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County unveils CLP+ findings: large unmet need, workforce and data gaps drive recommended system changes
Summary
Health department and epidemiology staff presented the Comprehensive Local Plan Plus, finding sizable unmet substance-use treatment need (presentation cited ~7,000 youth and ~27,000 adults not receiving needed care), recommending workforce pay improvements, culturally-specific services, centralized data and a deputy strategy role; county will review CLP+ with CCO partners next week.
Health Department Director Rachel Banks introduced the county’s Comprehensive Local Plan Plus (CLP+), a research-driven update to Multnomah County’s behavioral health planning that aims to move the county from assessment to prioritized action.
Emily Macaitis, epidemiology manager in the Public Health Division, summarized a crosswalk of 12 prior needs assessments and a 2024 capacity analysis using the CAST (Calculating an Adequate System Tool) framework. Macaitis said the analysis estimated gap figures showing thousands of people with unmet substance use disorder treatment needs: "For youth, over 7,000 people were estimated to need treatment but not receive it. For adults, almost 27,000 people were estimated to need treatment but not receive it," she said,…
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