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I can’t compare to all states of India with Kerala and its not fair too at this stage to make any comparisons. We are in the middle of a crisis and this is not just applicable to Kerala or South India or India as whole… Rather it's applicable to the entire world.Every government in this world is trying their level best to serve their citizens in the crisis. We can’t claim, ONLY we are doing the best. Everywhere, govts are trying to do best for their people. Maybe in some areas, we might be standing slightly better, some areas we may be lacking too.So I am not into any comparison at all. But since I write about Kerala in Quora, I feel I will write what all Kerala State has done in its fight against Corona Virus. I am talking only in specific to Kerala, not in comparison with any others.And please note, this is an evolving crisis and every day something new is being added to the fight. So sticking to things as of yesterday- 28/03/2020Contact trackingFor me personally, I consider this job done by Kerala’s DHS (Directorate of Health Services) as something the best they could do for us. Learning from Nipah outbreak experience, Kerala has used its resources to track contacts and people who been associated with the index patient (first patient in a cluster) to identify a cluster and isolate from the community. This includes detailed tracking of patient’s route from the moment he/she landed in Kerala until the moment he/she been quarantined into the hospital. Most of the tracking is done thro’ inputs made by the patient which are cross verified by officials of Public Health Inspectorate and Community Medicine Department, apart from using Police’s intelligence sources like Cyber cell to track down the mobile tower locations of the patient, special branch reports, phone records, CCTV camera recordings etc. By this manner, DHS able to identify a cluster comprising of potential secondary and tertiary contacts made by the index patient who will be either home or hospital quarantined and if any symptoms are shown, their blood samples will be tested.The DHS frequently makes regular route maps of patients and publishes in public to let people know about the time and place where the patient was and ask the public to declare to DHS, if they were in at that place at the specified time, to be declared as part of a cluster.Route Map of Patient 1 of Pathanamthitta which resulted in the start of second wave since March 2020This kind of tracking helped Kerala as of now to contain the disease to cluster level, though some have jumped out of quarantine and their actions created more clusters and patients.How Kerala's flowchart model is helping effective coronavirus contact tracingKerala launches contact-tracing programme to neutralise coronavirus threat2. TestingI have written answers before. Kerala’s strategy in combating this disease is by constant testing of samples. Kerala so far is the state that has done the highest number of testing among Indian states and its testing ratio is somewhat at par with many major affected countries like Japan or similar.Arun Mohan (അരുൺ മോഹൻ)'s answer to Why are no COVID-19 deaths reported in Kerala even though the state has the highest number of cases?States That Are Testing More Are Detecting More Cases, Data Show |If Kerala has done anything good in this sector, its solely because of regular testing and able to identify people quickly.As of yesterday (28/02/2020),Kerala tested 6,067 samples5,270 samples were negative165 are currently on treatment (Confirmed cases)1,34,370 are in isolation/surveillance (not yet confirmed)8 have recovered and still kept in observationand 1 death has been reported (the very first death in the state)This massive Pro-testing approach has helped Kerala to have nearly 10 Testing Virology labs in the state, including an NIV unit that helps faster and regular testing. As of now, Kerala has the highest number of blood sample testing facility in IndiaAs yesterday Kerala announced massive rapid testing after getting in-principle approval from ICMR. Kerala is the first state to announce so and was pressing ICMR for rapid testing permission for every single one in isolation/quarantine for last few days.3. Medical preparednessKerala was expecting to have Corona right soon after China declared its condition way back in Jan 2020. Kerala due to its very high non-resident Malayalee population living in many countries of the world was sure, they will soon get this new disease thro’ them and it was so right its judgement when the first Covid Case of India was reported in Kerala way back in Feb 2020. And it fully contained the first wave of Covid entry in Feb when it could isolate all cases and avoid spread etc.In the second wave, which happened thro’ an irresponsible family’s actions that created multiple clusters and later thro’ various foreign imports (some again were of irresponsible actions), the medical teams were so prepared to deal with emergencyDHS by March mid has already completed setting up various contingency plans, which were titled as PLAN A, PLAN B AND PLAN C. These plans were effectively communicated to entire medical and administrative officials of the states and everything has been well defined. This even includes thresh-holds for initiating each plan. Medical infra audits were carried out as part of this medical contingency plansThe Plan A which is currently ongoing has seen mobilization of resources associated with 50 Govt hospitals and 2 private hospitals on standby with total of 974 isolation beds and 22 ICUs readied for Corona carePlan B which has been initiated last day has mobilized resources for an additional 71 govt hospitals and 55 private hospitals for combating this disease which will add another 1408 beds.Plan C is the next stage (once the diseases spread comes to 3rd stage) which will mobilize 81 govt hospitals and 41 private hospitals with another addition of 3028 beds and 218 ICU bedsThese plans were drawn in March 1st week, which shows the extend of planning of Kerala Govt.The new set of plans (unofficially codenamed as PLAN D) will feature nationalization or semi-nationalization of entire Private hospitals of Kerala featuring a total bed of 69,434 beds and 5507 ICU beds. As of the latest decision, the govt decided to take over unused private hospitals and those medical colleges whose operations were suspended by MCI. 3 hospitals facilities and one Hostel complex were taken over in last 48 hours (PVS Hospital in Kochi, Anjarakady Medical College in Kannur, Shanti Jamaath Islami Hospital in Kozhikode and Sree Sankaracharya University Hostel Complex in Kochi)Collector Ernakulam (Kochi) taking over an unused hospital in Kochi city to be converted into a Covid Care Hospital facility.The Plan D features taking over hotels, hostels, lodges and other commercial units to develop into Isolation centres and Temporary Isolation centres, which shall be more than 2 Million rooms.As of now, Kerala Govt has announced opening Exclusive Covid Hospitals in every district of Kerala (14 Covid Hospitals in the level of tertiary care facility) and the first one is opened in Kochi- CMC (Cochin Medical College) which is a government Medical college and others are expected to open by this weekKerala’s first dedicated Covid Care Hospital centre in Kochi with 500 isolation beds and 70 plus ICU bedsGovt has been in talks with various community organizations and they all pledged their support for the fight. The Catholic Hospitals Association which is the second-largest Medical group after Government hospital network has decided to give all their hospitals to DHS along with their medical Staff (2660 Doctors, 10,300 Nurses, 5,500+ Paramedics and 6800 Admin staff). The Nair Service Society has assured Govt to provide its 2 hospitals and 100 plus educational institutions which they can convert into field hospitals if required. The SNDP Trust also assured Govt to provide its 1000 plus schools to be converted as field medical hospitals or treatment centres. It also assured to give its medical college to the state upon demand. So as Muslim Educational Society and Jammat e Hind Islami also assured to provide all its hospitals, madrasas, schools and colleges to the government for its better use.4. Upgrading Covid Hospital facilitiesOne key factor Kerala Govt focused on improving the facilities at all Covid care hospitals to ensure the public do not hide their medical cases to avoid visiting or