#“and then my brother had multiple mental health crises for years on end”

[bringingmetoneverland]

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[eternatuslesbian]

this video just came across my fyp and i felt the need to share this and this family's gofundme. this is what was posted with the gofundme:

"Marquis Rivera

Hi, my name is Katiana Edwards and I am fundraising for my brother Marquis Rivera, who was killed by Columbia Police Department in Missouri. The money raised will be used for lawyer and private investigator fees... Please read his story below.

My brother, Marquis Rivera, was 22 years old, and lived in Columbia, Missouri. During the time, Marquis faced overwhelming challenges. Relationship issues and personal issues led him to a point where he felt he couldn't continue living but desperately sought help.

On August 4th, 2023, at 3:05 p.m., Marquis made a distress call to the police, expressing his urgent need for assistance. When officers arrived at his residence, they found Marquis seated outside his apartment. He openly admitted to being a threat to himself, expressing his desire to end his life. Despite his plea for help, the officers didn't offer adequate support beyond repeatedly questioning him.

Despite knowing that Marquis had a gun in his home, and intended to harm himself, the officers, inadequately trained in handling mental health crises, left him without proper intervention. Instead, they contacted his ex-girlfriend, making assurances they failed to fulfill. This left Marquis feeling abandoned.

Later, at 3:57 p.m., Marquis called 911 again, this time outside with a gun. Marquis fired rounds into the air, emptying his gun. The same officers returned and confronted him, urging him to put the weapon down. Marquis, in his distraught state, told them to shoot him. The situation escalated, leading to more officers arriving, guns drawn, surrounding Marquis.

For about 15 minutes, Marquis, without a weapon, received no proper intervention or attempt at de-escalation. Although the officers were aware he had no ammunition, they maintained their stance, not detaining him. Marquis went back into his apartment and retrieved more bullets. After a brief moment when Marquis reloaded his gun and fired into the air again, multiple police officers opened fire, fatally shooting him.

Marquis was left on the ground, handcuffed, in the rain for hours before any action was taken. Not a single person from the Columbia PD reached out to our family to relay the news. I got the devastating news through a phone call from Marquis’ roommate, and I personally had to give the news to the rest of my family. The lack of outreach or support from the Columbia PD compounded the tragedy. All of this information was took from the body cam footage that was released to my family and I, and from neighbors who witnessed the whole interaction.

The loss of Marquis highlights the urgent need for better-equipped, extensively trained responders to handle mental health crises. His cry for help was not met with the care and understanding he desperately sought, leaving a void in the lives of those who loved him.

The prosecutor working his case has decided not to press charges on the officers.

My family and I want to sue the PD for negligence.

Anything will help, Thank you all so much!"

[dino-nugget7]

I'm hypomanic right now so I can't fucking sleep, so here have some of my rambling.

I keep thinking about how i want to respond to the us election (Specifically, i know that i desperately want to do mutual aid, but am very disabled and broke. Two factors that make doing it both crucial and so difficult), and my life up to this point.

At the very moment, I'm thinking about toxic masculinity and a post that I saw today that pointed out basically that feminist men, by and large find themselves not only ignored but even shunned for calling mysogyny out in other men, and how utterly hopeless that post has me feeling about changing the tide of fascism we're seeing.

And I'm thinking about all the women I've been seeing lately making very isolationist radfem statements.

And I'm thinking about the worst moments I had as an alternative school teacher, of which there were so many that I was suicidal by the middle of my second year. I had a student who, when I met him, his baby sister was battling cancer. My second year of teaching him, she died. He had nowhere to go but school, and when he very understandably was withdrawn, I was told off by the higher ups for not pressuring him to participate in class. After the death of his elementary school age sister following a very long fight against cancer. He was just supposed to somehow put himself together and keep participating in school. I wanted to tear down the building on his behalf. There were other moments like this. There were the multiple teen boys who were left in physically abusive households after it was proven that abuse had occured, because they were "strong enough to defend themselves". (direct fucking words of the case-workers assigned to ostensibly protect them) There were the boys who were thrown in Juvie instead of therapy for causing property damage during mental health crises. There was the boy who got punished for trying to poison himself via drinking, and the boy who sold drugs because his dad taught him how to do it the first time he asked for money for McDonald's. And the boy who was tossed from abusive relative to abusive relative, until he wound up abusing a girl close to him. There were the girls who were constantly getting into physical fights and joining gangs at similar rates to their male peers. There were the girls and boys who were sa'd by their own relatives. The girl who was dating a 30 year old at 16. The girl who was pulled out of school to be a babysitter for her baby brother. The pair of siblings who were each other's entire support system(literally, one who was 20, had guardianship over the other who was 14 becaus the foster system was stretched so thin and their family was so broken it was the best option). The boy who's mom encouraged all of his worst behaviors. The boy who was made to walk to school on a broken foot. The girl who was so happy go lucky and determined to escape her shitty little town the first year I knew her, but angry and unfocused and living in an rv in her own driveway the second.

