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"content": "\u003cp>Ever since voters \u003ca href=\"https://www.kqed.org/news/12012656/proposition-36-californias-newest-tough-on-crime-measure-appears-headed-for-victory\">overwhelmingly approved Proposition 36\u003c/a> last fall, there’s been a \u003ca href=\"https://www.kqed.org/news/12030919/californias-tough-on-crime-shift-hits-roadblock-who-will-pay-for-prop-36\">hot debate in Sacramento over how to pay\u003c/a> for the new drug and mental health treatment programs outlined in the tough-on-crime ballot measure.\u003c/p>\n\u003cp>Now, officials at one state agency say they have \u003ca href=\"https://www.bscc.ca.gov/wp-content/uploads/2025/04/Agenda-Item-C-Prop-47-Cohort-5-Request-for-Proposals-4.10.25-FINAL.pdf\">a pot of money available\u003c/a> to help fund the voter-approved initiative, even as they warn that the funding will dry up in future years — because of Proposition 36.\u003c/p>\n\u003cp>At issue are grant funds handed out by the Board of State and Community Corrections to cities, counties and community groups that run mental health, substance use treatment and diversion programs. The BSCC has \u003ca href=\"https://www.kqed.org/news/11986380/prop-47-has-saved-california-millions-these-are-the-programs-its-funded\">handed out nearly $500 million in grant money over the past decade to successful programs\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That money comes from prison savings created by a previous ballot measure known as Proposition 47, which resulted in fewer shoplifters and drug users being sent to prison because it made those crimes misdemeanors.\u003c/p>\n\u003cp>However, Proposition 36 essentially reversed that by allowing prosecutors to charge repeat thieves and drug users with felonies. The initiative also offers offenders another path: People facing felony charges under Proposition 36 can get those charges dropped if they participate in treatment.\u003c/p>\n\u003cp>It’s those court-mandated treatment programs that the BSCC is offering to fund. The agency’s board is scheduled to vote Thursday morning on whether to release $127 million in new, competitive grants.\u003c/p>\n\u003cp>BSCC Executive Director Aaron Maguire said it makes sense to open up the grants to Proposition 36 programs because they fit with the intent of the grants.\u003c/p>\n\u003cp>“It is for substance use disorder treatment and mental health treatment for people who basically have been at one time involved, or are currently involved, in the criminal justice processes,” he said.\u003c/p>\n\u003cp>[aside postID=news_11986218 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/05/AP24135825405021-KQED-1020x680.jpg']\u003c/p>\n\u003cp>It’s a small win for supporters of Proposition 36, who have been pressuring Gov. Gavin Newsom and Democratic legislative leaders to fund the “court-mandated treatment” outlined in Proposition 36, so far with little success.\u003c/p>\n\u003cp>“It is a positive first step, but that’s all it is — the first step,” said Orange County Democratic state Sen. Tom Umberg, who backed Proposition 36 and has written several bills aimed at implementing and funding the measure.\u003c/p>\n\u003cp>Umberg is also asking legislative leaders to include $250 million in next year’s budget to help stand up the drug treatment programs outlined in Proposition 36.\u003c/p>\n\u003cp>Newsom and Democratic leaders opposed Proposition 36, which passed with more than 60% voter support.\u003c/p>\n\u003cp>“I want to make sure that the mandate that the voters issued is fulfilled,” Umberg said.\u003c/p>\n\u003cp>However, critics of Proposition 36 say that using Proposition 47 grant money to fund these court-mandated treatment programs will hurt, not help, public safety. Opponents of the ballot measure \u003ca href=\"https://www.kqed.org/news/12012013/can-tough-on-crime-prop-36-solve-theft-drug-use-and-homelessness-despite-no-new-funding\">warned from the beginning\u003c/a> that the initiative didn’t include funding to pay for the promises it was making and say it’s short-sighted to divert money from incredibly successful Proposition 47 programs, which have been \u003ca href=\"https://www.bscc.ca.gov/wp-content/uploads/2024/02/H-2-Proposition-47-Cohort-2-Final-Evaluation-Report-FINAL-1.pdf\">shown to reduce recidivism\u003c/a>.\u003c/p>\n\u003cp>Among those critics was the governor himself.\u003c/p>\n\u003cp>“As prison costs rise under Prop. 36’s tough-on-drugs approach, it’s ironic that the money saved by Prop. 47 is being used to cover Prop. 36’s costs,” Newsom said in a statement.\u003c/p>\n\u003cp>Anthony DiMartino of Californians for Safety and Justice, which wrote Proposition 47, told lawmakers in a hearing this week that opening up the grants to Proposition 36 programs will result in “significant cuts to effective community-based programs.”\u003c/p>\n\u003cp>He warned that this would happen as Proposition 47 grant funding decreased because as more people go to prison under Proposition 36, savings would go down.\u003c/p>\n\u003cp>That will pose counties with “an impossible choice,” DiMartino said, “by pitting a wide array of successful programs against treatment-mandated felony programs fighting for resources from the same shrinking funding source.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That money comes from prison savings created by a previous ballot measure known as Proposition 47, which resulted in fewer shoplifters and drug users being sent to prison because it made those crimes misdemeanors.\u003c/p>\n\u003cp>However, Proposition 36 essentially reversed that by allowing prosecutors to charge repeat thieves and drug users with felonies. The initiative also offers offenders another path: People facing felony charges under Proposition 36 can get those charges dropped if they participate in treatment.\u003c/p>\n\u003cp>It’s those court-mandated treatment programs that the BSCC is offering to fund. The agency’s board is scheduled to vote Thursday morning on whether to release $127 million in new, competitive grants.\u003c/p>\n\u003cp>BSCC Executive Director Aaron Maguire said it makes sense to open up the grants to Proposition 36 programs because they fit with the intent of the grants.\u003c/p>\n\u003cp>“It is for substance use disorder treatment and mental health treatment for people who basically have been at one time involved, or are currently involved, in the criminal justice processes,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It’s a small win for supporters of Proposition 36, who have been pressuring Gov. Gavin Newsom and Democratic legislative leaders to fund the “court-mandated treatment” outlined in Proposition 36, so far with little success.\u003c/p>\n\u003cp>“It is a positive first step, but that’s all it is — the first step,” said Orange County Democratic state Sen. Tom Umberg, who backed Proposition 36 and has written several bills aimed at implementing and funding the measure.\u003c/p>\n\u003cp>Umberg is also asking legislative leaders to include $250 million in next year’s budget to help stand up the drug treatment programs outlined in Proposition 36.\u003c/p>\n\u003cp>Newsom and Democratic leaders opposed Proposition 36, which passed with more than 60% voter support.\u003c/p>\n\u003cp>“I want to make sure that the mandate that the voters issued is fulfilled,” Umberg said.\u003c/p>\n\u003cp>However, critics of Proposition 36 say that using Proposition 47 grant money to fund these court-mandated treatment programs will hurt, not help, public safety. Opponents of the ballot measure \u003ca href=\"https://www.kqed.org/news/12012013/can-tough-on-crime-prop-36-solve-theft-drug-use-and-homelessness-despite-no-new-funding\">warned from the beginning\u003c/a> that the initiative didn’t include funding to pay for the promises it was making and say it’s short-sighted to divert money from incredibly successful Proposition 47 programs, which have been \u003ca href=\"https://www.bscc.ca.gov/wp-content/uploads/2024/02/H-2-Proposition-47-Cohort-2-Final-Evaluation-Report-FINAL-1.pdf\">shown to reduce recidivism\u003c/a>.\u003c/p>\n\u003cp>Among those critics was the governor himself.\u003c/p>\n\u003cp>“As prison costs rise under Prop. 36’s tough-on-drugs approach, it’s ironic that the money saved by Prop. 47 is being used to cover Prop. 36’s costs,” Newsom said in a statement.\u003c/p>\n\u003cp>Anthony DiMartino of Californians for Safety and Justice, which wrote Proposition 47, told lawmakers in a hearing this week that opening up the grants to Proposition 36 programs will result in “significant cuts to effective community-based programs.”\u003c/p>\n\u003cp>He warned that this would happen as Proposition 47 grant funding decreased because as more people go to prison under Proposition 36, savings would go down.\u003c/p>\n\u003cp>That will pose counties with “an impossible choice,” DiMartino said, “by pitting a wide array of successful programs against treatment-mandated felony programs fighting for resources from the same shrinking funding source.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> Supervisor Bilal Mahmood unveiled a resolution this week that would protect support services and inclusion efforts for the city’s neurodivergent community, an issue that hits close to home for the newly elected official.\u003c/p>\n\u003cp>Mahmood often struggled with navigating social interactions growing up. It was difficult for him to maintain eye contact, shake hands and exchange hugs. and he was frustrated by abrupt changes to his schedule. He knew he was different from his peers, but didn’t know why.\u003c/p>\n\u003cp>When he began his political career in San Francisco a few years ago, Mahmood found himself in the spotlight. Despite a shy and introverted nature, Mahmood was required to “put [himself] out there more” as a politician, and he struggled with exhaustion and burnout.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In 2021, Mahmood was diagnosed with Level 1 autism, a neurodevelopmental disorder that affects communication and other social behaviors. The diagnosis was liberating, Mahmood said.\u003c/p>\n\u003cp>In a statement announcing his diagnosis on Wednesday, Mahmood said learning about his autism helped him embrace his differences as strengths. He may be the first elected official in San Francisco to publicly disclose an autism diagnosis — a decision he hopes will help others feel less alone, Mahmood said in the statement.