Innovating Emergency Medical Response: The View From Reno And Portland

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

In India, failing road safety and accident respondent systems have created a nationwide crisis. SaveLife Foundation is addressing these problems head on, through outreach, legal battles, and innovative solutions to ineffective government policy.

Health providers are well-positioned to identify and help those who have experienced domestic violence. Nepal is one of several countries training medical workers to identify abused patients and refer them to in-hospital crisis support services.

A Denver group called Dispatch Health is an urgent care "delivery" service. Instead of requiring the patient to come to the hospital, Dispatch Health come to the patient's home and administers care on site. The group is working to be more economical than a traditional hospital as well, with services from $40-50 for insured patients and a flat rate of $275 for the uninsured.

The Neem Foundation brings intensive counseling and 1-on-1 therapy to survivors who escaped the horrific violence of Boko Haram, a terrorist group in northeastern Nigeria. With months of aid and tough conversations, the organization attempts to reunite women and children who fled the violence with their families, many of whom shun the Boko Haram escapees.

Miami is home to a special type of child welfare program called CHANCE (Citrus Helping Adolescents Negatively Impacted by Commercial Exploitation) that is designed specifically for youth in foster care that have been trafficked. CHANCE has an intensive curriculum that educates foster parents and clinicians about child sex trafficking and child trauma, and families are only allowed to take in one child at a time so that they are prepared for the child's unique health needs. Studies done on the program have found that the youth have significant improvement in many emotional and mental categories.

When Henrico County Fire Department began to respond to calls for people exhibiting signs of coronavirus, they began utilizing recommendations of how best to stay safe. Although restrictive, this new playbook helps emergency responders stay safe by "limiting the number of responders that go into a facility" and encourages nursing homes to bring patients "as close to the ambulance entrance as possible."

The 77th Avenue Rangers homeless encampment in East Oakland won recognition from police and other city agencies, while other encampments were destroyed, thanks to its location away from residential neighborhoods, its constructive relationship with neighboring businesses, and its ability to establish a peaceful, self-governed community. Home to about 35 people for more than a year and a half, the camp provided stability to the lives of unhoused people. Showers, food, medical and social services, and other amenities proved more helpful to residents than what they found on the streets or in city shelters.

The Returning Citizen Stimulus program provides temporary cash assistance to people recently released from prison, who face steep barriers to finding jobs and stable housing when transitioning out of incarceration. The payments started in 2020 and have helped more than 10,000 former inmates get on their feet, with 42 percent of recipients finding employment within five months of their release.

A Cup of Cold Water is a volunteer collaboration between four local Episcopal churches that has been providing assistance to residents who lost their homes in the recent wildfires through the group’s community outreach program. Since a day after the wildfires started on August 8, volunteers have driven a van around the island to distribute supplies like toiletries, food, clothing, bottled water and other necessities.