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"content": "\u003cfigure id=\"attachment_13871302\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-13871302\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/image0.jpeg\" alt=\"A music studio viewed from above. A man sits in a chair with a guitar and looks up.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/image0.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/image0-160x90.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/image0-768x432.jpeg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The Housewarmers’ bandleader Ian Santillano says that the Bay Area’s high cost of living can exacerbate the unique pressures musicians face by virtue of their profession. \u003ccite>(Courtesy of Ian Santillano)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“As a musician, it can be difficult to navigate a community stricken with mental health concerns,” says \u003ca href=\"https://seanthompson.bandcamp.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Sean Emmett Thompson\u003c/a>, a 26-year-old singer and guitarist who lives in San Francisco.\u003c/p>\n\u003cp>Grueling tour schedules, financial ups and downs, performance anxiety, fear of failure—musicians face unique job pressures that can make them more prone to mental illness. A \u003ca href=\"https://www.the73percent.com/\" target=\"_blank\" rel=\"noopener noreferrer\">2019 survey\u003c/a> of nearly 1,500 independent musicians conducted by music distributor \u003ca href=\"https://www.recordunion.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Record Union\u003c/a> found that 73 percent of respondents struggled with anxiety and depression, and 33 percent grappled with panic attacks. Furthermore, a \u003ca href=\"https://westminsterresearch.westminster.ac.uk/download/fd3b380d63e4e4a1219017768f5a56a2004e0916b59065565bac67b9d9562a22/3955058/Gross%20%26%20Musgrave%20%282016%29%20Can%20Music%20Make%20You%20Sick%20Pt1.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">2016 University of Westminster survey\u003c/a> of 2,211 U.K. musicians found that respondents were three times more likely than the general population to become depressed.\u003c/p>\n\u003cp>While composing and playing music can be therapeutic, trying to turn that into a full-time career can be an occupational hazard. Performing music puts an artist’s talent on display, and while this is one way to garner fans, it makes artists vulnerable to the praise and rejection of others. [aside postid='arts_13857471']\u003c/p>\n\u003cp>There are also \u003ca href=\"https://www.kqed.org/arts/13857471/artist-passion-exploitation-duke-study\" target=\"_blank\" rel=\"noopener noreferrer\">issues of fair compensation\u003c/a>: as one University of Westminster survey respondent shared, “A doctor doesn’t perform surgery for ‘exposure.’” Artists disclosed that poor pay, impostor syndrome and toxic working conditions had damaged their mental health.\u003c/p>\n\u003cp>These challenges are especially pronounced in the Bay Area, where high living costs make it nearly impossible for local artists to pursue their passion full time. And in a competitive industry, being pulled away from one’s art can cause feelings of insecurity and doubt to surface. \u003ca href=\"https://www.iansantillano.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Ian Santillano\u003c/a>, a 23-year-old Bay Area musician and leader of the band \u003ca href=\"https://www.facebook.com/pages/category/Musician-Band/The-Housewarmers-313769652609322/\" target=\"_blank\" rel=\"noopener noreferrer\">The Housewarmers\u003c/a>, says not having enough time to work on music can rattle his confidence.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I get anxious, because I wonder if I am doing enough and if I’m \u003cem>truly \u003c/em>a musician,” he says. At those times, impostor syndrome can set in—a dreadful feeling that’s amplified when Santillano scrolls through fellow artists’ Instagram feeds. [aside postid='arts_13869819']\u003c/p>\n\u003cp>Thompson has faced similar struggles. “When I first moved to San Francisco, I could barely make ends meet,” he says. Like many artists, Thompson teaches music lessons and takes on \u003ca href=\"https://www.kqed.org/ourturbulentdecade/2019-the-gig-economy-defined-how-artists-do-business-heres-whats-likely-to-change\" target=\"_blank\" rel=\"noopener noreferrer\">side projects\u003c/a>, but overworking can make it tricky to find a work-life balance. “I’ve had difficulty saying ‘no’ to projects for fear of losing out on an opportunity, which only creates more stress,” says the artist.\u003c/p>\n\u003cp>In the past, those stressors caused Thompson to become anxious and depressed, “When you’re distracted by other work responsibilities, composing music is hard,” he shares. Not being able to create new music feeds impostor syndrome, which can leave Thompson feeling aimless and inadequate. Despite those challenges, he’s never seen a mental health professional. “Once I’m financially stable, I hope to address my mental health needs in therapy,” Thompson adds.\u003c/p>\n\u003cfigure id=\"attachment_13871305\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-13871305\" src=\"https://ww2.kqed.org/app/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o-768x432.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o-1200x675.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o.jpg 1544w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sean Thompson (center). \u003ccite>(Courtesy of the artist)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While many artists battle with mental illness, the latest survey results suggest that only 40 percent of suffering musicians received mental health care, while over 50 percent turned to alcohol and drugs to numb their pain, which isn’t uncommon for people \u003ca href=\"https://www.drugabuse.gov/publications/drugfacts/comorbidity-substance-use-disorders-other-mental-illnesses\" target=\"_blank\" rel=\"noopener noreferrer\">with mental illness\u003c/a>.\u003c/p>\n\u003cp>“I couldn’t see the wonder in the world,” recalls \u003ca href=\"https://www.mroliverblank.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Oliver Blank\u003c/a>, 37, a Bay Area artist and composer. Last year, Blank’s long-term relationship ended, and his intense grief caused his creative drive to dwindle.\u003c/p>\n\u003cp>At that time, Blank was working on his podcast \u003ca href=\"https://www.mroliverblank.com/art-index/the-one-who-got-away\">\u003cem>The One Who Got Away\u003c/em>\u003c/a>, which intimately depicts the lingering grief that travels with loss. For the podcast, Blank invited people from all over the world to call a phone number and leave a message for a lost loved one, or forgotten romance, answering just one question: “What would you say to the one who got away?”\u003c/p>\n\u003cp>Hearing other people’s grief-stricken stories amplified Blank’s suffering, which only intensified his sadness. “I didn’t want to die or to hurt myself, but I wanted to go to sleep for a very long time,” the artist explains. [aside postid='arts_13861452']\u003c/p>\n\u003cp>Concerned friends encouraged Blank to talk to a therapist. He reached out for professional help, but initially, no one reached back. “The biggest issue was finding a therapist who would return my call,” says Blank.\u003c/p>\n\u003cp>For many people, navigating the mental healthcare system can be puzzling. Firstly, even with health coverage, high-deductible insurance plans require people to pay upfront for medical expenses, including psychotherapy, which can be costly. In the Bay Area, the economic boost brought on by the \u003ca href=\"https://www.kqed.org/stateofhealth/23916/bay-area-boom-driving-up-cost-of-therapy\">tech boom\u003c/a> has driven up the cost of rent, food and psychotherapy. As a result, therapy can cost anywhere between 140 and 300 dollars per session.\u003c/p>\n\u003cp>More affordable options are available, but finding the right type of help isn’t always straight forward. Websites like \u003ca href=\"https://www.betterhelp.com/helpme/?utm_source=AdWords&utm_medium=Search_PPC_c&utm_term=better%2Bhelp_e&utm_content=13899929650&network=g&placement=&target=&matchtype=e&utm_campaign=177007450&ad_type=text&adposition=1t1&gclid=CjwKCAjwlovtBRBrEiwAG3\" target=\"_blank\" rel=\"noopener noreferrer\">Better Help\u003c/a> and \u003ca href=\"https://lp.talkspace.com/try?utm_source=google&utm_medium=sembrand&utm_campaign=SEARCH_GOOGLE_BRAND&utm_content=apply65&utm_term=talkspace&gclid=CjwKCAjwlovtBRBrEiwAG3XJ-6Uy8h5LQ-0XOeo4by1B5Hv1x5qjWf2Hn4ZnJ6sUB-BxoLTnlLf74RoCOV8QAvD_BwE\">Talkspace\u003c/a> offer counseling online. While convenient, talking to a therapist online may not be ideal for people with acute mental health symptoms, such as panic attacks, thoughts of self-harm and severe depression.\u003c/p>\n\u003cp>For those seeking in-person mental health care, the non-profit organization \u003ca href=\"https://openpathcollective.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Open Path Psychotherapy Collective\u003c/a> provides affordable counseling services, and its fees range from 30 to 60 dollars per session. According to the website, over 300 therapists in the Bay Area provide mental health services through the Open Path network.\u003c/p>\n\u003cp>Psychotherapy training clinics staffed by graduate students and recent graduates also provide accessible care. For instance, in San Francisco, \u003ca href=\"https://www.ciis.edu/counseling-and-acupuncture-clinics/center-for-somatic-psychotherapy\">Center for Somatic Psychotherapy (CSP)\u003c/a> offers sliding-scale psychotherapy services seven days a week, and therapy is provided by graduate students and recent graduates from the California Institute of Integral Studies (CIIS).\u003c/p>\n\u003cp>In addition to offering traditional talk therapy, CSP therapists promote self-awareness and stress reduction by helping clients connect with the mind, body and spirit, says Steuart Gold, the CSP clinic director. “Somatic therapy encourages accessing the wisdom of the body and creates conditions where one’s creative self can live its fullest expression,” he explains. With this focus, Gold says musicians and artists often benefit from somatic psychotherapy.\u003c/p>\n\u003cp>Even though it took many phone calls, Blank eventually found a therapist. “My therapist diagnosed me with depression and told me I was experiencing suicidal ideation,” he shares. Receiving a diagnosis helped Blank understand the nature of his pain, which aided in the healing process. “I immediately felt relief,” he shares.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>For now, Santillano and Thompson find emotional support by talking to their peers. Still, Thompson hopes to speak to a therapist in the near future, “I believe therapy can help me pinpoint things that I haven’t been able to put together for myself,” he says.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Thompson has faced similar struggles. “When I first moved to San Francisco, I could barely make ends meet,” he says. Like many artists, Thompson teaches music lessons and takes on \u003ca href=\"https://www.kqed.org/ourturbulentdecade/2019-the-gig-economy-defined-how-artists-do-business-heres-whats-likely-to-change\" target=\"_blank\" rel=\"noopener noreferrer\">side projects\u003c/a>, but overworking can make it tricky to find a work-life balance. “I’ve had difficulty saying ‘no’ to projects for fear of losing out on an opportunity, which only creates more stress,” says the artist.\u003c/p>\n\u003cp>In the past, those stressors caused Thompson to become anxious and depressed, “When you’re distracted by other work responsibilities, composing music is hard,” he shares. Not being able to create new music feeds impostor syndrome, which can leave Thompson feeling aimless and inadequate. Despite those challenges, he’s never seen a mental health professional. “Once I’m financially stable, I hope to address my mental health needs in therapy,” Thompson adds.\u003c/p>\n\u003cfigure id=\"attachment_13871305\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-13871305\" src=\"https://ww2.kqed.org/app/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o-768x432.jpg 768w, https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o-1200x675.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/2/2019/12/10531349_10152705050652868_411939417121906542_o.jpg 1544w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sean Thompson (center). \u003ccite>(Courtesy of the artist)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While many artists battle with mental illness, the latest survey results suggest that only 40 percent of suffering musicians received mental health care, while over 50 percent turned to alcohol and drugs to numb their pain, which isn’t uncommon for people \u003ca href=\"https://www.drugabuse.gov/publications/drugfacts/comorbidity-substance-use-disorders-other-mental-illnesses\" target=\"_blank\" rel=\"noopener noreferrer\">with mental illness\u003c/a>.\u003c/p>\n\u003cp>“I couldn’t see the wonder in the world,” recalls \u003ca href=\"https://www.mroliverblank.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Oliver Blank\u003c/a>, 37, a Bay Area artist and composer. Last year, Blank’s long-term relationship ended, and his intense grief caused his creative drive to dwindle.\u003c/p>\n\u003cp>At that time, Blank was working on his podcast \u003ca href=\"https://www.mroliverblank.com/art-index/the-one-who-got-away\">\u003cem>The One Who Got Away\u003c/em>\u003c/a>, which intimately depicts the lingering grief that travels with loss. For the podcast, Blank invited people from all over the world to call a phone number and leave a message for a lost loved one, or forgotten romance, answering just one question: “What would you say to the one who got away?”\u003c/p>\n\u003cp>Hearing other people’s grief-stricken stories amplified Blank’s suffering, which only intensified his sadness. “I didn’t want to die or to hurt myself, but I wanted to go to sleep for a very long time,” the artist explains. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Concerned friends encouraged Blank to talk to a therapist. He reached out for professional help, but initially, no one reached back. “The biggest issue was finding a therapist who would return my call,” says Blank.\u003c/p>\n\u003cp>For many people, navigating the mental healthcare system can be puzzling. Firstly, even with health coverage, high-deductible insurance plans require people to pay upfront for medical expenses, including psychotherapy, which can be costly. In the Bay Area, the economic boost brought on by the \u003ca href=\"https://www.kqed.org/stateofhealth/23916/bay-area-boom-driving-up-cost-of-therapy\">tech boom\u003c/a> has driven up the cost of rent, food and psychotherapy. As a result, therapy can cost anywhere between 140 and 300 dollars per session.\u003c/p>\n\u003cp>More affordable options are available, but finding the right type of help isn’t always straight forward. Websites like \u003ca href=\"https://www.betterhelp.com/helpme/?utm_source=AdWords&utm_medium=Search_PPC_c&utm_term=better%2Bhelp_e&utm_content=13899929650&network=g&placement=&target=&matchtype=e&utm_campaign=177007450&ad_type=text&adposition=1t1&gclid=CjwKCAjwlovtBRBrEiwAG3\" target=\"_blank\" rel=\"noopener noreferrer\">Better Help\u003c/a> and \u003ca href=\"https://lp.talkspace.com/try?utm_source=google&utm_medium=sembrand&utm_campaign=SEARCH_GOOGLE_BRAND&utm_content=apply65&utm_term=talkspace&gclid=CjwKCAjwlovtBRBrEiwAG3XJ-6Uy8h5LQ-0XOeo4by1B5Hv1x5qjWf2Hn4ZnJ6sUB-BxoLTnlLf74RoCOV8QAvD_BwE\">Talkspace\u003c/a> offer counseling online. While convenient, talking to a therapist online may not be ideal for people with acute mental health symptoms, such as panic attacks, thoughts of self-harm and severe depression.\u003c/p>\n\u003cp>For those seeking in-person mental health care, the non-profit organization \u003ca href=\"https://openpathcollective.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Open Path Psychotherapy Collective\u003c/a> provides affordable counseling services, and its fees range from 30 to 60 dollars per session. According to the website, over 300 therapists in the Bay Area provide mental health services through the Open Path network.\u003c/p>\n\u003cp>Psychotherapy training clinics staffed by graduate students and recent graduates also provide accessible care. For instance, in San Francisco, \u003ca href=\"https://www.ciis.edu/counseling-and-acupuncture-clinics/center-for-somatic-psychotherapy\">Center for Somatic Psychotherapy (CSP)\u003c/a> offers sliding-scale psychotherapy services seven days a week, and therapy is provided by graduate students and recent graduates from the California Institute of Integral Studies (CIIS).\u003c/p>\n\u003cp>In addition to offering traditional talk therapy, CSP therapists promote self-awareness and stress reduction by helping clients connect with the mind, body and spirit, says Steuart Gold, the CSP clinic director. “Somatic therapy encourages accessing the wisdom of the body and creates conditions where one’s creative self can live its fullest expression,” he explains. With this focus, Gold says musicians and artists often benefit from somatic psychotherapy.\u003c/p>\n\u003cp>Even though it took many phone calls, Blank eventually found a therapist. “My therapist diagnosed me with depression and told me I was experiencing suicidal ideation,” he shares. Receiving a diagnosis helped Blank understand the nature of his pain, which aided in the healing process. “I immediately felt relief,” he shares.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For now, Santillano and Thompson find emotional support by talking to their peers. Still, Thompson hopes to speak to a therapist in the near future, “I believe therapy can help me pinpoint things that I haven’t been able to put together for myself,” he says.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>San Francisco Mayor London Breed and Supervisors Matt Haney and Hillary Ronen announced a deal Tuesday reconciling their dueling plans to reform the city’s fragmented mental health care system.\u003c/p>\n\u003cp>The trio introduced the agreement outside of City Hall, following months of often tense negotiations on ways to overhaul the treatment of residents grappling with homelessness, mental health and substance abuse issues.\u003c/p>\n\u003cp>In October, Breed announced she was backing her own comprehensive health care plan — called Urgent Care SF — geared towards some 4,000 homeless San Franciscans suffering from mental illness and substance abuse, an initiative she placed on the March 2020 ballot.\u003c/p>\n\u003cp>Similarly, Ronen and Haney also announced last month they had filed paperwork to put their own proposal — dubbed Mental Health SF — on the same ballot. That more sweeping plan pushed for systemic change to the city’s mental health system, a proposal Breed criticized as too broad and costly.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"mental-health-sf\"]Under the new deal, both sides are pulling their respective measures from the ballot, avoiding what promised to be a long, costly fight in the coming months. Instead, the new plan — still called Mental Health SF — is now being introduced as legislation to the Board of Supervisors.\u003c/p>\n\u003cp>“People didn’t want to see competing ballot measures — a bunch of politics that actually would’ve delayed the solution,” Haney said on Tuesday. “What we’ve put forward here with Mental Health SF is the vision and the framework and the accountability structure to have a system that actually works, because the one we have right now is disjointed, disconnected and is failing our city.”\u003c/p>\n\u003cp>The agreement incorporates Breed’s original demand to prioritize treatment for the city’s most vulnerable population. But it also retains Ronen and Haney’s push to create an Office of Private Insurance Accountability to make sure residents with mental health needs, including those with insurance, receive adequate care.\u003c/p>\n\u003cp>The new program would also include a 24-hour drop-in center with access to psychiatrists and medication for anyone who needs it, regardless of insurance status.\u003c/p>\n\u003cp>“I am so excited for the future of mental health in San Francisco because I know this is the right way to do it,” Breed said. “We have to start looking at mental health in a whole other way than we did in the past. What happens when someone is a schizophrenic? What happens when someone develops dementia or all these other things? What are we doing to make sure we are helping these people and meeting them where they are?”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>However, without a funding source, the effort to approve and implement the program may be far from over.\u003c/p>\n\u003cp>City officials still need to identify a funding source, Haney noted. The program is estimated to cost at least $100 million annually, on top of the $400 million the city already spends on behavioral health services.\u003c/p>\n\u003cp>Funding sources could include a public housing bond, a gross receipts business tax or funding from Proposition C, the a measure passed by voters in 2018 that increases taxes on the city’s biggest corporations to fund housing and homelessness services.\u003c/p>\n\u003cp>Despite the funding vagaries, Ronen said she was optimistic the program would be fully operational within the next two years.\u003c/p>\n\u003cp>“We just created the first universal mental health and substance use system in the country,” she said. “We’re no longer going to waste money, time and the goodwill of patients, and the rest of us quite frankly, by watching people cycle from the street to emergency services, to residential treatment and then right back out on the street, where it is almost impossible to get better.”\u003c/p>\n\u003cp>\u003cem>Additional reporting included from Bay City News’ Daniel Montes.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco Mayor London Breed and Supervisors Matt Haney and Hillary Ronen announced a deal Tuesday reconciling their dueling plans to reform the city’s fragmented mental health care system.\u003c/p>\n\u003cp>The trio introduced the agreement outside of City Hall, following months of often tense negotiations on ways to overhaul the treatment of residents grappling with homelessness, mental health and substance abuse issues.\u003c/p>\n\u003cp>In October, Breed announced she was backing her own comprehensive health care plan — called Urgent Care SF — geared towards some 4,000 homeless San Franciscans suffering from mental illness and substance abuse, an initiative she placed on the March 2020 ballot.\u003c/p>\n\u003cp>Similarly, Ronen and Haney also announced last month they had filed paperwork to put their own proposal — dubbed Mental Health SF — on the same ballot. That more sweeping plan pushed for systemic change to the city’s mental health system, a proposal Breed criticized as too broad and costly.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Under the new deal, both sides are pulling their respective measures from the ballot, avoiding what promised to be a long, costly fight in the coming months. Instead, the new plan — still called Mental Health SF — is now being introduced as legislation to the Board of Supervisors.\u003c/p>\n\u003cp>“People didn’t want to see competing ballot measures — a bunch of politics that actually would’ve delayed the solution,” Haney said on Tuesday. “What we’ve put forward here with Mental Health SF is the vision and the framework and the accountability structure to have a system that actually works, because the one we have right now is disjointed, disconnected and is failing our city.”\u003c/p>\n\u003cp>The agreement incorporates Breed’s original demand to prioritize treatment for the city’s most vulnerable population. But it also retains Ronen and Haney’s push to create an Office of Private Insurance Accountability to make sure residents with mental health needs, including those with insurance, receive adequate care.\u003c/p>\n\u003cp>The new program would also include a 24-hour drop-in center with access to psychiatrists and medication for anyone who needs it, regardless of insurance status.\u003c/p>\n\u003cp>“I am so excited for the future of mental health in San Francisco because I know this is the right way to do it,” Breed said. “We have to start looking at mental health in a whole other way than we did in the past. What happens when someone is a schizophrenic? What happens when someone develops dementia or all these other things? What are we doing to make sure we are helping these people and meeting them where they are?”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>However, without a funding source, the effort to approve and implement the program may be far from over.\u003c/p>\n\u003cp>City officials still need to identify a funding source, Haney noted. The program is estimated to cost at least $100 million annually, on top of the $400 million the city already spends on behavioral health services.\u003c/p>\n\u003cp>Funding sources could include a public housing bond, a gross receipts business tax or funding from Proposition C, the a measure passed by voters in 2018 that increases taxes on the city’s biggest corporations to fund housing and homelessness services.\u003c/p>\n\u003cp>Despite the funding vagaries, Ronen said she was optimistic the program would be fully operational within the next two years.\u003c/p>\n\u003cp>“We just created the first universal mental health and substance use system in the country,” she said. “We’re no longer going to waste money, time and the goodwill of patients, and the rest of us quite frankly, by watching people cycle from the street to emergency services, to residential treatment and then right back out on the street, where it is almost impossible to get better.”\u003c/p>\n\u003cp>\u003cem>Additional reporting included from Bay City News’ Daniel Montes.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Minds Scarred by Wildfire: How Disasters Linger",