isolating themselves.All Govt Covid Isolation rooms and treatment rooms are modernized and sanitized as per WHO protocols. Patients were brought to such isolation wards in dedicated Covid care ambulances and the isolation rooms were all modern and neatThe govt took extra care to ensure the food patients get at these hospitals should be as inviting as possible to shed all bias and prejudices against Govt hospitalsCovid patients gets inviting meals with options like Soups, fruits, eggs, Dosa, Appams, Rice-fish curries, chappatis, curd etc while foreign patients gets continental meals like Toasted breads, cheeses, omelettes/scrambled eggs, roasted chicken, biscuits etc. Patients do get daily milk, tea, coffee, fresh fruit juices, packed mineral water and daily newspapers (courtesy from Hindu).Dosa, eggs, oranges, fish fry: Here's the menu at COVID-19 isolation wards in KeralaThe hospital authorities have taken every wish of patients as much as possible, for example an covid affected Kid from Italy in treatment at Kochi were treated with Italian pasta, Ravoli and pizzas as the kid likes only Italian food which were ordered from an Italian restaurant nearby.5. Medical Industrial PreparednessKerala Govt has taken extra note in preparing itself for a major medical emergency. The state’s Medicine production has gone into full swing. The state-run Kerala State Drugs and Pharmaceutical Corporation has been entrusted with bulk mass production of Hand sanitizers which produced more than 1 Lakh bottles of Sanitizers and increased production targets to 1 million (10 lakh) by end of this week.1 lakh bottles of hand sanitizers in a day: Kerala goes all guns blazing against Covid-19KSDP also entrusted with mass production of 8 critical generic drugs and 2 drugs for which it holds patents to ensure no shortage.The state’s Electricity board has ordered to procure 500 new medical ventilators exclusively for Covid operations (Kerala state holds 5000 ventilators in total which is approx 12% of total available ventilators in the country). The state is going to enter talks with various manufactures for portable ventilatorsIn addition, the industry department has been asked to explore the possibility to produce 1 lakh N95 masks with any tech partnership with companies using facilities available to the department. In the meantime, the state will continue the mass production of cloth and surgical masks.As of today’s (28/03/2020) cabinet decision, Kerala Govt decided to form a medical industry cluster to manufacture indigenous medical equipment supplies at the earliest using existing facilities.The Kochi Superfab Lab, India’s only such facility were given the charge to design equipment required for such a major medical emergency. The state will produce its own Respirators, Ventilators, N95 Masks, Oxygen cylinders, Bio-Medical equipment preparing itself for the worst medical emergency.ISRO’s VSSC facility in Trivandrum and Kochi’s Technology Innovation Zone along with Kerala Start Up Mission will be fully utilized to design and develop newer and practical technologies and existing factories in Palakkad’s Kanjikode Industrial Cluster will be fully converted to produce equipment required for the medical sector. For this, a meeting of industrialists will be called tomorrow and setting the plan in motionThe state has opened a new challenge to all its technocrats and tech student entrepreneurs and start up promoters to come up with ideas for effective tech solutions to deal with a major emergency.A website- http://WWW.BREAKCORONA.IN has been started by Kerala Govt to invite newer ideas that can easily be put into action for which Kerala Govt will support financially and these projects will also generate employment and opportunities in the economy.6. Technology Usage and War RoomOne main feature which Kerala’s DHS used to control Covid spread was its Control Room set up at Kerala State Disaster Management Authority complex in Trivandrum and district headquarters. This was something which I feel, gave real-time updates to DHS on the spread and ways to control and contain it.These multiple data recording and analysis units helped to track patient history, procure data from multiple sources, feed in data and help control room unit officials to analyze patterns of travels and contact detailsIn a way, it was a full-fledged health surveillance facility. Patients route maps were made, their contacts were identified and their movements were tracked from this Hitech facility. These 24 hours of data control rooms, helped to give a clearer picture and understand the extent of spread thro’ interactive maps etc.This also includes geo-surveillance, monitoring those in quarantine with geo-fencing, GPS enabled trackers, electronic anklet monitoring systems etcScreenshot of portal that highlights patients under GPS enabled Geo-fencing to track their movements as used by District Administration- PathanamthittaCoronavirus | GPS-based tracking of all those quarantined in PathanamthittaIn addition, Kerala is using multiple data collection methods to track vulnerable people and develop maps to identify potential hot spots and nearest medical facilities. The disease mapping helps to have a strong information flow for various strategic decision making to control community transmission.Kerala uses open source public utility to fight COVID-19 - Geospatial WorldKerala govt to use ration card data for digital map on COVID-19Disease mapping to stem community transmissionApart from this, the centralized health support centre- DISHA (Direct Intervention System for Health Awareness) played a crucial role in tracking and supporting patients and other suspect cases. DISHA is a centralized call centre of DHS with a toll-free number- 1056 which was started to support patients for telemedicine and tele-support like counselling etc. But during this COVID time, it was fully converted into COVID Support and call centre facility. They notified the patient records, their queries and supported back with real-time updates of their medical conditions, moving ambulance support for them and mental counselling etc to alleviate stress.Disha 1056 call center, the nerve point of Anti-Corona operationsCoronavirus: This team at Kerala helpline desk works round the clock in fight against the pandemicNow, the state is coming up with a sophisticated Hitech War Room in the State Secretariat that has senior Bureaucrats as members to control and coordinate entire Covid operations including logistics movements during lockdown etc. A new secured line has been established- 0471-2517225 for the public to call at War Room directly.War room to coordinate effortsWar room in Kerala to supervise COVID-19 containment activities8. Lockdown SupportThe Lockdown as announced by Central Govt has affected every Indians. Kerala is no exception to this grave situation.During lockdown time, the state has focused on maximizing deliveries of essential supplies at home.The state has partnered with Zomato in Kochi, Trivandrum and Kozhikode to supply essentials from state-run Supermarket chain- Supplyco to public. 40 stores of Supplyco will start services of Zomato for home delivering of essentials including the essential kit of basic food items priced at Rs 500 (5 Kg rice, 1 litre coconut oil, 1 kg sugar, half kg of 2 kinds of pulsesSupplyco ties up with Zomato for online delivery of essential items in KochiThe state’s Consumerfed also entered into Online delivery starting from 1st of April and will extend to all districts of Kerala at the earliest. In addition, the state’s milk brand- Milma has aggressively pushed its online delivery- AM Needs more in 2 main cities which shall supply Milk, Milk products and breakfast items like bread, eggs etc. Efforts are made to extend this to other main cities too.Consumerfed’s online delivery from April 1Kerala Govt along with Police Cyberdome and a private company has launched a new Online app- ShopsApp and now asking all shops selling essential goods to mandatorily register in the ShopsApp portal. Once all the shops register, the newly formed volunteer army will be used for home delivery which will be spread across the state, not just cities alone.Shopping from local stores with home deliveryഅവശ്യ സാധനങ്ങളുടെ ലഭ്യത ഉറപ്പാക്കാൻ പൊലീസ് ആപ്The state has assured home-delivery of its essentials kits and ration supplies to the houses of poor (BPL cardholders) across the state, even in rural areas thro’ services of postal personnel as well as its own