Toward a More Effective 911 Alternative

This blog post is guest authored by Larry D. Brown Jr., PhD, associate director for Community Health and Violence Prevention Services at Harris County Public Health He presented a session at the Robert Lee Sutherland Seminar as part of the Building Partnerships and Collaboration track. The views expressed in this blog post are those of the author. The content has been lightly edited for length and clarity.

I wanted attendees to gain insights into the development, implementation, and data-driven evaluation of HART, learning how the program successfully diverts calls from law enforcement, promotes health equity, and connects vulnerable residents to critical services. By sharing concrete outcomes—such as HART responding to over 21,500 calls and freeing up thousands of deputy hours—attendees could see the tangible benefits of investing in a public health–centered, holistic emergency response. 

Ultimately, I hope attendees left equipped with knowledge and strategies that empowered them to adapt or replicate similar models in their own communities, advancing the national movement toward more compassionate, effective, and equitable emergency systems.

What’s unique about your approach to your work? 

What sets HART apart—and what makes our approach unique—is the commitment to viewing emergency response through a comprehensive public health lens rather than through the traditional criminal justice framework and response model. 

Many emergencies arise from underlying issues like untreated mental illness, homelessness, substance abuse, and other non-violent issues, which require specialized care and social supports rather than policing. 

HART is composed of professionals trained specifically to engage with individuals in crisis with empathy and expertise, providing immediate assistance and case management while also addressing longer-term needs. This holistic response reduces unnecessary law enforcement involvement, promotes community trust, and enhances health outcomes. Additionally, our approach is firmly grounded in data—we rigorously track outcomes to ensure continuous improvement and provide a replicable evaluation framework for other jurisdictions.

Can you share one personal anecdote that testifies to the impact you’re making? 

The HART team was called by sheriff deputies to assist with a domestic violence call involving a woman with a history of sexual and domestic abuse. She had filed charges and was homeless after being kicked out of her boyfriend’s home. The call came late on a weekend when social welfare resources were limited. Deputies were managing law enforcement duties and needed HART’s help to provide both immediate and long-term care. 

HART made contact with the client, conducted a field evaluation and needs assessment, and built a trusting rapport. HART developed a plan for her short- and long-term care, secured placement at a women’s shelter, and arranged transportation for her and her belongings. Meanwhile, case managers coordinated ongoing support through Harris County Public Health to ensure she received sustained assistance.