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"bio": "\u003ca href=\"http://www.MarkFiore.com\">MarkFiore.com\u003c/a> | \u003ca href=\"https://twitter.com/markfiore\">Follow on Twitter\u003c/a> | \u003ca href=\"https://www.facebook.com/pages/Mark-Fiore-Animated-Political-Cartoons/94451707396?ref=bookmarks\">Facebook\u003c/a> | \u003ca href=\"mailto:mark@markfiore.com\">email\u003c/a>\r\n\r\nPulitzer Prize-winner, Mark Fiore, who the Wall Street Journal has called “the undisputed guru of the form,” creates animated political cartoons in San Francisco, where his work has been featured regularly on the San Francisco Chronicle’s web site, SFGate.com. His work has appeared on Newsweek.com, Slate.com, CBSNews.com, MotherJones.com, DailyKos.com and NPR’s web site. Fiore’s political animation has appeared on CNN, Frontline, Bill Moyers Journal, Salon.com and cable and broadcast outlets across the globe.\r\n\r\nBeginning his professional life by drawing traditional political cartoons for newspapers, Fiore’s work appeared in publications ranging from the Washington Post to the Los Angeles Times. In the late 1990s, he began to experiment with animating political cartoons and, after a short stint at the San Jose Mercury News as their staff cartoonist, Fiore devoted all his energies to animation.\r\nGrowing up in California, Fiore also spent a good portion of his life in the backwoods of Idaho. It was this combination that shaped him politically. Mark majored in political science at Colorado College, where, in a perfect send-off for a cartoonist, he received his diploma in 1991 as commencement speaker Dick Cheney smiled approvingly.\r\nMark Fiore was awarded the Pulitzer Prize for political cartooning in 2010, a Robert F. Kennedy Journalism Award in 2004 and has twice received an Online Journalism Award for commentary from the Online News Association (2002, 2008). Fiore has received two awards for his work in new media from the National Cartoonists Society (2001, 2002), and in 2006 received The James Madison Freedom of Information Award from The Society of Professional Journalists.",
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"content": "\u003cp>Last December, Brighid FitzGibbon’s son, Evan, entered a catatonic state. Acute psychosis had hit suddenly a few weeks earlier, toward the end of fall semester of his sophomore year at Bard College in upstate New York. Gripped by terrifying delusions, his body began to shut down.\u003c/p>\n\u003cp>FitzGibbon and her husband, Taylor, rushed their 20-year-old son to a hospital in Sonoma County, where they live. An acquaintance told them about a promising program for young people experiencing early psychosis. But the family quickly discovered a problem: the program didn’t exist in their county.\u003c/p>\n\u003cp>In California, geography creates significant barriers to people getting early psychosis treatment, as it does for array of other evidence-based mental health treatments. That’s partly because California’s 58 counties have 58 different public mental health programs, each with their own set of covered services.\u003c/p>\n\u003cp>[aside tag='mental-health' label='more on mental health']“If you get on a bus in Northern California and take it to Southern California, you get different services depending on where you step out,” said Carmela Coyle, president and CEO of the California Hospital Association, a lobbying group for the state’s hospitals. “That’s just inequitable.”\u003c/p>\n\u003cp>Dr. Tom Insel, whom Gov. Gavin Newsom recently appointed as his top mental health advisor, has likened the fragmented system to playing the piano with \u003cu>\u003ca href=\"https://calmatters.org/articles/if-you-think-the-system-works-youre-dead-wrong-a-discussion-on-californias-mental-health-system/\" target=\"_blank\" rel=\"noopener\">58 fingers\u003c/a>\u003c/u>.\u003c/p>\n\u003cp>“There’s no central leadership, really,” said Insel, the former director of the National Institute of Mental Health. “If you ask, ‘What are the counties trying to accomplish? What are their goals? What is their North Star?’ I can’t tell you that. There’s a North Star in L.A. County, in San Mateo, in Alameda. They’re not the same.”\u003c/p>\n\u003cp>Insel and many other mental health experts say California offers too little guidance and oversight to ensure fair access to mental health treatment, missing opportunities to spread best practices from individual counties statewide.\u003c/p>\n\u003cp>He wants the state to identify specific goals for mental health outcomes, such as reducing suicides and the incarceration of people with mental illness. He also wants the state to help counties achieve those goals. Among his top priorities: early psychosis intervention.\u003c/p>\n\u003cp>“For most kids who can get that kind of treatment soon after the onset, they’ll do quite well,” Insel said. “They can go on to really have a life that does not happen today with a diagnosis of schizophrenia.”\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>[dropcap]A[/dropcap]bout 100,000 adolescents and young adults nationwide experience first-episode psychosis each year, \u003cu>\u003ca href=\"https://www.nimh.nih.gov/health/topics/schizophrenia/raise/fact-sheet-first-episode-psychosis.shtml\" target=\"_blank\" rel=\"noopener\">according to federal figures\u003c/a>\u003c/u>—and three out of 100 people will experience psychosis at some point in their lives.\u003c/p>\n\u003cp>In recent years, policymakers and mental health providers have grown enthusiastic about early psychosis intervention programs, which typically involve intensive counseling, psychiatric treatment and peer and family support, with trained providers working closely together to coordinate each patient’s care.\u003c/p>\n\u003cp>In 2016, the federal government set aside 10% of states’ Community Mental Health Block Grants for early psychosis programming; in California, that totals $9.5 million. Legislators this year have proposed allocating $20 million for early psychosis programming in California’s new budget, which is $5 million less than the governor sought.\u003c/p>\n\u003cfigure id=\"attachment_11756756\" class=\"wp-caption alignleft\" style=\"max-width: 350px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11756756\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/Dennison17_1-400x600.jpg\" alt=\"\" width=\"350\" height=\"525\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/Dennison17_1-400x600.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/Dennison17_1-400x600-160x240.jpg 160w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\">\u003cfigcaption class=\"wp-caption-text\">Christine Marie Frey, 18, attended an early psychosis program in San Diego after she began to hear demons as a 12-year-old. She’s the author of “Brain XP: Living with Mental Illness, A Young Teenager’s Perspective.” \u003ccite>(Family photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Done right, research shows, the programs can dramatically help young people experiencing psychotic symptoms, with lasting benefits. The converse is also true: The longer psychosis goes untreated, the worse the outcome. People with an initial diagnosis of psychosis are approximately \u003cu>\u003ca href=\"https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2670697\" target=\"_blank\" rel=\"noopener\">eight times\u003c/a>\u003c/u> as likely to die during the year following their diagnosis as people in the general population. The cause is often suicide.\u003c/p>\n\u003cp>According to one national study, clients in early psychosis programs stay in treatment longer, experience fewer symptoms are more involved in work or school, compared with patients in other care settings—provided they get into treatment fast. \u003ca href=\"https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2017.17050480\" target=\"_blank\" rel=\"noopener\">A Canadian study\u003c/a> published last year in the American Journal of Psychiatry showed that people who participated in early psychosis intervention after their first episode were four times less likely to die.\u003c/p>\n\u003cp>In the United States, on average, individuals experiencing psychosis went without treatment for 74 weeks. Other countries have dramatically reduced this number.\u003c/p>\n\u003cp>Christine Marie Frey, now 18, attended a program in San Diego after she began to hear demons as a 12-year-old. It offered personal and occupational therapy, as well as help with mindfulness, medication and school. Frey found comfort in talking with peers in similar circumstances.\u003c/p>\n\u003cp>“They helped me realize, not just how to cope—they helped me feel like my own self again,” she said. “I went in there ready to give up.”\u003c/p>\n\u003cp>Early psychosis interventions can target young people with symptoms that put them at high risk for psychosis, or those who have had their first experience of psychosis. Those in the first group might hear whispers and wonder if their brain is playing tricks on them; the second group is more likely to believe the voices are real.\u003c/p>\n\u003cp>In California, only about two dozen counties have early psychosis programs. Most lack the money or capacity to make them available to all county residents. Often, the only people eligible are those without insurance or on Medi-Cal for low-income Californians, though in some cases private insurers pay for patients.\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>[dropcap]G[/dropcap]rowing up, Evan had always been a strong student, and a talented musician and athlete, his mother said. But as he approached the end of his fall sophomore semester, he became increasingly worried about choosing a major and meeting music deadlines.\u003c/p>\n\u003cp>For several nights, he stopped sleeping. On his 20\u003csup>th\u003c/sup> birthday, a friend rushed him to the emergency room. He received medication to help him sleep, but continued to get worse. His father raced across the country to bring him back to Sebastopol, assuming the comfort of home would help. Then the delusions started.\u003c/p>\n\u003cp>After his parents heard about the early psychosis program, they said they begged their insurance provider, Kaiser Permanente, for a referral, but Kaiser refused.\u003c/p>\n\u003cp>In an emailed statement, Dr. Sameer Awsare, associate executive director of Kaiser’s Northern California medical group, said Kaiser is not simply an ‘insurer’” that pays for outside services.\u003c/p>\n\u003cp>“Kaiser Permanente is an integrated health care system that provides expert, evidence-based medical care for our members, including in the area of psychosis,” Awsare said. He added that Kaiser follows federal “best practices” for cognitive behavioral treatment of psychosis and multi-family group treatment, and when clinically appropriate, Kaiser does refer members to outside programs.\u003c/p>\n\u003cp>He cited patient confidentiality in declining to discuss Evan’s case.\u003c/p>\n\u003cfigure id=\"attachment_11756762\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11756762\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-800x500.jpg\" alt=\"\" width=\"800\" height=\"500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-800x500.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-160x100.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-1020x638.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-1200x750.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-1920x1200.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800.jpg 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Brighid Fitzgibbon with her son, Evan, who was a sophomore at Bard College when acute psychosis hit. \u003ccite>(Penni Gladstone/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Evan’s parents didn’t feel that what they said Kaiser was offering—a general intensive outpatient program in which most patients didn’t have psychosis, a meeting with a psychiatrist every few weeks, and therapy every week or so—was enough.\u003c/p>\n\u003cp>So Evan’s father drove him every week or so to the UC Davis Early Diagnosis and Preventive Treatment Clinic, a state-of-the-art program in Sacramento. The drive was about four hours round-trip, and the family paid thousands of dollars for his care, with the help of a GoFundMe account set up by his elementary school teacher.\u003c/p>\n\u003cp>Evan stabilized and began to improve, his mother said. But the long drives wore on her son and his father, who had severe back pain. And the out-of-pocket costs became prohibitive. Coming from so far away, it was difficult for Evan to participate in the peer groups. Although Brighid FitzGibbon said they would have liked to continue, they made the difficult choice to stop a few months into the program in May.\u003c/p>\n\u003cp>“I don’t know,” said FitzGibbon, whose son gave permission for her to share his story. “It’s just disheartening to see how broken the system is. I think we did the best we could.”\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>[dropcap]B[/dropcap]ill Carter, who recently became Sonoma County’s mental health director, said he is committed to bringing an early psychosis program there, calling it “one of the best things going.”\u003c/p>\n\u003cp>“It’s the kind of thing we in the mental health field have been waiting for,” he said. “Historically, schizophrenia and other thought disorders have the potential really just to ravage someone’s life.”\u003c/p>\n\u003cp>Carter previously worked for the California Institute of Mental Health, leading efforts to disseminate evidence-based practices, including early psychosis treatment. He also served as mental health director of Napa County, which beginning in 2014 has made early psychosis treatment available to any county resident who needed it, regardless of insurance.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Sonoma County mental health director Bill Carter']‘Historically, schizophrenia and other thought disorders have the potential really just to ravage someone’s life.’[/pullquote]Napa managed this in part due to funding from One Mind, a nonprofit founded by the local Staglin family, whose son, Brandon, recovered from schizophrenia in the 1990s and is now the president. The Napa program also receives support from local vintners, a large charity auction and a variety of federal and state funding sources.\u003c/p>\n\u003cp>But despite Carter’s commitment to bringing early psychosis programming to Sonoma County, he has encountered significant obstacles. After 2017’s wildfires, the county is facing huge budget shortfalls—and making steep cuts to mental health care.\u003c/p>\n\u003cp>Convincing the public to invest significantly in a prevention program for relatively few people is challenging, Carter said, especially when so many very sick people are going without care. He’d prefer that the state provide centralized leadership and support to help counties fund and build early psychosis programs.\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>[dropcap]W[/dropcap]hy doesn’t that exist? Why do 58 counties do things 58 ways? By design. Back in 1991, the state faced a budget crisis, and in a process known as “realignment,” it shifted responsibility for mental health delivery to counties.\u003c/p>\n\u003cp>It also assigned counties dedicated funding from sales taxes and vehicle license fees, creating formulas based on how much each county was spending at the time. Over the years, these funds have neither kept pace with need nor been adjusted to account for changing populations.\u003c/p>\n\u003cp>In 2004, California voters passed the Mental Health Services Act initiative, levying a tax on the state’s millionaires. It has pumped in about \u003cu>\u003ca href=\"https://mhsoac.ca.gov/act\">$15 billio\u003c/a>\u003ca href=\"https://mhsoac.ca.gov/act\">n more for mental health\u003c/a>\u003c/u>, which the stated doles out to counties to promote flexibility.\u003c/p>\n\u003cp>Counties say they need to be nimble. In a state as vast and varied as California, the issues facing rural Trinity County differ from those of urban Los Angeles. But the approach has disadvantages.\u003c/p>\n\u003cp>[aside tag='kaiser-permanente-mental-health' label='mental healthcare access']“There’s not necessarily rhyme or reason to why a county chooses to provide some services and not others,” said Sheree Lowe, vice president of behavioral health for the California Hospital Association. “The best way to describe it is, it’s a broken delivery system.”\u003c/p>\n\u003cp>What the state needs, Lowe contends, is core services available in every community. Now, she says, the state doesn’t track what services are provided in each county.\u003c/p>\n\u003cp>In 2012, the state shuttered its Department of Mental Health, and moved many of its staff members to the Department of Health Care Services. Some feel the move further sidelined mental health.\u003c/p>\n\u003cp>“I think counties have been cast adrift, really,” said Randall Hagar, government relations director for the California Psychiatric Association, which represents the interests of the state’s psychiatrists. “I would agree with the assessment that there is still no state leadership.”\u003c/p>\n\u003cp>This isn’t true everywhere. Oregon has a comprehensive, state-run early psychosis program. New York state created \u003cu>\u003ca href=\"https://www.ontrackny.org/\">OnTrackNY,\u003c/a>\u003c/u> a state-led effort to provide coordinated early psychosis care to young people. Dr. Insel said he would like to see California implement a similar effort.\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>[dropcap]M[/dropcap]any people see hope for the future of early psychosis intervention in California because of the UC Davis clinic that Brighid FitzGibbon’s son Evan attended—and its director, Tara Niendam. In 2008, Dr. Cameron Carter, a prominent psychiatrist with a strong interest in early psychosis, recruited her to the Sacramento clinic he’d founded.\u003c/p>\n\u003cp>Today, the staff includes psychiatrists, therapists, a family advocate and a specialist in education and employment, as well as a worker dedicated to meeting patients’ social needs, such as housing. Patients participate in peer and family support groups.\u003c/p>\n\u003cp>Too often, Niendam says, individuals “just float around in our system receiving sometimes inadequate care.” Effective mental health care doesn’t simply make symptoms go away, she said. It gives individuals and families the tools to pursue meaningful lives.