Opinion: Tucson needs a Gun Violence and Criminal Justice Scorecard

Guest Blog by AZPHA member Mike Humphrey

Tucson has reason to be encouraged by the recent decline in violent crime. But we should resist the temptation to turn that good news into a political victory lap.

Before we congratulate one program, agency or elected official — or blame another — we should answer a more basic question:

What is actually working to reduce violence in Tucson?

We don’t have a good enough answer. We need one. Tucson and Pima County should create a public 2020-2025 Gun Violence and Criminal Justice Scorecard that brings together the information necessary to evaluate our public-safety strategies. This should not be a partisan exercise. It should be an accountability tool for our community.

Reported violent-crime statistics are an important starting point, but they don’t tell us everything. Crime victims that don’t report generally don’t appear in police statistics. Changes in police staffing, enforcement practices, victims’ willingness to report and crime-reporting systems can also affect what gets recorded. That doesn’t make the statistics meaningless. It means we need to understand their limitations.

A decline in reported crime is encouraging. But it isn’t necessarily proof that actual violence declined by the same percentage. And when a policy is followed by a decline in crime, that doesn’t prove the policy caused it. National crime trends, economic conditions, demographic changes, firearm availability, drug markets and community-based violence-intervention efforts may also contribute.

That’s why Tucson needs a broader scoreboard.

The scorecard should track, year by year:

  • Homicides and firearm homicides;
  • Nonfatal shootings and shooting victims;
  • Violent crime-related hospitalization costs; 
  • Aggravated assaults and robberies involving firearms;
  • Total reported violent crime;
  • Police calls for service involving violence, weapons and disturbances;
  • Tucson Police Department staffing levels and arrests;
  • Violent-crime clearance rates;
  • Prosecution, dismissal and diversion rates;
  • Sentences and probation outcomes for serious violent and firearm offenses;
  • Prohibited-possessor firearm prosecutions; and
  • Participation and outcomes of community-based violence-intervention and diversion programs.

Just as important, every number should identify its source, definition and geographic scope. A Tucson Police Department statistic should not be confused with a Pima County statistic. An arrest should not be confused with a prosecution, and a prosecution should not be confused with a conviction.

There are already promising signs worth examining. The Pima County Attorney’s Office reports that it charged 572 prohibited-possessor firearm cases in 2024, while federal partners charged another 60 through the Public Safety Partnership. Those numbers suggest substantial firearm enforcement. But they don’t tell us whether that enforcement reduced future violence.  That’s precisely why we need better measurement.

If prosecution is preventing repeat offenders from committing new crimes, let’s demonstrate it. If police strategies are reducing shootings, let’s measure the effect. If community violence-intervention programs are saving lives, let’s identify what works and expand it. And if inadequate staffing or unreported crime is causing official statistics to understate violence, the public deserves to know that, too.

We should demand the same evidence from every approach to public safety.  Tucson doesn’t need another argument based on competing political narratives or selective statistics.

We need a common set of facts. We need to know what we know, what we don’t know and what the evidence actually supports. A publicly available Gun Violence and Criminal Justice Scorecard would give Tucson something it currently lacks: a factual basis for deciding which public-safety strategies deserve to be continued, expanded or changed.

Good public policy begins with good information. Tucson should start collecting and reporting it.

Stay Current on Vaccines: Free Online Learning for Healthcare Teams

Give vaccines or help patients stay up to date on their immunizations? The Vaccine Science & Practice ECHO offers a chance to learn from experts, discuss real patient cases, and connect with other healthcare professionals.

This online learning series is offered in collaboration with the Arizona Department of Health Services and the ASU Health Observatory. Monthly sessions begin October 20.

The program is open to physicians, pharmacists, nurses, medical assistants, and other healthcare team members who give vaccines or support immunization services.