And I just...how can we raise kind men if we arent kind to our boys? How can we raise kind women if we arent kind to our girls? A lot of those kids i worked with, of both genders did some heinous shit. Like, unrepentantly violent to other humans shit. But most of them had never been treated with any gentleness in their life. Literally had any semblance of kindness beaten out of them. How were they supposed to know how to do it? And I'm not saying that their tragic pasts absolve them of their misdeeds. Just that maybe if they'd been shown compassion, before they went down those paths, they could have made different choices. The reason I ended up suicidal, and realized I was going to keep ending up suicidal if I stayed, was that for most of the kids I worked with, by the time they reached me, it was too fucking late. Even when I could reach them, and i had pretty good success rates in reaching kids, and we would start turning their lives around...they wound up in jail, or dropped out, or joined the military, or got pregnant, or got pulled out of school by their insecure ass parents who couldn't stand to see them be better than them and dragged them right back down to their level. There was exactly one kid that I got to see actually turn his life around and graduate, out of dozens. (To be clear. There were more kids who did one of those things but not the other. Some learned better paths but dropped out before they laid the groundwork for that path to stick. Some graduated having learned none of the lessons they needed to to not end up back in the same cycles. Only the one kid did both parts.) And i know there would have been more if I could have brought myself to stay, but the ratio would have killed me.

[readingsrantsrambles]

An Alternative to Police That Police Can Get Behind

In Eugene, Oregon, a successful crisis-response program has reduced the footprint of law enforcement—and maybe even the likelihood of police violence.

By Rowan Moore Gerety

The Atlantic - December 28, 2020

https://www.theatlantic.com/politics/archive/2020/12/cahoots-program-may-reduce-likelihood-of-police-violence/617477/

Photographs by Ricardo Nagaoka

Should American cities defund their police departments? The question has been asked continually—with varying degrees of hope, fear, anger, confusion, and cynicism—since the killing of George Floyd on Memorial Day. It hung over the November election: on the right, as a caricature in attack ads (call 911, get a recording) and on the left as a litmus test separating the incrementalists from the abolitionists. “Defund the police” has sparked polarized debate, in part, because it conveys just one half of an equation, describing what is to be taken away, not what might replace it. Earlier this month, former President Barack Obama called it a “snappy slogan” that risks alienating more people than it will win over to the cause of criminal-justice reform.

Yet the defund idea cannot simply be dismissed. Its backers argue that armed agents of the state are called upon to address too many of society’s problems—problems that can’t be solved at the end of a service weapon. And continued cases of police violence in response to calls for help have provided regular reminders of what can go wrong as a result.

In September, for example, new details came to light about the death of a man in Rochester, New York, which police officials had initially described as a drug overdose. Two months before Floyd’s death, Joe Prude had called 911 because his brother Daniel was acting erratically. Body-cam footage obtained by the family’s attorney revealed that the officers who responded to the call placed a mesh hood over Daniel’s head and held him to the ground until he stopped moving. He died a week later from “complications of asphyxia in the setting of physical restraint,” according to the medical examiner. Joe Prude had called 911 to help his brother in the midst of a mental-health crisis. “I didn’t call them to come help my brother die,” he has said.

A few weeks after a video showing Daniel Prude’s asphyxiation was made public, police in Salt Lake City posted body-cam footage that captured the moments before the shooting of a 13-year-old autistic boy. The boy’s mother had called 911 seeking help getting him to the hospital. While she waited outside, a trio of officers prepared to approach the home. One of them hesitated. “If it’s a psych problem and [the mother] is out of the house, I don’t see why we should even approach, in my opinion,” she said. “I’m not about to get in a shooting because [the boy] is upset.” Despite these misgivings, the officers pursued the distressed 13-year-old into an alley and shot him multiple times, leaving him, his family has said, with injuries to his intestines, bladder, shoulder, and both ankles.

Neither these catastrophic outcomes nor the misgivings of police themselves have produced an answer to the obvious question: How should society handle these kinds of incidents? If not law enforcement, who should intervene?

One possible answer comes from Eugene, Oregon, a leafy college town of 172,000 that feels half that size. For more than 30 years, Eugene has been home to Crisis Assistance Helping Out on the Streets, or CAHOOTS, an initiative designed to help the city’s most vulnerable citizens in ways the police cannot. In Eugene, if you dial 911 because your brother or son is having a mental-health or drug-related episode, the call is likely to get a response from CAHOOTS, whose staff of unarmed outreach workers and medics is trained in crisis intervention and de-escalation. Operated by a community health clinic and funded through the police department, CAHOOTS accounts for just 2 percent of the department’s $66 million annual budget.

When I visited Eugene one week this summer, city-council members in Minneapolis, Los Angeles, Houston, and Durham, North Carolina, had recently held CAHOOTS up as a model for how to shift the work of emergency response from police to a different kind of public servant. CAHOOTS had 310 outstanding requests for information from communities around the country.

A pilot program modeled in part on CAHOOTS recently began in San Francisco, and others will start soon in Oakland, California, and Portland, Oregon. Even the federal government has expressed interest. In August, Oregon’s senior senator, Ron Wyden, introduced the CAHOOTS Act, which would offer Medicaid funds for programs that send unarmed first responders to intervene in addiction and behavioral-health crises. “It’s long past time to reimagine policing in ways that reduce violence and structural racism,” he said, calling CAHOOTS a “proven model” to do just that. A police-funded program that costs $1 out of every $50 Eugene spends on cops hardly qualifies as defunding the police. But it may be the closest thing the United States has to an example of whom you might call instead.