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"content": "\u003cp>At first glance, this lot in Paradise seems idyllic: quiet and wooded.\u003c/p>\n\u003cp>But a closer look reveals scars that the Camp Fire — California’s deadliest blaze — etched into the landscape: burnt tree trunks, a warped chain-link fence and melted trinkets missed by cleanup crews.\u003c/p>\n\u003cp>The scars the fire left on people are more obvious, though. Sabrina Hanes, who lived on this now-empty lot, had a tumultuous childhood and finally found some stability in Paradise until the blaze claimed her and her daughter’s home, belongings and beloved cat — and reignited old trauma.\u003c/p>\n\u003cp>A year since the fire struck, Hanes, 34, has struggled to avoid the destructive practices she used to cope in the past: “I don’t want to be back in that place where I used drugs or did the cutting. But I would be lying to myself if those thoughts haven’t arisen in my head.”\u003c/p>\n\u003cp>Recovering from the physical losses has been a challenge, but the emotional ones have proved tougher for Hanes due to her history of trauma. Natural disasters like the Camp Fire can reopen those old wounds or create new ones, experts say, bringing up trauma symptoms like insomnia, worry and hopelessness.\u003c/p>\n\u003cfigure id=\"attachment_11785098\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11785098 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/11/RS39864__DSC4817-qut-800x534.jpg\" alt=\"Sabrina Hanes home schools her daughter Aroara in their trailer on October 7, 2019 outside Paradise, Ca where their home was destroyed in the 2018 Camp Fire.\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39864__DSC4817-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39864__DSC4817-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39864__DSC4817-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39864__DSC4817-qut-1200x801.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39864__DSC4817-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sabrina Hanes home-schools her daughter, Aroara, in their trailer on Oct. 7, 2019, outside Paradise, where their home was destroyed in the 2018 Camp Fire. \u003ccite>(Stephanie Lister/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Compounding Trauma Upon Trauma\u003c/strong>\u003c/p>\n\u003cp>Before the Camp Fire, Hanes already had more stress than most. She was a single mother, living off of the disability check she received for a bad back, and would skip meals to make sure Aroara had enough food.\u003c/p>\n\u003cp>She also carried the scars of a painful childhood, including, she said, being raped by a neighbor. The trauma of her past led her to attempt suicide multiple times as a young adult.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Sabrina Hanes, Butte County']‘Now I’m on a different path and it’s hard. But I know that at the end something good will come out of it.’[/pullquote]But in Paradise she had turned things around, creating \u003ca href=\"https://www.kqed.org/news/11687798/childhood-trauma-can-mean-early-death-this-california-mom-wants-to-beat-the-odds\">a stable routine\u003c/a> for herself and Aroara. She was on track to get her bachelor’s degree, with the goal of working in early childhood development. She helped teach classes for toddlers and parents at a nonprofit, and took her daughter to a special kind of \u003ca href=\"https://pcit.ucdavis.edu\">play therapy\u003c/a> to learn how to better manage Aroara’s meltdowns. The pair spent most afternoons at a dance studio, where they found a community.\u003c/p>\n\u003cp>In its wake, however, the fire destroyed that sense of normalcy.\u003c/p>\n\u003cp>“It’s not just losing the home, it’s not just losing the town,” Hanes said. “It’s losing people that we cared about because they had to move away — because there was nowhere to move.”\u003c/p>\n\u003cp>Losing these social ties has made life harder for Hanes, and so has the reawakening of old, painful memories.\u003c/p>\n\u003cp>“I think it’s stuff that I never fully worked through,” Hanes said. “This trauma has just added this new layer.”\u003c/p>\n\u003cp>While she is trying to do the best she can, “it’s a lot harder to cope with day-to-day life,” Hanes said. Even little challenges set her off: “I feel like it’s because of this (the fire). I’m just so angry that this happened.”\u003c/p>\n\u003cfigure id=\"attachment_11785773\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11785773 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/11/RS39865__DSC4866-qut-800x534.jpg\" alt=\"Sabrina Hanes and her daughter Aroara do a science experiment in their trailer. Hanes chose to homeschool her daughter in part due to behavior issues that emerged after the Camp Fire.\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39865__DSC4866-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39865__DSC4866-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39865__DSC4866-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39865__DSC4866-qut-1200x801.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39865__DSC4866-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sabrina Hanes and her daughter, Aroara, do a science experiment in their trailer. Hanes chose to home-school her daughter in part due to behavior issues that emerged after the Camp Fire. \u003ccite>(Stephanie Lister/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>‘Another Trauma Often Reawakens Symptoms’\u003c/strong>\u003c/p>\n\u003cp>Psychologist \u003ca href=\"https://childtrauma.ucsf.edu/our-team#Chandra\">Chandra Ghosh Ippen\u003c/a> said past trauma, like Hanes’, can resurface.\u003c/p>\n\u003cp>“If you’ve had a very heavy trauma history, another trauma often reawakens symptoms,” said Ghosh Ippen, associate director of the Child Trauma Research Program at UCSF.\u003c/p>\n\u003cp>“When we think about asthma, we think about how there’s often a reemergence of symptoms when you’re around pollen,” she added. “It’s that same way with trauma. There’s a re-emergence of symptoms when you’re around reminders.”\u003c/p>\n\u003cp>That’s been the case for Mary Chelton, of Glen Ellen in Sonoma County. The scars of the 2017 North Bay fires reopened in late October, when the Kincade Fire erupted. Just before the blaze, her mother died. Then she lost power at home during the PG&E preemptive shutoffs — just like what happened during the earlier fires.\u003c/p>\n\u003cp>“The traumatic reminders of smoke and wind, like the wildfires we experienced previously, has been a less than perfect storm,” she said.\u003c/p>\n\u003cp>The reminders have also come up in everyday life.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Mary Chelton, Glen Ellen']‘The traumatic reminders of smoke and wind, like the wildfires we experienced previously, has been a less than perfect storm.’[/pullquote]“I’ve had the experience where I go to eat a smoky type of food like salmon,” she said. “And just the taste of it or the smell of that will make my stomach clench and make my heart start beating faster. It’s a visceral reaction that I didn’t expect to be sort of scarred with because of what happened a couple of years ago.”\u003c/p>\n\u003cp>After the 2017 blazes, people “felt fragile, overwhelmed and flooded with fear and stress, said \u003ca href=\"https://www.usfca.edu/faculty/daniela-dominguez\">Daniela Domínguez\u003c/a>, a psychologist and assistant professor at University of San Francisco.\u003c/p>\n\u003cp>Domínguez, who has spent the past two years working with community members in Sonoma County affected by the 2017 fires, focuses on the Latinx and undocumented populations.\u003c/p>\n\u003cp>Reactions to wildfires differ from person to person, ranging from social withdrawal to increased irritability to a lack of self-compassion for the feelings they are experiencing, she said.\u003c/p>\n\u003cp>For Anayeli Rodriguez, 33, those symptoms have come in the form of nightly anxiety. Rodriguez and her family had to evacuate from their home in Winters during the 2017 North Bay fires and again during the Kincade Fire.\u003c/p>\n\u003cp>Just a few weeks ago, they were preparing their home for a party following Rodriguez’s daughter’s baptism. Instead of guests coming to their door, it was police with evacuation notices. The family struggled to find an evacuation shelter that was not yet full.\u003c/p>\n\u003cp>“We feel a lot of sadness about what’s happened these past two years,” she said. Now that they’ve returned home, Rodriguez said her children don’t want to be there alone: “They constantly want to be with us.”\u003c/p>\n\u003cp>[aside postID='news_11687798']Both Domínguez and Ghosh Ippen said ways to deal with the pain brought up by the wildfires include acknowledging the severity of the event and the feelings it has brought up, and seeking out counseling from people trained in disaster response.\u003c/p>\n\u003cp>Domínguez cautioned, however, that those services should be responsive to a person’s culture and language.\u003c/p>\n\u003cp>“We have a lot of wonderful mental health practitioners who understand trauma, but folks who might not necessarily understand the structural barriers, the disparities and the adversities that the Latinx community is experiencing in Sonoma County,” she said.\u003c/p>\n\u003cp>Domínguez said counseling also isn’t an option that’s available to everyone — especially people who are undocumented and fear using services due to their immigration status. She worries that having no way to process fire trauma will lead to prolonged stress, which can impact physical health in adults and brain development in children.\u003c/p>\n\u003cfigure id=\"attachment_11785774\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11785774\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/11/RS39862__DSC4742-qut-800x534.jpg\" alt=\"Aroara sits outside the trailer where she lives with her mother in Butte County.\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39862__DSC4742-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39862__DSC4742-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39862__DSC4742-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39862__DSC4742-qut-1200x801.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39862__DSC4742-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Aroara sits outside the trailer where she lives with her mother in Butte County. \u003ccite>(Stephanie Lister/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Becoming the Journey\u003c/strong>\u003c/p>\n\u003cp>Hanes has seen a change in her daughter Aroara’s behavior since the fire. Aroara gets scared when she smells any kind of smoke, and she began acting out in school, which led Hanes to home-school.\u003c/p>\n\u003cp>Psychologist Ghosh Ippen said behaviors like Aroara’s are normal and children will exhibit trauma symptoms in several ways, including developmental regressions, tantrums and anger.\u003c/p>\n\u003cp>[aside tag='kincade-fire' label='Related Coverage']Hanes regularly brings Aroara with her to therapy to work through the lingering impacts of the fire, but she has found it difficult to make time for counseling. She is on disability and is struggling to provide food for herself and her daughter, and she said the trailer where they live always seems to need some repair. She spends evenings preparing lessons for the kindergarten education she’s giving Aroara at home.\u003c/p>\n\u003cp>Despite a year that has tested her, Hanes said she doesn’t think she will resort to her old coping mechanisms, like cutting herself or drug use, because of Aroara.\u003c/p>\n\u003cp>This past spring, when she thought cutting herself might bring some relief, she chose a different path. She looked online for meaningful quotes and found one she liked by author Robert M. Drake.\u003c/p>\n\u003cp>It said; “In the end, she became more than what she expected. She became the journey. And like all journeys, she simply changed directions and kept going.”\u003c/p>\n\u003cp>She tattooed it on her arm.\u003c/p>\n\u003cp>“I was on one path. Now I’m on a different path and it’s hard,” she said. “But I know that at the end something good will come out of it.”\u003c/p>\n\u003cp>\u003cem>KQED News’ Miranda Leitsinger contributed to this report.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Natural disasters like the Camp Fire can reopen old trauma wounds, or create new ones, experts say, stirring up symptoms like insomnia, worry and hopelessness.",
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"title": "Minds Scarred by Wildfire: How Disasters Linger | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>At first glance, this lot in Paradise seems idyllic: quiet and wooded.\u003c/p>\n\u003cp>But a closer look reveals scars that the Camp Fire — California’s deadliest blaze — etched into the landscape: burnt tree trunks, a warped chain-link fence and melted trinkets missed by cleanup crews.\u003c/p>\n\u003cp>The scars the fire left on people are more obvious, though. Sabrina Hanes, who lived on this now-empty lot, had a tumultuous childhood and finally found some stability in Paradise until the blaze claimed her and her daughter’s home, belongings and beloved cat — and reignited old trauma.\u003c/p>\n\u003cp>A year since the fire struck, Hanes, 34, has struggled to avoid the destructive practices she used to cope in the past: “I don’t want to be back in that place where I used drugs or did the cutting. But I would be lying to myself if those thoughts haven’t arisen in my head.”\u003c/p>\n\u003cp>Recovering from the physical losses has been a challenge, but the emotional ones have proved tougher for Hanes due to her history of trauma. Natural disasters like the Camp Fire can reopen those old wounds or create new ones, experts say, bringing up trauma symptoms like insomnia, worry and hopelessness.\u003c/p>\n\u003cfigure id=\"attachment_11785098\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11785098 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/11/RS39864__DSC4817-qut-800x534.jpg\" alt=\"Sabrina Hanes home schools her daughter Aroara in their trailer on October 7, 2019 outside Paradise, Ca where their home was destroyed in the 2018 Camp Fire.\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39864__DSC4817-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39864__DSC4817-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39864__DSC4817-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39864__DSC4817-qut-1200x801.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39864__DSC4817-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sabrina Hanes home-schools her daughter, Aroara, in their trailer on Oct. 7, 2019, outside Paradise, where their home was destroyed in the 2018 Camp Fire. \u003ccite>(Stephanie Lister/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Compounding Trauma Upon Trauma\u003c/strong>\u003c/p>\n\u003cp>Before the Camp Fire, Hanes already had more stress than most. She was a single mother, living off of the disability check she received for a bad back, and would skip meals to make sure Aroara had enough food.\u003c/p>\n\u003cp>She also carried the scars of a painful childhood, including, she said, being raped by a neighbor. The trauma of her past led her to attempt suicide multiple times as a young adult.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But in Paradise she had turned things around, creating \u003ca href=\"https://www.kqed.org/news/11687798/childhood-trauma-can-mean-early-death-this-california-mom-wants-to-beat-the-odds\">a stable routine\u003c/a> for herself and Aroara. She was on track to get her bachelor’s degree, with the goal of working in early childhood development. She helped teach classes for toddlers and parents at a nonprofit, and took her daughter to a special kind of \u003ca href=\"https://pcit.ucdavis.edu\">play therapy\u003c/a> to learn how to better manage Aroara’s meltdowns. The pair spent most afternoons at a dance studio, where they found a community.\u003c/p>\n\u003cp>In its wake, however, the fire destroyed that sense of normalcy.\u003c/p>\n\u003cp>“It’s not just losing the home, it’s not just losing the town,” Hanes said. “It’s losing people that we cared about because they had to move away — because there was nowhere to move.”\u003c/p>\n\u003cp>Losing these social ties has made life harder for Hanes, and so has the reawakening of old, painful memories.\u003c/p>\n\u003cp>“I think it’s stuff that I never fully worked through,” Hanes said. “This trauma has just added this new layer.”\u003c/p>\n\u003cp>While she is trying to do the best she can, “it’s a lot harder to cope with day-to-day life,” Hanes said. Even little challenges set her off: “I feel like it’s because of this (the fire). I’m just so angry that this happened.”\u003c/p>\n\u003cfigure id=\"attachment_11785773\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11785773 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/11/RS39865__DSC4866-qut-800x534.jpg\" alt=\"Sabrina Hanes and her daughter Aroara do a science experiment in their trailer. Hanes chose to homeschool her daughter in part due to behavior issues that emerged after the Camp Fire.\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39865__DSC4866-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39865__DSC4866-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39865__DSC4866-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39865__DSC4866-qut-1200x801.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39865__DSC4866-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sabrina Hanes and her daughter, Aroara, do a science experiment in their trailer. Hanes chose to home-school her daughter in part due to behavior issues that emerged after the Camp Fire. \u003ccite>(Stephanie Lister/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>‘Another Trauma Often Reawakens Symptoms’\u003c/strong>\u003c/p>\n\u003cp>Psychologist \u003ca href=\"https://childtrauma.ucsf.edu/our-team#Chandra\">Chandra Ghosh Ippen\u003c/a> said past trauma, like Hanes’, can resurface.\u003c/p>\n\u003cp>“If you’ve had a very heavy trauma history, another trauma often reawakens symptoms,” said Ghosh Ippen, associate director of the Child Trauma Research Program at UCSF.\u003c/p>\n\u003cp>“When we think about asthma, we think about how there’s often a reemergence of symptoms when you’re around pollen,” she added. “It’s that same way with trauma. There’s a re-emergence of symptoms when you’re around reminders.”\u003c/p>\n\u003cp>That’s been the case for Mary Chelton, of Glen Ellen in Sonoma County. The scars of the 2017 North Bay fires reopened in late October, when the Kincade Fire erupted. Just before the blaze, her mother died. Then she lost power at home during the PG&E preemptive shutoffs — just like what happened during the earlier fires.\u003c/p>\n\u003cp>“The traumatic reminders of smoke and wind, like the wildfires we experienced previously, has been a less than perfect storm,” she said.\u003c/p>\n\u003cp>The reminders have also come up in everyday life.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I’ve had the experience where I go to eat a smoky type of food like salmon,” she said. “And just the taste of it or the smell of that will make my stomach clench and make my heart start beating faster. It’s a visceral reaction that I didn’t expect to be sort of scarred with because of what happened a couple of years ago.”\u003c/p>\n\u003cp>After the 2017 blazes, people “felt fragile, overwhelmed and flooded with fear and stress, said \u003ca href=\"https://www.usfca.edu/faculty/daniela-dominguez\">Daniela Domínguez\u003c/a>, a psychologist and assistant professor at University of San Francisco.\u003c/p>\n\u003cp>Domínguez, who has spent the past two years working with community members in Sonoma County affected by the 2017 fires, focuses on the Latinx and undocumented populations.\u003c/p>\n\u003cp>Reactions to wildfires differ from person to person, ranging from social withdrawal to increased irritability to a lack of self-compassion for the feelings they are experiencing, she said.\u003c/p>\n\u003cp>For Anayeli Rodriguez, 33, those symptoms have come in the form of nightly anxiety. Rodriguez and her family had to evacuate from their home in Winters during the 2017 North Bay fires and again during the Kincade Fire.\u003c/p>\n\u003cp>Just a few weeks ago, they were preparing their home for a party following Rodriguez’s daughter’s baptism. Instead of guests coming to their door, it was police with evacuation notices. The family struggled to find an evacuation shelter that was not yet full.\u003c/p>\n\u003cp>“We feel a lot of sadness about what’s happened these past two years,” she said. Now that they’ve returned home, Rodriguez said her children don’t want to be there alone: “They constantly want to be with us.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Both Domínguez and Ghosh Ippen said ways to deal with the pain brought up by the wildfires include acknowledging the severity of the event and the feelings it has brought up, and seeking out counseling from people trained in disaster response.\u003c/p>\n\u003cp>Domínguez cautioned, however, that those services should be responsive to a person’s culture and language.\u003c/p>\n\u003cp>“We have a lot of wonderful mental health practitioners who understand trauma, but folks who might not necessarily understand the structural barriers, the disparities and the adversities that the Latinx community is experiencing in Sonoma County,” she said.\u003c/p>\n\u003cp>Domínguez said counseling also isn’t an option that’s available to everyone — especially people who are undocumented and fear using services due to their immigration status. She worries that having no way to process fire trauma will lead to prolonged stress, which can impact physical health in adults and brain development in children.\u003c/p>\n\u003cfigure id=\"attachment_11785774\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11785774\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/11/RS39862__DSC4742-qut-800x534.jpg\" alt=\"Aroara sits outside the trailer where she lives with her mother in Butte County.\" width=\"800\" height=\"534\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39862__DSC4742-qut-800x534.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39862__DSC4742-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39862__DSC4742-qut-1020x681.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39862__DSC4742-qut-1200x801.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/11/RS39862__DSC4742-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Aroara sits outside the trailer where she lives with her mother in Butte County. \u003ccite>(Stephanie Lister/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Becoming the Journey\u003c/strong>\u003c/p>\n\u003cp>Hanes has seen a change in her daughter Aroara’s behavior since the fire. Aroara gets scared when she smells any kind of smoke, and she began acting out in school, which led Hanes to home-school.\u003c/p>\n\u003cp>Psychologist Ghosh Ippen said behaviors like Aroara’s are normal and children will exhibit trauma symptoms in several ways, including developmental regressions, tantrums and anger.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The climate change crisis can be overwhelming, triggering crippling fear and sadness in some people. Some call it \u003ca href=\"https://www.kqed.org/news/11776098/climate-change-despair-is-real-this-is-how-you-fight-it\" rel=\"noopener\" target=\"_blank\">eco-anxiety\u003c/a>, some call it climate grief.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Haley Staudmyer on Twitter']‘The amount of death and hurt we will see as a result of climate change gnaws at my heart every day. I find solace in community, in putting my soul into my education, in doing my part to make this world worth saving.’[/pullquote]\u003c/p>\n\u003cp>That makes it hard sometimes for people to face global warming — not because they don’t care, but precisely because they do: “I think it’s actually the fact that we do care very deeply. But the experience is one of feeling overwhelmed, feeling powerless,” said environmental psychologist \u003ca href=\"https://reneelertzman.com/\" target=\"_blank\" rel=\"noopener\">Renee Lertzman\u003c/a>. “As individuals, we are very easily led to feel that we are insignificant.”\u003c/p>\n\u003cp>We wanted to know how our audience was experiencing climate grief, so we asked on \u003ca href=\"https://twitter.com/lauraklivans/status/1167122097245577217\" target=\"_blank\" rel=\"noopener\">Twitter\u003c/a>, and got a range of responses — from difficulty making big life decisions to having concern for kids, from accepting that the fear is based on real threats to using those threats as motivation to get involved.\u003c/p>\n\u003cp>\u003cstrong>Here are some of your responses:\u003c/strong>\u003c/p>\n\u003cp>Nic Eaton said he and his wife spoke about decision-making “with climate catastrophe ahead” and that they were “feeling utterly incapable of making appropriate decisions.”\u003c/p>\n\u003cp>“By which I mean worthwhile decisions. Should we just say fuck it and roll the dice? Do all the things we want to do now regardless of future implications?” \u003ca href=\"https://twitter.com/NicEatonWrites/status/1167246141953589253\" target=\"_blank\" rel=\"noopener\">he wrote\u003c/a>. “Do we play it safe? Do we build a bunker? Can our lives have meaning even in the event of collapse?”\u003c/p>\n\u003cp>https://twitter.com/RebeccaPHall/status/1167220215811170304\u003c/p>\n\u003cp>Others, with kids, expressed worries about their future.\u003c/p>\n\u003cp>“I have very young kids and I don’t know how to talk to them about the world anymore. I don’t know how to describe the future, or their future,” wrote \u003ca href=\"https://twitter.com/moultano/status/1167165627410173952\" target=\"_blank\" rel=\"noopener\">Ryan Moulton\u003c/a>. “I feel like I have to pretend that their life will be similar to mine, even though I know that it’s likely that it won’t be.”\u003c/p>\n\u003cp>https://twitter.com/3TomatoesShort/status/1167643304600584192\u003c/p>\n\u003cp>For some, their fear is based on personal experience. Dr. Eki Shola Abrams said her family drove through flames to escape the 2017 Tubbs Fire in Northern California. She has had eco-anxiety ever since.\u003c/p>\n\u003cp>“I appreciate this deeper awareness of climate change yet it has sometimes paralyzed me with fear … I constantly ask myself, ‘Do I need this?’ when thinking about buying replacement items we lost in the fire,” she wrote in an email to KQED. “Teaching my children to recycle knowing that a lot of it will inevitably end up in landfills is very unsettling.”