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Human Trafficking Happens in Nevada
Each month an average of 5,016 individuals are sold for sex in Nevada. Frequently the victims of human trafficking are women and children. That’s why Renown, along with other community groups, is leading efforts to help victims. Specifically identifying them and connecting them to the support services they need. The purpose is to restore their mental and physical health give them hope for a better life. Supporting Our Community Our goal is to identify victims, providing compassionate care for the complex needs of this vulnerable population. By building partnerships with key agencies and advocates in the community and creating policies around human trafficking, we also aim to transition victims safely to community-based services. Along with training, Renown healthcare workers are armed with pocket guides reminding them how to support human trafficking victims. To provide awareness about this crisis, Renown has implemented four key initiatives: Educate health care providers Execute policies and procedures to identify victims Build partnerships with local law enforcement, emergency services and local advocates Connect victims to crucial community resources Human Trafficking: How You Can Help Awaken acts to transform our community with the ultimate goal of ending commercial sexual exploitation. In 2020, Awaken worked with 173 women and children. Awaken’s programs include a drop-in center, an 18 to 24 month transitional housing program, an educational center for trafficked youth, rental assistance, recovery groups, therapy, tutoring, case management, mentorship, safety, and community. National Human Trafficking Hotline: 1-888-373-7888 Local Emergency: 911 Did You Know?
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Bringing a Public Health Perspective to Healthcare
There are many lenses through which to view health. As you would expect, medical providers typically focus on the health of individual patients. For example, doctors consider a person’s symptoms, their current lifestyle, their past medical history, and their family’s history to diagnose medical conditions and recommend treatments. The Public Health Perspective Public health professionals look beyond the health of an individual and instead focus on the health of an entire community or population of people. They strive to achieve “the greatest good for the greatest number.” As the CEO of a health system, I feel fortunate to have education and training in both medicine and public health. As Renown Health’s leader, it is my responsibility to care for the people and communities we serve. That involves bringing world-class staff and innovative medical care to northern Nevada. We also focus on prevention by looking for ways to improve health outside of our facilities. That means partnering with local organizations to address the social, economic, and environmental factors that shape our health. Or working with local government to create policies that help to prevent disease and injury. In order to make a genuine and long-lasting impact on health, we must foster a community that helps our neighbors live well. Public health is especially important during times of crisis, such as the COVID-19 pandemic that we’re experiencing now. During these times, health systems must be able to swiftly shift focus from prioritizing the needs of individual patients to considering what is best for our local population. For example, we may need to temporarily limit hospital visitors or educate the public about how to socially distance in order to stop the spread of disease. Being prepared to make this shift and having strong relationships with our local health department and community organizations help us better serve the public. In both good times and bad, I am thankful that my public health background provides me with the perspective to look beyond our health system and embrace the health our community.
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Air Guard RN Makes an Impact in Community and Beyond
Everyday, Renown salutes its more than 150 active military and veterans on staff. Becca Gilbert, a Renown trauma nurse, is an example of the many outstanding service members at Renown who are serving both their country and their community. Becca Gilbert, BSN, RN, wears many uniforms. When she’s not wearing scrubs in her role as a trauma nurse in the intensive care unit of Renown Regional Medical Center, she’s wearing fatigues as a first lieutenant in the Nevada Air National Guard. “Service is huge,” says Becca Gilbert, RN, of her role in the Air Guard. “It’s something that is ingrained in me and a big part of who I am as a person. I find a lot of pride in being a part of something that is bigger than what is going on in my world.” Renown Health was named one of 15 recipients across the nation — and the only health system in the U.S. — for the Department of Defense’s highest employer award, the Secretary of Defense Employer Support Freedom Award, for exceptional support of its military employees. The Employer Support of the Guard and Reserves and Renown held a ceremony June 29 to recognize the award and to honor representatives of Renown who currently serve in the Guard and Reserves. With her Air Guard background, Gilbert is preassigned veteran patients at the Renown ICU. She says she’s able to relate to the veterans and their families and create a quick bond with them. “I’ve been assigned patients who are guard members with traumatic injuries — it’s good but hard,” Gilbert explains. “But I really love working with patients who are veterans.” Gilbert’s first career was as a veterinarian technician. Then enlisted in the Nevada Air National Guard in August 2008 — following in her father’s footsteps — and trained to serve as an EMT. While she was a medic, she went to nursing school for her second bachelor’s degree and was able to commission as an officer after graduation. Serving Our Community Gilbert says her work in the guard