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County details addiction‑treatment programs, cites Measure 110 impact and Prime Plus outreach
Summary
Marion County described addiction‑treatment capacity including Her Place and His Place residential programs, Prime Plus hospital outreach and medication‑assisted treatment; officials said Measure 110 and funding rules changed referral patterns and constrained some pathways into care.
Marion County Health and Human Services outlined its addiction‑treatment services during the Jan. 30 joint work session, describing residential transitional programs for parents, outreach after hospital overdoses, and state funding changes that altered referral patterns.
Carol Hurd, Division Director for Addiction Treatment Services, described same‑day assessments, outpatient therapy, medication‑assisted treatment and two county residential programs: Her Place (for pregnant or parenting mothers with children up to age 5) and His Place (for fathers). Hurd said each program provides seven parent beds plus childcare and onsite services. She said Her Place served 35 individuals in the covered period and His Place served about 30. Hurd estimated annual operating costs for each house in the “mid‑hundreds of thousands” (staff gave an approximate $700,000–$750,000 range during Q&A).
Prime Plus, the county’s hospital‑outreach program of certified recovery mentors, provides 24/7 access for hospitals and offers follow‑up contacts after overdoses; Hurd said the program engaged 82 participants in 2024 and 238 participants since 2022. Hurd added that Prime Plus staff often have lived experience and focus on connection and recovery supports when people decline formal treatment.
County leaders said Measure 110 — the state ballot measure that decriminalized possession of small quantities of drugs — and subsequent funding reallocations reduced some traditional referral pathways from law enforcement into treatment. Commissioner Danielle Bethel and county presenters said the county saw a drop in law‑enforcement referrals after Measure 110 and that the county later pursued House Bill 4002 funding to support “deflection” and navigator programs.
Why it matters: county officials said residential transitional housing plus hospital outreach are important bridges from crisis to longer‑term care, but programs are resource intensive and cannot always meet demand. Hurd said program referrals sometimes depend on co‑located hospital relationships, and county leaders emphasized the need to coordinate with law enforcement, hospitals and housing partners to refer people into treatment effectively.
Ending: County addiction‑treatment leaders asked the city and county to keep coordinating on dispatch and referral protocols and to continue legislative advocacy on funding and statutory clarification.