Each session combines an expert presentation with group discussion of real patient cases. Topics include:

  • The science behind vaccine recommendations.
  • National and Arizona vaccination data.
  • Updates to federal vaccine guidelines and recommendations.
  • Ways to talk with patients and families about vaccines.
  • Putting the evidence into practice in everyday patient care.

Free continuing education credits (CME/CEU) are available to participants.

Register for the Vaccine Science & Practice ECHO here

Public Health AI 101: A Free Professional Development Opportunity

AI is moving quickly into just about every part of our lives – including public health.

For people working in public health, the challenge is figuring out what AI can actually do, where it can be useful, and how to use these new tools responsibly.

The UA College of Public Health is helping with that. Through its AI for Public Health Initiative, the College is offering a completely free online Public Health & AI course for public health professionals across Arizona.

The course is self-paced, introductory, and designed for people who don’t have a technical background in artificial intelligence.

There are 14 short videos covering topics including artificial intelligence, data visualization, wearable devices and other emerging technologies that are becoming increasingly relevant to public health practice.

There’s no complicated enrollment process.

Just go to: https://ph-ai.me/online-track/index.html

Arizona’s First H.R. 1 Medicaid Cuts Are Here

October 1 is the first salvo Congress and the president fired at Medicaid members. There is much more to come, sadly.

The first bolus of people who will be losing healthcare services lost their health coverage this week.

As Stephanie Innes reported this week Thousands of legal immigrants in Arizona lost AHCCCS last week. She documented that 20,658 legally present refugees, asylees and other legally present immigrants lost their full Medicaid coverage last Thursday.

About 15,000 will still qualify for limited Federal Emergency Services, which pays for emergency medical care but not routine, preventive or ongoing treatment of chronic conditions. Another 5,744 people lose AHCCCS coverage altogether.

These aren’t undocumented immigrants. They’re refugees, asylees, humanitarian parolees, trafficking victims and certain abused spouses and children who are legally present in the United States.

One is a Syrian woman with Stage 4 cancer.

Another is a 9-year-old refugee from the Democratic Republic of the Congo who has epilepsy. His school says he needs his seizure medication to attend school. His family can’t afford his medical care on their own.

These are the kinds of people Congress and the president enthusiastically decided will lose their healthcare.

It Doesn’t Have to be this Way

Federal law has long given states the choice to provide Medicaid coverage to lawfully present immigrant children and pregnant women without making them wait five years.

Arizona never took that option. So some vulnerable Arizona children and pregnant women are more exposed to these federal cuts than they would have been if Arizona policymakers had made a different choice.

People don’t stop getting cancer, epilepsy, diabetes or behavioral health conditions because their insurance disappears. They delay care, skip medications and eventually some end up in emergency departments where care is much more expensive. Hospitals, community health centers and other safety-net providers absorb more uncompensated care.

But there’s something else bothering me that isn’t really about public health.

It’s about compassion.

We can have legitimate disagreements about immigration policy. But these are people our country legally allowed to come here, many after fleeing war, torture, persecution, trafficking and other circumstances most of us have been fortunate enough never to experience.

I’ve spent most of my adult life working in public service in Arizona. It’s profoundly discouraging to watch our public policy become this brutal toward people who have so little political power to defend themselves.

And this is only the beginning.

Starting in January, hundreds of thousands of other AHCCCS members will face new work/community-engagement requirements and twice-a-year eligibility renewals.

Note: Arizona Representatives Andy Biggs, Juan Ciscomani, Eli Crane, Paul Gosar, Abe Hamadeh, and David Schweikert all enthusiastically voted for this policy. Remember that when you vote this Fall.

Arizona’s Energy Choices: More Solar, Responsible Siting & Fair Electric Bills

Arizona needs more electricity. Population growth, advanced manufacturing, data centers and electrification are adding demand. How we meet that demand—and who pays for it—will have big consequences for public health.

Reliable electricity keeps air conditioners running during extreme heat. But reliability only helps if families can afford enough electricity to keep their homes safely cooled.