\u003c/p>\n\u003cfigure id=\"attachment_11982582\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11982582\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">People walk along Market Street while Board of Supervisors District 5 candidate Bilal Mahmood speaks during a press conference about his strategy to end open-air drug markets in San Francisco on April 10, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In school, Mahmood was taught that autism primarily affects young white males — a widespread misconception that disproportionately affects people of color and women, he said. As a Muslim and South Asian man, Mahmood said he did not realize that some of his struggles could be a result of an undiagnosed neurological condition.\u003c/p>\n\u003cp>“This resolution is about raising awareness and trying to destigmatize autism,” Mahmood told KQED.\u003c/p>\n\u003cp>Mahmood said he wants to advocate for vulnerable communities that rely on local government and organizations to provide them with essential services, such as specialized tutoring for students with neurological disorders and opportunities for community engagement.\u003c/p>\n\u003cp>“There are lifelines for these communities, and I want to make sure we continue to advocate for them in the months ahead,” he continued.[aside postID=news_12027784 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/241119-SFHomelessArrests-17-BL_qed-1020x680.jpg']Programs that Mahmood seeks to protect are in danger of being cut because of San Francisco’s ongoing budget crisis.\u003c/p>\n\u003cp>The San Francisco Unified School District is facing a \u003ca href=\"https://www.kqed.org/news/12031347/san-francisco-schools-may-cut-staff-face-backlash-over-new-hiring-limits\">$113 million budget shortfall\u003c/a> in the coming year, which could jeopardize programs for children with developmental disabilities, although Mahmood said SFUSD committed to preserving them. In past years, cuts were made to the Department of Children, Youth and Family Services, a city agency that provides funding to these support services, he said.\u003c/p>\n\u003cp>Service gaps remain for neurodivergent people in San Francisco. Lack of workforce inclusion, housing and health care access are major obstacles, and Mahmood said the city should consider the shortcomings ahead of budget negotiations with Mayor Daniel Lurie in June.\u003c/p>\n\u003cp>Bird Sellergren, executive director of the Bay Area Autism Collective, said autistic adults experience extreme loneliness and isolation as they get older, a feeling that’s exacerbated by limited access to community-based services and neuro-affirming health care. Autistic people also face higher rates of unemployment, according to Sellergren.\u003c/p>\n\u003cp>“To be able to actually address these issues in real time would be a significant move forward for the autistic community and having people in politics that are recognizing our struggle and willing to work with us to try to improve our circumstances is just a real gift,” they said, referencing Mahmood’s resolution.\u003c/p>\n\u003cfigure id=\"attachment_12035013\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12035013\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A bus stop on 7th and Market streets in San Francisco on April 10, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sellergren said improving public understanding of autism and how it may show up in different populations could help address a lot of the issues the community faces. If autistic people had access to more support, it could even reduce rates of homelessness, they said, adding that neurodivergent people are particularly vulnerable to exploitation.\u003c/p>\n\u003cp>Mahmood recently visited The Arc San Francisco, a nonprofit that provides social, educational and residential services to people living with developmental disabilities. Esther Landau, The Arc’s senior director of advancement, said she appreciates city leaders who bring visibility to an underserved community.\u003c/p>\n\u003cp>As the \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Trump administration\u003c/a> threatens to cut federal funding for \u003ca href=\"https://www.kqed.org/news/12029294/california-has-a-lot-to-lose-if-trump-slashes-medicaid-seniors-kids-could-face-coverage-cuts\">Medicaid and other programs\u003c/a>, state and local representatives need to step up so that organizations like The Arc can continue flourishing, she said.\u003c/p>\n\u003cp>“We are a community that tends to be unseen,” Landau said. “A really big thing that needs to happen for this population to succeed is to not have to carry that load all themselves.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Mahmood, who was elected to the San Francisco Board of Supervisors in November, was diagnosed with Level 1 autism in 2021.",
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"title": "San Francisco Supervisor Discloses Autism Diagnosis, Pushes to Protect Neurodivergent Services | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco\u003c/a> Supervisor Bilal Mahmood unveiled a resolution this week that would protect support services and inclusion efforts for the city’s neurodivergent community, an issue that hits close to home for the newly elected official.\u003c/p>\n\u003cp>Mahmood often struggled with navigating social interactions growing up. It was difficult for him to maintain eye contact, shake hands and exchange hugs. and he was frustrated by abrupt changes to his schedule. He knew he was different from his peers, but didn’t know why.\u003c/p>\n\u003cp>When he began his political career in San Francisco a few years ago, Mahmood found himself in the spotlight. Despite a shy and introverted nature, Mahmood was required to “put [himself] out there more” as a politician, and he struggled with exhaustion and burnout.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2021, Mahmood was diagnosed with Level 1 autism, a neurodevelopmental disorder that affects communication and other social behaviors. The diagnosis was liberating, Mahmood said.\u003c/p>\n\u003cp>In a statement announcing his diagnosis on Wednesday, Mahmood said learning about his autism helped him embrace his differences as strengths. He may be the first elected official in San Francisco to publicly disclose an autism diagnosis — a decision he hopes will help others feel less alone, Mahmood said in the statement.\u003c/p>\n\u003cfigure id=\"attachment_11982582\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11982582\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/04/240410-BilalMahmood-026-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">People walk along Market Street while Board of Supervisors District 5 candidate Bilal Mahmood speaks during a press conference about his strategy to end open-air drug markets in San Francisco on April 10, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In school, Mahmood was taught that autism primarily affects young white males — a widespread misconception that disproportionately affects people of color and women, he said. As a Muslim and South Asian man, Mahmood said he did not realize that some of his struggles could be a result of an undiagnosed neurological condition.\u003c/p>\n\u003cp>“This resolution is about raising awareness and trying to destigmatize autism,” Mahmood told KQED.\u003c/p>\n\u003cp>Mahmood said he wants to advocate for vulnerable communities that rely on local government and organizations to provide them with essential services, such as specialized tutoring for students with neurological disorders and opportunities for community engagement.\u003c/p>\n\u003cp>“There are lifelines for these communities, and I want to make sure we continue to advocate for them in the months ahead,” he continued.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Programs that Mahmood seeks to protect are in danger of being cut because of San Francisco’s ongoing budget crisis.\u003c/p>\n\u003cp>The San Francisco Unified School District is facing a \u003ca href=\"https://www.kqed.org/news/12031347/san-francisco-schools-may-cut-staff-face-backlash-over-new-hiring-limits\">$113 million budget shortfall\u003c/a> in the coming year, which could jeopardize programs for children with developmental disabilities, although Mahmood said SFUSD committed to preserving them. In past years, cuts were made to the Department of Children, Youth and Family Services, a city agency that provides funding to these support services, he said.\u003c/p>\n\u003cp>Service gaps remain for neurodivergent people in San Francisco. Lack of workforce inclusion, housing and health care access are major obstacles, and Mahmood said the city should consider the shortcomings ahead of budget negotiations with Mayor Daniel Lurie in June.\u003c/p>\n\u003cp>Bird Sellergren, executive director of the Bay Area Autism Collective, said autistic adults experience extreme loneliness and isolation as they get older, a feeling that’s exacerbated by limited access to community-based services and neuro-affirming health care. Autistic people also face higher rates of unemployment, according to Sellergren.\u003c/p>\n\u003cp>“To be able to actually address these issues in real time would be a significant move forward for the autistic community and having people in politics that are recognizing our struggle and willing to work with us to try to improve our circumstances is just a real gift,” they said, referencing Mahmood’s resolution.\u003c/p>\n\u003cfigure id=\"attachment_12035013\" class=\"wp-caption aligncenter\" style=\"max-width: 1999px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12035013\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed.jpg\" alt=\"\" width=\"1999\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed.jpg 1999w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/04/240410-BilalMahmood-044-BL_qed-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 1999px) 100vw, 1999px\">\u003cfigcaption class=\"wp-caption-text\">A bus stop on 7th and Market streets in San Francisco on April 10, 2024. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sellergren said improving public understanding of autism and how it may show up in different populations could help address a lot of the issues the community faces. If autistic people had access to more support, it could even reduce rates of homelessness, they said, adding that neurodivergent people are particularly vulnerable to exploitation.\u003c/p>\n\u003cp>Mahmood recently visited The Arc San Francisco, a nonprofit that provides social, educational and residential services to people living with developmental disabilities. Esther Landau, The Arc’s senior director of advancement, said she appreciates city leaders who bring visibility to an underserved community.\u003c/p>\n\u003cp>As the \u003ca href=\"https://www.kqed.org/news/tag/donald-trump\">Trump administration\u003c/a> threatens to cut federal funding for \u003ca href=\"https://www.kqed.org/news/12029294/california-has-a-lot-to-lose-if-trump-slashes-medicaid-seniors-kids-could-face-coverage-cuts\">Medicaid and other programs\u003c/a>, state and local representatives need to step up so that organizations like The Arc can continue flourishing, she said.\u003c/p>\n\u003cp>“We are a community that tends to be unseen,” Landau said. “A really big thing that needs to happen for this population to succeed is to not have to carry that load all themselves.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"title": "Past Lives Fade at This San Francisco Tattoo Removal Clinic",