offers benefits that help with her job responsibilities at Renown, where she’s worked for four years. “At Renown, we are really a team and rely on each other to make sure there are good outcomes,” she says. “In the guard, officers are often put in charge, which teaches you a lot of things — organization, decision making and thinking of others. I think all of those things go hand-in-hand with my role as a nurse, especially in the ICU. People in the guard count on you as an officer and leader, and that is really important in the ICU when patients are counting on you for a positive outcome.” Gilbert’s responsibilities in the guard vary, including training for disaster relief missions and ensuring service members are fit and healthy enough to perform their jobs. “Training is a large part of the military — trauma training, physical fitness training and staying current on certifications,” she says. Locally she also leads the Self Aid Buddy Care program, a United States Air Force program that encompasses basic life support and limb-saving techniques to help wounded or injured personnel survive in medical emergencies until medical help is available. With the guard, Gilbert has also been involved in a bleeding-control program for volunteers in the community. She teaches community groups how to stop bleeding if they are a bystander to a car accident or other type of event, and is working with Renown trauma surgeon Marty Bain, M.D. to implement the program at Renown as well. Making a Difference Abroad In January, Gilbert was presented with an opportunity through the Nevada Guard State Partnership Program to travel outside the United States to the Kingdom of Tonga in the South Pacific and work at the Women and Children Crisis Centre, which assists families who are dealing with domestic violence. Gilbert praised the women who work at the center for their efforts towards change, as she says domestic violence is common in Tonga. “The women who work at the Women and Children Crisis Centre are pioneers,” she says. “They are trying to make changes by documenting what is going on and providing statistics to the lords and kings of Tonga. Some of it still isn’t accepted, but they continue to help the women and children of Tonga. They are helping so many people.” Renown Health salutes Gilbert for her tireless service to her country and her community here at home.
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The Power of a Phone Call; Renown Health Connects With Community Members 55 and Over
Renown employees volunteered to reach out to over 2,500 older adults participating in the non-profits’ free Sterling Silver Club. While people of all ages are coping with the challenges of social isolation, there is one group of individuals who may feel especially lonely during these uncertain times—our aging adults. To offer some friendly conversation and answer any questions older adults may have about Renown’s commitment to keeping them safe during the COVID-19 crisis, Renown Health employees are making phone calls to its Sterling Silver Club members. To date, employees have made nearly 1,000 phone calls. Renown is also hosting several virtual events to reach older audiences. “The human element of connecting with these members is really special,” said Tori DellaRocca, who oversees this loyalty program at Renown. “Many of the people we call live alone and some have no one to check in on them. It has been a pleasure talking to our members; learning more about them and what they’re doing to pass the time, offering ideas to help them stay busy, and assuring them Renown is here to keep them safe. Since launching this campaign back in March, making these phone calls has been a highlight of my day, and I know I’m not alone in feeling this way.” Anyone over the age of 55 is invited to join Renown’s free Sterling Silver Club, created to help people live healthy, happy lives every day. Members enjoy exclusive benefits all designed with their interests in mind. From social events and lectures to entertainment (virtual for now), special discounts, and health insights and tips, this club is a place for community members to shine and embrace the joys of healthy aging. “I enjoy the lectures,” said Sterling Silver Club member Liz Barnes. “They appeal to my desire to know more and invariably provide an ‘informed’ call to action.” “After the [lecture] on diabetes prevention, I enrolled in the one-year long, Renown-sponsored diabetes prevention program,” said Liz’s husband, Barry. “After the sleep seminar, I changed my bedtime habits.” While the Sterling Silver Club is not currently hosting events in-person, it is hosting educational talks and ways to help aging adults stay healthy through its online channels. The “Hello Project” is a virtual gathering place for adults 65 and older to focus on health, wellbeing and offer positive social support, made possible by a partnership with Renown Health, Truckee Meadows Healthy Communities and the Washoe County Health District. These virtual gatherings are hosted every Tuesday and Thursday at noon. Community members can learn more here. In addition, the Sterling Silver Club is hosting a Facebook Live event, Is Age Related to Anxiety?, coming up on Tuesday, April 28 from 11 a.m. – noon. During this live event, Renown psychologist Dr. Buddy Coard will discuss the impact of anxiety as we age and what we can do to prevent it from getting in the way of enjoying life. Those interested in attending can RSVP here. “Our members have enjoyed the opportunity to learn from experts in the field of healthy aging as well as connect with their fellow community members,” said DellaRocca. “We’re all in this together, and these virtual events, combined with our phone call efforts, show our older population they truly are not alone.” For more information on upcoming virtual events from Renown’s Sterling Silver Club and to sign up, please visit www.renown.org/SterlingSilver. About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. For more information, visit renown.org.
