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CARE unit reports major outreach gains after transition to Terros EMTs; council discusses expansion, burnout and data needs

Flagstaff City Council · January 7, 2026
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Summary

After transitioning from fire EMTs to Terros EMTs in July 2025, the CARE unit reported a large increase in outreach (463 outreach events in 2025 vs. 210 in 2024, not including December) and steady call volumes. Council discussed potential expansion, staff burnout concerns and the need for data to inform services and possible facility options.

Seth Greger (Fire/EMS) and Terros representatives presented a six‑month update on the CARE unit after the July 2025 transition from fire EMTs to Terros EMTs. Key metrics cited by Terros: a significant increase in outreach (from 210 outreach events and ~747 clients in the comparable 2024 period to 463 outreach events and ~2,499 clients in 2025, not including December), and steady call volume (880 calls July–December 2025 versus 936 calls July–December 2024, with December data incomplete).

Terros described outreach activities including wound care, first‑aid kits, food and hydration distribution and engagement that built trust and encouraged clients to accept higher‑level care when needed. The presenters said medical upgrades (transports to hospital) increased slightly but that calls requiring police involvement did not increase; the team emphasized de‑escalation and keeping police involvement low.

Council asked about staff morale and burnout following the operational transition. Terros supervisors reported weekly clinical check‑ins, an employee assistance program and ad‑hoc shift adjustments to avoid overwork. Council members expressed strong support for the program and interest in possible expansion (additional units or hours) and in infrastructure options for housing or staging teams. Staff said procurement and contract terms will be revisited ahead of an October 2026 renewal window.

Outcome: Council received the six‑month update, encouraged continued monitoring and data collection, and asked staff to include expansion and infrastructure considerations in future contract planning.