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"headTitle": "Past Lives Fade at This San Francisco Tattoo Removal Clinic | KQED",
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"content": "\u003cp>The fluorescent lighting inside a hospital can be unforgiving.\u003c/p>\n\u003cp>Freddie Gutierrez settles into a waiting room at \u003ca href=\"https://www.kqed.org/news/tag/san-francisco-general-hospital\">Zuckerberg San Francisco General Hospital\u003c/a>, wearing sleek, designer shades like the kind celebrities wear to avoid the public eye. Soon, he’ll swap his sunglasses for protective, medical-grade eyewear — still cool, but with more of a sci-fi edge.\u003c/p>\n\u003cp>Guiterrez, 33, has kind, dark eyes. They could inspire pop songs. Etched between his ear and right eye is a small tattoo of an upside-down pitchfork. Above his left eye, he has a second tattoo of a crown, about an inch long. The designs refer to his past gang life.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“How’s school?” asked nurse Judy Wong as she prepared him for the exam room.\u003c/p>\n\u003cp>“It’s been a while since I’ve done a timed math test,” said Guiterrez, who is studying computer science at City College of San Francisco. “Sometimes, it’s eating up my life. When I’m done getting my bachelor’s, I’m gonna have gray hairs.”\u003c/p>\n\u003cp>Guiterrez braces for a painful procedure. Since September, he’s been undergoing laser treatment to remove his tattoos. The face is an especially sensitive area. He described the pain as similar to a rubber band snapping against the skin repeatedly, but he thinks the sessions, which last a few minutes, are worth the discomfort — a decision he made to start fresh.\u003c/p>\n\u003cfigure id=\"attachment_12030039\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030039\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Freddie Gutierrez says goodbye to clinicians after a session at the tattoo removal clinic at Zuckerberg San Francisco General Hospital in San Francisco on Feb. 27, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>April is Second Chance Month, which highlights the experiences of millions of Americans who are formerly incarcerated and the stigma they face for having a criminal record. As spring kicks off, patients like Gutierrez are grateful for SF General’s tattoo removal clinic.\u003c/p>\n\u003cp>Opened in 2009, the clinic, a partnership with UCSF and the San Francisco Department of Public Health, serves low-income people who have tattoos linked to incarceration, trafficking or gang affiliations.\u003c/p>\n\u003cp>“Not only the physical removal of tattoos is rewarding, but also just seeing people as they are in their journey of recovery — being a part of that and being a consistent face in that is really special,” said Dr. Matthew Pantell, who runs the clinic and is a researcher at UCSF on the social factors of health care.[aside postID=news_12034006 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/20250327_SoberHousing_GC-9-1020x680.jpg']Pantell took over the clinic from its founder, Dr. Pierre Joseph Marie-Rose. In 1998, he launched a similar effort, called \u003ca href=\"https://www.sf.gov/location--carecen-2nd-chance-tattoo-removal-clinic\">Second Chance,\u003c/a> for gang-affiliated youth in San Francisco (it’s still located at the Central American Resource Center on Mission and Cesar Chavez streets). While working at SF General Hospital, he applied for a grant to start a tattoo removal program at the hospital.\u003c/p>\n\u003cp>“This is a thermal injury. I was humbled that [patients] would come back and ask me to do it again,” Marie-Rose said. “I’ve never taken that for granted.”\u003c/p>\n\u003cp>When patients enter the laser room, lo-fi hip-hop music plays. Wearing a baseball cap, jeans and fresh kicks, Pantell arms a long glass cylinder, which resembles a thin highball cocktail glass, at the tattoos. Over the music, it’s hard to hear anything noticeable as patients brace for the pain. The procedure can last anywhere from a few minutes to a half-hour, depending on the tattoo size, complexity and location on the body, according to Pantell.\u003c/p>\n\u003cp>Other factors, such as ink color — red and green can be stubborn — and quality, can play a role, Pantell said.\u003c/p>\n\u003cp>“You don’t want to do two lasers in the same day, so we’ll do the black ink first and then come back every six weeks till it’s gone,” he added.\u003c/p>\n\u003cfigure id=\"attachment_12030036\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12030036 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF Dr. Matthew Pantell uses a laser tattoo removal machine during a session with Nikki at the clinic he runs at Zuckerberg San Francisco General Hospital in San Francisco on Feb. 27, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since patients are required to return every six to eight weeks for treatment, the hospital setting helps connect patients with other health care services, according to Pantell. He pointed out that patients are linked to their primary care physician and other social needs, like housing.\u003c/p>\n\u003cp>For patients like Guiterrez, the tattoo removal visits are often the most consistent contact with the medical system that they have had. He said he has been “in and out of the [criminal justice] system” since he was a kid growing up in Santa Barbara. Last July, he was released from state prison after serving a nearly 13-year sentence for charges related to carjacking.\u003c/p>\n\u003cp>“I thought about what I want to do for myself and being a two striker, meaning that if I catch another strike that will give me a 25-to-life sentence. So that makes me really think about every decision I make,” said Gutierrez, who said he sought self-help groups in prison and got support from Criminals & Gang Members Anonymous.\u003c/p>\n\u003cp>He said a contact affiliated with Jails to Jobs, a Bay Area-based nonprofit that supports re-entry to the workforce for formerly incarcerated people, referred him to the clinic. Jails to Jobs estimates there are around 300 similar tattoo removal clinics in the U.S. Just under half of them are located in California which, in recent years, has seen an increase in access to these services — inside prisons through the California Department of Corrections and Rehabilitation, at university health systems like UC San Diego and in cities, like Santa Rosa, which \u003ca href=\"https://www.srcity.org/CivicAlerts.aspx?AID=2829\">launched\u003c/a> a similar effort this year.\u003c/p>\n\u003cp>People typically seek tattoo removal to improve job prospects, but there’s also the societal stigma that can be as difficult to shed, said Mark Drevno, founder and executive director of Jails to Jobs.\u003c/p>\n\u003cfigure id=\"attachment_12030034\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030034\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Ana Navarro ices her tattoo to ease the pain before a session at the tattoo removal clinic at Zuckerberg San Francisco General Hospital in San Francisco on Feb. 27, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Simple things like traveling on the bus. I’ve had people tell me how they hide their hands on the bus because they don’t want anybody to see their hands,” he said. “Besides the practical stuff, there is inner work going on. They’re touching their soul when they’re removing these tattoos.”\u003c/p>\n\u003cp>Despite the wider acceptance of tattoos in modern American society, their associations with prison life, gangs and violence persist. Recently, U.S. Immigration and Customs Enforcement \u003ca href=\"https://www.npr.org/2025/03/27/nx-s1-5341544/ice-el-salvador-jerce-reyes-barrios\">reportedly\u003c/a> cited a tattoo of a Spanish soccer team as evidence for one of the 238 Venezuelan migrants deported from the U.S. to El Salvador over their alleged allegiance to the Tren de Aragua gang, which has become a target of the Trump administration.\u003c/p>\n\u003cp>Researchers with UC San Diego, where a free removal clinic was established in 2016, have studied motivations for tattoo removal among “justice-involved adults.” Their \u003ca href=\"https://journals.sagepub.com/doi/full/10.1177/0306624X221102807\">2023 study\u003c/a>, published in the International Journal of Offender Therapy and Comparative Criminology, found that over half of the participants cited reasons associated with “public or interpersonal stigma,” which included better perceptions among friends and family. The study also found that more than 80% of participants said they felt they had been discriminated against because of their tattoos.[aside postID=news_12026600 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250214-Dream-Keeper-Returns-01-KQED-1020x680.jpg']Part of the appeal of clinics like the one at SF General is that there’s no cost to patients. The UC San Diego research cites cost as a significant barrier. Treatments at private establishments can cost thousands of dollars.