Your house is on fire; the fire department responds. You are sick; EMS gets dispatched. Shots are fired, and law enforcement comes. But who responds when the call is about mental illness, addiction, or suicidal thoughts?
The Fifth Branch is a special series by Tradeoffs and The Marshall Project, exploring how one community in Durham, NC, is transforming crisis response. Over three episodes, meet the people reimagining safety and support. Follow their journey to launch this program, ensure its effectiveness, and navigate the challenges of defining its scope.
Episodes drop July 18, July 25 and August 1, 2024.
Love The Fifth Branch? Subscribe to Tradeoffs for weekly insights into the complex world of healthcare. Subscribe at tradeoffs.org/subscribe.
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Your house is on fire; the fire department responds. You are sick; EMS gets dispatched. Shots are fired, and law enforcement comes. But who responds when the call is about mental illness, addiction, or suicidal thoughts?
The Fifth Branch is a special series by Tradeoffs and The Marshall Project, exploring how one community in Durham, NC, is transforming crisis response. Over three episodes, meet the people reimagining safety and support. Follow their journey to launch this program, ensure its effectiveness, and navigate the challenges of defining its scope.
Episodes drop July 18, July 25 and August 1, 2024.
Love The Fifth Branch? Subscribe to Tradeoffs for weekly insights into the complex world of healthcare. Subscribe at tradeoffs.org/subscribe.
Hosted on Acast. See acast.com/privacy for more information.

How do you convince police officers that it makes sense to send unarmed mental health workers to some 911 calls?
Guests:
Patrice Andrews, Police Chief, Durham Police Department
Ryan Smith, Director, Durham Department of Community Safety
Sgt. Dan Leeder, Durham Police Department
Abena Bediako, Clinical Manager, Durham Department of Community Safety
Christie Thompson, Staff Writer, The Marshall Project
EMS, Fire, Police and the 911 Call Center make up the existing four branches of the public safety system. A special series from Tradeoffs and The Marshall Project explores how a city radically changes its response to people in crisis, by creating a fifth branch.
Nearly half of the country’s 50 largest cities - including San Francisco, New York, Houston, Chicago - have launched programs to send unarmed responders to 911 calls historically handled by cops. In the process creating a new generation of first responders made up of clinicians, EMTs and unarmed mental health workers all responding to people who struggle with addiction, homelessness and mental illness.
To understand this work we head to Durham, North Carolina, which has - in the face of skepticism and downright opposition - built one of the most comprehensive programs in the country.
How did Durham pull off what so many cities have struggled to do? Tradeoffs and The Marshall Project examine this groundbreaking work and the challenges it’s facing, both in Durham and around the country.
Learn more on our website.
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