{"id":1614,"date":"2022-06-08T09:27:43","date_gmt":"2022-06-08T19:27:43","guid":{"rendered":"https:\/\/hawaii.carpentermediagroup.com\/midweekhawaii\/?p=1614"},"modified":"2022-06-08T09:48:43","modified_gmt":"2022-06-08T19:48:43","slug":"core-values","status":"publish","type":"post","link":"https:\/\/hawaii.carpentermediagroup.com\/midweekhawaii\/core-values\/","title":{"rendered":"Core Values"},"content":{"rendered":"
\"\"

Members of the CORE team is available to serve O\u2018ahu communities seven days a week.<\/p><\/div>\n

At the heart of Honolulu Emergency Services Department\u2019s newest program is a hardworking team looking out for and taking care of the city\u2019s houseless population, with director Dr. James Ireland leading the way.<\/strong><\/em><\/p>\n

Tonight, there are nearly 4,000 people on O\u2018ahu who don\u2019t have a bed to sleep in. They don\u2019t know when their next bite of food or sip of water will be, nor do they have access to medical care or transportation to get from A to B.<\/p>\n

It\u2019s no secret that homelessness is prevalent on Honolulu\u2019s streets. But here to do something about it is a small but mighty team of 30 individuals, who \u2014 with dignity, respect and compassion \u2014 are putting in the groundwork to get O\u2018ahu\u2019s homeless taken care of, one person at a time.<\/p>\n

\"\"

EMT Julianne Fajotina reviews charts in the CORE office in Chinatown.
<\/p><\/div>\n

Last year, a task force featuring officials from the Mayor\u2019s Office of Housing and Homelessness, the nonprofit sector, Honolulu Police Department, Honolulu Emergency Services Department as well as homeless individuals, among others, met for six weeks. The group had one goal and one goal only:<\/p>\n

Find ways in which the city can better serve the island\u2019s houseless population.<\/p>\n

What came out of those discussions was CORE (Crisis, Outreach, Response and Engagement), a mostly federally funded program within the city\u2019s Emergency Services Department.<\/p>\n

\"\"

CORE EMTs and staff work with an injured person.<\/p><\/div>\n

Composed of emergency medical technicians, community health personnel, social workers and supervisors, CORE takes to the streets seven days a week, and just like its acronym suggests, the team frequents heavily populated areas \u2014 like Chinatown, Downtown Honolulu and Waik\u012bk\u012b \u2014 to not only meet the immediate needs of houseless individuals, such as treating wounds and changing bandages, but also get to know them on a first-name basis and listen to what other ways it can help.<\/p>\n

One of the many reasons why CORE was established was to provide relief for Honolulu\u2019s EMS and police departments, which have become inundated in the last few years. Dr. James Ireland \u2014 the director of Honolulu Emergency Services Department who served in the U.S.Army Reserves as a combat medic and later for the city as an EMT \u2014 recalls his time in the back of an ambulance. Around 30 years ago, he says, people would generally only dial 911 for critical emergencies like a heart attack or stroke, but in the time since, there\u2019s been a culture shift. Today, 911 dispatchers have never been busier.<\/p>\n

\u201cPeople still need care, but they don\u2019t necessarily need a 911 ambulance with highly trained medics,\u201d Ireland says. \u201cThe things I\u2019m referring to are people calling about gout pain in their ankle, the sniffles or because they ran out of medication. What we\u2019re noticing is that unfortunately a lot of the calls are coming from people in the homeless community, just because they don\u2019t have access to a doctor, clinic, transportation, or money for a cab or Uber, so they disproportionately use 911 a lot.<\/p>\n

\u201cWe only have a limited number of 911 ambulances and they\u2019re responding to these minor calls that homeless individuals are calling for, which takes them away from being able to respond to the beach for a drowning or for a major car accident.\u201d<\/p>\n

The same goes for the police department. \u201cThere are a lot of reasons why people are homeless \u2026 but what I found in working in EMS and now CORE is that the majority do have issues with mental illness and substance abuse, as well as chronic medical conditions and dementia,\u201d explains Ireland. \u201cWhen a homeless person causes a disruption, lashes out or is laying on the sidewalk, historically, the police were called. The police would come to the scene, but they don\u2019t necessarily have the same degree of medical training as the people in the ambulance. We\u2019re asking the police to deal with medical problems using police training, and that doesn\u2019t always work well.<\/p>\n

\u201cSo, we really needed to find a better way to take care of the chronically homeless people, particularly with mental and substance abuse issues, that wasn\u2019t pure police and pure EMS, so that\u2019s where CORE has a role to play in addressing this.\u201d<\/p>\n

Ireland emphasizes that CORE, which dons red shirts and sometimes blue jeans as a way to deem themselves as more approachable, is in no way replacing EMS or police when it comes to extremities. Rather, they\u2019re filling a gap for the nonviolent and nonfatal matters, becoming yet another tool in a collaborative effort to combat homelessness on O\u2018ahu.<\/p>\n

Besides the medical component, CORE serves as a liaison of sorts, by connecting the individual with a plethora of resources including hygiene centers, health clinics, psychiatric services (soon, they\u2019ll have one on staff) and, of course, shelters and permanent housing. CORE also assists with obtaining identification, a task that seems minuscule but can be life-changing and open dozens of doors for things like bus passes, health insurance and other means of paperwork-heavy support.<\/p>\n