\u003c/p>\n\u003cp>Pantell estimates around a dozen patients visit the weekly clinic at SF General. Ana Navarro has a rose design on her right ankle. It’s hard to see it as the treatment appears to be working. She said she has had it since she was a teenager and has been trying to get it removed for almost a year.\u003c/p>\n\u003cp>“I was young, not in the right relationships,” Navarro, 32, said. “So, being able to remove them, it feels like I’ve been an opportunity to clear the past.”\u003c/p>\n\u003cp>For a while, Shannon Whiley, 53, has been trying to get two tattooed dots removed — marks that were placed as part of her breast cancer treatment. The dots, about the size of a freckle, help doctors accurately position patients during radiation therapy.\u003c/p>\n\u003cp>Nikki, a sexual violence survivor, has an arm sleeve filled with interwoven hearts and flowers. She described it as a “bad cover-up” in an effort to hide associations to her past life trafficked as a minor.\u003c/p>\n\u003cp>“All of it was from some backyard tattoo artist who had no business really doing tattoos on a minor,” recalled Nikki, whose request to go by a nickname because of the stigma of sexual violence was granted under KQED’s anonymous sources policy.\u003c/p>\n\u003cp>She’s been coming to the clinic since September and has started to notice her tattoos begin to fade. She has a long way to go until they’re erased, but she’s used to hard work paying off. She said she’s in nursing school, following in her mom’s footsteps.\u003c/p>\n\u003cp>“Every time I leave the clinic, I’m like, ‘God bless this doctor,’” she said.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "The tattoo removal clinic, run by a UCSF doctor at Zuckerberg San Francisco General Hospital, forges deep bonds with patients who are trying to mend old wounds.",
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"title": "Past Lives Fade at This San Francisco Tattoo Removal Clinic | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The fluorescent lighting inside a hospital can be unforgiving.\u003c/p>\n\u003cp>Freddie Gutierrez settles into a waiting room at \u003ca href=\"https://www.kqed.org/news/tag/san-francisco-general-hospital\">Zuckerberg San Francisco General Hospital\u003c/a>, wearing sleek, designer shades like the kind celebrities wear to avoid the public eye. Soon, he’ll swap his sunglasses for protective, medical-grade eyewear — still cool, but with more of a sci-fi edge.\u003c/p>\n\u003cp>Guiterrez, 33, has kind, dark eyes. They could inspire pop songs. Etched between his ear and right eye is a small tattoo of an upside-down pitchfork. Above his left eye, he has a second tattoo of a crown, about an inch long. The designs refer to his past gang life.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“How’s school?” asked nurse Judy Wong as she prepared him for the exam room.\u003c/p>\n\u003cp>“It’s been a while since I’ve done a timed math test,” said Guiterrez, who is studying computer science at City College of San Francisco. “Sometimes, it’s eating up my life. When I’m done getting my bachelor’s, I’m gonna have gray hairs.”\u003c/p>\n\u003cp>Guiterrez braces for a painful procedure. Since September, he’s been undergoing laser treatment to remove his tattoos. The face is an especially sensitive area. He described the pain as similar to a rubber band snapping against the skin repeatedly, but he thinks the sessions, which last a few minutes, are worth the discomfort — a decision he made to start fresh.\u003c/p>\n\u003cfigure id=\"attachment_12030039\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030039\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-23-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Freddie Gutierrez says goodbye to clinicians after a session at the tattoo removal clinic at Zuckerberg San Francisco General Hospital in San Francisco on Feb. 27, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>April is Second Chance Month, which highlights the experiences of millions of Americans who are formerly incarcerated and the stigma they face for having a criminal record. As spring kicks off, patients like Gutierrez are grateful for SF General’s tattoo removal clinic.\u003c/p>\n\u003cp>Opened in 2009, the clinic, a partnership with UCSF and the San Francisco Department of Public Health, serves low-income people who have tattoos linked to incarceration, trafficking or gang affiliations.\u003c/p>\n\u003cp>“Not only the physical removal of tattoos is rewarding, but also just seeing people as they are in their journey of recovery — being a part of that and being a consistent face in that is really special,” said Dr. Matthew Pantell, who runs the clinic and is a researcher at UCSF on the social factors of health care.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Pantell took over the clinic from its founder, Dr. Pierre Joseph Marie-Rose. In 1998, he launched a similar effort, called \u003ca href=\"https://www.sf.gov/location--carecen-2nd-chance-tattoo-removal-clinic\">Second Chance,\u003c/a> for gang-affiliated youth in San Francisco (it’s still located at the Central American Resource Center on Mission and Cesar Chavez streets). While working at SF General Hospital, he applied for a grant to start a tattoo removal program at the hospital.\u003c/p>\n\u003cp>“This is a thermal injury. I was humbled that [patients] would come back and ask me to do it again,” Marie-Rose said. “I’ve never taken that for granted.”\u003c/p>\n\u003cp>When patients enter the laser room, lo-fi hip-hop music plays. Wearing a baseball cap, jeans and fresh kicks, Pantell arms a long glass cylinder, which resembles a thin highball cocktail glass, at the tattoos. Over the music, it’s hard to hear anything noticeable as patients brace for the pain. The procedure can last anywhere from a few minutes to a half-hour, depending on the tattoo size, complexity and location on the body, according to Pantell.\u003c/p>\n\u003cp>Other factors, such as ink color — red and green can be stubborn — and quality, can play a role, Pantell said.\u003c/p>\n\u003cp>“You don’t want to do two lasers in the same day, so we’ll do the black ink first and then come back every six weeks till it’s gone,” he added.\u003c/p>\n\u003cfigure id=\"attachment_12030036\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-12030036 size-full\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-12-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">UCSF Dr. Matthew Pantell uses a laser tattoo removal machine during a session with Nikki at the clinic he runs at Zuckerberg San Francisco General Hospital in San Francisco on Feb. 27, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Since patients are required to return every six to eight weeks for treatment, the hospital setting helps connect patients with other health care services, according to Pantell. He pointed out that patients are linked to their primary care physician and other social needs, like housing.\u003c/p>\n\u003cp>For patients like Guiterrez, the tattoo removal visits are often the most consistent contact with the medical system that they have had. He said he has been “in and out of the [criminal justice] system” since he was a kid growing up in Santa Barbara. Last July, he was released from state prison after serving a nearly 13-year sentence for charges related to carjacking.\u003c/p>\n\u003cp>“I thought about what I want to do for myself and being a two striker, meaning that if I catch another strike that will give me a 25-to-life sentence. So that makes me really think about every decision I make,” said Gutierrez, who said he sought self-help groups in prison and got support from Criminals & Gang Members Anonymous.\u003c/p>\n\u003cp>He said a contact affiliated with Jails to Jobs, a Bay Area-based nonprofit that supports re-entry to the workforce for formerly incarcerated people, referred him to the clinic. Jails to Jobs estimates there are around 300 similar tattoo removal clinics in the U.S. Just under half of them are located in California which, in recent years, has seen an increase in access to these services — inside prisons through the California Department of Corrections and Rehabilitation, at university health systems like UC San Diego and in cities, like Santa Rosa, which \u003ca href=\"https://www.srcity.org/CivicAlerts.aspx?AID=2829\">launched\u003c/a> a similar effort this year.\u003c/p>\n\u003cp>People typically seek tattoo removal to improve job prospects, but there’s also the societal stigma that can be as difficult to shed, said Mark Drevno, founder and executive director of Jails to Jobs.\u003c/p>\n\u003cfigure id=\"attachment_12030034\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12030034\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/250227-UCSFTATTOOS-04-BL-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Ana Navarro ices her tattoo to ease the pain before a session at the tattoo removal clinic at Zuckerberg San Francisco General Hospital in San Francisco on Feb. 27, 2025. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Simple things like traveling on the bus. I’ve had people tell me how they hide their hands on the bus because they don’t want anybody to see their hands,” he said. “Besides the practical stuff, there is inner work going on. They’re touching their soul when they’re removing these tattoos.”\u003c/p>\n\u003cp>Despite the wider acceptance of tattoos in modern American society, their associations with prison life, gangs and violence persist. Recently, U.S. Immigration and Customs Enforcement \u003ca href=\"https://www.npr.org/2025/03/27/nx-s1-5341544/ice-el-salvador-jerce-reyes-barrios\">reportedly\u003c/a> cited a tattoo of a Spanish soccer team as evidence for one of the 238 Venezuelan migrants deported from the U.S. to El Salvador over their alleged allegiance to the Tren de Aragua gang, which has become a target of the Trump administration.\u003c/p>\n\u003cp>Researchers with UC San Diego, where a free removal clinic was established in 2016, have studied motivations for tattoo removal among “justice-involved adults.” Their \u003ca href=\"https://journals.sagepub.com/doi/full/10.1177/0306624X221102807\">2023 study\u003c/a>, published in the International Journal of Offender Therapy and Comparative Criminology, found that over half of the participants cited reasons associated with “public or interpersonal stigma,” which included better perceptions among friends and family. The study also found that more than 80% of participants said they felt they had been discriminated against because of their tattoos.