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"content": "\u003cp>Santa Clara County Sheriff Laurie Smith is retiring next year amid civil grand jury hearings, allegations of bribery and misconduct and investigations into jail abuse cases. Four candidates are leading in the race to replace her in the primary election on June 7 and are making promises to increase mental health care resources and increase transparency under a new administration. But residents of the county are skeptical about how much can actually be accomplished by a single sheriff.\u003c/p>\n\u003ch2>Falling through the system of care's cracks\u003c/h2>\n\u003cp>Jacob Wakeland, a resident of Santa Clara County, wants better access to comprehensive mental health care. In February 2021, he moved into a home in San José shared with roommates he didn’t know. Soon after moving in, Wakeland started noticing symptoms in one particular roommate, who is remaining unnamed in this story for privacy reasons.\u003c/p>\n\u003cp>“Initially after moving in, he was helpful and personable,” Wakeland said. “But he had a lot of nervous tics, which a lot of people have, but they were adding up a lot.”\u003c/p>\n\u003cp>His roommate eventually told Wakeland he had been diagnosed with bipolar disorder, but was refusing to get treatment. As months wore on, Wakeland noticed his roommate stayed awake most nights and starved himself, even refusing offers of food. Growing increasingly concerned, Wakeland called Mobile Crisis Teams, one of the county’s behavioral health care resources.\u003c/p>\n\u003cp>“The Mobile Crisis Team came out, and there were some counselors there, and they mentioned to me that he has to be [at] this [level] of severity where he’s not able to eat, like close to death,” Wakeland said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Because his roommate was not at immediate risk of harming himself or others, the crisis team couldn’t force him into treatment. Then one day the roommate attacked Wakeland, and was arrested and sent to jail.\u003c/p>\n\u003cp>“There’s this series of events [where] you could clearly see all these cracks in the system of help that he fell through — every single one. And now they’re charging him with all these crimes that he didn’t even need to be in a position to commit,” Wakeland said.\u003c/p>\n\u003ch2>County under pressure to expand resources\u003c/h2>\n\u003cp>Like many other sheriff’s departments in California, Santa Clara County’s has come under fire for its lack of mental health resources, and its treatment of people who are mentally ill and incarcerated in county jails. Over the past six years, the county has settled at least three multimillion-dollar cases over incidents that left mentally ill incarcerated people permanently disabled, or dead: In 2015, three sheriff’s deputies fatally beat Michael Tyree, a 31-year-old man who had bipolar disorder.\u003c/p>\n\u003cp>And after the county paid a $10 million settlement to the family of Andrew Hogan, a formerly incarcerated man who became quadriplegic after suffering injuries sustained while under the sheriff’s supervision, calls for more comprehensive mental health care grew louder. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Because his roommate was not at immediate risk of harming himself or others, the crisis team couldn’t force him into treatment. Then one day the roommate attacked Wakeland, and was arrested and sent to jail.\u003c/p>\n\u003cp>“There’s this series of events [where] you could clearly see all these cracks in the system of help that he fell through — every single one. And now they’re charging him with all these crimes that he didn’t even need to be in a position to commit,” Wakeland said.\u003c/p>\n\u003ch2>County under pressure to expand resources\u003c/h2>\n\u003cp>Like many other sheriff’s departments in California, Santa Clara County’s has come under fire for its lack of mental health resources, and its treatment of people who are mentally ill and incarcerated in county jails. Over the past six years, the county has settled at least three multimillion-dollar cases over incidents that left mentally ill incarcerated people permanently disabled, or dead: In 2015, three sheriff’s deputies fatally beat Michael Tyree, a 31-year-old man who had bipolar disorder.\u003c/p>\n\u003cp>And after the county paid a $10 million settlement to the family of Andrew Hogan, a formerly incarcerated man who became quadriplegic after suffering injuries sustained while under the sheriff’s supervision, calls for more comprehensive mental health care grew louder. Some county officials have suggested building a mental health care facility outside the jails, to treat individuals who may need medication or psychiatric care otherwise inaccessible to them.\u003c/p>\n\u003cp>The four leading contenders in the sheriff's race all speak to the need for better mental health resources. Bob Jonsen is promising to strengthen programs such as the one he founded as Palo Alto police chief that pairs police officers with a licensed mental health professional to get help for people in crisis. The other three candidates — Christine Nagaye, Kevin Jensen and Sean Allen — have all proposed building a new mental health facility, citing abandoned buildings and hospital grounds as potential locations.\u003c/p>\n\u003cp>“I think it’s a good cause, but for a candidate to say simply, this is what I’m going to do, meaning provide this facility, it’s mission impossible,” said LaDoris Hazzard Cordell, a former Santa Clara County Superior Court judge and the former independent police auditor for the City of San José. “It has to be done with the support of a board of supervisors who can allocate the funding for such a major project.”\u003c/p>\n\u003cp>Last year, County Supervisor Susan Ellenberg proposed diverting money and resources that were set aside to build a new jail and instead build a mental health care facility under the control of the county’s behavioral health services. But supervisors ultimately voted to build the new jail and deferred action on a behavioral health care facility into the vague future.\u003c/p>\n\u003cp>“How realistic is it that this can be addressed now and something can happen in our lifetimes?” asked Cordell. “It’s very realistic, in my view. It’s all about leadership.”\u003c/p>\n\u003cp>Last year, the office of California Attorney General Rob Bonta launched a civil rights investigation into how mentally ill people are treated in Santa Clara County jails managed by the sheriff’s department.\u003c/p>\n\u003cp>“There certainly has been a lot in Santa Clara County focusing on the sheriff’s office,” said Michael Gennaco, the project manager for the Office of Correction and Law Enforcement Monitoring (OCLEM).\u003c/p>\n\u003cp>Since its formation in 2018, OCLEM has asked the sheriff’s office to turn over documentation from internal investigations or disciplinary actions against certain officers, and has met with resistance. While Gennaco says he hopes the next sheriff will be more transparent, he acknowledges the position is an independently elected one, answerable to the voters.\u003c/p>\n\u003cp>“There is a different dynamic about sheriffs in California in that there are no real internal controls over how they do their work,” he said. “Santa Clara is an example of how that independence can get in the way of oversight.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The primary election is on June 7.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/mindshift/59143/war-crisis-tragedy-how-to-talk-with-kids-when-the-news-is-scary\">Read in English\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Las noticias pueden ser devastadoras: Comunidades por todo el país están consternadas después de que \u003ca href=\"https://www.npr.org/2022/05/25/1101175912/uvalde-texas-shooting-victims-4th-grade-classroom\">un tiroteo masivo matara a 21 personas, incluidos 19 niños, en una escuela primaria en Uvalde, Texas\u003c/a> (enlace sólo en inglés). Eso es después de que \u003ca href=\"https://www.npr.org/2022/05/18/1099642679/the-buffalo-community-honors-victims-of-the-tops-shooting-and-calls-for-big-chan\">un tirador, motivado por una teoría de conspiración racista, disparara y matara a 10 personas en una tienda de comestibles en la ciudad de Buffalo, Nueva York\u003c/a> (enlace sólo en inglés), y otro \u003ca href=\"https://www.npr.org/2022/05/17/1099453183/dallas-koreatown-hair-salon-shooting-arrest-hate-crime\">tirador en Dallas hiriera a tres mujeres de ascendencia asiática\u003c/a> (enlace sólo en inglés) en lo que el jefe de policía llamó “un crimen de odio”.\u003c/p>\n\u003cp>Estos sucesos pueden ser incomprensibles para los adultos, así que ¿cómo conversamos de ellos con los niños?\u003c/p>\n\u003cp>Hemos hablado con un grupo de expertos en el campo de desarrollo infantil sobre lo que los padres, profesores y otros cuidadores pueden decir para ayudar a los niños a procesar todas las noticias aterradoras que hay. Esto es lo que nos dijeron:\u003c/p>\n\u003ch2>\u003cstrong>Limitar la exposición a las noticias de última hora\u003c/strong>\u003c/h2>\n\u003cp>“Podemos controlar la cantidad de información. Podemos controlar la cantidad de exposición”, dice \u003ca href=\"https://www.sesameworkshop.org/who-we-are/our-leadership/rosemarie-truglio\">Rosemarie Truglio\u003c/a>, vicepresidenta de currículo y contenidos de Sesame Workshop.\u003c/p>\n\u003cp>Truglio dice que, para empezar, intente que sus hijos no vean las noticias sin usted. Eso incluye dejar que la televisión o la radio estén encendidas continuamente por largos periodos de tiempo. En 2017, el 42% de los padres de niños pequeños dijeron a Common Sense Media que \u003ca href=\"https://www.npr.org/sections/ed/2017/10/19/558178851/young-children-are-spending-much-more-time-in-front-of-small-screens\">la televisión está encendida “siempre” o “la mayor parte” del tiempo en la casa\u003c/a> (enlace sólo en inglés).\u003c/p>\n\u003cp>[aside postID=\"mindshift_59143\" label=\"Lea esta guía en inglés\"]Cuando crecía en la zona rural de Luisiana durante su niñez, Alison Aucoin recuerda que su padre veía las noticias de la tarde durante la guerra de Vietnam. “Por la forma en que estaba configurada nuestra casa, era imposible evitarlo por completo”.\u003c/p>\n\u003cp>Aucoin recuerda vívidamente los disparos rápidos de los rifles y los gritos de los soldados, pero fueron dos palabras que los reporteros y presentadores utilizaban continuamente las que la asustaron de verdad.\u003c/p>\n\u003cp>“Escuché las palabras ‘guerra de guerrillas’ y… pensé en gorilas, como los simios”, dice Aucoin. “Y literalmente tenía un plan para saber dónde me escondería en mi armario cuando llegaran los gorilas”.\u003c/p>\n\u003cp>Truglio afirma que, dado que no podemos controlar las noticias en sí, los adultos deben controlar la tecnología que expone a los niños a noticias potencialmente traumáticas.\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003ch2>\u003cstrong>Pregunte: “¿Qué has oído y cómo te sientes?”\u003c/strong>\u003c/h2>\n\u003cp>Aunque es importante limitar la exposición de sus hijos a información potencialmente aterradora, algunas historias son simplemente demasiado grandes para evitarlas. Y a medida que los niños crecen, si no se enteran en casa, es casi seguro que escucharán algo de sus compañeros en la escuela.\u003c/p>\n\u003cp>\u003ca href=\"https://www.montclair.edu/newscenter/experts/dr-tara-l-conley/\">Tara Conley\u003c/a>, investigadora de los medios de comunicación de la Universidad Estatal de Montclair en Nueva Jersey, dice que los adultos deberían elegir un momento tranquilo para hablar con sus hijos, tal vez en la mesa o a la hora de acostarse.\u003c/p>\n\u003cp>La idea, dice, es permitir que los niños “hagan preguntas sobre lo que están viendo, cómo se sienten y qué piensan”. En otras palabras, dar a los niños un espacio seguro para reflexionar y compartir.\u003c/p>\n\u003ch2>Dar a los niños datos y contexto\u003c/h2>\n\u003cp>Hablar directamente con los niños también permite desmentir memes, mitos y conceptos erróneos, y eso es importante en la vorágine de las redes sociales, dice Holly Korbey, autora de \u003ca href=\"https://www.hollykorbey.com/buildingbettercitizens\">\u003cem>Building Better Citizens\u003c/em>\u003c/a> (enlace sólo en inglés), un nuevo libro sobre educación cívica. Una vez, en los días posteriores a la publicación de algunas noticias internacionales, dice, “mis propios adolescentes me mostraban estos memes y rumores en Instagram difundiendo que los chicos estaban siendo reclutados para la tercera guerra mundial, no es broma”.\u003c/p>\n\u003cp>Korbey dice, “una de las cosas más importantes que los padres pueden hacer en este clima de miedo es hablar con los niños sobre los hechos. Por ejemplo, ‘No, no hay ningún reclutamiento, y no hemos empezado la tercera guerra mundial'”.\u003c/p>\n\u003ch2>Cuando le pregunten por qué ha pasado algo, evite utilizar etiquetas como “malos”\u003c/h2>\n\u003cp>Evan Nierman, padre de dos hijos, vive en Parkland, Florida. Su hijo cumplió 11 años el día después del tiroteo de 2018 en el instituto Marjory Stoneman Douglas, y su hija tenía 8. Dice que uno de los momentos más duros para él como padre fue cuando sus hijos le preguntaron por qué había ocurrido el tiroteo. “Y obviamente no hay una buena respuesta para eso. Es difícil de explicar”.\u003c/p>\n\u003cp>Truglio dice que debemos resistir la tentación de etiquetar a alguien como “malo” o “malvado”. No es útil, y puede aumentar el miedo y la confusión. En su lugar dice ella, hay que hablar de que la gente sufre, están enojados y toman malas decisiones. Eso es lo que Nierman y su esposa decidieron, diciendo a sus hijos que el tirador no estaba bien y necesitaba ayuda.\u003c/p>\n\u003cp>Y según Truglio, hay una cosa importante que los padres no deben tener miedo de decir: No lo sé.\u003c/p>\n\u003cp>“A veces no tenemos las respuestas a todos estos porqués”, explica. “Es importante que los padres digan ‘No sé por qué ha pasado'”.\u003c/p>\n\u003ch2>\u003cstrong>Anime a los niños a procesar la historia a través del juego y el arte\u003c/strong>\u003c/h2>\n\u003cp>Los niños suelen intentar dar sentido a lo que ven y oyen a través del arte y el juego creativo. A veces puede resultar perturbador para los adultos ver a los niños representar o dibujar algo aterrador o violento, pero este tipo de juego tiene un propósito importante.\u003c/p>\n\u003cp>Conley dice, “el juego forma parte de la reconstrucción de las propias historias [de los niños]”. Ella lo llama “creación de significado” y dice que los adultos también lo hacen, al discutir historias con amigos o incluso al compartir memes en las redes sociales. “También nos ayuda a dar sentido al mundo que nos rodea…cuando nos bombardean con información”, explica, “y nos ayuda a discernir la información creíble”.\u003c/p>\n\u003ch2>Resaltar cómo las personas se ayudan y cuidan unas a otras\u003c/h2>\n\u003cp>Fred Rogers, \u003ca href=\"https://www.npr.org/2019/11/20/781140591/beautiful-day-director-on-mister-rogers-radical-notion-telling-kids-the-truth\">el entrañable presentador de televisión infantil, transmitió este consejo de su madre\u003c/a> (enlace sólo en inglés): “Cuando ocurra algo que dé miedo, busca a los que ayudan. Siempre encontrarás gente que ayuda”.\u003c/p>\n\u003cp>Truglio lo hizo cuando habló con su entonces joven hijo sobre el tiroteo en la escuela Sandy Hook de 2012. El tiroteo ocurrió un viernes, y ella lo mantuvo alejado de la televisión todo el fin de semana.\u003c/p>\n\u003cp>“No encendimos la televisión hasta que el Presidente Obama habló y hubo un servicio conmemorativo”, dice Truglio. “Nos centramos en lo positivo, cómo la gente se reunía y cuidaba de los demás”.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Rosemarie Truglio, Vicepresidenta, Sesame Workshop\"]‘Nos centramos en lo positivo, cómo la gente se reunía y cuidaba de los demás.’[/pullquote]Hay pruebas de que hablar de los ayudantes realmente marca la diferencia en la forma en que los niños ven su mundo. Tras el tiroteo en la escuela de Columbine en 1999, Sesame Workshop estudió las percepciones del mundo de los niños en edad escolar a través de sus dibujos. Las imágenes estaban llenas de violencia, dice Truglio: “pistolas y cuchillos y gente muerta”.\u003c/p>\n\u003cp>Pero tras los atentados del 11 de septiembre, sólo dos años después, la cobertura de los medios cambió, dice, centrándose más en temas como “el país es fuerte. El país se está uniendo. Estamos unidos. Vamos a superar esto”. Y esto marcó la diferencia para los niños, sus dibujos mostraban banderas estadounidenses y a policías o bomberos como héroes.\u003c/p>\n\u003ch2>\u003cstrong>Actuar juntos de forma positiva\u003c/strong>\u003c/h2>\n\u003cp>Alison Aucoin, que compartió sus recuerdos y miedos de la guerra de Vietnam, es de raza blanca, su hija, Edelawit, fue adoptada de Etiopía. Edelawit tenía solo 7 años cuando Michael Brown, un adolescente negro que estaba desarmado, fue abatido a tiros por un policía de raza blanca en Ferguson, Missouri en 2014.\u003c/p>\n\u003cp>“Tenía miedo de que me pasara algo así”, dice Edelawit, que ahora tiene 12 años, y desde entonces, cada vez que se produce un tiroteo similar relacionado con la policía, ella y su madre siguen ciertos pasos. Primero, su madre comparte la noticia.\u003c/p>\n\u003cp>[aside label='Más en español' tag='kqed-en-espanol']“Siempre tengo tiempo para asimilarlo”, dice Edelawit. “Y luego ella me dice lo que puedo hacer para protegerme. Y luego vamos a protestar”.\u003c/p>\n\u003cp>“Al hablar con nuestros hijos”, dice Conley, “también tenemos que mostrarles cómo ayudamos nosotros también, y preguntarles: “¿Cómo te ves a ti mismo como ayudante en estas situaciones?”\u003c/p>\n\u003cp>Puede considerar la posibilidad de llevar a su hijo a una manifestación o protesta pacífica, recopilar donaciones juntos o escribir a un funcionario electo. El sentido de la acción puede reducir drásticamente la ansiedad del niño.\u003c/p>\n\u003cp>En otras palabras, no se limite a buscar a los ayudantes … sea usted el ayudante.\u003c/p>\n\u003ch2>Recursos adicionales (Información disponible en inglés y español)\u003c/h2>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.commonsensemedia.org/es/articulos/como-hablar-con-tus-hijos-sobre-las-noticias\">Common Sense Media: Cómo hablar de las noticias con tus hijos\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://childmind.org/es/temas/trauma-y-duelo/\">Child Mind Institute: Artículos sobre trauma y duelo en los niños\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Este artículo fue traducido por la periodista \u003ca href=\"https://www.kqed.org/author/mpena/\">María Peña\u003c/a> y editado por el periodista \u003ca href=\"https://www.kqed.org/author/ccabreralomeli\">Carlos Cabrera-Lomelí\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/mindshift/59143/war-crisis-tragedy-how-to-talk-with-kids-when-the-news-is-scary\">Read in English\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Las noticias pueden ser devastadoras: Comunidades por todo el país están consternadas después de que \u003ca href=\"https://www.npr.org/2022/05/25/1101175912/uvalde-texas-shooting-victims-4th-grade-classroom\">un tiroteo masivo matara a 21 personas, incluidos 19 niños, en una escuela primaria en Uvalde, Texas\u003c/a> (enlace sólo en inglés). Eso es después de que \u003ca href=\"https://www.npr.org/2022/05/18/1099642679/the-buffalo-community-honors-victims-of-the-tops-shooting-and-calls-for-big-chan\">un tirador, motivado por una teoría de conspiración racista, disparara y matara a 10 personas en una tienda de comestibles en la ciudad de Buffalo, Nueva York\u003c/a> (enlace sólo en inglés), y otro \u003ca href=\"https://www.npr.org/2022/05/17/1099453183/dallas-koreatown-hair-salon-shooting-arrest-hate-crime\">tirador en Dallas hiriera a tres mujeres de ascendencia asiática\u003c/a> (enlace sólo en inglés) en lo que el jefe de policía llamó “un crimen de odio”.\u003c/p>\n\u003cp>Estos sucesos pueden ser incomprensibles para los adultos, así que ¿cómo conversamos de ellos con los niños?\u003c/p>\n\u003cp>Hemos hablado con un grupo de expertos en el campo de desarrollo infantil sobre lo que los padres, profesores y otros cuidadores pueden decir para ayudar a los niños a procesar todas las noticias aterradoras que hay. Esto es lo que nos dijeron:\u003c/p>\n\u003ch2>\u003cstrong>Limitar la exposición a las noticias de última hora\u003c/strong>\u003c/h2>\n\u003cp>“Podemos controlar la cantidad de información. Podemos controlar la cantidad de exposición”, dice \u003ca href=\"https://www.sesameworkshop.org/who-we-are/our-leadership/rosemarie-truglio\">Rosemarie Truglio\u003c/a>, vicepresidenta de currículo y contenidos de Sesame Workshop.\u003c/p>\n\u003cp>Truglio dice que, para empezar, intente que sus hijos no vean las noticias sin usted. Eso incluye dejar que la televisión o la radio estén encendidas continuamente por largos periodos de tiempo. En 2017, el 42% de los padres de niños pequeños dijeron a Common Sense Media que \u003ca href=\"https://www.npr.org/sections/ed/2017/10/19/558178851/young-children-are-spending-much-more-time-in-front-of-small-screens\">la televisión está encendida “siempre” o “la mayor parte” del tiempo en la casa\u003c/a> (enlace sólo en inglés).\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Cuando crecía en la zona rural de Luisiana durante su niñez, Alison Aucoin recuerda que su padre veía las noticias de la tarde durante la guerra de Vietnam. “Por la forma en que estaba configurada nuestra casa, era imposible evitarlo por completo”.\u003c/p>\n\u003cp>Aucoin recuerda vívidamente los disparos rápidos de los rifles y los gritos de los soldados, pero fueron dos palabras que los reporteros y presentadores utilizaban continuamente las que la asustaron de verdad.\u003c/p>\n\u003cp>“Escuché las palabras ‘guerra de guerrillas’ y… pensé en gorilas, como los simios”, dice Aucoin. “Y literalmente tenía un plan para saber dónde me escondería en mi armario cuando llegaran los gorilas”.\u003c/p>\n\u003cp>Truglio afirma que, dado que no podemos controlar las noticias en sí, los adultos deben controlar la tecnología que expone a los niños a noticias potencialmente traumáticas.\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003cstrong>Pregunte: “¿Qué has oído y cómo te sientes?”\u003c/strong>\u003c/h2>\n\u003cp>Aunque es importante limitar la exposición de sus hijos a información potencialmente aterradora, algunas historias son simplemente demasiado grandes para evitarlas. Y a medida que los niños crecen, si no se enteran en casa, es casi seguro que escucharán algo de sus compañeros en la escuela.\u003c/p>\n\u003cp>\u003ca href=\"https://www.montclair.edu/newscenter/experts/dr-tara-l-conley/\">Tara Conley\u003c/a>, investigadora de los medios de comunicación de la Universidad Estatal de Montclair en Nueva Jersey, dice que los adultos deberían elegir un momento tranquilo para hablar con sus hijos, tal vez en la mesa o a la hora de acostarse.\u003c/p>\n\u003cp>La idea, dice, es permitir que los niños “hagan preguntas sobre lo que están viendo, cómo se sienten y qué piensan”. En otras palabras, dar a los niños un espacio seguro para reflexionar y compartir.\u003c/p>\n\u003ch2>Dar a los niños datos y contexto\u003c/h2>\n\u003cp>Hablar directamente con los niños también permite desmentir memes, mitos y conceptos erróneos, y eso es importante en la vorágine de las redes sociales, dice Holly Korbey, autora de \u003ca href=\"https://www.hollykorbey.com/buildingbettercitizens\">\u003cem>Building Better Citizens\u003c/em>\u003c/a> (enlace sólo en inglés), un nuevo libro sobre educación cívica. Una vez, en los días posteriores a la publicación de algunas noticias internacionales, dice, “mis propios adolescentes me mostraban estos memes y rumores en Instagram difundiendo que los chicos estaban siendo reclutados para la tercera guerra mundial, no es broma”.\u003c/p>\n\u003cp>Korbey dice, “una de las cosas más importantes que los padres pueden hacer en este clima de miedo es hablar con los niños sobre los hechos. Por ejemplo, ‘No, no hay ningún reclutamiento, y no hemos empezado la tercera guerra mundial'”.\u003c/p>\n\u003ch2>Cuando le pregunten por qué ha pasado algo, evite utilizar etiquetas como “malos”\u003c/h2>\n\u003cp>Evan Nierman, padre de dos hijos, vive en Parkland, Florida. Su hijo cumplió 11 años el día después del tiroteo de 2018 en el instituto Marjory Stoneman Douglas, y su hija tenía 8. Dice que uno de los momentos más duros para él como padre fue cuando sus hijos le preguntaron por qué había ocurrido el tiroteo. “Y obviamente no hay una buena respuesta para eso. Es difícil de explicar”.\u003c/p>\n\u003cp>Truglio dice que debemos resistir la tentación de etiquetar a alguien como “malo” o “malvado”. No es útil, y puede aumentar el miedo y la confusión. En su lugar dice ella, hay que hablar de que la gente sufre, están enojados y toman malas decisiones. Eso es lo que Nierman y su esposa decidieron, diciendo a sus hijos que el tirador no estaba bien y necesitaba ayuda.\u003c/p>\n\u003cp>Y según Truglio, hay una cosa importante que los padres no deben tener miedo de decir: No lo sé.\u003c/p>\n\u003cp>“A veces no tenemos las respuestas a todos estos porqués”, explica. “Es importante que los padres digan ‘No sé por qué ha pasado'”.\u003c/p>\n\u003ch2>\u003cstrong>Anime a los niños a procesar la historia a través del juego y el arte\u003c/strong>\u003c/h2>\n\u003cp>Los niños suelen intentar dar sentido a lo que ven y oyen a través del arte y el juego creativo. A veces puede resultar perturbador para los adultos ver a los niños representar o dibujar algo aterrador o violento, pero este tipo de juego tiene un propósito importante.\u003c/p>\n\u003cp>Conley dice, “el juego forma parte de la reconstrucción de las propias historias [de los niños]”. Ella lo llama “creación de significado” y dice que los adultos también lo hacen, al discutir historias con amigos o incluso al compartir memes en las redes sociales. “También nos ayuda a dar sentido al mundo que nos rodea…cuando nos bombardean con información”, explica, “y nos ayuda a discernir la información creíble”.\u003c/p>\n\u003ch2>Resaltar cómo las personas se ayudan y cuidan unas a otras\u003c/h2>\n\u003cp>Fred Rogers, \u003ca href=\"https://www.npr.org/2019/11/20/781140591/beautiful-day-director-on-mister-rogers-radical-notion-telling-kids-the-truth\">el entrañable presentador de televisión infantil, transmitió este consejo de su madre\u003c/a> (enlace sólo en inglés): “Cuando ocurra algo que dé miedo, busca a los que ayudan. Siempre encontrarás gente que ayuda”.\u003c/p>\n\u003cp>Truglio lo hizo cuando habló con su entonces joven hijo sobre el tiroteo en la escuela Sandy Hook de 2012. El tiroteo ocurrió un viernes, y ella lo mantuvo alejado de la televisión todo el fin de semana.\u003c/p>\n\u003cp>“No encendimos la televisión hasta que el Presidente Obama habló y hubo un servicio conmemorativo”, dice Truglio. “Nos centramos en lo positivo, cómo la gente se reunía y cuidaba de los demás”.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Hay pruebas de que hablar de los ayudantes realmente marca la diferencia en la forma en que los niños ven su mundo. Tras el tiroteo en la escuela de Columbine en 1999, Sesame Workshop estudió las percepciones del mundo de los niños en edad escolar a través de sus dibujos. Las imágenes estaban llenas de violencia, dice Truglio: “pistolas y cuchillos y gente muerta”.\u003c/p>\n\u003cp>Pero tras los atentados del 11 de septiembre, sólo dos años después, la cobertura de los medios cambió, dice, centrándose más en temas como “el país es fuerte. El país se está uniendo. Estamos unidos. Vamos a superar esto”. Y esto marcó la diferencia para los niños, sus dibujos mostraban banderas estadounidenses y a policías o bomberos como héroes.\u003c/p>\n\u003ch2>\u003cstrong>Actuar juntos de forma positiva\u003c/strong>\u003c/h2>\n\u003cp>Alison Aucoin, que compartió sus recuerdos y miedos de la guerra de Vietnam, es de raza blanca, su hija, Edelawit, fue adoptada de Etiopía. Edelawit tenía solo 7 años cuando Michael Brown, un adolescente negro que estaba desarmado, fue abatido a tiros por un policía de raza blanca en Ferguson, Missouri en 2014.\u003c/p>\n\u003cp>“Tenía miedo de que me pasara algo así”, dice Edelawit, que ahora tiene 12 años, y desde entonces, cada vez que se produce un tiroteo similar relacionado con la policía, ella y su madre siguen ciertos pasos. Primero, su madre comparte la noticia.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Siempre tengo tiempo para asimilarlo”, dice Edelawit. “Y luego ella me dice lo que puedo hacer para protegerme. Y luego vamos a protestar”.\u003c/p>\n\u003cp>“Al hablar con nuestros hijos”, dice Conley, “también tenemos que mostrarles cómo ayudamos nosotros también, y preguntarles: “¿Cómo te ves a ti mismo como ayudante en estas situaciones?”\u003c/p>\n\u003cp>Puede considerar la posibilidad de llevar a su hijo a una manifestación o protesta pacífica, recopilar donaciones juntos o escribir a un funcionario electo. El sentido de la acción puede reducir drásticamente la ansiedad del niño.\u003c/p>\n\u003cp>En otras palabras, no se limite a buscar a los ayudantes … sea usted el ayudante.\u003c/p>\n\u003ch2>Recursos adicionales (Información disponible en inglés y español)\u003c/h2>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.commonsensemedia.org/es/articulos/como-hablar-con-tus-hijos-sobre-las-noticias\">Common Sense Media: Cómo hablar de las noticias con tus hijos\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://childmind.org/es/temas/trauma-y-duelo/\">Child Mind Institute: Artículos sobre trauma y duelo en los niños\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Este artículo fue traducido por la periodista \u003ca href=\"https://www.kqed.org/author/mpena/\">María Peña\u003c/a> y editado por el periodista \u003ca href=\"https://www.kqed.org/author/ccabreralomeli\">Carlos Cabrera-Lomelí\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Newsom's 'Care Court' Passes Senate but Still Faces Shortage of Treatment Beds, Housing",