\u003c/p>\n\u003cp>“That’s more than a pill can do,” she said.\u003c/p>\n\u003cp>One of the clinic’s patients, Meheretab — who asked that his last name not be used — began attending Niendam’s clinic after suicidal thoughts and hallucinations. Meheretab, who has Medi-Cal, said the infrequent treatment he was receiving through Kaiser wasn’t working. Niendam’s clinic felt safe. With a combination of medication, counseling, job support and a peer group, he said, his depression subsided and the hallucinations ended.\u003c/p>\n\u003cp>“I feel like I’m in a better place right now,” he said.\u003c/p>\n\u003cp>Niendam helped Napa and Solano counties start early psychosis programs and is currently doing the same with Yolo County. Small counties can struggle to hire and train the staff necessary for a full early psychosis program, so she is developing a way for them to contract with larger counties or use telemedicine. She wants to expand the treatment model statewide.\u003c/p>\n\u003cp>Watching people who have been hospitalized 10 times return to school or hold a fulltime job, and showing them they can recover, “are the things that keep me going every day,” she said. “It’s game-changing for everyone. It’s super exciting to be part of that.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Last December, Brighid FitzGibbon’s son, Evan, entered a catatonic state. Acute psychosis had hit suddenly a few weeks earlier, toward the end of fall semester of his sophomore year at Bard College in upstate New York. Gripped by terrifying delusions, his body began to shut down.\u003c/p>\n\u003cp>FitzGibbon and her husband, Taylor, rushed their 20-year-old son to a hospital in Sonoma County, where they live. An acquaintance told them about a promising program for young people experiencing early psychosis. But the family quickly discovered a problem: the program didn’t exist in their county.\u003c/p>\n\u003cp>In California, geography creates significant barriers to people getting early psychosis treatment, as it does for array of other evidence-based mental health treatments. That’s partly because California’s 58 counties have 58 different public mental health programs, each with their own set of covered services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“If you get on a bus in Northern California and take it to Southern California, you get different services depending on where you step out,” said Carmela Coyle, president and CEO of the California Hospital Association, a lobbying group for the state’s hospitals. “That’s just inequitable.”\u003c/p>\n\u003cp>Dr. Tom Insel, whom Gov. Gavin Newsom recently appointed as his top mental health advisor, has likened the fragmented system to playing the piano with \u003cu>\u003ca href=\"https://calmatters.org/articles/if-you-think-the-system-works-youre-dead-wrong-a-discussion-on-californias-mental-health-system/\" target=\"_blank\" rel=\"noopener\">58 fingers\u003c/a>\u003c/u>.\u003c/p>\n\u003cp>“There’s no central leadership, really,” said Insel, the former director of the National Institute of Mental Health. “If you ask, ‘What are the counties trying to accomplish? What are their goals? What is their North Star?’ I can’t tell you that. There’s a North Star in L.A. County, in San Mateo, in Alameda. They’re not the same.”\u003c/p>\n\u003cp>Insel and many other mental health experts say California offers too little guidance and oversight to ensure fair access to mental health treatment, missing opportunities to spread best practices from individual counties statewide.\u003c/p>\n\u003cp>He wants the state to identify specific goals for mental health outcomes, such as reducing suicides and the incarceration of people with mental illness. He also wants the state to help counties achieve those goals. Among his top priorities: early psychosis intervention.\u003c/p>\n\u003cp>“For most kids who can get that kind of treatment soon after the onset, they’ll do quite well,” Insel said. “They can go on to really have a life that does not happen today with a diagnosis of schizophrenia.”\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">A\u003c/span>\u003c/p>\u003cp>bout 100,000 adolescents and young adults nationwide experience first-episode psychosis each year, \u003cu>\u003ca href=\"https://www.nimh.nih.gov/health/topics/schizophrenia/raise/fact-sheet-first-episode-psychosis.shtml\" target=\"_blank\" rel=\"noopener\">according to federal figures\u003c/a>\u003c/u>—and three out of 100 people will experience psychosis at some point in their lives.\u003c/p>\n\u003cp>In recent years, policymakers and mental health providers have grown enthusiastic about early psychosis intervention programs, which typically involve intensive counseling, psychiatric treatment and peer and family support, with trained providers working closely together to coordinate each patient’s care.\u003c/p>\n\u003cp>In 2016, the federal government set aside 10% of states’ Community Mental Health Block Grants for early psychosis programming; in California, that totals $9.5 million. Legislators this year have proposed allocating $20 million for early psychosis programming in California’s new budget, which is $5 million less than the governor sought.\u003c/p>\n\u003cfigure id=\"attachment_11756756\" class=\"wp-caption alignleft\" style=\"max-width: 350px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11756756\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/Dennison17_1-400x600.jpg\" alt=\"\" width=\"350\" height=\"525\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/Dennison17_1-400x600.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/Dennison17_1-400x600-160x240.jpg 160w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\">\u003cfigcaption class=\"wp-caption-text\">Christine Marie Frey, 18, attended an early psychosis program in San Diego after she began to hear demons as a 12-year-old. She’s the author of “Brain XP: Living with Mental Illness, A Young Teenager’s Perspective.” \u003ccite>(Family photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Done right, research shows, the programs can dramatically help young people experiencing psychotic symptoms, with lasting benefits. The converse is also true: The longer psychosis goes untreated, the worse the outcome. People with an initial diagnosis of psychosis are approximately \u003cu>\u003ca href=\"https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2670697\" target=\"_blank\" rel=\"noopener\">eight times\u003c/a>\u003c/u> as likely to die during the year following their diagnosis as people in the general population. The cause is often suicide.\u003c/p>\n\u003cp>According to one national study, clients in early psychosis programs stay in treatment longer, experience fewer symptoms are more involved in work or school, compared with patients in other care settings—provided they get into treatment fast. \u003ca href=\"https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2017.17050480\" target=\"_blank\" rel=\"noopener\">A Canadian study\u003c/a> published last year in the American Journal of Psychiatry showed that people who participated in early psychosis intervention after their first episode were four times less likely to die.\u003c/p>\n\u003cp>In the United States, on average, individuals experiencing psychosis went without treatment for 74 weeks. Other countries have dramatically reduced this number.\u003c/p>\n\u003cp>Christine Marie Frey, now 18, attended a program in San Diego after she began to hear demons as a 12-year-old. It offered personal and occupational therapy, as well as help with mindfulness, medication and school. Frey found comfort in talking with peers in similar circumstances.\u003c/p>\n\u003cp>“They helped me realize, not just how to cope—they helped me feel like my own self again,” she said. “I went in there ready to give up.”\u003c/p>\n\u003cp>Early psychosis interventions can target young people with symptoms that put them at high risk for psychosis, or those who have had their first experience of psychosis. Those in the first group might hear whispers and wonder if their brain is playing tricks on them; the second group is more likely to believe the voices are real.\u003c/p>\n\u003cp>In California, only about two dozen counties have early psychosis programs. Most lack the money or capacity to make them available to all county residents. Often, the only people eligible are those without insurance or on Medi-Cal for low-income Californians, though in some cases private insurers pay for patients.\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">G\u003c/span>\u003c/p>\u003cp>rowing up, Evan had always been a strong student, and a talented musician and athlete, his mother said. But as he approached the end of his fall sophomore semester, he became increasingly worried about choosing a major and meeting music deadlines.\u003c/p>\n\u003cp>For several nights, he stopped sleeping. On his 20\u003csup>th\u003c/sup> birthday, a friend rushed him to the emergency room. He received medication to help him sleep, but continued to get worse. His father raced across the country to bring him back to Sebastopol, assuming the comfort of home would help. Then the delusions started.\u003c/p>\n\u003cp>After his parents heard about the early psychosis program, they said they begged their insurance provider, Kaiser Permanente, for a referral, but Kaiser refused.\u003c/p>\n\u003cp>In an emailed statement, Dr. Sameer Awsare, associate executive director of Kaiser’s Northern California medical group, said Kaiser is not simply an ‘insurer’” that pays for outside services.\u003c/p>\n\u003cp>“Kaiser Permanente is an integrated health care system that provides expert, evidence-based medical care for our members, including in the area of psychosis,” Awsare said. He added that Kaiser follows federal “best practices” for cognitive behavioral treatment of psychosis and multi-family group treatment, and when clinically appropriate, Kaiser does refer members to outside programs.\u003c/p>\n\u003cp>He cited patient confidentiality in declining to discuss Evan’s case.\u003c/p>\n\u003cfigure id=\"attachment_11756762\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11756762\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-800x500.jpg\" alt=\"\" width=\"800\" height=\"500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-800x500.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-160x100.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-1020x638.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-1200x750.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-1920x1200.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800.jpg 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Brighid Fitzgibbon with her son, Evan, who was a sophomore at Bard College when acute psychosis hit. \u003ccite>(Penni Gladstone/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Evan’s parents didn’t feel that what they said Kaiser was offering—a general intensive outpatient program in which most patients didn’t have psychosis, a meeting with a psychiatrist every few weeks, and therapy every week or so—was enough.\u003c/p>\n\u003cp>So Evan’s father drove him every week or so to the UC Davis Early Diagnosis and Preventive Treatment Clinic, a state-of-the-art program in Sacramento. The drive was about four hours round-trip, and the family paid thousands of dollars for his care, with the help of a GoFundMe account set up by his elementary school teacher.\u003c/p>\n\u003cp>Evan stabilized and began to improve, his mother said. But the long drives wore on her son and his father, who had severe back pain. And the out-of-pocket costs became prohibitive. Coming from so far away, it was difficult for Evan to participate in the peer groups. Although Brighid FitzGibbon said they would have liked to continue, they made the difficult choice to stop a few months into the program in May.\u003c/p>\n\u003cp>“I don’t know,” said FitzGibbon, whose son gave permission for her to share his story. “It’s just disheartening to see how broken the system is. I think we did the best we could.”\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">B\u003c/span>\u003c/p>\u003cp>ill Carter, who recently became Sonoma County’s mental health director, said he is committed to bringing an early psychosis program there, calling it “one of the best things going.”\u003c/p>\n\u003cp>“It’s the kind of thing we in the mental health field have been waiting for,” he said. “Historically, schizophrenia and other thought disorders have the potential really just to ravage someone’s life.”\u003c/p>\n\u003cp>Carter previously worked for the California Institute of Mental Health, leading efforts to disseminate evidence-based practices, including early psychosis treatment. He also served as mental health director of Napa County, which beginning in 2014 has made early psychosis treatment available to any county resident who needed it, regardless of insurance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Napa managed this in part due to funding from One Mind, a nonprofit founded by the local Staglin family, whose son, Brandon, recovered from schizophrenia in the 1990s and is now the president. The Napa program also receives support from local vintners, a large charity auction and a variety of federal and state funding sources.\u003c/p>\n\u003cp>But despite Carter’s commitment to bringing early psychosis programming to Sonoma County, he has encountered significant obstacles. After 2017’s wildfires, the county is facing huge budget shortfalls—and making steep cuts to mental health care.\u003c/p>\n\u003cp>Convincing the public to invest significantly in a prevention program for relatively few people is challenging, Carter said, especially when so many very sick people are going without care. He’d prefer that the state provide centralized leadership and support to help counties fund and build early psychosis programs.\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">W\u003c/span>\u003c/p>\u003cp>hy doesn’t that exist? Why do 58 counties do things 58 ways? By design. Back in 1991, the state faced a budget crisis, and in a process known as “realignment,” it shifted responsibility for mental health delivery to counties.\u003c/p>\n\u003cp>It also assigned counties dedicated funding from sales taxes and vehicle license fees, creating formulas based on how much each county was spending at the time. Over the years, these funds have neither kept pace with need nor been adjusted to account for changing populations.\u003c/p>\n\u003cp>In 2004, California voters passed the Mental Health Services Act initiative, levying a tax on the state’s millionaires. It has pumped in about \u003cu>\u003ca href=\"https://mhsoac.ca.gov/act\">$15 billio\u003c/a>\u003ca href=\"https://mhsoac.ca.gov/act\">n more for mental health\u003c/a>\u003c/u>, which the stated doles out to counties to promote flexibility.\u003c/p>\n\u003cp>Counties say they need to be nimble. In a state as vast and varied as California, the issues facing rural Trinity County differ from those of urban Los Angeles. But the approach has disadvantages.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“There’s not necessarily rhyme or reason to why a county chooses to provide some services and not others,” said Sheree Lowe, vice president of behavioral health for the California Hospital Association. “The best way to describe it is, it’s a broken delivery system.”\u003c/p>\n\u003cp>What the state needs, Lowe contends, is core services available in every community. Now, she says, the state doesn’t track what services are provided in each county.\u003c/p>\n\u003cp>In 2012, the state shuttered its Department of Mental Health, and moved many of its staff members to the Department of Health Care Services. Some feel the move further sidelined mental health.\u003c/p>\n\u003cp>“I think counties have been cast adrift, really,” said Randall Hagar, government relations director for the California Psychiatric Association, which represents the interests of the state’s psychiatrists. “I would agree with the assessment that there is still no state leadership.”\u003c/p>\n\u003cp>This isn’t true everywhere. Oregon has a comprehensive, state-run early psychosis program. New York state created \u003cu>\u003ca href=\"https://www.ontrackny.org/\">OnTrackNY,\u003c/a>\u003c/u> a state-led effort to provide coordinated early psychosis care to young people. Dr. Insel said he would like to see California implement a similar effort.\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">M\u003c/span>\u003c/p>\u003cp>any people see hope for the future of early psychosis intervention in California because of the UC Davis clinic that Brighid FitzGibbon’s son Evan attended—and its director, Tara Niendam. In 2008, Dr. Cameron Carter, a prominent psychiatrist with a strong interest in early psychosis, recruited her to the Sacramento clinic he’d founded.\u003c/p>\n\u003cp>Today, the staff includes psychiatrists, therapists, a family advocate and a specialist in education and employment, as well as a worker dedicated to meeting patients’ social needs, such as housing. Patients participate in peer and family support groups.\u003c/p>\n\u003cp>Too often, Niendam says, individuals “just float around in our system receiving sometimes inadequate care.” Effective mental health care doesn’t simply make symptoms go away, she said. It gives individuals and families the tools to pursue meaningful lives.\u003c/p>\n\u003cp>“That’s more than a pill can do,” she said.\u003c/p>\n\u003cp>One of the clinic’s patients, Meheretab — who asked that his last name not be used — began attending Niendam’s clinic after suicidal thoughts and hallucinations. Meheretab, who has Medi-Cal, said the infrequent treatment he was receiving through Kaiser wasn’t working. Niendam’s clinic felt safe. With a combination of medication, counseling, job support and a peer group, he said, his depression subsided and the hallucinations ended.\u003c/p>\n\u003cp>“I feel like I’m in a better place right now,” he said.\u003c/p>\n\u003cp>Niendam helped Napa and Solano counties start early psychosis programs and is currently doing the same with Yolo County. Small counties can struggle to hire and train the staff necessary for a full early psychosis program, so she is developing a way for them to contract with larger counties or use telemedicine. She wants to expand the treatment model statewide.