In 1968, Dennis Ekanger was a University of Oregon graduate student finishing up an internship as a counselor for families with children facing charges in the state’s juvenile-justice system when he started to get calls in the middle of the night. Through his work in court, word had spread that “I knew something about substance-abuse problems,” Ekanger told me recently. Anxious mothers were arriving at his doorstep desperate for help but afraid to go to the authorities. It was a turbulent time in Eugene, with anti-war protests on the University of Oregon campus and a counterculture that spilled over into the surrounding neighborhoods in the form of tie-dye, pot smoke, and psychedelic drugs.

The following year, Ekanger and another student in the university’s counseling-psychology program, Frank Lemons, met with a prominent Eugene doctor who agreed to help them mount a more organized response by recruiting local health-care providers to volunteer their time. Ekanger went to San Francisco to visit a new community health clinic in Haight-Ashbury that had pioneered such a model, offering free medical treatment to anyone who walked in. Back in Oregon, Ekanger and Lemons each put up $250 and signed a lease on a dilapidated two-story Victorian near downtown.

The White Bird Clinic opened its doors a few days later, with a mission to provide free treatment when possible and to connect patients to existing services when it wasn’t. But the city’s established institutions didn’t yet have a clue how to deal with people on psychedelic drugs. Teenagers who showed up in the emergency room on LSD were prescribed antipsychotic medications. Unruly patients got passed to the police and ended up having their bad trips in jail.

The forerunner to CAHOOTS was an ad hoc mobile crisis-response team called the “bummer squad” (for “bum trip”), formed in White Bird’s first year for callers to the clinic’s crisis line who were unable or unwilling to come in. The bummer squad responded in pairs in whatever vehicle was available. For a while, that was a 1950 Ford Sunbeam bread truck that did double duty as the home of its owner, Tod Schneider, who’d dropped out of college on the East Coast to drive out to Eugene.

It didn’t take long for the bummer squad to start showing up at some of the same incidents that drew a response from Eugene police. One day in the late 1970s, Schneider answered a call from a mother concerned about her son. “Mom, I think I made a mistake,” he’d told her. “I took some PCP, and I’m feeling weird.” Schneider showed up to the family’s home to find the teenager in “full psychotic PCP condition.” As Schneider got out of the truck, the boy came running out of a neighboring house naked and bloody, and tackled him. Another neighbor called the police, thinking they were witnessing an assault. “So police came out and figured out what was going on—they talked to me a little bit, and they just left,” Schneider told me. “The police realized … they didn’t know what to do with these people that was productive.”

White Bird continued its volunteer-run mobile crisis service—and its informal collaboration with the police—into the early 1980s. Bummer-squad volunteers periodically gave role-playing training to the police department, and some beat officers grew to appreciate Eugene’s peculiar grassroots crisis-response network.

In the late ’80s, Eugene was struggling to respond to a trio of convergent issues that still plague the city more than 30 years later: mental illness, homelessness, and substance abuse. Police in Eugene were caught in a cycle of arresting the same people over and over for violations such as drinking in public parks and sleeping where they weren’t allowed to.

“The police hated it; we were doing absolutely nothing for public safety, we were tangling up the courts, and we were spending a horrendous amount of money,” Mike Gleason, who was the city manager at the time, recalled. Gleason convened a roundtable with Eugene’s social-service providers, offering city funding for programs that could break the logjam. A local detox facility made plans to launch a sobering center where people could dry out or sleep it off. White Bird and the police department began a dialogue about a mobile crisis service that could be dispatched through the 911 system.

White Bird and the police were not a natural pairing. To the city’s establishment types, White Bird staffers were “extreme counterculture people.” Standing by as the bummer squad defused a bad trip was one thing; giving the team police radios was quite another. White Bird’s clinic coordinator at the time, Bob Dritz, wore a uniform of jeans and a T-shirt; for meetings with city officials, he’d occasionally add a rumpled corduroy jacket. With his defiantly disheveled appearance, Dritz seemed to be declaring, in the words of one colleague, “Look, I’m different from you people, and you have to listen to me.” White Bird staff members worried that working with the police would erode their credibility, and maybe even lead to arrests of the very people they were trying to help. But in the space of a couple of months, Dritz and a counterpart at the police department drafted the outlines of a partnership. The acronym Dritz landed on was an ironic nod to the discomfort of working openly with the cops.

Things were slow at first. Jim Hill, the police lieutenant who oversaw CAHOOTS at the police department, recalls sitting at his desk listening to dispatch traffic on the radio. “I would literally have to call dispatch and say, ‘How come you didn’t send CAHOOTS to that?’ And they go, ‘Oh, yeah, okay.’” Before long, though, CAHOOTS was in high demand.