As utility bills take a bigger bite out of household budgets, families have less money for groceries, prescriptions and rent. Some turn down the cooling to save money. In Arizona, that can become a health and safety problem.

Solar & Storage Have an Important Role

Solar can help meet Arizona’s growing electricity needs without combustion air pollution, ongoing fuel purchases or the substantial cooling-water requirements of many thermal power plants.

Battery storage makes solar more useful by moving daytime electricity into the evening, when solar production drops but air conditioners keep running.

Utilities should compare the full costs of competing options, including generation, storage, transmission and reliability. And regulators need to make sure savings actually reach customers.

State policy matters too. Arbitrary restrictions can block otherwise suitable projects and narrow our options for meeting demand affordably.

That’s why I support the Governor and State Land Department’s consideration of prioritizing suitable state trust land for long-term utility-scale solar leases, while protecting trust beneficiaries.

Agrivoltaics deserves consideration too. Combining solar with compatible crops or grazing can preserve agricultural activity. University of Arizona research has found that panel shade can benefit some crops and improve water-use efficiency. The right design depends on the land and agricultural use.

Data Centers Should Pay the Costs They Cause

Approving a solar farm and approving a data center are different decisions. One supplies electricity. The other consumes it.

When a data center requires additional generating capacity, transmission or substations, residential customers shouldn’t subsidize the costs attributable to that facility.

Those protections need teeth: customer-specific charges, binding payment commitments, financial security and provisions covering cancellation or early closure.

What happens if the utility builds the infrastructure and the data center never opens? Who pays then?

If those costs land on household bills, the public health consequences reach far beyond the data center’s neighborhood.

Pima County’s public health review provides a useful framework for examining those broader consequences alongside water use, noise, air pollution and community vulnerability.

Responsible Siting Makes Development Better

Solar and battery projects have legitimate siting issues. Protect sensitive habitat. Manage dust and drainage. Consider nearby homes. Require enforceable decommissioning plans and financial assurance.

Battery projects also need appropriate separation, hazard analysis, emergency plans and coordination with local firefighters.

The policy goal is straightforward: expand affordable, reliable electricity while protecting nearby communities and household budgets.

I’ve pulled these issues together in a presentation for Arizona lawmakers. The PowerPoint is linked here: Clean Energy Candidate Education PowerPoint

 

Yavapai Agua Fria Support Letter Solar

Energy_Candidate_Education_Solar_Final

Solar Farms & Data Centers: Two Different Siting Decisions

Solar projects and data centers both draw opposition from communities at city and county planning and zoning meetings. Both sometimes have opposition from nearby residents (and sometimes non nearby ‘carpetbagger’ residents – especially solar). Both raise questions about land use, water and electricity.

But they’re not the same at all. One supplies electricity. The other uses a lot of it.

Utility-Scale Solar & Storage: Separating Public Health Fact from Fiction – AZ Public Health Association

The U.S. Energy Information Administration reports that data centers are driving the rapid growth in electricity demand and meeting that demand requires new power plants and grid upgrades.

Electricity

Solar can help meet the added demand (or at least a big chunk of it), particularly during Arizona’s sunny daytime hours. Integrated with batteries it can also help provide power later in the day.

Rates depend on the cost of the project, grid investments and decisions made by the Arizona Corporation Commission… and blocking a solar project doesn’t make the electricity demand from data centers disappear. The power still has to come from somewhere.

Water

Once built, solar panels use VERY little water to generate electricity. A data center needs cooling, which usually requires lots of water, but that depends heavily on its design, size and water source. Some data centers use lots of water (via evaporation); others use cooling systems designed to use a little less.

That’s why a county reviewing a data center should ask for its water use, where that water will come from and how those numbers could change as the facility expands. The Department of Energy explains how cooling choices affect data center water consumption.

None of that is necessary with solar farms.