\u003c/p>\n\u003cp>Watching people who have been hospitalized 10 times return to school or hold a fulltime job, and showing them they can recover, “are the things that keep me going every day,” she said. “It’s game-changing for everyone. It’s super exciting to be part of that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>This episode of \u003ca href=\"https://www.kqed.org/news/series/baycurious\" target=\"_blank\" rel=\"noopener\">Bay Curious\u003c/a> is a little bit different.\u003c/p>\n\u003cp>This week, the show tags along with Bryan Bashin, CEO of LightHouse for the Blind and Visually Impaired, to give us a taste of what it’s like to navigate a loud and chaotic city while blind.\u003c/p>\u003cp>\u003caside class=\"alignleft utils-parseShortcode-shortcodes-__bayCuriousPodcastShortcode__bayCurious\">\u003cimg src=https://cdn.kqed.org/wp-content/uploads/2023/02/bayCuriousLogo.png alt=\"Bay Curious Podcast\" loading=\"lazy\" />\n \u003ca href=\"/news/series/baycurious\">Bay Curious\u003c/a> is a podcast that answers your questions about the Bay Area.\n Subscribe on \u003ca href=\"https://itunes.apple.com/us/podcast/bay-curious/id1172473406\" target=\"_blank\" rel=\"noopener noreferrer\">Apple Podcasts\u003c/a>,\n \u003ca href=\"http://www.npr.org/podcasts/500557090/bay-curious\" target=\"_blank\" rel=\"noopener noreferrer\">NPR One\u003c/a> or your favorite podcast platform.\u003c/aside>\u003c/p>\u003cp>\u003c/p>\n\u003cp>This episode is meant to be a truly immersive experience for your ears. So put on your headphones, settle in and turn the sound up. You can listen by clicking the play button above or on your podcast player of choice.\u003c/p>\n\u003cp>\u003cem>To hear more amazing sound experiences, check out Chris and Sam’s podcast, \u003ca href=\"http://www.theworldaccordingtosound.org/\" target=\"_blank\" rel=\"noopener\">“The World According to Sound.”\u003c/a>\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A \u003ca href=\"http://bit.ly/fiorenapacoverup\" target=\"_blank\" rel=\"noopener\">police cover-up\u003c/a> of excessive force at Napa State Hospital sent a patient to jail for seven months.\u003c/p>\n\u003cp>The hospital mainly houses people who have been charged with crimes but are found not guilty by reason of insanity or deemed mentally incompetent to stand trial.\u003c/p>\n\u003cp>On March 23, 2017, Jose Alvarez, a 64-year-old patient with bipolar disorder who was having a bad reaction to a change in his medication, was slammed against a concrete wall by a police officer.\u003c/p>\n\u003cp>The officer who tackled Alvarez and pushed him into the wall was Michael Hauscarriague, who happens to be the son of Napa State Hospital Police Chief Dominique Hauscarriague.\u003c/p>\n\u003cp>Three other officers were involved in the cover-up, which thankfully came to light because of California’s police transparency law and the \u003ca href=\"https://www.kqed.org/news/tag/police-records\" target=\"_blank\" rel=\"noopener\">California Reporting Project\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cp>Four Napa State Hospital police officers kept their jobs after state investigators found one of them used excessive force when he slammed a 64-year-old patient’s face into a concrete wall, and three others wrote misleading reports and failed to adequately investigate the March 2017 incident.\u003c/p>\n\u003cp>Jose Alvarez, who has bipolar disorder, was sent to the hospital with a fractured eye socket, broken teeth and cuts to his face. He was arrested and spent seven months in jail before charges were dismissed.[pullquote size='small' align='right' citation='Karen Silver, Sonoma County Deputy Public Defender']‘I think it was real clear once Mr. Alvarez’s face was examined, before he even went to the hospital: You better cover your ass with something that shows that that was proper force.’[/pullquote]In a recent phone interview from Patton State Hospital in San Bernardino, where he is currently housed, Alvarez said he was agitated that day but was not a threat to anyone.\u003c/p>\n\u003cp>“Four police officers tried to kill me in Napa,” Alvarez said. “They tackled me and drove me face-first into a cement wall, and I lost (several) teeth.”\u003c/p>\n\u003cp>A doctor who witnessed the incident told investigators it was the most “brutal” takedown she had seen in 11 years of working at Napa State Hospital, according to records released by the Department of State Hospitals under \u003ca href=\"https://www.kqed.org/news/tag/police-records\" target=\"_blank\" rel=\"noopener\">California’s new police transparency law\u003c/a>. The officer who pushed Alvarez into the wall also hit his head during the encounter and was treated for a possible concussion.\u003c/p>\n\u003cp>That officer, Michael Hauscarriague, is the son of Napa State Hospital Police Chief Dominique Hauscarriague.\u003c/p>\n\u003cp>After the internal investigation, the Department of State Hospitals initially recommended firing all four officers, but that discipline was significantly watered down after the officers appealed.\u003c/p>\n\u003cp>In the end, Hauscarriague’s pay was reduced for 10 months. Officers Jose Becerra, Vuong Truong and Stuart Donaldson were all served with letters of instruction and retrained on use of force, communication, report-writing and interviewing policies, according to Department of State Hospitals spokesman Ralph Montano. The fifth officer to respond that day, Ross Tweedy, disputed the other officers’ claims that Alvarez was a physical threat and “dragged” Hauscarriague into the wall.\u003c/p>\n\u003cp>“That’s not what I saw,” he told investigators, according to the records. Tweedy wasn’t disciplined.\u003c/p>\n\u003cp>Napa State Hospital, which primarily houses people charged with crimes but found incompetent to stand trial, has a \u003ca href=\"https://www.kqed.org/stateofhealth/96363/violence-and-healing-at-napa-state-hospital-tale-of-two-families\" target=\"_blank\" rel=\"noopener\">history\u003c/a> of security issues. Following the murder of a nurse in 2010, the hospital hired more police officers and installed Dominique Hauscarriague as their new chief. Staff were outfitted with personal alarms so they could call for help if they felt threatened.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>Alvarez’s disorder started shortly after he turned 18, according to reports to the court provided by his attorney. Alvarez owned a landscaping and home repair business for a time, but records show his illness made it difficult for him to maintain employment and personal relationships. Over the past four decades, he spent time in multiple state and local institutions.[aside postID='news_11749447,news_11748275,news_11721801' hero=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/08/Police-Art_1-1.gif\" heroLink=\"https://www.kqed.org/news/tag/police-records\" target=\"_blank\"]\u003cbr>\nDuring a manic episode in 2008, Alvarez was arrested for assault on a peace officer in Sonoma County. He was found not guilty by reason of insanity and committed to Napa State Hospital.\u003c/p>\n\u003cp>On March 23, 2017 Alvarez was having a negative reaction to a change in his medication, his doctor told investigators. Records show he was very upset and shouting obscenities in an outdoor yard. A psychiatric technician pushed her personal alarm, and five officers, including Hauscarriague, responded from a nearby building.\u003c/p>\n\u003cp>Several staff members told state investigators that police, and particularly Michael Hauscarriague, were aggressive and charged Alvarez before checking with doctors or considering whether the patient was a threat, the records show. Also, medical staff disputed summaries of their statements to police after the incident that omitted their descriptions of the unwarranted use of force. Some wondered why they were questioned by officers who were involved in the incident.\u003c/p>\n\u003cp>“The minute they saw what happened to his face, the decision was made that they needed to charge him with something,” said Karen Silver, Sonoma County deputy public defender and Alvarez’s attorney. “I think it was real clear once Mr. Alvarez’s face was examined, before he even went to the hospital: You better cover your ass with something that shows that that was proper force.”\u003c/p>\n\u003cp>Hospital police Officer Terence McCullough told state investigators that there was internal pressure to arrest Alvarez.\u003c/p>\n\u003cp>McCullough said his sergeant told him: “We are looking to make an arrest.” The urgency to arrest Alvarez was due to a peace officer being injured, according to McCullough.\u003c/p>\n\u003cp>“Nobody squeezed me to do anything special because it was the chief’s kid,” McCullough told state investigators.\u003c/p>\n\u003cfigure id=\"attachment_11755509\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11755509\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/OLES-Crim-Allegations-800x326.jpg\" alt=\"An excerpt from a Sept. 21, 2017, state Office of Law Enforcement Support investigative report outlining potential criminal charges against Napa State Hospital police officers Michael Hauscarriague and Terence McCullough.\" width=\"800\" height=\"326\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/OLES-Crim-Allegations-800x326.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/OLES-Crim-Allegations-160x65.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/OLES-Crim-Allegations-1020x415.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/OLES-Crim-Allegations-1200x489.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/OLES-Crim-Allegations.jpg 1211w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">An excerpt from a Sept. 21, 2017, state Office of Law Enforcement Support investigative report outlining potential criminal charges against Napa State Hospital police officers Michael Hauscarriague and Terence McCullough. \u003ccite>((Via California Department of State Hospitals))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A therapist expressed shock when she learned from state investigators that Alvarez had been arrested and charged with serious felonies, including resisting arrest and battery on a peace officer resulting in great bodily injury. Along with McCullough, Alvarez’s primary doctor also told investigators that higher-ups at the hospital pressured him to send Alvarez to jail, where the patient spent seven months until all charges were suddenly dismissed by the district attorney in October 2017.\u003c/p>\n\u003cp>Though investigators asked McCullough about the chief’s possible involvement in the arrest, records do not indicate that the investigation further probed any improper involvement of medical or police supervisors in the case.\u003c/p>\n\u003cp>The DSH omitted disciplinary documents in its recent release of information in response to a public records request. KQED has again requested those disciplinary documents, but they have not yet been provided. Requests to interview the police chief, medical director and executive director of Napa State Hospital were declined. Attempts to reach Michael Hauscarriague directly were unsuccessful, and attorneys for the police officers did not respond to requests for comment.[aside label='Read the Records' link1='https://www.documentcloud.org/documents/6160129-CalifDeptOfStateHospitalsMichaelHauscarriague03232.html,Criminal Investigation of Hauscarriague, McCullough' link2='https://www.documentcloud.org/documents/6160128-CalifDeptOfStateHospitalsMichaelHauscarriague03232.html,Hauscarriague Administrative Investigation' link3='https://www.documentcloud.org/documents/6160127-CalifDeptOfStateHospitalsMichaelHauscarriague03232.html,Alvarez Preliminary Hearing Transcript' target='_blank']\u003cbr>\nDSH spokesman Montano wrote in response to emailed questions that Dominique Hauscarriague played no role in the investigation or discipline of his son or the other three officers who were found to have authored misleading reports and failed to adequately investigate.\u003c/p>\n\u003cp>After being assigned the case, McCullough told the officers involved in the incident that they needed to add more details to their reports to justify the use of force, records show.\u003c/p>\n\u003cp>“He explained that as written, [Alvarez] was complying with verbal orders and you tackle him,” state investigative records show.\u003c/p>\n\u003cp>Officers Donaldson, Truong and Becerra then added details in their reports that exaggerated the threat posed by the patient, records show. These officers stated that the elderly Alvarez, who was 5-foot-4, turned toward Hauscarriague as he was being tackled and pushed the 6-foot-tall officer, who was 24, into a nearby wall.\u003c/p>\n\u003cp>Hauscarriague would later tell investigators that he and the other officers were familiar with Alvarez, that the patient had threatened to kill police officers, had recently head-butted an officer and was known to make weapons.\u003c/p>\n\u003cp>But the details of that history reveal that Alvarez was struggling with his illness following a medication change. His alleged pattern of weapon-making stemmed from a December 2016 confrontation in which Alvarez broke a radio in his room and was carrying a broken antenna, which police later characterized as a “shank.” He put the antenna down when he was ordered.\u003c/p>\n\u003cp>During an outburst in January 2017, records show, hospital police officers pushed him against a wall, and Alvarez “used the back of his head and head-butted” an officer, who was uninjured and who “refused to press charges.”[pullquote size='medium' align='right' citation='Jose Alvarez']‘The public needs to be educated that we’re not just animals locked up.’[/pullquote]\u003c/p>\n\u003cp>His history in the hospital is peppered with arguments with staff and threats to police officers. But medical staff told investigators that this type of behavior is not unusual for the patients they deal with.\u003c/p>\n\u003cp>On March 24, 2017, McCullough arrested Alvarez and suggested charging four felonies: resisting arrest, criminal threats, battery on a peace officer with injury and battery causing great bodily injury. He was booked into Napa County Jail. Police Chief Dominique Hauscarriague appears to have signed the paperwork transferring Alvarez to county jail the day after he was injured.\u003c/p>\n\u003cp>Alvarez’s primary doctor, Dr. Domingo Languitan, also told investigators and Alvarez’s attorney that there was internal pressure to send the patient to jail. He said that his supervisor told him to write the required medical recommendation. Languitan had never done this before, he said, and it was not his opinion that criminal charges should be filed or that Alvarez should be sent to jail. Languitan did not return a phone call seeking comment.\u003c/p>\n\u003cp>Hauscarriague, Truong and Donaldson all testified at a July 6, 2017, preliminary hearing. They all said Alvarez’s fists were clenched and his back was toward the officers when Hauscarriague ran toward him and grabbed him from behind. They testified that Alvarez turned and pushed against Hauscarriague, and then they both fell into the wall. Based on the officers’ testimony, a judge found the charges against Alvarez credible and he was held in jail for three more months before the case was dismissed by prosecutors.\u003c/p>\n\u003cp>Alvarez’s attorney, Karen Silver, said the officers clearly committed perjury in that testimony.\u003c/p>\n\u003cp>“Those cops lied,” she said.\u003c/p>\n\u003cp>No part of the state’s investigation considered potential perjury, however, according to DSH spokesman Montano.\u003c/p>\n\u003cp>A very different story emerged during the state’s investigation, conducted by the Office of Law Enforcement Support, a little-known oversight agency created in 2015 after concerns about patient safety at state hospitals and developmental centers. Civilian staff and patients who were interviewed by investigators said that Alvarez was agitated and “mouthing off,” but was never a direct threat to anyone.\u003c/p>\n\u003cp>Dozens of people were in the courtyard that day. State investigators interviewed five patients and six medical staff, none of whom reported seeing Alvarez fight back against police. Staff members said they were surprised when Hauscarriague “tackled” Alvarez, taking him into the wall. Because Alvarez was on his own in the yard, was not an imminent threat and did not have a weapon, the procedure would have been to try to talk to the patient and get him to move into a side room to calm down.\u003cbr>\n[pullquote align=\"right\" ]After the internal investigation, the Department of State Hospitals initially recommended firing all four officers. One had his pay reduced for 10 months. The others were retrained.[/pullquote]\u003cbr>\nA therapist laughed when state investigators told her about Donaldson’s description that the comparatively slight and elderly Alvarez dragged Hauscarriague as he attempted a tackle — a description Donaldson repeated during sworn testimony. The therapist said that didn’t happen.\u003c/p>\n\u003cp>A psychiatric technician also chuckled and disputed the description that Alvarez turned toward and threatened the officers before Hauscarriague tackled him, the internal investigation says. That technician was also quoted in police reports saying that Alvarez verbally threatened the officers, which she told investigators she never said.\u003c/p>\n\u003cp>State investigators referred Hauscarriague for potential criminal charges of patient abuse and battery to Napa County prosecutors. They also referred McCullough for potential false arrest and perjury charges.\u003c/p>\n\u003cp>It’s unclear whether McCullough is facing discipline. DSH spokesman Montano wrote in response to questions about McCullough that “the matter has not yet been concluded.”\u003c/p>\n\u003cp>Napa County District Attorney Allison Haley did not comment on the case, but said her office reviews all matters submitted to it.\u003c/p>\n\u003cp>“We decline to file [charges] when the evidence is insufficient to prove the charges beyond a reasonable doubt to a jury,” she wrote in a written statement.\u003c/p>\n\u003cp>Though the criminal charges against Alvarez were dismissed, his encounter with hospital police two years ago is still referenced as a violent incident in his psychiatric reports. He sees it as a factor that’s keeping him committed, and he wants the public to know what really happened.