Outside In (organization)

Outside In is a medical and youth service nonprofit organization in Portland, Oregon which provides primary care and "wraparound services" for low income and homeless clients.[5] It also has several other programs such as needle exchange program for drug addicts, and eligibility restricted tattoo removal service. The needle exchange has been the cause of community objection as well as cancellation of insurance policy and donors declining to give. It has reported that in fiscal year 2015-2016, it has given out 988,399 needles which was 20,962 more needles than what was returned.[6] Founded in 1968 to serve youth, the organization has since continued to revise its services to meet the needs of its clients.[7][8] Its services as described in October 2014 include medical care, mobile medical vans, tattoo removal, housing, education, counseling, and job training.[9]

Outside In
The exterior of the organization in 2019
Motto"The Point of Return"[1]
Formation1968
Type501(c)(3)
Registration no.EIN 93-0567549
Headquarters1132 SW 13th Avenue
Location
  • Portland, Oregon, U.S.
Executive Director
Patricia Patrón[2]
Budget (2018)
about $12 million[3]
Staff
about 170 (2018)[3]
Websiteoutsidein.org
Exterior of "Outside In IDU Health Services" in March 2019 at 1219 SW Main St which hosts the needle exchange for drug addicts together with Multnomah County.[4] It is on the First Unitarian Church of Portland property and attached to the church's building. It is a block away from their main clinic.

History

Outside In was founded in June 1968 by Dr. Charles Spray, Arnold Goldberg, and Mary Lu Zurcher as one of the first free community health clinics in the U.S. and one of the earliest on the West Coast, along with the Haight Ashbury Free Clinics and the Los Angeles Free Clinic.[7][10][11] The organization was founded to serve Portland's "alienated youth", some of whom had substance abuse problems and most of whom had mental health issues.[8] It initially rented its Downtown Portland space from the First Unitarian Church of Portland.[8] Spray helped found the organization after learning that the Unitarian church's youth coffeehouse space, Charix, was in danger of being shut down by the city and a group that had successfully shut down the Crystal Ballroom music venue because of its association with the 1960s drug culture.[11] It was told by its insurance carrier that all of the organization's policies would be cancelled if they were to start a needle exchange. It took the clinic a few years to find a replacement insurance carrier.[12] In September 2002, Portland Business Journal reported some prospective donors refuse to donate to Outside In, because of its needle exchange program.[13]

Some of the group's early work involved staffing a 24-hour crisis hotline that was later spun off to form the Metro Crisis Intervention Service.[10]

In November 2017, two staff members were stabbed on the job;[14] as a result, in May 2018 the workers of Outside In voted to unionize, with Oregon AFSCME as their parent union.[3][15]

In April 2019, it has announced that it is expanding to add a second location in Gresham near NE 162nd and Burnside which will open Spring of 2020 for transients and low income people. According to its development director, Outside In helps "unique populations that are not well-served in other health care settings,".[5] Willamette Week reported in April 2019 that Outside In employees are members of AFSCME along with a handful of other private nonprofits heavily funded by government contracts.[16]

Services

Outside In is a Federally Qualified Health Center (FQHC) and a licensed mental health agency.[7] Outside In operates a needle exchange for drug addicts.[17] The syringe exchange, implemented in 1989, was the first one to be developed and the third to go into operation in the country.[18] The needle exchange program has been operating a fentanyl testing service on street drugs for about two years where subjects bring samples of their illegal drugs or drug residues from paraphernalia as told to Oregon Public Broadcasting. The article said drug possession remains strictly illegal.[19] In 2013–2014, the organization self reported it served 966 youth with mental health care, drug and alcohol treatment, employment, education, job training, and housing.[20] Outside In's medical clinic was the medical home for 5,384 people in 2014.[20] The same year, the group's syringe exchange served 4,322 people.[20]

The organization's tattoo removal service is a restricted eligibility service offered at an off-site location at 1719 W Burnside St. Access is restricted to applicants with an income not exceeding 200% federal poverty guideline.[21]

Injection kit given out by the Outside In IDU Health Services to drug addicts

Community Objection

The needle exchange program offered through Outside In and Multnomah County was the subject of a grievance by the adjacent neighborhood Goose Hollow Foothills League due to concerns that needles handed out by Outside In are littered in Goose Hollow by its drug addict clients. The neighborhood association sent a letter on the matter of needles and other supplies given out by Outside In to a Multnomah County Commissioner Sharon Meieran in February 2018. This letter was published in part in Portland Tribune

"We are drowning in the needles put out into the community by Multnomah County," said a letter complaining about the health department program that was sent to Commissioner Sharon Meieran by the Goose Hollow Foothills League last month. "Our residents are picking up hundreds of needles each week," the letter states. "Our neighborhood has experienced a shocking increase in unsafe and unsanitary levels of needles since MCHD started this program ... while keeping drug addicts safer, MCHD is risking the health of thousands more with this program. "Our neighborhood is also filled with bloody cotton balls and feces-covered wipes that were given out at Outside In," added the letter, which was signed by Tracy Prince, the league's vice chair. "It is humane and necessary to hand out these items, but MCHD should put a plan in place so that these items aren't disposed of in our neighborhoods."[22]

In May 2019, a Portland activist Brandon Farley who believes the needle exchange add to a city's addiction and homelessness problems dumped out syringe caps and dirty syringes on the sidewalk in front of the Outside In's needle exchange in what he calls as an "act of civil disobedience".[23]

Age restricted services

Some of the services offered are eligibility restricted to clients 16–24 years of age.[24]