\u003c/p>\n\u003cp>For some, processing their anxiety can take the form of grief. People have gathered in places like \u003ca href=\"https://www.wbur.org/hereandnow/2019/08/16/dead-icelandic-glacier-lost-to-climate-change\" target=\"_blank\" rel=\"noopener\">Iceland\u003c/a> and \u003ca href=\"https://www.npr.org/2019/09/22/763229087/hundreds-attend-funeral-for-pizol-a-disappearing-glacier\" target=\"_blank\" rel=\"noopener\">Switzerland\u003c/a> to memorialize glaciers as though they were humans who had passed away.\u003c/p>\n\u003cp>For \u003ca href=\"https://twitter.com/nightspunwriter/status/1167460099335622657\" target=\"_blank\" rel=\"noopener\">Katy M\u003c/a>, the grief comes in “waves. Guilt, helplessness, hopelessness, depression.” Daniel Jin said he feels it every day.\u003c/p>\n\u003cp>“It’s an ever-present anxiety that grows and recedes but never leaves,” \u003ca href=\"https://twitter.com/daniel_jin/status/1167166429038145536\" target=\"_blank\" rel=\"noopener\">Jin wrote\u003c/a>. “Sometimes it’s a dull ache that gnaws at the present moment, and sometimes it’s acute and all-consuming.”\u003c/p>\n\u003cp>https://twitter.com/aitana_banana/status/1167558016582873089\u003c/p>\n\u003cp>And yet others defined grief like this:\u003c/p>\n\u003cp>https://twitter.com/baitnickel/status/1167239212489273344\u003c/p>\n\u003cp>Craig Chalquist, a psychologist and professor at the California Institute of Integral Studies, said all of these feelings are normal.\u003c/p>\n\u003cp>[aside tag='climate-change' label='Related Coverage']“The human mind is built such that it protects itself by defending itself against intolerable information,” he said. Such defenses may include “surfing away from the bad news,” regressing to a childlike state and expecting someone else to take care of the issue, denying that the problem is happening or believing in a silver-bullet solution.\u003c/p>\n\u003cp>Eco-anxiety can be \u003ca href=\"https://www.kqed.org/news/11776098/climate-change-despair-is-real-this-is-how-you-fight-it\" target=\"_blank\" rel=\"noopener\">managed.\u003c/a> Experts suggest processing feelings, meeting with allies, identifying problems — and getting to work.\u003c/p>\n\u003cp>Some of those who responded to us said they’ve used their \u003ca href=\"https://twitter.com/Jacobonollo/status/1167255653133574144\" target=\"_blank\" rel=\"noopener\">feelings\u003c/a> as inspiration to act.\u003c/p>\n\u003cp>“The only way I find to cope is to do something about it: to take action demonstrating and working for change,” wrote \u003ca href=\"https://twitter.com/AveryBlueberry/status/1167514976673783808\" target=\"_blank\" rel=\"noopener\">Avery Blueberry\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Rhiannon, founder of online support group Parents for the Planet, said they’ve developed a series of coping steps on this issue.\u003c/p>\n\u003cp>“The important things in our experience are acknowledging it and also fighting an understandable temptation to freeze or hide instead of act,” \u003ca href=\"https://twitter.com/Parents4Planet/status/1167254537989578752\" target=\"_blank\" rel=\"noopener\">she wrote\u003c/a>.\u003c/p>\n\u003cp>Abrams, the Tubbs Wildfire survivor, said she has developed coping tools, too, like writing music about the pain. She has also become certified in a training program to help others in her community build resilience. “Being a part of this resilience community has allowed for open and safe discussions about climate change, trauma and much more,” she said.\u003c/p>\n\u003cp>https://twitter.com/hstaudmyer/status/1167247604163334144\u003c/p>\n\u003cp>Not everyone felt down about the days ahead. Some even said they felt hopeful, like \u003ca href=\"https://twitter.com/AdelaP/status/1167392183353335808\" target=\"_blank\" rel=\"noopener\">Adela P\u003c/a>.\u003c/p>\n\u003cp>“Perhaps the pendulum has to swing this far before it forces humanity to evolve,” she wrote. “We have the tools — let’s implement them.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cp>In 2015, Bay Area lawyer and activist Sarah Jornsay-Silverberg found herself in Paris representing island nations at the United Nations Climate Change Conference. She was thrilled to be there.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Robin Cooper, a psychiatrist in San Francisco']‘We are biologically wired to respond with anxiety to alert us to respond to real threats.’[/pullquote]As the event progressed, however, “it was really clear that we were not going to achieve what we’d hoped,” she said.\u003c/p>\n\u003cp>What she and her colleagues had hoped for was a deal to limit global temperature rise to 1.5 degrees Celsius this century and a binding mechanism to enforce that. What they got was the\u003ca href=\"https://unfccc.int/process-and-meetings/the-paris-agreement/the-paris-agreement\" target=\"_blank\" rel=\"noopener noreferrer\"> Paris Agreement\u003c/a>, which aims to keep global temperature rise to “well below 2 degrees Celsius” — and which countries have signed on to through voluntary pledges.\u003c/p>\n\u003cp>Instead of celebrating in the streets, she found herself curled up in her hostel bed, crying.\u003c/p>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/09/CoveringClimateNow.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-11777126\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/09/CoveringClimateNow.jpg\" alt=\"\" width=\"223\" height=\"223\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/CoveringClimateNow.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/CoveringClimateNow-160x160.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/CoveringClimateNow-550x550.jpg 550w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/CoveringClimateNow-470x470.jpg 470w\" sizes=\"(max-width: 223px) 100vw, 223px\">\u003c/a>The depression that struck Jornsay-Silverberg, 34, in 2015 still comes and goes today. She worries about ecosystems, native people and their habitats, the Amazon. She is also grieving a vision of her future that may no longer become a reality.\u003c/p>\n\u003cp>“People like myself are deciding whether [we] even want to have children,” she said. When she was younger, she always assumed that she would.\u003c/p>\n\u003cp>\u003cb>The Rise of Eco-Anxiety\u003c/b>\u003c/p>\n\u003cp>Environmental activists like Jornsay-Silverberg are not the only ones feeling overwhelmed with despair as the climate changes. While “eco-anxiety” is most commonly used to describe these feelings, therapists and others have bandied about different labels, too: climate anxiety, climate despair, eco-despair and eco-grief.\u003c/p>\n\u003cp>The American Psychological Association even published \u003ca href=\"https://www.apa.org/news/press/releases/2017/03/mental-health-climate.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">a guide for therapists\u003c/a> to help them assist their patients. In it, they wrote, “the psychological responses to climate change, such as conflict avoidance, fatalism, fear, helplessness and resignation are growing. These responses are keeping us, and our nation, from properly addressing the core causes of and solutions for our changing climate, and from building and supporting psychological resiliency.”\u003c/p>\n\u003cfigure id=\"attachment_11776259\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11776259\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/09/IMG_2809-800x600.jpg\" alt=\"Seth Dunn, Sarah Jornsay-Silverberg, and Michela Fitten at the Global Climate Strike in downtown San Francisco on Sept. 20, 2019.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Seth Dunn, Sarah Jornsay-Silverberg and Michela Fitten at the Global Climate Strike in downtown San Francisco on Sept. 20, 2019. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Robin Cooper, of San Francisco, is one of the founders of the \u003ca href=\"https://www.climatepsychiatry.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Climate Psychiatry Alliance\u003c/a>, a group of psychiatrists working to highlight how climate change impacts mental health, and how to help those affected.\u003c/p>\n\u003cp>She said she and her colleagues are seeing more patients with “tension, anxiety, worry, depression” about the climate.\u003c/p>\n\u003cp>In cases like this, one of the first things Cooper said she does is acknowledge the realistic nature of a patient’s concerns. Unlike an irrational fear, eco-anxiety is a healthy response to a serious risk, she said.\u003c/p>\n\u003cp>“We are biologically wired to respond with anxiety to alert us to respond to real threats,” she said.\u003c/p>\n\u003cp>\u003cstrong>Despair’s Antidote \u003c/strong>\u003c/p>\n\u003cp>So if the negative aspects of climate change won’t be going away, how do we “treat” eco-anxiety?\u003c/p>\n\u003cp>Experts seem to agree on a three-part strategy:\u003c/p>\n\u003col>\n\u003cli>\u003cstrong>Come together in community. \u003c/strong>“Find allies who understand what [you’re] feeling… and get together with them,” said Craig Chalquist, a psychologist and professor at the California Institute of Integral Studies. He said it can even be something informal. Often, people struggle with these feelings in isolation, since bringing up climate change is taboo in many social situations.\u003c/li>\n\u003cli>\u003cstrong>Process your feelings. \u003c/strong>This can happen through talking, \u003ca href=\"https://www.goodgriefnetwork.org/\" target=\"_blank\" rel=\"noopener noreferrer\">grief groups\u003c/a> and\u003ca href=\"https://www.amazon.com/Ecotherapy-Healing-Nature-Linda-Buzzell/dp/1578051614\" target=\"_blank\" rel=\"noopener noreferrer\"> spending time in nature\u003c/a>. Really? Just talk about such a huge issue? Chalquist said yes, adding that people with eco-anxiety then “quickly move from that phase into, ‘What can I do?'”\u003c/li>\n\u003cli>\u003cstrong>\u003cstrong>\u003cstrong>Identify what specific problems speak to you, and get to work. \u003c/strong>\u003c/strong>\u003c/strong>Interested in oceans? Food systems? Reforestation? Chalquist said because all these aspects of the environment are connected, “to work on one is actually to bring some healing to the whole thing.”\u003c/li>\n\u003c/ol>\n\u003cp>Sarah Jornsay-Silverberg said these steps have been crucial for her mental health.\u003c/p>\n\u003cp>[aside tag='climate-strike' label='More Coverage']She has found meaningful community through the \u003ca href=\"https://www.goodgriefnetwork.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Good Grief Network\u003c/a>, a group that follows a 10-step program to combat despair and eco-anxiety, and build “personal resilience.” Jornsay-Silverberg described this resilience as the ability to face the climate crisis head-on while not being bowled over by it.\u003c/p>\n\u003cp>Good Grief steps range from “accept the problem and its severity,” to “reinvest in problem-solving efforts,” according to the group’s website. Good Grief has been a place for Jornsay-Silverberg to process her emotions about the climate crisis.\u003c/p>\n\u003cp>“It’s really useful to be in community,” Jornsay-Silverberg said. She doesn’t feel like she’s bringing other people down “when I talk about where my mind goes and how sad and dark it feels sometimes.”\u003c/p>\n\u003cp>It has also reinvigorated her desire to fight for the environment in several ways. First, she and some friends are starting a Good Grief group in the Bay Area that’s open to new people. Second, she is launching an outdoor class aimed at helping kids develop emotional resilience to face whatever challenges our society may face in the future. And third, she is hitting the streets: She and friends marched in the recent Global Climate Strike in downtown San Francisco.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Sarah Jornsay-Silverberg, Bay Area climate activist']‘You don’t have to be a trained climate activist to play your part. You just have to figure out what you’re good at and how you are a useful contributor, and just stick with that.’[/pullquote]“This is the antidote,” she said walking down 7th Street last Friday. “Being surrounded by people that also care about this, you feel so supported and held by this community. Like look at how many young people are here with their signs. I’m going to cry, you know?”\u003c/p>\n\u003cp>Jornsay-Silverberg’s eco-anxiety is not gone, and it probably never will be. But her actions help her feel like she is part of the solution.\u003c/p>\n\u003cp>“You don’t have to be a trained climate activist to play your part,” she said. “You just have to figure out what you’re good at and how you are a useful contributor, and just stick with that.”\u003c/p>\n\u003cp>\u003cem>This story is part of KQED Science’s partnership with Covering Climate Now, a global collaboration of more than 300 news outlets to strengthen coverage of the climate story.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>As the event progressed, however, “it was really clear that we were not going to achieve what we’d hoped,” she said.\u003c/p>\n\u003cp>What she and her colleagues had hoped for was a deal to limit global temperature rise to 1.5 degrees Celsius this century and a binding mechanism to enforce that. What they got was the\u003ca href=\"https://unfccc.int/process-and-meetings/the-paris-agreement/the-paris-agreement\" target=\"_blank\" rel=\"noopener noreferrer\"> Paris Agreement\u003c/a>, which aims to keep global temperature rise to “well below 2 degrees Celsius” — and which countries have signed on to through voluntary pledges.\u003c/p>\n\u003cp>Instead of celebrating in the streets, she found herself curled up in her hostel bed, crying.\u003c/p>\n\u003cp>\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/09/CoveringClimateNow.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-11777126\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/09/CoveringClimateNow.jpg\" alt=\"\" width=\"223\" height=\"223\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/CoveringClimateNow.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/CoveringClimateNow-160x160.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/CoveringClimateNow-550x550.jpg 550w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/CoveringClimateNow-470x470.jpg 470w\" sizes=\"(max-width: 223px) 100vw, 223px\">\u003c/a>The depression that struck Jornsay-Silverberg, 34, in 2015 still comes and goes today. She worries about ecosystems, native people and their habitats, the Amazon. She is also grieving a vision of her future that may no longer become a reality.\u003c/p>\n\u003cp>“People like myself are deciding whether [we] even want to have children,” she said. When she was younger, she always assumed that she would.\u003c/p>\n\u003cp>\u003cb>The Rise of Eco-Anxiety\u003c/b>\u003c/p>\n\u003cp>Environmental activists like Jornsay-Silverberg are not the only ones feeling overwhelmed with despair as the climate changes. While “eco-anxiety” is most commonly used to describe these feelings, therapists and others have bandied about different labels, too: climate anxiety, climate despair, eco-despair and eco-grief.\u003c/p>\n\u003cp>The American Psychological Association even published \u003ca href=\"https://www.apa.org/news/press/releases/2017/03/mental-health-climate.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">a guide for therapists\u003c/a> to help them assist their patients. In it, they wrote, “the psychological responses to climate change, such as conflict avoidance, fatalism, fear, helplessness and resignation are growing. These responses are keeping us, and our nation, from properly addressing the core causes of and solutions for our changing climate, and from building and supporting psychological resiliency.”\u003c/p>\n\u003cfigure id=\"attachment_11776259\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11776259\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/09/IMG_2809-800x600.jpg\" alt=\"Seth Dunn, Sarah Jornsay-Silverberg, and Michela Fitten at the Global Climate Strike in downtown San Francisco on Sept. 20, 2019.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-1200x900.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-1920x1440.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-1832x1374.jpg 1832w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-1376x1032.jpg 1376w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-1044x783.jpg 1044w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/09/IMG_2809.jpg 2048w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Seth Dunn, Sarah Jornsay-Silverberg and Michela Fitten at the Global Climate Strike in downtown San Francisco on Sept. 20, 2019. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Robin Cooper, of San Francisco, is one of the founders of the \u003ca href=\"https://www.climatepsychiatry.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Climate Psychiatry Alliance\u003c/a>, a group of psychiatrists working to highlight how climate change impacts mental health, and how to help those affected.\u003c/p>\n\u003cp>She said she and her colleagues are seeing more patients with “tension, anxiety, worry, depression” about the climate.\u003c/p>\n\u003cp>In cases like this, one of the first things Cooper said she does is acknowledge the realistic nature of a patient’s concerns. Unlike an irrational fear, eco-anxiety is a healthy response to a serious risk, she said.\u003c/p>\n\u003cp>“We are biologically wired to respond with anxiety to alert us to respond to real threats,” she said.\u003c/p>\n\u003cp>\u003cstrong>Despair’s Antidote \u003c/strong>\u003c/p>\n\u003cp>So if the negative aspects of climate change won’t be going away, how do we “treat” eco-anxiety?\u003c/p>\n\u003cp>Experts seem to agree on a three-part strategy:\u003c/p>\n\u003col>\n\u003cli>\u003cstrong>Come together in community. \u003c/strong>“Find allies who understand what [you’re] feeling… and get together with them,” said Craig Chalquist, a psychologist and professor at the California Institute of Integral Studies. He said it can even be something informal. Often, people struggle with these feelings in isolation, since bringing up climate change is taboo in many social situations.\u003c/li>\n\u003cli>\u003cstrong>Process your feelings. \u003c/strong>This can happen through talking, \u003ca href=\"https://www.goodgriefnetwork.org/\" target=\"_blank\" rel=\"noopener noreferrer\">grief groups\u003c/a> and\u003ca href=\"https://www.amazon.com/Ecotherapy-Healing-Nature-Linda-Buzzell/dp/1578051614\" target=\"_blank\" rel=\"noopener noreferrer\"> spending time in nature\u003c/a>. Really? Just talk about such a huge issue? Chalquist said yes, adding that people with eco-anxiety then “quickly move from that phase into, ‘What can I do?'”\u003c/li>\n\u003cli>\u003cstrong>\u003cstrong>\u003cstrong>Identify what specific problems speak to you, and get to work. \u003c/strong>\u003c/strong>\u003c/strong>Interested in oceans? Food systems? Reforestation? Chalquist said because all these aspects of the environment are connected, “to work on one is actually to bring some healing to the whole thing.”\u003c/li>\n\u003c/ol>\n\u003cp>Sarah Jornsay-Silverberg said these steps have been crucial for her mental health.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This is the antidote,” she said walking down 7th Street last Friday. “Being surrounded by people that also care about this, you feel so supported and held by this community. Like look at how many young people are here with their signs. I’m going to cry, you know?”\u003c/p>\n\u003cp>Jornsay-Silverberg’s eco-anxiety is not gone, and it probably never will be. But her actions help her feel like she is part of the solution.\u003c/p>\n\u003cp>“You don’t have to be a trained climate activist to play your part,” she said. “You just have to figure out what you’re good at and how you are a useful contributor, and just stick with that.”\u003c/p>\n\u003cp>\u003cem>This story is part of KQED Science’s partnership with Covering Climate Now, a global collaboration of more than 300 news outlets to strengthen coverage of the climate story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The Federal Communications Commission is proposing to launch a new three-digit hotline for people who are feeling suicidal or are going through any other mental health crisis. It recommends making 988 the new national number to call for help, replacing the current 10-digit number.\u003c/p>\n\u003cp>The agency presented the idea to Congress in a \u003ca href=\"https://docs.fcc.gov/public/attachments/DOC-359095A1.pdf\">report\u003c/a> earlier this month and is expected to release more information and seek public comment about the proposal in the coming months.\u003c/p>\n\u003cp>Mental health advocates are excited about the proposal. They say it will make it easier for people in crisis to seek help, but caution that effective implementation could be costly, as the move could increase the need for staff to answer calls.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside tag='mental-health' label='Related Coverage']\u003c/span>\u003c/p>\n\u003cp>\"This is a great idea,\" says\u003ca href=\"https://www.columbiapsychiatry.org/profile/madelyn-gould-phd\"> Madelyn Gould\u003c/a>, a psychiatrist at Columbia University and an expert on suicide prevention.\u003c/p>\n\u003cp>The current \u003ca href=\"https://suicidepreventionlifeline.org/\">National Suicide Prevention Lifeline\u003c/a> number — 1-800-273-TALK or 1-800-273-8255 — can be difficult for people to remember in the midst of a crisis, she says.\u003c/p>\n\u003cp>\"People can have a cognitive shutdown or blank, as any of us do, when we can't remember things during times of extreme stress,\" she says.\u003c/p>\n\u003cp>Having a three-digit hotline, she says, will \"facilitate people's access to care at times when they are in dire need.\"\u003c/p>\n\u003cp>Her research shows that the current suicide prevention lifeline can save lives — that when people who are feeling suicidal call and talk to someone, \u003ca href=\"https://onlinelibrary.wiley.com/doi/abs/10.1521/suli.2007.37.3.338\">they do tend to feel better\u003c/a>.\u003c/p>\n\u003cp>And the existing number is being used by a large number of people. In 2018, the lifeline answered more than 2 million calls, up from about 46,000 in 2005, according to the report submitted by the FCC. Gould thinks a three-digit hotline will make it easier for more people to call.\u003c/p>\n\u003cp>\u003cstrong>\"A 911 for the brain\"\u003c/strong>\u003c/p>\n\u003cp>The FCC proposal stems from a congressional mandate in the \u003ca href=\"https://www.congress.gov/bill/115th-congress/house-bill/2345\">National Suicide Hotline Improvement Act of 2018\u003c/a>, which required the agency to work with the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Department of Veterans Affairs to evaluate the effectiveness of the suicide prevention lifelines and consider the feasibility of having a three-digit dialing code for mental health emergencies.\u003c/p>\n\u003cp>Americans know to call 911 for all other kinds of emergencies, says\u003ca href=\"https://riinternational.com/about-us/leadership/executive-leadership/david-covington-lpc-mba/\"> David Covington\u003c/a>, the CEO of \u003ca href=\"https://riinternational.com/\">RI International\u003c/a>, a nonprofit that provides behavioral health care around the country.\u003c/p>\n\u003cp>\"When my father was having chest pains we immediately called 911,\" says Covington. \"It's very straightforward what you do in our society in case of fire, or medical or other emergencies.\"\u003c/p>\n\u003cp>But \"we don't have a 911 for the brain,\" he adds.\u003c/p>\n\u003cp>And the stigma around mental illness makes people hesitate to seek help during a mental health crisis, says Covington. Those who do, either call the suicide prevention lifeline, or end up in a hospital emergency department after calling 911, he says.\u003c/p>\n\u003cp>\"The most common experience for individuals who make it through to some kind of hospital emergency department is to wait for hours and days in order to get a referral,\" says Covington.\u003c/p>\n\u003cp>He says he hopes the new hotline will reduce stigma and make it easier for people to seek help.\u003c/p>\n\u003cp>\"Having a three-digit national hotline would go a long way in beginning to normalize that it's OK to seek help,\" he says.\u003c/p>\n\u003cp>\"It's reinforcing the idea that seeking help is good,\" agrees Gould.\u003c/p>\n\u003cp>Gould hopes that the new hotline will encourage more people to call before they start feeling suicidal. \"If we can have people recognize that there's help in times of extreme depression or anxiety,\" she says, then the crisis is less likely to \"escalate to the point where they're so overwhelmed that they may think that suicide is the only solution.\"\u003c/p>\n\u003cp>\u003cstrong>Challenges of keeping up with call volume\u003c/strong>\u003c/p>\n\u003cp>Gould cautions that just launching a new three-digit hotline isn't enough.\u003c/p>\n\u003cp>\"The only way this is going to work is if additional services are funded,\" she says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[pullquote size='medium' align='right' citation='David Covington']'Having a three-digit national hotline would go a long way in beginning to normalize that it's OK to seek help.'[/pullquote]\u003c/span>\u003c/p>\n\u003cp>Calls to the current Suicide Prevention Lifeline are handled by a patchwork of more than 160 crisis centers around the country. Each center has its own — often local, or regional — source of funding, and some centers are better resourced than others. Calls are usually taken by trained volunteers at these crisis centers, although some centers also employ clinicians.\u003c/p>\n\u003cp>\u003ca href=\"https://www.linkedin.com/in/allie-franklin-93441614\">Allie Franklin\u003c/a>, the executive director of \u003ca href=\"https://www.crisisconnections.org/\">Crisis Connections\u003c/a>, one of the National Suicide Prevention Lifeline centers in Washington, says she expects a surge in calls when the national 988 number becomes available — and that's a good thing.\u003c/p>\n\u003cp>\"But how do we make sure we always have additional funding to make sure we always have someone answering the line?\" she asks.\u003c/p>\n\u003cp>If individual crisis centers don't receive additional funding to increase their staff and volunteers, callers might be left waiting, and feeling discouraged and helpless, she adds.