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Part of the appeal of clinics like the one at SF General is that there’s no cost to patients. The UC San Diego research cites cost as a significant barrier. Treatments at private establishments can cost thousands of dollars.\u003c/p>\n\u003cp>Pantell estimates around a dozen patients visit the weekly clinic at SF General. Ana Navarro has a rose design on her right ankle. It’s hard to see it as the treatment appears to be working. She said she has had it since she was a teenager and has been trying to get it removed for almost a year.\u003c/p>\n\u003cp>“I was young, not in the right relationships,” Navarro, 32, said. “So, being able to remove them, it feels like I’ve been an opportunity to clear the past.”\u003c/p>\n\u003cp>For a while, Shannon Whiley, 53, has been trying to get two tattooed dots removed — marks that were placed as part of her breast cancer treatment. The dots, about the size of a freckle, help doctors accurately position patients during radiation therapy.\u003c/p>\n\u003cp>Nikki, a sexual violence survivor, has an arm sleeve filled with interwoven hearts and flowers. She described it as a “bad cover-up” in an effort to hide associations to her past life trafficked as a minor.\u003c/p>\n\u003cp>“All of it was from some backyard tattoo artist who had no business really doing tattoos on a minor,” recalled Nikki, whose request to go by a nickname because of the stigma of sexual violence was granted under KQED’s anonymous sources policy.\u003c/p>\n\u003cp>She’s been coming to the clinic since September and has started to notice her tattoos begin to fade. She has a long way to go until they’re erased, but she’s used to hard work paying off. She said she’s in nursing school, following in her mom’s footsteps.\u003c/p>\n\u003cp>“Every time I leave the clinic, I’m like, ‘God bless this doctor,’” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>Frustrated Californians have long complained that they can’t get their health plans to cover desperately needed mental health treatment.\u003c/p>\n\u003cp>These days, state lawmakers appear to be hearing them — and trying to act.\u003c/p>\n\u003cp>One bill introduced this session would require health plans to cough up more \u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260sb363\">data on coverage denials \u003c/a>— and penalize those that wrongfully deny claims most often.\u003c/p>\n\u003cp>Another would require plans to \u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260ab669\">wait at least 28 days\u003c/a> after approving a patient to go into a substance use treatment center before they reassess whether the patient can remain there.\u003c/p>\n\u003cp>A third would prohibit health plans from requiring \u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260ab384\">prior authorization\u003c/a> for mental health and substance use treatment before and during a patient’s stay in a hospital.\u003c/p>\n\u003cp>The list goes on.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Four years after state leaders passed \u003ca href=\"https://calmatters.org/health/2020/08/california-leader-mental-health/\">landmark legislation\u003c/a> to improve mental health and substance use coverage, polls portray a public still deeply unhappy with what they’re getting. One such poll of Californians last year found that more than 80% of respondents wanted the governor and legislature \u003ca href=\"https://www.chcf.org/publication/2024-chcf-california-health-policy-survey/#related-links-and-downloads\">to increase access to mental health treatment\u003c/a>.\u003c/p>\n\u003cp>“Everybody’s been denied some form of care,” said John Drebinger, a senior advocate with the Steinberg Institute, a mental health advocacy organization. “Nobody likes this. If you haven’t been, you know somebody who has.”\u003c/p>\n\u003cp>At a February oversight hearing of the Senate budget and fiscal review committee, \u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/scott-wiener-100936\">Scott Wiener\u003c/a>, the Democratic San Francisco state senator who authored the 2020 coverage law, called the process by which consumers can \u003ca href=\"https://www.dmhc.ca.gov/FileaComplaint.aspx\">appeal denials \u003c/a>to the state’s Department of Managed Health Care “burdensome, opaque and time-consuming.”\u003c/p>\n\u003cp>In light of federal efforts to fire workers and remove data from government websites, he said, “it’s more important than ever for California to lead.”\u003c/p>\n\u003cp>It’s still early enough in the process that any of the proposed legislation could be stymied by a variety of factors, including federal fiscal uncertainty, health plan opposition and disagreement among advocates about the best approach.[aside postID=news_12018653 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/12/AnthemBlueCrossGetty-1020x680.jpg']Last year, a handful of bills designed to hold health plans accountable ended up dying late in the legislative process. Supporters blamed \u003ca href=\"https://calmatters.org/digital-democracy/2024/08/newsom-healthcare-costs-inflated-estimates/\">inflated cost estimates \u003c/a>for their demise.\u003c/p>\n\u003cp>But some of those same lawmakers and advocates say the tenor of the conversation has changed in the months since 26-year-old Luigi Mangione shot and killed Brian Thompson, the chief executive officer of UnitedHealthcare, last December. That killing prompted an outpouring of public frustration and has become a cultural flashpoint.\u003c/p>\n\u003cp>At the February oversight hearing, Mary Watanabe, director of the Department of Managed Health Care, seemed open to requiring plans to provide more information about coverage denials.\u003c/p>\n\u003cp>“We really are seeking to understand the barriers that consumers experience navigating the behavioral health system,” she said.\u003c/p>\n\u003cp>Mary Ellen Grant, spokeswoman for the California Association of Health Plans, said in an email that it was premature to offer comment, given that the industry association has not yet taken a formal position on individual bills. She provided a fact sheet about the importance of prior authorization for “making health care safer, higher quality and more affordable.”\u003c/p>\n\u003cp>Here are some of the top bills attempting to tackle this issue:\u003c/p>\n\u003ch2>More transparency about denials\u003c/h2>\n\u003cp>Wiener would like to see \u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260sb363\">much greater transparency\u003c/a> from commercial health plans. His Senate Bill 363 would require plans to report granular data to the state about how often they deny treatment. This bill applies to denials of all types of medical care, not just mental health.\u003c/p>\n\u003cp>The state also has its own appeals process for consumers, known as \u003ca href=\"https://calmatters.org/health/mental-health/2024/10/mental-health-insurance-appeal/\">independent medical review\u003c/a>. Wiener’s bill would also penalize plans if the state overturns their coverage denials more than half the time.\u003c/p>\n\u003cp>Wiener acknowledges that health plans have proven “worthy opponents” to some of his other bills. But he calls the push for greater accountability “long overdue.” Since he introduced the legislation, he said, he’s been struck by how many people have stopped him on the streets of San Francisco to share their personal nightmares about being denied coverage.\u003c/p>\n\u003cp>“This is touching a nerve,” he said.\u003c/p>\n\u003ch2>Protecting the first 28 days\u003c/h2>\n\u003cp>\u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260ab669\">Assembly Bill 669 \u003c/a>would keep plans from reviewing a patient’s eligibility for continuing substance use treatment until at least 28 days after they’ve been approved.[aside postID=news_12028048 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/GettyImages-1434072256-copy-1020x680.jpg']\u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/matt-haney-165453\">Matt Haney,\u003c/a> a Democratic state Assembly member from San Francisco who authored the bill, says his interest in the bill was inspired by the\u003ca href=\"https://calmatters.org/health/mental-health/2024/10/mental-health-parity-addiction-treatment/\"> story of Ryan Matlock\u003c/a>. Matlock, a young man whose story was featured in CalMatters last fall, died of a fentanyl overdose not long after his health plan decided to stop covering his residential treatment. The plan initially decided Matlock did not need to remain at the treatment facility after he had spent just three days there. Matlock’s mother, Christine Dougherty, is testifying on behalf of the legislation.\u003c/p>\n\u003cp>Haney says 12 other states already have similar laws in place.\u003c/p>\n\u003cp>“It’s infuriating and mind-boggling that an insurer can deny someone care that they say they need and their physician says they need but it’s denied by the insurer’s employed ‘doctor’ who never even spoke to the patient,” he said. “That is dangerous and it’s wrong and it is not how medical decisions that can have such life or death consequences should be determined.”\u003c/p>\n\u003cp>Among the organizations sponsoring the bill are the California Consortium of Addiction Programs and Professionals, the California Behavioral Health Association, the Addiction Treatment Advocacy Coalition, and A New PATH (Parents for Addiction Treatment & Healing).\u003c/p>\n\u003ch2>No prior authorization for inpatient mental health\u003c/h2>\n\u003cp>The sweeping Mental Health Protection Act, AB 384, would prevent health plans from\u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260ab384\"> requiring prior authorization\u003c/a> for inpatient care for mental health and substance use treatment. It would also prevent plans from requiring prior authorization for any medical care deemed necessary during the inpatient stay.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/damon-connolly-165425\">Damon Connolly\u003c/a>, a Democratic state Assembly member from San Rafael, says he modeled the bill off of similar, successful legislation in Illinois.