The Joint Hearing of the Assembly Emergency Management and the Joint Legislative Committee on Emergency Management convened on May 16, 2023, to address pressing issues surrounding homelessness and emergency response systems in California. The meeting focused on the intersection of emergency services and homelessness, particularly how 911 calls are managed and the potential for alternative responses.

The discussion began with an examination of the challenges faced by individuals experiencing homelessness when they interact with emergency services. It was noted that many 911 calls involve basic hygiene needs, such as requests for clean clothes or showers. Emergency responders often transport these individuals to emergency rooms, where they receive temporary assistance, including meals and clothing, but ultimately return to the streets without long-term solutions.

A representative from the Mobile Integrated Health Unit shared that approximately 25% of their calls could be addressed on-site without the need for hospital transport. This unit operates with one vehicle and four community paramedics, providing immediate care such as emergency showers and clothing changes. Over the past year, they have responded to around 200 calls, operating at half capacity.

The conversation highlighted the importance of case management in addressing the root causes of frequent 911 calls. It was revealed that about 80% of individuals entering emergency departments for behavioral health crises do not require higher levels of care, suggesting that many could be diverted to community resources. The committee emphasized the need for a connected system that integrates emergency management with community support services.

Several participants raised concerns about the long-term solutions for homelessness, noting that while immediate assistance is vital, it does not resolve the underlying issues. The need for building trust and relationships with individuals experiencing homelessness was underscored, as many have faced trauma and broken promises in the past.

The meeting also explored successful models of intervention, such as a pilot program in Santa Clara County where unmarked vehicles staffed by social workers and officers responded to crises. This approach reportedly fostered trust and reduced the need for emergency room visits.

In conclusion, the committee acknowledged the complexity of homelessness and the necessity for a comprehensive approach that includes not only immediate care but also long-term housing solutions. The discussions underscored the critical need for collaboration between emergency services and community resources to effectively address the challenges faced by individuals experiencing homelessness in California. The committee plans to continue exploring these issues and developing strategies to improve the response system.