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9-1-1 Medical Care Dental Care Mental Health Care MEDICAL Emergency Services in Salt Lake City

Emergency Services in Salt Lake City

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Page 1: Emergency Services in Salt Lake City

9-1-1 Medical Care Dental Care Mental Health

Care

M E D I C A LEmergency Services in Salt Lake City

Page 2: Emergency Services in Salt Lake City

2-1-1 Daytime shelter Short term

shelter Long term shelter

S H E LT E REmergency Services in Salt Lake City

Page 3: Emergency Services in Salt Lake City

Clothing Personal care Re-employment

help Technology Documentation

E V E R Y D AYEmergency Services in Salt Lake City

Page 4: Emergency Services in Salt Lake City

Pantries Meals

F O O DEmergency Services in Salt Lake City

Page 5: Emergency Services in Salt Lake City

Background Assessment A Guide to Services Neighborhood

Suitability Conceptual Designs

Emergency Space Design in Salt Lake CityA G U I D E F O R P E O P L E A N D A P R O P O S A L F O R P O L I C Y

Page 6: Emergency Services in Salt Lake City

Highest concentrations of 9-1-1 emergencies at downtown shelter vicinity and at the Airport

BackgroundE M E R G E N C Y D E M O G R A P H Y

SPATIAL MODEL

Remove cluster outliers

…then interpolate surface

Highest Z-Score with Lowest P-Value used for reliable moving window size

MORANS I

Page 7: Emergency Services in Salt Lake City

Women outnumber men at most locations.

BackgroundE M E R G E N C Y D E M O G R A P H Y

Page 8: Emergency Services in Salt Lake City

Women outnumber men at most locations.

BackgroundE M E R G E N C Y D E M O G R A P H Y

Page 9: Emergency Services in Salt Lake City

Patient age group 31 – 55 has the highest frequency of 9-1-1 emergencies overall.

BackgroundE M E R G E N C Y D E M O G R A P H Y

Page 10: Emergency Services in Salt Lake City

CHRONIC HOMELESSNESS“an unaccompanied individual with a disabling condition who has either been continuously homeless for a year or more, or has had at least four episodes of homelessness in

the past three years.” —HUD

BackgroundH O M E L E S S D E M O G R A P H Y

UTAH: 0.11% % of SLCo. Population: 1.05%

Sheltered Unsheltered Chronic

Utah 3052 475 331

Salt Lake Co. 2273 190 241

Page 11: Emergency Services in Salt Lake City

Assessment

Housing ladder: Do-it-yourself Upgrading to formality under informality is abrupt without aid.

I N F O R M A L I T Y-T O - F O R M A L I T Y R E - H O U S I N G

Page 12: Emergency Services in Salt Lake City

Assessment

Housing ladder: Get clean first Completion of substance abuse treatment required before re-

housing

L I N E A R R E S I D E N T I A L T R E AT M E N T R E -H O U S I N G

Page 13: Emergency Services in Salt Lake City

Assessment

Extending the housing ladder directly to clients No requirement beyond that inherent to apartment lease

agreement No treatment prerequisite CHSH uses outreach to clients skeptical of assistance

H O U S I N G F I R S T R E - H O U S I N G

Page 14: Emergency Services in Salt Lake City

Assessment

Emergency / disaster shelter Conditions of non-permanent shelter

E M E R G E N C Y H O U S I N G

Page 15: Emergency Services in Salt Lake City

Emergency HousingD W E L L M A R T

Flat-Pack Emergency Housing Planning Post-Disaster community assembly and assessment Big-Box Outlet community contribution through storage under distribution

capability Accessory Dwelling conversion

Illustrations by Roberto Castillo

Page 16: Emergency Services in Salt Lake City

The GuideI D E N T I F I C AT I O N

Page 17: Emergency Services in Salt Lake City

The GuideI D E N T I F I C AT I O N

Page 18: Emergency Services in Salt Lake City

The GuideI D E N T I F I C AT I O N

Page 19: Emergency Services in Salt Lake City

The GuideI D E N T I F I C AT I O N

Page 20: Emergency Services in Salt Lake City

The GuideI D E N T I F I C AT I O N

Page 21: Emergency Services in Salt Lake City

The GuideI D E N T I F I C AT I O N

Page 22: Emergency Services in Salt Lake City

What’s your emergency?