\u003c/p>\n\u003cp>“Too often prior authorization is creating delays in a situation where every second counts,” he said.\u003c/p>\n\u003cp>The California State Association of Psychiatrists and the California Behavioral Health Association are co-sponsoring the bill.\u003c/p>\n\u003ch2>Defines ‘medically necessary’ care\u003c/h2>\n\u003cp>Health plans are required to cover medically necessary health and mental health care. But what constitutes medical necessity? A bill by Democratic Fresno state Assemblymember \u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/joaquin-arambula-17377\">Joaquin Arambula\u003c/a>, AB 980, would \u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260ab980\">define “medically necessary”\u003c/a> to mean legally prescribed medical care that is reasonable and fits with standards set by the medical community. The bill also details the harms that plans may be held liable for if such care is not provided.\u003c/p>\n\u003ch2>Behavioral health visits after a wildfire\u003c/h2>\n\u003cp>With wildfires wiping out entire neighborhoods in the state, it is clear some people in devastated communities will need behavioral health treatment. A bill by Democratic state Assemblymembers \u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/john-harabedian-187422\">John Harabedian\u003c/a> from Pasadena and\u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/robert-rivas-165041\"> Robert Rivas\u003c/a> from Salinas, AB 1032 would require health insurers to reimburse enrollees from a disaster zone for up to \u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260ab1032\">12 visits with a licensed behavioral health provider \u003c/a>during the year after a wildfire event.\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/health/mental-health/2025/03/mental-health-insurance-legislation/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story was originally published by \u003ca href=\"https://calmatters.org/\">CalMatters\u003c/a>. \u003ca href=\"https://calmatters.org/subscribe-to-calmatters/\">Sign up\u003c/a> for their newsletters.\u003c/em>\u003c/p>\n\u003cp>Frustrated Californians have long complained that they can’t get their health plans to cover desperately needed mental health treatment.\u003c/p>\n\u003cp>These days, state lawmakers appear to be hearing them — and trying to act.\u003c/p>\n\u003cp>One bill introduced this session would require health plans to cough up more \u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260sb363\">data on coverage denials \u003c/a>— and penalize those that wrongfully deny claims most often.\u003c/p>\n\u003cp>Another would require plans to \u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260ab669\">wait at least 28 days\u003c/a> after approving a patient to go into a substance use treatment center before they reassess whether the patient can remain there.\u003c/p>\n\u003cp>A third would prohibit health plans from requiring \u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260ab384\">prior authorization\u003c/a> for mental health and substance use treatment before and during a patient’s stay in a hospital.\u003c/p>\n\u003cp>The list goes on.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Four years after state leaders passed \u003ca href=\"https://calmatters.org/health/2020/08/california-leader-mental-health/\">landmark legislation\u003c/a> to improve mental health and substance use coverage, polls portray a public still deeply unhappy with what they’re getting. One such poll of Californians last year found that more than 80% of respondents wanted the governor and legislature \u003ca href=\"https://www.chcf.org/publication/2024-chcf-california-health-policy-survey/#related-links-and-downloads\">to increase access to mental health treatment\u003c/a>.\u003c/p>\n\u003cp>“Everybody’s been denied some form of care,” said John Drebinger, a senior advocate with the Steinberg Institute, a mental health advocacy organization. “Nobody likes this. If you haven’t been, you know somebody who has.”\u003c/p>\n\u003cp>At a February oversight hearing of the Senate budget and fiscal review committee, \u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/scott-wiener-100936\">Scott Wiener\u003c/a>, the Democratic San Francisco state senator who authored the 2020 coverage law, called the process by which consumers can \u003ca href=\"https://www.dmhc.ca.gov/FileaComplaint.aspx\">appeal denials \u003c/a>to the state’s Department of Managed Health Care “burdensome, opaque and time-consuming.”\u003c/p>\n\u003cp>In light of federal efforts to fire workers and remove data from government websites, he said, “it’s more important than ever for California to lead.”\u003c/p>\n\u003cp>It’s still early enough in the process that any of the proposed legislation could be stymied by a variety of factors, including federal fiscal uncertainty, health plan opposition and disagreement among advocates about the best approach.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Last year, a handful of bills designed to hold health plans accountable ended up dying late in the legislative process. Supporters blamed \u003ca href=\"https://calmatters.org/digital-democracy/2024/08/newsom-healthcare-costs-inflated-estimates/\">inflated cost estimates \u003c/a>for their demise.\u003c/p>\n\u003cp>But some of those same lawmakers and advocates say the tenor of the conversation has changed in the months since 26-year-old Luigi Mangione shot and killed Brian Thompson, the chief executive officer of UnitedHealthcare, last December. That killing prompted an outpouring of public frustration and has become a cultural flashpoint.\u003c/p>\n\u003cp>At the February oversight hearing, Mary Watanabe, director of the Department of Managed Health Care, seemed open to requiring plans to provide more information about coverage denials.\u003c/p>\n\u003cp>“We really are seeking to understand the barriers that consumers experience navigating the behavioral health system,” she said.\u003c/p>\n\u003cp>Mary Ellen Grant, spokeswoman for the California Association of Health Plans, said in an email that it was premature to offer comment, given that the industry association has not yet taken a formal position on individual bills. She provided a fact sheet about the importance of prior authorization for “making health care safer, higher quality and more affordable.”\u003c/p>\n\u003cp>Here are some of the top bills attempting to tackle this issue:\u003c/p>\n\u003ch2>More transparency about denials\u003c/h2>\n\u003cp>Wiener would like to see \u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260sb363\">much greater transparency\u003c/a> from commercial health plans. His Senate Bill 363 would require plans to report granular data to the state about how often they deny treatment. This bill applies to denials of all types of medical care, not just mental health.\u003c/p>\n\u003cp>The state also has its own appeals process for consumers, known as \u003ca href=\"https://calmatters.org/health/mental-health/2024/10/mental-health-insurance-appeal/\">independent medical review\u003c/a>. Wiener’s bill would also penalize plans if the state overturns their coverage denials more than half the time.\u003c/p>\n\u003cp>Wiener acknowledges that health plans have proven “worthy opponents” to some of his other bills. But he calls the push for greater accountability “long overdue.” Since he introduced the legislation, he said, he’s been struck by how many people have stopped him on the streets of San Francisco to share their personal nightmares about being denied coverage.\u003c/p>\n\u003cp>“This is touching a nerve,” he said.\u003c/p>\n\u003ch2>Protecting the first 28 days\u003c/h2>\n\u003cp>\u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260ab669\">Assembly Bill 669 \u003c/a>would keep plans from reviewing a patient’s eligibility for continuing substance use treatment until at least 28 days after they’ve been approved.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/matt-haney-165453\">Matt Haney,\u003c/a> a Democratic state Assembly member from San Francisco who authored the bill, says his interest in the bill was inspired by the\u003ca href=\"https://calmatters.org/health/mental-health/2024/10/mental-health-parity-addiction-treatment/\"> story of Ryan Matlock\u003c/a>. Matlock, a young man whose story was featured in CalMatters last fall, died of a fentanyl overdose not long after his health plan decided to stop covering his residential treatment. The plan initially decided Matlock did not need to remain at the treatment facility after he had spent just three days there. Matlock’s mother, Christine Dougherty, is testifying on behalf of the legislation.\u003c/p>\n\u003cp>Haney says 12 other states already have similar laws in place.\u003c/p>\n\u003cp>“It’s infuriating and mind-boggling that an insurer can deny someone care that they say they need and their physician says they need but it’s denied by the insurer’s employed ‘doctor’ who never even spoke to the patient,” he said. “That is dangerous and it’s wrong and it is not how medical decisions that can have such life or death consequences should be determined.”\u003c/p>\n\u003cp>Among the organizations sponsoring the bill are the California Consortium of Addiction Programs and Professionals, the California Behavioral Health Association, the Addiction Treatment Advocacy Coalition, and A New PATH (Parents for Addiction Treatment & Healing).\u003c/p>\n\u003ch2>No prior authorization for inpatient mental health\u003c/h2>\n\u003cp>The sweeping Mental Health Protection Act, AB 384, would prevent health plans from\u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260ab384\"> requiring prior authorization\u003c/a> for inpatient care for mental health and substance use treatment. It would also prevent plans from requiring prior authorization for any medical care deemed necessary during the inpatient stay.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/damon-connolly-165425\">Damon Connolly\u003c/a>, a Democratic state Assembly member from San Rafael, says he modeled the bill off of similar, successful legislation in Illinois.\u003c/p>\n\u003cp>“Too often prior authorization is creating delays in a situation where every second counts,” he said.