staff. Right from the day when schools where closed, personnel from Angawadi (kindergarten) and other educational departments were home delivering essentials for kids and children enrolled under each school directly.The state announced ambitious schemes to ensure HUNGER FREE Kerala. The govt clarified, not a single person in the state will starve due to the lockdownEvery family who is currently home quarantined will get Rs 1000 worth Essentials Kit of Food items from the govt for free which shall be home deliveredBPL card holders will get 35 Kg of Rice and APL cardholders will get 15 KG of Rice from Ration shops for free.Covid-19 lockdown: In a first, Kerala to home deliver food kits to the poorIn addition, a mechanism for home-delivering items from nearby shops by volunteers is plannedPolice delivering essentials to houses of elderly people who can’t go out9. Community KitchenThe govt directive is for Hunger-Free Kerala. No one will starve in KeralaFor this, the state has directed every Local Govt bodies to start Community Kitchens to cook food in bulk and provide packed food kits to people who don’t have access to cooked food. This includes homeless people, elderly people, sick people, migrant labour community and those got trapped in hostels or similar facilities overnight. All these shall be delivered to homes for a free or nominal token amount of Rs 20Meals shall be also delivered any needy just thro’ phone calls. The whole scheme has been worked out by Kudumbashree workers and packed meals costs Rs 20 only for veg and extra Rs 30 for a Chicken/Beef/Fish dishhttps://www.thenewsminute.com/article/inside-kerala-community-kitchen-during-coronavirus-lockdown-121325As of now, 748 Community Kitchens have been opened and an additional 300 will be set up soon. This service is available for lunch and dinner.So my parents who are in Kerala tried the community kitchen meal which was home delivered for Rs. 25. Rs. 30 extra if you want fish/beef/chicken. #Kerala #Alappuza @vijayanpinarayi @drthomasisaac @CMOKerala @shailajateacher pic.twitter.com/Ws2snAq5EQ— JF (@Potatodrink) March 27, 2020Kerala's Solution For Food Needs Amid Lockdown: 1,000 Community KitchensAgriculture Minister VS Sunil Kumar inspecting the facilities at Kochi’s Community kitchenKerala’s 43 lakh-strong women self-help network power community kitchens during coronavirus lockdown10. State Volunteer ArmyThe state announced an ambitious idea of forming an army of 2.45 Lakh volunteers to support various volunteering activity under a single command. Ever since the lock-down, multiple organizations are into volunteering activity causing many law & order issues and unauthorized movements. Also, there is a lack of coordination in these activities.To deal with it, the state formed a new directorate- Directorate of Social Service Force under State Youth Commission. The Directorate is to raise an army of trained volunteers to support various activities classified as 18 categories.https://www.quora.com/share/Arun-Mohan-520The key part of Volunteers is to develop emergency Isolation centres as required as movers as well as technicians. Apart from that, they are heavily required for logistics operations across the state, to supply deliveries to home, to work as care-takers and home-sitters for elderly and Covid affected patients etc.The govt announced this day before yesterday and invited online registrations thro’ its new portal- https://sannadham.kerala.gov.in/ (Sannadham in Malayalam means Volunteering) and despite of a technical glitch in registration, by now 30,000 youngsters registered for volunteering. This also includes Kerala Youth Volunteer Action Force- KYVAF (Red Shirts as known locally) designed after 2019 floods to have trained volunteer guards (5000 such trained red shirts are now available). So far only Andhra Pradesh and Kerala have formed such volunteer army.News in Asianet News about huge number of applications and responses to forming Kerala Volunteer ArmyRed Shirts in public sterilization programsKerala to set up Community Volunteer Force to support better deliveryKerala govt to form volunteer army of 2 lakh youngsters for the COVID-19 fightTechies turn volunteers to assist Kerala to contain Covid-1911. Transparency Flow of InformationThe biggest positive thing which Kerala is doing (which some proactive CMs of other states also doing) is effective and transparent flow of information.One of the important lessons learnt after Oockhi crisis of 2017 which Kerala changed since then and effectively used during floods time of 2018 and 2019 and Nipah time, was holding regular press meets and effective passing of all information available and cutting the spread of fake news.The government for the last 56 days were constantly holding daily press briefing both at State Level and district level to pass all information of the day. On the day 1 of first reporting of Covid case, a press conference was held even at an unusual hour of 1:30 AM late night to pass all information to media. Ever since that, media briefing became a mandatory thing at State level which was initially at 8 PM by Health Minister and as the state entered into Stage 2 and probably gearing for Stage 3 where multiple departments need to be involved, the baton moved to CM’s daily press meetings at 6 PM sharp.The daily press meetings of Kerala CM along with Health Minister and Chief Secretary has attracted huge public response, as a clear source of information on Covid situation.Today most of these press meetings are widely watched by entire Malayalee community, where all information of the day, all policies taken by Cabinet, all the government orders and action plan for next day are discussed with mediaPerhaps, one key tool to combat fake news is Transparency. The state issues health bulletins at every 6 hours for all affected people, all collectors are required to hold press meets or press releases on daily basis, district information officers are required to open lines to quell all public queries as well as organize programs to dispel public doubts and help the public in knowing the updates etc.Transparency Has Been Kerala’s Biggest Weapon Against the Coronavirus12. Campaign programs and quick responsesKerala government has realized the importance of massive Public Campaigns and Public relations to be used to the highest level to ensure its desired objectives reach to the public. The most successful campaign done was BREAK-THE-CHAIN campaign which has been adopted by Central Govt too and listed as a National agenda laterArun Mohan (അരുൺ മോഹൻ)'s answer to How many people participate in the campaign "break the chain" in Kerala?Arun Mohan (അരുൺ മോഹൻ)'s answer to What impact will this bring on the public as the introductory video of Kerala Police doing handwashing dance gone viral?Break The Chain Campaign was to have massive ground level sanitization and handwashing program to ensure the virus don’t spread quickly and break the chain of spread. This campaign helped the public to realize the importance of washing hands frequently and using sanitizers. Public washing kiosks came up and hand-sanitizers at the entrance of any facility became a regular thing. Videos of effective hand washes became common and the handwashing awareness video of Kerala Police became viralThe much viral Handwashing Video awareness dance by Kerala PoliceApart from campaigns, the government ensured, they are into heavy public relations. They are listening to every complaint, every grievance and standing with the public. For this govt machinery are focused on addressing public needs based on complaints reporting.For example, initially, the government didn’t give much thought about migrant labours and workers as the entire attention was over the local population. But when reports started coming in that migrant population have started fleeing to their homes and travelling on foot to their places when the lockdown came, the government machinery immediately set its attention to their problem. The govt started opening migrant workers camps across the state where they can stay and the entire cost of their food and other essentials were taken care of by the state Labour department and local MLAs. Kerala Govt even announced, they won’t use the term- Migrant Workers, rather will address them as GUEST WORKERS (Adithi Thozhilali) to honour their contributions to the state and will care themWhen Bihar’s Opposition leader Tejaswani Yadav highlighted the plight of some Bihari workers in