Neighborhoods

For a solar project, the most noticeable changes are the temporary construction period, the view from neighboring properties and the land taken out of its prior use. And solar sites don’t make noise. Counties can address those solar and storage concerns through setbacks, drainage and dust controls, habitat protections, and an enforceable plan to remove the equipment when the project ends.

Data centers are large, long-lived industrial building boxes with a different set of impacts. Neighbors may face the constant hum of cooling equipment, backup generators, water demand and new power lines.

Pima County’s Public Health Lens on Arizona’s Data Center Boom – AZ Public Health Association

A county or other zoning entity should know those details before it approves a data center site.  Residents should also be able to see the projected electricity and water use, even when a developer considers those numbers commercially sensitive.

Neither solar farms nor data centers should get a free pass at a zoning hearing… but they have very different community impacts.

A solar farm adds a source of electricity with little operating water use. A data center adds a potentially enormous, round-the-clock demand for electricity and, depending on its cooling system, water.

And…  at a macro scale, data centers can raise your electricity bill even faster depending on how regulators ensure or don’t ensure data centers pay full freight for the added generating capacity they demand. Solar farms tend to lower future electricity costs because they are cheaper than fossil plants over the long run.

Higher Utility Bills & Harder Choices for Arizona Families?

Most Arizona families are getting blasted from several directions at once on electricity costs.

APS is demanding another huge rate increase – this time a whopping 14% electric rate increase in your rate per kilowatt. That comes after the Arizona Corporation Commission already approved an 8% APS rate increase that took effect in 2024.

Yet Another Giant APS Electricity Rate Hike & Return on Equity Boost? Really?  – AZ Public Health Association

Tucson Electric Power wants a 12% increase. Southwest Gas is demanding a 10.69% increase.

These rate increases directly impact the social determinants of health, and not in a good way.

When electricity bills take a bigger bite out of the family budget, there’s less money left for rent, food, medications and other things that keep people healthy.

I we think the Corporation Commission should be asking some tougher questions before approving these increases as they have routinely done in the last few years.

APS Wants Yet Another Giant Rate Increase. Will the Corporation Commission Have Our Back or the Monopoly’s Back? – AZ Public Health Association

And it’s not just electricity. Both utilities are methane generation enthusiasts rather than focusing on less expensive long term renewable sources – especially solar and storage.

A new analysis from Sierra Club and Synapse Energy Economics raises concerns about APS’ plans to hugely expand natural-gas generation and the long-term fuel-price risks customers will end up paying for.

Sierra Club Report: Ratepayer Report

SRP is making similar choices with its proposed Marigold Energy Center in Pinal County. But at least that project includes some renewables (600 MW of solar and 400 MW of battery storage) but also 675 MW of new gas generation.

Utility-Scale Solar & Storage: Separating Public Health Fact from Fiction – AZ Public Health Association

Before utilities lock customers into decades of gas-plant construction costs, volatile fuel (methane) costs, maintenance expenses and additional air pollution, they should have to show that alternatives like solar, battery storage, energy efficiency and demand response can’t do the job more cheaply and with less risk.

A Few Dates to Watch

Grant Opportunities: Compiled by the Vitalyst Health Foundation

Due September 24th: Connecting Champions for Diversity, Equity, Inclusion, and Belonging in the Health Professions

Due September 28th: STOP Violence Against Women Grant

Due September 29th: ADEQ Recycling Grant

NEW Due September 30th: BMO Gives

Due September 30th: Bridges to HOME Technical Assistance

NEW Due October 1st: Seeding Research, Networking, and Capacity Building at Minority-Serving Institutions

NEW Due October 1st: Comprehensive Opioid, Stimulant, and Substance Use Site-Based Program

NEW Due October 10th: OtterTrail Corporation Foundation

NEW Due October 11th: The Hellene Henrikson Legacy Fund of the Lutheran Church of the Foothills Grants (Southern Arizona)

