Behavioral Health Emergency Coordination Network (BHECN)

BHECN (pronounced beacon) is a network of regional mental health and substance use service providers. It includes:

• Multnomah County (the local mental health authority)
• City of Portland
• Other health system and community mental health and substance use partners

Since December 2020, the main goal of BHECN has been to make sure that people having a mental health or substance use crisis can get the help they need, as early as possible, and in the safest and most supportive setting possible.

Planning discussions included looking at the gap between existing needs and existing services while centering the experience of people living with a mental health diagnosis or substance use disorder. Recently, BHECN has moved from planning to implementation of projects that will increase both capacity and coordination in the system of care.

Expanding Services

• Unity Center for Behavioral Health’s Emergency Substance Use Disorder Services will include sobering holds and add 9 beds with up to a 5 day stay.
• Providence Portland’s Stabilization and Recovery Area will also include sobering holds and add 8 beds.

Current Projects

• Stabilization Center - A 20+ bed facility offering 30- to 90-day stays for people leaving withdrawal management or sobering services. Will provide a stable place to live and connect with next level substance use and mental health treatment.
• Transitional Housing Services - A 20-25 bed project contracted with Bridges to Change will provide critical housing and support services. The project includes short-term stabilization and long-term wellness support for people moving between withdrawal management and residential services. In addition, the project will serve people who have completed residential treatment. Services will help them successfully rejoin the community and help to improve their overall well-being.

Expanding the Network of Providers

Fifteen behavioral health providers recently were approved through a Request for Programmatic Qualifications (RFPQ) process. Through this process organizations show interest in providing services and pre-qualify to contract with the county over time. The outcome is a pool of organizations who can help expand, improve or develop new services. In this case, including:

• Harm Reduction Services
• Crisis and Stabilization Services
• Residential Treatment
• Outpatient Treatment
• Peer Recovery Support Services
• Shelter/Transitional Housing

Executive Committee

Project planning work was lead by BHECN's executive committee, made up of people from various network agencies and organizations. This committee no longer meets as of Oct. 2023, as work has entered the project implementation phase. The committee will re-form as needed.

City & County Support Team

• Heather Mirasol, Multnomah County Health Department Interim Behavioral Health Director
• April Rohman, Policy Advisor, Office of Multnomah County Chair Jessica Vega Pederson
• Chris Fick, Chief of Staff, Office of Chair Jessica Vega Pederson
• Skyler Brocker-Knapp, Senior Policy Advisor, Office of Portland Mayor Ted Wheeler

Goals

To plan, design, and start-up a stabilization facility and coordinated network with these requirements:

• Increase sobering beds throughout the county.
• Work with partners in law enforcement and first responders to ensure successful sobering and stabilization for individuals in need of behavioral health crisis services.
• Create follow-up stabilization facilities throughout the system, including detox.
• Develop strong connections to psych, emergency, EDs, urgent walk-in, voluntary low-barrier detox, mental health services, housing/re-housing, job skills and placement options.
• Develop a more aligned and effective approach to coordinating crisis continuum resources across a coordinated behavioral health network.

Documents

• Document

  BHECN Charter (84.63 KB)
• Document

  BHECN Memorandum of Understanding (76.63 KB)
• City of Portland's BHECN page