Coordinated Community Response (CCR) is a systemic, multi-layered approach to domestic violence that employs collaborative and integrated service delivery. In recent years, more and more agencies and states have adopted the CCR approach in order to improve outcomes in cases of domestic violence and sexual assault.It seems like a basic idea—communities who work together to close gaps in their systemic response to domestic violence will see greater justice for victims and accountability for offenders. In practice, though, developing this type of systemic approach takes constant compromise, creative thinking, and always putting the victim’s needs at the center of everyone’s approach.The official term for this type of system—in which all the players are working together as they should—is a Coordinated Community Response, or CCR. Ellen Pence, one of the leading minds in the domestic violence movement, coined the CCR approach many years ago, and since then, countless communities across the US have implemented CCRs and drastically changed the way victims and offenders interact with the criminal justice system.Today we explore the CCR concept including the model in Harris County, Texas and, more specifically, the value of the sexual assault nurse examiner role with the CCR. Our guests are Carvana Cloud and Dr. Khara Breeden, experts in the fields of coordinated community response (CCR) and forensic nursing programs. Carvana Cloud is a former prosecutor and the executive director of Community Empowerment Solutions, a legal services collaborative designed to support and empower victims and communities affected by crime. Dr. Khara Breeden is a registered nurse who serves as the executive director of the Harris County Forensic Nurse Examiners and is actively engaged in a large number boards related to strangulation and crimes against women. Content warnings for this episode include: physical and sexual violence, emotional abuse, child abuse