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"content": "\u003cp>On a cold day in March, Shahada Hull admitted herself to the hospital.\u003c/p>\n\u003cp>She had been sleeping outside in San Francisco’s Tenderloin neighborhood for months, ever since she was evicted in December from the affordable studio apartment she’d rented near the Presidio. Her feet felt numb, her back sore from the concrete sidewalk.[pullquote size=\"medium\" align=\"right\" citation=\"Shahada Hull, San Francisco resident\"]‘Wanting to force people that are homeless and on drugs into treatment and to housing, that’s just forcing. That’s still not giving them a chance to talk.’[/pullquote]\u003c/p>\n\u003cp>“After a while, I was like, look, I’m going to 5150 myself,” Hull said, referring to the civic code to place someone on an emergency, 72-hour psychiatric hold. Hull has been diagnosed with obsessive-compulsive disorder, anxiety, PTSD and depression.\u003c/p>\n\u003cp>But on that particular day, it wasn’t the intrusive thoughts that sometimes cloud her mind that brought her to Sutter Health’s Street Care Center. She was just looking to get off the street.\u003c/p>\n\u003cp>“I was praying, like, please just let them help me today,” Hull said. “Please let there be resources open today, just anything.”\u003c/p>\n\u003cp>After she spent a week in the psychiatric ward, the on-site social worker produced a sheet of paper. On it was a list of shelters.\u003c/p>\n\u003cp>“They were going to take me back out into the streets because they felt that I didn’t need any further help,” Hull said. She was upset. “Like, really? You can clearly see that I’m not really in the right state of mind right now.”\u003c/p>\n\u003cfigure id=\"attachment_11914876\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/Shahada-Hull_selfie-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11914876 size-thumbnail\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/Shahada-Hull_selfie-1-160x213.jpg\" alt=\"A young Black woman with long Black hair, tossed over her right shoulder, smiles at the camera. She has sculpted eyebrows and wears a red or pink sleeveless top. The image has a filter on it so that her skin and the wall behind her appear yellow.\" width=\"160\" height=\"213\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/Shahada-Hull_selfie-1-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/Shahada-Hull_selfie-1.jpg 480w\" sizes=\"auto, (max-width: 160px) 100vw, 160px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Shahada Hull, 30, poses for a portrait in this undated photo. She has a dual diagnosis of substance use disorder and mental illness and might qualify for court-ordered treatment under Gov. Gavin Newsom’s CARE Court proposal, which is currently making its way through the Legislature. \u003ccite>(Courtesy Shahada Hull)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Throughout her life, Hull, 30, has had around 160 mental health episodes, documented in a thick case file. At 13 months old, the San Francisco resident was placed in foster care. And she’s been in “the system” ever since — cycling in and out of affordable housing placements, the courts and county behavioral health services.\u003c/p>\n\u003cp>In many ways, she’s the archetypal candidate for CARE Court, part of a sweeping new proposal to address mental health care in California. The state Senate voted Wednesday to approve the legislation, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB1338\" target=\"_blank\" rel=\"noopener noreferrer\">SB 1338\u003c/a>. It now heads to the Assembly for a vote.\u003c/p>\n\u003cp>When Gov. Gavin Newsom unveiled CARE Court in March, he said it’s designed to help people like Hull, who move between emergency psychiatric treatment and homelessness.\u003c/p>\n\u003cp>“This approach with the courts allows … a pathway to actually develop a strategy and a plan with oversight and accountability, with housing supports, that are a component of this, to achieve some more permanency and success as opposed to episodic experiences through the 5150,” Newsom said.\u003c/p>\n\u003cp>Under the governor’s Community Assistance, Recovery, and Empowerment Court, Hull would be able to enter into a civil process with a judge to oversee her mental health treatment.\u003c/p>\n\u003cp>She’d have a public defender and a supporter to help her make decisions about what sorts of treatment programs she would like, with a care plan lasting up to two years. In turn, the county behavioral health department would be compelled to provide her with treatment or face fines if they do not.\u003c/p>\n\u003cp>Ideally, the program would enable Hull to reach her goals, all the things she had wanted to achieve by the time she turned 30: her GED, a job, stable housing, a car.\u003c/p>\n\u003cp>But Hull is skeptical the program really would help. She sat at a café in San Francisco’s Civic Center on a recent afternoon and looked toward City Hall.\u003c/p>\n\u003cp>“Wanting to force people that are homeless and on drugs into treatment and to housing, that’s just forcing,” she said. “That’s still not giving them a chance to talk.”\u003c/p>\n\u003cp>Newsom and officials in his administration say the treatment is voluntary. But the legislation also comes with a threat: Continued refusal to participate in CARE Court could be used as justification for conservatorship, where people could be forced into care against their will.\u003c/p>\n\u003cp>That has provoked harsh criticism from civil rights advocates who say compelling people into care is not only less effective, it undermines the kind of trust-building needed to actually bring people into treatment successfully.[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Le Ondra Clark Harvey, CEO, California Council of Community Behavioral Health Agencies\"]‘We need to be able to have dependable, well-trained workers within this CARE Court system to make it successful.’[/pullquote]\u003c/p>\n\u003cp>“It seems to just undercut a lot of the principles of disability rights, the right to self-determination, the need for services to accommodate people with disabilities,” said Lili Graham, a lawyer with Disability Rights California. “And there is this coercive component to it because it’s under the court’s mandate.”\u003c/p>\n\u003cp>But Hull is also optimistic. If there’s a chance that CARE Court could help, she’d welcome the change.\u003c/p>\n\u003cp>“Sometimes there’s a lot of things that you don’t like and you have to do it,” Hull said. “So, yeah, if it’s a chance for somebody to be housed and get their word out, I’m all for it.”\u003c/p>\n\u003cp>Newsom’s administration poured $12 billion into homelessness and mental health programs last year — with another $2 billion proposed this year. But the state still faces serious shortages in behavioral health care workers, treatment programs and housing. And Hull’s most recent experience seeking help illustrates the hurdles CARE Court will have to clear to ensure that Hull, and others with a similar experience, can break the cycle of homelessness and succeed in treatment.\u003c/p>\n\u003ch2>A slow process\u003c/h2>\n\u003cp>When Hull realized the hospital staff were going to discharge her to the streets, she called her godfather in a panic. He called the Coalition on Homelessness in San Francisco.\u003c/p>\n\u003cp>That’s how Hull first met Christin Evans, who owns the Booksmith, an independent bookstore in San Francisco, and also volunteers with the coalition. Evans stepped in as an advocate to help Hull find someplace to stay.\u003c/p>\n\u003cp>Hull has a paid social worker, appointed by the city. But with a heavy caseload, Evans said, the city social worker isn’t always able to give Hull as much time as she needs.\u003c/p>\n\u003cp>Across California, the behavioral health care industry faces a worker shortage, and it’s expected to grow. A 2018 University of California San Francisco study found that \u003ca href=\"https://healthforce.ucsf.edu/sites/healthforce.ucsf.edu/files/publication-pdf/California%E2%80%99s%20Current%20and%20Future%20Behavioral%20Health%20Workforce.pdf\">by 2028, California will have 50% fewer psychiatrists and 28% fewer psychologists, licensed therapists and social workers than needed\u003c/a>, due to retirement and attrition.\u003c/p>\n\u003cp>The pandemic only exacerbated that shortage, said Dr. Le Ondra Clark Harvey, CEO of the California Council of Community Behavioral Health Agencies. And Newsom’s administration estimates that 7,000 to 12,000 people will qualify for CARE Court each year, adding to that caseload. All of these people will be, by definition, high-needs cases.\u003c/p>\n\u003cp>“As the system currently stands, we’re already struggling,” Harvey said. “We need to be able to have dependable, well-trained workers within this CARE Court system to make it successful.”\u003c/p>\n\u003cp>Without Evans volunteering support, Hull said she would have been lost.\u003c/p>\n\u003cp>“I would be downtown, going to see case manager after case manager, praying that there’s an opening somewhere, praying that I’ll be safe, sleeping in doorways,” Hull said.\u003c/p>\n\u003cp>Evans was able to spring into action. She started by convincing the hospital to keep Hull for a few more days — days that Evans spent trying to find housing.\u003c/p>\n\u003cp>She couldn’t place Hull at an emergency shelter in the Tenderloin, where Hull knew the heroin dealers. Sober for a week, Hull didn’t want to be tempted to use again.\u003c/p>\n\u003cp>“The options for her for emergency shelter were really limited,” Evans said.\u003c/p>\n\u003cp>She found a substance use treatment program that agreed to do an intake assessment, but not right away.\u003c/p>\n\u003cp>In the meantime, the hospital did discharge Hull, who was able to stay with her godparents over the weekend. That wasn’t a long-term option, though, because they only let Hull stay with them when she’s sober and getting into treatment.\u003c/p>\n\u003cp>When it came time for the program to do the intake assessment, however, the staff determined Hull needed more care than they could provide. She wouldn’t be getting a bed there. So, Evans started over, searching for a place that could provide both substance use and mental health treatment for Hull’s dual diagnoses.\u003c/p>\n\u003cp>“We started cold-calling, basically,” Evans said. “We were informed that there really weren’t dual-diagnosis beds readily available that she could go into that night.”\u003c/p>\n\u003cp>To get into dual-diagnosis programs, Hull needed to fill out a five-page application, get a TB test and get a referral from a primary care physician, all of which took several days. Hull spent those nights with her godparents and at an overnight urgent care facility.\u003c/p>\n\u003cp>Finally, she got into The Avenues Transitional Care Center. But it was only temporary.\u003c/p>\n\u003cp>She had to wait another couple weeks until a bed opened at Baker Places Inc., which operates a 90-day treatment program in San Francisco. The whole process took about a month.\u003c/p>\n\u003cp>“I really do believe that in her case, she’s not service-resistant,” Evans said. “The system is resistant to serving her.”\u003c/p>\n\u003cfigure id=\"attachment_11914879\" class=\"wp-caption aligncenter\" style=\"max-width: 1440px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11914879 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut.jpg\" alt=\"A line of six people, all presenting as white or Asian, hold a long, white, lit candle in one hand and what seems to be a paper program in the other. Some look down at the program, and others look up at a focal point beyond and to the left of the camera. Behind them is the south half of the facade of San Francisco City Hall (facing what would be the plaza), the rotunda lit up in red, and the wall beneath it lighted in alternating columns of red and green. The sky, which takes up most of the top half of the photo, is a deep blue, as after sunset.\" width=\"1440\" height=\"961\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut-160x107.jpg 160w\" sizes=\"auto, (max-width: 1440px) 100vw, 1440px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mourners gather in Civic Center Plaza to commemorate unhoused people who died in San Francisco, on Dec. 18, 2014. Supporters of CARE Court say it’s about preventing deaths for people who are living on the street with untreated mental illness. \u003ccite>(James Tensuan/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California faces \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1824-1-v2.html\">a shortfall of nearly 5,000 psychiatric beds\u003c/a> for short- and medium-term care, according to the RAND Institute, as well as nearly 3,000 long-term care beds.\u003c/p>\n\u003cp>Last year, the \u003ca href=\"https://www.chhs.ca.gov/wp-content/uploads/2022/04/Public-Community-Behavioral-Health-Funding-4.20.22.pdf\">state budget included $2.2 billion to create or acquire residential treatment facilities\u003c/a>, including board and care homes for people with mental health issues. This year’s proposed budget includes another $1.5 billion for short-term housing for people exiting homelessness and entering behavioral health treatment programs.\u003c/p>\n\u003cp>But Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association of California, said all those facilities will need ongoing funding.\u003c/p>\n\u003cp>“Those are buildings. They’re not the people to work in the buildings,” Cabrera said. “We still have not expanded funding at the state level to support the expanded services that would be needed to go along with those buildings.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.ebudget.ca.gov/budget/2022-23MR/#/Home\">The governor’s proposed budget includes $65 million to implement CARE Court\u003c/a>, including $39 million to facilitate proceedings in county courts, $10 million to finance a supporter program through the state’s Department of Aging and $15 million to provide county governments with training and technical assistance.\u003c/p>\n\u003cp>It doesn’t specify any additional funds to increase services for new CARE Court enrollees. But it does include \u003ca href=\"https://www.chhs.ca.gov/wp-content/uploads/2022/04/Public-Community-Behavioral-Health-Funding-4.20.22.pdf\">a projected $11.6 billion for county behavioral health departments\u003c/a>, which are charged with providing services to people on Medi-Cal. That would be a nearly 50% increase from the prior year’s budget, if actual revenues match the projections.\u003c/p>\n\u003cp>Health and Human Services Secretary Dr. Mark Ghaly said in an interview it’s about prioritization.\u003c/p>\n\u003cp>“Our focus [is] on prioritizing this population,” Ghaly said, “not just making sure that they are no longer out of the line, but that they are towards the front of the line and getting these services in a prioritized way.”\u003c/p>\n\u003ch2>Housing shortage\u003c/h2>\n\u003cp>Hull isn’t sure where she will go when her treatment program ends in early July. Evans is worried that all the work done to get Hull sober and stabilized will be undone if she goes back to homelessness.\u003c/p>\n\u003cp>The shortage of affordable housing remains a huge problem in California, particularly for people who often need on-site services to help them remain stably housed. Nearly 14,000 people experiencing homelessness voluntarily sought mental health services last year, but only half were placed into housing, according to a survey conducted earlier this year by the County Behavioral Health Directors Association of California.\u003c/p>\n\u003cp>For the other half, there simply weren’t enough affordable options that could accommodate people with complex behavioral health needs.\u003c/p>\n\u003cp>“We’ve sort of been casualties of the hot housing market in California,” Cabrera said, noting the state has lost many residential treatment facilities in recent years. “We have very limited resources ourselves to support our clients’ housing needs.”\u003c/p>\n\u003cp>An early draft of the CARE Court legislation didn’t guarantee housing as part of the plan. But recent amendments to the bill now require county staff to identify an available housing placement for CARE Court enrollees. And courts could order other government agencies to provide that housing.\u003c/p>\n\u003cp>Hull tries not to think about what will happen to her in July, “because I don’t want to get into a depression,” she said.\u003c/p>\n\u003cp>She’ll be 31 in September, and she’s still a long way from her goals. Sitting at the café in San Francisco’s Civic Center, she said she knows that, ultimately, getting there is up to her.\u003c/p>\n\u003cp>“At the end of the day, the government has this and they have that,” she said. “It’s really up to you to fight for that.”\u003c/p>\n\u003cp>She turned her face toward the gilded dome on top of City Hall.\u003c/p>\n\u003cp>“But the fight shouldn’t be this hard,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "As Gov. Gavin Newsom's CARE Court proposal nears a crucial Senate vote, questions remain about whether the state's mental health care industry has the workforce, treatment beds and housing needed to sustain the effort.",
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"title": "Newsom's 'Care Court' Passes Senate but Still Faces Shortage of Treatment Beds, Housing | KQED",
"description": "As Gov. Gavin Newsom's CARE Court proposal nears a crucial Senate vote, questions remain about whether the state's mental health care industry has the workforce, treatment beds and housing needed to sustain the effort.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>On a cold day in March, Shahada Hull admitted herself to the hospital.\u003c/p>\n\u003cp>She had been sleeping outside in San Francisco’s Tenderloin neighborhood for months, ever since she was evicted in December from the affordable studio apartment she’d rented near the Presidio. Her feet felt numb, her back sore from the concrete sidewalk.\u003c/p>\u003c/div>",
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"content": "‘Wanting to force people that are homeless and on drugs into treatment and to housing, that’s just forcing. That’s still not giving them a chance to talk.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“After a while, I was like, look, I’m going to 5150 myself,” Hull said, referring to the civic code to place someone on an emergency, 72-hour psychiatric hold. Hull has been diagnosed with obsessive-compulsive disorder, anxiety, PTSD and depression.\u003c/p>\n\u003cp>But on that particular day, it wasn’t the intrusive thoughts that sometimes cloud her mind that brought her to Sutter Health’s Street Care Center. She was just looking to get off the street.\u003c/p>\n\u003cp>“I was praying, like, please just let them help me today,” Hull said. “Please let there be resources open today, just anything.”\u003c/p>\n\u003cp>After she spent a week in the psychiatric ward, the on-site social worker produced a sheet of paper. On it was a list of shelters.\u003c/p>\n\u003cp>“They were going to take me back out into the streets because they felt that I didn’t need any further help,” Hull said. She was upset. “Like, really? You can clearly see that I’m not really in the right state of mind right now.”\u003c/p>\n\u003cfigure id=\"attachment_11914876\" class=\"wp-caption alignright\" style=\"max-width: 160px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/Shahada-Hull_selfie-1.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11914876 size-thumbnail\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/Shahada-Hull_selfie-1-160x213.jpg\" alt=\"A young Black woman with long Black hair, tossed over her right shoulder, smiles at the camera. She has sculpted eyebrows and wears a red or pink sleeveless top. The image has a filter on it so that her skin and the wall behind her appear yellow.\" width=\"160\" height=\"213\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/Shahada-Hull_selfie-1-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/Shahada-Hull_selfie-1.jpg 480w\" sizes=\"auto, (max-width: 160px) 100vw, 160px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Shahada Hull, 30, poses for a portrait in this undated photo. She has a dual diagnosis of substance use disorder and mental illness and might qualify for court-ordered treatment under Gov. Gavin Newsom’s CARE Court proposal, which is currently making its way through the Legislature. \u003ccite>(Courtesy Shahada Hull)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Throughout her life, Hull, 30, has had around 160 mental health episodes, documented in a thick case file. At 13 months old, the San Francisco resident was placed in foster care. And she’s been in “the system” ever since — cycling in and out of affordable housing placements, the courts and county behavioral health services.\u003c/p>\n\u003cp>In many ways, she’s the archetypal candidate for CARE Court, part of a sweeping new proposal to address mental health care in California. The state Senate voted Wednesday to approve the legislation, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB1338\" target=\"_blank\" rel=\"noopener noreferrer\">SB 1338\u003c/a>. It now heads to the Assembly for a vote.\u003c/p>\n\u003cp>When Gov. Gavin Newsom unveiled CARE Court in March, he said it’s designed to help people like Hull, who move between emergency psychiatric treatment and homelessness.\u003c/p>\n\u003cp>“This approach with the courts allows … a pathway to actually develop a strategy and a plan with oversight and accountability, with housing supports, that are a component of this, to achieve some more permanency and success as opposed to episodic experiences through the 5150,” Newsom said.\u003c/p>\n\u003cp>Under the governor’s Community Assistance, Recovery, and Empowerment Court, Hull would be able to enter into a civil process with a judge to oversee her mental health treatment.\u003c/p>\n\u003cp>She’d have a public defender and a supporter to help her make decisions about what sorts of treatment programs she would like, with a care plan lasting up to two years. In turn, the county behavioral health department would be compelled to provide her with treatment or face fines if they do not.\u003c/p>\n\u003cp>Ideally, the program would enable Hull to reach her goals, all the things she had wanted to achieve by the time she turned 30: her GED, a job, stable housing, a car.\u003c/p>\n\u003cp>But Hull is skeptical the program really would help. She sat at a café in San Francisco’s Civic Center on a recent afternoon and looked toward City Hall.\u003c/p>\n\u003cp>“Wanting to force people that are homeless and on drugs into treatment and to housing, that’s just forcing,” she said. “That’s still not giving them a chance to talk.”\u003c/p>\n\u003cp>Newsom and officials in his administration say the treatment is voluntary. But the legislation also comes with a threat: Continued refusal to participate in CARE Court could be used as justification for conservatorship, where people could be forced into care against their will.\u003c/p>\n\u003cp>That has provoked harsh criticism from civil rights advocates who say compelling people into care is not only less effective, it undermines the kind of trust-building needed to actually bring people into treatment successfully.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It seems to just undercut a lot of the principles of disability rights, the right to self-determination, the need for services to accommodate people with disabilities,” said Lili Graham, a lawyer with Disability Rights California. “And there is this coercive component to it because it’s under the court’s mandate.”\u003c/p>\n\u003cp>But Hull is also optimistic. If there’s a chance that CARE Court could help, she’d welcome the change.\u003c/p>\n\u003cp>“Sometimes there’s a lot of things that you don’t like and you have to do it,” Hull said. “So, yeah, if it’s a chance for somebody to be housed and get their word out, I’m all for it.”\u003c/p>\n\u003cp>Newsom’s administration poured $12 billion into homelessness and mental health programs last year — with another $2 billion proposed this year. But the state still faces serious shortages in behavioral health care workers, treatment programs and housing. And Hull’s most recent experience seeking help illustrates the hurdles CARE Court will have to clear to ensure that Hull, and others with a similar experience, can break the cycle of homelessness and succeed in treatment.\u003c/p>\n\u003ch2>A slow process\u003c/h2>\n\u003cp>When Hull realized the hospital staff were going to discharge her to the streets, she called her godfather in a panic. He called the Coalition on Homelessness in San Francisco.\u003c/p>\n\u003cp>That’s how Hull first met Christin Evans, who owns the Booksmith, an independent bookstore in San Francisco, and also volunteers with the coalition. Evans stepped in as an advocate to help Hull find someplace to stay.\u003c/p>\n\u003cp>Hull has a paid social worker, appointed by the city. But with a heavy caseload, Evans said, the city social worker isn’t always able to give Hull as much time as she needs.\u003c/p>\n\u003cp>Across California, the behavioral health care industry faces a worker shortage, and it’s expected to grow. A 2018 University of California San Francisco study found that \u003ca href=\"https://healthforce.ucsf.edu/sites/healthforce.ucsf.edu/files/publication-pdf/California%E2%80%99s%20Current%20and%20Future%20Behavioral%20Health%20Workforce.pdf\">by 2028, California will have 50% fewer psychiatrists and 28% fewer psychologists, licensed therapists and social workers than needed\u003c/a>, due to retirement and attrition.\u003c/p>\n\u003cp>The pandemic only exacerbated that shortage, said Dr. Le Ondra Clark Harvey, CEO of the California Council of Community Behavioral Health Agencies. And Newsom’s administration estimates that 7,000 to 12,000 people will qualify for CARE Court each year, adding to that caseload. All of these people will be, by definition, high-needs cases.\u003c/p>\n\u003cp>“As the system currently stands, we’re already struggling,” Harvey said. “We need to be able to have dependable, well-trained workers within this CARE Court system to make it successful.”\u003c/p>\n\u003cp>Without Evans volunteering support, Hull said she would have been lost.\u003c/p>\n\u003cp>“I would be downtown, going to see case manager after case manager, praying that there’s an opening somewhere, praying that I’ll be safe, sleeping in doorways,” Hull said.\u003c/p>\n\u003cp>Evans was able to spring into action. She started by convincing the hospital to keep Hull for a few more days — days that Evans spent trying to find housing.\u003c/p>\n\u003cp>She couldn’t place Hull at an emergency shelter in the Tenderloin, where Hull knew the heroin dealers. Sober for a week, Hull didn’t want to be tempted to use again.\u003c/p>\n\u003cp>“The options for her for emergency shelter were really limited,” Evans said.\u003c/p>\n\u003cp>She found a substance use treatment program that agreed to do an intake assessment, but not right away.\u003c/p>\n\u003cp>In the meantime, the hospital did discharge Hull, who was able to stay with her godparents over the weekend. That wasn’t a long-term option, though, because they only let Hull stay with them when she’s sober and getting into treatment.\u003c/p>\n\u003cp>When it came time for the program to do the intake assessment, however, the staff determined Hull needed more care than they could provide. She wouldn’t be getting a bed there. So, Evans started over, searching for a place that could provide both substance use and mental health treatment for Hull’s dual diagnoses.\u003c/p>\n\u003cp>“We started cold-calling, basically,” Evans said. “We were informed that there really weren’t dual-diagnosis beds readily available that she could go into that night.”\u003c/p>\n\u003cp>To get into dual-diagnosis programs, Hull needed to fill out a five-page application, get a TB test and get a referral from a primary care physician, all of which took several days. Hull spent those nights with her godparents and at an overnight urgent care facility.\u003c/p>\n\u003cp>Finally, she got into The Avenues Transitional Care Center. But it was only temporary.\u003c/p>\n\u003cp>She had to wait another couple weeks until a bed opened at Baker Places Inc., which operates a 90-day treatment program in San Francisco. The whole process took about a month.\u003c/p>\n\u003cp>“I really do believe that in her case, she’s not service-resistant,” Evans said. “The system is resistant to serving her.”\u003c/p>\n\u003cfigure id=\"attachment_11914879\" class=\"wp-caption aligncenter\" style=\"max-width: 1440px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11914879 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut.jpg\" alt=\"A line of six people, all presenting as white or Asian, hold a long, white, lit candle in one hand and what seems to be a paper program in the other. Some look down at the program, and others look up at a focal point beyond and to the left of the camera. Behind them is the south half of the facade of San Francisco City Hall (facing what would be the plaza), the rotunda lit up in red, and the wall beneath it lighted in alternating columns of red and green. The sky, which takes up most of the top half of the photo, is a deep blue, as after sunset.\" width=\"1440\" height=\"961\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut.jpg 1440w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/05/RS13773_20141218_homeless_jt_001.JPG-qut-160x107.jpg 160w\" sizes=\"auto, (max-width: 1440px) 100vw, 1440px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Mourners gather in Civic Center Plaza to commemorate unhoused people who died in San Francisco, on Dec. 18, 2014. Supporters of CARE Court say it’s about preventing deaths for people who are living on the street with untreated mental illness. \u003ccite>(James Tensuan/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California faces \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1824-1-v2.html\">a shortfall of nearly 5,000 psychiatric beds\u003c/a> for short- and medium-term care, according to the RAND Institute, as well as nearly 3,000 long-term care beds.\u003c/p>\n\u003cp>Last year, the \u003ca href=\"https://www.chhs.ca.gov/wp-content/uploads/2022/04/Public-Community-Behavioral-Health-Funding-4.20.22.pdf\">state budget included $2.2 billion to create or acquire residential treatment facilities\u003c/a>, including board and care homes for people with mental health issues. This year’s proposed budget includes another $1.5 billion for short-term housing for people exiting homelessness and entering behavioral health treatment programs.\u003c/p>\n\u003cp>But Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association of California, said all those facilities will need ongoing funding.\u003c/p>\n\u003cp>“Those are buildings. They’re not the people to work in the buildings,” Cabrera said. “We still have not expanded funding at the state level to support the expanded services that would be needed to go along with those buildings.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.ebudget.ca.gov/budget/2022-23MR/#/Home\">The governor’s proposed budget includes $65 million to implement CARE Court\u003c/a>, including $39 million to facilitate proceedings in county courts, $10 million to finance a supporter program through the state’s Department of Aging and $15 million to provide county governments with training and technical assistance.\u003c/p>\n\u003cp>It doesn’t specify any additional funds to increase services for new CARE Court enrollees. But it does include \u003ca href=\"https://www.chhs.ca.gov/wp-content/uploads/2022/04/Public-Community-Behavioral-Health-Funding-4.20.22.pdf\">a projected $11.6 billion for county behavioral health departments\u003c/a>, which are charged with providing services to people on Medi-Cal. That would be a nearly 50% increase from the prior year’s budget, if actual revenues match the projections.\u003c/p>\n\u003cp>Health and Human Services Secretary Dr. Mark Ghaly said in an interview it’s about prioritization.\u003c/p>\n\u003cp>“Our focus [is] on prioritizing this population,” Ghaly said, “not just making sure that they are no longer out of the line, but that they are towards the front of the line and getting these services in a prioritized way.”\u003c/p>\n\u003ch2>Housing shortage\u003c/h2>\n\u003cp>Hull isn’t sure where she will go when her treatment program ends in early July. Evans is worried that all the work done to get Hull sober and stabilized will be undone if she goes back to homelessness.\u003c/p>\n\u003cp>The shortage of affordable housing remains a huge problem in California, particularly for people who often need on-site services to help them remain stably housed. Nearly 14,000 people experiencing homelessness voluntarily sought mental health services last year, but only half were placed into housing, according to a survey conducted earlier this year by the County Behavioral Health Directors Association of California.\u003c/p>\n\u003cp>For the other half, there simply weren’t enough affordable options that could accommodate people with complex behavioral health needs.\u003c/p>\n\u003cp>“We’ve sort of been casualties of the hot housing market in California,” Cabrera said, noting the state has lost many residential treatment facilities in recent years. “We have very limited resources ourselves to support our clients’ housing needs.”\u003c/p>\n\u003cp>An early draft of the CARE Court legislation didn’t guarantee housing as part of the plan. But recent amendments to the bill now require county staff to identify an available housing placement for CARE Court enrollees. And courts could order other government agencies to provide that housing.\u003c/p>\n\u003cp>Hull tries not to think about what will happen to her in July, “because I don’t want to get into a depression,” she said.\u003c/p>\n\u003cp>She’ll be 31 in September, and she’s still a long way from her goals. Sitting at the café in San Francisco’s Civic Center, she said she knows that, ultimately, getting there is up to her.\u003c/p>\n\u003cp>“At the end of the day, the government has this and they have that,” she said. “It’s really up to you to fight for that.”\u003c/p>\n\u003cp>She turned her face toward the gilded dome on top of City Hall.\u003c/p>\n\u003cp>“But the fight shouldn’t be this hard,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "mental-health-advocates-seek-state-funding-to-help-kids-age-5-and-under-in-california",