Trivandrum over Twitter, the government quickly addressed to it and even reverted to him personally with an action taken reportI have visited the guest workers' labour camp today and spoke with workers and company representatives. The camp operates with all necessities including food and medicine.Kerala government is paying special attention to guest workers in this #COVID19 crisis. pic.twitter.com/uMsdq2NJQS— Kadakampally Surendran (@kadakampalli) March 27, 2020As of now, Kerala opened 4603 Relief camps to accommodate 1 Lakh migrant workers across the state who lost their work and got stuck in the state with no place to go. More numbers are to be expected as no one actually knows an exact number of workers. Many have fled Kerala before the lockdown came in and some haven’t turned up to government facilities too. The facilities do have all the essentials to survive until an alternative mechanism to help these people reach back to their homes is decided upon. This includes free food and sanitary requirements.Kerala opens 4603 relief camps for over one lakh migrant 'guest' workersAround 35 plus camps are opened for destitute and street dwellers across the state to be accommodated during this period.This decision has prevented a massive exodus as seen in many other North Indian states.13. Welfare schemes and supportThe state has announced a huge economic package of Rs 20,000 Crore to support people during this Covid crisis.One key feature announced was providing 2 Month social security pension (March and April) together by yesterday and today to all registered people, by delivering to their homes and via their coop bank accounts.The Govt kept its word by distributing all pensions by nowMore Photos. pic.twitter.com/H5sckkiCrL— Kadakampally Surendran (@kadakampalli) March 26, 2020How the Kerala government is shaping and implementing its Covid-19 responseKerala to disburse welfare pension for two months from next weekIn addition, the government has decided to support Tribal population by asking all tribal promoters and other officials to supply essential kits at their settlements inside the forest and educate them about the deadly virus spreadThe government announced One Month-long supplies kit per family to be supplied directly to their settlement and instructed forest guards and tribal department officials to ensure they remain insulated.Konni MLA comrade Jenish Kumar & District Collector P. B. Nooh IAS along with volunteers taking food materials to a tribal colony.It is important to work in sync during a crisis, as #Kerala has done in the past.With such common goals, we shall overcome. #KeralaFightsCorona pic.twitter.com/3uJLUW3qVR— Kadakampally Surendran (@kadakampalli) March 28, 2020Collector Pathanamthitta himself taking a load to remote forest interior as part of his personal interaction and awareness campaign among tribals of PathanamthittaThis includes conducting radio shows and public awareness videos/audios in tribal languages etc and holding tribal settlement meetings etc to ensure they listen and understand the implication of the diease.Radio shows, videos in tribal languages: How Kerala is spreading COVID-19 awarenessKerala fighting COVID-19: Awareness videos are made in various tribal languages. Local officials and health workers show these videos going to each tribal colonies.This one here is Oorali language. pic.twitter.com/VuilFvJcm5— Neethu Joseph (@neethujoseph_15) March 23, 2020How these Kerala youngsters are ensuring that the Attappadi's tribal folk are safe from COVID-19These are some measures which Kerala is doing at the moment to ensure the disease doesn’t spread much and prevent Kerala from going into a havoc situation.I am not saying, everything is perfect in Kerala. There are any shortcomings here too. But so far, Kerala is trying the best possible within its strengths, some inherent and some developed, for the betterment of community welfare.I don’t know how much of these are exclusive to Kerala. I don’t think, none of them remains and should remain exclusive to any place as we humans always try various ideas to save our fellow folks in times of mass disasters.The reason I highlighted all these, is to make a larger people aware of what we are doing to combat this virus spread and hopefully, these measures can be a guiding model for others to emulate if required, just like we too adopted many gestures from othersIn times of distress, these kind of positive stories are more of beacon of hope that humanity exists and something must be spread to all…..Let's all work together and may our humanity prevail over every disaster!!!

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My favorite answer to this question are programs like Eugene Oregon's CAHOOTS program that started in 1989. Its operated under Eugene Police Department.This program is slowly expanding because various cities throughout the country have called on them.Chris Pietsch/The Register-GuardEugene Police officer Bo Rankin talking with White Bird Clinic coordinator Ben Brubaker and CAHOOTS emergency crisis worker Matt Eads, Eugene, Oregon, October 2019CAHOOTS workers help an unidentified individual into the back of their van, who requested assistance finding shelter.CAHOOTS – White Bird ClinicWhite Bird ClinicMENUCAHOOTSSEPTEMBER 29, 2020What is CAHOOTS?31 years ago the City of Eugene, Oregon developed an innovative community-based public safety system to provide mental health first response for crises involving mental illness, homelessness, and addiction. White Bird Clinic launched CAHOOTS (Crisis Assistance Helping Out On The Streets) as a community policing initiative in 1989.The CAHOOTS model has been in the spotlight recently as our nation struggles to reimagine public safety. The program mobilizes two-person teams consisting of a medic (a nurse, paramedic, or EMT) and a crisis worker who has substantial training and experience in the mental health field. The CAHOOTS teams deal with a wide range of mental health-related crises, including conflict resolution, welfare checks, substance abuse, suicide threats, and more, relying on trauma-informed de-escalation and harm reduction techniques. CAHOOTS staff are not law enforcement officers and do not carry weapons; their training and experience are the tools they use to ensure a non-violent resolution of crisis situations. They also handle non-emergent medical issues, avoiding costly ambulance transport and emergency room treatment.A November 2016 study published in the American Journal of Preventative Medicine estimated that 20% to 50% of fatal encounters with law enforcement involved an individual with a mental illness. The CAHOOTS model demonstrates that these fatal encounters are not inevitable. Last year, out of a total of roughly 24,000 CAHOOTS calls, police backup was requested only 150 times.The cost savings are considerable. The CAHOOTS program budget is about $2.1 million annually, while the combined annual budgets for the Eugene and Springfield police departments are $90 million. In 2017, the CAHOOTS teams answered 17% of the Eugene Police Department’s overall call volume. The program saves the city of Eugene an estimated $8.5 million in public safety spending annually.CAHOOTS calls come to Eugene’s 911 system or the police non-emergency number. Dispatchers are trained to recognize non-violent situations with a behavioral health component and route those calls to CAHOOTS. A team will respond, assess the situation and provide immediate stabilization in case of urgent medical need or psychological crisis, assessment, information, referral, advocacy, and, when warranted, transportation to the next step in treatment.White Bird’s CAHOOTS provides consulting and strategic guidance to communities across the nation that are seeking to replicate CAHOOTS’ model. Contact us if you are interested in our consultation services program.Also See:CAHOOTS info pageCAHOOTS in the NewsSEPTEMBER 5, 2020CNN features CAHOOTS Police AlternativeBy Scottie Andrew, CNN, July 5, 2020Around 30 years ago, a town in Oregon retrofitted an old van, staffed it with young medics and mental health counselors and sent them out to respond to the kinds of 911 calls that wouldn’t necessarily require police intervention.In the town of 172,000, they were the first responders for mental health crises, homelessness, substance abuse, threats of suicide — the problems for which there are no easy fixes. The problems that, in the hands of police, have often turned violent.Today, the program, called CAHOOTS, has three vans, more than double the number of staffers and the attention of a country in crisis.CAHOOTS is already doing what police reform advocates say is necessary to fundamentally change the US criminal justice system — pass off some responsibilities to unarmed civilians.Read more…AUGUST 4, 2020Senator Wyden to introduce the CAHOOTS ActU.S. Sen. Ron Wyden announced plans to introduce a bill in the U.S. Senate aimed at bringing CAHOOTS response model mental health services to cities and towns across the nation through increased Medicaid funding.