CAHOOTS teams work in 12-hour shifts, mostly responding without the police. Each van is staffed by a medic (usually an EMT or a nurse) and a crisis worker, typically someone with a background in mental-health support or street outreach, who takes the lead in conversation and de-escalation. Most people at White Bird make $18 an hour (it’s a “nonhierarchical” organization; internal decisions are made by consensus), and some have day jobs elsewhere.

One Tuesday night this summer, the medic driving the van was Chelsea Swift. Swift grew up in Connecticut and, like White Bird’s co-founder a generation before her, was introduced to harm-reduction work in Haight-Ashbury, where she sold Doc Martens to the punks who staffed the neighborhood needle-exchange program. Swift’s childhood had been marked by her mother’s struggle with opiate addiction and mental illness. She never thought she’d be a first responder, or could be. She was too queer, too radical. “I don’t fit into that culture,” she told me. And yet, she said, “I am so good at this job I never would have wanted.”

Around 6 p.m., Swift and her partner, a crisis worker named Simone Tessler, drove to assist an officer responding to a disorderly-subject call in the Whiteaker, a central-Eugene neighborhood with a lively street life, even in pandemic times. When we arrived, a military veteran in his 20s was standing with the officer on the corner, wearing a backpack, a toothbrush tucked behind his ear. The man said he’d worked in restaurants in Seattle until the coronavirus hit, then moved to Eugene to stay with his girlfriend.

That day, he’d worked his first shift at a fast-food restaurant. Soon after he got home, a sheriff’s deputy working for the county court knocked on the door to serve him a restraining order stemming from an earlier dispute with his girlfriend. He did not take the news well. The deputy called for police backup, and when it arrived, the man agreed to walk a block away to wait for CAHOOTS and figure out his next move. He had to stay 200 feet away from the place where he’d been living, and he couldn’t drive. “I been drinking a bit, and—I’m not gonna lie—I want to keep drinking,” he said. He needed somewhere to stay, and a way to move his car to a place where he could safely leave it overnight with his stuff in the back.

Swift and the officer talked logistics while Tessler leaned against the wall beside the man and chatted with him. She told him that she’d worked in restaurants before joining CAHOOTS.

The Eugene Mission, the city’s largest homeless shelter, had an available spot, the officer explained, thumbs tucked inside the shoulder straps of his duty vest. You can show up drunk if you commit to staying for 14 days and agree not to use alcohol or drugs while you’re there.

The man hesitated, thinking through other options. He had enough cash for a motel room, as long as it didn’t require a big deposit. The officer prepared to leave so CAHOOTS could take over. Swift, Tessler, and the veteran took out their phones and began looking up budget motels along a nearby strip, settling on one with a military discount and a low cash deposit.

“Do you know how to drive stick?” the man asked. Tessler and Swift exchanged blank looks, then continued to spitball. Did the man have AAA? Was another CAHOOTS unit free to help? I felt a lump rising in my throat. I’d wanted to keep my reporterly distance, but I was also a person watching a trivial problem stand in the way as calls stacked up at the dispatch center. I drove the car three blocks to the motel with Swift in the front seat.

“So much of what people call CAHOOTS for is just ordinary favors,” she said. “We’re professional people who do this every day, but what was that? We were helping him make phone calls and move his car.”

A couple of hours later, CAHOOTS received a call from a sprawling apartment complex on the north side of town. Tessler and Swift showed up just as the last hint of blue drained from the sky. The call had come from a concerned mother who lived in Portland, 100 miles away from her 23-year-old daughter; she believed that her daughter was suicidal. The young woman’s grandmother, who lived nearby, stood in the parking lot and gave Tessler and Swift a synopsis: Her granddaughter was bipolar, with borderline personality disorder. She’d run away at 17 after her diagnosis, and never seemed to fully accept it, traveling across the West with a series of boyfriends, sleeping in encampments. She’d been back in Eugene for a few months now, the longest the family had ever gotten her to stay.

Tessler walked around the corner and knocked. “It’s CAHOOTS.” No answer.

“Can you come and talk to us for a minute?”

The door was unlocked from the inside and left slightly ajar.

The apartment was dark. A tiny Chihuahua mix barked frantically. A tearful voice called out from the bedroom, “I just want a hug. Are you going to take me away?”

Tessler crouched down in the bedroom doorway. “I’m not gonna take you anywhere you don’t want to go.”

“I’m really sorry I’ve caused all this,” the young woman said, sitting up.

Swift grabbed a handful of kibble from a bowl on the floor to quiet the dog. “My family tries to put me away a lot,” the young woman explained. Breathing fast between sobs, she seemed both overwhelmed by grief and adrenaline and primed to answer questions she’d come to expect in the midst of a crisis.

Unprompted, she told the CAHOOTS team her full name, letter by letter. “I know my Social Security number, and I know I’m a harm to myself and others.” She took a deep breath. “I’m just feeling really sad and alone, and I don’t know how I got here.”

Tessler turned on a light, and Swift went out to the parking lot to summon the young woman’s grandmother.

“Nana! Nana!” The young woman dissolved into her embrace.