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Addressing Health Equity for Communities of Color
Area Church Pastors, the City of Reno, the City of Sparks, the Washoe County School District, REMSA and Renown will be available to discuss the impact of COVID-19 on communities of color, and how they have joined together to provide free COVID-19 testing to area residents. WHAT Media is invited to interview community leaders to learn how we are coming together to address health disparities and promote equity in healthcare access and delivery. The first project to support our community and address health equity is to partner with area pastors to provide free COVID-19 nasal swab testing for adults and children of faith-based organizations, churches and school children. The first drive-through/walk-up test site will be hosted on Saturday, September 26 from 1-4 p.m., at Ministerio Palabra de Vida by Pastor Cesar Minera. Testing will be offered for members of Ministerio Palabra de Vida (Word of Life Ministries) and A.M.E.N. (Asociacion de Ministros Evangelicos de Nevada), a network of over 15 churches in the Reno, Sparks and Carson City area, as well as WCSD students and families living in that area. REMSA staff will conduct the nasal swab testing and Renown Health will process the tests. Having symptoms of COVID-19 is not required to get tested. WHEN Thursday, September 24 at 1:45 p.m. WHERE Ministerio Palabra de Vida 2375 S Virginia St, Reno, NV 89502 VISUAL & INTERVIEW OPPORTUNITIES Pastor Cesar Minera A member of the church congregation Representatives from the City of Reno (Vice Mayor Reese), City of Sparks, WCSD, REMSA and Renown Health WHY According to the American Hospital Association, the COVID-19 pandemic is disproportionately affecting our Black, Indigenous and people of color communities. Black and Latino Americans are three times more likely than white people to contract COVID-19. The Centers for Disease Control and Prevention reports the COVID-19 hospitalization rate for Black and Latino persons also face similar grim hospitalization rates, 4.7 and 4.6 times higher, respectively, compared to white persons. Black people are dying at a rate nearly two times higher (24%) than their share of the population (13%), and, in 42 states, including Nevada, Latino people make up a greater share of confirmed cases than their share of the population, according to the COVID Data Tracking Project at The Atlantic. In support of Governor Sisolak’s proclamation of Racism as a Public Health Crisis, a partnership of faithbased organizations, churches and Pastors, along with community leaders recognize that it is critical to change the culture of medicine by addressing racism and implicit biases that contribute to health disparities. The group of northern Nevada community leaders includes; Reno Mayor Hillary Schieve; Sparks City Counselman Kristopher Dahir, Chaplain for the Northern Nevada Veterans Home, and Board President of Excel Christian School; Angela D. Taylor, Ph.D. of Washoe County School District's Board of Trustees, an ordained minister and assistant Pastor at Greater Light Christian Center; Senior Pastor Cesar Minera of Ministerio Palabra de Vida (Word of Life Ministries) and President of A.M.E.N. (Asociacion de Ministros Evangelicos de Nevada), a network of over 15 churches in the Reno, Sparks and Carson City area; Pastor Nathan DuPree of Living Stones Church and executive director of 360 Blueprint, a collaboration of the local law enforcement agencies, the Washoe County School District and local community leaders, and co-chairman of the African American Clergy Council of Northern Nevada (AACCoNN), faith-based organizations, churches and Pastors uniting to support our community focusing on families, health, education, job development, and crime prevention; Norris DuPree, Jr., Ph.D. and President of Transformations Therapy and Behavioral Consultation; Pastor DeSean Horne of Second Baptist Church, Dean Dow, MBA, CMTE, President & CEO of REMSA and Anthony Slonim, MD, DrPH, President & CEO of Renown. The first project to support our community to address health equity is to partner with area pastors to provide free COVID-19 nasal swab testing for adults and children of faith-based organizations, churches and school children of the WCSD. There is no cost to be tested. Those with insurance will be asked to provide an insurance card, all others will be tested free, with thanks to the Renown Community Benefits fund. About Renown Health Renown Health is Reno’s only locally owned, charitable, not-for-profit integrated health network. Being not-for-profit means that all income stays in the community— and is reinvested in programs, people and equipment to improve the health of the community. Renown directly contributes to the community’s overall well-being with a Community Benefit mission to reduce health disparities, promote community wellness and improve access to care for vulnerable populations. This includes offering free and discounted care to those unable to afford healthcare, and partnerships with others to address health and well-being. In partnership with many community-based organizations, area schools, human and social service agencies, and government and business leaders, Renown supports many educational, public health outreach, and community development initiatives throughout Nevada. In FY19, Renown Health, a locally-governed, not-for-profit community health network invested more than $158 Million for health education, community initiatives and non-reimbursed healthcare services. In FY20, CEO, Dr. Tony Slonim provided $150,000 in funding to 60 local agencies to support Diversity & Inclusion efforts and Social Determinants of Health.