"title": "Mental Health Advocates Seek State Funding to Help Kids Age 5 and Under in California",
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"content": "\u003cp>While California has committed billions of dollars to support the mental health of K-12 students, little has been dedicated specifically to children 5 and younger.\u003c/p>\n\u003cp>Advocates say this needs to be addressed, and are asking Gov. Gavin Newsom to set aside $250 million in the state budget to support the mental health of infants, toddlers, preschoolers and their parents and caregivers.\u003c/p>\n\u003cp>Kids under 5 account for almost a quarter of all Medi-Cal recipients under 21 but do not receive a proportionate share of health and mental health care compared to older youth, according to Children Now, an advocacy organization focused on the health and welfare of California’s children. At least 43% of those children under 5 have experienced at least one adverse childhood experience. These experiences — including violence, abuse or neglect — have been connected to chronic illnesses later in life, and to death.\u003c/p>\n\u003cp>[aside postID=mindshift_59313 label='Children's Anxiety Screening']\u003c/p>\n\u003cp>“They are very cute and adorable so people don’t see any needs besides feeding and clothing them at this age,” said Lishaun Francis, director of behavioral health for Children Now. “Because they can’t speak about their needs, they can’t say, ‘This is making me sad,’ or, ‘This is not a healthy attachment relationship.’ They can’t express themselves so we take for granted what they need.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Children Now, along with more than 400 organizations, sent a letter to Newsom asking for $250 million over four years to fund organizations that provide mental health support for mainly lower-income infants and toddlers and their families. Advocates say providing support services early helps prevent children from experiencing adverse events, and if they have gone through trauma already it can help them heal and process.\u003c/p>\n\u003cp>The money also would support training for child care providers and other caregivers to ensure they have the skills to help prevent traumatic experiences. Those skills include providing a nurturing relationship with children and helping a child cope with trauma.\u003c/p>\n\u003cp>These needs have increased during the pandemic as children have experienced isolation, family stress over finances and housing, and possibly the death of a parent or loved one to COVID-19.[pullquote size=\"medium\" align=\"right\" citation=\"Lishaun Francis, director of behavioral health, Children Now\"]‘We are essentially asking the state not to forget about very little kids, infants and toddlers.’[/pullquote]Because infants and toddlers can’t express their feelings the way an older child might, there is a perception that they don’t register stressful or traumatic events the way older children might.\u003c/p>\n\u003cp>But young children do experience anxiety, stress, sadness and other emotions related to trauma and they rely on their caregivers to help them make sense of it all, said Dr. Chelsea Lee, a specialist in infant and early childhood mental health at the UC Davis CAARE Center, a mental health clinic serving children who have experienced trauma and abuse.\u003c/p>\n\u003cp>If those experiences are not addressed or prevented early on, a child’s future may be marked by angry outbursts, bad grades and the inability to have a relationship or keep a job, experts said.\u003c/p>\n\u003cp>“The first five years are crucial for setting the foundation for functioning across the life span up to teenage years, adolescence, adulthood and everything,” Lee said. “Early caregiving experiences and nurturing relationships are very important for little kiddos.”\u003c/p>\n\u003cp>Last year, California launched the $4.4 billion Children and Youth Behavioral Health Initiative to redesign behavioral support for kids. But the initiative doesn’t directly address the needs of children younger than kindergarten age.\u003c/p>\n\u003cp>“We are essentially asking the state not to forget about very little kids, infants and toddlers” with the current funding request, Francis said.\u003c/p>\n\u003cp>Putting resources into early intervention is vital for the health and safety of future populations, said Kelly Morehouse-Smith, director of family well-being for the Child Care Resource Center, which operates a home-based family support program in Los Angeles. If there is no intervention or support, issues like aggressive behavior or isolation show up in school and often affect learning, she said.[pullquote size=\"medium\" align=\"right\" citation=\"Kelly Morehouse-Smith, director of family well-being, Child Care Resource Center\"]‘Trauma doesn’t just stay in 0 to 5. It manifests throughout someone’s lifetime.’[/pullquote]“Trauma doesn’t just stay in 0 to 5. It manifests throughout someone’s lifetime,” Morehouse-Smith said. “If you don’t address it at all, then the child hasn’t processed the trauma, doesn’t learn coping skills, and what we see are behaviors that impact the school setting, social settings and family relationships.”\u003c/p>\n\u003cp>That is why Elizabeth Lomeli, a para-educator for the Child Care Resource Center who does home visits with families, worries about her own daughter. When her 8-year-old daughter Gisselle was around 4, she witnessed a lot of infighting among her extended family. Lomeli could not find resources for her daughter until she started school. It took three years for Gisselle to begin therapy.\u003c/p>\n\u003cp>“It impacted her as she was growing — she was very insecure about her being able to do things and was worried about other people,” Lomeli said. “If she had received these services when she was young, she would have had that confidence and received that independence.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Infants and toddlers are unique in how they show stress and trauma, and because they are so young, the outreach takes a two-generational approach, Francis said. Parents and caregivers are part of the formula for ensuring young children are healthy, safe and nurtured, she said.\u003c/p>\n\n",
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"excerpt": "The mental health of children under 5 has typically been overlooked when it comes to state funding. Advocates aim to change that by asking for $250 million to support the youngest Californians.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>While California has committed billions of dollars to support the mental health of K-12 students, little has been dedicated specifically to children 5 and younger.\u003c/p>\n\u003cp>Advocates say this needs to be addressed, and are asking Gov. Gavin Newsom to set aside $250 million in the state budget to support the mental health of infants, toddlers, preschoolers and their parents and caregivers.\u003c/p>\n\u003cp>Kids under 5 account for almost a quarter of all Medi-Cal recipients under 21 but do not receive a proportionate share of health and mental health care compared to older youth, according to Children Now, an advocacy organization focused on the health and welfare of California’s children. At least 43% of those children under 5 have experienced at least one adverse childhood experience. These experiences — including violence, abuse or neglect — have been connected to chronic illnesses later in life, and to death.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Children Now, along with more than 400 organizations, sent a letter to Newsom asking for $250 million over four years to fund organizations that provide mental health support for mainly lower-income infants and toddlers and their families. Advocates say providing support services early helps prevent children from experiencing adverse events, and if they have gone through trauma already it can help them heal and process.\u003c/p>\n\u003cp>The money also would support training for child care providers and other caregivers to ensure they have the skills to help prevent traumatic experiences. Those skills include providing a nurturing relationship with children and helping a child cope with trauma.\u003c/p>\n\u003cp>These needs have increased during the pandemic as children have experienced isolation, family stress over finances and housing, and possibly the death of a parent or loved one to COVID-19.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Because infants and toddlers can’t express their feelings the way an older child might, there is a perception that they don’t register stressful or traumatic events the way older children might.\u003c/p>\n\u003cp>But young children do experience anxiety, stress, sadness and other emotions related to trauma and they rely on their caregivers to help them make sense of it all, said Dr. Chelsea Lee, a specialist in infant and early childhood mental health at the UC Davis CAARE Center, a mental health clinic serving children who have experienced trauma and abuse.\u003c/p>\n\u003cp>If those experiences are not addressed or prevented early on, a child’s future may be marked by angry outbursts, bad grades and the inability to have a relationship or keep a job, experts said.\u003c/p>\n\u003cp>“The first five years are crucial for setting the foundation for functioning across the life span up to teenage years, adolescence, adulthood and everything,” Lee said. “Early caregiving experiences and nurturing relationships are very important for little kiddos.”\u003c/p>\n\u003cp>Last year, California launched the $4.4 billion Children and Youth Behavioral Health Initiative to redesign behavioral support for kids. But the initiative doesn’t directly address the needs of children younger than kindergarten age.\u003c/p>\n\u003cp>“We are essentially asking the state not to forget about very little kids, infants and toddlers” with the current funding request, Francis said.\u003c/p>\n\u003cp>Putting resources into early intervention is vital for the health and safety of future populations, said Kelly Morehouse-Smith, director of family well-being for the Child Care Resource Center, which operates a home-based family support program in Los Angeles. If there is no intervention or support, issues like aggressive behavior or isolation show up in school and often affect learning, she said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Trauma doesn’t just stay in 0 to 5. It manifests throughout someone’s lifetime,” Morehouse-Smith said. “If you don’t address it at all, then the child hasn’t processed the trauma, doesn’t learn coping skills, and what we see are behaviors that impact the school setting, social settings and family relationships.”\u003c/p>\n\u003cp>That is why Elizabeth Lomeli, a para-educator for the Child Care Resource Center who does home visits with families, worries about her own daughter. When her 8-year-old daughter Gisselle was around 4, she witnessed a lot of infighting among her extended family. Lomeli could not find resources for her daughter until she started school. It took three years for Gisselle to begin therapy.\u003c/p>\n\u003cp>“It impacted her as she was growing — she was very insecure about her being able to do things and was worried about other people,” Lomeli said. “If she had received these services when she was young, she would have had that confidence and received that independence.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Infants and toddlers are unique in how they show stress and trauma, and because they are so young, the outreach takes a two-generational approach, Francis said. Parents and caregivers are part of the formula for ensuring young children are healthy, safe and nurtured, she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "State Program Highlights Need for Teachers to Train in Mental Health to Assist Students",
"title": "State Program Highlights Need for Teachers to Train in Mental Health to Assist Students",
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"content": "\u003cp>As Benito Luna-Herrera teaches his seventh grade social studies classes, he is on alert for signs of inner turmoil. And there is so much of it these days.\u003c/p>\n\u003cp>One of his 12-year-old students felt her world was falling apart. Distance learning had upended her friendships. Things with her boyfriend were verging on violent. Her home life was stressful. “I’m just done with it,” the girl told Luna-Herrera during the pandemic, and shared a detailed plan to kill herself.\u003c/p>\n\u003cp>Another student was typically a big jokester and full of confidence. But one day she told him she didn’t want to live anymore. She, too, had a plan in place to end her life.\u003c/p>\n\u003cp>Luna-Herrera is just one teacher, in one Southern California middle school, but stories of students in distress are increasingly common around the country. The silver lining is that special training helped him know what to look for and how to respond when he saw the signs of a mental emergency.\u003c/p>\n\u003cp>Since the pandemic started, experts have warned of a mental health crisis facing American children. That is now playing out at schools in the form of increased childhood depression, anxiety, panic attacks, eating disorders, fights and thoughts of suicide at alarming levels, according to interviews with teachers, administrators, education officials and mental health experts.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In lower-income areas, where adverse childhood experiences were high before the pandemic, the crisis is even more acute and compounded by a shortage of school staff and mental health professionals.\u003c/p>\n\u003cp>Luna-Herrera, who teaches in a high-poverty area of the Mojave Desert, is among a small but growing number of California teachers to take a course called \u003ca href=\"https://www.mentalhealthfirstaid.org/population-focused-modules/youth/\">Youth Mental Health First Aid\u003c/a>. It teaches adults how to spot warning signs of mental health risks and substance abuse in children, and how to prevent a tragedy.\u003c/p>\n\u003cp>The California Department of Education funds the program for any school district requesting it, and the pandemic has accelerated moves to make such courses a requirement. The training program is operated by the National Council for Mental Wellbeing and is available in every state.\u003c/p>\n\u003cp>“I don’t want to read about another teenager where there were warning signs and we looked the other way,” said Sen. Anthony Portantino, author of a bill that would require all California middle and high schools to train at least 75% of employees in behavioral health. “Teachers and school staff are on the front lines of a crisis, and need to be trained to spot students who are suffering.”\u003c/p>\n\u003cp>Experts say that while childhood depression and anxiety had been on the rise for years, the pandemic's unrelenting stress and grief amplified the problems, particularly for those already experiencing mental health issues who were cut off from counselors and other school resources during distance learning.\u003c/p>\n\u003cp>For children, the issues with distance learning were not just academic, said Sharon Hoover, professor of child psychiatry at the University of Maryland School of Medicine and co-director of the National Center for School Mental Health.\u003c/p>\n\u003cp>Child abuse and neglect increased during the pandemic, according to Hoover. For children in troubled homes, with \u003ca href=\"https://www.npr.org/2020/07/14/891119510/a-look-at-pandemic-s-impact-on-recovery-for-alcoholism-and-drug-addiction\">parents who were abusive or dealing with alcohol use disorder\u003c/a>, distance learning meant they had no escape. Those who lacked technology or had spotty internet connections were isolated even more than their peers and fell further behind academically and socially.\u003c/p>\n\u003cp>Many children bounced back after the extended isolation, but for others, it may take longer.[pullquote size=\"medium\" align=\"right\" citation=\" Sen. Anthony Portantino\"]'I don't want to read about another teenager where there were warning signs and we looked the other way.'[/pullquote]\u003c/p>\n\u003cp>“We can’t assume that, ‘OK, we’re back in school, it’s been a few months and now everyone should be back to normal.’ That is not the case,” said Hoover.\u003c/p>\n\u003ch2>Kids need help when returning to school\u003c/h2>\n\u003cp>Returning to school after months of isolation intensified the anxiety for some children. Teachers say students have greater difficulty focusing, concentrating or sitting still, and many need to relearn how to socialize and resolve conflicts face-to-face after prolonged immersion in screens.\u003c/p>\n\u003cp>Kids expected to pick up where they left off but some found friendships, and their ability to cope with social stress, \u003ca href=\"https://www.kqed.org/forum/2010101888361/taking-stock-of-the-pandemics-toll-on-kids\">had changed\u003c/a>. Educators say they also see a concerning increase in apathy — about grades, how students treat each other and themselves — and a lot less empathy.\u003c/p>\n\u003cp>“I have never seen kids be so mean to each other in my life,” said Terrin Musbach, who trains teachers in mental health awareness and other social-emotional programs at the \u003ca href=\"https://www.dnusd.org/\">Del Norte Unified School District\u003c/a>, a high-poverty district in rural Northern California. “There’s more school violence, there’s more vaping, there’s more substance abuse, there’s more sexual activity, there’s more suicide ideation, there’s more of every single behavior that we would be worried about in kids.”\u003c/p>\n\u003cp>Many states have mandated teacher training on suicide prevention over the last decade, and the pandemic prompted some to broaden the scope to include mental health awareness and supporting behavioral health needs.\u003c/p>\n\u003cp>But school districts nationwide also say they need more psychologists and counselors. The Hopeful Futures Campaign, a coalition of national mental health organizations, last month published a report that found \u003ca href=\"https://hopefulfutures.us/wp-content/uploads/2022/02/Final_Master_021522.pdf\">most states are struggling with mental health support in schools\u003c/a>. Only Idaho and the District of Columbia exceed the nationally recommended ratio of one psychologist per 500 students.\u003c/p>\n\u003cp>In some states, including West Virginia, Missouri, Texas and Georgia, there is only one school psychologist for over 4,000 students, the report says. Similarly, few states meet the goal of one counselor per 250 students.\u003c/p>\n\u003cp>President Joe Biden has \u003ca href=\"https://www.whitehouse.gov/wp-content/uploads/2022/03/budget_fy2023.pdf\">proposed $1 billion in new federal funding\u003c/a> to help schools hire more counselors and psychologists and bolster suicide prevention programs. That followed a rare pubic advisory in December from U.S. Surgeon General Vivek Murthy on “the urgent need to address the nation's youth mental health crisis.\"\u003c/p>\n\u003cp>In early 2021, emergency room visits in the U.S. for suspected suicide attempts were 51% higher for adolescent girls and 4% higher for adolescent boys compared to the same period in 2019, according to research cited in the advisory.\u003c/p>\n\u003cp>Since California began offering the Youth Mental Health First Aid course in 2014, more than 8,000 teachers, administrators and school staff have been trained, said \u003ca href=\"https://steinberginstitute.org/champion/monica-nepomuceno/\">Monica Nepomuceno\u003c/a>, who oversees mental health programming at the California Department of Education.\u003c/p>\n\u003cp>She said much more needs to be done in the country’s largest state, which employs over 600,000 K-12 staff at schools.\u003c/p>\n\u003cp>The course helps distinguish typical adolescent ways of dealing with stress — slamming doors, crying, bursts of anger — from warning signs of mental distress, which can be blatant or subtle.\u003c/p>\n\u003cp>Those signs can include when a child talks about dying or suicide, but also can be more nuanced, like saying, “I can’t do this anymore,” or “I’m tired of this,” said Tramaine EL-Amin, a spokesperson for the National Council for Mental Wellbeing. More than 550,000 K-12 educators across the country have taken the Youth Mental Health First Aid course since it launched in 2012, she said.\u003c/p>\n\u003cp>Changes in behavior could be cause for concern — a child who stops a sport or activity they were passionate about without replacing it with another one; a typically put-together child who starts to look regularly unkempt; a student whose grades plummet or who stops handing in homework; a child who eats lunch alone and has stopped palling around with their friends.\u003c/p>\n\u003cp>After noticing something might be wrong, the course teaches that the next step is to ask the student without pressuring or casting judgment and letting them know you care and want to help.\u003c/p>\n\u003cp>“Sometimes an adult can ask a question that causes more harm than good,” said Luna-Herrera, the social studies teacher at California City Middle School, a two-hour drive into the desert from Los Angeles.\u003c/p>\n\u003cp>He took the course in spring 2021 and two weeks later put it to use. It was during distance learning and a student had failed to show up for online tutoring, but he spotted her chatting online on the school’s distance learning platform, having a heated dispute with her then-boyfriend. Luna reached out to her privately.\u003c/p>\n\u003cp>“I asked her if she was OK,” he said. Little by little, the girl told Luna-Herrera about problems with friends and her boyfriend and problems at home that left her feeling alone and desperately unanchored.\u003c/p>\n\u003cp>The course tells adults to ask open-ended questions that keep the conversation going, and not to project themselves into an adolescent’s problems with comments like: \"You'll be fine,\" \"It's not that bad,\" \"I went through that,\" \"Try to ignore it.\" What might seem trivial to an adult can feel overwhelming for a young person, and failure to recognize that can be a conversation stopper.\u003c/p>\n\u003cp>The 12-year-old told Luna-Herrera she had considered hurting herself. “Is that a recurring thought?” he asked, recalling how his heart started racing as she revealed her suicide plan.\u003c/p>\n\u003cp>Like CPR first-aid training, the course teaches how to handle a crisis: Raise the alarm and get expert help. Do not leave a person contemplating suicide alone. As Luna-Herrera continued talking to the girl, he texted his school superintendent, who got the principal on the line. They called 911 and police rushed to the home, where they spoke to the girl and her mother, who was startled and unaware.[aside tag=\"education\" label=\"Related coverage\"]“He absolutely saved that child’s life,” said Mojave Unified Superintendent Katherine Aguirre, who oversees the district of about 3,000 students, the majority of whom are Latino and Black children from economically disadvantaged families.\u003c/p>\n\u003cp>Aguirre recognized the need for behavioral health training early in the pandemic and through the Department of Education trained all of her employees, from teachers to yard supervisors and cafeteria workers.\u003c/p>\n\u003cp>“It's about awareness. And that Sandy Hook promise: If you see something, say something,\" she said.\u003c/p>\n\u003cp>That did not happen with 14-year-old Taya Bruell.\u003c/p>\n\u003cp>Taya was a bright student who had started struggling with mental health issues at about 11, according to her father, Harry Bruell. At the time, the family lived in Boulder, Colorado, where Taya was hospitalized at one point for psychiatric care but kept up the trappings of a model student: She got straight A's, was co-leader of her high school writing club and in her spare time taught senior citizens to use computers.\u003c/p>\n\u003cp>For a literature class, Taya was assigned to keep a journal. In it, she drew a disturbing portrait that showed self-harm and wrote about how much she hated her body and was hearing voices she wanted to silence.\u003c/p>\n\u003cp>Her teacher read the assignment and wrote: “Taya, very thorough journal. I loved reading the entries. A+.”\u003c/p>\n\u003cp>Three months later, in February 2016, Taya killed herself. After her death, Taya’s parents discovered the journal in her room and brought it to the school, where they learned Taya’s teacher had not informed the school counselor or administrators of what she had seen. They don’t blame the teacher but will always wonder what would have happened if she had not ignored the signs of danger.\u003c/p>\n\u003cp>“I don’t think the teacher wanted to hurt our daughter. I think she had no idea what to do when she read those stark warning signs in Taya’s journal,” said her father, who has since relocated with the family to Santa Barbara.\u003c/p>\n\u003cp>He believes legislation to require teacher training in behavioral health will save lives: “It teaches you to raise the alarm, and not just walk away, which is what happened to Taya.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>If you or someone you know is having suicidal thoughts, reach out for help. The \u003c/em>\u003ca href=\"https://suicidepreventionlifeline.org/\">\u003cem>National Suicide Prevention Lifeline\u003c/em>\u003c/a>\u003cem> is open 24 hours a day at (800) 273-8255.\u003c/em>\u003c/p>\n\n",
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"excerpt": "Schools in states across the US lack mental health professionals, but since California began offering the Youth Mental Health First Aid course in 2014, more than 8,000 teachers, administrators and school staff have been trained to spot signs of kids with mental health troubles.",