Swift surveyed the bathroom scene that had prompted the call. An open pack of cigarettes lay on the wet floor along with a belt and an electrical cord. There was a straw in a bottle of gin on the edge of the tub, a six-pack on the toilet, and half a dozen pill bottles strewn across the bathroom sink and countertop. Swift unfolded a soggy piece of paper marked “Patient Safety Plan Contract” that identified seeing San Francisco as the one thing the young woman wanted to do before she died.

As Swift took her vitals, the young woman’s tearful reunion with her grandmother continued. “I love your blue eyes, Nana,” she said.

“I love your brown ones.”

CAHOOTS brought her to the emergency room, and she was discharged less than 24 hours later.

On my first morning in Eugene, I spent a couple of hours in Scobert Gardens, a pocket-size park on a residential block not far from the Mission. Many of the park’s visitors are part of Eugene’s unhoused population, which accounts for about 60 percent of CAHOOTS calls. Everyone I met in Scobert Gardens had a CAHOOTS story. One man had woken up shivering on the grass before dawn, after the park’s sprinklers had soaked him through; CAHOOTS gave him dry clothes and a ride to the hospital to make sure he didn’t have hypothermia. A woman had received first aid after getting a spider bite on her face while sleeping on the ground. Another man hadn’t had a place to stay since he got out of prison more than a year ago. When he had a stroke in the park earlier this summer, a friend called CAHOOTS. “If you go with the ambulance, it will cost you big money, so a lot of people go the CAHOOTS route,” the man explained.

Earlier this year, Barry Friedman, a law professor at NYU, posted a working paper on policing that highlighted the mismatch between police training and the jobs officers are called on to do—not just law enforcer, but first responder, mediator, and social worker. Reducing the number of instances in which police are called to assist Eugene’s unhoused population reduces the number of calls for which their skill set is a poor match. But if the goal is eliminating unnecessary use of force, helping people without housing is hardly sufficient.

In a 2015 analysis of citizen-police interactions, the Bureau of Justice Statistics found that traffic stops accounted for the majority of police-initiated contact: 25 million people reported traffic stops, versus 5.5 million people who reported other kinds of contact. And police are regularly involved in incidents that escalate partly because of a failure to consider mental-health issues. In October, Walter Wallace Jr.’s family members and a neighbor called 911 because he was arguing with his parents; according to the family’s attorney, Wallace had bipolar disorder. Two Philadelphia police officers arrived, found Wallace with a knife, and fatally shot him, despite his mother’s attempts to intercede. (Police and district-attorney investigations are ongoing, and no arrests have been made.) Near Eugene, police in the neighboring city of Springfield in March 2019 killed Stacy Kenny, who had schizophrenia, in an incident that began with a possible parking violation. None of the officers involved was criminally charged, though a lawsuit brought by the Kenny family resulted in the largest police settlement in Oregon history. Springfield also committed to overhauling police-department policy and oversight practices around use of force.

In July 2015, police responded to the home of Ayisha Elliott, a race and equity trainer and the host of a podcast called Black Girl From Eugene. Elliott’s 19-year-old son had been experiencing a mental-health crisis, she told me, which was the result of a traumatic brain injury. At 2:43 a.m., Elliott called Eugene’s nonemergency number and asked for CAHOOTS, not realizing that the service ran only until 3 a.m. In a subsequent call, to 911, Elliott’s ex-husband indicated that Elliott was in danger; authorities say it was this second call that led dispatchers to send police to the scene. Elliott greeted the officers on the front porch, and explained that she needed help getting her son to the hospital. Instead, in an incident that escalated over the course of 15 minutes, her son became agitated and began to yell. Elliott attempted to shield him from officers as they ordered her to stand back. Police say her son charged as they tried to separate him from his mother. Her son was punched in the face and tased. Elliott herself was pulled to the ground, resulting in a concussion, she said. She was arrested for interfering with a police officer. (She was released the following morning.) She and her son sued the city of Eugene as well as individual police officers in federal court, for excessive use of force and racial discrimination, among other claims; the court found against the plaintiffs on all counts. Elliott told me the experience didn’t change her view of the police so much as confirm it. “I realized that it didn’t matter who I was; I’m still Black.”

Together with the fatal police shooting that year of a veteran who had PTSD, the incident helped focus public attention on Eugene’s response to mental-health crises. In its next annual budget, the city included $225,000 to make CAHOOTS a 24/7 service for the first time. (Both the mayor’s office and the police department say the increase in funding was not related to a specific incident.)

Yet CAHOOTS is still limited by the rules that govern its role in crisis response. Its teams are not permitted to respond when there’s “any indication of violence or weapons,” or to handle calls involving “a crime, a potentially hostile person, a potentially dangerous situation … or an emergency medical problem.”

Many 911 calls unfold in the gray area at the limits of CAHOOTS’s scope of work; in Eugene, the same dispatch system handles both emergency and nonemergency calls, in part because so many callers fail to grasp the distinction. One call I went on with Swift and Tessler was to check on the welfare of a young man with face tattoos who was reportedly acting strangely on the University of Oregon campus. The fire department and the police had been out to see him, without incident, but also without resolution: The man was still there, unsettling passersby, who kept calling him in as a potential threat to himself and others.