\u003c/p>\n\u003cp>“The public needs to be educated that we’re not just animals locked up,” he said. “That’s what they need to know.”\u003c/p>\n\u003cdiv style=\"width: 100%\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://cdn.knightlab.com/libs/timeline3/latest/embed/index.html?source=1zOih9clN3i7MR2E8KwkywNTJuwQwQqR9k_14olgDpFU&font=Default&lang=en&initial_zoom=2&height=650\" width=\"1200\" height=\"650\" frameborder=\"0\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\n\u003c/div>\n\u003cp>\u003cem>This story was produced as part of the California Reporting Project, a collaboration of 40 newsrooms across the state to obtain and report on police misconduct and serious use-of-force records unsealed in 2019.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In a recent phone interview from Patton State Hospital in San Bernardino, where he is currently housed, Alvarez said he was agitated that day but was not a threat to anyone.\u003c/p>\n\u003cp>“Four police officers tried to kill me in Napa,” Alvarez said. “They tackled me and drove me face-first into a cement wall, and I lost (several) teeth.”\u003c/p>\n\u003cp>A doctor who witnessed the incident told investigators it was the most “brutal” takedown she had seen in 11 years of working at Napa State Hospital, according to records released by the Department of State Hospitals under \u003ca href=\"https://www.kqed.org/news/tag/police-records\" target=\"_blank\" rel=\"noopener\">California’s new police transparency law\u003c/a>. The officer who pushed Alvarez into the wall also hit his head during the encounter and was treated for a possible concussion.\u003c/p>\n\u003cp>That officer, Michael Hauscarriague, is the son of Napa State Hospital Police Chief Dominique Hauscarriague.\u003c/p>\n\u003cp>After the internal investigation, the Department of State Hospitals initially recommended firing all four officers, but that discipline was significantly watered down after the officers appealed.\u003c/p>\n\u003cp>In the end, Hauscarriague’s pay was reduced for 10 months. Officers Jose Becerra, Vuong Truong and Stuart Donaldson were all served with letters of instruction and retrained on use of force, communication, report-writing and interviewing policies, according to Department of State Hospitals spokesman Ralph Montano. The fifth officer to respond that day, Ross Tweedy, disputed the other officers’ claims that Alvarez was a physical threat and “dragged” Hauscarriague into the wall.\u003c/p>\n\u003cp>“That’s not what I saw,” he told investigators, according to the records. Tweedy wasn’t disciplined.\u003c/p>\n\u003cp>Napa State Hospital, which primarily houses people charged with crimes but found incompetent to stand trial, has a \u003ca href=\"https://www.kqed.org/stateofhealth/96363/violence-and-healing-at-napa-state-hospital-tale-of-two-families\" target=\"_blank\" rel=\"noopener\">history\u003c/a> of security issues. Following the murder of a nurse in 2010, the hospital hired more police officers and installed Dominique Hauscarriague as their new chief. Staff were outfitted with personal alarms so they could call for help if they felt threatened.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Alvarez’s disorder started shortly after he turned 18, according to reports to the court provided by his attorney. Alvarez owned a landscaping and home repair business for a time, but records show his illness made it difficult for him to maintain employment and personal relationships. Over the past four decades, he spent time in multiple state and local institutions.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nDuring a manic episode in 2008, Alvarez was arrested for assault on a peace officer in Sonoma County. He was found not guilty by reason of insanity and committed to Napa State Hospital.\u003c/p>\n\u003cp>On March 23, 2017 Alvarez was having a negative reaction to a change in his medication, his doctor told investigators. Records show he was very upset and shouting obscenities in an outdoor yard. A psychiatric technician pushed her personal alarm, and five officers, including Hauscarriague, responded from a nearby building.\u003c/p>\n\u003cp>Several staff members told state investigators that police, and particularly Michael Hauscarriague, were aggressive and charged Alvarez before checking with doctors or considering whether the patient was a threat, the records show. Also, medical staff disputed summaries of their statements to police after the incident that omitted their descriptions of the unwarranted use of force. Some wondered why they were questioned by officers who were involved in the incident.\u003c/p>\n\u003cp>“The minute they saw what happened to his face, the decision was made that they needed to charge him with something,” said Karen Silver, Sonoma County deputy public defender and Alvarez’s attorney. “I think it was real clear once Mr. Alvarez’s face was examined, before he even went to the hospital: You better cover your ass with something that shows that that was proper force.”\u003c/p>\n\u003cp>Hospital police Officer Terence McCullough told state investigators that there was internal pressure to arrest Alvarez.\u003c/p>\n\u003cp>McCullough said his sergeant told him: “We are looking to make an arrest.” The urgency to arrest Alvarez was due to a peace officer being injured, according to McCullough.\u003c/p>\n\u003cp>“Nobody squeezed me to do anything special because it was the chief’s kid,” McCullough told state investigators.\u003c/p>\n\u003cfigure id=\"attachment_11755509\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11755509\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/OLES-Crim-Allegations-800x326.jpg\" alt=\"An excerpt from a Sept. 21, 2017, state Office of Law Enforcement Support investigative report outlining potential criminal charges against Napa State Hospital police officers Michael Hauscarriague and Terence McCullough.\" width=\"800\" height=\"326\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/OLES-Crim-Allegations-800x326.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/OLES-Crim-Allegations-160x65.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/OLES-Crim-Allegations-1020x415.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/OLES-Crim-Allegations-1200x489.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/OLES-Crim-Allegations.jpg 1211w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">An excerpt from a Sept. 21, 2017, state Office of Law Enforcement Support investigative report outlining potential criminal charges against Napa State Hospital police officers Michael Hauscarriague and Terence McCullough. \u003ccite>((Via California Department of State Hospitals))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A therapist expressed shock when she learned from state investigators that Alvarez had been arrested and charged with serious felonies, including resisting arrest and battery on a peace officer resulting in great bodily injury. Along with McCullough, Alvarez’s primary doctor also told investigators that higher-ups at the hospital pressured him to send Alvarez to jail, where the patient spent seven months until all charges were suddenly dismissed by the district attorney in October 2017.\u003c/p>\n\u003cp>Though investigators asked McCullough about the chief’s possible involvement in the arrest, records do not indicate that the investigation further probed any improper involvement of medical or police supervisors in the case.\u003c/p>\n\u003cp>The DSH omitted disciplinary documents in its recent release of information in response to a public records request. KQED has again requested those disciplinary documents, but they have not yet been provided. Requests to interview the police chief, medical director and executive director of Napa State Hospital were declined. Attempts to reach Michael Hauscarriague directly were unsuccessful, and attorneys for the police officers did not respond to requests for comment.\u003c/p>\u003c/div>",
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"link1": "https://www.documentcloud.org/documents/6160129-CalifDeptOfStateHospitalsMichaelHauscarriague03232.html,Criminal Investigation of Hauscarriague, McCullough",
"link2": "https://www.documentcloud.org/documents/6160128-CalifDeptOfStateHospitalsMichaelHauscarriague03232.html,Hauscarriague Administrative Investigation",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nDSH spokesman Montano wrote in response to emailed questions that Dominique Hauscarriague played no role in the investigation or discipline of his son or the other three officers who were found to have authored misleading reports and failed to adequately investigate.\u003c/p>\n\u003cp>After being assigned the case, McCullough told the officers involved in the incident that they needed to add more details to their reports to justify the use of force, records show.\u003c/p>\n\u003cp>“He explained that as written, [Alvarez] was complying with verbal orders and you tackle him,” state investigative records show.\u003c/p>\n\u003cp>Officers Donaldson, Truong and Becerra then added details in their reports that exaggerated the threat posed by the patient, records show. These officers stated that the elderly Alvarez, who was 5-foot-4, turned toward Hauscarriague as he was being tackled and pushed the 6-foot-tall officer, who was 24, into a nearby wall.\u003c/p>\n\u003cp>Hauscarriague would later tell investigators that he and the other officers were familiar with Alvarez, that the patient had threatened to kill police officers, had recently head-butted an officer and was known to make weapons.\u003c/p>\n\u003cp>But the details of that history reveal that Alvarez was struggling with his illness following a medication change. His alleged pattern of weapon-making stemmed from a December 2016 confrontation in which Alvarez broke a radio in his room and was carrying a broken antenna, which police later characterized as a “shank.” He put the antenna down when he was ordered.\u003c/p>\n\u003cp>During an outburst in January 2017, records show, hospital police officers pushed him against a wall, and Alvarez “used the back of his head and head-butted” an officer, who was uninjured and who “refused to press charges.”\u003c/p>\u003c/div>",
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"content": "‘The public needs to be educated that we’re not just animals locked up.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>His history in the hospital is peppered with arguments with staff and threats to police officers. But medical staff told investigators that this type of behavior is not unusual for the patients they deal with.\u003c/p>\n\u003cp>On March 24, 2017, McCullough arrested Alvarez and suggested charging four felonies: resisting arrest, criminal threats, battery on a peace officer with injury and battery causing great bodily injury. He was booked into Napa County Jail. Police Chief Dominique Hauscarriague appears to have signed the paperwork transferring Alvarez to county jail the day after he was injured.\u003c/p>\n\u003cp>Alvarez’s primary doctor, Dr. Domingo Languitan, also told investigators and Alvarez’s attorney that there was internal pressure to send the patient to jail. He said that his supervisor told him to write the required medical recommendation. Languitan had never done this before, he said, and it was not his opinion that criminal charges should be filed or that Alvarez should be sent to jail. Languitan did not return a phone call seeking comment.\u003c/p>\n\u003cp>Hauscarriague, Truong and Donaldson all testified at a July 6, 2017, preliminary hearing. They all said Alvarez’s fists were clenched and his back was toward the officers when Hauscarriague ran toward him and grabbed him from behind. They testified that Alvarez turned and pushed against Hauscarriague, and then they both fell into the wall. Based on the officers’ testimony, a judge found the charges against Alvarez credible and he was held in jail for three more months before the case was dismissed by prosecutors.\u003c/p>\n\u003cp>Alvarez’s attorney, Karen Silver, said the officers clearly committed perjury in that testimony.\u003c/p>\n\u003cp>“Those cops lied,” she said.\u003c/p>\n\u003cp>No part of the state’s investigation considered potential perjury, however, according to DSH spokesman Montano.\u003c/p>\n\u003cp>A very different story emerged during the state’s investigation, conducted by the Office of Law Enforcement Support, a little-known oversight agency created in 2015 after concerns about patient safety at state hospitals and developmental centers. Civilian staff and patients who were interviewed by investigators said that Alvarez was agitated and “mouthing off,” but was never a direct threat to anyone.\u003c/p>\n\u003cp>Dozens of people were in the courtyard that day. State investigators interviewed five patients and six medical staff, none of whom reported seeing Alvarez fight back against police. Staff members said they were surprised when Hauscarriague “tackled” Alvarez, taking him into the wall. Because Alvarez was on his own in the yard, was not an imminent threat and did not have a weapon, the procedure would have been to try to talk to the patient and get him to move into a side room to calm down.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "After the internal investigation, the Department of State Hospitals initially recommended firing all four officers. One had his pay reduced for 10 months. The others were retrained.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nA therapist laughed when state investigators told her about Donaldson’s description that the comparatively slight and elderly Alvarez dragged Hauscarriague as he attempted a tackle — a description Donaldson repeated during sworn testimony. The therapist said that didn’t happen.\u003c/p>\n\u003cp>A psychiatric technician also chuckled and disputed the description that Alvarez turned toward and threatened the officers before Hauscarriague tackled him, the internal investigation says. That technician was also quoted in police reports saying that Alvarez verbally threatened the officers, which she told investigators she never said.\u003c/p>\n\u003cp>State investigators referred Hauscarriague for potential criminal charges of patient abuse and battery to Napa County prosecutors. They also referred McCullough for potential false arrest and perjury charges.\u003c/p>\n\u003cp>It’s unclear whether McCullough is facing discipline. DSH spokesman Montano wrote in response to questions about McCullough that “the matter has not yet been concluded.”\u003c/p>\n\u003cp>Napa County District Attorney Allison Haley did not comment on the case, but said her office reviews all matters submitted to it.\u003c/p>\n\u003cp>“We decline to file [charges] when the evidence is insufficient to prove the charges beyond a reasonable doubt to a jury,” she wrote in a written statement.\u003c/p>\n\u003cp>Though the criminal charges against Alvarez were dismissed, his encounter with hospital police two years ago is still referenced as a violent incident in his psychiatric reports. He sees it as a factor that’s keeping him committed, and he wants the public to know what really happened.\u003c/p>\n\u003cp>“The public needs to be educated that we’re not just animals locked up,” he said. “That’s what they need to know.”\u003c/p>\n\u003cdiv style=\"width: 100%\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" src=\"https://cdn.knightlab.com/libs/timeline3/latest/embed/index.html?source=1zOih9clN3i7MR2E8KwkywNTJuwQwQqR9k_14olgDpFU&font=Default&lang=en&initial_zoom=2&height=650\" width=\"1200\" height=\"650\" frameborder=\"0\" scrolling=\"yes\" class=\"iframe-class\">\u003c/iframe>\n\u003c/div>\n\u003cp>\u003cem>This story was produced as part of the California Reporting Project, a collaboration of 40 newsrooms across the state to obtain and report on police misconduct and serious use-of-force records unsealed in 2019.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "for-fathers-day-a-trip-to-the-cemetery-with-a-weed-whacker",
"title": "For Father’s Day, a Trip to the Cemetery … With a Weed Whacker",
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"headTitle": "For Father’s Day, a Trip to the Cemetery … With a Weed Whacker | KQED",