“It’s long past time to re-imagine policing in ways that reduce violence and structural racism, and health care can play a key role in that effort,” Wyden said. “Oregon has a proven model in the CAHOOTS program, and I want other states and communities to have federal resources to pursue similar approaches. Americans struggling with mental illness don’t always require law enforcement to be dispatched when they are experiencing a crisis – CAHOOTS is proof positive there is another way.”“For individuals experiencing a behavioral health crisis, the assistance of trained health care and social workers is more effective than interventions from law enforcement in deescalating the situation and helping to connect those individuals with vital services to address the problems that led to the crisis,” said Cortez Masto. “I’m proud to support legislation that will provide Nevada and states across the country with additional Medicaid funding to help them set up mobile crisis teams that have a proven track-record of providing effective, trauma-informed care to those in need.”“We hope that the CAHOOTS model pioneered by White Bird Clinic in Eugene, OR can help communities across the United States develop public safety systems that align with their values,” said Chris Hecht, Executive Coordinator of White Bird Clinic. “Dispatching medical and behavioral health professionals to care for community members in crisis is a proven way to improve outcomes, combat racism, and avoid violence. We thank Senator Wyden for this legislation because we are eager to share a model that has succeeded in our community for 31 years.”The bill, the Crisis Assistance Helping Out On The Streets (CAHOOTS) Act, grants states enhanced federal Medicaid funding (a 95% federal match) for three years to provide community-based mobile crisis services to individuals experiencing a mental health or SUD crisis. It also provides $25 million for planning grants to states to help establish or build out mobile crisis programs.The bill is part of Wyden’s agenda to address a persistent lack of access to mental health care for too many Americans. He is also pursuing legislation to support access to wraparound services that help individuals after the initial crisis response.A one page summary of the bill can be found here. Legislative text can be found here.parked cahoots vanJULY 25, 2020Rep. Rashida Tlaib: The Case for an Emergency Responder Corpsby Rashida Tlaib Apr 23, 2020 in “The Appeal”What would an Emergency First Responders Corps look like?“The most important aspect of the Emergency First Responder Corps is that it must be civilian and designed to help people. The idea isn’t novel — it is something neighbors have been doing for centuries, and the time is now to take comprehensive approach to formalizing it to help our most vulnerable communities.A good model of this exists in Eugene, Oregon, CAHOOTS — Crisis Assistance Helping Out on the Streets — has worked for decades to help people in crisis. They deal with those who are suicidal, houseless, infirm, or just having trouble getting the basics they need to survive. It’s fully integrated into the local service community. And they are effective. In 2018, CAHOOTS responded to 24,000 calls. CAHOOTS and the White Bird Clinic were recently awarded federal funding to expand telemedicine access during the current pandemic.”Read More…The Briefing: a new vision for first responders during the COVID-19 pandemicCAHOOTS program coordinator Tim Black joined Congresswoman Rashida Tlaib and our self-described “biggest fan of CAHOOTS in the Rockies” Colorado State Representative Leslie Herod to discuss the CAHOOTS model and why there is a need for a behavioral health branch of public safety in communities across the nation.JULY 15, 2020Citing CAHOOTS as a Model for ReformSenator Ron Wyden will meet with White Bird CAHOOTS staff at CAHOOTS headquarters at 970 W 7th Ave in Eugene to discuss how this groundbreaking program can be a model for a national policing reform package and how Congress can best support the work. “The Justice in Policing Act of 2020 takes a vital first step toward accountability, and I am all in with pressing forward to achieve this legislation’s urgently needed re-focus of resources and policies,” said Sen. Wyden. Sen. Wyden co-sponsored the legislation, which would hold police accountable, change the culture of law enforcement and build trust between law enforcement and communities in Oregon and nationwide.31 years ago White Bird Clinic launched CAHOOTS (Crisis Assistance Helping Out On The Streets) as a community policing initiative to provide mental health first response for crises involving mental illness, homelessness, and addiction. CAHOOTS offers compassionate, effective, timely care while diverting a considerable portion of the public safety workload, conserving police and fire department capacity. In 2019, CAHOOTS handled 17% of the Eugene Police Department’s calls. In 2017, police officers nationally spent 21% of their time responding to or transporting people with mental illness.Dispatching appropriate responders for each unique situation is essential to ensuring the best outcome. CAHOOTS focuses exclusively on meeting the medical and mental health needs of the community, making it more appropriate, economical, and effective than traditional models involving agencies with a much larger scope of responsibility.Police officers and fire fighters receive training in a broad set of skills, making their deployment to non-emergent situations unnecessarily costly. The CAHOOTS model also ensures that health and behavioral health care are integrated from the onset of intervention and treatment, adding to the efficacy and economy of the model.White Bird’s CAHOOTS program has attracted notice from international news media as communities across the nation and around the world confront the need to reimagine public safety to ensure that it equitably serves human beings of all races and ethnicities.CAHOOTS is providing strategic guidance and training to assist communities in developing innovative public safety systems that align with their values.In 1969, a group of student activists and concerned practitioners came together to provide crisis services and free medical care for counter-culture youth in Eugene, OR. Having grown continuously since then, today White Bird Clinic has 10 programs, 220 staff members, and more than 400 volunteers each year.DOWNLOAD PRESS RELEASE (PDF)JULY 3, 2020Community-Based Emergency First Responders: ExplainedIn The Appeal‘s Explainer series, Justice Collaborative lawyers, journalists, and other legal experts help unpack some of the most complicated issues in the criminal justice system.Co-authors Tim Black, CAHOOTS Operations Coordinator, and Patrisse Cullors, Artist and Activist, “break down the problems behind the headlines—like bail, civil asset forfeiture, or the Brady doctrine—so that everyone can understand them. Wherever possible, we try to utilize the stories of those affected by the criminal justice system to show how these laws and principles should work, and how they often fail.”Continue to articleJUNE 14, 2020Racism is a Public Health CrisisA Statement from CAHOOTSWritten by Ebony MorganCAHOOTS Crisis InterventionCommunications TeamCahoots has been operating as a mobile crisis intervention program in Eugene since 1989. We respond in teams of two with a medic and trained crisis worker, handling 20% of the 911 calls in our area last year. This is a responsibility we take extremely seriously, and we feel privileged to do this work.Across the nation, communities are demanding that elected leaders defund police, reallocate resources, and re-evaluate current approaches to public safety. As the first program of our kind, we are in a unique position to share our experience and knowledge with other cities that are now considering alternatives to policing. We are