\u003c/p>\n\u003cp>The FCC reports that the current system is challenged by \"rising call volume and uneven coverage in many states.\" This results in many calls getting routed to backup centers where wait times are longer.\u003c/p>\n\u003cp>\"We know that it's really important for people to get live answers very quickly when they call one of these numbers or one of these centers,\" says Franklin. \"At Crisis Connections, we strive to answer the line within 30 seconds, 95% of the time or more. And so someone doesn't have to wait for for very long at all before they get a live answer.\"\u003c/p>\n\u003cp>But in 2018, there was a surge in calls to the Suicide Prevention lifeline for a couple of reasons, says Franklin — and call wait times went up. The rapper Logic \u003ca href=\"https://www.cnn.com/2018/02/03/us/logic-grammys-performance-suicide-prevention-calls-trnd/index.html\">performed his song\u003c/a> about suicidal thoughts at the Grammys, a song titled, \"1-800-273-TALK,\" the number to the suicide prevention hotline. Then, a \u003ca href=\"https://www.newyorker.com/news/daily-comment/preventable-tragedies\">couple of celebrities\u003c/a> died by suicide last year.\u003c/p>\n\u003cp>\"It was really difficult in Washington when we had a 45% increase in calls statewide,\" she says. She said she had to find additional funds to respond to the higher call volume.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+A+Proposed+3-Digit+Suicide+Hotline+Could+Help+Prevention+Efforts&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "The current suicide hotline — 1-800-273-TALK or 1-800-273-8255 — has helped many people. But it's long and tough to remember in a crisis. The FCC is proposing a new national, three-digit number. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Federal Communications Commission is proposing to launch a new three-digit hotline for people who are feeling suicidal or are going through any other mental health crisis. It recommends making 988 the new national number to call for help, replacing the current 10-digit number.\u003c/p>\n\u003cp>The agency presented the idea to Congress in a \u003ca href=\"https://docs.fcc.gov/public/attachments/DOC-359095A1.pdf\">report\u003c/a> earlier this month and is expected to release more information and seek public comment about the proposal in the coming months.\u003c/p>\n\u003cp>Mental health advocates are excited about the proposal. They say it will make it easier for people in crisis to seek help, but caution that effective implementation could be costly, as the move could increase the need for staff to answer calls.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>\"This is a great idea,\" says\u003ca href=\"https://www.columbiapsychiatry.org/profile/madelyn-gould-phd\"> Madelyn Gould\u003c/a>, a psychiatrist at Columbia University and an expert on suicide prevention.\u003c/p>\n\u003cp>The current \u003ca href=\"https://suicidepreventionlifeline.org/\">National Suicide Prevention Lifeline\u003c/a> number — 1-800-273-TALK or 1-800-273-8255 — can be difficult for people to remember in the midst of a crisis, she says.\u003c/p>\n\u003cp>\"People can have a cognitive shutdown or blank, as any of us do, when we can't remember things during times of extreme stress,\" she says.\u003c/p>\n\u003cp>Having a three-digit hotline, she says, will \"facilitate people's access to care at times when they are in dire need.\"\u003c/p>\n\u003cp>Her research shows that the current suicide prevention lifeline can save lives — that when people who are feeling suicidal call and talk to someone, \u003ca href=\"https://onlinelibrary.wiley.com/doi/abs/10.1521/suli.2007.37.3.338\">they do tend to feel better\u003c/a>.\u003c/p>\n\u003cp>And the existing number is being used by a large number of people. In 2018, the lifeline answered more than 2 million calls, up from about 46,000 in 2005, according to the report submitted by the FCC. Gould thinks a three-digit hotline will make it easier for more people to call.\u003c/p>\n\u003cp>\u003cstrong>\"A 911 for the brain\"\u003c/strong>\u003c/p>\n\u003cp>The FCC proposal stems from a congressional mandate in the \u003ca href=\"https://www.congress.gov/bill/115th-congress/house-bill/2345\">National Suicide Hotline Improvement Act of 2018\u003c/a>, which required the agency to work with the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Department of Veterans Affairs to evaluate the effectiveness of the suicide prevention lifelines and consider the feasibility of having a three-digit dialing code for mental health emergencies.\u003c/p>\n\u003cp>Americans know to call 911 for all other kinds of emergencies, says\u003ca href=\"https://riinternational.com/about-us/leadership/executive-leadership/david-covington-lpc-mba/\"> David Covington\u003c/a>, the CEO of \u003ca href=\"https://riinternational.com/\">RI International\u003c/a>, a nonprofit that provides behavioral health care around the country.\u003c/p>\n\u003cp>\"When my father was having chest pains we immediately called 911,\" says Covington. \"It's very straightforward what you do in our society in case of fire, or medical or other emergencies.\"\u003c/p>\n\u003cp>But \"we don't have a 911 for the brain,\" he adds.\u003c/p>\n\u003cp>And the stigma around mental illness makes people hesitate to seek help during a mental health crisis, says Covington. Those who do, either call the suicide prevention lifeline, or end up in a hospital emergency department after calling 911, he says.\u003c/p>\n\u003cp>\"The most common experience for individuals who make it through to some kind of hospital emergency department is to wait for hours and days in order to get a referral,\" says Covington.\u003c/p>\n\u003cp>He says he hopes the new hotline will reduce stigma and make it easier for people to seek help.\u003c/p>\n\u003cp>\"Having a three-digit national hotline would go a long way in beginning to normalize that it's OK to seek help,\" he says.\u003c/p>\n\u003cp>\"It's reinforcing the idea that seeking help is good,\" agrees Gould.\u003c/p>\n\u003cp>Gould hopes that the new hotline will encourage more people to call before they start feeling suicidal. \"If we can have people recognize that there's help in times of extreme depression or anxiety,\" she says, then the crisis is less likely to \"escalate to the point where they're so overwhelmed that they may think that suicide is the only solution.\"\u003c/p>\n\u003cp>\u003cstrong>Challenges of keeping up with call volume\u003c/strong>\u003c/p>\n\u003cp>Gould cautions that just launching a new three-digit hotline isn't enough.\u003c/p>\n\u003cp>\"The only way this is going to work is if additional services are funded,\" she says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>Calls to the current Suicide Prevention Lifeline are handled by a patchwork of more than 160 crisis centers around the country. Each center has its own — often local, or regional — source of funding, and some centers are better resourced than others. Calls are usually taken by trained volunteers at these crisis centers, although some centers also employ clinicians.\u003c/p>\n\u003cp>\u003ca href=\"https://www.linkedin.com/in/allie-franklin-93441614\">Allie Franklin\u003c/a>, the executive director of \u003ca href=\"https://www.crisisconnections.org/\">Crisis Connections\u003c/a>, one of the National Suicide Prevention Lifeline centers in Washington, says she expects a surge in calls when the national 988 number becomes available — and that's a good thing.\u003c/p>\n\u003cp>\"But how do we make sure we always have additional funding to make sure we always have someone answering the line?\" she asks.\u003c/p>\n\u003cp>If individual crisis centers don't receive additional funding to increase their staff and volunteers, callers might be left waiting, and feeling discouraged and helpless, she adds.\u003c/p>\n\u003cp>The FCC reports that the current system is challenged by \"rising call volume and uneven coverage in many states.\" This results in many calls getting routed to backup centers where wait times are longer.\u003c/p>\n\u003cp>\"We know that it's really important for people to get live answers very quickly when they call one of these numbers or one of these centers,\" says Franklin. \"At Crisis Connections, we strive to answer the line within 30 seconds, 95% of the time or more. And so someone doesn't have to wait for for very long at all before they get a live answer.\"\u003c/p>\n\u003cp>But in 2018, there was a surge in calls to the Suicide Prevention lifeline for a couple of reasons, says Franklin — and call wait times went up. The rapper Logic \u003ca href=\"https://www.cnn.com/2018/02/03/us/logic-grammys-performance-suicide-prevention-calls-trnd/index.html\">performed his song\u003c/a> about suicidal thoughts at the Grammys, a song titled, \"1-800-273-TALK,\" the number to the suicide prevention hotline. Then, a \u003ca href=\"https://www.newyorker.com/news/daily-comment/preventable-tragedies\">couple of celebrities\u003c/a> died by suicide last year.\u003c/p>\n\u003cp>\"It was really difficult in Washington when we had a 45% increase in calls statewide,\" she says. She said she had to find additional funds to respond to the higher call volume.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+A+Proposed+3-Digit+Suicide+Hotline+Could+Help+Prevention+Efforts&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>[dropcap]J[/dropcap]on Lucas sits down on a shaded bench and pulls a Ziploc bag out of his pocket. “I generally bring some treats. She likes M&Ms still,” he says. Jon is tall with an athletic frame that suggests he keeps pretty active. The M&Ms are for his wife, Sharon, who sits next to him. Sharon wears a black cardigan and slacks with sneakers. Her shoulders are slouched, and her expression is mostly blank.\u003c/p>\n\u003cp>“Sharon, do you want a candy? Look what I brought you,” he tells her, offering his hand. Sharon runs her fingers searchingly over his palm, like she’s reading braille and the M&Ms are the raised letters.\u003c/p>\n\u003cp>[aside postID=\"news_11759132\" label=\"Related coverage\"]\u003c/p>\n\u003cp>Sharon isn’t blind. In her mid-60s, like Jon, she’s been living for almost a decade with Alzheimer’s disease. Six years ago, Jon decided he could no longer be her sole caregiver, and he placed her in the facility where we’re sitting. It’s in Los Gatos, in Silicon Valley, about a half-hour from Fremont, where he lives.\u003c/p>\n\u003cp>According to the Alzheimer’s Association, Jon is one of \u003ca href=\"https://www.alz.org/media/Documents/california-alzheimers-facts-figures-2018.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">more than 1.6 million\u003c/a> Californians caring for a loved one with Alzheimer’s disease. A \u003ca href=\"https://discovery.cdph.ca.gov/fusion/communityburden/_w_fab2c486b487e535dc456f735a3804864596f43b642170ad/CA_Health_Views.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">report\u003c/a> published earlier this year by the California Department of Health says more people in our state die from Alzheimer’s than anything else, except heart disease. Much of the care Alzheimer’s patients need is considered custodial, so it’s not covered by most insurance — and funding for patients like Sharon with early-onset Alzheimer’s is even more limited.\u003c/p>\n\u003cp>By 2030, California’s senior population is \u003ca href=\"https://www.ppic.org/publication/planning-for-californias-growing-senior-population/\" target=\"_blank\" rel=\"noopener noreferrer\">projected to grow by 4 million people\u003c/a>, and lawmakers are recognizing the urgency of preparing for this shift. In June, Gov. Gavin Newsom signed an executive order to create a \u003ca href=\"https://www.gov.ca.gov/2019/06/10/governor-gavin-newsom-calls-for-creation-of-a-master-plan-for-aging/\" target=\"_blank\" rel=\"noopener noreferrer\">Master Plan for Aging\u003c/a> and, within that, a \u003ca href=\"https://www.chhs.ca.gov/home/committees/governors-task-force-on-alzheimers/\" target=\"_blank\" rel=\"noopener noreferrer\">Task Force on Alzheimer’s Prevention and Preparedness,\u003c/a> helmed by former California first lady Maria Shriver.\u003c/p>\n\u003ch2>High School Sweethearts\u003c/h2>\n\u003cp>Jon tries to visit Sharon a few times a week. He doesn’t bring it up in our interview, but it’s easy to see how he could feel conflicted about whether the benefits she receives from his being there outweigh the emotional strain the visits clearly inflict on him.\u003c/p>\n\u003cp>[aside postID=\"forum_2010101862635\" label=\"Related coverage\"]\u003c/p>\n\u003cp>By the time she was diagnosed almost 10 years ago, he says, her memory had diminished so much that she couldn’t comprehend her illness. Now, on top of the memory loss, she’s no longer verbal — she stopped talking about a year and a half ago, he says.\u003c/p>\n\u003cp>Jon and Sharon have been together since she asked him to a Sadie Hawkins dance when she was 16. “She was young and beautiful with long copper-red hair. Very funny person, very lively. She continued with that personality all throughout her life until the disease hit her,” Jon says.\u003c/p>\n\u003cp>Sharon never had a great sense of direction, but in her mid-50s she started struggling more noticeably with finding her way to places, and becoming more forgetful. Eventually, one of their two daughters insisted he take her in for cognitive tests. “Sharon failed … miserably. And watching that was one of the hardest moments ever,” Jon remembers.\u003c/p>\n\u003cfigure id=\"attachment_11770620\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11770620\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-800x1067.jpg\" alt=\"Sharon and Jon Lucas in the years prior to Sharon's Alzheimer's diagnosis.\" width=\"800\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-800x1067.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-900x1200.jpg 900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-1920x2560.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-1122x1496.jpg 1122w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-840x1120.jpg 840w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-687x916.jpg 687w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-414x552.jpg 414w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-354x472.jpg 354w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut.jpg 1536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sharon and Jon Lucas in the years prior to her Alzheimer’s diagnosis. \u003ccite>(Courtesy of Jon Lucas)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Looking back, Jon says he realizes Sharon was conscious of the shift she was experiencing. When he moved her from their home to her facility, he found stacks of Post-it notes she’d written to remind herself how to do simple tasks on the computer, and self-help books with tabs on the pages about memory improvement.\u003c/p>\n\u003cp>In less than a year from those first cognitive tests, Sharon was diagnosed with early-onset Alzheimer’s. Initially, Jon and his daughters, who were out of the house at that point, decided not to tell Sharon about the diagnosis, because they thought she wouldn’t be able to grasp what it meant and, on the off-chance that she would, it would just be upsetting.\u003c/p>\n\u003cp>“After about … two or three months of that, … it was gut-wrenching to us to try to keep it a secret and it didn’t seem fair to her,” Jon recalls. “My daughters came home and we sat her down on the couch and … we had that discussion with her. That she had Alzheimer’s disease and it was a fatal disease and she had about eight or 10 years on average to live. We all had a big cry. Five minutes later, sure enough, she had forgotten it. And we moved on. But we felt better that we’d had the conversation, at least,” Jon said.\u003c/p>\n\u003ch2>Life as a Full-Time Caregiver\u003c/h2>\n\u003cp>Two weeks after Sharon’s diagnosis, Jon left his senior role at an electronics company and became her full-time caregiver. It was a trying few years as he took on round-the-clock duties on top of all the household tasks they used to shoulder together. Sharon’s disease progressed to the extent that Jon was able to sleep only if she was in the small area of the house he’d cordoned off where she could wander safely.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Jon Lucas\"]‘It was the hardest decision I’ve ever made. And it was the most amazing feeling coming out of here. All the emotions that hit: Freedom. Guilt. Sadness. Joy.’[/pullquote]\u003c/p>\n\u003cp>Their circle of friends dwindled. Jon started to recognize signs of depression in himself, and members of his Alzheimer’s support group encouraged him to find a care facility for Sharon.\u003c/p>\n\u003cp>A \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292823/\" target=\"_blank\" rel=\"noopener noreferrer\">recent study\u003c/a> shows that 18% of Alzheimer’s and dementia caregivers die before those receiving their care, and the toll that this process can take is a big focus of groups like the Alzheimer’s Association. Jon knew that his own health was in jeopardy, and he ultimately decided to move Sharon to Cedar Creek, the facility where she lives today, and where we’ve met to talk.\u003c/p>\n\u003cp>“It was the hardest decision I’ve ever made. And it was the most amazing feeling coming out of here. All the emotions that hit: Freedom. Guilt. Sadness. Joy. All of it coming down all at once. I just sat out in that parking lot for about 15 minutes and cried. And then I went home and started living my life again,” Jon says, his voice breaking.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Finding a New Path through Advocacy\u003c/h2>\n\u003cp>With Sharon at Cedar Creek, Jon suddenly felt retired for the first time since he left his job. After a short spell enjoying his new flexibility and easing back into a regular social life, he realized he wanted to channel his experience with Alzheimer’s into productive use, and he decided to become an advocate for the Alzheimer’s Association.\u003c/p>\n\u003cp>At his first advocacy forum in Washington, D.C., he met Patt Martin. Patt’s husband, Bill, had succumbed to a form of dementia called primary progressive aphasia (PPA) after being diagnosed in his early 50s.\u003c/p>\n\u003cfigure id=\"attachment_11770619\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11770619\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/08/RS38676_Patt-Bill-Martin-qut-800x603.jpg\" alt=\"Patt Martin, left, with her husband, Bill, before his dementia diagnosis.\" width=\"800\" height=\"603\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38676_Patt-Bill-Martin-qut-800x603.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38676_Patt-Bill-Martin-qut-160x121.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38676_Patt-Bill-Martin-qut-1020x768.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38676_Patt-Bill-Martin-qut-1200x904.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38676_Patt-Bill-Martin-qut.jpg 1280w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Patt Martin, left, with her husband, Bill, before his dementia diagnosis. \u003ccite>(Courtesy of Patt Martin)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Soon after Jon placed Sharon at the care facility, Sharon’s mother gave him her blessing to date again. He was hesitant at first, and not sure how to ease back in when dating sites didn’t feel like the right fit for him. Patt had felt the same way. So it was a pleasant surprise to both of them when they each sensed a spark at the forum. When they both got back to California, they set up a coffee date through Facebook.\u003c/p>\n\u003cp>“We spent three hours talking to each other,” Jon recalls. “The crowd faded away. We forgot we were even sitting in a coffee house … it was a magical three hours. And then after that we just started dating more and we fell in love. And that’s been three years now.”\u003c/p>\n\u003ch2>A Foot in Two Worlds\u003c/h2>\n\u003cp>Jon and Patt’s shared experiences as caregivers have bonded them from the start. They have both weathered seeing their spouses become strangers to them. Since Patt’s experience caring for her husband is behind her, she feels uniquely attuned to what Jon is going through, both in the day-to-day, and as he anticipates Sharon’s passing.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Patt Martin\"]‘I mean, he has a foot in two different worlds right now, and I can be somebody that he can … say anything to … I will understand it, wherever his feelings are.’[/pullquote]\u003c/p>\n\u003cp>“Jon is still in the midst of the journey with Sharon, and I understand that that journey is very difficult. I mean, he has a foot in two different worlds right now, and I can be somebody that he can … say anything to … I will understand it, wherever his feelings are,” Patt says.\u003c/p>\n\u003cp>In addition to the shared emotional strain, Jon and Patt have also both spent considerable chunks of savings on their spouses’ care — in Jon’s case, $550,000 just in the last six years.\u003c/p>\n\u003cp>By the time Patt’s husband Bill passed away, they had paid more than $300,000 out of pocket for his care. “We were lucky we had the money to be able to do that,” she says. “Many people don’t have those kind of means. And I was totally unaware — I had no idea … that there wasn’t any kind of support for this.”\u003c/p>\n\u003cp>Jon and Patt have moved in together now, partly out of necessity for Jon because, in addition to dipping into his retirement and starting to take Social Security early to help pay for Sharon’s facility, he has moved out of the house they shared so he can have rental income to contribute to those costs.\u003c/p>\n\u003cp>[aside postID=\"futureofyou_444207\" label=\"Related coverage\"]\u003c/p>\n\u003cp>Because much of the care for those with dementia-related illnesses is custodial — meaning just guiding the person through personal hygiene, meals and the other ins and outs of their day — most insurance won’t cover it. For people like Jon and Patt with too much cash in the bank to qualify for long-term coverage through Medi-Cal, long-term care insurance can be an option. But it’s often expensive, and the Alzheimer’s Association and an insurance agent confirmed that once a patient is diagnosed with Alzheimer’s, they are \u003ca href=\"https://www.alz.org/help-support/caregiving/financial-legal-planning/insurance\" target=\"_blank\" rel=\"noopener noreferrer\">no longer eligible\u003c/a> to apply.\u003c/p>\n\u003cp>The requirements for long-term care coverage through a need-based program like Medi-Cal are \u003ca href=\"https://www.medicaidplanningassistance.org/medicaid-long-term-care-faq/\">complicated\u003c/a>. Assets, like a primary home and car, and certain kinds of trust accounts, don’t count against a family’s or an individual’s eligibility. However, each individual may have no more than $2,000 in what are termed “countable assets” to qualify. Countable assets include bank accounts, unapproved trust accounts and secondary vehicles.\u003c/p>\n\u003ch2>Bucket Lists and Family Celebrations\u003c/h2>\n\u003cfigure id=\"attachment_11770626\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11770626\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/08/RS38672_Jon-Patt-with-Ro-Khanna2-qut-800x600.jpg\" alt=\"Jon Lucas (left) and Patt Martin discuss Alzheimer's funding needs with Congressman Ro Khanna. \" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38672_Jon-Patt-with-Ro-Khanna2-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38672_Jon-Patt-with-Ro-Khanna2-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38672_Jon-Patt-with-Ro-Khanna2-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38672_Jon-Patt-with-Ro-Khanna2-qut-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38672_Jon-Patt-with-Ro-Khanna2-qut.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jon Lucas (left) and Patt Martin discuss Alzheimer’s funding needs with congressman Ro Khanna. \u003ccite>(Courtesy of Patt Martin)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With the untraditional relationship dynamics they’re balancing, Jon and Patt say they’re lucky that their children — they both have two daughters — have accepted the other into their family.\u003c/p>\n\u003cp>“I was so excited about meeting [Patt] that … I wanted to get on the top of the mountain and scream it out to the world, so I was really happy to tell the kids that I had met someone. I had some reservation about how they were gonna take it,” Jon says. The families have found a balance, but Jon says he’s had friends in similar positions whose children have been much more resistant to their new partners.\u003c/p>\n\u003cp>[aside postID=\"futureofyou_436409\" label=\"Related coverage\"]\u003c/p>\n\u003cp>By their second date, Jon and Patt were comparing bucket lists, and now they’re ticking them off together. “We talk about the fact that we really are living life for four people because Bill and Sharon, they got robbed,” Patt says.\u003c/p>\n\u003cp>Sharon entered hospice in August. When the time comes, Jon says, he wants her memorial to feel uplifting for those who love her. “People have gone through this loss and grief process for so long with Sharon that I think it’s going to be a big relief to everyone once … she’s not suffering anymore,” he says.\u003c/p>\n\u003cp>Someday, Jon and Patt hope to marry, but Patt is conscientious about the way that she and Jon comport themselves as a couple to ensure they are respectful to Sharon. In the meantime, they’ll continue to advocate in Congress, where they’ve met with lawmakers, including congressman Ro Khanna, on behalf of the Alzheimer’s Association.\u003c/p>\n\u003cp>Right now, the two are focused on more funding for Alzheimer’s research, stronger infrastructures for early detection, and more support for caregivers — especially caregivers of loved ones with early-onset Alzheimer’s. In October, they’ll be side-by-side at the \u003ca href=\"https://act.alz.org/site/TR/Walk2019/CA-NorthernCaliforniaandNorthernNevada?pg=entry&fr_id=12096&gclid=CjwKCAjwzJjrBRBvEiwA867bykJQhj8hBp6eGxDBDSN6UMositLjbSAT8XTOawnPDYBrbi7FLotaXBoCcCMQAvD_BwE\">Silicon Valley Walk to End Alzheimer’s\u003c/a>.