\u201cThere was a gentleman who was homeless for five years on River Street who was eligible for nursing home care through the Veterans Administration; he was a veteran,\u201d says Ireland. \u201cThe team helped him, through the VA, apply so that he would get those services that he was entitled to. He\u2019s off the streets now. Sometimes it\u2019s just going that extra mile, working collaboratively and lining up the stars.\u201d<\/p>\n

While it appears that CORE drives ambulances similar to EMS\u2019s (it\u2019s stocked with everything from life-saving equipment to adult diapers), a notable disparity is that it can take its passengers to places other than an emergency room.<\/p>\n

\u201cEMS go to the 911 call and transports people to the ER. Once that hand-off is done, we wish the patient well, clean up the ambulance and go to the next call,\u201d explains Ireland. \u201cWith CORE, we don\u2019t want them to necessarily do that. We want to set that person up for success. That\u2019s why we tell the CORE team, if you need to spend an hour or two with somebody \u2014 do it.<\/p>\n

\u201cSome of the people that CORE is dealing with call 911 every day,\u201d he adds. \u201cWe have a handful of individuals who have called 911 over 100 times a year. So, spending that extra time with somebody like that will save a hundred 911 calls for the rest of the year because they get some type of definitive service.\u201d<\/p>\n

In these refurbished ambulances, CORE\u2019s team has the ability to drive its staff and supplies all around the island, as well. It recently visited the Windward side, Wai\u2018anae and Diamond Head\/Kaimuk\u012b, with upcoming plans to check out Pearl City\/\u2018Aiea, Central O\u2018ahu and the North Shore, too.<\/p>\n

\u201cWe know no part of O\u2018ahu is spared as far as people being homeless in the communities,\u201d says Ireland. \u201cWe want to really help the whole island, but since we\u2019re new, we\u2019re taking it one step at a time.<\/p>\n

\u201cThe populations of the people who are on the beach in Wai\u2018anae are different than the people you\u2019ll find in the downtown or airport areas, so we need to tailor our response a little bit to the areas we go in so we can maximize our ability to help those we encounter.<\/p>\n

\u201cThe biggest thing we want the public to know is that we\u2019re just starting and nothing visual is going to happen overnight,\u201d he adds. \u201cBut with the engagements CORE is making on the street, the people are beginning to trust our team members, and they\u2019re taking our suggestions of getting them to a shelter, rehab or psychiatric care. We\u2019ve gotten people into permanent housing.\u201d<\/p>\n

This summer, CORE\u2019s team will expand to 50 personnel (it\u2019s currently hiring) and one day may open an opportunity for volunteers to lend a hand. Soon, it will also launch a website and social media platform so the community can not only stay up to date about what it\u2019s accomplishing but submit concerns they have about homeless people in their neighborhood. For now, residents can call 808-768-2673, which is CORE\u2019s official hotline.<\/p>\n

With military experience and medical school under his belt, Ireland confesses that CORE is without a doubt the hardest challenge he\u2019s ever taken on.<\/p>\n

\u201cIt\u2019s a process but we\u2019re counting our victories, one person at a time.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

At the heart of Honolulu Emergency Services Department\u2019s newest program is a hardworking team looking out for and taking care..<\/p>\n","protected":false},"author":13,"featured_media":1620,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1614","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cover-story"],"yoast_head":"\nCore Values - Hawaii Island MidWeek<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hawaii.carpentermediagroup.com\/midweekhawaii\/core-values\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Core Values - Hawaii Island MidWeek\" \/>\n<meta property=\"og:description\" content=\"At the heart of Honolulu Emergency Services Department\u2019s newest program is a hardworking team looking out for and taking care..\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hawaii.carpentermediagroup.com\/midweekhawaii\/core-values\/\" \/>\n<meta property=\"og:site_name\" content=\"Hawaii Island MidWeek\" \/>\n<meta property=\"article:published_time\" content=\"2022-06-08T19:27:43+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-08T19:48:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/hawaii.carpentermediagroup.com\/midweekhawaii\/wp-content\/uploads\/2022\/06\/hmw-cover-2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"800\" \/>\n\t<meta property=\"og:image:height\" content=\"812\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"tribuneherald\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"tribuneherald\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/hawaii.carpentermediagroup.com\\\/midweekhawaii\\\/core-values\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/hawaii.carpentermediagroup.com\\\/midweekhawaii\\\/core-values\\\/\"},\"author\":{\"name\":\"tribuneherald\",\"@id\":\"https:\\\/\\\/hawaii.carpentermediagroup.com\\\/midweekhawaii\\\/#\\\/schema\\\/person\\\/74283fe54a912bf6237d5c07b2e3a400\"},\"headline\":\"Core Values\",\"datePublished\":\"2022-06-08T19:27:43+00:00\",\"dateModified\":\"2022-06-08T19:48:43+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/hawaii.carpentermediagroup.com\\\/midweekhawaii\\\/core-values\\\/\"},\"wordCount\":1454,\"image\":{\"@id\":\"https:\\\/\\\/hawaii.carpentermediagroup.com\\\/midweekhawaii\\\/core-values\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/hawaii.carpentermediagroup.com\\\/midweekhawaii\\\/wp-content\\\/uploads\\\/sites\\\/13\\\/2022\\\/06\\\/hmw-cover-2.jpg\",\"articleSection\":[\"MW Cover Story\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/hawaii.carpentermediagroup.com\\\/midweekhawaii\\\/core-values\\\/\",\"url\":\"https:\\\/\\\/hawaii.carpentermediagroup.com\\\/midweekhawaii\\\/core-values\\\/\",\"name\":\"Core Values - 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