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"description": "Schools in states across the US lack mental health professionals, but since California began offering the Youth Mental Health First Aid course in 2014, more than 8,000 teachers, administrators and school staff have been trained to spot signs of kids with mental health troubles.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As Benito Luna-Herrera teaches his seventh grade social studies classes, he is on alert for signs of inner turmoil. And there is so much of it these days.\u003c/p>\n\u003cp>One of his 12-year-old students felt her world was falling apart. Distance learning had upended her friendships. Things with her boyfriend were verging on violent. Her home life was stressful. “I’m just done with it,” the girl told Luna-Herrera during the pandemic, and shared a detailed plan to kill herself.\u003c/p>\n\u003cp>Another student was typically a big jokester and full of confidence. But one day she told him she didn’t want to live anymore. She, too, had a plan in place to end her life.\u003c/p>\n\u003cp>Luna-Herrera is just one teacher, in one Southern California middle school, but stories of students in distress are increasingly common around the country. The silver lining is that special training helped him know what to look for and how to respond when he saw the signs of a mental emergency.\u003c/p>\n\u003cp>Since the pandemic started, experts have warned of a mental health crisis facing American children. That is now playing out at schools in the form of increased childhood depression, anxiety, panic attacks, eating disorders, fights and thoughts of suicide at alarming levels, according to interviews with teachers, administrators, education officials and mental health experts.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In lower-income areas, where adverse childhood experiences were high before the pandemic, the crisis is even more acute and compounded by a shortage of school staff and mental health professionals.\u003c/p>\n\u003cp>Luna-Herrera, who teaches in a high-poverty area of the Mojave Desert, is among a small but growing number of California teachers to take a course called \u003ca href=\"https://www.mentalhealthfirstaid.org/population-focused-modules/youth/\">Youth Mental Health First Aid\u003c/a>. It teaches adults how to spot warning signs of mental health risks and substance abuse in children, and how to prevent a tragedy.\u003c/p>\n\u003cp>The California Department of Education funds the program for any school district requesting it, and the pandemic has accelerated moves to make such courses a requirement. The training program is operated by the National Council for Mental Wellbeing and is available in every state.\u003c/p>\n\u003cp>“I don’t want to read about another teenager where there were warning signs and we looked the other way,” said Sen. Anthony Portantino, author of a bill that would require all California middle and high schools to train at least 75% of employees in behavioral health. “Teachers and school staff are on the front lines of a crisis, and need to be trained to spot students who are suffering.”\u003c/p>\n\u003cp>Experts say that while childhood depression and anxiety had been on the rise for years, the pandemic's unrelenting stress and grief amplified the problems, particularly for those already experiencing mental health issues who were cut off from counselors and other school resources during distance learning.\u003c/p>\n\u003cp>For children, the issues with distance learning were not just academic, said Sharon Hoover, professor of child psychiatry at the University of Maryland School of Medicine and co-director of the National Center for School Mental Health.\u003c/p>\n\u003cp>Child abuse and neglect increased during the pandemic, according to Hoover. For children in troubled homes, with \u003ca href=\"https://www.npr.org/2020/07/14/891119510/a-look-at-pandemic-s-impact-on-recovery-for-alcoholism-and-drug-addiction\">parents who were abusive or dealing with alcohol use disorder\u003c/a>, distance learning meant they had no escape. Those who lacked technology or had spotty internet connections were isolated even more than their peers and fell further behind academically and socially.\u003c/p>\n\u003cp>Many children bounced back after the extended isolation, but for others, it may take longer.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We can’t assume that, ‘OK, we’re back in school, it’s been a few months and now everyone should be back to normal.’ That is not the case,” said Hoover.\u003c/p>\n\u003ch2>Kids need help when returning to school\u003c/h2>\n\u003cp>Returning to school after months of isolation intensified the anxiety for some children. Teachers say students have greater difficulty focusing, concentrating or sitting still, and many need to relearn how to socialize and resolve conflicts face-to-face after prolonged immersion in screens.\u003c/p>\n\u003cp>Kids expected to pick up where they left off but some found friendships, and their ability to cope with social stress, \u003ca href=\"https://www.kqed.org/forum/2010101888361/taking-stock-of-the-pandemics-toll-on-kids\">had changed\u003c/a>. Educators say they also see a concerning increase in apathy — about grades, how students treat each other and themselves — and a lot less empathy.\u003c/p>\n\u003cp>“I have never seen kids be so mean to each other in my life,” said Terrin Musbach, who trains teachers in mental health awareness and other social-emotional programs at the \u003ca href=\"https://www.dnusd.org/\">Del Norte Unified School District\u003c/a>, a high-poverty district in rural Northern California. “There’s more school violence, there’s more vaping, there’s more substance abuse, there’s more sexual activity, there’s more suicide ideation, there’s more of every single behavior that we would be worried about in kids.”\u003c/p>\n\u003cp>Many states have mandated teacher training on suicide prevention over the last decade, and the pandemic prompted some to broaden the scope to include mental health awareness and supporting behavioral health needs.\u003c/p>\n\u003cp>But school districts nationwide also say they need more psychologists and counselors. The Hopeful Futures Campaign, a coalition of national mental health organizations, last month published a report that found \u003ca href=\"https://hopefulfutures.us/wp-content/uploads/2022/02/Final_Master_021522.pdf\">most states are struggling with mental health support in schools\u003c/a>. Only Idaho and the District of Columbia exceed the nationally recommended ratio of one psychologist per 500 students.\u003c/p>\n\u003cp>In some states, including West Virginia, Missouri, Texas and Georgia, there is only one school psychologist for over 4,000 students, the report says. Similarly, few states meet the goal of one counselor per 250 students.\u003c/p>\n\u003cp>President Joe Biden has \u003ca href=\"https://www.whitehouse.gov/wp-content/uploads/2022/03/budget_fy2023.pdf\">proposed $1 billion in new federal funding\u003c/a> to help schools hire more counselors and psychologists and bolster suicide prevention programs. That followed a rare pubic advisory in December from U.S. Surgeon General Vivek Murthy on “the urgent need to address the nation's youth mental health crisis.\"\u003c/p>\n\u003cp>In early 2021, emergency room visits in the U.S. for suspected suicide attempts were 51% higher for adolescent girls and 4% higher for adolescent boys compared to the same period in 2019, according to research cited in the advisory.\u003c/p>\n\u003cp>Since California began offering the Youth Mental Health First Aid course in 2014, more than 8,000 teachers, administrators and school staff have been trained, said \u003ca href=\"https://steinberginstitute.org/champion/monica-nepomuceno/\">Monica Nepomuceno\u003c/a>, who oversees mental health programming at the California Department of Education.\u003c/p>\n\u003cp>She said much more needs to be done in the country’s largest state, which employs over 600,000 K-12 staff at schools.\u003c/p>\n\u003cp>The course helps distinguish typical adolescent ways of dealing with stress — slamming doors, crying, bursts of anger — from warning signs of mental distress, which can be blatant or subtle.\u003c/p>\n\u003cp>Those signs can include when a child talks about dying or suicide, but also can be more nuanced, like saying, “I can’t do this anymore,” or “I’m tired of this,” said Tramaine EL-Amin, a spokesperson for the National Council for Mental Wellbeing. More than 550,000 K-12 educators across the country have taken the Youth Mental Health First Aid course since it launched in 2012, she said.\u003c/p>\n\u003cp>Changes in behavior could be cause for concern — a child who stops a sport or activity they were passionate about without replacing it with another one; a typically put-together child who starts to look regularly unkempt; a student whose grades plummet or who stops handing in homework; a child who eats lunch alone and has stopped palling around with their friends.\u003c/p>\n\u003cp>After noticing something might be wrong, the course teaches that the next step is to ask the student without pressuring or casting judgment and letting them know you care and want to help.\u003c/p>\n\u003cp>“Sometimes an adult can ask a question that causes more harm than good,” said Luna-Herrera, the social studies teacher at California City Middle School, a two-hour drive into the desert from Los Angeles.\u003c/p>\n\u003cp>He took the course in spring 2021 and two weeks later put it to use. It was during distance learning and a student had failed to show up for online tutoring, but he spotted her chatting online on the school’s distance learning platform, having a heated dispute with her then-boyfriend. Luna reached out to her privately.\u003c/p>\n\u003cp>“I asked her if she was OK,” he said. Little by little, the girl told Luna-Herrera about problems with friends and her boyfriend and problems at home that left her feeling alone and desperately unanchored.\u003c/p>\n\u003cp>The course tells adults to ask open-ended questions that keep the conversation going, and not to project themselves into an adolescent’s problems with comments like: \"You'll be fine,\" \"It's not that bad,\" \"I went through that,\" \"Try to ignore it.\" What might seem trivial to an adult can feel overwhelming for a young person, and failure to recognize that can be a conversation stopper.\u003c/p>\n\u003cp>The 12-year-old told Luna-Herrera she had considered hurting herself. “Is that a recurring thought?” he asked, recalling how his heart started racing as she revealed her suicide plan.\u003c/p>\n\u003cp>Like CPR first-aid training, the course teaches how to handle a crisis: Raise the alarm and get expert help. Do not leave a person contemplating suicide alone. As Luna-Herrera continued talking to the girl, he texted his school superintendent, who got the principal on the line. They called 911 and police rushed to the home, where they spoke to the girl and her mother, who was startled and unaware.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“He absolutely saved that child’s life,” said Mojave Unified Superintendent Katherine Aguirre, who oversees the district of about 3,000 students, the majority of whom are Latino and Black children from economically disadvantaged families.\u003c/p>\n\u003cp>Aguirre recognized the need for behavioral health training early in the pandemic and through the Department of Education trained all of her employees, from teachers to yard supervisors and cafeteria workers.\u003c/p>\n\u003cp>“It's about awareness. And that Sandy Hook promise: If you see something, say something,\" she said.\u003c/p>\n\u003cp>That did not happen with 14-year-old Taya Bruell.\u003c/p>\n\u003cp>Taya was a bright student who had started struggling with mental health issues at about 11, according to her father, Harry Bruell. At the time, the family lived in Boulder, Colorado, where Taya was hospitalized at one point for psychiatric care but kept up the trappings of a model student: She got straight A's, was co-leader of her high school writing club and in her spare time taught senior citizens to use computers.\u003c/p>\n\u003cp>For a literature class, Taya was assigned to keep a journal. In it, she drew a disturbing portrait that showed self-harm and wrote about how much she hated her body and was hearing voices she wanted to silence.\u003c/p>\n\u003cp>Her teacher read the assignment and wrote: “Taya, very thorough journal. I loved reading the entries. A+.”\u003c/p>\n\u003cp>Three months later, in February 2016, Taya killed herself. After her death, Taya’s parents discovered the journal in her room and brought it to the school, where they learned Taya’s teacher had not informed the school counselor or administrators of what she had seen. They don’t blame the teacher but will always wonder what would have happened if she had not ignored the signs of danger.\u003c/p>\n\u003cp>“I don’t think the teacher wanted to hurt our daughter. I think she had no idea what to do when she read those stark warning signs in Taya’s journal,” said her father, who has since relocated with the family to Santa Barbara.\u003c/p>\n\u003cp>He believes legislation to require teacher training in behavioral health will save lives: “It teaches you to raise the alarm, and not just walk away, which is what happened to Taya.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>If you or someone you know is having suicidal thoughts, reach out for help. The \u003c/em>\u003ca href=\"https://suicidepreventionlifeline.org/\">\u003cem>National Suicide Prevention Lifeline\u003c/em>\u003c/a>\u003cem> is open 24 hours a day at (800) 273-8255.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "california-to-funnel-billions-into-mental-health-resources-for-young-people-but-will-it-come-soon-enough",
"title": "California to Funnel Billions Into Mental Health Resources for Young People. But Will It Come Soon Enough?",
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"content": "\u003cp>\u003cem>Lea este artículo en \u003c/em>\u003ca href=\"https://calmatters.org/uncategorized/2022/03/cuando-los-ninos-sufren-california-destinara-miles-de-millones-a-la-reforma-de-salud-mental/\">\u003cem>español\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>Amanda Arellano felt a heavy weight pressing down on her chest. It was May of 2021, and the teenager struggled to breathe.\u003c/p>\n\u003cp>Maria Arellano rushed her 17-year-old daughter to the pulmonologist. Amanda has cerebral palsy, autism, epilepsy, asthma and a heart murmur. With COVID on the prowl, they couldn’t be too careful.\u003c/p>\n\u003cp>This wasn’t an asthma flare-up, the doctor told them. This was anxiety.[pullquote align=\"right\" size=\"medium\" citation=\"Tony Thurmond, California superintendent of public instruction\"]‘We know that this is job No. 1, to help our students address the trauma that they have experienced and are experiencing during the coronavirus pandemic.’[/pullquote]Sitting in a Jack in the Box near their home in the Los Angeles neighborhood of Boyle Heights last month, her eyes filling with tears, Maria searched for the words to describe watching her normally gregarious daughter struggle.\u003c/p>\n\u003cp>“It makes you feel very powerless,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Many California parents know this feeling well. Two years into the pandemic, many children are in pain. Rates of anxiety and depression have shot up so quickly that several national leaders — including the U.S. surgeon general — have issued \u003ca href=\"https://www.hhs.gov/sites/default/files/surgeon-general-youth-mental-health-advisory.pdf\">urgent public health advisories\u003c/a>. School-based therapists report long waiting lists and an increase in fighting and behavior issues. Emergency room doctors say they are overwhelmed by the number of \u003ca href=\"https://calmatters.org/health/2021/09/children-suicide-residential-treatment-crisis-california/\">children coming in after trying to harm themselves\u003c/a>.\u003c/p>\n\u003cp>On top of all this, the state is facing a shortage of mental health providers.\u003c/p>\n\u003cp>Gov. Gavin Newsom’s administration has vowed to build a brand-new system to address these complicated challenges in the coming years. But pressure is mounting to help children like Amanda — \u003cem>now\u003c/em>.\u003c/p>\n\u003cp>Dr. Mark Ghaly, a pediatrician who serves as the secretary of California’s Health and Human Services Agency, told CalMatters he feels “concerned but hopeful” about the state’s ability to meet the growing need, though he’s also “very aware that even the most … short-term interventions are not as immediate as I think we would like.”\u003c/p>\n\u003cp>Last year, Newsom’s administration allocated $4.4 billion in one-time funds to create a statewide system dubbed the \u003ca href=\"https://www.chhs.ca.gov/home/children-and-youth-behavioral-health-initiative/\">Children and Youth Behavioral Health Initiative \u003c/a>— a proposed sweeping transformation of the children’s mental health system that many observers describe as “unprecedented.” The bulk of the money has yet to be distributed, but efforts to develop a vision and work with stakeholders are underway.\u003c/p>\n\u003cp>Tony Thurmond, the state superintendent of public instruction, recently told CalMatters he has visited 45 schools since July, and said many of them told him they don’t have the resources to help students who are struggling with mental health issues.\u003c/p>\n\u003cp>“We know that this is job No. 1, to help our students address the trauma that they have experienced and are experiencing during the coronavirus pandemic,” he said. “That’s got to be our priority.”\u003c/p>\n\u003cp>Children’s advocates are enthusiastic about the state’s commitment to the issue, but also worry the help won’t come soon enough.\u003c/p>\n\u003cp>A crisis was brewing in California before the pandemic; COVID set it to a boil:\u003c/p>\n\u003cp>– \u003ca href=\"https://www.psnyouth.org/wp-content/uploads/2021/08/Suicide-in-California-Data-Trends-in-2020-COVID-Impact-and-Prevention-Strategies-Slide-Deck.pdf\">Suicide rates among Black youth\u003c/a> doubled between 2014 and 2020, according to state data.\u003c/p>\n\u003cp>– Incidents of\u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2019-125.pdf\"> youth deliberately causing self-harm\u003c/a> increased 50% between 2009 and 2018, the state auditor reported. Children’s hospital officials told CalMatters last fall that \u003ca href=\"https://calmatters.org/health/2021/09/children-suicide-residential-treatment-crisis-california/\">mental health emergency room visits spiked\u003c/a> dramatically during the pandemic.\u003c/p>\n\u003cp>– Between 2019 and 2020, opioid-related overdoses among 15- to 19-year-olds nearly tripled, according to a CalMatters analysis of state data.\u003c/p>\n\u003cp>“I think what people are looking for is an emergency response,” said Lishaun Francis, director of behavioral health for the advocacy group Children Now. “That has never been the state of California’s plan.”\u003c/p>\n\u003cp>This month, Children Now was among a coalition of children’s advocates and health providers that sent a letter to Newsom, calling on him to formally declare the status of child and adolescent mental health in California a \u003ca href=\"https://www.documentcloud.org/documents/21422947-state-of-emergency-youth-mental-health-letter-1\">public health emergency\u003c/a>. The challenges facing young people in the state, it said, are “dire and widespread.”\u003c/p>\n\u003ch2>‘It won’t be this way forever’\u003c/h2>\n\u003cp>For a moment, in March 2020, Amanda felt excited. Her school planned to close briefly; two weeks at home sounded like an unexpected vacation.\u003c/p>\n\u003cp>But school didn’t reopen that spring, or all the next school year. And many of the supports Amanda depended on — social therapy, music therapy, physical therapy — moved online or fell away completely.\u003c/p>\n\u003cp>Terrified of the virus, Amanda refused for months to venture out of the small blue house in Boyle Heights where she and her mother rent a room from another family.\u003c/p>\n\u003cp>Always a strong student, Amanda grew increasingly frustrated during virtual learning. Sometimes a shaky internet connection booted her out of Zoom class. Other times, teachers were hard to understand.\u003c/p>\n\u003cp>“I don’t know what I can do to calm myself down,” Amanda told her mother.\u003c/p>\n\u003cp>Maria would see tears in the long-lashed brown eyes of the daughter she’d always known to be creative, happy and resilient. She’d pull out photos they’d taken on pre-pandemic outings.\u003c/p>\n\u003cp>“It won’t be this way forever,” she’d tell Amanda. “One day this will end.”\u003c/p>\n\u003cp>Amanda tried meditation and exercise. She lost herself in video games, playing Roblox until her hands hurt.\u003c/p>\n\u003cp>As the months wore on, Maria saw the toll on her daughter’s self-esteem.\u003c/p>\n\u003cp>On Dec. 18, 2020, Amanda sent an email to a teacher, apologizing for missing certain assignments: “I am very embarrassed,” she began.\u003c/p>\n\u003cp>For months, she explained, “I have felt constant headaches and I have felt very dizzy; I have been extremely fatigued. Never, since I started school, have I left assignments without finishing them. I have always been a good student. But in this moment with the pandemic, my life has been impacted in many ways, especially with Distance Learning.”\u003c/p>\n\u003cp>Her teacher reassured her: “You are an amazing student that inspires everyone you meet.”\u003c/p>\n\u003cp>But the anxiety continued. In February 2021, Maria wrote to the school psychologist, asking for help.\u003c/p>\n\u003ch2 id=\"h-it-s-getting-worse\">‘It’s getting worse’\u003c/h2>\n\u003cp>Young people’s suffering has been widespread, as revealed in a January report on \u003ca href=\"https://aclucalaction.org/wp-content/uploads/2022/01/2022_State_of_Student_Wellness_Report_.pdf\">the state of student wellness\u003c/a>. Based on surveys of 1,200 California middle and high school students between April 2020 and March 2021, 63% of the students reported having had an emotional meltdown; 43% said they had a panic or anxiety attack; and 19% described suicidal thoughts, according to the report published by American Civil Liberties Union California Action, CSU Long Beach and the California Association of School Counselors.\u003c/p>\n\u003cp>“We know from the numbers it’s getting worse,” said Amir Whitaker, senior policy counsel for ACLU Southern California, who is the report’s lead author. “We’re not done yet.”\u003c/p>\n\u003cp>Whitaker oversees the Youth Liberty Squad, a group of high school students around the state who are advocating for better school-based mental health care. Many have experienced their own anxieties and traumas in the last two years. As life edges closer to normal, they find details of their lives changed in unsettling ways.[aside label=\"related coverage\" tag=\"mental-health\"]Joel Salas, a Los Angeles senior, spent a month isolated in his bedroom after the rest of his family contracted COVID-19. His mother fell extremely ill, and he ended up caring for her while studying and working five or six hours a day at his parents’ taco stand.\u003c/p>\n\u003cp>One of the biggest challenges for him now is the unrelenting uncertainty.\u003c/p>\n\u003cp>“You don’t know what’s happening next,” he said. “You don’t want to get your hopes up, because another wave might come.”\u003c/p>\n\u003cp>Another challenge is what’s left unsaid. Many of his classmates lost family members, he said. People rarely talk about it.\u003c/p>\n\u003cp>Amanda, who also is a leader in the Youth Liberty Squad, felt terrified when school resumed in person last August. What would happen if she were exposed to the virus? To protect herself physically, she distanced herself from her classmates.\u003c/p>\n\u003cp>Amanda’s mother, Maria, understands these fears. She also knows a teenager needs friends.\u003c/p>\n\u003ch2 id=\"h-workforce-shortage-means-long-waits-for-care\">Workforce shortage means long waits for care\u003c/h2>\n\u003cp>The trauma of the pandemic — the grief, fear, loneliness and boredom — is layered on top of concerns about food and housing insecurity, gun violence, climate change, political polarization, racism, transphobia, deportation and, now, the war in Ukraine.\u003c/p>\n\u003cp>One in 330 California children \u003ca href=\"https://www.covidcollaborative.us/initiatives/hidden-pain#the-report\">has lost a parent or caregiver\u003c/a> to the pandemic, according to a report released in December by COVID Collaborative.\u003c/p>\n\u003cp>Counselors who work in schools say more students are acting out. Some children struggle to get out of bed at all.\u003c/p>\n\u003cp>Josh Leonard, executive director of the East Bay Agency for Children, which provides mental health services for children, calls this “a natural, predictable response to the stress and anxiety at the moment.”\u003c/p>\n\u003cp>“Kids are struggling profoundly,” he said.\u003c/p>\n\u003cp>But big systems are not nimble enough to address the mounting emergency, he said. As waiting lists grow, workers at overwhelmed schools and mental health agencies like his are not always proactively reaching out to children and families, he said. Why bring children into the system when no one is available to serve them?\u003c/p>\n\u003cfigure id=\"attachment_11908822\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11908822\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01.jpg\" alt=\"A woman with glasses poses outside against a fence.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1568px) 100vw, 1568px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Alyssa Hurtado, a school therapist at Schilling Elementary School in Newark, stands in front of the school on March 15, 2022. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Alyssa Hurtado, a social worker with Leonard’s agency who works at a Newark elementary school, did her best to stay connected with families during the school closure. After more than a year of remote learning, many of her young clients now struggle with separation anxiety. Others have difficulties with motivation and concentration.\u003c/p>\n\u003cp>“Kind of like, ‘What’s the point?’” she said.\u003c/p>\n\u003cp>Hurtado herself is stretched thin. Five children are on a waitlist to get services at her school. In the meantime, she’s also been helping to cover a vacancy at another school.\u003c/p>\n\u003cp>Across the agency, Leonard says, 10 therapy positions remain unfilled out of a total of 50. Each of those positions would allow the organization to see 18 to 20 additional children. He and other nonprofit leaders say it’s difficult to compete with counties, school districts and big fish like Kaiser. Telehealth companies that sprang up during the pandemic have lured some clinicians away. Others are opting for the flexibility of working for themselves, avoiding onerous paperwork requirements by seeing patients who can pay out of pocket. Still others are moving to places with lower costs of living.\u003c/p>\n\u003cp>Those who remain often carry the extra load and face burnout.\u003c/p>\n\u003cp>“Every applicant has 20 different job opportunities right now,” said Stacey Katz, CEO of WestCoast Children’s Clinic in Alameda County, who also is trying to fill 15 to 20 openings.\u003c/p>\n\u003cp>“No one likes you to say you have a ‘waiting list,’” she said, describing pressure she and others say they receive from counties to avoid using that term. “I don’t know what you call it when there are 176 people waiting for services.”\u003c/p>\n\u003cp>The clinic’s public policy director, Jodie Langs, chimed in: “If we’re calling this a crisis in mental health, let’s respond to it like a crisis.”\u003c/p>\n\u003ch2 id=\"h-hope-on-the-horizon\">Hope on the horizon?\u003c/h2>\n\u003cp>Advocates recognize the tension of this moment. They commend the Newsom administration’s leadership and its willingness to invest \u003ca href=\"https://calmatters.org/commentary/2021/11/california-budget-surplus-spending-newsom/\">the state’s budget surplus\u003c/a> in solutions. But they also say the state is playing catch-up, having failed for years to address the spiraling need.\u003c/p>\n\u003cp>For many of these advocates — and for the families and children they serve — the state’s promises are only as good as the change they see on the ground.\u003c/p>\n\u003cp>Alex Briscoe, head of California Children’s Trust, an initiative to reform the state’s children’s mental health system, calls current state leaders “extraordinary” and their investment ‘“unprecedented.” But he also notes that California has “among the worst track records in the nation” when it comes to children’s mental health.\u003c/p>\n\u003cp>A 2018 report from The Commonwealth Fund put the state at 48th out of 50 in terms of the percentage of children age 3 to 17 who received needed mental health care. A 2020 progress report published by Children Now right before the first shutdown gave the state a D grade for \u003ca href=\"https://www.childrennow.org/portfolio-posts/20-report-card/\">children’s behavioral health\u003c/a>, noting that mental illness was the leading reason kids here were being hospitalized. The 2022 report gave the state a D-plus.\u003c/p>\n\u003cp>“I don’t want to suggest nothing’s happening, but it’s unclear yet what it will signify,” Briscoe said.\u003c/p>\n\u003cfigure id=\"attachment_11908821\" class=\"wp-caption aligncenter\" style=\"max-width: 1024px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/030522-Amanda-Arellano-Protest-CM-01.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11908821 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/030522-Amanda-Arellano-Protest-CM-01.jpg\" alt=\"A young woman with a face mask speaks into a bullhorn at a demonstration.\" width=\"1024\" height=\"682\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/030522-Amanda-Arellano-Protest-CM-01.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/030522-Amanda-Arellano-Protest-CM-01-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/030522-Amanda-Arellano-Protest-CM-01-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/030522-Amanda-Arellano-Protest-CM-01-160x107.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Amanda Arellano at a Youth Liberty Squad rally in Los Angeles on Feb. 26, 2022. \u003ccite>(Courtesy of Sophie Sylla)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ghaly and others in the administration say they are working hard to develop a strategy. They aim to create an integrated system that focuses on prevention and equity and brings together public, commercial and private systems that often are siloed and highly fragmented — “something with a lot of entry points, a lot of front doors,” Ghaly said.\u003c/p>\n\u003cp>“The truth is we don’t really have a cohesive children’s behavioral health system,” he said. “I see a lot of opportunity to stitch something together.”\u003c/p>\n\u003cp>The administration is still primarily in the first phase of a three-phase plan it expects to roll out over five years. State leaders are gathering stakeholders, setting goals and figuring out big-picture issues. In the coming years, they plan to translate that into major initiatives — including a virtual mental health platform that would be available to all young people. They also envision a public awareness campaign to address stigma; a school-based treatment model that will be available regardless of insurance status; and the training of a bigger, more diverse workforce.\u003c/p>\n\u003cp>The state has so far rolled out CalHOPE, an online platform that offers mental health support. It also has formed a partnership with the \u003ca href=\"https://childmind.org/\">Child Mind Institute\u003c/a> to provide educational materials about mental health, and allocated new funding to support partnerships between schools and counties. And, as part of a statewide effort to transform Medi-Cal, the health insurance program for lower-income Californians, state officials recently announced that children and youth do not need a diagnosis to access specialty mental health services.[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Mark Ghaly, secretary, California's Health and Human Services Agency\"]‘The truth is we don’t really have a cohesive children’s behavioral health system. I see a lot of opportunity to stitch something together.’[/pullquote]“Is it enough? Does it touch as many kids as we would like? No. But it is certainly trying to move the needle quickly,” Ghaly said.\u003c/p>\n\u003cp>Thurmond, the state schools superintendent, is supporting a legislative proposal to use loan forgiveness and deferrals to attract 10,000 new clinicians into schools and community-based organizations in the next few years.\u003c/p>\n\u003cp>He said his commitment derives from losing his own mother when he was 6 years old.\u003c/p>\n\u003cp>“I’m a believer that when there’s trauma, you must acknowledge it,” Thurmond said. “You must have an available workforce to address it.”\u003c/p>\n\u003cp>As these big initiatives roll out, though, what can be done now?\u003c/p>\n\u003cp>Some believe the answer lies, in part, with kids themselves. Students can be trained to act as peer counselors, and to be on alert for signs of suicide, many experts say. That can serve a double benefit — providing real-time support and helping build a pipeline of mental health providers from diverse communities.\u003c/p>\n\u003cp>“Students are not being tapped into enough,” said Whitaker of the ACLU.\u003c/p>\n\u003cp>In the past few years, Cal-HOSA, an organization focused on training students for careers in health, has piloted student mental health programs in 25 schools around the state. Students receive training to provide peer counseling support. The experience also allows them to consider careers in mental health.\u003c/p>\n\u003ch2 id=\"h-my-life-is-so-bright\">‘My life is so bright’\u003c/h2>\n\u003cp>In the pandemic’s early months, Maria Arellano found herself in a situation familiar to many parents: She was her daughter Amanda’s principal, teacher, nurse, tutor, playmate and advocate.\u003c/p>\n\u003cp>Maria knew how important it was for her daughter to use her own voice.