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "In California, 1 million people are caregivers for Alzheimer’s patients. Two of those caregivers fell in love with each other after their spouses were diagnosed, and have become advocates for Alzheimer's research.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">J\u003c/span>\u003c/p>\u003cp>on Lucas sits down on a shaded bench and pulls a Ziploc bag out of his pocket. “I generally bring some treats. She likes M&Ms still,” he says. Jon is tall with an athletic frame that suggests he keeps pretty active. The M&Ms are for his wife, Sharon, who sits next to him. Sharon wears a black cardigan and slacks with sneakers. Her shoulders are slouched, and her expression is mostly blank.\u003c/p>\n\u003cp>“Sharon, do you want a candy? Look what I brought you,” he tells her, offering his hand. Sharon runs her fingers searchingly over his palm, like she’s reading braille and the M&Ms are the raised letters.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Sharon isn’t blind. In her mid-60s, like Jon, she’s been living for almost a decade with Alzheimer’s disease. Six years ago, Jon decided he could no longer be her sole caregiver, and he placed her in the facility where we’re sitting. It’s in Los Gatos, in Silicon Valley, about a half-hour from Fremont, where he lives.\u003c/p>\n\u003cp>According to the Alzheimer’s Association, Jon is one of \u003ca href=\"https://www.alz.org/media/Documents/california-alzheimers-facts-figures-2018.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">more than 1.6 million\u003c/a> Californians caring for a loved one with Alzheimer’s disease. A \u003ca href=\"https://discovery.cdph.ca.gov/fusion/communityburden/_w_fab2c486b487e535dc456f735a3804864596f43b642170ad/CA_Health_Views.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">report\u003c/a> published earlier this year by the California Department of Health says more people in our state die from Alzheimer’s than anything else, except heart disease. Much of the care Alzheimer’s patients need is considered custodial, so it’s not covered by most insurance — and funding for patients like Sharon with early-onset Alzheimer’s is even more limited.\u003c/p>\n\u003cp>By 2030, California’s senior population is \u003ca href=\"https://www.ppic.org/publication/planning-for-californias-growing-senior-population/\" target=\"_blank\" rel=\"noopener noreferrer\">projected to grow by 4 million people\u003c/a>, and lawmakers are recognizing the urgency of preparing for this shift. In June, Gov. Gavin Newsom signed an executive order to create a \u003ca href=\"https://www.gov.ca.gov/2019/06/10/governor-gavin-newsom-calls-for-creation-of-a-master-plan-for-aging/\" target=\"_blank\" rel=\"noopener noreferrer\">Master Plan for Aging\u003c/a> and, within that, a \u003ca href=\"https://www.chhs.ca.gov/home/committees/governors-task-force-on-alzheimers/\" target=\"_blank\" rel=\"noopener noreferrer\">Task Force on Alzheimer’s Prevention and Preparedness,\u003c/a> helmed by former California first lady Maria Shriver.\u003c/p>\n\u003ch2>High School Sweethearts\u003c/h2>\n\u003cp>Jon tries to visit Sharon a few times a week. He doesn’t bring it up in our interview, but it’s easy to see how he could feel conflicted about whether the benefits she receives from his being there outweigh the emotional strain the visits clearly inflict on him.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>By the time she was diagnosed almost 10 years ago, he says, her memory had diminished so much that she couldn’t comprehend her illness. Now, on top of the memory loss, she’s no longer verbal — she stopped talking about a year and a half ago, he says.\u003c/p>\n\u003cp>Jon and Sharon have been together since she asked him to a Sadie Hawkins dance when she was 16. “She was young and beautiful with long copper-red hair. Very funny person, very lively. She continued with that personality all throughout her life until the disease hit her,” Jon says.\u003c/p>\n\u003cp>Sharon never had a great sense of direction, but in her mid-50s she started struggling more noticeably with finding her way to places, and becoming more forgetful. Eventually, one of their two daughters insisted he take her in for cognitive tests. “Sharon failed … miserably. And watching that was one of the hardest moments ever,” Jon remembers.\u003c/p>\n\u003cfigure id=\"attachment_11770620\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11770620\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-800x1067.jpg\" alt=\"Sharon and Jon Lucas in the years prior to Sharon's Alzheimer's diagnosis.\" width=\"800\" height=\"1067\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-800x1067.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-160x213.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-1020x1360.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-900x1200.jpg 900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-1920x2560.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-1122x1496.jpg 1122w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-840x1120.jpg 840w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-687x916.jpg 687w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-414x552.jpg 414w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut-354x472.jpg 354w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38677_Jon-Sharon1-qut.jpg 1536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sharon and Jon Lucas in the years prior to her Alzheimer’s diagnosis. \u003ccite>(Courtesy of Jon Lucas)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Looking back, Jon says he realizes Sharon was conscious of the shift she was experiencing. When he moved her from their home to her facility, he found stacks of Post-it notes she’d written to remind herself how to do simple tasks on the computer, and self-help books with tabs on the pages about memory improvement.\u003c/p>\n\u003cp>In less than a year from those first cognitive tests, Sharon was diagnosed with early-onset Alzheimer’s. Initially, Jon and his daughters, who were out of the house at that point, decided not to tell Sharon about the diagnosis, because they thought she wouldn’t be able to grasp what it meant and, on the off-chance that she would, it would just be upsetting.\u003c/p>\n\u003cp>“After about … two or three months of that, … it was gut-wrenching to us to try to keep it a secret and it didn’t seem fair to her,” Jon recalls. “My daughters came home and we sat her down on the couch and … we had that discussion with her. That she had Alzheimer’s disease and it was a fatal disease and she had about eight or 10 years on average to live. We all had a big cry. Five minutes later, sure enough, she had forgotten it. And we moved on. But we felt better that we’d had the conversation, at least,” Jon said.\u003c/p>\n\u003ch2>Life as a Full-Time Caregiver\u003c/h2>\n\u003cp>Two weeks after Sharon’s diagnosis, Jon left his senior role at an electronics company and became her full-time caregiver. It was a trying few years as he took on round-the-clock duties on top of all the household tasks they used to shoulder together. Sharon’s disease progressed to the extent that Jon was able to sleep only if she was in the small area of the house he’d cordoned off where she could wander safely.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Their circle of friends dwindled. Jon started to recognize signs of depression in himself, and members of his Alzheimer’s support group encouraged him to find a care facility for Sharon.\u003c/p>\n\u003cp>A \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292823/\" target=\"_blank\" rel=\"noopener noreferrer\">recent study\u003c/a> shows that 18% of Alzheimer’s and dementia caregivers die before those receiving their care, and the toll that this process can take is a big focus of groups like the Alzheimer’s Association. Jon knew that his own health was in jeopardy, and he ultimately decided to move Sharon to Cedar Creek, the facility where she lives today, and where we’ve met to talk.\u003c/p>\n\u003cp>“It was the hardest decision I’ve ever made. And it was the most amazing feeling coming out of here. All the emotions that hit: Freedom. Guilt. Sadness. Joy. All of it coming down all at once. I just sat out in that parking lot for about 15 minutes and cried. And then I went home and started living my life again,” Jon says, his voice breaking.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Finding a New Path through Advocacy\u003c/h2>\n\u003cp>With Sharon at Cedar Creek, Jon suddenly felt retired for the first time since he left his job. After a short spell enjoying his new flexibility and easing back into a regular social life, he realized he wanted to channel his experience with Alzheimer’s into productive use, and he decided to become an advocate for the Alzheimer’s Association.\u003c/p>\n\u003cp>At his first advocacy forum in Washington, D.C., he met Patt Martin. Patt’s husband, Bill, had succumbed to a form of dementia called primary progressive aphasia (PPA) after being diagnosed in his early 50s.\u003c/p>\n\u003cfigure id=\"attachment_11770619\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11770619\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/08/RS38676_Patt-Bill-Martin-qut-800x603.jpg\" alt=\"Patt Martin, left, with her husband, Bill, before his dementia diagnosis.\" width=\"800\" height=\"603\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38676_Patt-Bill-Martin-qut-800x603.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38676_Patt-Bill-Martin-qut-160x121.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38676_Patt-Bill-Martin-qut-1020x768.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38676_Patt-Bill-Martin-qut-1200x904.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38676_Patt-Bill-Martin-qut.jpg 1280w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Patt Martin, left, with her husband, Bill, before his dementia diagnosis. \u003ccite>(Courtesy of Patt Martin)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Soon after Jon placed Sharon at the care facility, Sharon’s mother gave him her blessing to date again. He was hesitant at first, and not sure how to ease back in when dating sites didn’t feel like the right fit for him. Patt had felt the same way. So it was a pleasant surprise to both of them when they each sensed a spark at the forum. When they both got back to California, they set up a coffee date through Facebook.\u003c/p>\n\u003cp>“We spent three hours talking to each other,” Jon recalls. “The crowd faded away. We forgot we were even sitting in a coffee house … it was a magical three hours. And then after that we just started dating more and we fell in love. And that’s been three years now.”\u003c/p>\n\u003ch2>A Foot in Two Worlds\u003c/h2>\n\u003cp>Jon and Patt’s shared experiences as caregivers have bonded them from the start. They have both weathered seeing their spouses become strangers to them. Since Patt’s experience caring for her husband is behind her, she feels uniquely attuned to what Jon is going through, both in the day-to-day, and as he anticipates Sharon’s passing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘I mean, he has a foot in two different worlds right now, and I can be somebody that he can … say anything to … I will understand it, wherever his feelings are.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Jon is still in the midst of the journey with Sharon, and I understand that that journey is very difficult. I mean, he has a foot in two different worlds right now, and I can be somebody that he can … say anything to … I will understand it, wherever his feelings are,” Patt says.\u003c/p>\n\u003cp>In addition to the shared emotional strain, Jon and Patt have also both spent considerable chunks of savings on their spouses’ care — in Jon’s case, $550,000 just in the last six years.\u003c/p>\n\u003cp>By the time Patt’s husband Bill passed away, they had paid more than $300,000 out of pocket for his care. “We were lucky we had the money to be able to do that,” she says. “Many people don’t have those kind of means. And I was totally unaware — I had no idea … that there wasn’t any kind of support for this.”\u003c/p>\n\u003cp>Jon and Patt have moved in together now, partly out of necessity for Jon because, in addition to dipping into his retirement and starting to take Social Security early to help pay for Sharon’s facility, he has moved out of the house they shared so he can have rental income to contribute to those costs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Because much of the care for those with dementia-related illnesses is custodial — meaning just guiding the person through personal hygiene, meals and the other ins and outs of their day — most insurance won’t cover it. For people like Jon and Patt with too much cash in the bank to qualify for long-term coverage through Medi-Cal, long-term care insurance can be an option. But it’s often expensive, and the Alzheimer’s Association and an insurance agent confirmed that once a patient is diagnosed with Alzheimer’s, they are \u003ca href=\"https://www.alz.org/help-support/caregiving/financial-legal-planning/insurance\" target=\"_blank\" rel=\"noopener noreferrer\">no longer eligible\u003c/a> to apply.\u003c/p>\n\u003cp>The requirements for long-term care coverage through a need-based program like Medi-Cal are \u003ca href=\"https://www.medicaidplanningassistance.org/medicaid-long-term-care-faq/\">complicated\u003c/a>. Assets, like a primary home and car, and certain kinds of trust accounts, don’t count against a family’s or an individual’s eligibility. However, each individual may have no more than $2,000 in what are termed “countable assets” to qualify. Countable assets include bank accounts, unapproved trust accounts and secondary vehicles.\u003c/p>\n\u003ch2>Bucket Lists and Family Celebrations\u003c/h2>\n\u003cfigure id=\"attachment_11770626\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11770626\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/08/RS38672_Jon-Patt-with-Ro-Khanna2-qut-800x600.jpg\" alt=\"Jon Lucas (left) and Patt Martin discuss Alzheimer's funding needs with Congressman Ro Khanna. \" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38672_Jon-Patt-with-Ro-Khanna2-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38672_Jon-Patt-with-Ro-Khanna2-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38672_Jon-Patt-with-Ro-Khanna2-qut-632x474.jpg 632w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38672_Jon-Patt-with-Ro-Khanna2-qut-536x402.jpg 536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/08/RS38672_Jon-Patt-with-Ro-Khanna2-qut.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Jon Lucas (left) and Patt Martin discuss Alzheimer’s funding needs with congressman Ro Khanna. \u003ccite>(Courtesy of Patt Martin)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With the untraditional relationship dynamics they’re balancing, Jon and Patt say they’re lucky that their children — they both have two daughters — have accepted the other into their family.\u003c/p>\n\u003cp>“I was so excited about meeting [Patt] that … I wanted to get on the top of the mountain and scream it out to the world, so I was really happy to tell the kids that I had met someone. I had some reservation about how they were gonna take it,” Jon says. The families have found a balance, but Jon says he’s had friends in similar positions whose children have been much more resistant to their new partners.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>By their second date, Jon and Patt were comparing bucket lists, and now they’re ticking them off together. “We talk about the fact that we really are living life for four people because Bill and Sharon, they got robbed,” Patt says.\u003c/p>\n\u003cp>Sharon entered hospice in August. When the time comes, Jon says, he wants her memorial to feel uplifting for those who love her. “People have gone through this loss and grief process for so long with Sharon that I think it’s going to be a big relief to everyone once … she’s not suffering anymore,” he says.\u003c/p>\n\u003cp>Someday, Jon and Patt hope to marry, but Patt is conscientious about the way that she and Jon comport themselves as a couple to ensure they are respectful to Sharon. In the meantime, they’ll continue to advocate in Congress, where they’ve met with lawmakers, including congressman Ro Khanna, on behalf of the Alzheimer’s Association.\u003c/p>\n\u003cp>Right now, the two are focused on more funding for Alzheimer’s research, stronger infrastructures for early detection, and more support for caregivers — especially caregivers of loved ones with early-onset Alzheimer’s. In October, they’ll be side-by-side at the \u003ca href=\"https://act.alz.org/site/TR/Walk2019/CA-NorthernCaliforniaandNorthernNevada?pg=entry&fr_id=12096&gclid=CjwKCAjwzJjrBRBvEiwA867bykJQhj8hBp6eGxDBDSN6UMositLjbSAT8XTOawnPDYBrbi7FLotaXBoCcCMQAvD_BwE\">Silicon Valley Walk to End Alzheimer’s\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" rel=\"noopener noreferrer\" target=\"_blank\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Teachers and parents all over the country are noticing\u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2018/05/10/why-kids-and-teens-may-face-far-more-anxiety-these-days/\"> an increase in mental health issues\u003c/a>, including anxiety, among students.\u003c/p>\n\u003cp>[aside postID=\"mindshift_54144\" label=\"Read the Full Story From Mindshift\"]\u003c/p>\n\u003cp>In 2004, the \u003ca href=\"https://www.nimh.nih.gov/health/statistics/any-anxiety-disorder.shtml#part_155096\">National Institute of Mental Health estimated \u003c/a>that about a third of adolescents (ages 13-18) have been or will be seriously affected by anxiety in their lifetimes. More recently, a study published in the \u003ca href=\"https://journals.lww.com/jrnldbp/Citation/2018/06000/Epidemiology_and_Impact_of_Health_Care.6.aspx\">Journal of Developmental and Behavioral Pediatrics \u003c/a>concluded that more than one in twenty U.S. children (ages 6-17) had anxiety or depression in 2011-2012. And a \u003ca href=\"https://www.heri.ucla.edu/monographs/TheAmericanFreshman2017.pdf\">UCLA survey of college freshman\u003c/a> conducted each year, found in 2017 that close to 39 percent frequently felt “overwhelmed by all I had to do.”\u003c/p>\n\u003cp>Parents and educators are scrambling to understand why kids seem to be more anxious and how to help them.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This week, The California Report Magazine welcomes Katrina Schwartz to share findings from her recent time spent reporting on student anxiety for the \u003ca href=\"https://www.kqed.org/mindshift\">MindShift podcast.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Sasha Khokha: Why did you guys decide to focus on anxiety?\u003cbr>\n\u003c/strong>\u003cbr>\nKatrina Schwartz: This season we asked our audience what they were interested in and what mattered most to them, and anxiety kept coming up over and over. Teachers and parents are genuinely confused about why so many kids are struggling with anxiety. They want some tips on how to deal with it. It seems like the problem is growing.\u003c/p>\n\u003cp>\u003cstrong>SK: I’m married to someone who’s a teacher, who comes home all the time with stories about how anxious high school kids seem to be these days. Do we know why anxiety seems to be such a problem for kids?\u003cbr>\n\u003c/strong>\u003cbr>\nKS: It’s really hard to say. Adults love to blame it on social media – and I’m sure that that does play a role – but it’s worth noting that there are all kinds of reasons that kids experience anxiety no matter what socio-economic situation they come from.\u003c/p>\n\u003cp>\u003cstrong>SK: So whether it’s violence in the home, or struggling to have enough food to eat, or AP tests or stress about college applications?\u003c/strong>\u003c/p>\n\u003cp>KS: Yeah, totally. One thing we do know is that anxiety is way more debilitating than just plain old stress. It’s actually a condition that can get in the way of relationships and stuff like work and school.\u003c/p>\n\u003cp>\u003cstrong>SK: This high school you visited for your story, El Cerrito High School, it sounds like they actually have a lot of resources to help students dealing with anxiety?\u003cbr>\n\u003c/strong>\u003cbr>\nKS: They have this center called the James Morehouse Project. It’s their wellness center. They’ve been trying to look at the problem holistically and support students with all kinds of problems. One way they’re able to do that, is they host a clinical social work internship program, which gives them a lot more adults in the building to be doing therapy, and running groups.\u003c/p>\n\u003cp>\u003cstrong>SK: So what are some specific things they’re doing to help kids with anxiety?\u003c/strong>\u003c/p>\n\u003cp>KS: There’s some big macro things. Stuff like giving kids more time between classes, so it’s a little less frenetic, or changing up the way the schedule works, so kids are on a block schedule and only have four classes instead of seven. But then, at a more specific level, they’re doing things like running these anxiety groups where they’re giving students specific strategies to cope with their own anxiety.\u003c/p>\n\u003cp>\u003cstrong>SK: Is mindfulness part of it? I know that’s a big push now in schools these days.\u003c/strong>\u003c/p>\n\u003cp>KS: Yeah. With anxiety there’s this bodily response, this physical response, and then there’s what’s going on in your head. So the mindfulness stuff really helps ground students, get them to calm down, so then they can challenge their thoughts. Many students describe [anxiety] as overthinking or negative thinking. Social workers are trying to get them to tell themselves a different story about what’s going on.\u003c/p>\n\u003cp>\u003cstrong>SK: What can parents do to help kids who are dealing with anxiety?\u003c/strong>\u003c/p>\n\u003cp>KS: The first one is kind of obvious, but hard to do — try not to put a ton of pressure on your kids. They’re probably already feeling it, so don’t add to it. If they are struggling, don’t be judgmental. I think a lot of times parents see the behaviors that come from anxiety, like procrastination or not doing their work, and they jump in and get on a kid’s case without stopping to think, “Where is this coming from?” And if you can approach it with a little more curiosity and ask your kid whats going on, they might be more willing to share what’s at the root of the problem.\u003c/p>\n\u003cp>\u003cstrong>SK: So back off. Easier said than done!\u003c/strong>\u003c/p>\n\u003cp>KS: If you do that work up front you can do the hardest part, which is helping kids face their anxiety. It’s trying to control them. Sometimes the role of the parents is to push back against the anxiety and ask kids to face it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Hear the stories of two students working through their problems with anxiety by pressing play at the top of this page. Or, read the full web story from MindShift, \u003ca href=\"https://www.kqed.org/mindshift/54144/how-can-schools-help-kids-with-anxiety\">“How Can Schools Help Kids With Anxiety?”\u003c/a> You can also subscribe MindShift on \u003ca href=\"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985?mt=2\">Apple Podcasts\u003c/a>, \u003ca href=\"https://one.npr.org/?sharedMediaId=750851136:750851138\">NPR One\u003c/a>, or wherever you get your podcasts.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"http://itunes.apple.com/us/podcast/the-california-report-magazine/id1314750545?mt=2\" rel=\"noopener noreferrer\" target=\"_blank\">Listen to this and more in-depth storytelling by subscribing to The California Report Magazine podcast.\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Teachers and parents all over the country are noticing\u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2018/05/10/why-kids-and-teens-may-face-far-more-anxiety-these-days/\"> an increase in mental health issues\u003c/a>, including anxiety, among students.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2004, the \u003ca href=\"https://www.nimh.nih.gov/health/statistics/any-anxiety-disorder.shtml#part_155096\">National Institute of Mental Health estimated \u003c/a>that about a third of adolescents (ages 13-18) have been or will be seriously affected by anxiety in their lifetimes. More recently, a study published in the \u003ca href=\"https://journals.lww.com/jrnldbp/Citation/2018/06000/Epidemiology_and_Impact_of_Health_Care.6.aspx\">Journal of Developmental and Behavioral Pediatrics \u003c/a>concluded that more than one in twenty U.S. children (ages 6-17) had anxiety or depression in 2011-2012. And a \u003ca href=\"https://www.heri.ucla.edu/monographs/TheAmericanFreshman2017.pdf\">UCLA survey of college freshman\u003c/a> conducted each year, found in 2017 that close to 39 percent frequently felt “overwhelmed by all I had to do.”\u003c/p>\n\u003cp>Parents and educators are scrambling to understand why kids seem to be more anxious and how to help them.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This week, The California Report Magazine welcomes Katrina Schwartz to share findings from her recent time spent reporting on student anxiety for the \u003ca href=\"https://www.kqed.org/mindshift\">MindShift podcast.\u003c/a>\u003c/p>\n\u003cp>\u003cstrong>Sasha Khokha: Why did you guys decide to focus on anxiety?\u003cbr>\n\u003c/strong>\u003cbr>\nKatrina Schwartz: This season we asked our audience what they were interested in and what mattered most to them, and anxiety kept coming up over and over. Teachers and parents are genuinely confused about why so many kids are struggling with anxiety. They want some tips on how to deal with it. It seems like the problem is growing.\u003c/p>\n\u003cp>\u003cstrong>SK: I’m married to someone who’s a teacher, who comes home all the time with stories about how anxious high school kids seem to be these days. Do we know why anxiety seems to be such a problem for kids?\u003cbr>\n\u003c/strong>\u003cbr>\nKS: It’s really hard to say. Adults love to blame it on social media – and I’m sure that that does play a role – but it’s worth noting that there are all kinds of reasons that kids experience anxiety no matter what socio-economic situation they come from.\u003c/p>\n\u003cp>\u003cstrong>SK: So whether it’s violence in the home, or struggling to have enough food to eat, or AP tests or stress about college applications?\u003c/strong>\u003c/p>\n\u003cp>KS: Yeah, totally. One thing we do know is that anxiety is way more debilitating than just plain old stress. It’s actually a condition that can get in the way of relationships and stuff like work and school.\u003c/p>\n\u003cp>\u003cstrong>SK: This high school you visited for your story, El Cerrito High School, it sounds like they actually have a lot of resources to help students dealing with anxiety?\u003cbr>\n\u003c/strong>\u003cbr>\nKS: They have this center called the James Morehouse Project. It’s their wellness center. They’ve been trying to look at the problem holistically and support students with all kinds of problems. One way they’re able to do that, is they host a clinical social work internship program, which gives them a lot more adults in the building to be doing therapy, and running groups.\u003c/p>\n\u003cp>\u003cstrong>SK: So what are some specific things they’re doing to help kids with anxiety?\u003c/strong>\u003c/p>\n\u003cp>KS: There’s some big macro things. Stuff like giving kids more time between classes, so it’s a little less frenetic, or changing up the way the schedule works, so kids are on a block schedule and only have four classes instead of seven. But then, at a more specific level, they’re doing things like running these anxiety groups where they’re giving students specific strategies to cope with their own anxiety.\u003c/p>\n\u003cp>\u003cstrong>SK: Is mindfulness part of it? I know that’s a big push now in schools these days.\u003c/strong>\u003c/p>\n\u003cp>KS: Yeah. With anxiety there’s this bodily response, this physical response, and then there’s what’s going on in your head. So the mindfulness stuff really helps ground students, get them to calm down, so then they can challenge their thoughts. Many students describe [anxiety] as overthinking or negative thinking. Social workers are trying to get them to tell themselves a different story about what’s going on.\u003c/p>\n\u003cp>\u003cstrong>SK: What can parents do to help kids who are dealing with anxiety?\u003c/strong>\u003c/p>\n\u003cp>KS: The first one is kind of obvious, but hard to do — try not to put a ton of pressure on your kids. They’re probably already feeling it, so don’t add to it. If they are struggling, don’t be judgmental. I think a lot of times parents see the behaviors that come from anxiety, like procrastination or not doing their work, and they jump in and get on a kid’s case without stopping to think, “Where is this coming from?” And if you can approach it with a little more curiosity and ask your kid whats going on, they might be more willing to share what’s at the root of the problem.\u003c/p>\n\u003cp>\u003cstrong>SK: So back off. Easier said than done!\u003c/strong>\u003c/p>\n\u003cp>KS: If you do that work up front you can do the hardest part, which is helping kids face their anxiety. It’s trying to control them. Sometimes the role of the parents is to push back against the anxiety and ask kids to face it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Hear the stories of two students working through their problems with anxiety by pressing play at the top of this page. Or, read the full web story from MindShift, \u003ca href=\"https://www.kqed.org/mindshift/54144/how-can-schools-help-kids-with-anxiety\">“How Can Schools Help Kids With Anxiety?”\u003c/a> You can also subscribe MindShift on \u003ca href=\"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985?mt=2\">Apple Podcasts\u003c/a>, \u003ca href=\"https://one.npr.org/?sharedMediaId=750851136:750851138\">NPR One\u003c/a>, or wherever you get your podcasts.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "From Pain to Purpose: 5 Ways to Cope in the Wake Of Trauma",