By the time CAHOOTS arrived, the man was lying on the grass with a small burning pile of latex gloves next to his head. When Swift jumped out of the van, alarmed, he sat halfway up and poked at the fire with a kitchen knife, then lay back down. Had the cops been called again, I thought, the incident might have played out differently, and landed in the next day’s paper: “A young man setting objects on fire was shot after brandishing a knife.” But that’s not how it went. Swift grabbed the knife, threw it well out of reach, and began talking to him.

At 11 a.m. on a Friday, I met Jennifer Peckels, one of the few cops in Eugene who walk their beat, to tag along as she patrolled a quadrant of restaurants and curbside gardens downtown. Born and raised in Eugene, Peckels is now in her fifth year on the force. Many of her interactions downtown are with a core group of people experiencing homelessness, mental-health crises, and addiction, or some combination thereof.

Across the street from the library, Peckels recognized a woman who was sitting on a bench, crying inconsolably. When Peckels approached her, the woman explained in breathless bursts that her daughter’s surrogate parents were telling lies about her. She feared she might never see her daughter again. Over the radio, Peckels called in the woman’s location to dispatch. “CAHOOTS will come help you—they gotta help the fire department, then they gotta help a suicidal subject, and then they’ll come. You’re on the list.”

“I’m suicidal,” the woman said.

“Do you have any means to hurt yourself?” Peckels asked.

The woman explained that she was afraid she would start drinking again. She began to slap herself in the face. “I’m tired of Eugene,” she said, gesturing across the street at a statue of Rosa Parks seated on a pair of bronze bus seats. “I got threatened to be arrested for sitting next to Rosa Parks, and I said ‘Fuck the police.’ I haven’t done anything wrong here except be loud and drink in public!”

“You know, when I get upset, I do this breathing exercise,” Peckels suggested.

Together, they inhaled for four seconds, then held their breath. The woman closed her eyes and, by the exhale, appeared calmer for the first time. “You’re on the list,” Peckels repeated. The woman wanted to know when CAHOOTS was coming, but Peckels had no way of knowing. We continued walking.

The most common complaint about CAHOOTS you’ll hear in Eugene is that its response times are too slow. Last year, across roughly 15,000 calls in the city, the average time between receipt of a call and the arrival of a CAHOOTS team was an hour and 56 minutes, compared with an hour and 11 minutes across 46,000 calls for the police department. Having more CAHOOTS units on the street could serve to reduce Eugene Police Department response times as well, by freeing up officers to do what Peckels called “police work.” She said it’s not uncommon for reports of even very serious crimes that are no longer in progress—such as rapes or burglaries—to sit in the dispatch queue for hours while officers race to work through a backlog of calls.

White Bird and the EPD are trying to come to an agreement about the best way to quantify CAHOOTS’s contributions. CAHOOTS has circulated its own estimate, saying it responds to 17 percent of all calls handled by dispatchers. Yet the police department contends that most of those calls wouldn’t have gotten a police response to begin with, because many of the requests that CAHOOTS receives—to check on a person who seems heavily intoxicated, or for transport to a medical appointment—aren’t really “police calls.” According to the police department’s analysis, the true diversion rate is between 5 and 8 percent. Which number is the “right” one to evaluate CAHOOTS’s contributions to the city?

I asked Eugene’s chief of police, Chris Skinner, about the prospect of increasing CAHOOTS’s capacity to respond to calls. He told me he thinks of the benefit to the police as a question of probability: “The less time I put police officers in conflicts with people, the less of the time those conflicts go bad.” That, in a sense, is the same argument made by activists who have mentioned alternatives such as CAHOOTS in their demands to shrink the footprint of policing nationwide.

Before the coronavirus pandemic hit, Eugene voters approved a payroll tax projected to bring in $23 million a year for 126 community-safety positions. Originally, two-thirds of that money was slated to pay for positions in the police department; as several police officials I spoke with pointed out, Oregon has among the lowest number of police officers per capita of any state in the country. Now, in response to Black Lives Matter protests, Mayor Lucy Vinis told me, the city council is consulting with community organizations to revise that plan. “Until this challenge around ‘Defund the police,’” Vinis said, “I don’t think that the police department ever really looked at CAHOOTS as depriving them of funds: It was really excellent service for a very low price.”

Anecdotally, at least, Eugene’s citizens have come to appreciate the CAHOOTS approach to crisis response, perhaps too keenly. CAHOOTS exists in a society where many feel that the risk of police violence outweighs the potential benefit of calling 911, and where an encounter with EMS can wreck a household’s finances. Last December, a CAHOOTS team showed up to a fatal drug overdose hours after the victim’s friend had called in for help. The caller had avoided language that would have brought a faster police or EMS response.

Brenton Gicker, who has worked for CAHOOTS for 12 years and as an emergency-room nurse for the past five, told me that callers have sometimes omitted key details to bypass police. “They’ll say, ‘My friend is bipolar; he’s in a manic episode. I’d like CAHOOTS to talk to them.’ And we show up, and they’ve set the kitchen on fire, or they’re running around naked, stabbing holes in the wall.”