\u003c/p>\n\u003cp>She suggested Amanda join some youth advocacy organizations, and also start making music videos, to “take out everything she was carrying within.”\u003c/p>\n\u003cp>In August 2020, Amanda posted one of these videos, “\u003ca href=\"https://www.youtube.com/watch?v=NCy-3xq-cjI\">My Pandemic Song\u003c/a>,” to her YouTube channel. Images of distraught medical workers and patients on ventilators scroll across the screen while she sings:\u003c/p>\n\u003cp>\u003cem>“You gotta calm yourself now, everything’s going to be alright (how?)\u003c/em>\u003c/p>\n\u003cp>\u003cem>“The pandemic is on. Everyone’s anxious now.” \u003c/em>\u003c/p>\n\u003cp>A year and a half later, much has changed in Amanda’s life. She is vaccinated against the virus and entering the final months of senior year: Prom. Senior trip. Graduation.\u003c/p>\n\u003cp>As mask mandates fall away, Amanda feels frightened. But, with the help of her mother, her therapist, and the strength she is discovering through her own advocacy, she is working to find peace within the new reality.\u003c/p>\n\u003cp>This past December, Amanda put up another video on her YouTube channel, with \u003ca href=\"https://www.youtube.com/watch?v=rSNAvJPBsCo\">a new original song\u003c/a>:\u003c/p>\n\u003cp>\u003cem>“I feel alive with all my might,”\u003c/em> she sings. \u003cem>“My life is so bright. My life is so bright.”\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Behavioral health coverage is supported by a grant from the California Health Care Foundation.\u003c/em>\u003cem> \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Lea este artículo en \u003c/em>\u003ca href=\"https://calmatters.org/uncategorized/2022/03/cuando-los-ninos-sufren-california-destinara-miles-de-millones-a-la-reforma-de-salud-mental/\">\u003cem>español\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>Amanda Arellano felt a heavy weight pressing down on her chest. It was May of 2021, and the teenager struggled to breathe.\u003c/p>\n\u003cp>Maria Arellano rushed her 17-year-old daughter to the pulmonologist. Amanda has cerebral palsy, autism, epilepsy, asthma and a heart murmur. With COVID on the prowl, they couldn’t be too careful.\u003c/p>\n\u003cp>This wasn’t an asthma flare-up, the doctor told them. This was anxiety.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Sitting in a Jack in the Box near their home in the Los Angeles neighborhood of Boyle Heights last month, her eyes filling with tears, Maria searched for the words to describe watching her normally gregarious daughter struggle.\u003c/p>\n\u003cp>“It makes you feel very powerless,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many California parents know this feeling well. Two years into the pandemic, many children are in pain. Rates of anxiety and depression have shot up so quickly that several national leaders — including the U.S. surgeon general — have issued \u003ca href=\"https://www.hhs.gov/sites/default/files/surgeon-general-youth-mental-health-advisory.pdf\">urgent public health advisories\u003c/a>. School-based therapists report long waiting lists and an increase in fighting and behavior issues. Emergency room doctors say they are overwhelmed by the number of \u003ca href=\"https://calmatters.org/health/2021/09/children-suicide-residential-treatment-crisis-california/\">children coming in after trying to harm themselves\u003c/a>.\u003c/p>\n\u003cp>On top of all this, the state is facing a shortage of mental health providers.\u003c/p>\n\u003cp>Gov. Gavin Newsom’s administration has vowed to build a brand-new system to address these complicated challenges in the coming years. But pressure is mounting to help children like Amanda — \u003cem>now\u003c/em>.\u003c/p>\n\u003cp>Dr. Mark Ghaly, a pediatrician who serves as the secretary of California’s Health and Human Services Agency, told CalMatters he feels “concerned but hopeful” about the state’s ability to meet the growing need, though he’s also “very aware that even the most … short-term interventions are not as immediate as I think we would like.”\u003c/p>\n\u003cp>Last year, Newsom’s administration allocated $4.4 billion in one-time funds to create a statewide system dubbed the \u003ca href=\"https://www.chhs.ca.gov/home/children-and-youth-behavioral-health-initiative/\">Children and Youth Behavioral Health Initiative \u003c/a>— a proposed sweeping transformation of the children’s mental health system that many observers describe as “unprecedented.” The bulk of the money has yet to be distributed, but efforts to develop a vision and work with stakeholders are underway.\u003c/p>\n\u003cp>Tony Thurmond, the state superintendent of public instruction, recently told CalMatters he has visited 45 schools since July, and said many of them told him they don’t have the resources to help students who are struggling with mental health issues.\u003c/p>\n\u003cp>“We know that this is job No. 1, to help our students address the trauma that they have experienced and are experiencing during the coronavirus pandemic,” he said. “That’s got to be our priority.”\u003c/p>\n\u003cp>Children’s advocates are enthusiastic about the state’s commitment to the issue, but also worry the help won’t come soon enough.\u003c/p>\n\u003cp>A crisis was brewing in California before the pandemic; COVID set it to a boil:\u003c/p>\n\u003cp>– \u003ca href=\"https://www.psnyouth.org/wp-content/uploads/2021/08/Suicide-in-California-Data-Trends-in-2020-COVID-Impact-and-Prevention-Strategies-Slide-Deck.pdf\">Suicide rates among Black youth\u003c/a> doubled between 2014 and 2020, according to state data.\u003c/p>\n\u003cp>– Incidents of\u003ca href=\"https://www.auditor.ca.gov/pdfs/reports/2019-125.pdf\"> youth deliberately causing self-harm\u003c/a> increased 50% between 2009 and 2018, the state auditor reported. Children’s hospital officials told CalMatters last fall that \u003ca href=\"https://calmatters.org/health/2021/09/children-suicide-residential-treatment-crisis-california/\">mental health emergency room visits spiked\u003c/a> dramatically during the pandemic.\u003c/p>\n\u003cp>– Between 2019 and 2020, opioid-related overdoses among 15- to 19-year-olds nearly tripled, according to a CalMatters analysis of state data.\u003c/p>\n\u003cp>“I think what people are looking for is an emergency response,” said Lishaun Francis, director of behavioral health for the advocacy group Children Now. “That has never been the state of California’s plan.”\u003c/p>\n\u003cp>This month, Children Now was among a coalition of children’s advocates and health providers that sent a letter to Newsom, calling on him to formally declare the status of child and adolescent mental health in California a \u003ca href=\"https://www.documentcloud.org/documents/21422947-state-of-emergency-youth-mental-health-letter-1\">public health emergency\u003c/a>. The challenges facing young people in the state, it said, are “dire and widespread.”\u003c/p>\n\u003ch2>‘It won’t be this way forever’\u003c/h2>\n\u003cp>For a moment, in March 2020, Amanda felt excited. Her school planned to close briefly; two weeks at home sounded like an unexpected vacation.\u003c/p>\n\u003cp>But school didn’t reopen that spring, or all the next school year. And many of the supports Amanda depended on — social therapy, music therapy, physical therapy — moved online or fell away completely.\u003c/p>\n\u003cp>Terrified of the virus, Amanda refused for months to venture out of the small blue house in Boyle Heights where she and her mother rent a room from another family.\u003c/p>\n\u003cp>Always a strong student, Amanda grew increasingly frustrated during virtual learning. Sometimes a shaky internet connection booted her out of Zoom class. Other times, teachers were hard to understand.\u003c/p>\n\u003cp>“I don’t know what I can do to calm myself down,” Amanda told her mother.\u003c/p>\n\u003cp>Maria would see tears in the long-lashed brown eyes of the daughter she’d always known to be creative, happy and resilient. She’d pull out photos they’d taken on pre-pandemic outings.\u003c/p>\n\u003cp>“It won’t be this way forever,” she’d tell Amanda. “One day this will end.”\u003c/p>\n\u003cp>Amanda tried meditation and exercise. She lost herself in video games, playing Roblox until her hands hurt.\u003c/p>\n\u003cp>As the months wore on, Maria saw the toll on her daughter’s self-esteem.\u003c/p>\n\u003cp>On Dec. 18, 2020, Amanda sent an email to a teacher, apologizing for missing certain assignments: “I am very embarrassed,” she began.\u003c/p>\n\u003cp>For months, she explained, “I have felt constant headaches and I have felt very dizzy; I have been extremely fatigued. Never, since I started school, have I left assignments without finishing them. I have always been a good student. But in this moment with the pandemic, my life has been impacted in many ways, especially with Distance Learning.”\u003c/p>\n\u003cp>Her teacher reassured her: “You are an amazing student that inspires everyone you meet.”\u003c/p>\n\u003cp>But the anxiety continued. In February 2021, Maria wrote to the school psychologist, asking for help.\u003c/p>\n\u003ch2 id=\"h-it-s-getting-worse\">‘It’s getting worse’\u003c/h2>\n\u003cp>Young people’s suffering has been widespread, as revealed in a January report on \u003ca href=\"https://aclucalaction.org/wp-content/uploads/2022/01/2022_State_of_Student_Wellness_Report_.pdf\">the state of student wellness\u003c/a>. Based on surveys of 1,200 California middle and high school students between April 2020 and March 2021, 63% of the students reported having had an emotional meltdown; 43% said they had a panic or anxiety attack; and 19% described suicidal thoughts, according to the report published by American Civil Liberties Union California Action, CSU Long Beach and the California Association of School Counselors.\u003c/p>\n\u003cp>“We know from the numbers it’s getting worse,” said Amir Whitaker, senior policy counsel for ACLU Southern California, who is the report’s lead author. “We’re not done yet.”\u003c/p>\n\u003cp>Whitaker oversees the Youth Liberty Squad, a group of high school students around the state who are advocating for better school-based mental health care. Many have experienced their own anxieties and traumas in the last two years. As life edges closer to normal, they find details of their lives changed in unsettling ways.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Joel Salas, a Los Angeles senior, spent a month isolated in his bedroom after the rest of his family contracted COVID-19. His mother fell extremely ill, and he ended up caring for her while studying and working five or six hours a day at his parents’ taco stand.\u003c/p>\n\u003cp>One of the biggest challenges for him now is the unrelenting uncertainty.\u003c/p>\n\u003cp>“You don’t know what’s happening next,” he said. “You don’t want to get your hopes up, because another wave might come.”\u003c/p>\n\u003cp>Another challenge is what’s left unsaid. Many of his classmates lost family members, he said. People rarely talk about it.\u003c/p>\n\u003cp>Amanda, who also is a leader in the Youth Liberty Squad, felt terrified when school resumed in person last August. What would happen if she were exposed to the virus? To protect herself physically, she distanced herself from her classmates.\u003c/p>\n\u003cp>Amanda’s mother, Maria, understands these fears. She also knows a teenager needs friends.\u003c/p>\n\u003ch2 id=\"h-workforce-shortage-means-long-waits-for-care\">Workforce shortage means long waits for care\u003c/h2>\n\u003cp>The trauma of the pandemic — the grief, fear, loneliness and boredom — is layered on top of concerns about food and housing insecurity, gun violence, climate change, political polarization, racism, transphobia, deportation and, now, the war in Ukraine.\u003c/p>\n\u003cp>One in 330 California children \u003ca href=\"https://www.covidcollaborative.us/initiatives/hidden-pain#the-report\">has lost a parent or caregiver\u003c/a> to the pandemic, according to a report released in December by COVID Collaborative.\u003c/p>\n\u003cp>Counselors who work in schools say more students are acting out. Some children struggle to get out of bed at all.\u003c/p>\n\u003cp>Josh Leonard, executive director of the East Bay Agency for Children, which provides mental health services for children, calls this “a natural, predictable response to the stress and anxiety at the moment.”\u003c/p>\n\u003cp>“Kids are struggling profoundly,” he said.\u003c/p>\n\u003cp>But big systems are not nimble enough to address the mounting emergency, he said. As waiting lists grow, workers at overwhelmed schools and mental health agencies like his are not always proactively reaching out to children and families, he said. Why bring children into the system when no one is available to serve them?\u003c/p>\n\u003cfigure id=\"attachment_11908822\" class=\"wp-caption aligncenter\" style=\"max-width: 1568px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11908822\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01.jpg\" alt=\"A woman with glasses poses outside against a fence.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/031522-SCHOOL-THERAPIST-MHN-CM-01-1536x1024.jpg 1536w\" sizes=\"auto, (max-width: 1568px) 100vw, 1568px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Alyssa Hurtado, a school therapist at Schilling Elementary School in Newark, stands in front of the school on March 15, 2022. \u003ccite>(Martin do Nascimento/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Alyssa Hurtado, a social worker with Leonard’s agency who works at a Newark elementary school, did her best to stay connected with families during the school closure. After more than a year of remote learning, many of her young clients now struggle with separation anxiety. Others have difficulties with motivation and concentration.\u003c/p>\n\u003cp>“Kind of like, ‘What’s the point?’” she said.\u003c/p>\n\u003cp>Hurtado herself is stretched thin. Five children are on a waitlist to get services at her school. In the meantime, she’s also been helping to cover a vacancy at another school.\u003c/p>\n\u003cp>Across the agency, Leonard says, 10 therapy positions remain unfilled out of a total of 50. Each of those positions would allow the organization to see 18 to 20 additional children. He and other nonprofit leaders say it’s difficult to compete with counties, school districts and big fish like Kaiser. Telehealth companies that sprang up during the pandemic have lured some clinicians away. Others are opting for the flexibility of working for themselves, avoiding onerous paperwork requirements by seeing patients who can pay out of pocket. Still others are moving to places with lower costs of living.\u003c/p>\n\u003cp>Those who remain often carry the extra load and face burnout.\u003c/p>\n\u003cp>“Every applicant has 20 different job opportunities right now,” said Stacey Katz, CEO of WestCoast Children’s Clinic in Alameda County, who also is trying to fill 15 to 20 openings.\u003c/p>\n\u003cp>“No one likes you to say you have a ‘waiting list,’” she said, describing pressure she and others say they receive from counties to avoid using that term. “I don’t know what you call it when there are 176 people waiting for services.”\u003c/p>\n\u003cp>The clinic’s public policy director, Jodie Langs, chimed in: “If we’re calling this a crisis in mental health, let’s respond to it like a crisis.”\u003c/p>\n\u003ch2 id=\"h-hope-on-the-horizon\">Hope on the horizon?\u003c/h2>\n\u003cp>Advocates recognize the tension of this moment. They commend the Newsom administration’s leadership and its willingness to invest \u003ca href=\"https://calmatters.org/commentary/2021/11/california-budget-surplus-spending-newsom/\">the state’s budget surplus\u003c/a> in solutions. But they also say the state is playing catch-up, having failed for years to address the spiraling need.\u003c/p>\n\u003cp>For many of these advocates — and for the families and children they serve — the state’s promises are only as good as the change they see on the ground.\u003c/p>\n\u003cp>Alex Briscoe, head of California Children’s Trust, an initiative to reform the state’s children’s mental health system, calls current state leaders “extraordinary” and their investment ‘“unprecedented.” But he also notes that California has “among the worst track records in the nation” when it comes to children’s mental health.\u003c/p>\n\u003cp>A 2018 report from The Commonwealth Fund put the state at 48th out of 50 in terms of the percentage of children age 3 to 17 who received needed mental health care. A 2020 progress report published by Children Now right before the first shutdown gave the state a D grade for \u003ca href=\"https://www.childrennow.org/portfolio-posts/20-report-card/\">children’s behavioral health\u003c/a>, noting that mental illness was the leading reason kids here were being hospitalized. The 2022 report gave the state a D-plus.\u003c/p>\n\u003cp>“I don’t want to suggest nothing’s happening, but it’s unclear yet what it will signify,” Briscoe said.\u003c/p>\n\u003cfigure id=\"attachment_11908821\" class=\"wp-caption aligncenter\" style=\"max-width: 1024px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/030522-Amanda-Arellano-Protest-CM-01.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11908821 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/030522-Amanda-Arellano-Protest-CM-01.jpg\" alt=\"A young woman with a face mask speaks into a bullhorn at a demonstration.\" width=\"1024\" height=\"682\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/030522-Amanda-Arellano-Protest-CM-01.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/030522-Amanda-Arellano-Protest-CM-01-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/030522-Amanda-Arellano-Protest-CM-01-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/03/030522-Amanda-Arellano-Protest-CM-01-160x107.jpg 160w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Amanda Arellano at a Youth Liberty Squad rally in Los Angeles on Feb. 26, 2022. \u003ccite>(Courtesy of Sophie Sylla)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ghaly and others in the administration say they are working hard to develop a strategy. They aim to create an integrated system that focuses on prevention and equity and brings together public, commercial and private systems that often are siloed and highly fragmented — “something with a lot of entry points, a lot of front doors,” Ghaly said.\u003c/p>\n\u003cp>“The truth is we don’t really have a cohesive children’s behavioral health system,” he said. “I see a lot of opportunity to stitch something together.”\u003c/p>\n\u003cp>The administration is still primarily in the first phase of a three-phase plan it expects to roll out over five years. State leaders are gathering stakeholders, setting goals and figuring out big-picture issues. In the coming years, they plan to translate that into major initiatives — including a virtual mental health platform that would be available to all young people. They also envision a public awareness campaign to address stigma; a school-based treatment model that will be available regardless of insurance status; and the training of a bigger, more diverse workforce.\u003c/p>\n\u003cp>The state has so far rolled out CalHOPE, an online platform that offers mental health support. It also has formed a partnership with the \u003ca href=\"https://childmind.org/\">Child Mind Institute\u003c/a> to provide educational materials about mental health, and allocated new funding to support partnerships between schools and counties. And, as part of a statewide effort to transform Medi-Cal, the health insurance program for lower-income Californians, state officials recently announced that children and youth do not need a diagnosis to access specialty mental health services.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Is it enough? Does it touch as many kids as we would like? No. But it is certainly trying to move the needle quickly,” Ghaly said.\u003c/p>\n\u003cp>Thurmond, the state schools superintendent, is supporting a legislative proposal to use loan forgiveness and deferrals to attract 10,000 new clinicians into schools and community-based organizations in the next few years.\u003c/p>\n\u003cp>He said his commitment derives from losing his own mother when he was 6 years old.\u003c/p>\n\u003cp>“I’m a believer that when there’s trauma, you must acknowledge it,” Thurmond said. “You must have an available workforce to address it.”\u003c/p>\n\u003cp>As these big initiatives roll out, though, what can be done now?\u003c/p>\n\u003cp>Some believe the answer lies, in part, with kids themselves. Students can be trained to act as peer counselors, and to be on alert for signs of suicide, many experts say. That can serve a double benefit — providing real-time support and helping build a pipeline of mental health providers from diverse communities.\u003c/p>\n\u003cp>“Students are not being tapped into enough,” said Whitaker of the ACLU.\u003c/p>\n\u003cp>In the past few years, Cal-HOSA, an organization focused on training students for careers in health, has piloted student mental health programs in 25 schools around the state. Students receive training to provide peer counseling support. The experience also allows them to consider careers in mental health.\u003c/p>\n\u003ch2 id=\"h-my-life-is-so-bright\">‘My life is so bright’\u003c/h2>\n\u003cp>In the pandemic’s early months, Maria Arellano found herself in a situation familiar to many parents: She was her daughter Amanda’s principal, teacher, nurse, tutor, playmate and advocate.\u003c/p>\n\u003cp>Maria knew how important it was for her daughter to use her own voice.\u003c/p>\n\u003cp>She suggested Amanda join some youth advocacy organizations, and also start making music videos, to “take out everything she was carrying within.”\u003c/p>\n\u003cp>In August 2020, Amanda posted one of these videos, “\u003ca href=\"https://www.youtube.com/watch?v=NCy-3xq-cjI\">My Pandemic Song\u003c/a>,” to her YouTube channel. Images of distraught medical workers and patients on ventilators scroll across the screen while she sings:\u003c/p>\n\u003cp>\u003cem>“You gotta calm yourself now, everything’s going to be alright (how?)\u003c/em>\u003c/p>\n\u003cp>\u003cem>“The pandemic is on. Everyone’s anxious now.” \u003c/em>\u003c/p>\n\u003cp>A year and a half later, much has changed in Amanda’s life. She is vaccinated against the virus and entering the final months of senior year: Prom. Senior trip. Graduation.\u003c/p>\n\u003cp>As mask mandates fall away, Amanda feels frightened. But, with the help of her mother, her therapist, and the strength she is discovering through her own advocacy, she is working to find peace within the new reality.\u003c/p>\n\u003cp>This past December, Amanda put up another video on her YouTube channel, with \u003ca href=\"https://www.youtube.com/watch?v=rSNAvJPBsCo\">a new original song\u003c/a>:\u003c/p>\n\u003cp>\u003cem>“I feel alive with all my might,”\u003c/em> she sings. \u003cem>“My life is so bright. My life is so bright.”\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Behavioral health coverage is supported by a grant from the California Health Care Foundation.\u003c/em>\u003cem> \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Gov. Gavin Newsom proposed a plan Thursday to offer more services to unhoused people who have severe mental health and substance use disorders, even if that means forcing some to receive that care, a move many advocates of the unhoused consider a blatant violation of civil rights.\u003c/p>\n\u003cp>The governor said at a press conference that he has no intention of rounding people up and locking them away. Instead, he said his plan would offer a way for people to get court-ordered psychiatric treatment, medication and housing, preferably before they are arrested.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Gov. Gavin Newsom\"]‘There’s no compassion stepping over people in the streets and sidewalks. We could hold hands, have a candlelight vigil, talk about the way the world should be, or we could take some damn responsibility to implement our ideals, and that’s what we’re doing differently here.’[/pullquote]Under the plan, which requires approval by the Legislature, all counties would have to set up a mental health branch in civil court and provide comprehensive and community-based treatment to those suffering from debilitating psychosis. People need not be homeless to be evaluated by a court.\u003c/p>\n\u003cp>But if approved, unhoused people facing criminal charges would be obligated to accept the care or risk adjudication. Those not facing charges, but deemed in need of care, would be potentially forced into psychiatric programs or lengthier conservatorships, in which a court authorizes other adults to make health and legal decisions for them.\u003c/p>\n\u003cp>“There’s no compassion stepping over people in the streets and sidewalks,” Newsom told reporters during the briefing, staged at a mental health treatment facility in San José. “We could hold hands, have a candlelight vigil, talk about the way the world should be, or we could take some damn responsibility to implement our ideals, and that’s what we’re doing differently here.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Newsom, the former mayor of San Francisco, has made homelessness and housing a focus of his administration. Last year, the Legislature approved $12 billion for new housing and treatment beds for the unhoused, and this year Newsom has proposed an additional $2 billion primarily to shelter people suffering from psychosis, schizophrenia and behavioral health disorders.\u003c/p>\n\u003cp>The governor’s office plans to boost the program with more money for psychologists, treatment beds and services, although officials did not provide an estimate of how much it might cost.\u003c/p>\n\u003cp>Newsom has frequently referred to distressing behavior that’s become increasingly common on the streets in some California cities, calling it heartbreaking and maddening and saying residents are right to complain that government is not doing enough.\u003c/p>\n\u003cp>People with addiction issues or mental health disorders \u003ca href=\"https://apnews.com/article/lifestyle-health-arrests-only-on-ap-81d7a75c445a73709ff31e12d99583ce\">often pinball among various\u003c/a> public agencies, namely hospitals, courts and jails. There is rarely one single place that manages someone’s health and offers steady and safe housing, combined with resource-intensive care.\u003c/p>\n\u003cp>California, like the rest of the country, suffers from a severe shortage of treatment beds.\u003c/p>\n\u003cp>“One of the most heartbreaking, heart-wrenching and yet curable challenges that we face … is how do we serve the needs of individuals who are the sickest of the sick?” Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, said in advance of Newsom’s announcement.\u003c/p>\n\u003cp>Ghaly said he expects the program, called Care Court, to apply to as many as 12,000 people in California, not all of whom need to be unhoused.\u003c/p>\n\u003cp>Compare that to just over 200 people forced into court-ordered treatment last year under Laura’s Law, a state program for people with severe and persistent mental illness who may pose a risk to themselves or others, he said. The program is optional, and just over half of California’s 58 counties participate.\u003c/p>\n\u003cp>The governor said that, under his proposal, those in need would have a say in their treatment plan and have a public defender to represent them. Most importantly, the proposal allows a broader array of people, including family members, outreach workers and first responders, to refer the person for help, he said. Care could last up to 24 months.[aside label=\"Related Coverage\" tag=\"homelessness\"]But the idea of forcing people into treatment rattled some civil rights defenders and advocates of the unhoused. Meanwhile, the California State Association of Counties quickly objected to the requirements, citing the burden it would place on individual counties.\u003c/p>\n\u003cp>“At this point there are a million questions and a million things that could go horribly wrong,” said Kevin Baker, director of government relations for ACLU California Action, in an email. He said homelessness is caused by skyrocketing housing costs “and we won’t solve homelessness, mental health, or substance abuse problems by locking people up and drugging them against their will.”\u003c/p>\n\u003cp>The Western Center on Law and Poverty pointed to a 2020 state audit that found many people put under conservatorship wound up with limited treatment and follow-up.\u003c/p>\n\u003cp>“Forcing people into temporary hospitalization will not help individuals move out of homelessness when there are not enough services or housing units to begin with,” it said in a statement.\u003c/p>\n\u003cp>Still, others contend that mandated treatment is necessary for some who are too sick to realize they need care.\u003c/p>\n\u003cp>In San Francisco, a state law designed to get more people into conservatorships has resulted in just two people being forced into care, said Rafael Mandelman, a city supervisor, describing how he has watched helplessly as unhoused residents languish outdoors.\u003c/p>\n\u003cp>Mandelman says he would welcome more money for emergency psychiatric treatment beds and staffing. But he says there also needs to be a major change in both the deployment of resources and in the way judges think.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We also clearly need better systems that are able to respond to the needs of this population much better,” he said, “and we need laws that are clear to judges, and that reflect the expectations of the community.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Under the plan, which requires approval by the Legislature, all counties would have to set up a mental health branch in civil court and provide comprehensive and community-based treatment to those suffering from debilitating psychosis. People need not be homeless to be evaluated by a court.\u003c/p>\n\u003cp>But if approved, unhoused people facing criminal charges would be obligated to accept the care or risk adjudication. Those not facing charges, but deemed in need of care, would be potentially forced into psychiatric programs or lengthier conservatorships, in which a court authorizes other adults to make health and legal decisions for them.\u003c/p>\n\u003cp>“There’s no compassion stepping over people in the streets and sidewalks,” Newsom told reporters during the briefing, staged at a mental health treatment facility in San José. “We could hold hands, have a candlelight vigil, talk about the way the world should be, or we could take some damn responsibility to implement our ideals, and that’s what we’re doing differently here.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Newsom, the former mayor of San Francisco, has made homelessness and housing a focus of his administration. Last year, the Legislature approved $12 billion for new housing and treatment beds for the unhoused, and this year Newsom has proposed an additional $2 billion primarily to shelter people suffering from psychosis, schizophrenia and behavioral health disorders.