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"content": "\u003cp>Today, I gave my dad a haircut. With a weed whacker.\u003c/p>\n\u003cp>I also brought him a fragrant rose vine clipped from a shaggy heirloom bush in front of our house, hydrangeas in a cup, a Meyer lemon from our tree and the latest family news.\u003c/p>\n\u003cp>Joseph Edward Borg—father of seven, lover of nature, long-time elementary school teacher, ex-Marine, avid reader, storyteller, amateur historian and adventurer—rests exactly 77 steps from our kitchen door, up a gentle hillside, in the St. Mary Magdalene Cemetery, among long-gone ranchers, farmers, hippies, poets and California pioneers.\u003c/p>\n\u003cfigure id=\"attachment_11753912\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-11753912\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut-1020x699.jpg\" alt=\"\" width=\"640\" height=\"439\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut-1200x822.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut.jpg 1920w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Borg Family in 1984. Joseph and his wife Ann, upper right, and John Borg, center. \u003ccite>(Courtesy of John Borg)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It’s among the oldest and most peaceful graveyards in Northern California, and is the only neighbor immediately adjacent to our property, at the entrance to a small rural coastal village we’re blessed to call home.\u003c/p>\n\u003cfigure id=\"attachment_11753914\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11753914\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut.jpg\" alt=\"\" width=\"300\" height=\"453\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut.jpg 1356w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut-160x242.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut-800x1208.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut-1020x1540.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut-795x1200.jpg 795w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut-1920x2899.jpg 1920w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003cfigcaption class=\"wp-caption-text\">Joseph Borg as a public school teacher in the 1980s. \u003ccite>(Courtesy of John Borg)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He was a history buff who often visited ancient burial grounds on his beloved excursions with mom and their friends, and I know he’s happy to be here, near a simple mission church, under the towering cypress and eucalyptus, and so close to me and my family. Being 77 steps from our door, I often sense dad’s presence and feel he is looking out over us—and looking out for us.\u003c/p>\n\u003cp>I sometimes visit him privately when I’m stressed or have a particular problem. He keeps my behavior in check.\u003c/p>\n\u003cp>I think he knows when I make a mistake or screw things up. And I am quite certain he is proud when I do good or get something right.\u003c/p>\n\u003cp>Dad worked hard all his life for his family, and he and my mom managed to raise seven children on a public school teacher’s salary, plus the odd jobs they took to help make ends meet.\u003c/p>\n\u003cp>He was tough, and could be grumpy when it was warranted—a trait I’ve inherited, but I mostly remember him for his overly goofy, infectious laugh and the pride he experienced in seeing his kids grow up and watching our adventures and friendships and successes. I only wish he could have seen more of it.\u003c/p>\n\u003cfigure id=\"attachment_11753917\" class=\"wp-caption alignright\" style=\"max-width: 299px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11753917\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut.jpg\" alt=\"\" width=\"299\" height=\"426\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut.jpg 1439w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut-160x228.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut-800x1138.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut-1020x1451.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut-843x1200.jpg 843w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut-1920x2732.jpg 1920w\" sizes=\"(max-width: 299px) 100vw, 299px\">\u003cfigcaption class=\"wp-caption-text\">John Borg as a child with the signature crew cut his father gave him and his brothers. \u003ccite>(Courtesy of John Borg)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dad had adult onset diabetes, which led to a series of strokes, and a long, slow, painful decline the last decade of his life. He was such a good guy; he didn’t deserve this fate. He should’ve had an enduring happy retirement. Yet through it all he soldiered on, mellowed out and accepted his fate, in large part motivated by his faith, and the ongoing care and love of my mom and our family and friends.\u003c/p>\n\u003cp>In our early years growing up in the 1960s and 1970s, dad used to line up all five Borg boys in the family room and take turns giving us Marine Corps-style crew cuts with an electric razor, sometimes inadvertently trimming parts of our ears, but saving on barber costs. As we got older and it became more fashionable and acceptable, dad let us boys grow our hair out long, which we all did in part to avoid those brutal haircuts. \u003c/p>\n\u003cp>So now, at least once a year, I return the favor and give his gravesite a little trim. Looking good, Pops. Happy Father’s Day!\u003c/p>\n\u003cp>\u003cem>John Borg lives with his wife and two children in Bolinas, in Marin County.\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11753915\" class=\"wp-caption aligncenter\" style=\"max-width: 1406px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11753915 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut.jpg\" alt=\"\" width=\"1406\" height=\"2048\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut.jpg 1406w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut-160x233.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut-800x1165.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut-1020x1485.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut-824x1200.jpg 824w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut-1920x2796.jpg 1920w\" sizes=\"(max-width: 1406px) 100vw, 1406px\">\u003cfigcaption class=\"wp-caption-text\">John Borg (lower right) and his six siblings as kids. \u003ccite>(Courtesy of John Borg)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "John Borg's yearly ritual honors his dad, who raised his children on an elementary school teacher's salary and gave his five boys regular Marine Corps-style haircuts.",
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"title": "For Father’s Day, a Trip to the Cemetery … With a Weed Whacker | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Today, I gave my dad a haircut. With a weed whacker.\u003c/p>\n\u003cp>I also brought him a fragrant rose vine clipped from a shaggy heirloom bush in front of our house, hydrangeas in a cup, a Meyer lemon from our tree and the latest family news.\u003c/p>\n\u003cp>Joseph Edward Borg—father of seven, lover of nature, long-time elementary school teacher, ex-Marine, avid reader, storyteller, amateur historian and adventurer—rests exactly 77 steps from our kitchen door, up a gentle hillside, in the St. Mary Magdalene Cemetery, among long-gone ranchers, farmers, hippies, poets and California pioneers.\u003c/p>\n\u003cfigure id=\"attachment_11753912\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-11753912\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut-1020x699.jpg\" alt=\"\" width=\"640\" height=\"439\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut-1020x699.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut-160x110.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut-800x548.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut-1200x822.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37668_All.Borgs_.1980s-qut.jpg 1920w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Borg Family in 1984. Joseph and his wife Ann, upper right, and John Borg, center. \u003ccite>(Courtesy of John Borg)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It’s among the oldest and most peaceful graveyards in Northern California, and is the only neighbor immediately adjacent to our property, at the entrance to a small rural coastal village we’re blessed to call home.\u003c/p>\n\u003cfigure id=\"attachment_11753914\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11753914\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut.jpg\" alt=\"\" width=\"300\" height=\"453\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut.jpg 1356w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut-160x242.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut-800x1208.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut-1020x1540.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut-795x1200.jpg 795w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37669_Dad.Classroom.Cooking.80s-qut-1920x2899.jpg 1920w\" sizes=\"(max-width: 300px) 100vw, 300px\">\u003cfigcaption class=\"wp-caption-text\">Joseph Borg as a public school teacher in the 1980s. \u003ccite>(Courtesy of John Borg)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>He was a history buff who often visited ancient burial grounds on his beloved excursions with mom and their friends, and I know he’s happy to be here, near a simple mission church, under the towering cypress and eucalyptus, and so close to me and my family. Being 77 steps from our door, I often sense dad’s presence and feel he is looking out over us—and looking out for us.\u003c/p>\n\u003cp>I sometimes visit him privately when I’m stressed or have a particular problem. He keeps my behavior in check.\u003c/p>\n\u003cp>I think he knows when I make a mistake or screw things up. And I am quite certain he is proud when I do good or get something right.\u003c/p>\n\u003cp>Dad worked hard all his life for his family, and he and my mom managed to raise seven children on a public school teacher’s salary, plus the odd jobs they took to help make ends meet.\u003c/p>\n\u003cp>He was tough, and could be grumpy when it was warranted—a trait I’ve inherited, but I mostly remember him for his overly goofy, infectious laugh and the pride he experienced in seeing his kids grow up and watching our adventures and friendships and successes. I only wish he could have seen more of it.\u003c/p>\n\u003cfigure id=\"attachment_11753917\" class=\"wp-caption alignright\" style=\"max-width: 299px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\" wp-image-11753917\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut.jpg\" alt=\"\" width=\"299\" height=\"426\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut.jpg 1439w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut-160x228.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut-800x1138.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut-1020x1451.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut-843x1200.jpg 843w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37667_John_Crew_Cut-qut-1920x2732.jpg 1920w\" sizes=\"(max-width: 299px) 100vw, 299px\">\u003cfigcaption class=\"wp-caption-text\">John Borg as a child with the signature crew cut his father gave him and his brothers. \u003ccite>(Courtesy of John Borg)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dad had adult onset diabetes, which led to a series of strokes, and a long, slow, painful decline the last decade of his life. He was such a good guy; he didn’t deserve this fate. He should’ve had an enduring happy retirement. Yet through it all he soldiered on, mellowed out and accepted his fate, in large part motivated by his faith, and the ongoing care and love of my mom and our family and friends.\u003c/p>\n\u003cp>In our early years growing up in the 1960s and 1970s, dad used to line up all five Borg boys in the family room and take turns giving us Marine Corps-style crew cuts with an electric razor, sometimes inadvertently trimming parts of our ears, but saving on barber costs. As we got older and it became more fashionable and acceptable, dad let us boys grow our hair out long, which we all did in part to avoid those brutal haircuts. \u003c/p>\n\u003cp>So now, at least once a year, I return the favor and give his gravesite a little trim. Looking good, Pops. Happy Father’s Day!\u003c/p>\n\u003cp>\u003cem>John Borg lives with his wife and two children in Bolinas, in Marin County.\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_11753915\" class=\"wp-caption aligncenter\" style=\"max-width: 1406px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11753915 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut.jpg\" alt=\"\" width=\"1406\" height=\"2048\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut.jpg 1406w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut-160x233.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut-800x1165.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut-1020x1485.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut-824x1200.jpg 824w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/RS37665_Borg.Kids-qut-1920x2796.jpg 1920w\" sizes=\"(max-width: 1406px) 100vw, 1406px\">\u003cfigcaption class=\"wp-caption-text\">John Borg (lower right) and his six siblings as kids. \u003ccite>(Courtesy of John Borg)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>California will become the first state in the country to pay for some adults living in the country illegally to have full health benefits as the solidly liberal state continues to distance itself from President Donald Trump’s administration.\u003c/p>\n\u003cp>Democrats in the state Legislature reached an agreement Sunday afternoon as part of a broader plan to spend $213 billion of state and federal tax money over the next year. The agreement means low-income adults between the ages of 19 and 25 living in California illegally would be eligible for Medi-Cal, California’s joint state and federal health insurance program for the poor and disabled.\u003c/p>\n\u003cp>Not everyone in that age group would get the health benefits — only those whose incomes are low enough to qualify for the program. State officials estimate that will be about 90,000 people at a cost of $98 million per year.\u003c/p>\n\u003cp>The move is part of a larger effort to make sure everyone in California has health insurance. The proposal also makes California the first state in the country to help middle-income families pay their monthly health insurance premiums. The agreement means a family of four earning as much as six times the federal poverty level — or more than $150,000 a year — would be eligible to get about $100 a month from the government to help pay their monthly health insurance premiums.\u003c/p>\n\u003cp>But to pay for part of it, the state will begin taxing people who don’t have health insurance. It’s a revival of the individual mandate penalty that had been law nationwide under former President Barack Obama’s health care law until Republicans in Congress eliminated it as part of the 2017 overhaul to the tax code.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The budget agreement still must be approved by the full state Legislature. State law requires lawmakers to enact a budget by midnight on June 15. If they don’t, lawmakers would lose their pay.\u003c/p>\n\u003cp>The health care proposals are a win for first-term Democratic Gov. Gavin Newsom, who \u003ca href=\"https://www.kqed.org/news/11745872/gov-gavin-newsom-balances-saving-spending-in-budget-aimed-at-tackling-inequality\">proposed\u003c/a> both of them. Several lawmakers in the Democratic-dominated state Legislature wanted to go further by offering health coverage to all adults living in California illegally. But Newsom opposed that, noting it would cost $3.4 billion.\u003c/p>\n\u003cp>Newsom did not get everything he wanted in the deal. Advocates say more than 1 million people in California don’t have access to safe drinking water. Newsom had proposed a 95-cent tax on most residential water bills as well as fees on dairies, animal farms and fertilizer sellers, to help water districts pay for improvements and boost supplies. Lawmakers rejected the tax, arguing it was too burdensome in a year when the state is projected to have a $21.5 billion surplus — the largest in at least 20 years.\u003c/p>\n\u003cp>Instead, lawmakers decided to use $130 million in existing tax revenue to pay for the drinking water improvements. Most of that money — about $100 million — would come from the state’s sale of carbon credits as part of its cap and trade program. The move means the state’s agricultural industry, whose pollution is often blamed for the drinking water problems, would have about $100 million less than it normally gets from the program for various projects.\u003c/p>\n\u003cp>Newsom also wanted to expand spend $800 million to boost the annual tax refunds for low-income people who have at least one child under the age of 6. But to pay for it, he wanted to selectively adopt some of the changes to the federal tax code that Trump signed into law in 2017. The changes, which would mostly impact businesses, would have brought the state an extra $1 billion.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But the Legislature did not include the tax changes in its version of the budget proposal. Instead, lawmakers said they hope to reach a tax agreement outside of the budget process by July 1.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California will become the first state in the country to pay for some adults living in the country illegally to have full health benefits as the solidly liberal state continues to distance itself from President Donald Trump’s administration.\u003c/p>\n\u003cp>Democrats in the state Legislature reached an agreement Sunday afternoon as part of a broader plan to spend $213 billion of state and federal tax money over the next year. The agreement means low-income adults between the ages of 19 and 25 living in California illegally would be eligible for Medi-Cal, California’s joint state and federal health insurance program for the poor and disabled.\u003c/p>\n\u003cp>Not everyone in that age group would get the health benefits — only those whose incomes are low enough to qualify for the program. State officials estimate that will be about 90,000 people at a cost of $98 million per year.\u003c/p>\n\u003cp>The move is part of a larger effort to make sure everyone in California has health insurance. The proposal also makes California the first state in the country to help middle-income families pay their monthly health insurance premiums. The agreement means a family of four earning as much as six times the federal poverty level — or more than $150,000 a year — would be eligible to get about $100 a month from the government to help pay their monthly health insurance premiums.\u003c/p>\n\u003cp>But to pay for part of it, the state will begin taxing people who don’t have health insurance. It’s a revival of the individual mandate penalty that had been law nationwide under former President Barack Obama’s health care law until Republicans in Congress eliminated it as part of the 2017 overhaul to the tax code.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The budget agreement still must be approved by the full state Legislature. State law requires lawmakers to enact a budget by midnight on June 15. If they don’t, lawmakers would lose their pay.\u003c/p>\n\u003cp>The health care proposals are a win for first-term Democratic Gov. Gavin Newsom, who \u003ca href=\"https://www.kqed.org/news/11745872/gov-gavin-newsom-balances-saving-spending-in-budget-aimed-at-tackling-inequality\">proposed\u003c/a> both of them. Several lawmakers in the Democratic-dominated state Legislature wanted to go further by offering health coverage to all adults living in California illegally. But Newsom opposed that, noting it would cost $3.4 billion.\u003c/p>\n\u003cp>Newsom did not get everything he wanted in the deal. Advocates say more than 1 million people in California don’t have access to safe drinking water. Newsom had proposed a 95-cent tax on most residential water bills as well as fees on dairies, animal farms and fertilizer sellers, to help water districts pay for improvements and boost supplies. Lawmakers rejected the tax, arguing it was too burdensome in a year when the state is projected to have a $21.5 billion surplus — the largest in at least 20 years.