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This was created post-Katrina as a result of failures in disaster leadership. They saw that there as a lack of an organization that focused on leadership and resiliency in producing effective programs or outcomes, which makes DRLS so unique. 

• "For far too long Inuit have been taking their lives or attempting to take their lives. In fact, Inuit have the highest suicide rates in the world"
• "...if these statistics were reflected in the general population, there would be an uproar and lasting change."
• "A focus on mental health, to me, is of the construct of Western European psychological thinking which I think will try to hem the matter into a very small area of inquiry when in fact the discussion has to be much more broadly based."

From the reviews in the iTunes App Store, it appears that healthcare providers do use the app. One review says that it is useful for working in lab or class settings as well. 

This article focuses more on public health concerns, rather than EMS response. She analyzes sociopolitical factors that affected the response post-Chernobyl and the impacts that had on people's lives and the healthcare they received as a result.