\u003c/p>\n\u003cp>The governor’s office plans to boost the program with more money for psychologists, treatment beds and services, although officials did not provide an estimate of how much it might cost.\u003c/p>\n\u003cp>Newsom has frequently referred to distressing behavior that’s become increasingly common on the streets in some California cities, calling it heartbreaking and maddening and saying residents are right to complain that government is not doing enough.\u003c/p>\n\u003cp>People with addiction issues or mental health disorders \u003ca href=\"https://apnews.com/article/lifestyle-health-arrests-only-on-ap-81d7a75c445a73709ff31e12d99583ce\">often pinball among various\u003c/a> public agencies, namely hospitals, courts and jails. There is rarely one single place that manages someone’s health and offers steady and safe housing, combined with resource-intensive care.\u003c/p>\n\u003cp>California, like the rest of the country, suffers from a severe shortage of treatment beds.\u003c/p>\n\u003cp>“One of the most heartbreaking, heart-wrenching and yet curable challenges that we face … is how do we serve the needs of individuals who are the sickest of the sick?” Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, said in advance of Newsom’s announcement.\u003c/p>\n\u003cp>Ghaly said he expects the program, called Care Court, to apply to as many as 12,000 people in California, not all of whom need to be unhoused.\u003c/p>\n\u003cp>Compare that to just over 200 people forced into court-ordered treatment last year under Laura’s Law, a state program for people with severe and persistent mental illness who may pose a risk to themselves or others, he said. The program is optional, and just over half of California’s 58 counties participate.\u003c/p>\n\u003cp>The governor said that, under his proposal, those in need would have a say in their treatment plan and have a public defender to represent them. Most importantly, the proposal allows a broader array of people, including family members, outreach workers and first responders, to refer the person for help, he said. Care could last up to 24 months.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But the idea of forcing people into treatment rattled some civil rights defenders and advocates of the unhoused. Meanwhile, the California State Association of Counties quickly objected to the requirements, citing the burden it would place on individual counties.\u003c/p>\n\u003cp>“At this point there are a million questions and a million things that could go horribly wrong,” said Kevin Baker, director of government relations for ACLU California Action, in an email. He said homelessness is caused by skyrocketing housing costs “and we won’t solve homelessness, mental health, or substance abuse problems by locking people up and drugging them against their will.”\u003c/p>\n\u003cp>The Western Center on Law and Poverty pointed to a 2020 state audit that found many people put under conservatorship wound up with limited treatment and follow-up.\u003c/p>\n\u003cp>“Forcing people into temporary hospitalization will not help individuals move out of homelessness when there are not enough services or housing units to begin with,” it said in a statement.\u003c/p>\n\u003cp>Still, others contend that mandated treatment is necessary for some who are too sick to realize they need care.\u003c/p>\n\u003cp>In San Francisco, a state law designed to get more people into conservatorships has resulted in just two people being forced into care, said Rafael Mandelman, a city supervisor, describing how he has watched helplessly as unhoused residents languish outdoors.\u003c/p>\n\u003cp>Mandelman says he would welcome more money for emergency psychiatric treatment beds and staffing. But he says there also needs to be a major change in both the deployment of resources and in the way judges think.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We also clearly need better systems that are able to respond to the needs of this population much better,” he said, “and we need laws that are clear to judges, and that reflect the expectations of the community.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>If you were raised in a Latino household, you’ll know that when it comes to mental health, we don’t grow up talking about it.\u003c/p>\n\u003cp>Personally, neither of us (Isabeth and Naydeline) talked about it with our parents until college, when we both went to therapy for the first time. It wasn’t until we had the right language to discuss mental health that we felt comfortable enough to bring it up at home. So if the thought of admitting to your family that you’re struggling makes you tense up, we totally get it.\u003c/p>\n\u003cp>You’re not alone in your fear. A 2019 study found that in the U.S., \u003ca href=\"https://www.medicalnewstoday.com/articles/latino-mental-health#why-is-there-stigma\">Latinos access mental health care at nearly half the rate\u003c/a> of non-Hispanic white people. Shame and stigma play a huge role in discouraging folks from seeking mental health support in our communities — not to mention talking about it with loved ones.\u003c/p>\n\u003cp>As hard as it can be to bring up, there’s power and freedom that come from feeling safe in your mind and your body, and at home. If you want to explore having a conversation with your loved ones about mental health, we have some tips for you! You’ll hear from therapists, young people who have had the conversation and, of course, us.\u003c/p>\n\u003cfigure id=\"attachment_11904126\" class=\"wp-caption aligncenter\" style=\"max-width: 766px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11904126\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/02/Screen-Shot-2022-02-04-at-1.46.04-PM.png\" alt=\"The authors, smiling, with their mothers\" width=\"766\" height=\"312\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/Screen-Shot-2022-02-04-at-1.46.04-PM.png 766w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/Screen-Shot-2022-02-04-at-1.46.04-PM-160x65.png 160w\" sizes=\"(max-width: 766px) 100vw, 766px\">\u003cfigcaption class=\"wp-caption-text\">The authors, Isabeth Mendoza and Naydeline Mejia, pose with their mothers. Left: Hilda Mendoza and Isabeth Mendoza. Right: Naydeline Mejia and Elvira Castillo. \u003ccite>(Courtesy Isabeth Mendoza/Naydeline Mejia)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Work to understand your own mental health\u003c/h2>\n\u003cp>The more aware you are of your specific mental health struggles and needs, the better you will be able to communicate those needs to others. To start, understand that mental health isn’t stagnant and can change as your life changes. How you understood your mental health before might not be how you understand it now.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There are several ways you can learn how your emotions show up and interact with your body and mind. Therapy card decks, such as Ebony Butler’s \u003ca href=\"https://www.mytherapycards.com/\">My Therapy Cards\u003c/a>, made specifically for people of color, can be a great tool for reflection. Journaling, meditation and following licensed mental health professionals on Instagram can also be helpful. Some of our favorite people to follow are \u003ca href=\"https://www.instagram.com/josierosarionyc/\">Josie Rosario\u003c/a>, \u003ca href=\"https://www.instagram.com/_lisaolivera/\">Lisa Olivera\u003c/a>, \u003ca href=\"https://www.instagram.com/nedratawwab/\">Nedra Glover Tawwab\u003c/a> and \u003ca href=\"https://www.instagram.com/sitwithwhit/\">Whitney Goodman\u003c/a>.[aside label='Mental Health' tag='mental-health']\u003c/p>\n\u003cp>Here are a few book recommendations that speak to mental health-related topics such as intergenerational trauma and attachment styles:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.indiebound.org/book/9781942094470\">“My Grandmother’s Hands: Racialized Trauma and the Pathway to Mending Our Hearts and Bodies”\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.indiebound.org/book/9781101980385\">“It Didn’t Start With You: How Inherited Family Trauma Shapes Who We Are and How to End the Cycle”\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.indiebound.org/book/9781585429134\">“Attached: The New Science of Adult Attachment and How It Can Help You Find — and Keep — Love”\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>And of course, there’s therapy! Therapy can be a scary process, but having the right mental health professional on your side can help you work through things that you might not be able to on your own. Some therapist directories you can look into are \u003ca href=\"https://latinxtherapy.com/\">Latinx Therapy\u003c/a>, \u003ca href=\"https://www.therapyforlatinx.com/\">Therapy for Latinx\u003c/a>, \u003ca href=\"https://www.psychologytoday.com/us\">Psychology Today\u003c/a>, \u003ca href=\"https://providers.therapyforblackgirls.com/\">Therapy for Black Girls\u003c/a> and \u003ca href=\"https://openpathcollective.org/\">Open Path Psychotherapy Collective\u003c/a>.\u003c/p>\n\u003ch2>Reflect on your ‘why’\u003c/h2>\n\u003cp>After you have a better understanding of your mental health, the next step is to establish why you want to talk about it with your family. You may not feel that sharing this part of your life is important, and that’s OK. But for those who do, this step is essential.\u003c/p>\n\u003cp>For some people we spoke to, like \u003ca href=\"https://www.figgybaby.com/\">Figgy Baby\u003c/a>, 30, a musical artist and co-founder of \u003ca href=\"https://www.instagram.com/bloomhomie/?hl=en\">Bloom Homie\u003c/a>, a collective of “homies reimagining masculinity,” they want to be able to be their full authentic selves with their family members — that’s one “why.”\u003c/p>\n\u003cp>“I want home and family to be a space where I can be my free-est self. I’ll admit that it’s not, but little by little it can be more and more,” says Figgy. “And I feel like taking this leap of being vulnerable and shameless with my folks only allows space for deeper connections with my family.”\u003c/p>\n\u003cfigure class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium\" src=\"https://media.npr.org/assets/img/2022/01/14/latinx-mental-health-families_3-copy_custom-a7676189e22193ae1eabc7b0184bcbeebdc17211-s800-c85.webp\" alt=\"Pictures of the Figueroa Family with the children young and the children as adults.\" width=\"800\" height=\"417\">\u003cfigcaption class=\"wp-caption-text\">Figgy Baby, born Andrew Figueroa, is pictured here with his family. From left to right in photo at left: Felicity Figueroa, Paul Figueroa, Eduardo Figueroa and Figgy Baby.\u003c/figcaption>\u003c/figure>\n\u003cp>For others, they want to talk about mental health at home because it helps to normalize the conversation as well as break down stigmas. Have you ever heard “el dicho,” “la ropa sucia se lava en casa” (don’t air your dirty laundry in public) or heard a family member shaming a relative with a diagnosis by calling them “loco”? These are all \u003ca href=\"https://namica.org/mental-health-challenges-in-latino-communities/\">cultural stigmas\u003c/a> prevalent in the Latino community.\u003c/p>\n\u003cp>And while it’s easy to laugh about — and maybe \u003ca href=\"https://www.latimes.com/california/story/2021-12-06/how-latinos-are-bonding-over-first-generation-trauma\">even bond over\u003c/a> — these shared traumas, we can’t deny the real-world implications these ideas have on our collective well-being. It’s through open and honest conversations with the people around us that we can help shatter these outdated narratives.\u003c/p>\n\u003ch2>Come prepared to have the conversation, and have an after-care plan, too\u003c/h2>\n\u003cp>After establishing your “why,” then it’s time to actually \u003cem>have\u003c/em> the conversation. This type of conversation can feel emotionally and mentally daunting, so we suggest entering it with humility and love — and maybe even a plan of action.\u003c/p>\n\u003cp>Kayla Zapata Fory, 29, scripted out what she wanted to say to her parents before having that conversation with them. Scripting can be a helpful tool if you get nervous during difficult discussions and want to make sure you’re laying it all on the table when you have the talk.\u003c/p>\n\u003cp>\u003ca href=\"https://traumacounselingnyc.com/nataliegutierrezlmft/\">Natalie Gutierrez\u003c/a>, a licensed marriage and family therapist who specializes in trauma and is based in New York and New Jersey, suggests starting off by saying something along the lines of:\u003c/p>\n\u003cblockquote>\u003cp>\u003cem>I’m struggling to love me, and I’m struggling to know who I am, and I really want to heal\u003c/em>.\u003c/p>\u003c/blockquote>\n\u003cp>You want to be sure to share your struggles with your loved ones in a way they’ll understand, so in addition to sharing your medical diagnosis — if you have one and choose to share — it might also be helpful to share your symptoms using simple language. For example, you can say: “When I’m driving, I get really nervous that I might hit something or get into an accident,” as a way to describe anxiety.[aside postID=perspectives_201601140725 label='More Stories On Latino Mental Health']You might get some pushback from your family, so be prepared to redirect the conversation when you feel your parents or loved ones reacting negatively. Remind them that your mental health journey is about \u003cem>you\u003c/em> wanting to be your best self and might have nothing to do with them.\u003c/p>\n\u003cp>\u003ca href=\"https://thecitypsychotherapy.com/\">Daniel Olavarría\u003c/a>, a licensed clinical social worker who serves clients in New York, California and Florida, says you can say:\u003c/p>\n\u003cblockquote>\u003cp>\u003cem>No, Mom. No, Dad. It’s not your fault. The world is moving quickly, things are changing and this is what people are doing now to show up as the healthiest version of themselves. I know that you didn’t have time to take care of yourself, but thank you so much for what you did [for me], because now I do. \u003c/em>\u003c/p>\u003c/blockquote>\n\u003cp>Nevertheless, we recognize that parents aren’t perfect! If your family members may have negatively contributed to your mental health, you can show compassion for their errors while still honoring your reality.\u003c/p>\n\u003cp>After sharing your diagnosis or struggles with your family, it’s important to reflect on what support you might need from them. This is also an opportunity to share where you’d like to set boundaries to create a safer environment for yourself. (There’s a whole Life Kit episode on \u003ca href=\"https://www.npr.org/2021/01/25/960423678/how-to-set-boundaries-with-family-and-stick-to-them\">setting boundaries with family\u003c/a>.)\u003c/p>\n\u003cp>After all is said and done, it can be beneficial to have a plan for how you’ll take care of yourself afterward. You might want to set some time for a walk, call a friend to debrief or \u003ca href=\"https://www.npr.org/2020/06/11/875054593/not-sure-what-youre-feeling-journaling-can-help\">journal\u003c/a> — anything that will help you decompress. This may be one of many conversations with loved ones, so it’s important to have self-care tools for when things get too heavy.\u003c/p>\n\u003ch2>Put yourself first\u003c/h2>\n\u003cp>Through it all, remember to put yourself and your healing first!\u003c/p>\n\u003cfigure class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://media.npr.org/assets/img/2022/01/14/latinx-mental-health-families4_custom-d305217bc9168fb3d6bed4b3cc256c1040c65b56-s300-c85.webp\" alt=\"Reza Cristián Moreno is pictured here with her grandparents, Judy Ghaffari and John Trujillo, who have been integral supports on her mental health journey.\" width=\"300\" height=\"381\">\u003cfigcaption class=\"wp-caption-text\">Reza Cristián Moreno is pictured here with her grandparents, Judy Ghaffari and John Trujillo, who have been integral supports on her mental health journey.\u003c/figcaption>\u003c/figure>\n\u003cp>Although family may be super-important to many of us in the Latinx community, your healing journey may or may not include them — it didn’t include some family members for Reza Cristián Moreno, 26.\u003c/p>\n\u003cp>She offers this advice for people whose parents aren’t as understanding and might also be going through their own healing journeys: “We grow up understanding that family values are everything. But I think the advice that I’ve learned from my therapist is that it’s OK to put yourself first and your needs first.”\u003c/p>\n\u003cp>Just because you are putting yourself first doesn’t mean you don’t care deeply about your folks. Gutierrez reminds us, “We may need to disappoint people if it means that we are healing ourselves and tending to what feels right within us.” Healing starts by being vulnerable, and that’s pretty brave — not selfish.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Have you talked to your Latino loved ones about mental health or therapy? Share the tips that worked for you. Send us a note to \u003c/strong>\u003c/em>\u003ca href=\"mailto:lifekit@npr.org\">\u003cem>\u003cstrong>lifekit@npr.org\u003c/strong>\u003c/em>\u003c/a>\u003cem>\u003cstrong>. \u003c/strong>\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/naydeline_mejia\">\u003cem>Naydeline Mejia\u003c/em>\u003c/a>\u003cem> is a freelance writer and editor based in the Bronx, New York. \u003c/em>\u003ca href=\"https://twitter.com/IsabethKahlo\">\u003cem>Isabeth Mendoza\u003c/em>\u003c/a>\u003cem> is a freelance producer based in Los Angeles. \u003c/em>\u003c/p>\n\u003cp>\u003cem>The audio portion of this episode was produced by Sylvie Douglis, with engineering support from Gilly Moon. \u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>If you love Life Kit and want more,\u003c/em>\u003ca href=\"https://www.npr.org/newsletter/life-kit\">\u003cem> subscribe to our newsletter\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=4+tips+for+talking+to+your+Latinx+parents+about+mental+health&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>If you were raised in a Latino household, you’ll know that when it comes to mental health, we don’t grow up talking about it.\u003c/p>\n\u003cp>Personally, neither of us (Isabeth and Naydeline) talked about it with our parents until college, when we both went to therapy for the first time. It wasn’t until we had the right language to discuss mental health that we felt comfortable enough to bring it up at home. So if the thought of admitting to your family that you’re struggling makes you tense up, we totally get it.\u003c/p>\n\u003cp>You’re not alone in your fear. A 2019 study found that in the U.S., \u003ca href=\"https://www.medicalnewstoday.com/articles/latino-mental-health#why-is-there-stigma\">Latinos access mental health care at nearly half the rate\u003c/a> of non-Hispanic white people. Shame and stigma play a huge role in discouraging folks from seeking mental health support in our communities — not to mention talking about it with loved ones.\u003c/p>\n\u003cp>As hard as it can be to bring up, there’s power and freedom that come from feeling safe in your mind and your body, and at home. If you want to explore having a conversation with your loved ones about mental health, we have some tips for you! You’ll hear from therapists, young people who have had the conversation and, of course, us.\u003c/p>\n\u003cfigure id=\"attachment_11904126\" class=\"wp-caption aligncenter\" style=\"max-width: 766px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11904126\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/02/Screen-Shot-2022-02-04-at-1.46.04-PM.png\" alt=\"The authors, smiling, with their mothers\" width=\"766\" height=\"312\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/Screen-Shot-2022-02-04-at-1.46.04-PM.png 766w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/02/Screen-Shot-2022-02-04-at-1.46.04-PM-160x65.png 160w\" sizes=\"(max-width: 766px) 100vw, 766px\">\u003cfigcaption class=\"wp-caption-text\">The authors, Isabeth Mendoza and Naydeline Mejia, pose with their mothers. Left: Hilda Mendoza and Isabeth Mendoza. Right: Naydeline Mejia and Elvira Castillo. \u003ccite>(Courtesy Isabeth Mendoza/Naydeline Mejia)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>Work to understand your own mental health\u003c/h2>\n\u003cp>The more aware you are of your specific mental health struggles and needs, the better you will be able to communicate those needs to others. To start, understand that mental health isn’t stagnant and can change as your life changes. How you understood your mental health before might not be how you understand it now.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There are several ways you can learn how your emotions show up and interact with your body and mind. Therapy card decks, such as Ebony Butler’s \u003ca href=\"https://www.mytherapycards.com/\">My Therapy Cards\u003c/a>, made specifically for people of color, can be a great tool for reflection. Journaling, meditation and following licensed mental health professionals on Instagram can also be helpful. Some of our favorite people to follow are \u003ca href=\"https://www.instagram.com/josierosarionyc/\">Josie Rosario\u003c/a>, \u003ca href=\"https://www.instagram.com/_lisaolivera/\">Lisa Olivera\u003c/a>, \u003ca href=\"https://www.instagram.com/nedratawwab/\">Nedra Glover Tawwab\u003c/a> and \u003ca href=\"https://www.instagram.com/sitwithwhit/\">Whitney Goodman\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Here are a few book recommendations that speak to mental health-related topics such as intergenerational trauma and attachment styles:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.indiebound.org/book/9781942094470\">“My Grandmother’s Hands: Racialized Trauma and the Pathway to Mending Our Hearts and Bodies”\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.indiebound.org/book/9781101980385\">“It Didn’t Start With You: How Inherited Family Trauma Shapes Who We Are and How to End the Cycle”\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.indiebound.org/book/9781585429134\">“Attached: The New Science of Adult Attachment and How It Can Help You Find — and Keep — Love”\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>And of course, there’s therapy! Therapy can be a scary process, but having the right mental health professional on your side can help you work through things that you might not be able to on your own. Some therapist directories you can look into are \u003ca href=\"https://latinxtherapy.com/\">Latinx Therapy\u003c/a>, \u003ca href=\"https://www.therapyforlatinx.com/\">Therapy for Latinx\u003c/a>, \u003ca href=\"https://www.psychologytoday.com/us\">Psychology Today\u003c/a>, \u003ca href=\"https://providers.therapyforblackgirls.com/\">Therapy for Black Girls\u003c/a> and \u003ca href=\"https://openpathcollective.org/\">Open Path Psychotherapy Collective\u003c/a>.\u003c/p>\n\u003ch2>Reflect on your ‘why’\u003c/h2>\n\u003cp>After you have a better understanding of your mental health, the next step is to establish why you want to talk about it with your family. You may not feel that sharing this part of your life is important, and that’s OK. But for those who do, this step is essential.\u003c/p>\n\u003cp>For some people we spoke to, like \u003ca href=\"https://www.figgybaby.com/\">Figgy Baby\u003c/a>, 30, a musical artist and co-founder of \u003ca href=\"https://www.instagram.com/bloomhomie/?hl=en\">Bloom Homie\u003c/a>, a collective of “homies reimagining masculinity,” they want to be able to be their full authentic selves with their family members — that’s one “why.”\u003c/p>\n\u003cp>“I want home and family to be a space where I can be my free-est self. I’ll admit that it’s not, but little by little it can be more and more,” says Figgy. “And I feel like taking this leap of being vulnerable and shameless with my folks only allows space for deeper connections with my family.”\u003c/p>\n\u003cfigure class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium\" src=\"https://media.npr.org/assets/img/2022/01/14/latinx-mental-health-families_3-copy_custom-a7676189e22193ae1eabc7b0184bcbeebdc17211-s800-c85.webp\" alt=\"Pictures of the Figueroa Family with the children young and the children as adults.\" width=\"800\" height=\"417\">\u003cfigcaption class=\"wp-caption-text\">Figgy Baby, born Andrew Figueroa, is pictured here with his family. From left to right in photo at left: Felicity Figueroa, Paul Figueroa, Eduardo Figueroa and Figgy Baby.\u003c/figcaption>\u003c/figure>\n\u003cp>For others, they want to talk about mental health at home because it helps to normalize the conversation as well as break down stigmas. Have you ever heard “el dicho,” “la ropa sucia se lava en casa” (don’t air your dirty laundry in public) or heard a family member shaming a relative with a diagnosis by calling them “loco”? These are all \u003ca href=\"https://namica.org/mental-health-challenges-in-latino-communities/\">cultural stigmas\u003c/a> prevalent in the Latino community.\u003c/p>\n\u003cp>And while it’s easy to laugh about — and maybe \u003ca href=\"https://www.latimes.com/california/story/2021-12-06/how-latinos-are-bonding-over-first-generation-trauma\">even bond over\u003c/a> — these shared traumas, we can’t deny the real-world implications these ideas have on our collective well-being. It’s through open and honest conversations with the people around us that we can help shatter these outdated narratives.\u003c/p>\n\u003ch2>Come prepared to have the conversation, and have an after-care plan, too\u003c/h2>\n\u003cp>After establishing your “why,” then it’s time to actually \u003cem>have\u003c/em> the conversation. This type of conversation can feel emotionally and mentally daunting, so we suggest entering it with humility and love — and maybe even a plan of action.\u003c/p>\n\u003cp>Kayla Zapata Fory, 29, scripted out what she wanted to say to her parents before having that conversation with them. Scripting can be a helpful tool if you get nervous during difficult discussions and want to make sure you’re laying it all on the table when you have the talk.\u003c/p>\n\u003cp>\u003ca href=\"https://traumacounselingnyc.com/nataliegutierrezlmft/\">Natalie Gutierrez\u003c/a>, a licensed marriage and family therapist who specializes in trauma and is based in New York and New Jersey, suggests starting off by saying something along the lines of:\u003c/p>\n\u003cblockquote>\u003cp>\u003cem>I’m struggling to love me, and I’m struggling to know who I am, and I really want to heal\u003c/em>.\u003c/p>\u003c/blockquote>\n\u003cp>You want to be sure to share your struggles with your loved ones in a way they’ll understand, so in addition to sharing your medical diagnosis — if you have one and choose to share — it might also be helpful to share your symptoms using simple language. For example, you can say: “When I’m driving, I get really nervous that I might hit something or get into an accident,” as a way to describe anxiety.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>You might get some pushback from your family, so be prepared to redirect the conversation when you feel your parents or loved ones reacting negatively. Remind them that your mental health journey is about \u003cem>you\u003c/em> wanting to be your best self and might have nothing to do with them.\u003c/p>\n\u003cp>\u003ca href=\"https://thecitypsychotherapy.com/\">Daniel Olavarría\u003c/a>, a licensed clinical social worker who serves clients in New York, California and Florida, says you can say:\u003c/p>\n\u003cblockquote>\u003cp>\u003cem>No, Mom. No, Dad. It’s not your fault. The world is moving quickly, things are changing and this is what people are doing now to show up as the healthiest version of themselves. I know that you didn’t have time to take care of yourself, but thank you so much for what you did [for me], because now I do. \u003c/em>\u003c/p>\u003c/blockquote>\n\u003cp>Nevertheless, we recognize that parents aren’t perfect! If your family members may have negatively contributed to your mental health, you can show compassion for their errors while still honoring your reality.\u003c/p>\n\u003cp>After sharing your diagnosis or struggles with your family, it’s important to reflect on what support you might need from them. This is also an opportunity to share where you’d like to set boundaries to create a safer environment for yourself. (There’s a whole Life Kit episode on \u003ca href=\"https://www.npr.org/2021/01/25/960423678/how-to-set-boundaries-with-family-and-stick-to-them\">setting boundaries with family\u003c/a>.)\u003c/p>\n\u003cp>After all is said and done, it can be beneficial to have a plan for how you’ll take care of yourself afterward. You might want to set some time for a walk, call a friend to debrief or \u003ca href=\"https://www.npr.org/2020/06/11/875054593/not-sure-what-youre-feeling-journaling-can-help\">journal\u003c/a> — anything that will help you decompress. This may be one of many conversations with loved ones, so it’s important to have self-care tools for when things get too heavy.\u003c/p>\n\u003ch2>Put yourself first\u003c/h2>\n\u003cp>Through it all, remember to put yourself and your healing first!\u003c/p>\n\u003cfigure class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://media.npr.org/assets/img/2022/01/14/latinx-mental-health-families4_custom-d305217bc9168fb3d6bed4b3cc256c1040c65b56-s300-c85.webp\" alt=\"Reza Cristián Moreno is pictured here with her grandparents, Judy Ghaffari and John Trujillo, who have been integral supports on her mental health journey.\" width=\"300\" height=\"381\">\u003cfigcaption class=\"wp-caption-text\">Reza Cristián Moreno is pictured here with her grandparents, Judy Ghaffari and John Trujillo, who have been integral supports on her mental health journey.\u003c/figcaption>\u003c/figure>\n\u003cp>Although family may be super-important to many of us in the Latinx community, your healing journey may or may not include them — it didn’t include some family members for Reza Cristián Moreno, 26.\u003c/p>\n\u003cp>She offers this advice for people whose parents aren’t as understanding and might also be going through their own healing journeys: “We grow up understanding that family values are everything. But I think the advice that I’ve learned from my therapist is that it’s OK to put yourself first and your needs first.”\u003c/p>\n\u003cp>Just because you are putting yourself first doesn’t mean you don’t care deeply about your folks. Gutierrez reminds us, “We may need to disappoint people if it means that we are healing ourselves and tending to what feels right within us.” Healing starts by being vulnerable, and that’s pretty brave — not selfish.\u003c/p>\n\u003cp>\u003cem>\u003cstrong>Have you talked to your Latino loved ones about mental health or therapy? Share the tips that worked for you. Send us a note to \u003c/strong>\u003c/em>\u003ca href=\"mailto:lifekit@npr.org\">\u003cem>\u003cstrong>lifekit@npr.org\u003c/strong>\u003c/em>\u003c/a>\u003cem>\u003cstrong>. \u003c/strong>\u003c/em>\u003c/p>\n\u003cp>\u003ca href=\"https://twitter.com/naydeline_mejia\">\u003cem>Naydeline Mejia\u003c/em>\u003c/a>\u003cem> is a freelance writer and editor based in the Bronx, New York. \u003c/em>\u003ca href=\"https://twitter.com/IsabethKahlo\">\u003cem>Isabeth Mendoza\u003c/em>\u003c/a>\u003cem> is a freelance producer based in Los Angeles. \u003c/em>\u003c/p>\n\u003cp>\u003cem>The audio portion of this episode was produced by Sylvie Douglis, with engineering support from Gilly Moon. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>If you love Life Kit and want more,\u003c/em>\u003ca href=\"https://www.npr.org/newsletter/life-kit\">\u003cem> subscribe to our newsletter\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2022 NPR. To see more, visit www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=4+tips+for+talking+to+your+Latinx+parents+about+mental+health&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"slug": "underpaid-and-burned-out-many-outreach-workers-for-unhoused-californians-are-leaving-their-jobs",