9-1-1 Medical Care Dental Care Mental Health Care

2-1-1 Daytime shelter Short term shelter Long term shelter

Clothing Personal care Re-employment

help Technology Documentation

Pantries Meals

M E D I C A L S H E LT E R F O O DE V E R Y D AY

Page 23: Emergency Services in Salt Lake City

Intra-city travel Inter-city travel Clothing Personal care Re-employment

help Documentation

E V E R Y D AYM E D I C A L S H E LT E R F O O D

Services are available throughout the city to help you with some of your daily travel needs while you look for employment, housing, and government assistance. Choose a category from the list to begin the guidance process.

Re-employment help

Page 24: Emergency Services in Salt Lake City

Looking for employment while living under emergency conditions is a hardship. This guide is intended to help people navigate pathways toward re-employment.

CHECKLIST Job search Identification Computer access Telephone access

Intra-city travel Inter-city travel Clothing Personal care Re-employment

help Documentation

E V E R Y D AYM E D I C A L S H E LT E R F O O D

Re-employment help

Page 25: Emergency Services in Salt Lake City

Identification Do you have a Birth Certificate?

Y N

U TA H I DD R I V E R ’ S L I C E N S ES O C I A L S E C U R I T Y C A R DB I RT H C E RT I F I C AT E

F O O D M E D I C A L S H E LT E R

Page 26: Emergency Services in Salt Lake City

Identification Do you have a Birth Certificate?

Do you have a Social Security Card?Y N

U TA H I DD R I V E R ’ S L I C E N S ES O C I A L S E C U R I T Y C A R DB I RT H C E RT I F I C AT E

F O O D M E D I C A L S H E LT E R

Page 27: Emergency Services in Salt Lake City

Identification Do you have a Birth Certificate?

U TA H I DD R I V E R ’ S L I C E N S ES O C I A L S E C U R I T Y C A R DB I RT H C E RT I F I C AT E

Do you have proof of address?

Y N

Do you have a Social Security Card?

F O O D M E D I C A L S H E LT E R

Page 28: Emergency Services in Salt Lake City

Identification Do you have a Birth Certificate?

U TA H I DD R I V E R ’ S L I C E N S ES O C I A L S E C U R I T Y C A R DB I RT H C E RT I F I C AT E

Do you have proof of address?

Do you have a Social Security Card?

Are you homeless?

Y N

F O O D M E D I C A L S H E LT E R

Page 29: Emergency Services in Salt Lake City

Identification Do you have a Birth Certificate?

U TA H I DD R I V E R ’ S L I C E N S ES O C I A L S E C U R I T Y C A R DB I RT H C E RT I F I C AT E

Do you have a Social Security Card?

Are you homeless?

Have you overnighted in a SLC shelter?Y N

Do you have proof of address?

F O O D M E D I C A L S H E LT E R

Page 30: Emergency Services in Salt Lake City

Downtown Midvale

Identification Do you have a Birth Certificate?

U TA H I DD R I V E R ’ S L I C E N S ES O C I A L S E C U R I T Y C A R DB I RT H C E RT I F I C AT E

Do you have a Social Security Card?

Are you homeless?

Do you have proof of address?

Have you overnighted in a SLC shelter?

F O O D M E D I C A L S H E LT E R

Page 31: Emergency Services in Salt Lake City

The Road Home210 S Rio Grande

(801) 526-0950

You must overnight at a shelter for 14 consecutive days in order to receive mail at emergency services.

DowntownMidvale Overflow

v

F O O D M E D I C A L S H E LT E R E V E R Y D AY

Page 32: Emergency Services in Salt Lake City

Environmental DesignS I G N A G E A N D W AY- F I N D I N G

A sign for adaptable public communication of service availabilityCan be hung at service provider entrancesCategories: Medical Travel

Shelter Food

Accompanying maps?

Page 33: Emergency Services in Salt Lake City

Assessment for Expanded Emergency Service AvailabilityN E I G H B O R H O O D S U I TA B I L I T Y

Availability / Accessibility to existing services Accessibility to existing shelters Low-income-weighted transit accessibility (Leo) Community Garden Suitability Study (Hamidi/Hajrasouliha) Neighborhood Attitudes toward homelessness (In progress) Qualitative (interviews)

Page 34: Emergency Services in Salt Lake City

AssessmentL I V I N G C E N T E R S U I TA B I L I T Y

Free-Fare-Weighted Transit

Food Accessibility

Land Value

Existing Services

SUITABILITY MODEL: Raster Addition

Pending: Mental Health Emergency Raster

Existing Shelters

H E A LT H O U T R E A C H S U I TA B I L I T Y

vHajrasouliha / Hamidi

Leo

Page 35: Emergency Services in Salt Lake City

Assessment

Service Inventory

Service Inventory

ATHQ

Verify existing services and hours of operation

Incorporate neighborhood attitudes into site suitability

ATHQ

Service Inventory to verify hours of operation and available services at locations