"title": "From Pain to Purpose: 5 Ways to Cope in the Wake Of Trauma",
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"content": "\u003cp>Could it happen here? It's a question a lot of people ask in the wake of a traumatic event.\u003c/p>\n\u003cp>Even if you're not directly connected to the events in El Paso, Gilroy or Dayton, chances are you've felt the weight of them.\u003c/p>\n\u003cp>\"People do feel traumatized,\" says family therapist \u003ca href=\"https://www.cedars-sinai.org/blog/faces-of-cedars-sinai-share-care-counselor-jonathan-vickburg.html\">Jonathan Vickburg\u003c/a>, of Cedars Sinai in Los Angeles. The idea that an act of violence could happen anywhere makes us anxious. People may \u003ca href=\"https://www.kqed.org/arts/13863343/music-festival-safety-mass-shootings\">think twice\u003c/a> about attending a music festival or walking into a WalMart.\u003c/p>\n\u003cp>But, there are strategies to counter the fear — and move forward.\u003c/p>\n\u003cp>Rian Finney, 16, knows the feeling of vulnerability all too well. He's never witnessed a mass shooting, but he's grown up surrounded by violence.\u003c/p>\n\u003cp>As a young kid in west Baltimore, he'd fall asleep to the sound of fireworks — or at least that's what he thought. Then, one day his parents told him he was hearing gunshots.\u003c/p>\n\u003cp>\"It was just shock, that those [shootings were] happening right outside my house,\" Finney says. Living amid violence began to take its toll, especially in moments when he felt threatened. \"I just felt this sense of, like, fear and anxiety going through my entire body,\" he says.\u003c/p>\n\u003cp>When you're in survival mode, there's a loss of hope, he says. \"It's just an overwhelming sense of nothingness, like I can't do anything.\"\u003c/p>\n\u003cp>But after events such as the \u003ca href=\"https://www.npr.org/sections/codeswitch/2016/04/20/474668796/reflecting-on-the-death-of-freddie-gray-one-year-later\">death of Freddie Gray\u003c/a>, Finney — with the help of his parents and mentors — turned his fear into purpose.\u003c/p>\n\u003cp>\"It does give me a sense of purpose to realize I can do something to combat this [violence],\" Finney says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside tag='trauma' label='Coping with Trauma']\u003c/span>\u003c/p>\n\u003cp>He's gotten involved in groups including, \u003ca href=\"https://blavity.com/good-kids-mad-city-is-a-new-group-led-by-students-of-color-who-like-kendrick-know-the-power-of-their-voices\">Good Kids Mad City\u003c/a>, which among other things, advocates for more safe spaces in the city for teens, and a network of advocates he met this summer at \u003ca href=\"https://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-center-for-gun-policy-and-research/education/\">a Summer Youth Institute\u003c/a> at Johns Hopkins. He advocates for changes such as new gun laws and social equality. He's about to begin 11th grade at Baltimore Polytechnic Institute and has interned in the law offices of Murphy, Falcon & Murphy this summer.\u003c/p>\n\u003cp>He's now seen as a leader among his peers — motivating others to get involved. \"If we continually lead people down the path of goodness, then stuff can actually change,\" he says.\u003c/p>\n\u003cp>Finney's ability to make meaning out of the misery of violence is an effective way to cope, says Vickburg, whether you have a personal connection to the recent mass shootings, have other experiences with trauma, or are just feeling distressed by the climate of violence today.\u003c/p>\n\u003cp>\"What happens in trauma is we feel helpless,\" says Vickburg. \"But if we can find purpose again ... we have a path forward and a path to help others.\"\u003c/p>\n\u003cp>Vickburg and other counselors and psychologists we spoke to offered advice for processing the repercussions of violence and trauma. They say trying these things can make you feel better — and might help make your community safer and more peaceful too.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>1. Give yourself time to build resiliency\u003c/strong>\u003c/p>\n\u003cp>When you're ready, try to reframe your thinking about the traumatic event. Instead of re-playing the trauma and saying to yourself, \"this is horrific,\" try to imagine something good that could come from it, suggests Vicksburg. When you can make this shift (from pain to purpose), it can help you begin to bounce back.\u003c/p>\n\u003cp>\"This is resiliency,\" Vickburg says. This process may take a while. After a traumatic event it can take time to feel safer and to slowly notice what helps you feel better.\u003c/p>\n\u003cp>\u003cstrong>2. Find a circle of support \u003c/strong>\u003c/p>\n\u003cp>It's helpful to talk and connect with others as part of the healing process. \"When you hold things in, it bubbles over and leads to worse outcomes,\" says Finney. Find peers who share your beliefs an values.\u003c/p>\n\u003cp>When it comes to your family — and your children — it's important to communicate during times of trauma.\u003c/p>\n\u003cp>\"Sit down and start a conversation,\" says \u003ca href=\"https://psychiatry.duke.edu/gurwitch-robin\">Robin Gurwitch\u003c/a>, a psychologist and child trauma expert at Duke University Medical Center. You want to encourage questions and validate others' feelings by listening without judgment. If children are confused by violent events, you can help interpret or clear up misinformation. You can also assure them, that while there's pain, you'll get through it together.\u003c/p>\n\u003cp>Gurwitch says one way to dial back the stress of these events is to talk to your family and friends about the ideologies or the misconceptions that may give rise to hateful acts.\u003c/p>\n\u003cp>From there, think about ways to counter them. The days and weeks following national tragedies offer an opportunity because people are paying attention.\u003c/p>\n\u003cp>\u003cstrong>3. Make time for positive feelings\u003c/strong>\u003c/p>\n\u003cp>\"Find ways to take care of yourself,\" says Vickburg. One idea is to set a regular time to go to the gym, perhaps for a group class, or to take a walk. Exercise has been shown to \u003ca href=\"https://www.npr.org/sections/health-shots/2018/10/22/656594050/a-new-prescription-for-depression-join-a-team-and-get-sweaty\">tamp down stress\u003c/a>. Consider creative outlets such as painting or poetry, just for fun. Finney says he listens to music to unwind.\u003c/p>\n\u003cp>Another idea: Keep a journal and write or repeat positive affirmations. Finney has several affirmations that he shared with other teens during the Hopkins seminar. \"These [positive messages] give me an extra push if I'm feeling down,\" Finney says.\u003c/p>\n\u003cp>It's important to note that if you begin to feel that coping is too difficult it may be useful to seek professional help.\u003c/p>\n\u003cp>\u003cstrong>4. Find daily moments for reflection \u003c/strong>\u003c/p>\n\u003cp>Amani Surges Martorella, a clinical social worker at Johns Hopkins University, says we can change our feelings by taking moments during our day to be in the present without worry about the past or future.\u003c/p>\n\u003cp>She helped lead Finney and his fellow participants at the Johns Hopkins' summer institute through a series of what she calls \"micro-practices.\" They're based on a book called \u003ca href=\"https://lindagraham-mft.net/new-book-bouncing-back/\">\u003cem>Bouncing Back\u003c/em>\u003c/a>\u003cem>. \u003c/em>\u003c/p>\n\u003cp>\"Micro-practices are exercises that require minimal time ... and allow you to, over time, increase your own resiliency to the stress of day-to-day life as well as to traumatic adverse events, should they occur,\" says Martorella.\u003c/p>\n\u003cp>One practice is to reflect on gratitude. Here's how: First, begin with a few moments of quiet reflection and focus on just your breath. Then, shift your focus to a simple interaction that you've been part of today. Did someone hold open a door for you or greet you warmly? Notice and embrace how this act of kindness makes you feel. Then, shift your focus more broadly to think of any family member, teacher, or mentors who has been supportive. Then, expand your thoughts more globally to leaders who inspire you. Take time to notice at each step how those thoughts make you feel in the moment.\u003c/p>\n\u003cp>\u003cstrong>5. Become a change-maker \u003c/strong>\u003c/p>\n\u003cp>Just as Finney threw himself to action, look for opportunities to get involved.\u003c/p>\n\u003cp>\"Meaning-making [can be] important to the healing process, says Gurwitch.\u003c/p>\n\u003cp>Pushing for change can start with small steps — within your schools or community. \"If you see someone being harassed or put down, think: what can you do?\" says Gurwitch. You can offer support to the person and offer your own beliefs to counter unkind or bigoted thinking.\u003c/p>\n\u003cp>\"Most people are good and want to do right,\" Gurwitch says.\u003c/p>\n\u003cp>Gurwitch says, you can also get involved in issues you care about. Look for groups in your community that look to address issues you may care about, whether it's gun violence, mental illness or traumatized youth.\u003c/p>\n\u003cp>She points to the efforts that have sprung from prior tragedies, such as the advocacy that has followed Parkland or the passion of parents of victims of Sandy Hook to establish foundations to honor their children or to pursue actions to prevent future tragedies.\u003c/p>\n\u003cp>\"Taking action, whether it be political action, community-based work, or advocacy, allows a person who may feel powerless to begin to reclaim a sense of agency,\" says Martorella. \"Making change and seeing change happen is a way to move forward. In turn, moving forward encourages others to do the same.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=From+Pain+To+Purpose%3A+5+Ways+To+Cope+In+The+Wake+Of+Trauma&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Could it happen here? It's a question a lot of people ask in the wake of a traumatic event.\u003c/p>\n\u003cp>Even if you're not directly connected to the events in El Paso, Gilroy or Dayton, chances are you've felt the weight of them.\u003c/p>\n\u003cp>\"People do feel traumatized,\" says family therapist \u003ca href=\"https://www.cedars-sinai.org/blog/faces-of-cedars-sinai-share-care-counselor-jonathan-vickburg.html\">Jonathan Vickburg\u003c/a>, of Cedars Sinai in Los Angeles. The idea that an act of violence could happen anywhere makes us anxious. People may \u003ca href=\"https://www.kqed.org/arts/13863343/music-festival-safety-mass-shootings\">think twice\u003c/a> about attending a music festival or walking into a WalMart.\u003c/p>\n\u003cp>But, there are strategies to counter the fear — and move forward.\u003c/p>\n\u003cp>Rian Finney, 16, knows the feeling of vulnerability all too well. He's never witnessed a mass shooting, but he's grown up surrounded by violence.\u003c/p>\n\u003cp>As a young kid in west Baltimore, he'd fall asleep to the sound of fireworks — or at least that's what he thought. Then, one day his parents told him he was hearing gunshots.\u003c/p>\n\u003cp>\"It was just shock, that those [shootings were] happening right outside my house,\" Finney says. Living amid violence began to take its toll, especially in moments when he felt threatened. \"I just felt this sense of, like, fear and anxiety going through my entire body,\" he says.\u003c/p>\n\u003cp>When you're in survival mode, there's a loss of hope, he says. \"It's just an overwhelming sense of nothingness, like I can't do anything.\"\u003c/p>\n\u003cp>But after events such as the \u003ca href=\"https://www.npr.org/sections/codeswitch/2016/04/20/474668796/reflecting-on-the-death-of-freddie-gray-one-year-later\">death of Freddie Gray\u003c/a>, Finney — with the help of his parents and mentors — turned his fear into purpose.\u003c/p>\n\u003cp>\"It does give me a sense of purpose to realize I can do something to combat this [violence],\" Finney says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>He's gotten involved in groups including, \u003ca href=\"https://blavity.com/good-kids-mad-city-is-a-new-group-led-by-students-of-color-who-like-kendrick-know-the-power-of-their-voices\">Good Kids Mad City\u003c/a>, which among other things, advocates for more safe spaces in the city for teens, and a network of advocates he met this summer at \u003ca href=\"https://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-center-for-gun-policy-and-research/education/\">a Summer Youth Institute\u003c/a> at Johns Hopkins. He advocates for changes such as new gun laws and social equality. He's about to begin 11th grade at Baltimore Polytechnic Institute and has interned in the law offices of Murphy, Falcon & Murphy this summer.\u003c/p>\n\u003cp>He's now seen as a leader among his peers — motivating others to get involved. \"If we continually lead people down the path of goodness, then stuff can actually change,\" he says.\u003c/p>\n\u003cp>Finney's ability to make meaning out of the misery of violence is an effective way to cope, says Vickburg, whether you have a personal connection to the recent mass shootings, have other experiences with trauma, or are just feeling distressed by the climate of violence today.\u003c/p>\n\u003cp>\"What happens in trauma is we feel helpless,\" says Vickburg. \"But if we can find purpose again ... we have a path forward and a path to help others.\"\u003c/p>\n\u003cp>Vickburg and other counselors and psychologists we spoke to offered advice for processing the repercussions of violence and trauma. They say trying these things can make you feel better — and might help make your community safer and more peaceful too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>1. Give yourself time to build resiliency\u003c/strong>\u003c/p>\n\u003cp>When you're ready, try to reframe your thinking about the traumatic event. Instead of re-playing the trauma and saying to yourself, \"this is horrific,\" try to imagine something good that could come from it, suggests Vicksburg. When you can make this shift (from pain to purpose), it can help you begin to bounce back.\u003c/p>\n\u003cp>\"This is resiliency,\" Vickburg says. This process may take a while. After a traumatic event it can take time to feel safer and to slowly notice what helps you feel better.\u003c/p>\n\u003cp>\u003cstrong>2. Find a circle of support \u003c/strong>\u003c/p>\n\u003cp>It's helpful to talk and connect with others as part of the healing process. \"When you hold things in, it bubbles over and leads to worse outcomes,\" says Finney. Find peers who share your beliefs an values.\u003c/p>\n\u003cp>When it comes to your family — and your children — it's important to communicate during times of trauma.\u003c/p>\n\u003cp>\"Sit down and start a conversation,\" says \u003ca href=\"https://psychiatry.duke.edu/gurwitch-robin\">Robin Gurwitch\u003c/a>, a psychologist and child trauma expert at Duke University Medical Center. You want to encourage questions and validate others' feelings by listening without judgment. If children are confused by violent events, you can help interpret or clear up misinformation. You can also assure them, that while there's pain, you'll get through it together.\u003c/p>\n\u003cp>Gurwitch says one way to dial back the stress of these events is to talk to your family and friends about the ideologies or the misconceptions that may give rise to hateful acts.\u003c/p>\n\u003cp>From there, think about ways to counter them. The days and weeks following national tragedies offer an opportunity because people are paying attention.\u003c/p>\n\u003cp>\u003cstrong>3. Make time for positive feelings\u003c/strong>\u003c/p>\n\u003cp>\"Find ways to take care of yourself,\" says Vickburg. One idea is to set a regular time to go to the gym, perhaps for a group class, or to take a walk. Exercise has been shown to \u003ca href=\"https://www.npr.org/sections/health-shots/2018/10/22/656594050/a-new-prescription-for-depression-join-a-team-and-get-sweaty\">tamp down stress\u003c/a>. Consider creative outlets such as painting or poetry, just for fun. Finney says he listens to music to unwind.\u003c/p>\n\u003cp>Another idea: Keep a journal and write or repeat positive affirmations. Finney has several affirmations that he shared with other teens during the Hopkins seminar. \"These [positive messages] give me an extra push if I'm feeling down,\" Finney says.\u003c/p>\n\u003cp>It's important to note that if you begin to feel that coping is too difficult it may be useful to seek professional help.\u003c/p>\n\u003cp>\u003cstrong>4. Find daily moments for reflection \u003c/strong>\u003c/p>\n\u003cp>Amani Surges Martorella, a clinical social worker at Johns Hopkins University, says we can change our feelings by taking moments during our day to be in the present without worry about the past or future.\u003c/p>\n\u003cp>She helped lead Finney and his fellow participants at the Johns Hopkins' summer institute through a series of what she calls \"micro-practices.\" They're based on a book called \u003ca href=\"https://lindagraham-mft.net/new-book-bouncing-back/\">\u003cem>Bouncing Back\u003c/em>\u003c/a>\u003cem>. \u003c/em>\u003c/p>\n\u003cp>\"Micro-practices are exercises that require minimal time ... and allow you to, over time, increase your own resiliency to the stress of day-to-day life as well as to traumatic adverse events, should they occur,\" says Martorella.\u003c/p>\n\u003cp>One practice is to reflect on gratitude. Here's how: First, begin with a few moments of quiet reflection and focus on just your breath. Then, shift your focus to a simple interaction that you've been part of today. Did someone hold open a door for you or greet you warmly? Notice and embrace how this act of kindness makes you feel. Then, shift your focus more broadly to think of any family member, teacher, or mentors who has been supportive. Then, expand your thoughts more globally to leaders who inspire you. Take time to notice at each step how those thoughts make you feel in the moment.\u003c/p>\n\u003cp>\u003cstrong>5. Become a change-maker \u003c/strong>\u003c/p>\n\u003cp>Just as Finney threw himself to action, look for opportunities to get involved.\u003c/p>\n\u003cp>\"Meaning-making [can be] important to the healing process, says Gurwitch.\u003c/p>\n\u003cp>Pushing for change can start with small steps — within your schools or community. \"If you see someone being harassed or put down, think: what can you do?\" says Gurwitch. You can offer support to the person and offer your own beliefs to counter unkind or bigoted thinking.\u003c/p>\n\u003cp>\"Most people are good and want to do right,\" Gurwitch says.\u003c/p>\n\u003cp>Gurwitch says, you can also get involved in issues you care about. Look for groups in your community that look to address issues you may care about, whether it's gun violence, mental illness or traumatized youth.\u003c/p>\n\u003cp>She points to the efforts that have sprung from prior tragedies, such as the advocacy that has followed Parkland or the passion of parents of victims of Sandy Hook to establish foundations to honor their children or to pursue actions to prevent future tragedies.\u003c/p>\n\u003cp>\"Taking action, whether it be political action, community-based work, or advocacy, allows a person who may feel powerless to begin to reclaim a sense of agency,\" says Martorella. \"Making change and seeing change happen is a way to move forward. In turn, moving forward encourages others to do the same.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=From+Pain+To+Purpose%3A+5+Ways+To+Cope+In+The+Wake+Of+Trauma&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Kaiser Permanente therapists held a one-day strike on Wednesday to protest what they said were conditions that make it difficult for children and adults in San Francisco to access mental health care services, including staffing shortages and weeks-long waits for appointments.\u003c/p>\n\u003cp>Chanting “What’s this about? Patient care!” a few dozen people, including psychiatrists, psychologists and social workers, protested outside Kaiser’s mental health clinic on Geary Boulevard— the health system's only one in San Francisco. Several city supervisors attended, including board president Norman Yee.\u003c/p>\n\u003cp>“Our clinics are suffering. We are overworked. We are understaffed. And mental health is in a crisis time, certainly here in this clinic and certainly in the Kaiser mental health clinics all over California,” said James Beauford, who has worked as a clinical psychologist at the Kaiser clinic for 23 years.\u003c/p>\n\u003cp>“We've written letters to management. We've petitioned. We've written grievances. Kaiser is not listening. This is a last resort. Our clinic is dying,” Beauford added.\u003c/p>\n\u003cp>[aside tag='mental-health' label='More Coverage of Mental Health Care']Kaiser has been in bargaining talks with the National Union of Healthcare Workers (NUHW), which represents these Kaiser workers, for over a year, said Ron Groepper, senior vice president at Kaiser Permanente Greater San Francisco.\u003c/p>\n\u003cp>Groepper said Kaiser has been working on ways to meet growing demand for mental health services and has committed $50 million to support increasing the number of people entering and remaining in the mental health profession. He also said Kaiser expects to add more than 60 new offices for mental health providers in Northern California and denied the union’s assertion that group therapy sessions were overcrowded.\u003c/p>\n\u003cfigure id=\"attachment_11760379\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11760379\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-800x600.jpg\" alt=\"James Beauford is a clinical psychologist who has worked at Kaiser Permanente’s San Francisco Medical Center for 23 years. He said his clinic is “significantly understaffed.”\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">James Beauford is a clinical psychologist who has worked at Kaiser Permanente’s San Francisco Medical Center for 23 years. He said his clinic is “significantly understaffed.” \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Meeting the increased demand for mental health services is a national challenge that faces all health care providers, not just Kaiser Permanente,” Groepper said in a statement.\u003c/p>\n\u003cp>In June, the union \u003ca href=\"https://nuhw.org/wp-content/uploads/NUHW-Complaint_DMHC-SF-ChildAdolescent_06-28-19.pdf\" target=\"_blank\" rel=\"noopener\">filed a complaint\u003c/a> with the California Department of Managed Health Care seeking an investigation into understaffing at the San Francisco clinic.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Kaiser has been in bargaining talks with the National Union of Healthcare Workers (NUHW), which represents these Kaiser workers, for over a year, said Ron Groepper, senior vice president at Kaiser Permanente Greater San Francisco.\u003c/p>\n\u003cp>Groepper said Kaiser has been working on ways to meet growing demand for mental health services and has committed $50 million to support increasing the number of people entering and remaining in the mental health profession. He also said Kaiser expects to add more than 60 new offices for mental health providers in Northern California and denied the union’s assertion that group therapy sessions were overcrowded.\u003c/p>\n\u003cfigure id=\"attachment_11760379\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11760379\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-800x600.jpg\" alt=\"James Beauford is a clinical psychologist who has worked at Kaiser Permanente’s San Francisco Medical Center for 23 years. He said his clinic is “significantly understaffed.”\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">James Beauford is a clinical psychologist who has worked at Kaiser Permanente’s San Francisco Medical Center for 23 years. He said his clinic is “significantly understaffed.” \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Meeting the increased demand for mental health services is a national challenge that faces all health care providers, not just Kaiser Permanente,” Groepper said in a statement.\u003c/p>\n\u003cp>In June, the union \u003ca href=\"https://nuhw.org/wp-content/uploads/NUHW-Complaint_DMHC-SF-ChildAdolescent_06-28-19.pdf\" target=\"_blank\" rel=\"noopener\">filed a complaint\u003c/a> with the California Department of Managed Health Care seeking an investigation into understaffing at the San Francisco clinic.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Report: California Immigration Facilities Failing Kids With Disabilities",