\u003c/p>\n\u003cp>The California State Association of Psychiatrists and the California Behavioral Health Association are co-sponsoring the bill.\u003c/p>\n\u003ch2>Defines ‘medically necessary’ care\u003c/h2>\n\u003cp>Health plans are required to cover medically necessary health and mental health care. But what constitutes medical necessity? A bill by Democratic Fresno state Assemblymember \u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/joaquin-arambula-17377\">Joaquin Arambula\u003c/a>, AB 980, would \u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260ab980\">define “medically necessary”\u003c/a> to mean legally prescribed medical care that is reasonable and fits with standards set by the medical community. The bill also details the harms that plans may be held liable for if such care is not provided.\u003c/p>\n\u003ch2>Behavioral health visits after a wildfire\u003c/h2>\n\u003cp>With wildfires wiping out entire neighborhoods in the state, it is clear some people in devastated communities will need behavioral health treatment. A bill by Democratic state Assemblymembers \u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/john-harabedian-187422\">John Harabedian\u003c/a> from Pasadena and\u003ca href=\"https://calmatters.digitaldemocracy.org/legislators/robert-rivas-165041\"> Robert Rivas\u003c/a> from Salinas, AB 1032 would require health insurers to reimburse enrollees from a disaster zone for up to \u003ca href=\"https://calmatters.digitaldemocracy.org/bills/ca_202520260ab1032\">12 visits with a licensed behavioral health provider \u003c/a>during the year after a wildfire event.\u003c/p>\n\u003cp>\u003cem>This article was \u003ca href=\"https://calmatters.org/health/mental-health/2025/03/mental-health-insurance-legislation/\">originally published on CalMatters\u003c/a> and was republished under the \u003ca href=\"https://creativecommons.org/licenses/by-nc-nd/4.0/\">Creative Commons Attribution-NonCommercial-NoDerivatives\u003c/a> license.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "A First Look at SF Mayor Lurie’s Yearlong Plan on Homelessness Response",
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"content": "\u003cp>\u003cem>Updated 3:37 p.m. Monday\u003c/em>\u003c/p>\n\u003cp>As Mayor \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Daniel Lurie\u003c/a>’s plan to reshape San Francisco’s homelessness and mental health response begins to take form, he is set to sign an executive order on Monday aimed at restructuring the street outreach teams, consolidating bureaucracy in city services and potentially scaling back some harm reduction programs.\u003c/p>\n\u003cp>The yearlong plan announced Monday comes on top of Lurie’s earlier promises to build at least 1,500 shelter beds within his first six months in office, as well as the first major legislative effort of his term — a law \u003ca href=\"https://www.kqed.org/news/12025495/luries-fentanyl-response-clears-san-francisco-board-of-supervisors\">passed in February\u003c/a> giving him expanded authority to cut through bureaucracy and more quickly hire and contract out both homelessness and drug treatment services.\u003c/p>\n\u003cp>Lurie had made reducing San Francisco’s homeless population, estimated at more than 8,000 people, a key priority on the campaign trail.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“At the heart of my administration’s strategy for improving conditions on the streets are our efforts to help people move into the treatment and care that they need,” Lurie said at a recent Board of Supervisors meeting where board members questioned his long-term plan for addressing street conditions, after \u003ca href=\"https://www.kqed.org/news/12030060/after-2-raids-sf-police-say-theyll-follow-drug-markets-from-block-to-block\">two overnight law enforcement raids\u003c/a> at public spaces known for open drug use and sales. “We must strengthen and expand our behavioral health and homeless systems.”\u003c/p>\n\u003cp>Dubbed “Breaking the Cycle,” the mayor’s new blueprint will first aim to consolidate the city’s 10 street outreach teams within the next 100 days. The teams provide critical services, including emergency medicine professionals responding to overdoses and outreach workers helping people into shelters.\u003c/p>\n\u003cfigure id=\"attachment_12029042\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029042\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/123_1-scaled-e1740692245681.jpg\" alt=\"\" width=\"2000\" height=\"900\">\u003cfigcaption class=\"wp-caption-text\">Police officers carried out a sweeping drug market raid on the evening of Feb. 26, 2025, in Jefferson Square Park. \u003ccite>(Courtesy Sebastian Luke)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re going to overhaul how the city organizes our street outreach efforts, replacing a fragmented structure with neighborhood-based teams that have the tools to connect people to treatment while keeping our public spaces clean,” Lurie said at a press conference on Monday.\u003c/p>\n\u003cp>A \u003ca href=\"https://sfbos.org/sites/default/files/110723%20Performance%20Audit%20of%20San%20Francisco%20Street%20Teams.pdf\">city audit published in 2023\u003c/a> found that the rapid expansion of the teams during the pandemic lacked coordination and consistent messaging. The audit also found that in the vast majority of cases, first responders are unable to connect people to services, the reason is a lack of shelter and housing.\u003c/p>\n\u003cp>“Resource referral, connection, and transportation are distinguishing and essential functions of the city’s street teams, but the ability of street teams to fulfill this function is inherently limited by the underlying system of services to which street team members can refer clients,” the report reads.\u003c/p>\n\u003cp>According to the blueprint announced Monday, Lurie is still aiming to reach his 1,500-shelter bed goal within six months. However, the effort has already hit a few snags — the 116-resident Cova Hotel that opened during the pandemic for homeless residents recently shuttered, and other plans to expand shelter beds in two Tenderloin hotels have met backlash from neighbors.\u003c/p>\n\u003cp>[aside postID=news_12030060 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/03/240830-SFSideshowLegislation-21-BL_qed-1020x680.jpg']\u003c/p>\n\u003cp>Over the next year, the city aims to use state and federal funding to increase shelter and other homeless services, according to Lurie’s announcement, as well as to overhaul data systems used to track clients and measure outcomes for the city’s homelessness response.\u003c/p>\n\u003cp>Lurie is also looking to review the city’s harm reduction services, an approach to health care \u003ca href=\"https://www.kqed.org/news/11911092/from-the-underground-to-public-health-policy-a-history-of-harm-reduction-in-san-francisco\">the city adopted after the HIV/AIDS crisis\u003c/a> that involves preventive efforts such as handing out cleaner supplies to reduce infection.\u003c/p>\n\u003cp>While harm reduction is supported by public health officials and advocates as a life-saving method for reducing overdose risk and connecting drug users to service providers, it has become a polarizing fixture in the city’s debate over drug treatment and law enforcement.\u003c/p>\n\u003cp>“There are two people a day dying of overdose in our city. By any standard that is unacceptable, and what we’re doing is not working,” Lurie said Monday. He did not say which programs could downsize in particular. “Everything is going to be looked at, and things will change.”\u003c/p>\n\u003cp>Kunal Modi, chief of health, homelessness and family services for the mayor’s office, recently posted on social media platform X that the city is also looking to invest in more sober living options.\u003c/p>\n\u003cp>Some recovery advocates have celebrated the push for more sobriety housing, saying it gives residents space to distance themselves from drug use, while others have pointed to state laws requiring permanent supportive housing to accept residents regardless of their drug use status. The idea is based on research showing people are more successful in their recovery if they have access to housing first rather than as a reward.\u003c/p>\n\u003cp>https://twitter.com/kunalmodi/status/1878458417033228372\u003c/p>\n\u003cp>After the Board of Supervisors passed Lurie’s Fentanyl State of Emergency Ordinance last month to expand his powers, the city \u003ca href=\"https://www.kqed.org/news/12026575/a-new-triage-center-opened-in-san-francisco-but-questions-remain\">set up a walk-in triage center\u003c/a> in the South of Market neighborhood to connect people to government programs and provide a police command station. The results, however, have been stunted by the city’s inability to provide longer-term treatment or shelter, city officials said.\u003c/p>\n\u003cp>Its successes, Modi posted, were “improved street conditions, cross-department collaboration, service placements and arrests.” But he said what didn’t work was that the city ran out of shelter and treatment beds daily, and outdoor drug markets were not eradicated but only displaced to other neighborhoods.\u003c/p>\n\u003cp>Lurie is now planning to open up a second center at 822 Geary Street where first responders can drop off people in need of medical care, slated to open this spring.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 3:37 p.m. Monday\u003c/em>\u003c/p>\n\u003cp>As Mayor \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Daniel Lurie\u003c/a>’s plan to reshape San Francisco’s homelessness and mental health response begins to take form, he is set to sign an executive order on Monday aimed at restructuring the street outreach teams, consolidating bureaucracy in city services and potentially scaling back some harm reduction programs.\u003c/p>\n\u003cp>The yearlong plan announced Monday comes on top of Lurie’s earlier promises to build at least 1,500 shelter beds within his first six months in office, as well as the first major legislative effort of his term — a law \u003ca href=\"https://www.kqed.org/news/12025495/luries-fentanyl-response-clears-san-francisco-board-of-supervisors\">passed in February\u003c/a> giving him expanded authority to cut through bureaucracy and more quickly hire and contract out both homelessness and drug treatment services.