\u003c/p>\n\u003cp>Instead, lawmakers decided to use $130 million in existing tax revenue to pay for the drinking water improvements. Most of that money — about $100 million — would come from the state’s sale of carbon credits as part of its cap and trade program. The move means the state’s agricultural industry, whose pollution is often blamed for the drinking water problems, would have about $100 million less than it normally gets from the program for various projects.\u003c/p>\n\u003cp>Newsom also wanted to expand spend $800 million to boost the annual tax refunds for low-income people who have at least one child under the age of 6. But to pay for it, he wanted to selectively adopt some of the changes to the federal tax code that Trump signed into law in 2017. The changes, which would mostly impact businesses, would have brought the state an extra $1 billion.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But the Legislature did not include the tax changes in its version of the budget proposal. Instead, lawmakers said they hope to reach a tax agreement outside of the budget process by July 1.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Amanda Bacon’s eating disorder was growing worse. She had lost 60% of her body weight and was consuming only about 100 calories a day.\u003c/p>\n\u003cp>But that wasn’t sick enough for her Medicaid managed-care company to cover an inpatient treatment program. She was told in 2017 that unless she weighed 10 pounds less — which would have put her at 5-foot-7 and 90 pounds — or was admitted to a psychiatric unit, she wasn’t eligible for coverage.\u003c/p>\n\u003cp>“I remember thinking, ‘I’m going to die,’ ” the Las Cruces, N.M., resident recalls.\u003c/p>\n\u003cp>Eventually, Bacon, now 35, switched to a plan that paid for treatment, although she says it was still an arduous process getting the services approved.\u003c/p>\n\u003cp>Many patients, like Bacon, struggle to get insurance coverage for their mental health treatment, even though two federal laws were designed to bring parity between mental and physical health care coverage. Recent studies and a legal case suggest serious disparities remain.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside tag='stress' label='Related Coverage']\u003c/span>\u003c/p>\n\u003cp>The 2008 \u003ca href=\"https://www.cms.gov/cciio/programs-and-initiatives/other-insurance-protections/mhpaea_factsheet.html\">Mental Health Parity and Addiction Equity Act\u003c/a> required large group health plans that provide benefits for mental health problems to put that coverage on an equal footing with physical illness. Two years later, the Affordable Care Act required small-group and individual health plans sold on the insurance marketplaces \u003ca href=\"https://aspe.hhs.gov/report/affordable-care-act-expands-mental-health-and-substance-use-disorder-benefits-and-federal-parity-protections-62-million-americans\">to cover mental health services\u003c/a>, and do so at levels comparable with medical services. (In 2016, parity rules \u003ca href=\"https://www.medicaid.gov/medicaid/benefits/downloads/fact-sheet-cms-2333-f.pdf\">were also applied to Medicaid\u003c/a> managed-care plans, which cover the majority of people in that federal-state health program for low-income residents.)\u003c/p>\n\u003cp>The laws have been partially successful. Insurers are no longer permitted to write policies that charge higher copays or deductibles for mental health care, nor can they set annual or lifetime upper-limits on how much they will pay for such care. But advocates for patients say insurance companies still interpret mental health claims more stringently than those for physical illness.\u003c/p>\n\u003cp>“Insurance companies can easily circumvent mental health parity mandates by imposing restrictive standards of medical necessity,” says \u003ca href=\"https://www.psych-appeal.com/meiram-bendat/\">Meiram Bendat\u003c/a>, a lawyer leading a class-action lawsuit against a mental health subsidiary of UnitedHealthcare.\u003c/p>\n\u003cp>In a closely watched ruling, a \u003ca href=\"https://www.nytimes.com/2019/03/05/health/unitedhealth-mental-health-parity.html\">federal court in March sided with Bendat\u003c/a> and patients who alleged the insurer was deliberately shortchanging mental health claims. Chief Magistrate Judge \u003ca href=\"https://drive.google.com/file/d/1XuzFQV4Z6vClFnpYpTaoS4vBT_RPhQsN/view\">Joseph Spero of the U.S. District Court for the Northern District of California ruled\u003c/a> that United Behavioral Health wrote its \u003ca href=\"https://www.manatt.com/Insights/Newsletters/Health-Update/Level-of-Care-Criteria-Ruled-Inconsistent\">guidelines for treatment\u003c/a> much more narrowly than common medical standards, covering only enough care to stabilize patients “while ignoring the effective treatment of members’ underlying conditions.”\u003c/p>\n\u003cp>UnitedHealthcare works to “ensure our products meet the needs of our members and comply with state and federal law,” says spokeswoman Tracey Lempner.\u003c/p>\n\u003cp>Several studies, though, have found evidence of disparities in insurers’ decisions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Growing gap in coverage in hospitals\u003c/strong>\u003c/p>\n\u003cp>In February, researchers at the \u003ca href=\"https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2018.05226\">Congressional Budget Office\u003c/a> reported that private insurance companies are paying 13% to 14% less for mental health care than Medicare does.\u003c/p>\n\u003cp>The insurance industry’s own data shows a \u003ca href=\"https://www.healthcostinstitute.org/images/easyblog_articles/276/HCCI-2017-Health-Care-Cost-and-Utilization-Report-02.12.19.pdf\">growing gap\u003c/a> between coverage of mental and physical care in hospitals and skilled nursing facilities. For the five years ending in 2017, out-of-pocket spending on inpatient mental health care grew nearly 13 times faster than all inpatient care, according to inpatient data reported in February by the \u003ca href=\"https://www.healthcostinstitute.org/about-hcci\">Health Care Cost Institute\u003c/a>, a research group funded by the insurance companies Aetna, Humana, UnitedHealthcare and Kaiser Permanente. (Kaiser Health News is not affiliated with Kaiser Permanente.)\u003c/p>\n\u003cp>And a \u003ca href=\"http://www.milliman.com/uploadedFiles/insight/2017/NQTLDisparityAnalysis.pdf\">2017 report\u003c/a> by the actuarial firm Milliman found that an office visit with a therapist is five times as likely to be out-of-network, and thus more expensive, than a primary care appointment.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside tag='health' label='Related Coverage']\u003c/span>\u003c/p>\n\u003cp>In this environment, \u003ca href=\"https://journalistsresource.org/studies/government/health-care/mental-health-untreated-children-research/\">only half of the nearly 8 million children\u003c/a> who have been diagnosed with depression, anxiety or attention deficit hyperactivity disorder receive treatment, \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/fullarticle/2724377\">according to a February research letter\u003c/a> in the medical journal \u003cem>JAMA Pediatrics\u003c/em>. \u003ca href=\"https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR1-2016/NSDUH-FFR1-2016.htm#tx\">Fewer than 1 in 5 people\u003c/a> with substance use disorder are treated, a national survey suggests, and, overall, \u003ca href=\"https://www.nimh.nih.gov/health/statistics/mental-illness.shtml\">nearly 6 in 10\u003c/a> people with mental illness get no treatment or medication, according to the National Institute Of Mental Health.\u003c/p>\n\u003cp>Amanda Bacon, who is still receiving care for her eating disorder, remembers fearing that she wouldn’t get treatment. She was at one point rushed to an emergency room for care, but after several days in the hospital she was sent home, no closer to getting well.\u003c/p>\n\u003cp>Today, because of her disability, Bacon’s primary medical insurance is through Medicare, which has paid for treatment that her earlier Medicaid provider, Molina Healthcare, refused. She has been treated in four inpatient programs in the past two years — twice through Presbyterian Centennial Care, a Medicaid plan she switched to after Molina, and twice though her current Medicare plan. Bacon is also enrolled in a state-run Medicaid plan.\u003c/p>\n\u003cp>Molina says it can’t comment on Bacon’s case. “Molina complies with mental health parity laws,” say spokeswoman Danielle Smith, and it “applies industry-recognized medical necessity criteria in any medical determinations affecting mental health.”\u003c/p>\n\u003cp>\u003cstrong>The ‘wrong criteria’\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.austenriggs.org/staff/eric-m-plakun\">Dr. Eric Plakun\u003c/a>, CEO of the Austen Riggs Center, a psychiatric hospital and residential program in Massachusetts, says that often insurers are “using the wrong criteria” for what makes something medically necessary. They pay enough only to stabilize a patient’s condition, Plakun says, but not enough to improve their underlying illness. He was one of the experts who testified in the case before Judge Spero in California.\u003c/p>\n\u003cp>Insurers say they recognize the importance of mental health care coverage and that they are \u003ca href=\"https://www.ahip.org/mental-health-parity-issue-brief/\">complying with the law\u003c/a>.\u003c/p>\n\u003cp>Cathryn Donaldson, a spokeswoman for the trade group America’s Health Insurance Plans, says the industry supports parity, but that it is also harder to prove when a mental health treatment is needed.\u003c/p>\n\u003cp>Compared with the data on medical and surgical care, she says, the data and standards to measure mental health care “trail far behind.” She cited \u003ca href=\"https://www.mnhospitals.org/Portals/0/Documents/policy-advocacy/mental-health/MHA%20Mental%20Health%20Avoidable%20Days%20Study%20Report%20July%202016.pdf\">a 2016 study\u003c/a> of Minnesota hospitals, where nearly one-fifth of the time patients spent in psychiatric units occurred after they were stabilized and ready to be discharged.\u003c/p>\n\u003cp>“Just like doctors use scientific evidence to determine the safest, most effective treatments,” insurers do the same to cover treatment “consistent with guidelines showing when and where it’s effective for patients,” Donaldson says.\u003c/p>\n\u003cp>Health plans commonly apply several controls that limit their coverage of mental health care. And these strategies by insurers are legal — unless they are applied more strictly for mental health care than medical care.\u003c/p>\n\u003cp>For example, they often require patients to try cheaper options first, a strategy called “fail first.” Patients referred by their doctors to a residential program for opioid addiction, for example, might be denied coverage by their insurers until they try — and fail — to improve at a less expensive part-time out-patient program.\u003c/p>\n\u003cp>Hiring doctors, nurses and pharmacists to review claims is another technique.\u003c/p>\n\u003cp>Dr. Frederick Villars, who reviews mental health claims for Aetna, remembers arguing with insurers to approve treatment when he was a practicing psychiatrist. His team decides what Aetna will cover based on clinical standards, he says. And providers upset about a coverage decision “are well aware of what these guidelines are.”\u003c/p>\n\u003cp>“It’s not a pleasant process,” Villars says, “but it’s the only tool that exists in this setting to try to keep costs under control.”\u003c/p>\n\u003cp>\u003ca href=\"http://khn.org/\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem> is a nonprofit, editorially independent program of the Kaiser Family Foundation. It is not affiliated with Kaiser Permanente. \u003c/em>\u003cem>Graison Dangor is a journalist living in Brooklyn.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=%27Mental+Health+Parity%27+Is+Still+An+Elusive+Goal+In+U.S.+Insurance+Coverage&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Amanda Bacon’s eating disorder was growing worse. She had lost 60% of her body weight and was consuming only about 100 calories a day.\u003c/p>\n\u003cp>But that wasn’t sick enough for her Medicaid managed-care company to cover an inpatient treatment program. She was told in 2017 that unless she weighed 10 pounds less — which would have put her at 5-foot-7 and 90 pounds — or was admitted to a psychiatric unit, she wasn’t eligible for coverage.\u003c/p>\n\u003cp>“I remember thinking, ‘I’m going to die,’ ” the Las Cruces, N.M., resident recalls.\u003c/p>\n\u003cp>Eventually, Bacon, now 35, switched to a plan that paid for treatment, although she says it was still an arduous process getting the services approved.\u003c/p>\n\u003cp>Many patients, like Bacon, struggle to get insurance coverage for their mental health treatment, even though two federal laws were designed to bring parity between mental and physical health care coverage. Recent studies and a legal case suggest serious disparities remain.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>The 2008 \u003ca href=\"https://www.cms.gov/cciio/programs-and-initiatives/other-insurance-protections/mhpaea_factsheet.html\">Mental Health Parity and Addiction Equity Act\u003c/a> required large group health plans that provide benefits for mental health problems to put that coverage on an equal footing with physical illness. Two years later, the Affordable Care Act required small-group and individual health plans sold on the insurance marketplaces \u003ca href=\"https://aspe.hhs.gov/report/affordable-care-act-expands-mental-health-and-substance-use-disorder-benefits-and-federal-parity-protections-62-million-americans\">to cover mental health services\u003c/a>, and do so at levels comparable with medical services. (In 2016, parity rules \u003ca href=\"https://www.medicaid.gov/medicaid/benefits/downloads/fact-sheet-cms-2333-f.pdf\">were also applied to Medicaid\u003c/a> managed-care plans, which cover the majority of people in that federal-state health program for low-income residents.)\u003c/p>\n\u003cp>The laws have been partially successful. Insurers are no longer permitted to write policies that charge higher copays or deductibles for mental health care, nor can they set annual or lifetime upper-limits on how much they will pay for such care. But advocates for patients say insurance companies still interpret mental health claims more stringently than those for physical illness.\u003c/p>\n\u003cp>“Insurance companies can easily circumvent mental health parity mandates by imposing restrictive standards of medical necessity,” says \u003ca href=\"https://www.psych-appeal.com/meiram-bendat/\">Meiram Bendat\u003c/a>, a lawyer leading a class-action lawsuit against a mental health subsidiary of UnitedHealthcare.\u003c/p>\n\u003cp>In a closely watched ruling, a \u003ca href=\"https://www.nytimes.com/2019/03/05/health/unitedhealth-mental-health-parity.html\">federal court in March sided with Bendat\u003c/a> and patients who alleged the insurer was deliberately shortchanging mental health claims. Chief Magistrate Judge \u003ca href=\"https://drive.google.com/file/d/1XuzFQV4Z6vClFnpYpTaoS4vBT_RPhQsN/view\">Joseph Spero of the U.S. District Court for the Northern District of California ruled\u003c/a> that United Behavioral Health wrote its \u003ca href=\"https://www.manatt.com/Insights/Newsletters/Health-Update/Level-of-Care-Criteria-Ruled-Inconsistent\">guidelines for treatment\u003c/a> much more narrowly than common medical standards, covering only enough care to stabilize patients “while ignoring the effective treatment of members’ underlying conditions.”\u003c/p>\n\u003cp>UnitedHealthcare works to “ensure our products meet the needs of our members and comply with state and federal law,” says spokeswoman Tracey Lempner.\u003c/p>\n\u003cp>Several studies, though, have found evidence of disparities in insurers’ decisions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Growing gap in coverage in hospitals\u003c/strong>\u003c/p>\n\u003cp>In February, researchers at the \u003ca href=\"https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2018.05226\">Congressional Budget Office\u003c/a> reported that private insurance companies are paying 13% to 14% less for mental health care than Medicare does.\u003c/p>\n\u003cp>The insurance industry’s own data shows a \u003ca href=\"https://www.healthcostinstitute.org/images/easyblog_articles/276/HCCI-2017-Health-Care-Cost-and-Utilization-Report-02.12.19.pdf\">growing gap\u003c/a> between coverage of mental and physical care in hospitals and skilled nursing facilities. For the five years ending in 2017, out-of-pocket spending on inpatient mental health care grew nearly 13 times faster than all inpatient care, according to inpatient data reported in February by the \u003ca href=\"https://www.healthcostinstitute.org/about-hcci\">Health Care Cost Institute\u003c/a>, a research group funded by the insurance companies Aetna, Humana, UnitedHealthcare and Kaiser Permanente. (Kaiser Health News is not affiliated with Kaiser Permanente.)\u003c/p>\n\u003cp>And a \u003ca href=\"http://www.milliman.com/uploadedFiles/insight/2017/NQTLDisparityAnalysis.pdf\">2017 report\u003c/a> by the actuarial firm Milliman found that an office visit with a therapist is five times as likely to be out-of-network, and thus more expensive, than a primary care appointment.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>In this environment, \u003ca href=\"https://journalistsresource.org/studies/government/health-care/mental-health-untreated-children-research/\">only half of the nearly 8 million children\u003c/a> who have been diagnosed with depression, anxiety or attention deficit hyperactivity disorder receive treatment, \u003ca href=\"https://jamanetwork.com/journals/jamapediatrics/fullarticle/2724377\">according to a February research letter\u003c/a> in the medical journal \u003cem>JAMA Pediatrics\u003c/em>. \u003ca href=\"https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR1-2016/NSDUH-FFR1-2016.htm#tx\">Fewer than 1 in 5 people\u003c/a> with substance use disorder are treated, a national survey suggests, and, overall, \u003ca href=\"https://www.nimh.nih.gov/health/statistics/mental-illness.shtml\">nearly 6 in 10\u003c/a> people with mental illness get no treatment or medication, according to the National Institute Of Mental Health.