"title": "Report: California Immigration Facilities Failing Kids With Disabilities",
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"content": "\u003cp>A \u003ca href=\"https://www.documentcloud.org/documents/6178921-Detention-of-Immigrant-Children.html\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the largest disability rights group in the country says that immigration facilities across the state are failing to provide enough care or education to children with disabilities in their custody.\u003c/p>\n\u003cp>Investigators with \u003ca href=\"https://www.disabilityrightsca.org/\">Disability Rights California\u003c/a> (DRC), who are authorized by the state to monitor conditions at any facility that houses individuals with disabilities, spent the past year visiting sites in California where the federal government is holding undocumented minors.\u003c/p>\n\u003cp>Those nine facilities are run by the Office of Refugee Resettlement (ORR), the federal agency responsible for the welfare of migrant children who arrive at the U.S. border without a parent or are separated from them.\u003c/p>\n\u003cp>DRC staff attorneys interviewed 150 children and found many were suffering from symptoms of trauma, post-traumatic stress disorder and other mental health disabilities, but were not getting counseling or medication. The DRC also faulted the facilities for failing to provide proper levels of education to their wards.\u003c/p>\n\u003cp>In a statement, ORR said the safety of unaccompanied children is their \"top priority\" and that \"each shelter has medical providers and mental health counselors on site 24/7.\" ORR added that unaccompanied children \"receive medical and mental health screenings, vaccinations, and any follow up care needed for injuries or illnesses they had when they were arrived. Children who have health conditions that cannot be treated on site are taken to local hospitals.\"\u003c/p>\n\u003ch3>'The Most Restrictive Settings'\u003c/h3>\n\u003cp>According to the \u003ca href=\"https://www.acf.hhs.gov/orr/resource/children-entering-the-united-states-unaccompanied\">ORR Guide for Children Entering the United States Unaccompanied\u003c/a>, children with special needs should be placed in a facility with \"the general population but that is able to provide services and treatment for special needs\" while striving for \"the least restrictive setting in the best interests of the child.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>However, the DRC found that 81% of the teenagers placed at the Yolo County Juvenile Detention Facility were placed there because of suicidal ideation (suicidal thoughts) or other mental health concerns.\u003c/p>\n\u003cp>The immigrant children housed in this location are, according to the DRC’s report, \"held in similarly or more restrictive settings as compared to the juvenile delinquency system.\"\u003c/p>\n\u003cp>For example, migrant kids were living in isolated cellblock units, subject to pepper spray and other forms of force or discipline, and allowed outside only for limited periods of time.\u003c/p>\n\u003cp>[aside postID='news_11754887,news_11739785,news_11736531' label='More Immigration Detention Coverage']\u003c/p>\n\u003cp>\"A lot of these children have self-injurious behavior, suicidal ideation or have behavioral issues and then, therefore, are placed in that most restrictive setting,\" said DRC staff attorney Katherine Mathews.\u003c/p>\n\u003cp>The report says five of the 11 children interviewed at the Yolo County facility reported being sprayed with a chemical agent.\u003c/p>\n\u003cp>\"This is what was going on for children with disabilities,\" Mathews said.\u003c/p>\n\u003cp>At BCFS, another secure facility in Fairfield, clinical staff told DRC they had \"often served children with mental health disabilities such as PTSD, anxiety and depression,\" and recalled at least one child with autism in their care.\u003c/p>\n\u003ch3>Inadequate Education\u003c/h3>\n\u003cp>According to the \u003ca href=\"https://www2.ed.gov/parents/needs/speced/iepguide/index.html\">California Department of Education\u003c/a>, each child in public school who receives special education must have an Individualized Education Program (IEP), documenting their educational abilities and outlining what services the child might be eligible for.\u003c/p>\n\u003cp>\"What we found overwhelmingly is that, besides Yolo, none of these children were receiving any kind of in-depth Individualized Education Programs,\" Mathews said.\u003c/p>\n\u003cp>The ORR manual requires that care facilities conduct \u003ca href=\"https://www.acf.hhs.gov/orr/resource/children-entering-the-united-states-unaccompanied-section-3#3.3.5\">educational assessments\u003c/a> within 72 hours of admission and requires each child to receive at least six hours of \"structured education, Monday through Friday, throughout the entire year in basic academic areas.\"\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Disability Rights California staff attorney Katherine Mathews']'We really want to make sure that the Legislature and the public are aware of what's going on. And also to make sure that these children are protected, and they're receiving the same treatment, the same education and the same level of safety and concern that the rest of California children are receiving.'[/pullquote]\u003c/p>\n\u003cp>The Trump administration has announced it will \u003ca href=\"https://www.npr.org/2019/06/05/730082911/administration-cuts-education-and-legal-services-for-unaccompanied-minors\">cut funding\u003c/a> from these educational programs.\u003c/p>\n\u003cp>However, according to the DRC report, ORR does not \"require any type of screening for special education or any development of IEPs.\"\u003c/p>\n\u003cp>It also allows caregivers to \"adapt or modify local educational standards to develop curricula and assessments, based on the average length of stay\" of each child.\u003c/p>\n\u003cp>During interviews with children in California facilities, DRC investigators found students with vastly different educational backgrounds being placed in classes together. For example, a teenager who had completed 11 years of school was in the same classroom as a teenager who had completed four.\u003c/p>\n\u003cp>\"It really was placing a bunch of kids — coming from all different kinds of educational backgrounds — in the same large classroom,\" Mathews said.\u003c/p>\n\u003ch3>Lacking Medical and Mental Health Care\u003c/h3>\n\u003cp>Through the course of the DRC's investigation, the group alleges that ORR's vague and inconsistent policies regarding health care for immigrant children led to wide variation between care facilities.\u003c/p>\n\u003cp>Along with inconsistent medical examination standards, DRC found that children housed in ORR facilities also \"suffer from a lack of comprehensive medical and dental care.\"\u003c/p>\n\u003cp>In light of these findings, Mathews said DRC will be pushing for greater government oversight of the facilities and increased public awareness.\u003c/p>\n\u003cp>\"We really want to make sure that the Legislature and the public are aware of what's going on,\" Mathews said. \"And also to make sure that these children are protected, and they're receiving the same treatment, the same education and the same level of safety and concern that the rest of California children are receiving.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED's Angela Corral contributed to this report.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A \u003ca href=\"https://www.documentcloud.org/documents/6178921-Detention-of-Immigrant-Children.html\" target=\"_blank\" rel=\"noopener\">report\u003c/a> from the largest disability rights group in the country says that immigration facilities across the state are failing to provide enough care or education to children with disabilities in their custody.\u003c/p>\n\u003cp>Investigators with \u003ca href=\"https://www.disabilityrightsca.org/\">Disability Rights California\u003c/a> (DRC), who are authorized by the state to monitor conditions at any facility that houses individuals with disabilities, spent the past year visiting sites in California where the federal government is holding undocumented minors.\u003c/p>\n\u003cp>Those nine facilities are run by the Office of Refugee Resettlement (ORR), the federal agency responsible for the welfare of migrant children who arrive at the U.S. border without a parent or are separated from them.\u003c/p>\n\u003cp>DRC staff attorneys interviewed 150 children and found many were suffering from symptoms of trauma, post-traumatic stress disorder and other mental health disabilities, but were not getting counseling or medication. The DRC also faulted the facilities for failing to provide proper levels of education to their wards.\u003c/p>\n\u003cp>In a statement, ORR said the safety of unaccompanied children is their \"top priority\" and that \"each shelter has medical providers and mental health counselors on site 24/7.\" ORR added that unaccompanied children \"receive medical and mental health screenings, vaccinations, and any follow up care needed for injuries or illnesses they had when they were arrived. Children who have health conditions that cannot be treated on site are taken to local hospitals.\"\u003c/p>\n\u003ch3>'The Most Restrictive Settings'\u003c/h3>\n\u003cp>According to the \u003ca href=\"https://www.acf.hhs.gov/orr/resource/children-entering-the-united-states-unaccompanied\">ORR Guide for Children Entering the United States Unaccompanied\u003c/a>, children with special needs should be placed in a facility with \"the general population but that is able to provide services and treatment for special needs\" while striving for \"the least restrictive setting in the best interests of the child.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>However, the DRC found that 81% of the teenagers placed at the Yolo County Juvenile Detention Facility were placed there because of suicidal ideation (suicidal thoughts) or other mental health concerns.\u003c/p>\n\u003cp>The immigrant children housed in this location are, according to the DRC’s report, \"held in similarly or more restrictive settings as compared to the juvenile delinquency system.\"\u003c/p>\n\u003cp>For example, migrant kids were living in isolated cellblock units, subject to pepper spray and other forms of force or discipline, and allowed outside only for limited periods of time.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"A lot of these children have self-injurious behavior, suicidal ideation or have behavioral issues and then, therefore, are placed in that most restrictive setting,\" said DRC staff attorney Katherine Mathews.\u003c/p>\n\u003cp>The report says five of the 11 children interviewed at the Yolo County facility reported being sprayed with a chemical agent.\u003c/p>\n\u003cp>\"This is what was going on for children with disabilities,\" Mathews said.\u003c/p>\n\u003cp>At BCFS, another secure facility in Fairfield, clinical staff told DRC they had \"often served children with mental health disabilities such as PTSD, anxiety and depression,\" and recalled at least one child with autism in their care.\u003c/p>\n\u003ch3>Inadequate Education\u003c/h3>\n\u003cp>According to the \u003ca href=\"https://www2.ed.gov/parents/needs/speced/iepguide/index.html\">California Department of Education\u003c/a>, each child in public school who receives special education must have an Individualized Education Program (IEP), documenting their educational abilities and outlining what services the child might be eligible for.\u003c/p>\n\u003cp>\"What we found overwhelmingly is that, besides Yolo, none of these children were receiving any kind of in-depth Individualized Education Programs,\" Mathews said.\u003c/p>\n\u003cp>The ORR manual requires that care facilities conduct \u003ca href=\"https://www.acf.hhs.gov/orr/resource/children-entering-the-united-states-unaccompanied-section-3#3.3.5\">educational assessments\u003c/a> within 72 hours of admission and requires each child to receive at least six hours of \"structured education, Monday through Friday, throughout the entire year in basic academic areas.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "'We really want to make sure that the Legislature and the public are aware of what's going on. And also to make sure that these children are protected, and they're receiving the same treatment, the same education and the same level of safety and concern that the rest of California children are receiving.'",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Trump administration has announced it will \u003ca href=\"https://www.npr.org/2019/06/05/730082911/administration-cuts-education-and-legal-services-for-unaccompanied-minors\">cut funding\u003c/a> from these educational programs.\u003c/p>\n\u003cp>However, according to the DRC report, ORR does not \"require any type of screening for special education or any development of IEPs.\"\u003c/p>\n\u003cp>It also allows caregivers to \"adapt or modify local educational standards to develop curricula and assessments, based on the average length of stay\" of each child.\u003c/p>\n\u003cp>During interviews with children in California facilities, DRC investigators found students with vastly different educational backgrounds being placed in classes together. For example, a teenager who had completed 11 years of school was in the same classroom as a teenager who had completed four.\u003c/p>\n\u003cp>\"It really was placing a bunch of kids — coming from all different kinds of educational backgrounds — in the same large classroom,\" Mathews said.\u003c/p>\n\u003ch3>Lacking Medical and Mental Health Care\u003c/h3>\n\u003cp>Through the course of the DRC's investigation, the group alleges that ORR's vague and inconsistent policies regarding health care for immigrant children led to wide variation between care facilities.\u003c/p>\n\u003cp>Along with inconsistent medical examination standards, DRC found that children housed in ORR facilities also \"suffer from a lack of comprehensive medical and dental care.\"\u003c/p>\n\u003cp>In light of these findings, Mathews said DRC will be pushing for greater government oversight of the facilities and increased public awareness.\u003c/p>\n\u003cp>\"We really want to make sure that the Legislature and the public are aware of what's going on,\" Mathews said. \"And also to make sure that these children are protected, and they're receiving the same treatment, the same education and the same level of safety and concern that the rest of California children are receiving.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED's Angela Corral contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Last December, Brighid FitzGibbon’s son, Evan, entered a catatonic state. Acute psychosis had hit suddenly a few weeks earlier, toward the end of fall semester of his sophomore year at Bard College in upstate New York. Gripped by terrifying delusions, his body began to shut down.\u003c/p>\n\u003cp>FitzGibbon and her husband, Taylor, rushed their 20-year-old son to a hospital in Sonoma County, where they live. An acquaintance told them about a promising program for young people experiencing early psychosis. But the family quickly discovered a problem: the program didn’t exist in their county.\u003c/p>\n\u003cp>In California, geography creates significant barriers to people getting early psychosis treatment, as it does for array of other evidence-based mental health treatments. That’s partly because California’s 58 counties have 58 different public mental health programs, each with their own set of covered services.\u003c/p>\n\u003cp>[aside tag='mental-health' label='more on mental health']“If you get on a bus in Northern California and take it to Southern California, you get different services depending on where you step out,” said Carmela Coyle, president and CEO of the California Hospital Association, a lobbying group for the state’s hospitals. “That’s just inequitable.”\u003c/p>\n\u003cp>Dr. Tom Insel, whom Gov. Gavin Newsom recently appointed as his top mental health advisor, has likened the fragmented system to playing the piano with \u003cu>\u003ca href=\"https://calmatters.org/articles/if-you-think-the-system-works-youre-dead-wrong-a-discussion-on-californias-mental-health-system/\" target=\"_blank\" rel=\"noopener\">58 fingers\u003c/a>\u003c/u>.\u003c/p>\n\u003cp>“There’s no central leadership, really,” said Insel, the former director of the National Institute of Mental Health. “If you ask, ‘What are the counties trying to accomplish? What are their goals? What is their North Star?’ I can’t tell you that. There’s a North Star in L.A. County, in San Mateo, in Alameda. They’re not the same.”\u003c/p>\n\u003cp>Insel and many other mental health experts say California offers too little guidance and oversight to ensure fair access to mental health treatment, missing opportunities to spread best practices from individual counties statewide.\u003c/p>\n\u003cp>He wants the state to identify specific goals for mental health outcomes, such as reducing suicides and the incarceration of people with mental illness. He also wants the state to help counties achieve those goals. Among his top priorities: early psychosis intervention.\u003c/p>\n\u003cp>“For most kids who can get that kind of treatment soon after the onset, they’ll do quite well,” Insel said. “They can go on to really have a life that does not happen today with a diagnosis of schizophrenia.”\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>[dropcap]A[/dropcap]bout 100,000 adolescents and young adults nationwide experience first-episode psychosis each year, \u003cu>\u003ca href=\"https://www.nimh.nih.gov/health/topics/schizophrenia/raise/fact-sheet-first-episode-psychosis.shtml\" target=\"_blank\" rel=\"noopener\">according to federal figures\u003c/a>\u003c/u>—and three out of 100 people will experience psychosis at some point in their lives.\u003c/p>\n\u003cp>In recent years, policymakers and mental health providers have grown enthusiastic about early psychosis intervention programs, which typically involve intensive counseling, psychiatric treatment and peer and family support, with trained providers working closely together to coordinate each patient’s care.\u003c/p>\n\u003cp>In 2016, the federal government set aside 10% of states’ Community Mental Health Block Grants for early psychosis programming; in California, that totals $9.5 million. Legislators this year have proposed allocating $20 million for early psychosis programming in California’s new budget, which is $5 million less than the governor sought.\u003c/p>\n\u003cfigure id=\"attachment_11756756\" class=\"wp-caption alignleft\" style=\"max-width: 350px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11756756\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/Dennison17_1-400x600.jpg\" alt=\"\" width=\"350\" height=\"525\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/Dennison17_1-400x600.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/Dennison17_1-400x600-160x240.jpg 160w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\">\u003cfigcaption class=\"wp-caption-text\">Christine Marie Frey, 18, attended an early psychosis program in San Diego after she began to hear demons as a 12-year-old. She’s the author of “Brain XP: Living with Mental Illness, A Young Teenager’s Perspective.” \u003ccite>(Family photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Done right, research shows, the programs can dramatically help young people experiencing psychotic symptoms, with lasting benefits. The converse is also true: The longer psychosis goes untreated, the worse the outcome. People with an initial diagnosis of psychosis are approximately \u003cu>\u003ca href=\"https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2670697\" target=\"_blank\" rel=\"noopener\">eight times\u003c/a>\u003c/u> as likely to die during the year following their diagnosis as people in the general population. The cause is often suicide.\u003c/p>\n\u003cp>According to one national study, clients in early psychosis programs stay in treatment longer, experience fewer symptoms are more involved in work or school, compared with patients in other care settings—provided they get into treatment fast. \u003ca href=\"https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2017.17050480\" target=\"_blank\" rel=\"noopener\">A Canadian study\u003c/a> published last year in the American Journal of Psychiatry showed that people who participated in early psychosis intervention after their first episode were four times less likely to die.\u003c/p>\n\u003cp>In the United States, on average, individuals experiencing psychosis went without treatment for 74 weeks. Other countries have dramatically reduced this number.\u003c/p>\n\u003cp>Christine Marie Frey, now 18, attended a program in San Diego after she began to hear demons as a 12-year-old. It offered personal and occupational therapy, as well as help with mindfulness, medication and school. Frey found comfort in talking with peers in similar circumstances.\u003c/p>\n\u003cp>“They helped me realize, not just how to cope—they helped me feel like my own self again,” she said. “I went in there ready to give up.”\u003c/p>\n\u003cp>Early psychosis interventions can target young people with symptoms that put them at high risk for psychosis, or those who have had their first experience of psychosis. Those in the first group might hear whispers and wonder if their brain is playing tricks on them; the second group is more likely to believe the voices are real.\u003c/p>\n\u003cp>In California, only about two dozen counties have early psychosis programs. Most lack the money or capacity to make them available to all county residents. Often, the only people eligible are those without insurance or on Medi-Cal for low-income Californians, though in some cases private insurers pay for patients.\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>[dropcap]G[/dropcap]rowing up, Evan had always been a strong student, and a talented musician and athlete, his mother said. But as he approached the end of his fall sophomore semester, he became increasingly worried about choosing a major and meeting music deadlines.\u003c/p>\n\u003cp>For several nights, he stopped sleeping. On his 20\u003csup>th\u003c/sup> birthday, a friend rushed him to the emergency room. He received medication to help him sleep, but continued to get worse. His father raced across the country to bring him back to Sebastopol, assuming the comfort of home would help. Then the delusions started.\u003c/p>\n\u003cp>After his parents heard about the early psychosis program, they said they begged their insurance provider, Kaiser Permanente, for a referral, but Kaiser refused.\u003c/p>\n\u003cp>In an emailed statement, Dr. Sameer Awsare, associate executive director of Kaiser’s Northern California medical group, said Kaiser is not simply an ‘insurer’” that pays for outside services.\u003c/p>\n\u003cp>“Kaiser Permanente is an integrated health care system that provides expert, evidence-based medical care for our members, including in the area of psychosis,” Awsare said. He added that Kaiser follows federal “best practices” for cognitive behavioral treatment of psychosis and multi-family group treatment, and when clinically appropriate, Kaiser does refer members to outside programs.\u003c/p>\n\u003cp>He cited patient confidentiality in declining to discuss Evan’s case.\u003c/p>\n\u003cfigure id=\"attachment_11756762\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11756762\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-800x500.jpg\" alt=\"\" width=\"800\" height=\"500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-800x500.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-160x100.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-1020x638.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-1200x750.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-1920x1200.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800.jpg 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Brighid Fitzgibbon with her son, Evan, who was a sophomore at Bard College when acute psychosis hit. \u003ccite>(Penni Gladstone/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Evan’s parents didn’t feel that what they said Kaiser was offering—a general intensive outpatient program in which most patients didn’t have psychosis, a meeting with a psychiatrist every few weeks, and therapy every week or so—was enough.