"title": "Underpaid and Burned Out: Many Outreach Workers for Unhoused Californians Are Leaving Their Jobs",
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"content": "\u003cp>\u003ca href=\"https://calmatters.org/calmatters-en-espanol/2022/01/la-escasez-de-trabajadores-sociales-podria-bloquear-la-estrategia-para-indigentes-en-california/\">\u003cem>Leer en español.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>In the middle of March last year,\u003ca href=\"https://www.latimes.com/homeless-housing/story/2021-03-13/echo-park-encampment-exposes-bigger-la-homeless-issues\"> Los Angeles officials were gearing up to clear an encampment of 200 unhoused persons\u003c/a> at Echo Park Lake.\u003c/p>\n\u003cp>For Denise Velazquez, 53, then an outreach worker with the Los Angeles Homeless Services Authority, her task was clear: Get 10 people indoors.\u003c/p>\n\u003cp>She helped her clients — who were cold, tired and desperate to shower — pack their bags and sign intake forms. She gave them hope that warmth was around the corner: hotel rooms under \u003ca href=\"https://calmatters.org/california-divide/2022/01/california-homeless-permanent-supportive-housing/\">Project Roomkey, the state’s program to shelter unhoused people most at risk of catching COVID-19\u003c/a>.\u003c/p>\n\u003cp>But orders changed overnight. Her agency had access to only three beds, and when she told her clients, they yelled, spit and lunged at her partner. Velazquez says she broke their trust — and that broke her heart.\u003c/p>\n\u003cp>“My stomach is feeling so uncomfortable and heart broken,” Velazquez wrote in an email to her supervisor on March 18, 2021.\u003c/p>\n\u003cp>LAHSA spokesperson Ahmad Chapman said various local service providers placed 176 of those at the Echo Park encampment in interim housing programs.\u003c/p>\n\u003cp>In the weeks that followed, Velazquez said her health deteriorated. Her blood pressure spiked, her diabetes worsened, and her anxiety and depression spiraled. Her employer granted her a medical leave of absence, but therapy revealed that the only way to heal, she said, was to quit. Abandoning her clients broke her heart all over again.\u003c/p>\n\u003cfigure id=\"attachment_11903130\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903130\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03.jpg\" alt=\"Two hands hold up a pair of boots. The boots are very worn out and stained with dirt and water.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Denise Velazquez holds the boots she got when she started working in homelessness outreach. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Turnover has long plagued the homeless services field. COVID-19 has only made the problem worse as \u003ca href=\"https://calmatters.org/series/california-workers-covid/\">the omicron surge causes worker shortages across California’s economy\u003c/a>. And without enough service workers, the state’s ambitious, multibillion-dollar strategy for reducing homelessness is unlikely to work.\u003c/p>\n\u003cp>Most people who enter social work know to expect small paychecks; they’re driven by compassion and a desire for positive change. But caring too much can be crushing when \u003ca href=\"https://calmatters.org/housing/homeless/2021/11/california-homeless-camps-clearing-plan/\">housing is elusive\u003c/a>, \u003ca href=\"https://calmatters.org/projects/mentally-ill-forced-treatment-conservatorship-california-debate/\">mental health services scant\u003c/a>, and communication splintered among the myriad entities who decide the fate of the unhoused.\u003c/p>\n\u003cp>“We’re paying these folks pennies on the dollar to burn themselves out completely,” said Tami McVay, assistant program director at \u003ca href=\"https://www.selfhelpenterprises.org/\">Self-Help Enterprises\u003c/a>, which serves lower-income communities in the San Joaquin Valley.\u003c/p>\n\u003cp>[aside postID=\"news_11901253\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/09/021_SanFrancisco_NewsomRecallEvent_09142021-1020x680.jpg\"]When you bring up staff turnover or vacancies with any provider or advocate, they nod vigorously. The mostly government-contracted private organizations serving people experiencing homelessness have waged an uphill battle to recruit and retain workers into their fast-growing workforce, including some formerly homeless individuals.\u003c/p>\n\u003cp>LA-based \u003ca href=\"https://epath.org/\">People Assisting the Homeless\u003c/a>, or PATH, which serves about a fifth of the state’s unhoused population, has hired seven recruiters to help fill 340 vacancies, out of 1,100 jobs, said CEO Jennifer Hark Dietz. It’s now taking an average of four months to fill any given spot.\u003c/p>\n\u003cp>And that’s before the latest homelessness budget, approved last summer by Gov. Gavin Newsom and the Legislature, \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/#a5795160-28e3-11ea-963d-8304ae9d247c\">floods providers with $12 billion over the next two years\u003c/a>. The state says the funding will require thousands of new positions in the homeless response system.\u003c/p>\n\u003cp>“We have all this money,” said Farrah McDaid Ting, a senior legislative representative with the California State Association of Counties. “Can we really do this if we don’t have the people? I think there could be a real limitation.”\u003c/p>\n\u003cfigure id=\"attachment_11903126\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903126\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05.jpg\" alt=\"Mel Tillekeratne stands against one of the walls of a Shower of Hope facility.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Mel Tillekeratne, executive director of The Shower of Hope. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Good jobs wanted\u003c/h3>\n\u003cp>At the root of the worker shortage — which advocates say is really a shortage of good jobs — is low wages. Most homeless services organizations CalMatters spoke with pay starting frontline workers between $16 and $18 an hour, barely higher than minimum wage. They openly admit it’s far too little for the grueling labor, and often isn’t enough to live in expensive California cities.\u003c/p>\n\u003cp>“In the homeless services sector, it’s like: You didn’t get this paperwork in on time, I lost my housing, or my legs are hurting, I think I might have a blood clot,” said Mel Tillekeratne, executive director of \u003ca href=\"http://theshowerofhope.org/\">The Shower of Hope, which runs 22 mobile shower sites across Los Angeles County\u003c/a>. “It’s an unbelievably high amount of stress. I’ve seen so many outreach workers completely checked out.”\u003c/p>\n\u003cp>According to the U.S. Bureau of Labor Statistics, people employed in emergency and other relief services — including homeless service providers — \u003ca href=\"https://data.bls.gov/PDQWeb/en\">made an average annual salary of $49,616 in 2020\u003c/a>.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Earl Edwards, doctoral candidate at UCLA\"]‘A lot of individuals didn’t see a pathway for them to stay doing this work.’[/pullquote]Why not pay more? Tillekeratne says government contracts usually cap personnel costs. He had to raise money privately, for example, to offer hazard pay at the start of the pandemic. Federal and state grants usually come in bursts and have short timelines, forcing organizations to fill temporary positions before they expire.\u003c/p>\n\u003cp>If they don’t leave homeless services completely, workers will switch jobs for $1 or $2 more an hour. Or, if they get promoted, they often lose direct contact with clients, adding to a sense that frontline work is undervalued, said Earl Edwards, a doctoral candidate at the University of California, Los Angeles \u003ca href=\"https://www.capolicylab.org/wp-content/uploads/2021/10/Inequity-in-the-PSH-System-in-Los-Angeles.pdf\">who interviewed 11 case managers\u003c/a>.\u003c/p>\n\u003cp>“A lot of individuals didn’t see a pathway for them to stay doing this work,” Edwards said.\u003c/p>\n\u003cp>Most organizations that serve unhoused individuals often hire people who are just exiting homelessness themselves: “That also adds an additional level of trauma,” he said. Shelter workers in Fresno constantly reach out about “unstable living arrangements of their own, asking for housing,” said Katie Wilbur, executive director of \u003ca href=\"https://www.rhcommunitybuilders.com/\">RH Community Builders\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11903133\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11.jpg\" alt=\"A person receives a haircut outdoors. The barber touches the hair of the person receiving the haircut.\" width=\"2000\" height=\"1331\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1920x1278.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A volunteer barber cuts an unhoused person’s hair at Trinity Church in Riverside. Those who are unhoused come once a week to the church where they are offered haircuts, clothes, food and a shower. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The fewer employees with master’s degrees in social work often earn higher salaries, but even those aren’t high enough to keep them from more lucrative jobs, explains \u003ca href=\"https://www.apu.edu/bas/faculty/dgallup/\">Donna Gallup\u003c/a>, an assistant professor at Azusa Pacific’s Department of Social Work, who runs a pilot program to recruit more students into the homeless services field.\u003c/p>\n\u003cp>“If you have an opportunity as a graduate student, with student debt, you may select a school, a hospital or another nonprofit where you are not having to work with a stigmatized population that is very demanding, and the work conditions, especially with COVID,” Gallup said. “It has been a challenge.”\u003c/p>\n\u003cp>[aside postID=\"news_11877585\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/06/RS49286_002_LakeCounty_ProjectHomekey_05142021-qut-1020x680.jpg\"]Newsom’s \u003ca href=\"https://calmatters.org/politics/2022/01/california-budget-newsom/\">proposed 2022 budget, which still has to be negotiated with the Legislature\u003c/a>, includes $1.7 billion over three years to expand the state’s health and human services workforce “with improved diversity, wages and health equity outcomes,” said Rodger Butler, a spokesperson for the \u003ca href=\"https://www.chhs.ca.gov/\">California Health and Human Services Agency\u003c/a>. But even that may not be enough.\u003c/p>\n\u003cp>“Until … funding is commensurate to offer living wages across positions in the sector, it’ll be hard to train our way out of this crisis,” said Mari Castaldi, senior legislative advocate on homelessness at \u003ca href=\"https://www.housingca.org/\">Housing California\u003c/a>.\u003c/p>\n\u003cp>To increase the wages of the lowest-paid workers, the nonprofit is calling for a supplemental appropriation — \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/#a5795160-28e3-11ea-963d-8304ae9d247c\">on top of $2 billion over two years in flexible spending in last year’s budget\u003c/a> that cities and counties will use to pay nonprofit partners to run most of these homelessness programs.\u003c/p>\n\u003cp>“We don’t think it makes sense to say to service providers, ‘You get to choose between serving the number of clients that you set forth to serve, or increasing wages,’” Castaldi said.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11903124\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12.jpg\" alt=\"\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003c/p>\n\u003ch3>\u003cstrong>Underpaid and burned out\u003c/strong>\u003c/h3>\n\u003cp>But pay is only one part of the problem, says Deborah Son, executive director of the National Association of Social Workers’ California chapter. She represents 9,000 of the state’s roughly 75,000 certified social workers — and says all of them are affected by\u003ca href=\"https://calmatters.org/explainers/housing-costs-high-california/\"> the severe shortage of affordable housing in California\u003c/a>.\u003c/p>\n\u003cp>“We can bulk up the workforce and get people jobs and create jobs,” she said, “but if we don’t create the housing structures that are necessary, and we’re talking about the intricate systems necessary, your efforts become moot.”\u003c/p>\n\u003cp>Following her stint at LAHSA, Velazquez found a new job at homeless services nonprofit \u003ca href=\"https://unionstationhs.org/\">Union Station Homeless Services\u003c/a> as a care coordinator, earning $24 an hour. Half of her 20 clients are in housing, and her job is to keep them there. Her other clients are trying — unsuccessfully since September — \u003ca href=\"https://calmatters.org/california-divide/2019/08/section-8-voucher-discrimination-california-housing-crisis/\">to get into a place using housing vouchers, which cover two-thirds of the rent\u003c/a>.\u003c/p>\n\u003cp>[aside postID=\"news_11870625\" hero=\"https://ww2.kqed.org/app/uploads/sites/10/2021/04/RS43040_011_KQED_SanFrancisco_TentEncampments_05052020-qut-1020x680.jpg\"]“There’s not enough apartments, and landlords don’t want them,” she said. “Legally [landlords] can’t say, ‘No, I’m not going to take a voucher.’ But they can say, ‘Oh, but your client has to have 650 credit score, and no evictions, and no criminal record.’”\u003c/p>\n\u003cp>“This is where the burnout comes,” she added. “It’s like, a case manager can do and do and do and we still feel we’re not doing it.”\u003c/p>\n\u003cp>In her new job, Velazquez said she feels heard when she brings up concerns. She gets a day off every two weeks to unwind, checks in with her supervisor regularly and participates in training and meditation.\u003c/p>\n\u003cp>Her own self-care is essential, too, she explains, holding up an angel aura quartz around her neck, which she uses to steel herself for difficult encounters. “This is like my sanctuary, away from everything,” she said, gesturing around her two-bedroom in Monterey Park. “When I sit in that chair, I feel like I’m getting a hug from my grandpa.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11903128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11.jpg\" alt=\"\" width=\"1200\" height=\"804\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-800x536.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-1020x683.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003c/p>\n\u003ch3>\u003cstrong>The impact on clients\u003c/strong>\u003c/h3>\n\u003cp>Clients feel the brunt of turnover just as acutely.\u003c/p>\n\u003cp>A recent study found that in the last decade, \u003ca href=\"https://www.capolicylab.org/inequity-in-the-psh-system-in-los-angeles/\">more than a fifth of the 16,026 people in Los Angeles placed in permanent supportive housing\u003c/a> — which pairs rental assistance with case management, substance use programs and mental health treatment — plunged back into homelessness. Black tenants were the most likely to return to the streets or a shelter, and they cited high case-manager turnover as one of several factors.\u003c/p>\n\u003cp>“When you have a case manager who is trying to help you create long-term goals, but they’re only staying for three to six months, it prevents you from actually being able to follow through,” said Edwards of UCLA, a co-author of the study.\u003c/p>\n\u003cp>[aside label ='Related Coverage' tag='housing']Some tenants he spoke with were already on their sixth or seventh case manager while in permanent housing. In turn, some clients didn’t bother to learn their case manager’s names for a couple of months, making their jobs that much harder.\u003c/p>\n\u003cp>“Once you have one you can actually work with, next thing you know, you get a notice on your door, ‘Oh, well, hi, this will be my last week.’ And you’re like, ‘Damn. You just got here,’” said Theresa Winkler, who lives with her husband in permanent supportive housing in downtown LA’s Skid Row neighborhood.\u003c/p>\n\u003cp>Winkler, 58, said she has been living in permanent supportive housing for about a decade and was unhoused for about half her life before that. She said she has been clean from crack, heroin and alcohol for 15 years, and continues to seek help for post-traumatic stress disorder, anxiety and depression. But cycling through caseworker after caseworker — at least three in the last two years — is “straight frustrating.”\u003c/p>\n\u003cfigure id=\"attachment_11903122\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903122\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09.jpg\" alt=\"A wide shot of a multi-story residential structure.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Residences in the Skid Row Housing Trust in Skid Row in Los Angeles. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“With addiction, a relapse happens weeks before you pick up,” she explained. “If you know yourself and you see it coming, you’re able to go downstairs, talk to your caseworker, and tell her, ‘Hey, look, can I talk to you for a few minutes?’ But if you don’t have anybody you can trust to go in and talk to — because that’s the biggest word right there, trust — then hey, I’m back out there doing what I was doing in the beginning.”\u003c/p>\n\u003cp>Her husband, her doctors and her 12-step recovery program have helped her stay on track and find solace. So has reflecting on her progress.\u003c/p>\n\u003cp>“It’s nice for me to finally say, ‘You know what? I finally found peace,’” she said. “Because it’s hard to find peace. Look at where I’m at. I’m in the pits of hell.”\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Burnout and COVID are causing service workers for unhoused Californians to leave. Low pay makes it difficult to recruit new workers — but they're essential to the state's plans to reduce homelessness.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://calmatters.org/calmatters-en-espanol/2022/01/la-escasez-de-trabajadores-sociales-podria-bloquear-la-estrategia-para-indigentes-en-california/\">\u003cem>Leer en español.\u003c/em>\u003c/a>\u003c/p>\n\u003cp>In the middle of March last year,\u003ca href=\"https://www.latimes.com/homeless-housing/story/2021-03-13/echo-park-encampment-exposes-bigger-la-homeless-issues\"> Los Angeles officials were gearing up to clear an encampment of 200 unhoused persons\u003c/a> at Echo Park Lake.\u003c/p>\n\u003cp>For Denise Velazquez, 53, then an outreach worker with the Los Angeles Homeless Services Authority, her task was clear: Get 10 people indoors.\u003c/p>\n\u003cp>She helped her clients — who were cold, tired and desperate to shower — pack their bags and sign intake forms. She gave them hope that warmth was around the corner: hotel rooms under \u003ca href=\"https://calmatters.org/california-divide/2022/01/california-homeless-permanent-supportive-housing/\">Project Roomkey, the state’s program to shelter unhoused people most at risk of catching COVID-19\u003c/a>.\u003c/p>\n\u003cp>But orders changed overnight. Her agency had access to only three beds, and when she told her clients, they yelled, spit and lunged at her partner. Velazquez says she broke their trust — and that broke her heart.\u003c/p>\n\u003cp>“My stomach is feeling so uncomfortable and heart broken,” Velazquez wrote in an email to her supervisor on March 18, 2021.\u003c/p>\n\u003cp>LAHSA spokesperson Ahmad Chapman said various local service providers placed 176 of those at the Echo Park encampment in interim housing programs.\u003c/p>\n\u003cp>In the weeks that followed, Velazquez said her health deteriorated. Her blood pressure spiked, her diabetes worsened, and her anxiety and depression spiraled. Her employer granted her a medical leave of absence, but therapy revealed that the only way to heal, she said, was to quit. Abandoning her clients broke her heart all over again.\u003c/p>\n\u003cfigure id=\"attachment_11903130\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903130\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03.jpg\" alt=\"Two hands hold up a pair of boots. The boots are very worn out and stained with dirt and water.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN03-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Denise Velazquez holds the boots she got when she started working in homelessness outreach. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Turnover has long plagued the homeless services field. COVID-19 has only made the problem worse as \u003ca href=\"https://calmatters.org/series/california-workers-covid/\">the omicron surge causes worker shortages across California’s economy\u003c/a>. And without enough service workers, the state’s ambitious, multibillion-dollar strategy for reducing homelessness is unlikely to work.\u003c/p>\n\u003cp>Most people who enter social work know to expect small paychecks; they’re driven by compassion and a desire for positive change. But caring too much can be crushing when \u003ca href=\"https://calmatters.org/housing/homeless/2021/11/california-homeless-camps-clearing-plan/\">housing is elusive\u003c/a>, \u003ca href=\"https://calmatters.org/projects/mentally-ill-forced-treatment-conservatorship-california-debate/\">mental health services scant\u003c/a>, and communication splintered among the myriad entities who decide the fate of the unhoused.\u003c/p>\n\u003cp>“We’re paying these folks pennies on the dollar to burn themselves out completely,” said Tami McVay, assistant program director at \u003ca href=\"https://www.selfhelpenterprises.org/\">Self-Help Enterprises\u003c/a>, which serves lower-income communities in the San Joaquin Valley.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>When you bring up staff turnover or vacancies with any provider or advocate, they nod vigorously. The mostly government-contracted private organizations serving people experiencing homelessness have waged an uphill battle to recruit and retain workers into their fast-growing workforce, including some formerly homeless individuals.\u003c/p>\n\u003cp>LA-based \u003ca href=\"https://epath.org/\">People Assisting the Homeless\u003c/a>, or PATH, which serves about a fifth of the state’s unhoused population, has hired seven recruiters to help fill 340 vacancies, out of 1,100 jobs, said CEO Jennifer Hark Dietz. It’s now taking an average of four months to fill any given spot.\u003c/p>\n\u003cp>And that’s before the latest homelessness budget, approved last summer by Gov. Gavin Newsom and the Legislature, \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/#a5795160-28e3-11ea-963d-8304ae9d247c\">floods providers with $12 billion over the next two years\u003c/a>. The state says the funding will require thousands of new positions in the homeless response system.\u003c/p>\n\u003cp>“We have all this money,” said Farrah McDaid Ting, a senior legislative representative with the California State Association of Counties. “Can we really do this if we don’t have the people? I think there could be a real limitation.”\u003c/p>\n\u003cfigure id=\"attachment_11903126\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903126\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05.jpg\" alt=\"Mel Tillekeratne stands against one of the walls of a Shower of Hope facility.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN05-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Mel Tillekeratne, executive director of The Shower of Hope. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Good jobs wanted\u003c/h3>\n\u003cp>At the root of the worker shortage — which advocates say is really a shortage of good jobs — is low wages. Most homeless services organizations CalMatters spoke with pay starting frontline workers between $16 and $18 an hour, barely higher than minimum wage. They openly admit it’s far too little for the grueling labor, and often isn’t enough to live in expensive California cities.\u003c/p>\n\u003cp>“In the homeless services sector, it’s like: You didn’t get this paperwork in on time, I lost my housing, or my legs are hurting, I think I might have a blood clot,” said Mel Tillekeratne, executive director of \u003ca href=\"http://theshowerofhope.org/\">The Shower of Hope, which runs 22 mobile shower sites across Los Angeles County\u003c/a>. “It’s an unbelievably high amount of stress. I’ve seen so many outreach workers completely checked out.”\u003c/p>\n\u003cp>According to the U.S. Bureau of Labor Statistics, people employed in emergency and other relief services — including homeless service providers — \u003ca href=\"https://data.bls.gov/PDQWeb/en\">made an average annual salary of $49,616 in 2020\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Why not pay more? Tillekeratne says government contracts usually cap personnel costs. He had to raise money privately, for example, to offer hazard pay at the start of the pandemic. Federal and state grants usually come in bursts and have short timelines, forcing organizations to fill temporary positions before they expire.\u003c/p>\n\u003cp>If they don’t leave homeless services completely, workers will switch jobs for $1 or $2 more an hour. Or, if they get promoted, they often lose direct contact with clients, adding to a sense that frontline work is undervalued, said Earl Edwards, a doctoral candidate at the University of California, Los Angeles \u003ca href=\"https://www.capolicylab.org/wp-content/uploads/2021/10/Inequity-in-the-PSH-System-in-Los-Angeles.pdf\">who interviewed 11 case managers\u003c/a>.\u003c/p>\n\u003cp>“A lot of individuals didn’t see a pathway for them to stay doing this work,” Edwards said.\u003c/p>\n\u003cp>Most organizations that serve unhoused individuals often hire people who are just exiting homelessness themselves: “That also adds an additional level of trauma,” he said. Shelter workers in Fresno constantly reach out about “unstable living arrangements of their own, asking for housing,” said Katie Wilbur, executive director of \u003ca href=\"https://www.rhcommunitybuilders.com/\">RH Community Builders\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11903133\" class=\"wp-caption alignnone\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903133\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11.jpg\" alt=\"A person receives a haircut outdoors. The barber touches the hair of the person receiving the haircut.\" width=\"2000\" height=\"1331\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-800x532.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-160x106.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1536x1022.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/012622-Homeless-Services-RN-CM-11-1920x1278.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A volunteer barber cuts an unhoused person’s hair at Trinity Church in Riverside. Those who are unhoused come once a week to the church where they are offered haircuts, clothes, food and a shower. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The fewer employees with master’s degrees in social work often earn higher salaries, but even those aren’t high enough to keep them from more lucrative jobs, explains \u003ca href=\"https://www.apu.edu/bas/faculty/dgallup/\">Donna Gallup\u003c/a>, an assistant professor at Azusa Pacific’s Department of Social Work, who runs a pilot program to recruit more students into the homeless services field.\u003c/p>\n\u003cp>“If you have an opportunity as a graduate student, with student debt, you may select a school, a hospital or another nonprofit where you are not having to work with a stigmatized population that is very demanding, and the work conditions, especially with COVID,” Gallup said. “It has been a challenge.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Newsom’s \u003ca href=\"https://calmatters.org/politics/2022/01/california-budget-newsom/\">proposed 2022 budget, which still has to be negotiated with the Legislature\u003c/a>, includes $1.7 billion over three years to expand the state’s health and human services workforce “with improved diversity, wages and health equity outcomes,” said Rodger Butler, a spokesperson for the \u003ca href=\"https://www.chhs.ca.gov/\">California Health and Human Services Agency\u003c/a>. But even that may not be enough.\u003c/p>\n\u003cp>“Until … funding is commensurate to offer living wages across positions in the sector, it’ll be hard to train our way out of this crisis,” said Mari Castaldi, senior legislative advocate on homelessness at \u003ca href=\"https://www.housingca.org/\">Housing California\u003c/a>.\u003c/p>\n\u003cp>To increase the wages of the lowest-paid workers, the nonprofit is calling for a supplemental appropriation — \u003ca href=\"https://calmatters.org/explainers/californias-homelessness-crisis-explained/#a5795160-28e3-11ea-963d-8304ae9d247c\">on top of $2 billion over two years in flexible spending in last year’s budget\u003c/a> that cities and counties will use to pay nonprofit partners to run most of these homelessness programs.\u003c/p>\n\u003cp>“We don’t think it makes sense to say to service providers, ‘You get to choose between serving the number of clients that you set forth to serve, or increasing wages,’” Castaldi said.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11903124\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12.jpg\" alt=\"\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN12-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003c/p>\n\u003ch3>\u003cstrong>Underpaid and burned out\u003c/strong>\u003c/h3>\n\u003cp>But pay is only one part of the problem, says Deborah Son, executive director of the National Association of Social Workers’ California chapter. She represents 9,000 of the state’s roughly 75,000 certified social workers — and says all of them are affected by\u003ca href=\"https://calmatters.org/explainers/housing-costs-high-california/\"> the severe shortage of affordable housing in California\u003c/a>.\u003c/p>\n\u003cp>“We can bulk up the workforce and get people jobs and create jobs,” she said, “but if we don’t create the housing structures that are necessary, and we’re talking about the intricate systems necessary, your efforts become moot.”