\u003c/p>\n\u003cp>Amanda Bacon, who is still receiving care for her eating disorder, remembers fearing that she wouldn’t get treatment. She was at one point rushed to an emergency room for care, but after several days in the hospital she was sent home, no closer to getting well.\u003c/p>\n\u003cp>Today, because of her disability, Bacon’s primary medical insurance is through Medicare, which has paid for treatment that her earlier Medicaid provider, Molina Healthcare, refused. She has been treated in four inpatient programs in the past two years — twice through Presbyterian Centennial Care, a Medicaid plan she switched to after Molina, and twice though her current Medicare plan. Bacon is also enrolled in a state-run Medicaid plan.\u003c/p>\n\u003cp>Molina says it can’t comment on Bacon’s case. “Molina complies with mental health parity laws,” say spokeswoman Danielle Smith, and it “applies industry-recognized medical necessity criteria in any medical determinations affecting mental health.”\u003c/p>\n\u003cp>\u003cstrong>The ‘wrong criteria’\u003c/strong>\u003c/p>\n\u003cp>\u003ca href=\"https://www.austenriggs.org/staff/eric-m-plakun\">Dr. Eric Plakun\u003c/a>, CEO of the Austen Riggs Center, a psychiatric hospital and residential program in Massachusetts, says that often insurers are “using the wrong criteria” for what makes something medically necessary. They pay enough only to stabilize a patient’s condition, Plakun says, but not enough to improve their underlying illness. He was one of the experts who testified in the case before Judge Spero in California.\u003c/p>\n\u003cp>Insurers say they recognize the importance of mental health care coverage and that they are \u003ca href=\"https://www.ahip.org/mental-health-parity-issue-brief/\">complying with the law\u003c/a>.\u003c/p>\n\u003cp>Cathryn Donaldson, a spokeswoman for the trade group America’s Health Insurance Plans, says the industry supports parity, but that it is also harder to prove when a mental health treatment is needed.\u003c/p>\n\u003cp>Compared with the data on medical and surgical care, she says, the data and standards to measure mental health care “trail far behind.” She cited \u003ca href=\"https://www.mnhospitals.org/Portals/0/Documents/policy-advocacy/mental-health/MHA%20Mental%20Health%20Avoidable%20Days%20Study%20Report%20July%202016.pdf\">a 2016 study\u003c/a> of Minnesota hospitals, where nearly one-fifth of the time patients spent in psychiatric units occurred after they were stabilized and ready to be discharged.\u003c/p>\n\u003cp>“Just like doctors use scientific evidence to determine the safest, most effective treatments,” insurers do the same to cover treatment “consistent with guidelines showing when and where it’s effective for patients,” Donaldson says.\u003c/p>\n\u003cp>Health plans commonly apply several controls that limit their coverage of mental health care. And these strategies by insurers are legal — unless they are applied more strictly for mental health care than medical care.\u003c/p>\n\u003cp>For example, they often require patients to try cheaper options first, a strategy called “fail first.” Patients referred by their doctors to a residential program for opioid addiction, for example, might be denied coverage by their insurers until they try — and fail — to improve at a less expensive part-time out-patient program.\u003c/p>\n\u003cp>Hiring doctors, nurses and pharmacists to review claims is another technique.\u003c/p>\n\u003cp>Dr. Frederick Villars, who reviews mental health claims for Aetna, remembers arguing with insurers to approve treatment when he was a practicing psychiatrist. His team decides what Aetna will cover based on clinical standards, he says. And providers upset about a coverage decision “are well aware of what these guidelines are.”\u003c/p>\n\u003cp>“It’s not a pleasant process,” Villars says, “but it’s the only tool that exists in this setting to try to keep costs under control.”\u003c/p>\n\u003cp>\u003ca href=\"http://khn.org/\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem> is a nonprofit, editorially independent program of the Kaiser Family Foundation. It is not affiliated with Kaiser Permanente. \u003c/em>\u003cem>Graison Dangor is a journalist living in Brooklyn.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 Kaiser Health News. To see more, visit \u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a>.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=%27Mental+Health+Parity%27+Is+Still+An+Elusive+Goal+In+U.S.+Insurance+Coverage&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The Oakland City Council voted unanimously on Tuesday night to \u003ca href=\"http://bit.ly/fioreoakshrooms\" target=\"_blank\" rel=\"noopener\">decriminalize the use of magic mushrooms\u003c/a>.\u003c/p>\n\u003cp>Oakland is now the second city in the United States to OK the use of psychoactive plants and fungi after Denver kicked things off.\u003c/p>\n\u003cp>Before you accuse the City Council of trying to relive the era of Grateful Dead \u003ca href=\"https://www.dead.net/tags/oakland-coliseum-stadium\" target=\"_blank\" rel=\"noopener\">Oakland Coliseum appearances\u003c/a>, understand that nowadays people are touting “etheogenic plant practices” as a way to overcome depression, addiction and post-traumatic stress.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Oakland City Council voted unanimously on Tuesday night to \u003ca href=\"http://bit.ly/fioreoakshrooms\" target=\"_blank\" rel=\"noopener\">decriminalize the use of magic mushrooms\u003c/a>.\u003c/p>\n\u003cp>Oakland is now the second city in the United States to OK the use of psychoactive plants and fungi after Denver kicked things off.\u003c/p>\n\u003cp>Before you accuse the City Council of trying to relive the era of Grateful Dead \u003ca href=\"https://www.dead.net/tags/oakland-coliseum-stadium\" target=\"_blank\" rel=\"noopener\">Oakland Coliseum appearances\u003c/a>, understand that nowadays people are touting “etheogenic plant practices” as a way to overcome depression, addiction and post-traumatic stress.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The Oakland City Council voted unanimously Tuesday night to decriminalize the adult use and possession of entheogenic, or psychoactive, plants and fungi, such as ‘magic’ mushrooms. That makes the city the second in the U.S. to decriminalize psychedelic plants. Denver voters in May approved a similar measure for people 21 and older.\u003c/p>\n\u003cp>Oakland’s measure would make the “investigation and arrest of individuals involved with the adult use of entheogenic plants on the federal Schedule 1 list be amongst the lowest priority for the city of Oakland.”\u003c/p>\n\u003cp>[aside postID=\"news_11750909,forum_2010101871313\" label=\"How Oakland Got Here\"]The City Council vote came after a string of speakers testified that psychedelics, such as ayahuasca and peyote, helped them overcome depression, drug addiction and post-traumatic stress disorder. \u003ca href=\"https://www.kqed.org/news/11750909\" rel=\"noopener\" target=\"_blank\">Similar testimony swayed the public safety committee last week\u003c/a>, which approved the measure to come before a full council.\u003c/p>\n\u003cp>Use of the plants “saved my life,” said one man who described himself as a former heroin addict. “I don’t know how to describe it other than miraculous.”\u003c/p>\n\u003cp>“There’s some evidence that one of the active components in psilocybin mushrooms can be used as a medical treatment in some patients, but this is also based off studies that have been small or very preliminary,” said Dr. Brian Anderson \u003ca href=\"https://www.kqed.org/forum/2010101871313/oakland-considers-decriminalizing-psychedelic-mushrooms\" rel=\"noopener\" target=\"_blank\">on KQED’s Forum\u003c/a>. Anderson is a psychiatrist at San Francisco General Hospital who has done studies on the use of psychedelic plants in religious ceremonies.\u003c/p>\n\u003cp>He said there have been some trials suggesting the effects on depression or PTSD can be large when used as a form of drug-assisted psychotherapy. Those trials, though, remain small and far from FDA approval.\u003c/p>\n\u003cp>[pullquote size=\"small\" citation=\"Councilmember Noel Gallo\"]“Growing up in the Mexican community, this was our cure, that was our Walgreens. We didn’t have a Walgreens. We didn’t have a way to pay for any drugs. These are plants we have known for thousands of years in our community and that we continue to use.”[/pullquote]However, medical uses were not the only reasons cited for passing the measure. A number of advocates also argued the plants never should have been criminalized in the first place.\u003c/p>\n\u003cp>“We’re here to fix a wrong that never should have occurred,” said Carlos Plazola at the original public safety hearing. Plazola is chair of Decriminalize Nature Oakland, which sponsored the proposal.\u003c/p>\n\u003cp>Councilwoman Rebecca Kaplan agreed at the time. “Richard Nixon launched a war [on drugs] that we all know is stupid, racist, wasteful and expensive, and it is long past time for us to continue fighting Nixon’s war for him,” she said.\u003c/p>\n\u003cp>The City Council vote makes the investigation and arrest of adults who grow, possess, use or distribute entheogenic plants one of the lowest priorities for police. No city funds could be used to enforce laws criminalizing the substances, and the Alameda County District Attorney would stop prosecuting people who have been apprehended for use or possession. The Oakland Police Department has said they’ve dealt with 19 cases of suspected psychedelic mushrooms over the last five years, and are not certain about cases of other plants listed.\u003c/p>\n\u003cp>The ordinance also directs the city administrator to come back within a year to provide the council with an assessment of the law’s community impact.\u003c/p>\n\u003cp>Alameda County Deputy District Attorney Teresa Drenick declined to comment.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Councilmember Noel Gallo, who introduced the resolution, said decriminalizing such plants would enable Oakland police to focus on serious crime.\u003c/p>\n\u003cp>Critics, though, were concerned about unsafe use, especially in schools and by vulnerable populations.\u003c/p>\n\u003cp>Amendments offered by Councilmember Loren Taylor added caveats that the substances “are not for everyone,” recommending that people with PTSD or major depression seek professional help before using them and that people “don’t go solo” but seek expert guidance and have a trusted friend present during the use.\u003c/p>\n\u003cp>[aside postID=\"futureofyou_441705\"]To address such concerns, Gallo said earlier, lawmakers would have to establish rules and regulations about the use of such substances, including what exactly can be used, how to use them and what associated risks are. Plazola, whose group sponsored the measure, also presented an educational proposal and said his organization would be working on community outreach.\u003c/p>\n\u003cp>Magic mushrooms would remain illegal under both federal and state laws. Entheogenic substances are considered Schedule 1 drugs under the federal Controlled Substances Act, which categorizes drugs that have potential for abuse and no medical value.\u003c/p>\n\u003cp>Entheogenic plants have long been used in religious and cultural contexts. Gallo remembers his grandmother treating his family members with plants, including entheogenic ones, for a variety of ailments.\u003c/p>\n\u003cp>“Growing up in the Mexican community, this was our cure,” he said. Hemp oils, mushrooms and yerba buenas — an aromatic plant known for its medicinal properties — “that was our Walgreens. We didn’t have a Walgreens. We didn’t have a way to pay for any drugs. These are plants we have known for thousands of years in our community and that we continue to use.”\u003c/p>\n\u003cp>\u003cem>Kelly O’Mara contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Oakland City Council voted unanimously Tuesday night to decriminalize the adult use and possession of entheogenic, or psychoactive, plants and fungi, such as ‘magic’ mushrooms. That makes the city the second in the U.S. to decriminalize psychedelic plants. Denver voters in May approved a similar measure for people 21 and older.\u003c/p>\n\u003cp>Oakland’s measure would make the “investigation and arrest of individuals involved with the adult use of entheogenic plants on the federal Schedule 1 list be amongst the lowest priority for the city of Oakland.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The City Council vote came after a string of speakers testified that psychedelics, such as ayahuasca and peyote, helped them overcome depression, drug addiction and post-traumatic stress disorder. \u003ca href=\"https://www.kqed.org/news/11750909\" rel=\"noopener\" target=\"_blank\">Similar testimony swayed the public safety committee last week\u003c/a>, which approved the measure to come before a full council.\u003c/p>\n\u003cp>Use of the plants “saved my life,” said one man who described himself as a former heroin addict. “I don’t know how to describe it other than miraculous.”\u003c/p>\n\u003cp>“There’s some evidence that one of the active components in psilocybin mushrooms can be used as a medical treatment in some patients, but this is also based off studies that have been small or very preliminary,” said Dr. Brian Anderson \u003ca href=\"https://www.kqed.org/forum/2010101871313/oakland-considers-decriminalizing-psychedelic-mushrooms\" rel=\"noopener\" target=\"_blank\">on KQED’s Forum\u003c/a>. Anderson is a psychiatrist at San Francisco General Hospital who has done studies on the use of psychedelic plants in religious ceremonies.\u003c/p>\n\u003cp>He said there have been some trials suggesting the effects on depression or PTSD can be large when used as a form of drug-assisted psychotherapy. Those trials, though, remain small and far from FDA approval.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>However, medical uses were not the only reasons cited for passing the measure. A number of advocates also argued the plants never should have been criminalized in the first place.\u003c/p>\n\u003cp>“We’re here to fix a wrong that never should have occurred,” said Carlos Plazola at the original public safety hearing. Plazola is chair of Decriminalize Nature Oakland, which sponsored the proposal.\u003c/p>\n\u003cp>Councilwoman Rebecca Kaplan agreed at the time. “Richard Nixon launched a war [on drugs] that we all know is stupid, racist, wasteful and expensive, and it is long past time for us to continue fighting Nixon’s war for him,” she said.\u003c/p>\n\u003cp>The City Council vote makes the investigation and arrest of adults who grow, possess, use or distribute entheogenic plants one of the lowest priorities for police. No city funds could be used to enforce laws criminalizing the substances, and the Alameda County District Attorney would stop prosecuting people who have been apprehended for use or possession. The Oakland Police Department has said they’ve dealt with 19 cases of suspected psychedelic mushrooms over the last five years, and are not certain about cases of other plants listed.\u003c/p>\n\u003cp>The ordinance also directs the city administrator to come back within a year to provide the council with an assessment of the law’s community impact.\u003c/p>\n\u003cp>Alameda County Deputy District Attorney Teresa Drenick declined to comment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Councilmember Noel Gallo, who introduced the resolution, said decriminalizing such plants would enable Oakland police to focus on serious crime.\u003c/p>\n\u003cp>Critics, though, were concerned about unsafe use, especially in schools and by vulnerable populations.\u003c/p>\n\u003cp>Amendments offered by Councilmember Loren Taylor added caveats that the substances “are not for everyone,” recommending that people with PTSD or major depression seek professional help before using them and that people “don’t go solo” but seek expert guidance and have a trusted friend present during the use.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>To address such concerns, Gallo said earlier, lawmakers would have to establish rules and regulations about the use of such substances, including what exactly can be used, how to use them and what associated risks are. Plazola, whose group sponsored the measure, also presented an educational proposal and said his organization would be working on community outreach.\u003c/p>\n\u003cp>Magic mushrooms would remain illegal under both federal and state laws. Entheogenic substances are considered Schedule 1 drugs under the federal Controlled Substances Act, which categorizes drugs that have potential for abuse and no medical value.\u003c/p>\n\u003cp>Entheogenic plants have long been used in religious and cultural contexts. Gallo remembers his grandmother treating his family members with plants, including entheogenic ones, for a variety of ailments.\u003c/p>\n\u003cp>“Growing up in the Mexican community, this was our cure,” he said. Hemp oils, mushrooms and yerba buenas — an aromatic plant known for its medicinal properties — “that was our Walgreens. We didn’t have a Walgreens. We didn’t have a way to pay for any drugs. These are plants we have known for thousands of years in our community and that we continue to use.”\u003c/p>\n\u003cp>\u003cem>Kelly O’Mara contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Vaping company Juul, officially known as the more scientific-sounding “Juul Labs, Inc.,” was a major sponsor of the California Democratic Party’s weekend convention as bans on flavored tobacco gain traction in \u003ca href=\"https://www.kqed.org/news/11734249/delicious-fruity-flavors-not-for-kids-promise\" target=\"_blank\" rel=\"noopener\">San Francisco\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11748537/industry-aims-to-snuff-out-first-statewide-ban-on-flavored-tobacco\" target=\"_blank\" rel=\"noopener\">statewide\u003c/a>.\u003c/p>\n\u003cp>This \u003ca href=\"https://www.kqed.org/news/11752126/a-california-democratic-convention-brought-to-you-by-e-cigarettes\" rel=\"noopener\" target=\"_blank\">caused quite a dustup at the convention\u003c/a> and led Hene Kelly, a party leader for San Francisco Democrats, to deliver a \u003ca href=\"https://twitter.com/KaivanShroff/status/1135394481988087810\" target=\"_blank\" rel=\"noopener\">stellar speech\u003c/a> from the floor.