humbled by this and have become acutely aware of our privileged position within a system designed to oppress.At our roots, Cahoots is innovative, forward-thinking, and dedicated to serving marginalized populations. Despite this, we are not immune to the effects of systemic racism and if we are going to lead by example, we must first do the work internally. We take responsibility for our past silence, and we commit to being advocates for change. We are actively seeking out, evaluating, and eradicating the ways that white supremacy exists within our structure and we encourage other organizations to do the same.Cahoots proudly stands with Black Lives Matter. We believe it is not enough simply to disapprove of racism. Rather, we assert that individuals, organizations, communities, and the nation as a whole have a responsibility to be anti-racist. We will speak up when we see power inequities. We will amplify oppressed voices. We will continue to educate ourselves. We will not shy away from any aforementioned commitments due to potential risks. We will reflect regularly and welcome feedback as we learn to use our privilege constructively.We are appalled by the lynching of George Floyd, aware that he was not the first nor the last to die a preventable death due to the color of his skin. Police brutality is not an isolated issue. It is a symptom of the broader toxic culture of white supremacy that was woven into the fiber of this nation as we know it during its inception.Racism is a public health crisis. For the sake of health equity, we have a responsibility to dismantle systems of oppression. This will take a lot of effort and we will have to be intentional about addressing racism’s effects on the social determinants of health. We must begin this work immediately.JUNE 13, 2020LA Times looks to Northwest cities to reimagine law enforcementBy RICHARD READSEATTLE BUREAU CHIEFLos Angeles TimesJUNE 12, 2020“Across the nation, political leaders are struggling to strike a balance between righting injustices in ways that might mollify those protesting racism and brutality while at the same time maintaining public safety. Some of the more original experiments in reimagining policing are unfolding in the Pacific Northwest…teams in Eugene handled 18% of the 133,000 calls to 911 last year, requesting police backup only 150 times, said Chris Hecht, executive coordinator of White Bird Clinic, which runs the operation called Cahoots. The program, short for Crisis Assistance Helping Out on the Streets, operated on a $2-million budget last year that he said saved the Eugene-Springfield, Ore., area about $14 million in costs of ambulance transport and emergency room care.Hecht said that the teams, in place for three decades, can arrive at the scene of a homeless person experiencing a physical or mental health crisis, defuse the situation and prevent harm in ways that police officers are neither trained nor equipped to do.“The folks we’re working with often have a history of really unfortunate interactions with police, hospitals or other institutions,” Hecht said. “When a couple of people step out of one of our vans wearing jeans and hoodies, just right there we have a leg up on our colleagues in public safety.”Read more…JUNE 12, 2020Examples Of Reimagining Police Departments That Show Promise – NPR Morning EditionNPR Morning Edition took a look at effective alternatives to police response that keep people out of jails and emergency rooms. Tim Black from CAHOOTS is featured at about 7:08.JUNE 10, 2020CAHOOTS featured on All Things ConsideredNPR’s Ari Shapiro talked with crisis workers Benjamin Brubaker and Ebony Morgan at White Bird Clinic in Eugene, Ore., about their Crisis Assistance Helping Out On The Streets program as an alternative to police intervention. Read the transcript…JUNE 9, 2020The National Asks “What could defunding the police look like?”The National, a nightly news program from Canada’s public broadcaster CBC, interviewed Tim Black and Ebony Morgan from CAHOOTS about our alternative model to police intervention for crisis response.JUNE 8, 2020Cities Ask if It’s Time to Defund Police and ‘Reimagine’ Public Safety’from the New York Times, June 5, 2020“One model that members of the Minneapolis City Council cite is Cahoots, a nonprofit mobile crisis intervention program that has handled mental health calls in Eugene, OR since 1989.CAHOOTS employees responded to more than 24,000 calls for service last year — about 20 percent of the area’s 911 calls — on a budget of about $2 million, probably far less than what it would cost the Police Department to do the work, said coordinator Tim Black.“There’s a strong argument to be made from a fiscally conservative perspective,” Mr. Black said. “Public safety institutions generally have these massive budgets and there’s questions about what they are doing.”Read more…OCTOBER 23, 2019CAHOOTS Mobile Mental Health Intervention Program In The NewsWhite Bird’s CAHOOTS (Crisis Assistance Helping Out On The Streets) program continues to make headlines. CBS Evening News with Norah O’Donnell correspondent Omar Villafranca went on a ride-along with CAHOOTS to see them at work and learn why the program is being considered by cities across the country.NBC News featured the team’s approach in their feature “Taking police officers out of mental health-related 911 rescues.”Denver police officials said they are considering the model as an option to push beyond their existing co-responder program. New York City is looking to the program as “a model for non-police response to non-criminal emergencies.”Salem nonprofits are looking at the model for mobile crisis response. “CAHOOTS gets 2 percent of the police budget, but with that 2 percent they handle 17 percent of public safety calls,” said Ashley Hamilton, who’s helping spearhead the idea.Rogue Valley law enforcement, mental health professionals and advocates, elected officials and other concerned community members gathered at the Medford Police Department to hear Tim Black talk via Skype about the program in September. In November, city commissioners are expected to discuss how the program would work in Portland.The power of White Bird’s CAHOOTS program lies in its community relationships and the ability of first responders to simply ask, ‘How can I support you today?’ White Bird Clinic is proud to be a part of spreading this type of response across Oregon and the rest of the United States.Read our recent mentions in the news…tim in californiaJUNE 25, 2019Mental Health First Responders Visit OaklandWhite Bird Clinic’s CAHOOTS program is meeting with stakeholders to share an innovative model for mobile crisis intervention that would otherwise be handled by public safety or emergency medical response.OAKLAND, CA – White Bird Clinic of Eugene, OR has developed an innovative public/private partnership delivering crisis and community health first response effectively and at significant cost savings. For thirty years, CAHOOTS (Crisis Assistance Helping Out On The Streets) has been providing mobile crisis intervention 24/7, dispatched through the EMS non-emergency system. This week, members of CAHOOTS are in Oakland to meet with the Mayor, the Coalition for Police Accountability, and other community stakeholders to discuss implementing the innovative model locally.Each CAHOOTS team consists of a medic (a nurse or an EMT) with a crisis worker who has substantial training and experience in the mental health field. The team provides behavioral health first response/responders, immediate stabilization in case of urgent medical need or psychological crisis, assessment, information, referral, advocacy and, when warranted, transportation to the next step in treatment.White Bird Clinic started CAHOOTS in 1989 in partnership with the Eugene Police Department as a community policing initiative. CAHOOTS offers compassionate, effective, timely care while diverting a considerable portion of the public safety workload, freeing the police and fire departments to respond to the highest priority calls. CAHOOTS handles 17% of the Eugene Police Department’s non-emergency calls. In 2017, police officers nationally spent 21% of their time responding to or transporting people with mental illness.CAHOOTS focuses exclusively on meeting the medical and mental health needs of the community, making it both more economical and more effective than traditional models involving agencies with a larger scope of responsibility. Police officers and