Job training

"Bespoke" is bicycle-powered smoothie cart set up in Portland's O'Bryant Square that gives homeless youth on-the-job training.[25]

In 2005 the organization set up Virginia Woof, a non-profit dog daycare centre to provide training and employment for their clients. It operates in two locations.[26][27]

Auxiliary services

In addition to the fixed location clinic, Outside In's medical clinic operates two medical outreach vans and a school-based health center at Milwaukie High School.[26][28]

gollark: No, it's for nearness queries in documents.
gollark: I picked it because cooler™ and there were too many Rust bloom filter libraries.
gollark: It's an "xor filter", which is a new thing which is apparently mildly more space efficient than Bloom filters but slower to construct.
gollark: It's an inverted index thingoid. Each term has a compressed bitmap of document IDs. Each document lists the terms in it and their count, and has a probabilistic filter thing for nearness queries.
gollark: There are only a few MB of stuff in there (big documents, not lots of small ones).

See also

References
  1. "Outside In". OutsideIn.
  2. "Leadership team". OutsideIn. Retrieved 11 April 2019.
  3. "At Outside In, an overwhelming vote to unionize". nwLaborPress. 22 May 2018.
  4. Teig, Randy (27 April 2017). "Neighborhood Training Community Response to Livability Issues" (PDF). Bureau of Police, Portland Oregon. Archived from the original (PDF) on 13 April 2019. Multnomah County is the governmental body that funds the exchange program. There are five documented needle exchanges on the Multnomah County web pege:i. outside in 1219 sw Main st .......
  5. Carson, Teresa (April 4, 2019). "Outside In plans Gresham clinic". Portland Tribune.
  6. Hewitt, Lyndsey (April 18, 2017). "Spike in discarded syringes littering Portland". Portland Tribune. Archived from the original on December 29, 2018. Retrieved October 20, 2019. Outside In separately reports that during fiscal year 2015-2016, of the 988,399 needles issued, 967,437 were returned — a difference of 20,962 needles.
  7. "About Us". Outside In. Archived from the original on November 22, 2015. Retrieved December 1, 2015.
  8. Turner, Kernan R. (July 24, 1969). "Outside-In Director Can Cite Ear-Ringing Drug Statistics". The Register-Guard. Retrieved December 1, 2015.
  9. Ritchie, Rachel (October 23, 2014). "Lifetime Achievement: Kathy Oliver of Outside In". Portland Monthly. Retrieved December 1, 2015.
  10. "Outside In Clinic celebrates 20 Years of Health, Social Services". The Oregonian. September 9, 1988.
  11. Olsen, Polina (2012). Outside In From the Ground Up. Portland in the 1960s: Stories from the Counterculture. Charleston, SC: The History Press. pp. 77–79. ISBN 9781609494711.
  12. Sparling, Zane (July 3, 2018). "Outside In's longtime director wraps up job". Portland Tribune. Retrieved 2019-10-14.
  13. Cook, Dan (September 1, 2002). "Youths and more?". Portland Business Journal. Retrieved October 19, 2019.
  14. "Two wounded in stabbing at Portland nonprofit". KGW.
  15. McCullough, Mark. "128 Oregon Workers Say Yes to AFSCME". AFSCME. Retrieved 2019-04-09.
  16. Furlan, Elise (April 17, 2019). "A Nonprofit Aiding Refugees Epitomizes Portland Values. What Happens When Its Workers Want a Union?". Willamette Week. Retrieved September 24, 2019. Employees at Central City Concern, Volunteers of America, Outside In, and Cascadia Behavioral Healthcare, all private nonprofits heavily funded by government contracts, are also AFSCME members.
  17. Korn, Peter (June 12, 2004). "Life-saving overdose drug gains street cred". Portland Tribune. Outside In runs a downtown needle exchange for drug addicts
  18. Hugh Barton; Susan Thompson; Sarah Burgess; Marcus Grant, eds. (2015). The Routledge Handbook of Planning for Health and Well-Being. Routledge.
  19. Foden-Vencil, Kristian (September 26, 2019). "Authorities Support Program To Check Purity Of Street Drugs". Oregon Public Broadcasting. Retrieved 2019-10-14.
  20. "Director's Data Report: 2013–2014" (PDF). Outside In. Archived from the original (PDF) on September 5, 2015. Retrieved December 1, 2015.
  21. "Medical Services - Tattoo Removal". OutsideIn. Retrieved 2019-04-13.
  22. Budnick, Nick (March 8, 2018). "Used syringes litter Portland as needle exchanges grow". Portland Tribune. Archived from the original on March 8, 2018. Retrieved March 7, 2019.
  23. May 20, Alex Zielinski •; Pm, 2019 at 6:33. "Guy Dumps Syringes Outside Portland Needle Exchange Office". Portland Mercury. Retrieved 2019-10-14.
  24. "Young Adult Services". OutsideIn. Retrieved 2019-10-20. WHO IS ELIGIBLE 16 through 24 year-olds
  25. Binder, Melissa (September 23, 2014). "Homeless Youth Get Job Experience Making Bike-Powered Smoothies for 'Social Juice-stice'". The Oregonian. Retrieved December 1, 2015.
  26. Sparling, Zane (3 July 2018). "Outside In's longtime director wraps up job". Portland Tribune. Retrieved 13 April 2019.
  27. Balas, Monique (13 November 2011). "Pet Talk: Day care serves dogs, trains people". The Oregonian. Retrieved 13 April 2019.
  28. "Medical Services". Outside In. Archived from the original on December 8, 2015. Retrieved December 1, 2015.
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