\u003c/p>\n\u003cp>In case you (or the California Democratic Party) forgot, Altria bought a 35% ownership stake in Juul that valued the hip-with-the-kids company at \u003ca href=\"https://www.bloomberg.com/news/articles/2018-12-19/juul-founders-poised-to-be-crowned-billionaires-with-altria-deal\" target=\"_blank\" rel=\"noopener\">$38 billion\u003c/a>.\u003c/p>\n\u003cp>Something tells me the sponsorship arrangement with California Democrats may go up in smoke.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Vaping company Juul, officially known as the more scientific-sounding “Juul Labs, Inc.,” was a major sponsor of the California Democratic Party’s weekend convention as bans on flavored tobacco gain traction in \u003ca href=\"https://www.kqed.org/news/11734249/delicious-fruity-flavors-not-for-kids-promise\" target=\"_blank\" rel=\"noopener\">San Francisco\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11748537/industry-aims-to-snuff-out-first-statewide-ban-on-flavored-tobacco\" target=\"_blank\" rel=\"noopener\">statewide\u003c/a>.\u003c/p>\n\u003cp>This \u003ca href=\"https://www.kqed.org/news/11752126/a-california-democratic-convention-brought-to-you-by-e-cigarettes\" rel=\"noopener\" target=\"_blank\">caused quite a dustup at the convention\u003c/a> and led Hene Kelly, a party leader for San Francisco Democrats, to deliver a \u003ca href=\"https://twitter.com/KaivanShroff/status/1135394481988087810\" target=\"_blank\" rel=\"noopener\">stellar speech\u003c/a> from the floor.\u003c/p>\n\u003cp>In case you (or the California Democratic Party) forgot, Altria bought a 35% ownership stake in Juul that valued the hip-with-the-kids company at \u003ca href=\"https://www.bloomberg.com/news/articles/2018-12-19/juul-founders-poised-to-be-crowned-billionaires-with-altria-deal\" target=\"_blank\" rel=\"noopener\">$38 billion\u003c/a>.\u003c/p>\n\u003cp>Something tells me the sponsorship arrangement with California Democrats may go up in smoke.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cb>Special Counsel Speaks Out\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">On Wednesday, special counsel Robert Mueller declined to clear President Trump of obstruction of justice in his first public comments on his two-year investigation into Russian meddling in the 2016 presidential race. Speaking at the Department of Justice, he said, “If we had confidence that the president clearly did not commit a crime, we would have said so.” He also declined to appear before Congress to answer questions about the investigation, and claimed that the report detailing his findings was his “testimony.” But some prominent Democrats, including congressman Adam Schiff, disagreed with that assertion and still want him to testify, while nearly half of the Democratic presidential candidates now support starting impeachment proceedings. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">U.S. Rep. Adam Schiff, D-Burbank\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Democratic Presidential Candidate Beto O’Rourke\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">The California Democratic Party state convention kicked off in San Francisco today. This year’s gathering has attracted the attention of Democratic presidential hopefuls, 14 of whom will be in attendance and making their case to delegates, activists and political operatives ahead of the state’s primary in March. We spoke with one of those candidates, Beto O’Rourke of Texas, about immigration, universal health care and President Trump.\u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\"> Beto O’Rourke, Democratic presidential candidate\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Universal Mental Health Care and Decriminalizing Psychedelic Mushrooms\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">This week, San Francisco Supervisors Hillary Ronen and Matt Haney announced a plan to provide free mental health care and substance abuse treatment to any city resident, even those with health insurance. To help pay for the plan, called Mental Health SF, a ballot measure would ask voters to approve a tax on businesses whose CEOs make 100 times more than the median salary of their employees. Existing state funds to pay for mental health services for low-income residents could also be used. Meanwhile, across the bay, Oakland moved one step closer to becoming the second city in the nation, after Denver, to decriminalize the use of psychedelic mushrooms and other naturally occurring hallucinogens. \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">April Dembosky, health correspondent, KQED \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Keith Humphreys, professor of psychiatry, Stanford University\u003c/span>\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Special Counsel Speaks Out\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">On Wednesday, special counsel Robert Mueller declined to clear President Trump of obstruction of justice in his first public comments on his two-year investigation into Russian meddling in the 2016 presidential race. Speaking at the Department of Justice, he said, “If we had confidence that the president clearly did not commit a crime, we would have said so.” He also declined to appear before Congress to answer questions about the investigation, and claimed that the report detailing his findings was his “testimony.” But some prominent Democrats, including congressman Adam Schiff, disagreed with that assertion and still want him to testify, while nearly half of the Democratic presidential candidates now support starting impeachment proceedings. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">U.S. Rep. Adam Schiff, D-Burbank\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Democratic Presidential Candidate Beto O’Rourke\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">The California Democratic Party state convention kicked off in San Francisco today. This year’s gathering has attracted the attention of Democratic presidential hopefuls, 14 of whom will be in attendance and making their case to delegates, activists and political operatives ahead of the state’s primary in March. We spoke with one of those candidates, Beto O’Rourke of Texas, about immigration, universal health care and President Trump.\u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\"> Beto O’Rourke, Democratic presidential candidate\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Universal Mental Health Care and Decriminalizing Psychedelic Mushrooms\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">This week, San Francisco Supervisors Hillary Ronen and Matt Haney announced a plan to provide free mental health care and substance abuse treatment to any city resident, even those with health insurance. To help pay for the plan, called Mental Health SF, a ballot measure would ask voters to approve a tax on businesses whose CEOs make 100 times more than the median salary of their employees. Existing state funds to pay for mental health services for low-income residents could also be used. Meanwhile, across the bay, Oakland moved one step closer to becoming the second city in the nation, after Denver, to decriminalize the use of psychedelic mushrooms and other naturally occurring hallucinogens. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A resolution to decriminalize certain natural psychedelic plants and fungi — such as “magic” mushrooms — was approved by an Oakland City Council committee Tuesday night and is expected to go to the full council for a vote on June 4.\u003c/p>\n\u003cp>If the measure passes, Oakland would become the second city in the country to decriminalize entheogenic plants, \u003ca href=\"https://www.apnews.com/52a82fbd262b49b1ad035c4e4919e513\" target=\"_blank\" rel=\"noopener\">following Denver earlier this month\u003c/a>.\u003c/p>\n\u003cp>The proposal would make the “investigation and arrest of individuals involved with the adult use of entheogenic plants on the federal Schedule 1 list be amongst the lowest priority for the city of Oakland.”\u003c/p>\n\u003cp>“We’re here to fix a wrong that never should have occurred,” said Carlos Plazola, chair of Decriminalize Nature Oakland, which was sponsoring the resolution.\u003c/p>\n\u003cp>[aside postID=\"forum_2010101871313\" label='On KQED's Forum']\u003c/p>\n\u003cp>Plazola gave a presentation on the proposal Tuesday night to the Oakland City Council’s public safety committee, which ultimately passed the resolution with three votes and one abstention. The presentation included a number of doctors speaking on the potential mental health benefits of entheogenic plants and nearly an hour of public testimony — and one standing ovation — largely in support of decriminalization.\u003c/p>\n\u003cp>“They should never have been Schedule 1 substances in the first place based on any sort of scientific evidence,” said Dr. Kelan Thomas, a psychiatric pharmacist. Thomas told the committee he had published one of the first review papers on clinical trials with psychedelics and, while there have only been limited studies so far, the plants have been found to be incredibly effective in treating mental health issues.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“There’s some evidence that one of the active components in psilocybin mushrooms can be used as a medical treatment in some patients, but this is also based off studies that have been small or very preliminary,” said Dr. Brian Anderson \u003ca href=\"https://www.kqed.org/forum/2010101871313/oakland-considers-decriminalizing-psychedelic-mushrooms\" target=\"_blank\" rel=\"noopener\">on KQED’s Forum\u003c/a> on Wednesday. Anderson is a psychiatrist at San Francisco General Hospital who has done studies on the use of psychedelic plants in religious ceremonies.\u003c/p>\n\u003cp>[pullquote align=\"right\" citation=\"Oakland Councilwoman Rebecca Kaplan\"]‘Richard Nixon launched a war [on drugs] that we all know is stupid, racist, wasteful and expensive, and it is long past time for us to continue fighting Nixon’s war for him.’[/pullquote]\u003c/p>\n\u003cp>Anderson noted that trials have shown these plants work distinctly differently from other available treatments for mental health. Psychedelic mushrooms’ effects on depression, for instance, can be large, when used as a form of drug-assisted psychotherapy. But this has been tested only on a few hundred patients in the last few years in the U.S. and maybe a couple of thousand in clinical trials in the last 20 years, he said. “It’s a little early to think we’ll be able to get FDA permission at this time.”\u003c/p>\n\u003cp>However, that’s far from what is being proposed in Oakland.\u003c/p>\n\u003cp>“This is about decriminalization. This is not about legalizing and being able to go get it from your physician,” said Anderson.\u003c/p>\n\u003cp>While proponents argue psychedelic plants and fungi can ease depression and anxiety, and can even be used to treat cancer patients, critics have concerns about educating the public on safe use.\u003c/p>\n\u003cp>“One of the things I’m focused on is that we introduce things the right way,” said Councilwoman Loren Taylor, who ultimately abstained from the vote. “How we deploy and how we support safe use and responsible use [is] a big piece for me.”\u003c/p>\n\u003cp>[aside postID=\"futureofyou_441705\"]\u003c/p>\n\u003cp>Although Taylor said he’s supportive of how valuable psychedelic plants can be in certain settings, he’s also concerned about making sure mushrooms don’t become a fad with high school kids or get into the hands of those who are vulnerable or susceptible.\u003c/p>\n\u003cp>It’s a concern that Plazola, who is sponsoring the measure, acknowledged both in his presentation to the committee and on \u003ca href=\"https://www.kqed.org/forum/2010101871313/oakland-considers-decriminalizing-psychedelic-mushrooms\" target=\"_blank\" rel=\"noopener\">KQED’s Forum Wednesday morning\u003c/a>.\u003c/p>\n\u003cp>“It’s really about education,” Plazola said on Forum. At the meeting Tuesday night, he presented an education resource guide and a plan for how his organization and others would reach out to Oakland residents over the next two years to provide support and information. For example, he said, they would advise anyone with schizophrenia or bipolar disorder to consult with a doctor before taking entheogenic plants.\u003c/p>\n\u003cp>Plazola, however, also argued that the criminalization of these plants has contributed to mass incarceration based on “irrational fears.” At the same time, he said, the mental health crisis has also hit those communities who do not have access to these resources.\u003c/p>\n\u003cp>[aside postID=\"arts_13858117\"]\u003c/p>\n\u003cp>“The question that people should be asking themselves is, ‘What did the world look like before [these plants] were criminalized?'” he said. There is a long history of different plants being used in various religious ceremonies throughout the world, like ayahuasca tea among certain groups in Brazil or peyote among indigenous peoples in Mexico.\u003c/p>\n\u003cp>Councilwoman Rebecca Kaplan agreed with the assessment that the plants and fungi never should have been criminalized in the first place.\u003c/p>\n\u003cp>“Richard Nixon launched a war [on drugs] that we all know is stupid, racist, wasteful and expensive, and it is long past time for us to continue fighting Nixon’s war for him,” she said.\u003c/p>\n\u003cp>The Oakland Police Department said they have dealt with 19 cases of suspected psychedelic mushrooms over the last five years, and were not certain about cases of other plants listed in the resolution.\u003c/p>\n\u003cp>If it passes, Plazola said Decriminalize Nature Oakland hopes to use the measure as a model for other cities and states.\u003c/p>\n\u003cp>Decriminalization in Denver was passed by ballot, with 51 percent of the vote. A similar measure is likely to be on \u003ca href=\"https://www.wweek.com/news/state/2019/04/03/why-stop-at-one-campaign-to-legalize-psychedelic-mushrooms-oregon-has-two-and-they-dont-get-along/\" target=\"_blank\" rel=\"noopener\">the ballot in Oregon in the fall of 2020\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Anderson noted that trials have shown these plants work distinctly differently from other available treatments for mental health. Psychedelic mushrooms’ effects on depression, for instance, can be large, when used as a form of drug-assisted psychotherapy. But this has been tested only on a few hundred patients in the last few years in the U.S. and maybe a couple of thousand in clinical trials in the last 20 years, he said. “It’s a little early to think we’ll be able to get FDA permission at this time.”\u003c/p>\n\u003cp>However, that’s far from what is being proposed in Oakland.\u003c/p>\n\u003cp>“This is about decriminalization. This is not about legalizing and being able to go get it from your physician,” said Anderson.\u003c/p>\n\u003cp>While proponents argue psychedelic plants and fungi can ease depression and anxiety, and can even be used to treat cancer patients, critics have concerns about educating the public on safe use.\u003c/p>\n\u003cp>“One of the things I’m focused on is that we introduce things the right way,” said Councilwoman Loren Taylor, who ultimately abstained from the vote. “How we deploy and how we support safe use and responsible use [is] a big piece for me.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Although Taylor said he’s supportive of how valuable psychedelic plants can be in certain settings, he’s also concerned about making sure mushrooms don’t become a fad with high school kids or get into the hands of those who are vulnerable or susceptible.\u003c/p>\n\u003cp>It’s a concern that Plazola, who is sponsoring the measure, acknowledged both in his presentation to the committee and on \u003ca href=\"https://www.kqed.org/forum/2010101871313/oakland-considers-decriminalizing-psychedelic-mushrooms\" target=\"_blank\" rel=\"noopener\">KQED’s Forum Wednesday morning\u003c/a>.\u003c/p>\n\u003cp>“It’s really about education,” Plazola said on Forum. At the meeting Tuesday night, he presented an education resource guide and a plan for how his organization and others would reach out to Oakland residents over the next two years to provide support and information. For example, he said, they would advise anyone with schizophrenia or bipolar disorder to consult with a doctor before taking entheogenic plants.\u003c/p>\n\u003cp>Plazola, however, also argued that the criminalization of these plants has contributed to mass incarceration based on “irrational fears.” At the same time, he said, the mental health crisis has also hit those communities who do not have access to these resources.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The question that people should be asking themselves is, ‘What did the world look like before [these plants] were criminalized?'” he said. There is a long history of different plants being used in various religious ceremonies throughout the world, like ayahuasca tea among certain groups in Brazil or peyote among indigenous peoples in Mexico.\u003c/p>\n\u003cp>Councilwoman Rebecca Kaplan agreed with the assessment that the plants and fungi never should have been criminalized in the first place.\u003c/p>\n\u003cp>“Richard Nixon launched a war [on drugs] that we all know is stupid, racist, wasteful and expensive, and it is long past time for us to continue fighting Nixon’s war for him,” she said.\u003c/p>\n\u003cp>The Oakland Police Department said they have dealt with 19 cases of suspected psychedelic mushrooms over the last five years, and were not certain about cases of other plants listed in the resolution.\u003c/p>\n\u003cp>If it passes, Plazola said Decriminalize Nature Oakland hopes to use the measure as a model for other cities and states.\u003c/p>\n\u003cp>Decriminalization in Denver was passed by ballot, with 51 percent of the vote. A similar measure is likely to be on \u003ca href=\"https://www.wweek.com/news/state/2019/04/03/why-stop-at-one-campaign-to-legalize-psychedelic-mushrooms-oregon-has-two-and-they-dont-get-along/\" target=\"_blank\" rel=\"noopener\">the ballot in Oregon in the fall of 2020\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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