CAHOOTS has undoubtedly saved lives in Eugene. The question for cities hoping to emulate its success is how its approach might be adapted and scaled up. Eugene is a small, homogenous city (its population is 83 percent white). The proud hippie culture that helped give birth to the White Bird Clinic, the bummer squad, and eventually CAHOOTS continues to thrive there. The city supports a robust network of homeless shelters, crisis centers, and mental-health and drug-treatment providers that have a long history of working with CAHOOTS, which makes it easier to connect people in need with services that can help. Los Angeles has 23 times as many people as Eugene, living in dozens of far-flung neighborhoods, each with its own landscape of language, history, and social services. In October, L.A.’s city council voted unanimously to develop a CAHOOTS-like program of unarmed crisis responders. It will face different challenges.

When the pandemic struck, it revealed just how reliant CAHOOTS is on the city’s safety net—and just how fragile that net is, even in progressive Eugene. CAHOOTS was the rare social-service provider in the city that was able to carry on its regular operations. The Buckley Center closed its sobering program; the Eugene Mission continued to serve residents but closed the door to new arrivals for months; social-service agencies asked their caseworkers to work from home, which made it harder to help clients who don’t have stable addresses, schedules, or cellphones.

For a stretch, measures taken to stop the spread of the virus among Eugene’s poorest residents made up for the absence of some of the usual services. Federal CARES Act funding enabled Lane County to open a new 250-bed homeless shelter in buildings on its fairgrounds. To Gicker, the new shelter was a revelation. “This is the first time ever in my CAHOOTS experience where I can take somebody somewhere to sleep with no questions asked: They don’t have to be a battered woman; they don’t have to be experiencing a mental-health crisis; they don’t have to be ill or injured. I don’t have to sell it in some way.”

The CARES Act money ran out in June, however, and the fairground shelter closed. CAHOOTS was back to having very few places to take people in need of a bed. Similar bottlenecks exist for inpatient drug treatment and mental-health facilities. Eugene might have more social services than some American cities, but it’s still an American city. If it can’t manage the cries for help, how will larger, more diverse cities that lack Eugene’s long-standing interagency collaborations or progressive attitudes fare? In rural areas, gaps in service are even more pronounced. Earlier this year, officials from another jurisdiction called White Bird’s director of consulting, Tim Black, to announce with excitement that they’d received funding to “bring CAHOOTS here” in a matter of months. Black replied, “Where are you going to bring someone if not to the hospital or the jail?”

Around 5 p.m. on a Wednesday, I was halfway through the day shift with another CAHOOTS team, Tatanka Maker and Brian Troutz, when it was called to a parking lot just south of Washington Jefferson Park. A woman in her 50s stood at the lot’s edge, surrounded by a swirl of trash. She was barefoot and had a sheath of plastic wrapped around her midriff. This was someone the CAHOOTS team had known for years.

An employee of a nearby aquarium shop had made the call to CAHOOTS, and Maker approached him to get a sense of the situation. “She’s been trespassing since nine,” the employee said.

“I’m packing up,” the woman replied. She picked up armfuls of newspaper and takeout containers, then dropped them just as quickly, as though she’d spotted something else in the pile that she’d been looking for.

“That’s not an option any longer,” Maker said, addressing the woman by her first name. “You can pack one bag of important stuff, and then we’ll take off.”

“Where are we going?” the woman asked.

“Somewhere else,” Maker said.

Troutz brought a clean garbage bag from the van. Maker began guessing what she might want to put inside: “Do you want this sleeping bag?”

Imploring her to cooperate, Maker said she could bring a second garbage bag along too.

“If you don’t come to the van right now, they’re gonna take you to jail and throw it out,” Maker said. But the woman was stuck in another world.

“Can I focus on getting this done?” she asked, annoyed.

At last, Maker and Troutz succeeded in leading the woman to the van. They’d avoided an arrest, but it was a temporary victory. The woman had only just gotten out of jail. Before that, she’d been in and out of the state mental hospital for years. Space constraints, insurance issues, and time limits on residential programs all contributed to the difficulty of finding a place where she could receive long-term mental-health services and drug treatment.

Lacking a better option, Maker and Troutz opted to take her to White Bird. The clinic was closed, but a large shaded parking lot sits behind it.

“This is one of those cases where there is no perfect place to take her, but it’s better to take her out of the part of town where she’s been causing some trouble,” Maker said. The van stopped, and the woman got out and took a seat on a discarded couch in the parking lot.

“You know those orange cones they put on the highway?” Maker said when we got back in the van to head to the next call. “Last summer, there was a day that she spent 10 hours meticulously climbing up the embankment, grabbing them, and throwing them over the edge.” The police, the fire department, and CAHOOTS had all responded multiple times, she said. “We ended up bringing her to White Bird that day too.”

This article is part of our project “The Cycle,” which is supported by a grant from the John D. and Catherine T. MacArthur Foundation’s Safety and Justice Challenge.

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Corona Pandemic vs. Opioid Epidemic

Alright y’all buckle up because this is gonna be a long one. As I was driving home from babysitting today I was obviously thinking about the state of the world right now and somehow my thoughts snowballed into rage. Here is today’s hot take, as my friend Christian would call it, about the way we are handling Coronavirus versus the way we are handling opioid addiction. 