\u003c/p>\n\u003cp>Following her stint at LAHSA, Velazquez found a new job at homeless services nonprofit \u003ca href=\"https://unionstationhs.org/\">Union Station Homeless Services\u003c/a> as a care coordinator, earning $24 an hour. Half of her 20 clients are in housing, and her job is to keep them there. Her other clients are trying — unsuccessfully since September — \u003ca href=\"https://calmatters.org/california-divide/2019/08/section-8-voucher-discrimination-california-housing-crisis/\">to get into a place using housing vouchers, which cover two-thirds of the rent\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“There’s not enough apartments, and landlords don’t want them,” she said. “Legally [landlords] can’t say, ‘No, I’m not going to take a voucher.’ But they can say, ‘Oh, but your client has to have 650 credit score, and no evictions, and no criminal record.’”\u003c/p>\n\u003cp>“This is where the burnout comes,” she added. “It’s like, a case manager can do and do and do and we still feel we’re not doing it.”\u003c/p>\n\u003cp>In her new job, Velazquez said she feels heard when she brings up concerns. She gets a day off every two weeks to unwind, checks in with her supervisor regularly and participates in training and meditation.\u003c/p>\n\u003cp>Her own self-care is essential, too, she explains, holding up an angel aura quartz around her neck, which she uses to steel herself for difficult encounters. “This is like my sanctuary, away from everything,” she said, gesturing around her two-bedroom in Monterey Park. “When I sit in that chair, I feel like I’m getting a hug from my grandpa.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11903128\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11.jpg\" alt=\"\" width=\"1200\" height=\"804\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-800x536.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-1020x683.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN11-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003c/p>\n\u003ch3>\u003cstrong>The impact on clients\u003c/strong>\u003c/h3>\n\u003cp>Clients feel the brunt of turnover just as acutely.\u003c/p>\n\u003cp>A recent study found that in the last decade, \u003ca href=\"https://www.capolicylab.org/inequity-in-the-psh-system-in-los-angeles/\">more than a fifth of the 16,026 people in Los Angeles placed in permanent supportive housing\u003c/a> — which pairs rental assistance with case management, substance use programs and mental health treatment — plunged back into homelessness. Black tenants were the most likely to return to the streets or a shelter, and they cited high case-manager turnover as one of several factors.\u003c/p>\n\u003cp>“When you have a case manager who is trying to help you create long-term goals, but they’re only staying for three to six months, it prevents you from actually being able to follow through,” said Edwards of UCLA, a co-author of the study.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Some tenants he spoke with were already on their sixth or seventh case manager while in permanent housing. In turn, some clients didn’t bother to learn their case manager’s names for a couple of months, making their jobs that much harder.\u003c/p>\n\u003cp>“Once you have one you can actually work with, next thing you know, you get a notice on your door, ‘Oh, well, hi, this will be my last week.’ And you’re like, ‘Damn. You just got here,’” said Theresa Winkler, who lives with her husband in permanent supportive housing in downtown LA’s Skid Row neighborhood.\u003c/p>\n\u003cp>Winkler, 58, said she has been living in permanent supportive housing for about a decade and was unhoused for about half her life before that. She said she has been clean from crack, heroin and alcohol for 15 years, and continues to seek help for post-traumatic stress disorder, anxiety and depression. But cycling through caseworker after caseworker — at least three in the last two years — is “straight frustrating.”\u003c/p>\n\u003cfigure id=\"attachment_11903122\" class=\"wp-caption alignnone\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11903122\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09.jpg\" alt=\"A wide shot of a multi-story residential structure.\" width=\"1200\" height=\"799\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/01/01262022-HOMELESS-SERVICES-RN09-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">Residences in the Skid Row Housing Trust in Skid Row in Los Angeles. \u003ccite>(Raquel Natalicchio/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“With addiction, a relapse happens weeks before you pick up,” she explained. “If you know yourself and you see it coming, you’re able to go downstairs, talk to your caseworker, and tell her, ‘Hey, look, can I talk to you for a few minutes?’ But if you don’t have anybody you can trust to go in and talk to — because that’s the biggest word right there, trust — then hey, I’m back out there doing what I was doing in the beginning.”\u003c/p>\n\u003cp>Her husband, her doctors and her 12-step recovery program have helped her stay on track and find solace. So has reflecting on her progress.\u003c/p>\n\u003cp>“It’s nice for me to finally say, ‘You know what? I finally found peace,’” she said. “Because it’s hard to find peace. Look at where I’m at. I’m in the pits of hell.”\u003cbr>\n\u003c/p>\u003c/div>",
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"disqusTitle": "'Hopefully This Will Change Lives': Mental Health Curriculum Added to California High School Health Classes",
"title": "'Hopefully This Will Change Lives': Mental Health Curriculum Added to California High School Health Classes",
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"content": "\u003cp>Health classes in California high schools soon will cover more than just nutrition and exercise. Thanks to a new law that went into effect Jan. 1, students will learn about depression, schizophrenia, mood disorders and other serious mental health conditions.\u003c/p>\n\u003cp>\u003ca class=\"external\" href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB224\" rel=\"noopener noreferrer\">Senate Bill 224\u003c/a> requires all school districts that offer health classes to include mental health as part of the curriculum. The California Department of Education has until Jan. 1, 2023, to incorporate mental health into the \u003ca class=\"external\" href=\"https://www.cde.ca.gov/be/st/ss/documents/healthstandmar08.pdf\" rel=\"noopener noreferrer\">state standards\u003c/a>, and districts have until Jan. 1, 2024, to begin teaching the new material.\u003c/p>\n\u003cp>“Hopefully this will change lives,” said state Sen. Anthony Portantino, D-La Cañada Flintridge, who sponsored the bill. “That ninth grader who’s inspired by a health class may go on to save a peer’s life. Every one of us touches so many people in our lives, we see this as having an exponential benefit.”\u003c/p>\n\u003cp>Health classes are not mandatory in California high schools, but about 60% of districts offer a course that includes lessons on nutrition, exercise, substance abuse, sexual health, injury prevention, healthy relationships and other health-related topics.\u003c/p>\n\u003cp>The standards also include mental health, but the new legislation takes the subject a step further to cover more serious conditions such as schizophrenia, eating disorders, post-traumatic stress disorder, obsessive-compulsive disorder and bipolar disorder. The curriculum will explore causes, symptoms and treatment of mental illness, and how to advocate for friends or family members who need help. Substance use disorders also will be part of the curriculum.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The California Department of Education will create the new curriculum. Schools that don’t already offer health classes will not be required to add them.\u003c/p>\n\u003cp>Portantino, whose brother died of suicide a decade ago, has long advocated for mental health education. The new law, he said, will empower young people to talk about mental illness, recognize the signs and provide help for those who need it.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"forum_2010101882337,mindshift_58942,mindshift_58663\"]“Teenagers are much more likely to listen to someone at school than a lecture from Mom or Dad,” he said. “Our hope is that this encourages that peer-to-peer advocacy and support and it will have wide-reaching effects.”\u003c/p>\n\u003cp>Even before the pandemic, young people were facing myriad mental health challenges, fueled in part by social media, racial inequity and growing social and political discord.\u003c/p>\n\u003cp>In 2019, a third of U.S. high school students reported persistent feelings of sadness or hopelessness, according to the U.S. \u003ca class=\"external\" href=\"https://www.cdc.gov/nchhstp/dear_colleague/2020/dcl-102320-YRBS-2009-2019-report.html\" rel=\"noopener noreferrer\">Centers for Disease Control and Prevention\u003c/a>. After nearly two years of a pandemic, those feelings have dramatically intensified for many students, especially those who have felt isolated or struggled with distance learning, medical conditions or economic hardship.\u003c/p>\n\u003cp>Alvin Lee, the executive director of Generation Up, a California youth advocacy group that strongly supported the new law, said education is a good way to help students cope with their own emotional struggles, while also learning how best to support their friends.\u003c/p>\n\u003cp>“Mental health is one of the biggest conversations happening right now,” said Lee, a first-year student at Claremont McKenna College. “The research is pretty clear. The more mental health education early on, the better the outcomes later. … Our hope is that this prepares the next generation of students to talk about and deal with mental health issues, their own as well as others’.”\u003c/p>\n\u003cp>Last month, U.S. Surgeon General Vivek Murthy \u003ca href=\"https://www.hhs.gov/sites/default/files/surgeon-general-youth-mental-health-advisory.pdf\">issued a stark warning about the mental health of young people\u003c/a>, urging schools, health care companies and other institutions to do a better job supporting young people’s emotional health and self-esteem.\u003c/p>\n\u003cp>In the report, Murthy recommended that young people have increased access to high-quality counseling and physical care and learn techniques for managing stress and emotional changes, while also limiting their social media and video game exposure.\u003c/p>\n\u003cp>Increased support for kids in families struggling with poverty and other inequities is also key, he added.\u003c/p>\n\u003cp>“Mental health challenges in children, adolescents, and young adults are real, and they are widespread,” Murthy wrote in the report. “But most importantly, they are treatable, and often preventable. … Our obligation to act is not just medical — it’s moral.”\u003c/p>\n\u003cp>The \u003ca href=\"https://www.cahperd.org/\">California Association for Health, Physical Education,\u003cbr>\nRecreation and Dance\u003c/a> strongly supported SB 224, noting that even though mental health is included in existing curriculum, the way it's taught is not consistent across school districts and teachers often are not adequately prepared to cover it.\u003c/p>\n\u003cp>Hopefully, this bill will help fix that, said William Potter, the group’s president.\u003c/p>\n\u003cp>“Many [of our] members instruct mental health topics in schools, and we know how important this education is for young people. It can literally save lives,” he said. “However … many school districts do not have qualified health teachers who are trained to teach this content and it would be great to see that change.”\u003c/p>\n\u003cp>Jessica Cruz, executive director of the California chapter of the National Alliance on Mental Illness, said the new law is a good start in reducing the stigma of mental illness and encouraging students, teachers and families to talk about the issue.\u003c/p>\n\u003cp>“We’re happy this isn’t one-and-done,” she said. “We wanted to make sure it’s robust, ingrained in the curriculum and cumulative over time, so students really get a chance to understand and identify mental health disorders and know how to access resources.”\u003c/p>\n\u003cp>Ideally, she said, it’s the beginning of more comprehensive and substantial mental health education in schools, beginning in kindergarten.\u003c/p>\n\u003cp>“My hope is that eventually this curriculum will get into every school in California and the nation,” she said. “It’s not just for the benefit of students, but their families and teachers, too. It’s for the entire community.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://edsource.org/2022/new-law-on-mental-health-curriculum-goes-into-effect-with-start-of-the-new-year/665417\">This story was originally published by EdSource.\u003c/a>\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Health classes in California high schools soon will cover more than just nutrition and exercise. Thanks to a new law that went into effect Jan. 1, students will learn about depression, schizophrenia, mood disorders and other serious mental health conditions.\u003c/p>\n\u003cp>\u003ca class=\"external\" href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB224\" rel=\"noopener noreferrer\">Senate Bill 224\u003c/a> requires all school districts that offer health classes to include mental health as part of the curriculum. The California Department of Education has until Jan. 1, 2023, to incorporate mental health into the \u003ca class=\"external\" href=\"https://www.cde.ca.gov/be/st/ss/documents/healthstandmar08.pdf\" rel=\"noopener noreferrer\">state standards\u003c/a>, and districts have until Jan. 1, 2024, to begin teaching the new material.\u003c/p>\n\u003cp>“Hopefully this will change lives,” said state Sen. Anthony Portantino, D-La Cañada Flintridge, who sponsored the bill. “That ninth grader who’s inspired by a health class may go on to save a peer’s life. Every one of us touches so many people in our lives, we see this as having an exponential benefit.”\u003c/p>\n\u003cp>Health classes are not mandatory in California high schools, but about 60% of districts offer a course that includes lessons on nutrition, exercise, substance abuse, sexual health, injury prevention, healthy relationships and other health-related topics.\u003c/p>\n\u003cp>The standards also include mental health, but the new legislation takes the subject a step further to cover more serious conditions such as schizophrenia, eating disorders, post-traumatic stress disorder, obsessive-compulsive disorder and bipolar disorder. The curriculum will explore causes, symptoms and treatment of mental illness, and how to advocate for friends or family members who need help. Substance use disorders also will be part of the curriculum.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The California Department of Education will create the new curriculum. Schools that don’t already offer health classes will not be required to add them.\u003c/p>\n\u003cp>Portantino, whose brother died of suicide a decade ago, has long advocated for mental health education. The new law, he said, will empower young people to talk about mental illness, recognize the signs and provide help for those who need it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Teenagers are much more likely to listen to someone at school than a lecture from Mom or Dad,” he said. “Our hope is that this encourages that peer-to-peer advocacy and support and it will have wide-reaching effects.”\u003c/p>\n\u003cp>Even before the pandemic, young people were facing myriad mental health challenges, fueled in part by social media, racial inequity and growing social and political discord.\u003c/p>\n\u003cp>In 2019, a third of U.S. high school students reported persistent feelings of sadness or hopelessness, according to the U.S. \u003ca class=\"external\" href=\"https://www.cdc.gov/nchhstp/dear_colleague/2020/dcl-102320-YRBS-2009-2019-report.html\" rel=\"noopener noreferrer\">Centers for Disease Control and Prevention\u003c/a>. After nearly two years of a pandemic, those feelings have dramatically intensified for many students, especially those who have felt isolated or struggled with distance learning, medical conditions or economic hardship.\u003c/p>\n\u003cp>Alvin Lee, the executive director of Generation Up, a California youth advocacy group that strongly supported the new law, said education is a good way to help students cope with their own emotional struggles, while also learning how best to support their friends.\u003c/p>\n\u003cp>“Mental health is one of the biggest conversations happening right now,” said Lee, a first-year student at Claremont McKenna College. “The research is pretty clear. The more mental health education early on, the better the outcomes later. … Our hope is that this prepares the next generation of students to talk about and deal with mental health issues, their own as well as others’.”\u003c/p>\n\u003cp>Last month, U.S. Surgeon General Vivek Murthy \u003ca href=\"https://www.hhs.gov/sites/default/files/surgeon-general-youth-mental-health-advisory.pdf\">issued a stark warning about the mental health of young people\u003c/a>, urging schools, health care companies and other institutions to do a better job supporting young people’s emotional health and self-esteem.\u003c/p>\n\u003cp>In the report, Murthy recommended that young people have increased access to high-quality counseling and physical care and learn techniques for managing stress and emotional changes, while also limiting their social media and video game exposure.\u003c/p>\n\u003cp>Increased support for kids in families struggling with poverty and other inequities is also key, he added.\u003c/p>\n\u003cp>“Mental health challenges in children, adolescents, and young adults are real, and they are widespread,” Murthy wrote in the report. “But most importantly, they are treatable, and often preventable. … Our obligation to act is not just medical — it’s moral.”\u003c/p>\n\u003cp>The \u003ca href=\"https://www.cahperd.org/\">California Association for Health, Physical Education,\u003cbr>\nRecreation and Dance\u003c/a> strongly supported SB 224, noting that even though mental health is included in existing curriculum, the way it's taught is not consistent across school districts and teachers often are not adequately prepared to cover it.\u003c/p>\n\u003cp>Hopefully, this bill will help fix that, said William Potter, the group’s president.\u003c/p>\n\u003cp>“Many [of our] members instruct mental health topics in schools, and we know how important this education is for young people. It can literally save lives,” he said. “However … many school districts do not have qualified health teachers who are trained to teach this content and it would be great to see that change.”\u003c/p>\n\u003cp>Jessica Cruz, executive director of the California chapter of the National Alliance on Mental Illness, said the new law is a good start in reducing the stigma of mental illness and encouraging students, teachers and families to talk about the issue.\u003c/p>\n\u003cp>“We’re happy this isn’t one-and-done,” she said. “We wanted to make sure it’s robust, ingrained in the curriculum and cumulative over time, so students really get a chance to understand and identify mental health disorders and know how to access resources.”\u003c/p>\n\u003cp>Ideally, she said, it’s the beginning of more comprehensive and substantial mental health education in schools, beginning in kindergarten.\u003c/p>\n\u003cp>“My hope is that eventually this curriculum will get into every school in California and the nation,” she said. “It’s not just for the benefit of students, but their families and teachers, too. It’s for the entire community.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://edsource.org/2022/new-law-on-mental-health-curriculum-goes-into-effect-with-start-of-the-new-year/665417\">This story was originally published by EdSource.\u003c/a>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>A bipartisan group of state attorneys general is investigating how Instagram attracts and potentially harms children and young adults.\u003c/p>\n\u003cp>The probe follows revelations from a whistleblower about how Instagram's parent company \u003ca href=\"https://www.npr.org/2021/10/28/1049813246/facebook-new-name-meta-mark-zuckerberg\">Meta\u003c/a>, formerly known as Facebook, has studied the \u003ca href=\"https://www.npr.org/2021/09/30/1041864356/instagram-kids-safety-congress-hearing\">risks\u003c/a> of the photo-sharing app to its youngest users, including exacerbating body image issues for some teenage girls.\u003c/p>\n\u003cp>\"Facebook, now Meta, has failed to protect young people on its platforms and instead chose to ignore or, in some cases, double down on known manipulations that pose a real threat to physical and mental health – exploiting children in the interest of profit,\" Massachusetts Attorney General Maura Healey, who is co-leading the states' investigation, said in a statement.\u003c/p>\n\u003cp>\"Meta can no longer ignore the threat that social media can pose to children for the benefit of their bottom line,\" she said.\u003c/p>\n\u003cp>The group includes prosecutors from at least 10 states, including California, Florida, Kentucky, Massachusetts, Nebraska, New Jersey, New York, Tennessee, Texas and Vermont. They are examining whether Meta violated consumer protection laws and put the public at risk.[pullquote size=\"medium\" align=\"right\" citation=\"Nebraska Attorney General Doug Peterson\"]'When social media platforms treat our children as mere commodities to manipulate for longer screen time engagement and data extraction, it becomes imperative for state attorneys general to engage our investigative authority under our consumer protection laws.’[/pullquote]\u003c/p>\n\u003cp>“For too long, Meta has ignored the havoc that Instagram is wreaking on the mental health and well-being of our children and teens,” said California Attorney General Rob Bonta. “Enough is enough. We’ve undertaken this nationwide investigation to get answers about Meta’s efforts to promote the use of this social media platform to young Californians – and to determine if, in doing so, Meta violated the law.”\u003c/p>\n\u003cp>Pressure on Meta has been mounting since former employee \u003ca href=\"https://www.npr.org/2021/10/05/1043207218/whistleblower-to-congress-facebook-products-harm-children-and-weaken-democracy\">Frances Haugen\u003c/a> leaked thousands of pages of \u003ca href=\"https://www.npr.org/2021/10/25/1049015366/the-facebook-papers-what-you-need-to-know\">internal documents\u003c/a> about how the company has studied and dealt with a range of problems, from hate speech to the \u003ca href=\"https://www.npr.org/2021/10/25/1048918715/how-stop-the-steal-movement-outwitted-facebook-ahead-of-the-jan-6-riot\">\"Stop the Steal\" movement\u003c/a> to the \u003ca href=\"https://www.npr.org/2021/10/06/1043138622/facebook-instagram-teens-mental-health\">mental health impacts\u003c/a> of Instagram on teen users.\u003c/p>\n\u003cp>The documents also show that Meta is fighting to attract and retain the attention of young people, amid competition from apps like \u003ca href=\"https://www.npr.org/2021/10/26/1049267501/snapchat-tiktok-youtube-congress-child-safety-hearing\">TikTok\u003c/a> and Snapchat.\u003c/p>\n\u003cp>The states are investigating the techniques Meta uses to get young people to log into Instagram more frequently and spend more time scrolling the app, and how those features might harm users.\u003c/p>\n\u003cp>\"When social media platforms treat our children as mere commodities to manipulate for longer screen time engagement and data extraction, it becomes imperative for state attorneys general to engage our investigative authority under our consumer protection laws,\" said Nebraska Attorney General Doug Peterson.\u003c/p>\n\u003cp>\"These accusations are false and demonstrate a deep misunderstanding of the facts,\" Instagram spokesperson Liza Crenshaw said in a statement. \"While challenges in protecting young people online impact the entire industry, we've led the industry in combating bullying and supporting people struggling with suicidal thoughts, self-injury, and eating disorders.\"\u003c/p>\n\u003cp>She pointed to new features Instagram has introduced, including a \u003ca href=\"https://www.theverge.com/2021/11/10/22774827/instagram-take-a-break-feature-test-meta-facebook\">\"Take a Break\"\u003c/a> prompt that users can enable, and parental supervision tools for teenagers' accounts.\u003c/p>\n\u003cp>After Instagram's internal research on the risks to teenagers' mental health was first reported by the \u003ca href=\"https://www.wsj.com/articles/facebook-knows-instagram-is-toxic-for-teen-girls-company-documents-show-11631620739?mod=article_inline\">\u003cem>Wall Street Journal\u003c/em>\u003c/a> in September, lawmakers and regulators renewed calls for Meta to \u003ca href=\"https://www.npr.org/2021/09/15/1037222495/lawmakers-push-facebook-to-abandon-instagram-for-kids-citing-mental-health-conce\">scrap\u003c/a> its plans to launch a version of the app\u003ca href=\"https://www.npr.org/2021/06/02/1002109833/parents-to-facebook-dont-make-a-kid-only-instagram-just-a-better-instagram\"> for kids\u003c/a> 12 and under. (Instagram, like most social media apps, prohibits users younger than 13 because of federal privacy law.)\u003c/p>\n\u003cp>Shortly afterward, Meta said it was putting the project \u003ca href=\"https://www.npr.org/2021/09/27/1040857033/instagram-kids-pausing-plan-develop-platform-criticism\">on hold\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Editor's note:\u003c/em>\u003c/strong>\u003cem> Meta pays NPR to license NPR content.\u003c/em>\u003c/p>\n\u003cp>Additional reporting was done by Barbara Ortutay from the Associated Press.\u003c/p>\n\u003cp>Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=States+are+investigating+how+Instagram+recruits+and+affects+children&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“For too long, Meta has ignored the havoc that Instagram is wreaking on the mental health and well-being of our children and teens,” said California Attorney General Rob Bonta. “Enough is enough. We’ve undertaken this nationwide investigation to get answers about Meta’s efforts to promote the use of this social media platform to young Californians – and to determine if, in doing so, Meta violated the law.”\u003c/p>\n\u003cp>Pressure on Meta has been mounting since former employee \u003ca href=\"https://www.npr.org/2021/10/05/1043207218/whistleblower-to-congress-facebook-products-harm-children-and-weaken-democracy\">Frances Haugen\u003c/a> leaked thousands of pages of \u003ca href=\"https://www.npr.org/2021/10/25/1049015366/the-facebook-papers-what-you-need-to-know\">internal documents\u003c/a> about how the company has studied and dealt with a range of problems, from hate speech to the \u003ca href=\"https://www.npr.org/2021/10/25/1048918715/how-stop-the-steal-movement-outwitted-facebook-ahead-of-the-jan-6-riot\">\"Stop the Steal\" movement\u003c/a> to the \u003ca href=\"https://www.npr.org/2021/10/06/1043138622/facebook-instagram-teens-mental-health\">mental health impacts\u003c/a> of Instagram on teen users.\u003c/p>\n\u003cp>The documents also show that Meta is fighting to attract and retain the attention of young people, amid competition from apps like \u003ca href=\"https://www.npr.org/2021/10/26/1049267501/snapchat-tiktok-youtube-congress-child-safety-hearing\">TikTok\u003c/a> and Snapchat.\u003c/p>\n\u003cp>The states are investigating the techniques Meta uses to get young people to log into Instagram more frequently and spend more time scrolling the app, and how those features might harm users.\u003c/p>\n\u003cp>\"When social media platforms treat our children as mere commodities to manipulate for longer screen time engagement and data extraction, it becomes imperative for state attorneys general to engage our investigative authority under our consumer protection laws,\" said Nebraska Attorney General Doug Peterson.\u003c/p>\n\u003cp>\"These accusations are false and demonstrate a deep misunderstanding of the facts,\" Instagram spokesperson Liza Crenshaw said in a statement. \"While challenges in protecting young people online impact the entire industry, we've led the industry in combating bullying and supporting people struggling with suicidal thoughts, self-injury, and eating disorders.\"\u003c/p>\n\u003cp>She pointed to new features Instagram has introduced, including a \u003ca href=\"https://www.theverge.com/2021/11/10/22774827/instagram-take-a-break-feature-test-meta-facebook\">\"Take a Break\"\u003c/a> prompt that users can enable, and parental supervision tools for teenagers' accounts.\u003c/p>\n\u003cp>After Instagram's internal research on the risks to teenagers' mental health was first reported by the \u003ca href=\"https://www.wsj.com/articles/facebook-knows-instagram-is-toxic-for-teen-girls-company-documents-show-11631620739?mod=article_inline\">\u003cem>Wall Street Journal\u003c/em>\u003c/a> in September, lawmakers and regulators renewed calls for Meta to \u003ca href=\"https://www.npr.org/2021/09/15/1037222495/lawmakers-push-facebook-to-abandon-instagram-for-kids-citing-mental-health-conce\">scrap\u003c/a> its plans to launch a version of the app\u003ca href=\"https://www.npr.org/2021/06/02/1002109833/parents-to-facebook-dont-make-a-kid-only-instagram-just-a-better-instagram\"> for kids\u003c/a> 12 and under. (Instagram, like most social media apps, prohibits users younger than 13 because of federal privacy law.)\u003c/p>\n\u003cp>Shortly afterward, Meta said it was putting the project \u003ca href=\"https://www.npr.org/2021/09/27/1040857033/instagram-kids-pausing-plan-develop-platform-criticism\">on hold\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Editor's note:\u003c/em>\u003c/strong>\u003cem> Meta pays NPR to license NPR content.\u003c/em>\u003c/p>\n\u003cp>Additional reporting was done by Barbara Ortutay from the Associated Press.\u003c/p>\n\u003cp>Copyright 2021 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=States+are+investigating+how+Instagram+recruits+and+affects+children&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"tagline": "The flip side of gentrification, told through one town",
"info": "Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?",
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},
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"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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},
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"order": 8
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"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
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"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"source": "Commonwealth Club of California"
},
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"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"order": 9
},
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"hidden-brain": {
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"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
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"source": "NPR"
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
"link": "/radio/program/latino-usa",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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