Mobile Integrated Health-Community Paramedicine (MIH-CP)
The City of Santa Fe Fire Department (SFFD) is committed to assuring that our community has a robust public safety system which protects life safety through emergency response and prevention.
Although a call to 911 used to mean lights, sirens and a transport to the emergency room, progressive providers of emergency medical services (EMS) throughout the United States are exploring emerging opportunities to assure that the 911 system helps to:
- Improve the health of the community and individuals;
- Achieves higher customer and provider satisfaction; and
- Reduces overall system costs.
As the volume of 911 calls has grown over the past few decades and the types of complaints handled through the 911 system have changed, it has become apparent that simply scaling existing models cannot meet today’s public safety needs.
Forward-thinking providers of EMS are reimagining their roles in public health, public safety and healthcare. Opportunities are being explored in the following areas:
- Public outreach efforts (example: outreach to school-aged children about how to stay safe and healthy);
- Improved 911 center operations (example: embedded nurses providing a higher level of triage at the 911 call center);
- Innovative response teams (example: special teams and training to address behavioral health crises, non-time sensitive medical complaints, etc.);
- Innovative response models (examples: lighter, more efficient vehicles, non-emergency response to non-time sensitive complaints);
- Improved triage capability on 911 calls (example: paramedics teaming up with doctors to triage patients via telemedicine and navigation to appropriate resources);
- Follow-up care (examples: follow-up for seniors who have fallen, follow-up to overdose survivors, post-discharge follow-up, etc.)
Currently, SFFD operates an Opiate Outreach program through its Mobile Integrated Health Office (MIHO). MIHO is staffed by a Battalion Chief, a MIH Paramedic, an EMS Captain, an independently-licensed Social Worker, four (4) Case Managers and an Administrative Assistant.
SFFD's Opiate Outreach program follows up with opiate overdose survivors and those at risk for an opiate overdose to offer overdose prevention, recognition and response training, harm reduction training and services, naloxone distribution and case management and navigation to recovery, support and treatment services.
In November 2019, SFFD joined with system partners including the Drug Policy Alliance, the Santa Fe Police Department (SFPD), the First Judicial District Attorney’s office, the Law Office of the Public Defender and Municipal Court to provide case management for the THRIVE program. THRIVE is a law enforcement assisted diversion program which uses protocols to divert individuals to a community-based, harm-reduction intervention for law violations (low-level & non-violent crime) driven by unmet behavioral health needs. In lieu of the normal criminal justice system cycle (booking, detention, prosecution, conviction, incarceration) individuals are instead referred into a trauma-informed intensive case-management program where they recieve a wide range of support services.
For more information, please contact the Mobile Integrated Health Office at (505) 955-3114.