Due October 11th: Whole Foods Market Store Giving

NEW Due October 16th: Community Action Fund (Indigenous Frontline)

NEW Due October 29th: Vitalyst Systems Change Grants

NEW Due October 30th: Direct Action Visionary Grants

Due October 31st: Dudley T. Dougherty Foundation Grants

Due October 31st: TJX Grant

NEW Due November 1st: Ann B. Zekauskas Family Foundation (Food Systems)

Due December (Opens October): Route 66 Historic Revitalization Grant

Ongoing: Nathan Cummings Foundation (Racial, Economic, and Environmental Justice)

Ongoing: Just Futures Initiative

Ongoing: Susan & Michael Dell Foundation Grants

Ongoing: SC Johnson Grants and Product Donations

Ongoing: Affirm Cares Grants

Ongoing: The Impact Fund Legal Case Grants

Ongoing Until September: GM Corporate Giving Grants

Ongoing: Arizona Housing Fund 

September 17th (Hybrid; Mesa): Grant Professionals Association Conference

September 18th (Hybrid; Tucson): Beyond the Side Hustle

September 27th – September 28th (Tuba City): Hopi Economic Summit

NEW September 29th (Cocoino County): The System Is the Strategy: From Systems Thinking to Local Action

September 29th (Virtual): Public Charities Can Lobby

September 30th (Hybrid; Phoenix): Beyond the Side Hustle

October 1st (Hybrid; Douglas): Beyond the Side Hustle

October 2nd (App Due): Adelante Fellowship

NEW October 7th – November 25th (Virtual): The Lending Academy Cohort 3

NEW October 12th (Pima County): The System Is the Strategy: From Systems Thinking to Local Action

NEW October 29th (Yuma County): The System Is the Strategy: From Systems Thinking to Local Action

NEW November 10th (Cochise County): The System Is the Strategy: From Systems Thinking to Local Action

November 17th (Phoenix): AZ Maternal and Child Health Workforce and Policy Summit

NEW December 3rd (Maricopa County): The System Is the Strategy: From Systems Thinking to Local Action

Ongoing: Your Part-Time Controller Resources

Additional Resources

AZ Impact for Good Membership: Membership Scholarship Application

Research: Lab For Economic Opportunities (LEO)

Securing Funding (Rural & Tribal): Arizona Economic Resource Center

Board Matching Tool: AZ Leaders on Board

Toolkit: Advocating for Federal Spending: A Practical Guide for Nonprofits

Hands-On Financial Learning: FLO Digital Hub

Rural Health Transformation Dollars Quietly Start Flowing to County Health Departments

Most of the attention around Arizona’s new Rural Health Transformation Program has been focused on the big competitive grants being released by AHCCCS.

But another part of the program is starting to move somewhat under the radar. ADHS recently awarded funds to county health departments through Intergovernmental Agreements—or IGAs.

ADHS (according to ADOA procurement) has agreements with at least 10 counties: Cochise, Coconino, Gila, Greenlee, La Paz, Mohave, Navajo, Pinal, Yavapai and Yuma.

The state budgeted up to $5M for rural maternal-fetal health and another $12 million for chronic disease prevention and management, with ADHS responsible for much of the work.

For example, the chronic-disease plan includes up to $4.9M for county health departments. The money can support evidence-based work involving chronic disease, nutrition and physical activity, injury prevention, behavioral health, youth substance-use prevention and other community health priorities.

These aren’t competitive grants where counties compete with one another. ADHS designed these as formula-based awards, using a base amount and rural population, with priority for Arizona’s fully rural counties.

The maternal-health piece works similarly, using county agreements to support disease investigation, congenital syphilis prevention, screening and other maternal-health interventions.

This is a good use of the Rural Health Transformation money. Local health departments already know their communities, already have the public-health infrastructure in place, and don’t need another elaborate competitive grant process to get to work.