\u003c/p>\n\u003cp>So Evan’s father drove him every week or so to the UC Davis Early Diagnosis and Preventive Treatment Clinic, a state-of-the-art program in Sacramento. The drive was about four hours round-trip, and the family paid thousands of dollars for his care, with the help of a GoFundMe account set up by his elementary school teacher.\u003c/p>\n\u003cp>Evan stabilized and began to improve, his mother said. But the long drives wore on her son and his father, who had severe back pain. And the out-of-pocket costs became prohibitive. Coming from so far away, it was difficult for Evan to participate in the peer groups. Although Brighid FitzGibbon said they would have liked to continue, they made the difficult choice to stop a few months into the program in May.\u003c/p>\n\u003cp>“I don’t know,” said FitzGibbon, whose son gave permission for her to share his story. “It’s just disheartening to see how broken the system is. I think we did the best we could.”\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>[dropcap]B[/dropcap]ill Carter, who recently became Sonoma County’s mental health director, said he is committed to bringing an early psychosis program there, calling it “one of the best things going.”\u003c/p>\n\u003cp>“It’s the kind of thing we in the mental health field have been waiting for,” he said. “Historically, schizophrenia and other thought disorders have the potential really just to ravage someone’s life.”\u003c/p>\n\u003cp>Carter previously worked for the California Institute of Mental Health, leading efforts to disseminate evidence-based practices, including early psychosis treatment. He also served as mental health director of Napa County, which beginning in 2014 has made early psychosis treatment available to any county resident who needed it, regardless of insurance.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Sonoma County mental health director Bill Carter']‘Historically, schizophrenia and other thought disorders have the potential really just to ravage someone’s life.’[/pullquote]Napa managed this in part due to funding from One Mind, a nonprofit founded by the local Staglin family, whose son, Brandon, recovered from schizophrenia in the 1990s and is now the president. The Napa program also receives support from local vintners, a large charity auction and a variety of federal and state funding sources.\u003c/p>\n\u003cp>But despite Carter’s commitment to bringing early psychosis programming to Sonoma County, he has encountered significant obstacles. After 2017’s wildfires, the county is facing huge budget shortfalls—and making steep cuts to mental health care.\u003c/p>\n\u003cp>Convincing the public to invest significantly in a prevention program for relatively few people is challenging, Carter said, especially when so many very sick people are going without care. He’d prefer that the state provide centralized leadership and support to help counties fund and build early psychosis programs.\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>[dropcap]W[/dropcap]hy doesn’t that exist? Why do 58 counties do things 58 ways? By design. Back in 1991, the state faced a budget crisis, and in a process known as “realignment,” it shifted responsibility for mental health delivery to counties.\u003c/p>\n\u003cp>It also assigned counties dedicated funding from sales taxes and vehicle license fees, creating formulas based on how much each county was spending at the time. Over the years, these funds have neither kept pace with need nor been adjusted to account for changing populations.\u003c/p>\n\u003cp>In 2004, California voters passed the Mental Health Services Act initiative, levying a tax on the state’s millionaires. It has pumped in about \u003cu>\u003ca href=\"https://mhsoac.ca.gov/act\">$15 billio\u003c/a>\u003ca href=\"https://mhsoac.ca.gov/act\">n more for mental health\u003c/a>\u003c/u>, which the stated doles out to counties to promote flexibility.\u003c/p>\n\u003cp>Counties say they need to be nimble. In a state as vast and varied as California, the issues facing rural Trinity County differ from those of urban Los Angeles. But the approach has disadvantages.\u003c/p>\n\u003cp>[aside tag='kaiser-permanente-mental-health' label='mental healthcare access']“There’s not necessarily rhyme or reason to why a county chooses to provide some services and not others,” said Sheree Lowe, vice president of behavioral health for the California Hospital Association. “The best way to describe it is, it’s a broken delivery system.”\u003c/p>\n\u003cp>What the state needs, Lowe contends, is core services available in every community. Now, she says, the state doesn’t track what services are provided in each county.\u003c/p>\n\u003cp>In 2012, the state shuttered its Department of Mental Health, and moved many of its staff members to the Department of Health Care Services. Some feel the move further sidelined mental health.\u003c/p>\n\u003cp>“I think counties have been cast adrift, really,” said Randall Hagar, government relations director for the California Psychiatric Association, which represents the interests of the state’s psychiatrists. “I would agree with the assessment that there is still no state leadership.”\u003c/p>\n\u003cp>This isn’t true everywhere. Oregon has a comprehensive, state-run early psychosis program. New York state created \u003cu>\u003ca href=\"https://www.ontrackny.org/\">OnTrackNY,\u003c/a>\u003c/u> a state-led effort to provide coordinated early psychosis care to young people. Dr. Insel said he would like to see California implement a similar effort.\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>[dropcap]M[/dropcap]any people see hope for the future of early psychosis intervention in California because of the UC Davis clinic that Brighid FitzGibbon’s son Evan attended—and its director, Tara Niendam. In 2008, Dr. Cameron Carter, a prominent psychiatrist with a strong interest in early psychosis, recruited her to the Sacramento clinic he’d founded.\u003c/p>\n\u003cp>Today, the staff includes psychiatrists, therapists, a family advocate and a specialist in education and employment, as well as a worker dedicated to meeting patients’ social needs, such as housing. Patients participate in peer and family support groups.\u003c/p>\n\u003cp>Too often, Niendam says, individuals “just float around in our system receiving sometimes inadequate care.” Effective mental health care doesn’t simply make symptoms go away, she said. It gives individuals and families the tools to pursue meaningful lives.\u003c/p>\n\u003cp>“That’s more than a pill can do,” she said.\u003c/p>\n\u003cp>One of the clinic’s patients, Meheretab — who asked that his last name not be used — began attending Niendam’s clinic after suicidal thoughts and hallucinations. Meheretab, who has Medi-Cal, said the infrequent treatment he was receiving through Kaiser wasn’t working. Niendam’s clinic felt safe. With a combination of medication, counseling, job support and a peer group, he said, his depression subsided and the hallucinations ended.\u003c/p>\n\u003cp>“I feel like I’m in a better place right now,” he said.\u003c/p>\n\u003cp>Niendam helped Napa and Solano counties start early psychosis programs and is currently doing the same with Yolo County. Small counties can struggle to hire and train the staff necessary for a full early psychosis program, so she is developing a way for them to contract with larger counties or use telemedicine. She wants to expand the treatment model statewide.\u003c/p>\n\u003cp>Watching people who have been hospitalized 10 times return to school or hold a fulltime job, and showing them they can recover, “are the things that keep me going every day,” she said. “It’s game-changing for everyone. It’s super exciting to be part of that.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Lack of Central Leadership Is Complicating Treatment For Mental Illness in California | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Last December, Brighid FitzGibbon’s son, Evan, entered a catatonic state. Acute psychosis had hit suddenly a few weeks earlier, toward the end of fall semester of his sophomore year at Bard College in upstate New York. Gripped by terrifying delusions, his body began to shut down.\u003c/p>\n\u003cp>FitzGibbon and her husband, Taylor, rushed their 20-year-old son to a hospital in Sonoma County, where they live. An acquaintance told them about a promising program for young people experiencing early psychosis. But the family quickly discovered a problem: the program didn’t exist in their county.\u003c/p>\n\u003cp>In California, geography creates significant barriers to people getting early psychosis treatment, as it does for array of other evidence-based mental health treatments. That’s partly because California’s 58 counties have 58 different public mental health programs, each with their own set of covered services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“If you get on a bus in Northern California and take it to Southern California, you get different services depending on where you step out,” said Carmela Coyle, president and CEO of the California Hospital Association, a lobbying group for the state’s hospitals. “That’s just inequitable.”\u003c/p>\n\u003cp>Dr. Tom Insel, whom Gov. Gavin Newsom recently appointed as his top mental health advisor, has likened the fragmented system to playing the piano with \u003cu>\u003ca href=\"https://calmatters.org/articles/if-you-think-the-system-works-youre-dead-wrong-a-discussion-on-californias-mental-health-system/\" target=\"_blank\" rel=\"noopener\">58 fingers\u003c/a>\u003c/u>.\u003c/p>\n\u003cp>“There’s no central leadership, really,” said Insel, the former director of the National Institute of Mental Health. “If you ask, ‘What are the counties trying to accomplish? What are their goals? What is their North Star?’ I can’t tell you that. There’s a North Star in L.A. County, in San Mateo, in Alameda. They’re not the same.”\u003c/p>\n\u003cp>Insel and many other mental health experts say California offers too little guidance and oversight to ensure fair access to mental health treatment, missing opportunities to spread best practices from individual counties statewide.\u003c/p>\n\u003cp>He wants the state to identify specific goals for mental health outcomes, such as reducing suicides and the incarceration of people with mental illness. He also wants the state to help counties achieve those goals. Among his top priorities: early psychosis intervention.\u003c/p>\n\u003cp>“For most kids who can get that kind of treatment soon after the onset, they’ll do quite well,” Insel said. “They can go on to really have a life that does not happen today with a diagnosis of schizophrenia.”\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">A\u003c/span>\u003c/p>\u003cp>bout 100,000 adolescents and young adults nationwide experience first-episode psychosis each year, \u003cu>\u003ca href=\"https://www.nimh.nih.gov/health/topics/schizophrenia/raise/fact-sheet-first-episode-psychosis.shtml\" target=\"_blank\" rel=\"noopener\">according to federal figures\u003c/a>\u003c/u>—and three out of 100 people will experience psychosis at some point in their lives.\u003c/p>\n\u003cp>In recent years, policymakers and mental health providers have grown enthusiastic about early psychosis intervention programs, which typically involve intensive counseling, psychiatric treatment and peer and family support, with trained providers working closely together to coordinate each patient’s care.\u003c/p>\n\u003cp>In 2016, the federal government set aside 10% of states’ Community Mental Health Block Grants for early psychosis programming; in California, that totals $9.5 million. Legislators this year have proposed allocating $20 million for early psychosis programming in California’s new budget, which is $5 million less than the governor sought.\u003c/p>\n\u003cfigure id=\"attachment_11756756\" class=\"wp-caption alignleft\" style=\"max-width: 350px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11756756\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/Dennison17_1-400x600.jpg\" alt=\"\" width=\"350\" height=\"525\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/Dennison17_1-400x600.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/Dennison17_1-400x600-160x240.jpg 160w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\">\u003cfigcaption class=\"wp-caption-text\">Christine Marie Frey, 18, attended an early psychosis program in San Diego after she began to hear demons as a 12-year-old. She’s the author of “Brain XP: Living with Mental Illness, A Young Teenager’s Perspective.” \u003ccite>(Family photo)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Done right, research shows, the programs can dramatically help young people experiencing psychotic symptoms, with lasting benefits. The converse is also true: The longer psychosis goes untreated, the worse the outcome. People with an initial diagnosis of psychosis are approximately \u003cu>\u003ca href=\"https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2670697\" target=\"_blank\" rel=\"noopener\">eight times\u003c/a>\u003c/u> as likely to die during the year following their diagnosis as people in the general population. The cause is often suicide.\u003c/p>\n\u003cp>According to one national study, clients in early psychosis programs stay in treatment longer, experience fewer symptoms are more involved in work or school, compared with patients in other care settings—provided they get into treatment fast. \u003ca href=\"https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2017.17050480\" target=\"_blank\" rel=\"noopener\">A Canadian study\u003c/a> published last year in the American Journal of Psychiatry showed that people who participated in early psychosis intervention after their first episode were four times less likely to die.\u003c/p>\n\u003cp>In the United States, on average, individuals experiencing psychosis went without treatment for 74 weeks. Other countries have dramatically reduced this number.\u003c/p>\n\u003cp>Christine Marie Frey, now 18, attended a program in San Diego after she began to hear demons as a 12-year-old. It offered personal and occupational therapy, as well as help with mindfulness, medication and school. Frey found comfort in talking with peers in similar circumstances.\u003c/p>\n\u003cp>“They helped me realize, not just how to cope—they helped me feel like my own self again,” she said. “I went in there ready to give up.”\u003c/p>\n\u003cp>Early psychosis interventions can target young people with symptoms that put them at high risk for psychosis, or those who have had their first experience of psychosis. Those in the first group might hear whispers and wonder if their brain is playing tricks on them; the second group is more likely to believe the voices are real.\u003c/p>\n\u003cp>In California, only about two dozen counties have early psychosis programs. Most lack the money or capacity to make them available to all county residents. Often, the only people eligible are those without insurance or on Medi-Cal for low-income Californians, though in some cases private insurers pay for patients.\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">G\u003c/span>\u003c/p>\u003cp>rowing up, Evan had always been a strong student, and a talented musician and athlete, his mother said. But as he approached the end of his fall sophomore semester, he became increasingly worried about choosing a major and meeting music deadlines.\u003c/p>\n\u003cp>For several nights, he stopped sleeping. On his 20\u003csup>th\u003c/sup> birthday, a friend rushed him to the emergency room. He received medication to help him sleep, but continued to get worse. His father raced across the country to bring him back to Sebastopol, assuming the comfort of home would help. Then the delusions started.\u003c/p>\n\u003cp>After his parents heard about the early psychosis program, they said they begged their insurance provider, Kaiser Permanente, for a referral, but Kaiser refused.\u003c/p>\n\u003cp>In an emailed statement, Dr. Sameer Awsare, associate executive director of Kaiser’s Northern California medical group, said Kaiser is not simply an ‘insurer’” that pays for outside services.\u003c/p>\n\u003cp>“Kaiser Permanente is an integrated health care system that provides expert, evidence-based medical care for our members, including in the area of psychosis,” Awsare said. He added that Kaiser follows federal “best practices” for cognitive behavioral treatment of psychosis and multi-family group treatment, and when clinically appropriate, Kaiser does refer members to outside programs.\u003c/p>\n\u003cp>He cited patient confidentiality in declining to discuss Evan’s case.\u003c/p>\n\u003cfigure id=\"attachment_11756762\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11756762\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-800x500.jpg\" alt=\"\" width=\"800\" height=\"500\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-800x500.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-160x100.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-1020x638.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-1200x750.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800-1920x1200.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2019/06/CALMatters-FitzGibbon_015-2880x1800.jpg 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Brighid Fitzgibbon with her son, Evan, who was a sophomore at Bard College when acute psychosis hit. \u003ccite>(Penni Gladstone/CALmatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But Evan’s parents didn’t feel that what they said Kaiser was offering—a general intensive outpatient program in which most patients didn’t have psychosis, a meeting with a psychiatrist every few weeks, and therapy every week or so—was enough.\u003c/p>\n\u003cp>So Evan’s father drove him every week or so to the UC Davis Early Diagnosis and Preventive Treatment Clinic, a state-of-the-art program in Sacramento. The drive was about four hours round-trip, and the family paid thousands of dollars for his care, with the help of a GoFundMe account set up by his elementary school teacher.\u003c/p>\n\u003cp>Evan stabilized and began to improve, his mother said. But the long drives wore on her son and his father, who had severe back pain. And the out-of-pocket costs became prohibitive. Coming from so far away, it was difficult for Evan to participate in the peer groups. Although Brighid FitzGibbon said they would have liked to continue, they made the difficult choice to stop a few months into the program in May.\u003c/p>\n\u003cp>“I don’t know,” said FitzGibbon, whose son gave permission for her to share his story. “It’s just disheartening to see how broken the system is. I think we did the best we could.”\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">B\u003c/span>\u003c/p>\u003cp>ill Carter, who recently became Sonoma County’s mental health director, said he is committed to bringing an early psychosis program there, calling it “one of the best things going.”\u003c/p>\n\u003cp>“It’s the kind of thing we in the mental health field have been waiting for,” he said. “Historically, schizophrenia and other thought disorders have the potential really just to ravage someone’s life.”\u003c/p>\n\u003cp>Carter previously worked for the California Institute of Mental Health, leading efforts to disseminate evidence-based practices, including early psychosis treatment. He also served as mental health director of Napa County, which beginning in 2014 has made early psychosis treatment available to any county resident who needed it, regardless of insurance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Napa managed this in part due to funding from One Mind, a nonprofit founded by the local Staglin family, whose son, Brandon, recovered from schizophrenia in the 1990s and is now the president. The Napa program also receives support from local vintners, a large charity auction and a variety of federal and state funding sources.\u003c/p>\n\u003cp>But despite Carter’s commitment to bringing early psychosis programming to Sonoma County, he has encountered significant obstacles. After 2017’s wildfires, the county is facing huge budget shortfalls—and making steep cuts to mental health care.\u003c/p>\n\u003cp>Convincing the public to invest significantly in a prevention program for relatively few people is challenging, Carter said, especially when so many very sick people are going without care. He’d prefer that the state provide centralized leadership and support to help counties fund and build early psychosis programs.\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">W\u003c/span>\u003c/p>\u003cp>hy doesn’t that exist? Why do 58 counties do things 58 ways? By design. Back in 1991, the state faced a budget crisis, and in a process known as “realignment,” it shifted responsibility for mental health delivery to counties.\u003c/p>\n\u003cp>It also assigned counties dedicated funding from sales taxes and vehicle license fees, creating formulas based on how much each county was spending at the time. Over the years, these funds have neither kept pace with need nor been adjusted to account for changing populations.\u003c/p>\n\u003cp>In 2004, California voters passed the Mental Health Services Act initiative, levying a tax on the state’s millionaires. It has pumped in about \u003cu>\u003ca href=\"https://mhsoac.ca.gov/act\">$15 billio\u003c/a>\u003ca href=\"https://mhsoac.ca.gov/act\">n more for mental health\u003c/a>\u003c/u>, which the stated doles out to counties to promote flexibility.\u003c/p>\n\u003cp>Counties say they need to be nimble. In a state as vast and varied as California, the issues facing rural Trinity County differ from those of urban Los Angeles. But the approach has disadvantages.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“There’s not necessarily rhyme or reason to why a county chooses to provide some services and not others,” said Sheree Lowe, vice president of behavioral health for the California Hospital Association. “The best way to describe it is, it’s a broken delivery system.”\u003c/p>\n\u003cp>What the state needs, Lowe contends, is core services available in every community. Now, she says, the state doesn’t track what services are provided in each county.\u003c/p>\n\u003cp>In 2012, the state shuttered its Department of Mental Health, and moved many of its staff members to the Department of Health Care Services. Some feel the move further sidelined mental health.\u003c/p>\n\u003cp>“I think counties have been cast adrift, really,” said Randall Hagar, government relations director for the California Psychiatric Association, which represents the interests of the state’s psychiatrists. “I would agree with the assessment that there is still no state leadership.”\u003c/p>\n\u003cp>This isn’t true everywhere. Oregon has a comprehensive, state-run early psychosis program. New York state created \u003cu>\u003ca href=\"https://www.ontrackny.org/\">OnTrackNY,\u003c/a>\u003c/u> a state-led effort to provide coordinated early psychosis care to young people. Dr. Insel said he would like to see California implement a similar effort.\u003c/p>\n\u003chr>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">M\u003c/span>\u003c/p>\u003cp>any people see hope for the future of early psychosis intervention in California because of the UC Davis clinic that Brighid FitzGibbon’s son Evan attended—and its director, Tara Niendam. In 2008, Dr. Cameron Carter, a prominent psychiatrist with a strong interest in early psychosis, recruited her to the Sacramento clinic he’d founded.\u003c/p>\n\u003cp>Today, the staff includes psychiatrists, therapists, a family advocate and a specialist in education and employment, as well as a worker dedicated to meeting patients’ social needs, such as housing. Patients participate in peer and family support groups.\u003c/p>\n\u003cp>Too often, Niendam says, individuals “just float around in our system receiving sometimes inadequate care.” Effective mental health care doesn’t simply make symptoms go away, she said. It gives individuals and families the tools to pursue meaningful lives.\u003c/p>\n\u003cp>“That’s more than a pill can do,” she said.\u003c/p>\n\u003cp>One of the clinic’s patients, Meheretab — who asked that his last name not be used — began attending Niendam’s clinic after suicidal thoughts and hallucinations. Meheretab, who has Medi-Cal, said the infrequent treatment he was receiving through Kaiser wasn’t working. Niendam’s clinic felt safe. With a combination of medication, counseling, job support and a peer group, he said, his depression subsided and the hallucinations ended.\u003c/p>\n\u003cp>“I feel like I’m in a better place right now,” he said.\u003c/p>\n\u003cp>Niendam helped Napa and Solano counties start early psychosis programs and is currently doing the same with Yolo County. Small counties can struggle to hire and train the staff necessary for a full early psychosis program, so she is developing a way for them to contract with larger counties or use telemedicine. She wants to expand the treatment model statewide.\u003c/p>\n\u003cp>Watching people who have been hospitalized 10 times return to school or hold a fulltime job, and showing them they can recover, “are the things that keep me going every day,” she said. “It’s game-changing for everyone. It’s super exciting to be part of that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"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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"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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"marketplace": {
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"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",
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"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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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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"radiolab": {
"id": "radiolab",
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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"snap-judgment": {
"id": "snap-judgment",
"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
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},
"soldout": {
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