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Biointellisense and Renown Announce Strategic Collaboration
BioIntelliSense medical grade vital sign monitoring and Renown Health’s centralized command center creates a scalable system to optimize critical healthcare resources and nurse workflow efficiencies DENVER, CO AND RENO, NV; DECEMBER 6, 2021 – BioIntelliSense, a continuous health monitoring and clinical intelligence company, has entered into a strategic collaboration with Renown Health, a not- for-profit integrated healthcare network of hospitals and care facilities serving over one million people in Nevada and northeast California, to provide more convenient, effective and personalized care to patients via continuous remote monitoring for both in-hospital patient care as well as at-home health management. This innovative program integrates BioIntelliSense’s FDA-cleared BioSticker™ wearable device into Renown Health’s state-of-the-art clinical remote monitoring services to address today’s significant healthcare workforce shortage challenges and enhance their patient-centered model of care. BioIntelliSense’s BioSticker continuously monitors data on a patient’s skin temperature, resting heart rate and respiratory rate, step, gait, sleep, activity levels, and more, including infection-like symptom alerts that supports COVID-19 monitoring. The BioSticker’s medical-grade trending and advanced analytics will be visualized and monitored by clinical staff within the Renown Transfer and Operations Center (RTOC). The Renown Transfer and Operations Center is powered by Renown doctors, nurses, technicians and national technology partners, including BioIntelliSense, to help ensure seamless care for patients and providers. Through this highly coordinated care logistics system, Renown will be able to customize health care to the needs of every patient; delivering the right care, at the right time and place across the integrated delivery system. Renown clinicians will be able to access near real-time information on patients’ vital signs and symptoms, enabling them to identify adverse changes in health sooner and intervene earlier. “Given the growing healthcare workforce crisis, routine patient monitoring has become more expensive and less frequent, especially during the ongoing public health emergency. With the BioSticker, vital signs monitoring can be provided for each patient far more frequently and at a fraction of the cost,” said James Mault, MD, Founder and CEO of BioIntelliSense. “Our strategic partnership with Renown Health serves as a gold standard demonstration project for other hospital systems. What we are learning from patients and providers at Renown will help create fully integrated, continuous care delivery that starts during the patient’s hospitalization enabling monitoring of their health status throughout their recovery process, and from the comfort of their own home after leaving the hospital.” During the first phase of the collaboration and during this phase one implementation, the BioSticker will be applied to all patients admitted to Renown’s community hospital, Renown South Meadows Medical Center in Reno, Nevada. Patients may wear the device throughout their hospital stay and continue to wear it when they leave for their homes, ambulatory, outpatient surgical, rehabilitation or skilled nursing settings. “We are excited to continue to enhance our relationships with patients by integrating technology that supplements our care teams and provides patients with a virtual care solution that will continuously track vital signs, making healthcare more accessible, affordable and convenient,” said Tony Slonim, MD, DPH, CEO, Renown Health. “We believe patients and their loved ones will have confidence in knowing that their Renown clinical team will be closely monitoring their health data and communicating with them regularly to deliver high quality, personalized care throughout their healing process.” Initially, this collaboration will focus on understanding the logistics of patient monitoring in the hospital and at home or remote sites using the BioIntelliSense remote care technology. Renown Health will then work towards streamlining and operationalizing the clinical workflow, while scaling the program, to measure clinical improvement and the economic impact on patient care. “We are entering a new era in continuous health monitoring, as innovative hospital systems like Renown Health are integrating remote care technologies