firefighters receive comprehensive training in a broad set of skills, making their deployment to non-emergent situations unnecessarily costly. The CAHOOTS model also ensures that health and behavior health care are integrated from the onset of intervention and treatment, adding to the efficacy and economy of the model.White Bird’s CAHOOTS program has attracted notice, from national news media as well as from communities across the country. The Wall Street Journal’s November 24th article When Mental- Health Experts, Not Police, Are the First Responders showcased CAHOOTS as an innovative model for reducing the risk of violent civilian/police encounters. Communities from California to New York have asked for strategic guidance and training so they can replicate CAHOOTS’ success.Currently, CAHOOTS is working with the following communities:Olympia, WAPortland, ORDenver, CONew York, NYIndianapolis, INRoseburg, ORIn 1969, a group of student activists and concerned practitioners came together to provide crisis services and free medical care for counter-culture youth in Eugene, OR. Having grown continuously since then, today White Bird Clinic has 10 programs, 220 staff members, and more than 400 volunteers each year. White Bird Clinic is a collective environment organized to empower people to gain control of their social, emotional, and physical well-being through direct service, education, and community.The mission of the Coalition for Police Accountability is to advocate for accountability of the Oakland Police Department to the community so that the Oakland Police Department operates with equitable, just, constitutional, transparent policies and practices that reflect the values and engender the trust of the community.MARCH 19, 2019CAHOOTS Model Featured in Street Roots Newspaper article “Rethinking our first response”Kaia Sands, Executive Director of Street Roots, a Portland newspaper that creates income opportunities for people experiencing homelessness and poverty through media that is a catalyst for individual and social change, visited White Bird Clinic’s mobile crisis support program, CAHOOTS (Crisis Assistance Helping Out On The Streets) this month.In 2019, Portland Mayor Ted Wheeler, Police Chief Danielle Outlaw and Commissioner Jo Ann Hardesty’s staff have all come to Eugene to learn about the CAHOOTS model response to non-criminal matters resulting from homelessness. Kaia joined our crisis worker and medic team for a shift and shared her story, available in PDF for download here with permission.Street Roots visit to CAHOOTS helped to inform their plan for a Portland Street Response team. This would be a non-law enforcement system of six well-marked mobile response vans teamed with a specially-trained firefighter-EMT and peer support specialist dispatched through both 911 and nonemergency channels. Street Roots explores how these issues are being responded to in Portland and Eugene and how we can build a better system. Read more (PDF)…NOVEMBER 30, 2018When Mental-Health Experts, Not Police, Are the First RespondersThe Wall Street Journal featured CAHOOTS as a model for reducing risk of violence in a November 24, 2018 article by Zusha Elinson.It is included below and as a PDF with permission from the publisher.NOVEMBER 2, 2018CAHOOTS and White Bird Clinic Recognized as “Best Program for the Homeless”We are happy to announce that we received both first and second place recognition for “Best Program for the Homeless” in Eugene Weekly‘s annual 2018 Best of Eugene. CAHOOTS took first place and White Bird Clinic took second. Read more…SEPTEMBER 24, 2018Opiate Overdose ResponseThis past weekend represented an unusually high number of heroin and other opiate overdoses in the Eugene/Springfield area, but these overdoses have been in keeping with recently observed trends. There have been two distinct patterns of heroin and other opiate related overdoses occurring with increased frequency: poly-substance OD’s and fentanyl contaminated OD’s:Poly-substance overdoses present a unique frustration to first-responders because they generally combine opiates, alcohol, and other substances often including benzodiazopenes or other prescription pharmaceuticals, which requires field stabilization and hospital treatment.Fentanyl contamination has been detected in various street drugs and counterfeit prescription medications in the Pacific Northwest, and has been particularly common locally in a strain of heroin that has been encountered by users and first responders in recent weeks.Lane Co. EMS, EPD, SPD, and CAHOOTS all carry the opiate overdose reversing medication Naloxone, commonly referred to by its trade name, Narcan. Naloxone is administered to treat overdose patients presenting with respiratory distress caused by the overdose, the medication enters the respiratory center of the brain stem and flushes neural synapses by out-competing the opiates present in the blood stream to to temporarily reverse respiratory inhibition; for patients whose breathing has ceased Naloxone is frequently administered along with CPR.CAHOOTS, specifically, has not experienced a significant increase in overdose responses, largely because the increased public awareness of the opiate crisis has increased the aggressiveness of EMS and law enforcement responses to these emergencies. White Bird’s main clinic staff including the Crisis Team and Front Rooms/Reception staff have, on the other hand, reported a significant increase in interventions this year, with three incidents of Naloxone and CPR administration in the past 2 months. White Bird has begun the process of standardizing Naloxone training for all staff in addition to First Aid and CPR requirements.Locally, the increased frequency of opiate overdoses has not been accompanied by a proportionate increase in overdose deaths. Increased public awareness has led to increased public involvement, with bystander-administered Naloxone and CPR saving brain tissue and lives prior to professional responders arriving on scene, and with increased awareness of Oregon’s Good Samaritan Law amongst drug users reducing the fear and stigma associated with calling 911 to seek assistance in an emergency.The lives saved have demonstrated the benefits of harm reduction policies:Public health education and outreach efforts increase awareness of the situation, increasing the likelihood of an overdose being recognized and treated.Good Samaritan Laws provide bystanders who interact with law enforcement temporary respite from prosecution, decreasing the likelihood of an overdose patient being abandoned.Broad availability of Naloxone—it is available over-the-counter at most pharmacies free of charge for individuals covered by private insurance or OHP and is also available free of charge along with training through HIV Alliance—increases the likelihood of the medication being available in the event of an emergency.Bystander education including CPR training for community groups and Naloxone administration training for users, their peers, families, and those who work with them facilitates rapid overdose intervention.Aggressive EMS and police responses to overdoses due to their increased public profile decreases the likelihood of overdose patients fleeing the scene of their resuscitation, only to cease breathing again due to lack of follow-up care.The Eugene HIV Alliance, through their syringe exchange program, has made the injectable form of Narcan available. It also provides training to individuals and groups on how to administer it.The syringe exchange is held five days a week at different locations, and the service is free.SEPTEMBER 19, 2018Eugene Out of the Darkness Community WalkWhen you walk in the Out of the Darkness Walks, you join the effort with hundreds of thousands of people to raise awareness and funds that allow the American Foundation for Suicide Prevention (AFSP) to invest in new research, create educational programs, advocate for public policy, and support survivors of suicide loss.CAHOOTS will be tabling and answering questions about what services we provide and how to access them. We will also be facilitating a safe space for anyone struggling with emotions in reference to the event.Event DetailsWalk Date: 09/30/2018Walk Location: Alton Baker Park – Eugene, ORCheck-in/Registration Time: 09/30/2018 at 10:00 amWalk Begins: 11:00 amWalk Ends: 1:00 pmFor more information, please contact:Contact Name: Sara ScofieldContact Phone: 541-513-5937Contact Email: [email