026-2027 | On-Demand Sessions | Hour 1: Gambling Disorder: Diagnosis, Assessment, and Treatment in Addiction Medicine & Hour 2: Hour 2: Dayton Street Medicine: Collaborative and Trauma-Informed Care in a Fentanyl Epicenter | September 2026-Dayton Street Medicine: Collaborative and Trauma-Informed Care in a Fentanyl Epicenter Recording

Dayton Street Medicine: Collaborative and Trauma-Informed Care in a Fentanyl Epicenter Recording

Video Transcription

Video Summary

This session introduced Dayton Street Medicine, a collaborative, trauma-informed model of care for unsheltered people, especially those living in a fentanyl-affected community with high rates of overdose and substance use disorder. The presenters defined street medicine as healthcare delivered directly where people live—encampments, cars, sheds, or other places not meant for habitation—rather than in traditional clinics or hospitals.<br /><br />They emphasized that rough sleepers have distinct medical needs: limited access to refrigeration, clean water, bathrooms, wound care supplies, and safe follow-up. Substance use often overlaps with homelessness, and many patients have had negative experiences with shelters, hospitals, and other institutions. The program relies on strong community partnerships with drop-in centers, housing outreach teams, overdose response workers, and legal advocates.<br /><br />Three cases illustrated practical care: treating osteomyelitis and withdrawal risk while respecting autonomy; addressing xylazine-related wounds, sexual health, harm reduction, and housing instability; and managing paranoia, methamphetamine use, and hypertension through trust-building and low-barrier follow-up. Key themes included trauma-informed communication, patient-centered goals, harm reduction, interdisciplinary teamwork, and seeing repeated engagement—not immediate cure—as success.

Keywords

street medicine

unsheltered homelessness

trauma-informed care

harm reduction

fentanyl overdose

substance use disorder

community partnerships

wound care

patient-centered care