that provide scalable, user friendly and cost-effective solutions for health screening, COVID symptom monitoring and remote patient monitoring,” noted Mault. “We anticipate that within ten years, our wearable devices will become the standard of care for those not feeling well, giving people peace of mind that they or their loved ones are being monitored 24/7 by a supportive clinical team and have the security of knowing that if their condition worsens, we can elevate their level of care – immediately and in real-time.” "We are excited to serve as the national training site for BioIntelliSense and continue to bring new technology that improves the patient and provider experience to colleagues. We will continue to develop a well-trained, inter-professional and flexible workforce with technology skills that match the current pace of health care innovation,” added Slonim. “Our team is excited to be improving health care access and affordability across the state, and especially with critical access hospitals serving rural communities. Remote patient monitoring technology offers great benefit to patients at or near their homes, and it may transform hospital care by expanding access to clinical expertise to patients, and extending and increasing workforce capacity for limited hospital physician, nursing and clinical teams. We are pleased to be working with Dr. Mault and the team at BioIntelliSense, on the demonstration project with the BioSticker for vital signs monitoring as we take another bold step in innovating health care for long-term success.” About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, the region’s only children’s hospital, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to improving the care and the health of our community. For more information, visit renown.org. About BioIntelliSense BioIntelliSense is ushering in a new era of continuous health monitoring and clinical intelligence for Remote Patient Monitoring (RPM). Its medical-grade Data-as-a-Service (DaaS) platform seamlessly captures multiparameter vital signs, physiological biometrics and symptomatic events through an effortless patient experience. The FDA-cleared BioSticker™ and medical grade BioButton® devices make remote monitoring and early detection simple. Through the platform’s advanced analytics, clinicians will now have access to high-resolution patient trending and reporting to enable medical grade care from in the hospital to the home. For more information on how BioIntelliSense is redefining remote patient monitoring through medical-grade and cost-effective data services, please contact us at info@biointellisense.com or visit our website at BioIntelliSense.com.
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Take a Stand Against Domestic Violence
October is Domestic Violence Awareness Month in the United States. We spoke with Renown Health experts and local domestic violence prevention organizations who gave us a deeper look into understanding the warning signs of abuse and the many proactive and reactive resources in our community that you can reach out to today. Domestic violence, also referred to as domestic abuse, is an everyone issue. Whether you identify as male or female, an adult or a child, single or partnered – domestic violence can affect anyone. In fact, it may be closer to home than you might think. According to the Nevada Quality Parenting Initiative, in Nevada, 43.8% of women and 32.8% of men experience domestic violence in their lifetime, and the risk of that figure rising is imminent. This year alone, the Domestic Violence Resource Center (DVRC) in Reno experienced a 55% increase in overnight emergency stays, according to the Reno Gazette-Journal. This problem also, unfortunately, extends to children. More than 5,000 children in Nevada were reportedly primary or secondary victims of domestic abuse in 2021, as stated by the Nevada Coalition to End Domestic and Sexual Violence. “Domestic violence can manifest in many different ways,” said Kami Price, Supervisor of Social Services for Renown Health. “Abuse isn’t always strictly physical. It can also be emotional, verbal, sexual and even digital. Understanding those differences can help you prepare accordingly and respond safely if you or a loved one are experiencing domestic violence.” Knowing what to look out for is crucial in protecting yourself and others against the effects of domestic abuse and taking action when warning signs appear. The National Domestic Violence Hotline shares the common signs of an abusive partner, no matter how old they are or what gender they identify as: Telling you that you never do anything right. Showing extreme jealousy of your friends or time spent away from them. Preventing or discouraging you from spending time with friends, family members or peers. Insulting, demeaning or shaming you, especially in front of other people. Preventing you from making your own decisions, including about working or attending school. Controlling finances, including taking your money or withholding money for needed expenses. Pressuring you to perform sexual acts