protected] registration closes at noon (local time) the Friday before the walk. However, anyone who would like to participate can register in person at the walk from the time check-in begins until the walk starts. Registration is free and open to the public. Walk donations are accepted until December 31st.MAY 24, 2018CAHOOTS Receives EPD 2018 Partnership AwardCongratulations to CAHOOTS medic and crisis workers Rose Fenwick and Kimber Hawes, who were honored at a ceremony yesterday by the Eugene Police Department with the 2018 Partnership Award! Thank you for your care and compassion in serving our community.APRIL 11, 2018CAHOOTS Receives 2018 Excellence in Public Health AwardOn April 10th, CAHOOTS was selected by the Lane County Board of Commissioners as a recipient of the 2018 Excellence in Public Health Award. The award was presented during the Commissioners’ meeting to recognize the CAHOOTS team’s work in the field as behavioral health first responders, as well as their efforts in outreach, training, education, and support for individuals and groups throughout the area.FEBRUARY 5, 2018White Bird Crisis Response at Academy of Arts and Academics in SpringfieldFollowing recent events at the Academy of Arts and Academics in Springfield, counselors from CAHOOTS and White Bird Clinic’s Crisis office responded to the school to provide grief and loss counseling to students, staff, and their families. An extension of the weekly Mobile Mental Health Resource Clinic already staffed by members of the CAHOOTS team, these counselors facilitated both individual and group counseling and will continue to work with A3 and the Springfield School District to support everyone affected by this tragedy.CAHOOTS mobile crisis counseling services are available in Springfield 24 hours a day, 7 days a week, and can be requested via Springfield Police non-emergency dispatch at (541)726-3714.Additional crisis support is also available 24/7 by phone at (541)687-4000, or walk-in at White Bird’s Crisis clinic, 341 E. 12th Ave in Eugene.JANUARY 5, 2018Helping People in Crisis: Register-Guard EditoralThe CAHOOTS (Crisis Assistance Helping Out On The Streets) program began in Eugene in 1989 as a collaboration between the city of Eugene and White Bird Clinic.CAHOOTS started small: one van equipped with medical supplies and trained personnel, operating part-time in Eugene. Its mission was simple: to offer help to individuals and families, housed and unhoused, in crisis.The idea was that it would be better — and cheaper — to have people trained and experienced in counseling and medical care to respond to these calls, which had been going to police and fire departments.The wisdom of that decision has been amply borne out since then by CAHOOTS’ exponential growth over the last three decades and the place it has made for itself in the Eugene-Springfield community.It has more than tripled its local presence with two vans in Eugene and one in Springfield, and gone from part-time patrols to 24-7 service.The two-person teams that staff each van respond to an average of about 15 to 16 calls in a 12-hour shift in Eugene, although it can be as many as 25 calls per shift — slightly less in Springfield, CAHOOTS­ employee Brenton Gicker says, which works out to tens of thousands of calls per year.Gicker is a registered nurse and emergency medical technician; his partner on a recent night, Maddy Slayden, is a paramedic.They and their co-workers are a welcome presence on the streets of Eugene-Springfield, greeted with warmth by police officers, with relief by business owners who prefer the option of calling CAHOOTS to calling police, and with respect by the people they help.CAHOOTS is a significant part of the network of organizations and agencies that provide help to the growing number of people who are homeless locally — about half of CAHOOTS’ calls are to help someone who is homeless, ranging in age from children to seniors.The CAHOOTS teams have earned respect in the homeless community not just for the help they provide — from distributing socks and bottles of water to emergency medical care and help accessing resources such as medical treatment and emergency shelter — but by the way they do it.The CAHOOTS employees offer dignity and courtesy, which are often in short supply for people who are homeless.A typical shift — if there were such a thing — for a CAHOOTS team might include responding to a call about a homeless person disrupting a business; working with a family in crisis; helping someone who is suffering from substance abuse, mental illness or developmental disabilities access services and find safe shelter for the night; treating injuries; picking up people who are being discharged from a hospital or clinic with no place to go and taking them to a safe place where they can get help; and responding to a call from a landlord worried about the welfare of a tenant.They are trained to address issues such as mental illness or substance abuse and skilled in coaxing people to agree to get the help they need.Many of their calls involve driving people who are suffering from mental illness or substance abuse to an emergencyroom or, if their problem doesn’t merit medical care, to a safe place to spend the night.Despite more than tripling the size of CAHOOTS in the past few years, the need for its services continues to grow faster than CAHOOTS’­ resources.“I’m frustrated because we can’t be everywhere at once,” Gicker says. “There’s always things we’d like to be involved in, sometimes we don’t have the resources we need, or access to information. I feel like we’re often only scratching the surface.”CAHOOTS is a uniquely local response to local needs — people familiar with the program say they don’t know of anything quite like it elsewhere.Its growth in recent years has shown the need for its service; the response within the community, its ability to meet them given the resources.It’s time to start thinking about expanding a program that has been successful and that serves a need that continues to grow.Ideally, adding another van would be a step toward meeting this growing need, as well as allowing expansion of service to areas such as Santa Clara and Goshen that have few resources. It also would allow CAHOOTS staff to respond more quickly to calls seeking help, reach more people who are in need of help, and spend more time working to connect people with the resources they need.It’s hard to put a dollar value on what CAHOOTS does — how do you determine, for example, how many people didn’t die on the streets because of CAHOOTS? How many people who were able to get help that allowed them to stabilize their lives, or medical care that relieved suffering? How do you quantify exactly how much taxpayer money was saved by using CAHOOTS instead of police or firefighters, or the value to businesses of knowing they can call CAHOOTS for help?But the role the CAHOOTS teams play in Lane County is a critical one, and likely to become even more critical in the coming years.This editorial is part of a Register-Guard series focusing on productive responses to homelessness reposted with permission from http://registerguard.com/rg/opinion/36272835-78/helping-people-in-crisis.html.cspSearchContact UsAdministrative Offices341 E 12th AveEugene, OR 97401(541) [email protected]/7 Crisis Line: 541-687-4000Recent UpdatesOctober Free Vaccine ClinicsOct 15th, 2020Fundraising for White Bird!Oct 6th, 2020New program matches homeowners who have space to share with displaced rentersOct 2nd, 2020Voting When Houseless or Concerned for Personal SafetyOct 1st, 20204 Things to Do Before You DieSep 30th, 2020What is CAHOOTS?Sep 29th, 2020Special Open Enrollment for Health InsuranceSep 25th, 2020CSS’s Neighborhood Hygiene StationSep 23rd, 2020Hearts for Hospice logoWhite Bird End of Life CounselingSep 13th, 2020Crisis Lines for SupportSep 11th, 2020COVID-19Updates from Lane CountyGO TO LANE COUNTY UPDATE PAGEMedical is Accepting New PatientsWe take OHP!Notice of Privacy PracticesEnglishSpanishWeb Site PolicySelect LanguagePowered by Google TranslateTranslateFollow UsFacebookTwitterInstagramLinkedInYouTubeRSS - PostsRSS - CommentsLooking for CAHOOTS?To access CAHOOTS services for mobile crisis intervention, call police non-emergency numbers 541-726-3714 (Springfield) and 541-682-5111 (Eugene).To access our 24/7 Crisis Services Line, call 541-687-4000 or toll-free 1-800-422-7558.© COPYRIGHT WHITE BIRD CLINICWHITE BIRD CLINIC ABOUT CONTACT DONATE GET HELP JOBS SERVICES:)