The encouraging part is that some of the money is finally beginning to move.

OEO Releases First Rural Health Transformation Grant

The Arizona Office of Economic Opportunity finally released its first competitive grant under Arizona’s Rural Health Transformation Program.

It’s called the Rural Health Transformation Program Transition to Practice Grant, and $3M is available, with the Office expecting to make three awards of about $1M.

The purpose is to help rural healthcare organizations expand their ability to train, mentor and transition newly licensed healthcare professionals into practice.

Projects can include things like expanding clinical training opportunities, developing specialty training and mentoring programs, increasing the number of rural preceptors, and improving the pipeline for newly licensed professionals entering rural practice.

The grant covers a broad range of healthcare professions, including nurses, advanced-practice nurses, behavioral health professionals, allied health workers, pharmacists, dental professionals, EMS personnel and community health workers.

Eligible applicants include rural hospitals, clinics, federally qualified health centers, behavioral health organizations, EMS agencies, private healthcare providers and practice groups, Tribal governments and Tribal health programs, state agencies, nonprofits and professional associations.

There is no required matching contribution.

Applications opened September 15. Written questions are due September 25, and completed applications are due October 13 at 5 p.m. Arizona time.

OEO says it plans to announce awards by October 23 and execute grant agreements by October 30.

That timeline is important because October 30 is Arizona’s deadline to obligate its first-year Rural Health Transformation funds.

OEO is responsible for a substantial part of Arizona’s Rural Health Transformation workforce strategy—roughly $43M per year aimed at rural workforce development, recruitment, retention, training and education.

So while this first grant is just the tip of the tardy iceberg, it’s something.

View the OEO Funding Website

Homelessness, Heat Deaths & The Zone: A Maricopa County Public Health Hypothesis

I’ve been noodling on a public health hypothesis about the huge increase in heat-related deaths we’ve seen in Maricopa County over the last decade.

I want to emphasize the rest of this post is my untested hypothesis.

In 2016, Maricopa County’s annual Point-in-Time (PIT) homeless count found 1,646 people living unsheltered. By 2025, that number was about 4,987, after separating out the 220 people staying at Phoenix’s structured Safe Outdoor Space. MAG cautions that the PIT count is a one-night snapshot rather than a count of everyone who experiences homelessness over an entire year.

During that same time period, Maricopa County heat-related deaths went from 154 in 2016 to 430 in 2025, after reaching a staggering 645 deaths in 2023.

That relationship makes public health sense. People living outside during a Maricopa County summer are at extraordinarily high risk from heat. In fact, Maricopa County Public Health data suggests the unhoused have a 500 times higher risk of dying from heat, which equals a 49,900% increase in risk.

How often in public health have you seen a differential that high? Ever?

My basic hypothesis is that our increasingly hot summers aren’t the main reason why we’ve had a cascade in heat deaths. It’s from the increase in homelessness.

The first place to look is simply the growth in homelessness itself. During the pandemic, federal and state protections temporarily interrupted many evictions. But the federal CDC eviction moratorium ended abruptly in August 2021 after the U.S. Supreme Court struck it down.

After that, eviction filings in Maricopa County began climbing steadily. By August 2022 they had already surpassed pre-pandemic levels; there were more than 83,000 filings in 2023 and roughly 87,000 in 2024… the highest number ever recorded in the county.

An eviction filing doesn’t necessarily mean somebody becomes homeless, and rising rents, the shortage of affordable housing and other factors were also at work.

But it isn’t hard to see the potential pathway: more households losing (or being priced out of) their housing means more people at risk of ending up unsheltered.

And that’s exactly what the Point-in-Time counts show over the longer term: a dramatic increase in the number of people living outside in Maricopa County. Put that growing population into our increasingly dangerous summer heat and you have the starting point for my hypothesis.