you’re not comfortable with. Pressuring you to use drugs or alcohol. Intimidating you through threatening looks or actions. Threatening to harm or take away your children or pets. Intimidating you with weapons. Destroying your belongings or your home. "People experiencing domestic violence may feel as though they are trapped,” said Kami Price. “The reality is – this often couldn’t be further from the truth, especially with the resources we have at our disposal in northern Nevada.” Respected Resources Ending the Silence on Domestic Violence While these facts and figures might be staggering, those experiencing domestic violence at any age are not alone. There is hope at the end of the tunnel, especially here locally. Devoted to meeting the growing needs of the communities we serve, Renown Health proudly supports and sponsors several organizations in our community that are committed to educating children and adults on the signs and symptoms of domestic violence, along with what each child and family member can do today to prevent abuse in the household. These essential organizations are on the frontlines of shifting attitudes from “I don’t want to get involved” to “How can I help?” Serving children across northern Nevada, the Child Assault Prevention (CAP) Project offers “education and prevention programs designed to increase children’s safety from bullying, abuse and assault” and break the cycle of domestic abuse. During 2021 and the first half of 2022, CAP led about 500 different workshops, teaching 10,000 second-grade and fourth-grade children in Washoe, Storey, Lyon and Churchill Counties how to keep themselves safe from domestic violence. “As domestic violence is on the rise, open communication, early intervention and education are key to protecting children from the effects of domestic violence," said Rebecca LeBeau, Executive Director of the CAP Project. “That’s why I begin speaking about child assault prevention and stranger danger to kids as young as six years old. It's important to explain the true reality of domestic violence to both children and adults, tailoring language specifically to whatever age they are, and allowing them to process it. Kids of all ages will learn how to deal with extremely dangerous situations this way.” According to Rebecca, common symptoms of abuse to be on the lookout for at school include grades dropping, a lack of focus and feelings of not wanting to return home after the school day ends. If someone in a child’s home is being hurt or abused, children are always encouraged to speak with a trusted adult or school counselor. From there, organizations like the CAP Project develop a safety plan moving forward. Adults and family units aren’t alone either. The DVRC provides a wide variety of services to Washoe County residents experiencing domestic abuse. To date, the DVRC has helped more than 100,000 victims of domestic violence, and with the recent launch of their crisis text line, they are poised to serve many more. Like the CAP Project, the DVRC also believes that education is one of the first lines of defense against domestic violence. “Education on what domestic violence looks like is so much more than talking about physical violence,” said Aria Overli, Volunteer Coordinator at the DVRC. “Educating the community, and particularly youth, about what healthy relationships look like is a major factor in preventing abuse. Understanding the intersection of how other issues – such as race, mental illness and immigration status – affect domestic violence risk factors is key to addressing those issues.” The list doesn’t stop there. Renown Health Foundation has provided financial support for many more organizations that are dedicated to ending the silence on domestic violence, sexual violence and family abuse, including: The Children’s Cabinet – A child-focused organization offering many support services for youths and families, including Safe Place, a program that partners with local businesses to offer safe locations for children to seek help if they feel threatened at school or at home. The organization also provides free family counseling, providing a pathway to better communication for families experiencing a myriad of issues ranging from domestic violence to substance abuse. Awaken – A nonprofit committed to increasing awareness and education regarding sex trafficking and providing housing and healing to all survivors. Safe Embrace – The largest and most inclusive safe house in Reno-Sparks for survivors of domestic and sexual violence, offering a wide range of resources including counseling, emergency transportation, court support and more. Eddy House – A safe space for at-risk individuals aged 18-24 recovering from the effects of domestic abuse, unsafe housing conditions, homelessness and more. Being an advocate starts with us – if you see something, say something. Keeping a transparent line of communication is key to preventing, noticing and combating domestic violence. “The more you reach out and talk about the issues, the better,” closed Kami Price. “No one has to go through their struggles alone.”