The entire world has been shut down for almost two months and everyone (minus the people who think science is fake and are protesting against corona), has come together to fight against this disease so it stops taking the lives of our loved ones. 

Why is this kind of media attention and this kind of affirmative action, from both government officials and non-government personal, not given to the opioid epidemic? Imagine how much further we would be in finding a cure to this disease if it got half the attention Coronavirus has gotten in the past two months. We do not realize how much the media shapes the world we live in until we take a step back and look in from the outside. 

Quick background to help those of you who are new, my little brother struggled with opioid addiction starting at age 18 until he passed away in August 2019 at age 23. Over the years I was exposed to a disease that I would not wish on my most hated enemy. 

Before we dive into these two public health crises’ let’s define them. Honestly I had no idea what the difference between a pandemic and an epidemic was until I looked it up for this post.

A pandemic is defined as a disease that’s spread over multiple countries and continents, while an epidemic is only referring to a specific region, community or population. 

While opioid addiction doesn’t only exist in the United States, we do have one of the HIGHEST overdose mortality rates in the entire world. According to Shatterproof, a non profit organization working to combat the addiction crisis, on average 192 Americans die from an overdose each day.  200 people every single day makes 1,400 people per week, 5,600 people per month, and 67,200 people every single year. In 2017, 70,237 people died from an overdose. Opioid overdose deaths went up 30 percent from July 2016 to July 2017 and have risen FOUR times as much as they were in the last fifteen years. Think about what those numbers probably look like between 2018-2020. 

Google reports that Coronavirus has killed 60,726 people in the United States and 225,000 worldwide. Yes these numbers are extraordinarily high in such a short period of time, which is why we acted so abruptly as soon as we discovered the gravity of the disease. Imagine where we would be over the span of just one year if we didn’t. Just to be clear, I am not here to take away the severity of this disease or to deem any of the precautions taken as unnecessary, I am simply here to present my “hot take” and back it up with facts. 

Every single media outlet is FLOODED with talk about Covid-19. Every single death is reported to the masses, whether you ask for it or not. If you Google virus statistics there’s a whole page with graphs and updated numbers down to the minute. There is not a person in the world who doesn’t know about this disease. We will talk about it for years and years to come, our children will learn about it as an essential part of the world’s history. 

When I typed in opioid statistics on Google earlier I had a particularly hard time finding information from the years following 2017. This seems odd to me because the disease clearly didn’t just disappear. Lack of information means lack of public knowledge. People ingest what the media puts out there whether it is factual or not and once they have absorbed this information that is what they believe to be true. I vaguely remember learning about drug addiction throughout my years in public school, and most of those memories are of those corny videos and speeches about how marijuana is a gateway drug. We are in the year 2020 and science has proven marijuana to be anything but that. Science has proven marijuana to be extremely useful with many positive benefits for numerous mental and physical ailments in today’s world. It is legal in a handful of states across the country with hopes that trend will continue across all fifty. Just like how science showed that heroin, which is a common opiate, should no longer be legal in the United States in the late 1890′s when they became aware of its potential dangers. Yes you read that year correctly, 1 8 9 0. We have known for the past 130 years that opioids are highly addictive and yet here we are.

Doctors and health care professionals are feverishly working to find a vaccine for Covid-19 that will, fingers crossed, cure current patients and prevent continuous outbreaks. From the second we realized how deadly this disease was we made it our number one priority and nothing will change this mindset until we are one-thousand percent sure it is safe. The well-being of our countries citizens is our biggest concern. There is no way our nations leaders allow this disease to become more deadly than it already is right now, let alone continue to take the lives of innocent people for years to come. 

Why isn’t this the approach we take when dealing with addiction? Imagine how drastic the change in addiction stigma and what the statistics would be. What if names, ages, images and videos of the 197 innocent lives lost per day due to a drug overdose were broadcast across the media as consistently as Covid-19?Why isn’t addiction portrayed to the public in this impossible not to take in, shocking, heart wrenching, devastating fashion, when in fact it is all of those things on a daily basis whether we are aware of it or not?

Knowledge is truly power. The more people that are exposed to the harsh reality of addiction the more power we will have to fight against it. I want you to really sit here and think about how often you hear about Coronavirus on a daily basis. It is literally everywhere. You cannot avoid it no matter how hard you try. Now I want you to replace that word with opioid addiction and tell me how you feel. Like countless others you have become sick of hearing about how horrendous the disease is. It pains you to hear about all of the lives that are being lost so suddenly and you pray to see the end of this as soon as possible. You send your prayers and condolences to those around you as you learn of their loss, you offer your hand to help those struggling and reach into your wallets to donate what you can to help fight against it. 

They are BOTH vicious, life threatening diseases that know no bounds. People walk through life with this misguided notion that they’re invincible from certain tragedies based on their social status, geographic environment, wealth, race and ethnicity when in actuality that couldn’t be further from the truth.

Now you can use this argument against the media for a great deal, if not all, diseases that put our well-being at risk, but I chose addiction for the obvious reasons. 

The more I think about this entire comparison of deadly diseases that I have drummed up the more points I want to add to argue in my favor, but those I will save for the conversation that follows this post.