Doctor Hotspot

The Healing Hurt People program, or HHP, is an ER-based violence intervention program that works on the public health-based notion that violence - like other diseases that spread - can be prevented. It targets services to those at highest risk, patients like those in Philadelphia, who are being treated for violent injuries in the city's emergency rooms. Unlike other programs, it recognizes and attempts to heal the underlying emotional trauma that results from, and often predates, violent injury.

In West Valley City, Utah, the police department has transformed how they handle sex crimes. Department reforms include mandatory training on trauma, required testing of all rape kits, and the development of a set of guidelines to use when questioning victims – all of which shifting their focus towards justice and healing. The reforms have led to sharp increases in cases prosecuted and convicted and even changes in legislation statewide.

Victims of violence that end up in the emergency room can return within two years with more injuries because of retaliation efforts. Philadelphia’s Healing Hurt People is a hospital-based violence intervention program that assists individuals who need medical care and mental health services. The hospital and social work collaboration helps reduce emergency room costs.

Over 50 percent of Wisconsin counties lack mental health professionals to serve the populations, and the shortage directly affects children’s mental health. The Institute for Healthcare Improvement has submitted funds to a clinic in Ashwaubenon to integrate mental health counselors into primary care work. The effort is nationwide and has shown to be effective in identifying early signs of anxiety and depression beyond patients’ awareness so that counseling is accessible and treatment can be administered.

Residents who use a disproportionate amount of health care, or super utilizers, are a high cost for the system. A hospital in Baltimore is following the example of other hospitals and focusing on the underlying problems of super utilizers to reduce emergencies and save costs.

More than five million Americans have Alzheimer’s or similar illnesses, and that number is growing as the population ages - without any immediate prospect of a cure, advocacy groups have begun promoting ways to offer people with dementia a comfortable decline instead of imposing on them a medical model of care, which seeks to defer death through escalating interventions. An Arizona nursing home offers new ways to care for people with dementia.

Dental offices like Asian Health Services are starting to incorporate mental health care in their dental services. By observing changes in oral health, building trust with patients to talk about their mental health and having them fill out questionnaires about how they’ve been feeling, dentists are able to identify patients that may be struggling and then help connect them with therapy and treatment. Asian Health Services screens 300 to 400 patients per year, about 7% of which are then referred to counseling.

To aid in postpartum hemorrhage care, the Kisumu Medical and Education Trust distributes uterine balloon tamponade kits that can be used to stop excessive bleeding and prevent death after other measures have failed. The kits have been provided to more than 1,300 healthcare facilities in 23 countries and over 6,000 healthcare workers have been trained to use them.

Carter Kits are provided to trained first responders, and contain sensory items, like noise-canceling headphones and weighted blankets, that help distract children with Autism Spectrum Disorder from the stress of being involved in an emergency situation. There are currently 6,000 Carter Kits in circulation across 34 states and one Canadian province.

As appointments with general practitioners (GP) are often short and hard to get, community link workers have the time and resources necessary to support those in need of care for non-medical issues, like energy management, mood stabilizing and mental health concerns. Appointments with link workers can last up to an hour, versus the average 10 minutes with a GP, and provide comprehensive care that can be followed up on by a GP if any clinical attention is needed.