shelter, essential consumer needs, education, health care, or emergency services; for essential business and government services; for the care of family members, household members, elderly persons, minors, dependents, persons with disabilities, or other vulnerable persons, pets or livestock; travel as directed by government officials, law enforcement, or courts; and other essential travel consistent with the directives of my Executive Orders and guidance from the Oregon Health Authority. Enforcement 23. The directives in this Executive Order are effective statewide. 24. This Executive Order is a public health law, as defined in ORS 43 lA.005, and may be enforced as permitted under ORS 43 lA.0 10. Additionally, any person found to be in violation of this Executive Order is subject to the penalties described in ORS 401.990. Attachment 2, Page 5 of 6 / This Executive Order is issued under the authority conferred to the Governor by ORS 401.165 to 401.236. Pursuant to ORS 401.192(1), the directives set forth in this Executive Order have the full force and effect of law, and any law, ordinances, rules and orders shall be inoperative to the extent that they are inconsistent with this exercise of the Governor's emergency powers. This Executive Order is effective immediately, and remains in effect until terminated by the Governor. Done at Salem, Oregon this 23rd day of March, 2020. ___________________________ Kate Brown GOVERNOR ATTEST: ___________________________ Bev Clarno SECRETARY OF STATE Help us improve! Was this page helpful? Yes No Attachment 2, Page 6 of 6 City of Springfield Weekly Outreach Report Daily Encounters and General Report Monday 10/5: No outreach today. We had a staff member with a symptomatic family member who needed to quarantine until test results came back. We received a negative test result, and this person is back to work. Hours were made up for this shift by increasing hours over the next four days. Total Encounters: Symptomatic: Referrals: Tuesday 10/6: Our outreach team went out to known camps and provided supplies and information to folks who are sheltering in place. COVID information and shelter in place guidelines were given and screenings were offered. Contacted multiple individuals who were interested in White Bird services and made appropriate referrals. Total Encounters: 8 Symptomatic: 0 Referrals: 3 Wednesday 10/7: Explored a few new areas of town where people had been camping in the past, found a couple of folks who we had not contacted yet. Provided information and referrals to appropriate services. Total Encounters: 11 Symptomatic: 0 Referrals: 4 Thursday 10/8: Spent time driving around the downtown area in an attempt to make contact with individuals outside of camps. Provided information about our services and inquired about camps around the Springfield area. Folks were grateful that the services were being provided and appreciated the information we were able to give them. Total Encounters: 15 Symptomatic: 0 Referrals: 6 Friday 10/9: Explored known areas and provided supplies to camps. Gave out information and supplies to all who were encountered. Multiple people inquired about White Bird services. We have been providing folks with our “Little Help Books”, a guide to services in Lane County. People have been grateful for the information. Total Encounters: 12 Attachment 3, Page 1 of 2 Symptomatic: 0 Referrals: 5 Overall Report: Outreach continues to be greatly appreciated by the people we encounter. We have focused our efforts on providing people with specific referrals to services and following up as needed. Supplies and support have allowed people to better shelter-in-place which has greatly decreased the chances of these campers being exposed to COVID-19. Our outreach workers are concerned with camps being swept and are spending a lot of time encouraging people to follow the shelter-in-place guidelines. Total Encounters: 46 Remaining Supply Totals Tents: 40 Sleeping Bags: 36 Sleeping Pads: 41 Tarps: 24 Shampoo: 156 Toothbrush: 152 Toothpaste: 152 Bathing Wipes: 57 Razors: 130 Socks (Pairs): 140 Sanitary Pads: 131 Tampons: 85 Toilet Paper Rolls: 30 Ziploc Bags: 108 Gallons of Water: 40 Clif Bars: 30 Rain Ponchos: 60 Granola Bars: 240 Reusable Water Bottles: 35 Cups of Ramen: 30 Tuna Snack Packs: 61 Garbage Bags: 76 Propane Canisters: 4 Cloth Face Coverings: 83 Hand Sanitizer: 52 Total Miles Traveled: 86.4 Attachment 3, Page 2 of 2 Attachment 4, Page 1 of 27 Attachment 4, Page 2 of 27 Attachment 4, Page 3 of 27 Attachment 4, Page 4 of 27 Attachment 4, Page 5 of 27 Attachment 4, Page 6 of 27 Attachment 4, Page 7 of 27 Attachment 4, Page 8 of 27 Attachment 4, Page 9 of 27 Attachment 4, Page 10 of 27 Attachment 4, Page 11 of 27 Attachment 4, Page 12 of 27 Attachment 4, Page 13 of 27 Attachment 4, Page 14 of 27 Attachment 4, Page 15 of 27 Attachment 4, Page 16 of 27 Attachment 4, Page 17 of 27 Attachment 4, Page 18 of 27 Attachment 4, Page 19 of 27 Attachment 4, Page 20 of 27 Attachment 4, Page 21 of 27 Attachment 4, Page 22 of 27 Attachment 4, Page 23 of 27 Attachment 4, Page 24 of 27 Attachment 4, Page 25 of 27 Attachment 4, Page 26 of 27 Attachment 4, Page 27 of 27