Help us keep Trévor free for patients

• Tier 1 · Running costs · CHF 67 200 (estimate)
  Operations, hosting in Switzerland, AI credits, tools, equipment and overheads: Trévor stays free.
• Tier 2 · Work · CHF 344 400 (estimate)
  The team's work at a published reference salary: development, content, support, coordination, translations by native speakers.
• Tier 3 · Security, compliance and medical review · CHF 441 600 (estimate)
  Security audit, legal advice, review of the texts by specialists, accessibility, questionnaire licences.
• Tier 4 · Community · CHF 459 600 (estimate)
  Six community events a year and pay for the expert patients who lead them: groups, workshops and meetings.
• Tier 5 · Sovereignty · CHF 495 600 (estimate)
  An AI model hosted in Switzerland or open, to rely less on external models.

• The team's work: development, content, support and coordination are paid at a published reference salary; the accounts are open.
• Hosting in Switzerland and AI credits: servers in Geneva, encrypted backups, security updates; each Trévor answer uses API credits and tokens from a model provider.
• Security, compliance and medical review: security audit, legal advice, review of the texts by specialists, accessibility.
• Expert patients: their support work is paid.

Tier 4 funds a community programme, built with the people concerned.

• Meetings: mindful movement for men, local safe space for men's mental health, women's circle, aqua aerobics, support groups for people living with the condition, yearly picnic.
• Children: education and play.
• With Trévor: workshop to learn to swallow tablets (children and adults), online sessions open to everyone.
• A dedicated multidisciplinary consultation: at the Geneva University Hospitals (HUG), one appointment with the multi-professional team: nurse, dietitian, pharmacist, physiotherapist, occupational therapist, psychologist and other health professionals.
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  The person sees the whole team in one visit (half a day), instead of six separate appointments. For example:

  • The nurse reviews recent crises, warning signs and the emergency plan, and updates the emergency card.
  • The pharmacist reviews all treatments (hydroxyurea, painkillers, folic acid): interactions, how to take them, and what gets in the way of taking them.
  • The dietitian makes a hydration and nutrition plan that fits the person's life (work, school, Ramadan, travel).
  • The physiotherapist works on chronic pain, joints (hips, shoulders), safe physical activity and pacing.
  • The occupational therapist suggests adjustments at school or work and useful equipment.
  • The psychologist works on coping with pain, stress, mood and fatigue.

  At the end, the person leaves with one written, shared care and prevention plan, also sent to their haematologist, and a follow-up date.

• Advice and mentoring: social and legal advice, peer mentoring.

Where: meetings start in Geneva; online sessions are open to everyone. The format then extends to French-speaking Switzerland, the rest of Switzerland and French-speaking partners, wherever a local partner carries it.

Whatever the amount, your name or a pseudonym of your choice appears on the wall of thanks, if you wish. The wall shows no amount.

Each gift of CHF 250 or more funds a free one-hour coaching session for a person who needs it, allocated on public criteria (27 sessions planned). 27 sessions left to fund. People who have already given CHF 250 or more keep their session.

The first names will appear here.