The large increase in unsheltered homelessness probably helped create the underlying conditions for Maricopa County’s explosion in heat deaths. Put thousands more people outside during an Arizona summer—and especially a population already at 500x risk of death – and deaths are going to increase.

But the number of people experiencing homelessness is only part of the equation.

Where people are living, whether outreach workers can find them, whether water and cooling are nearby, whether cooling centers are open at night, and whether medical teams can reach people before heat illness becomes fatal may be enormously important too.

Dispersing a large encampment beginning in 2024 may have made vulnerable people harder to reach. But Phoenix, Maricopa County, Keys to Change, Circle the City and other partners meanwhile built a much stronger heat-relief infrastructure designed to find people where they are.

One next step would be to look at heat deaths among people experiencing homelessness by ZIP code or census tract before and after The Zone was cleared. Did deaths become more geographically dispersed? Were fatal heat injuries occurring farther from cooling centers and homeless-service infrastructure?

That would tell us a lot more than the countywide totals alone (but I couldn’t find that data).

Of course, the public health approach is to look at the root causes and go upstream to find interventions. Like basically reducing homelessness itself. There isn’t one intervention that will do that. There are several policy approaches Arizona could consider.

Permanent Supported Housing for Persons with a Mental Illness


AHCCCS’ 2024 Serious Mental Illness Report
revealed that 7,812 SMI members experienced homelessness that year or about 12% of the SMI population.

What Gets Measured Gets Done: Tackling Housing & Incarceration Challenges for Persons with Serious Mental Illness – AZ Public Health Association

AHCCCS data also found that half of the SMI population on the housing waitlist had been waiting for stable housing for more than 6 months. That’s a long time for people who need housing stability to manage their health and daily lives.

Permanent Supported Housing – as was agreed to in the Arnold v Sarn settlement agreement is the intervention here.

Permanent Supportive Housing was one of the four major community services specifically included in the Arnold v. Sarn settlement involving the State and Maricopa County.

Yet, the capacity is woefully insufficient.

Arizona’s Landlord Skewed Landlord and Tenant Act

Another approach is stopping avoidable homelessness before it begins. Arizona law currently allows a landlord to begin the eviction process for nonpayment after a tenant does not pay within five days after receiving written notice.

 Updating Arizona’s Landlord-Tenant Act: A Crucial Step to Prevent Evictions and Save Lives – AZ Public Health Association

Arizona should examine changes to the Residential Landlord and Tenant Act that offer more opportunity to cure a temporary financial problem and resolve disputes before somebody loses their home.

Pre-eviction mediation is another tool worth examining. Colorado, for example, requires mediation before an eviction can proceed in certain cases involving tenants receiving SSI, SSDI or Colorado Works cash assistance.

Arizona could consider whether a broader mediation model would resolve more disputes before they turn into eviction judgments and homelessness.

Maricopa County itself has started moving in that direction upstream. Its new Eviction Prevention Pilot provides short-term rental assistance in several high-eviction Phoenix ZIP codes specifically to resolve financial problems before an eviction case reaches court. That’s exactly the kind of intervention that can be evaluated and, if successful, expanded.

Summertime Eviction Moratoriums

Finally, Arizona should examine a seasonal eviction moratorium during the most dangerous part of the summer—perhaps June through September.

That’s a significant policy choice with consequences for both tenants and property owners, so it deserves careful design and debate. But from a public health standpoint, forcing somebody from an air-conditioned apartment into homelessness when afternoon temperatures are routinely well above 110°F creates a very different health risk than an eviction during a milder time of year.

Summary

Cooling centers, bottled water, street medicine and outreach teams save lives—and the recent Maricopa County numbers suggest those investments may be making a difference.

But the most effective heat intervention for a person experiencing homelessness is something even simpler: Housing.

Upstream Public Health Policy: Pima County’s Eviction Prevention Program – AZ Public Health Association
Preventing an Eviction Is Public Health – Maricopa County Public Health’s New Housing Initiative AZ Public Health Association