Georeferenced attitudes for neighborhood suitability

Commence-ment upon 100 + responses

Page 36: Emergency Services in Salt Lake City

Urban Design W A L K B I K E F O O DI N D I R E C T D E S I G N

Page 37: Emergency Services in Salt Lake City

Urban Design W A L K B I K E F O O DI N D I R E C T D E S I G N

Page 38: Emergency Services in Salt Lake City

AT T R I B U T I O NIcons: somerandomdude.com/work/iconic/

Google Maps

Community Gardens at Homeless Shelters:Bushman, Tracey et al., ‘Living Center Site Suitability; A Multi-Stage Analysis for Salt Lake City’, University of Utah, Spatial Modeling in GIS (GEOG 5160).

Datasets:Bushman, Tracey et al., ‘Salt Lake City Homeless Accommodation’ (Version 1) http://bit.ly/RDd1y5 Locations Hours of Operation Types of servicesUS Census Bureau http://factfinder2.census.gov2010 Census Block Group total population (SF1 100% Data, Table P1)2000 Census Block Group total population (SF1 100% Data, Table P001)Geo Community (http://data.geocomm.com/)Digital Elevation Models (DEM) of Salt Lake County quadranglesAGRC gis.utah.gov: Cadastre (parcel) shapefile, Boundary shapefiles – Salt Lake City Municipality, Demographic: Census Block Group Geographies 2000 & 2010, Streets shapefile, Soil types shapefile, Real Estate InformationSalt Lake County Assessor. ASSESSOR Data, Salt Lake City, 2011RCLCO (data available from the Metropolitan Research Center at the U of Utah): Business location and categories

Page 39: Emergency Services in Salt Lake City

AT T R I B U T I O NChronic Homelessness:Kertesz, Stefan G. MD, MSc and Weiner, Saul J. MD, ‘Housing the Chronically Homeless High Hopes, Complex Realities’: Journal of the American Medical Association, May 6, 2009—Vol 301, No. 17.

Available Services: Salt Lake Area Homeless Resource List: www.211ut.org Salt Lake Area General Resource List: www.211ut.org YWCA of Salt Lake City; Residential Self-Sufficiency Transitional Housing Program. Application Instructions.

Emergency Medical Incidents:Bushman, Tracey et al.; Intern supervisor Shepherd, Tyler, ‘Spatial Representation of Salt Lake City Fire Department EMS Incidents, Updated 07/29/2013.

Housing First model:Tsemberis, Sam, Housing First: Ending Homelessness, Promoting Recovery, and Reducing Costs: How to House the Homeless, Russell Sage Foundation, 2010.

Homeless PreventionUtah Department of Workforce Services

Attitude Measurement:Oppenheim, A.M., Questionnaire Design, Interviewing and Attitude Measurement. Norfolk, Biddles Ltd, King’s Lynn, 1992.

Page 40: Emergency Services in Salt Lake City

AT T R I B U T I O NOrdinances:UTA: Wilkinson, Terry Lee et al., Plaintiffs; The State of Utah, et al., Defendants; Memorandum Decision and Order on Pending Motions. District of Utah, United States District CourtCase No. 2:10-CV-523 TS. Decision upholding the right to panhandle

Attitudes Toward Homelessness:Link, Bruce G. et. al, ‘Public knowledge, attitudes, and beliefs about homeless people: Evidence for compassion fatigue?’: American Journal of Community Psychology, August 1995, Volume 23, Issue 4, pp 533-555.

Phelan, Jo et. al, ‘The Stigma of Homelessness: The Impact of the Label "Homeless" on Attitudes Toward Poor Persons’: Social Psychology Quarterly, Vol. 60, No. 4 (Dec., 1997), pp. 323-337.

Lester, H.E. and Pattison, H.M., ‘Development and validation of the Attitudes Towards the Homeless Questionnaire’: Medical Education 2000;34:266±268.

Thelus, Cleopatre M. and Leverty, Dr. Lynn H., ‘How the Perceptions that Downtown Gainesville Businesses have Toward the Homeless Community can Result in the Implementation of Adverse Social Policy’, University of Florida.

Protectionism and Travel:Yun Chen, Wei Tang, ‘The Analysis and the Solving of Local Protectionism in Passenger Transportation between Adjacent Cities Based on Game Theory’: College of Traffic and Transportation, Changsha University of Science & Technology, Changsha, P.R.China, 410076.