Mobile Integrated Health Program
Mobile Integrated Health (MIH) is a program within the Seattle Fire Department that aims to reduce the number of non-emergent responses for fire and EMS units while also providing exceptional care to under-resourced or vulnerable people of Seattle, or those experiencing crisis.
Our umbrella program comprises qof multiple teams and activities including Health One, Post Overdose Response, the Vulnerable Adult Program, the Nurse Practitioner program and case management. We currently partner with two other organizations to staff our teams: the Seattle Human Services Department and Harborview Medical Center.
To learn more about each branch of our program, check out their page:
For more information regarding 2025 developments, please read our Program Report.
Nurse Practitioner Program
The Nurse Practitioner Program within Mobile Integrated Health is staffed by an ARNP contracted through Harborview. This position is staffed on both Health One and Post-Overdose Response units as needed. The ARNP can provide advanced on-scene assessments and treatments, consultations for medical needs, short-term medical management with transition to longer-term primary care, care coordination, prescription and medication refills when barriers arise or access to care/insurance are lost, and wound care.
FAQ
What is the background of the SFD Mobile Integrated Health Program?
In May 2014, Seattle Fire launched a Low Acuity Alarm Task Force to investigate and provide recommendations for addressing the growing burden of non-emergent or lower acuity responses by the department. In 2015, the Task Force developed a blueprint that described action steps necessary to implement a formal Low Acuity Alarm Program, which launched in 2016 with two full-time staff members. In 2019 the program name changed to Mobile Integrated Health to better reflect its work and align it with the standard terminology in the fire service. That same year saw the launch of its first mobile response unit (Health One).
How can I get assistance for someone who is reliant on 9-1-1?
If you know someone who is or is becoming reliant on 9-1-1 and you believe that abuse, neglect or self-neglect are involved, you can call Washington DSHS at 1-866-END-HARM (363-4276) or use their online reporting form. General queries regarding low acuity responses and assistance for community members can be directed to the SFD Mobile Integrated Health Program at (206) 233-7109.
Where can I get information about non-emergency resources?
The best one-stop-shop for information in the Seattle area is 2-1-1. You can call 2-1-1 toll free during business hours, or visit wa211.org or go directly to King County 2-1-1 at https://www.crisisconnections.org/get-help/. This resource provides information about healthcare, education, housing, disabilities, transportation, employment and financial assistance, food banks, immigrant issues, legal assistance, LGBTQ support and aging.
If someone is in mental health crisis or having thoughts of suicide, you can call the Suicide & Crisis Lifeline at 988, the King County Crisis Line 24/7 at (866) 427-4747, or the Warm Line at 877-500-WARM (9276).
For questions relating to addiction and recovery, call (866) 789-1511, 24/7. For questions around aging, caregiver support and disabilities, visit http://www.agingkingcounty.org/ or call (206) 684-0660.
For non-medical assistance, the SPD non-emergency line is (206) 625-5011.
What should I do if I see a person down?
If it is safe to do so, ask the person if they are hurt or require assistance. If the person is sick, injured, is lying in an unnatural position/location, or appears unconscious you should call 911.
If the person requests assistance, you should contact 911 for anything that appears emergent. You may contact 988 for behavioral crisis support or to request a mobile crisis response. General resource questions (such as shelter) may be directed to 211 during business hours.
Contact
Phone: (206) 233-7109
Email Jon.Ehrenfeld@seattle.gov