\u003c/p>\n\u003cp>Lurie had made reducing San Francisco’s homeless population, estimated at more than 8,000 people, a key priority on the campaign trail.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“At the heart of my administration’s strategy for improving conditions on the streets are our efforts to help people move into the treatment and care that they need,” Lurie said at a recent Board of Supervisors meeting where board members questioned his long-term plan for addressing street conditions, after \u003ca href=\"https://www.kqed.org/news/12030060/after-2-raids-sf-police-say-theyll-follow-drug-markets-from-block-to-block\">two overnight law enforcement raids\u003c/a> at public spaces known for open drug use and sales. “We must strengthen and expand our behavioral health and homeless systems.”\u003c/p>\n\u003cp>Dubbed “Breaking the Cycle,” the mayor’s new blueprint will first aim to consolidate the city’s 10 street outreach teams within the next 100 days. The teams provide critical services, including emergency medicine professionals responding to overdoses and outreach workers helping people into shelters.\u003c/p>\n\u003cfigure id=\"attachment_12029042\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12029042\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/123_1-scaled-e1740692245681.jpg\" alt=\"\" width=\"2000\" height=\"900\">\u003cfigcaption class=\"wp-caption-text\">Police officers carried out a sweeping drug market raid on the evening of Feb. 26, 2025, in Jefferson Square Park. \u003ccite>(Courtesy Sebastian Luke)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re going to overhaul how the city organizes our street outreach efforts, replacing a fragmented structure with neighborhood-based teams that have the tools to connect people to treatment while keeping our public spaces clean,” Lurie said at a press conference on Monday.\u003c/p>\n\u003cp>A \u003ca href=\"https://sfbos.org/sites/default/files/110723%20Performance%20Audit%20of%20San%20Francisco%20Street%20Teams.pdf\">city audit published in 2023\u003c/a> found that the rapid expansion of the teams during the pandemic lacked coordination and consistent messaging. The audit also found that in the vast majority of cases, first responders are unable to connect people to services, the reason is a lack of shelter and housing.\u003c/p>\n\u003cp>“Resource referral, connection, and transportation are distinguishing and essential functions of the city’s street teams, but the ability of street teams to fulfill this function is inherently limited by the underlying system of services to which street team members can refer clients,” the report reads.\u003c/p>\n\u003cp>According to the blueprint announced Monday, Lurie is still aiming to reach his 1,500-shelter bed goal within six months. However, the effort has already hit a few snags — the 116-resident Cova Hotel that opened during the pandemic for homeless residents recently shuttered, and other plans to expand shelter beds in two Tenderloin hotels have met backlash from neighbors.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Over the next year, the city aims to use state and federal funding to increase shelter and other homeless services, according to Lurie’s announcement, as well as to overhaul data systems used to track clients and measure outcomes for the city’s homelessness response.\u003c/p>\n\u003cp>Lurie is also looking to review the city’s harm reduction services, an approach to health care \u003ca href=\"https://www.kqed.org/news/11911092/from-the-underground-to-public-health-policy-a-history-of-harm-reduction-in-san-francisco\">the city adopted after the HIV/AIDS crisis\u003c/a> that involves preventive efforts such as handing out cleaner supplies to reduce infection.\u003c/p>\n\u003cp>While harm reduction is supported by public health officials and advocates as a life-saving method for reducing overdose risk and connecting drug users to service providers, it has become a polarizing fixture in the city’s debate over drug treatment and law enforcement.\u003c/p>\n\u003cp>“There are two people a day dying of overdose in our city. By any standard that is unacceptable, and what we’re doing is not working,” Lurie said Monday. He did not say which programs could downsize in particular. “Everything is going to be looked at, and things will change.”\u003c/p>\n\u003cp>Kunal Modi, chief of health, homelessness and family services for the mayor’s office, recently posted on social media platform X that the city is also looking to invest in more sober living options.\u003c/p>\n\u003cp>Some recovery advocates have celebrated the push for more sobriety housing, saying it gives residents space to distance themselves from drug use, while others have pointed to state laws requiring permanent supportive housing to accept residents regardless of their drug use status. The idea is based on research showing people are more successful in their recovery if they have access to housing first rather than as a reward.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>After the Board of Supervisors passed Lurie’s Fentanyl State of Emergency Ordinance last month to expand his powers, the city \u003ca href=\"https://www.kqed.org/news/12026575/a-new-triage-center-opened-in-san-francisco-but-questions-remain\">set up a walk-in triage center\u003c/a> in the South of Market neighborhood to connect people to government programs and provide a police command station. The results, however, have been stunted by the city’s inability to provide longer-term treatment or shelter, city officials said.\u003c/p>\n\u003cp>Its successes, Modi posted, were “improved street conditions, cross-department collaboration, service placements and arrests.” But he said what didn’t work was that the city ran out of shelter and treatment beds daily, and outdoor drug markets were not eradicated but only displaced to other neighborhoods.\u003c/p>\n\u003cp>Lurie is now planning to open up a second center at 822 Geary Street where first responders can drop off people in need of medical care, slated to open this spring.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "california-is-spending-6-4-billion-on-mental-health-housing-will-it-reach-those-who-need-it-most",
"title": "California Is Spending $6.4 Billion on Mental Health Housing. Will It Reach Those Who Need It Most?",
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"content": "\u003cp>The Newsom administration is moving swiftly to distribute by May billions of dollars from the 2024 mental health bond narrowly approved by voters, but concerns are emerging about whether areas of the state that have the greatest need will be left behind, according to testimony at legislative oversight hearing this week.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/mental-health/2024/03/proposition-1-gavin-newsom-2/\" target=\"_blank\" rel=\"noreferrer noopener\">Proposition 1\u003c/a>, championed by Gov. Gavin Newsom, pledged to inject $6.4 billion into the state’s overburdened mental health and addiction treatment system. Newsom promised voters the move would help the state address its \u003ca href=\"https://calmatters.org/housing/homelessness/2025/01/hud-pit-count-2024/#:~:text=The%20number%20of%20homeless%20Californians,state%20as%20of%20January%202024.\" target=\"_blank\" rel=\"noreferrer noopener\">homelessness crisis\u003c/a>, which is often publicly associated with \u003ca href=\"https://calmatters.org/housing/homelessness/2024/07/california-homelessness-myths/\" target=\"_blank\" rel=\"noreferrer noopener\">unaddressed mental health and substance use issues\u003c/a>.\u003c/p>\n\u003cp>A majority of the money, $4.4 billion, would be used to build treatment facilities to help meet the state’s estimated \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1824-1-v2.html\" target=\"_blank\" rel=\"noreferrer noopener\">10,000-bed shortage\u003c/a>. The rest of the bond money would be used on housing and managed by the state’s housing department.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Newsom wanted to move as fast as possible. Last year, he announced the state would \u003ca href=\"https://calmatters.org/health/mental-health/2024/05/mental-health-housing-proposition-1/\" target=\"_blank\" rel=\"noreferrer noopener\">release the bond money months ahead of schedule\u003c/a>. During a press conference last year, Newsom told counties to move with a “sense of urgency.”\u003c/p>\n\u003cp>“You’re either part of the problem or you’re not. Period,” he said at the time.\u003c/p>\n\u003cp>But that timeline could neglect counties that have the fewest mental health resources.\u003c/p>\n\u003cp>“Moving this money out fast does come at a cost, because there will be some who are left behind,” said Susan Holt, Fresno County Behavioral Health director, during the Tuesday Assembly Health Committee hearing.\u003c/p>\n\u003cp>Small and rural counties say they simply don’t have the manpower or expertise to navigate the complex grant requirements governing this one-time, multibillion-dollar investment. A recent \u003ca href=\"https://lao.ca.gov/reports/2025/4954/Building-CA-Behavorial-Health-Infrastructure-Progress-Update-020525.pdf\">Legislative Analyst’s Office report (PDF)\u003c/a> found that a majority of money distributed from programs similar to Prop. 1 in the past went to regions of the state that need it least. The area with the highest unmet need, the southern San Joaquin Valley, didn’t get any state money in previous rounds of funding.\u003c/p>\n\u003cp>To meet the population need, the region needs to nearly triple its capacity.\u003c/p>\n\u003cp>Prior to Prop. 1, Holt testified that Fresno County submitted nine grant applications for primarily acute care beds and did not receive any money from the state.\u003c/p>\n\u003cp>“I can speak with conviction and assurance that we understand the urgency,” Holt said. “Sometimes with this much money we need to go a little bit slower in order to go faster in the end.”\u003c/p>\n\u003cp>Counties are also concerned that the state has provided money for treatment facilities but not for workforce or services.\u003c/p>\n\u003cp>Ryan Miller, an analyst from the Legislative Analyst’s Office, examined how the state spent similar building funds in the past. His analysis found that the state has historically awarded funds to “launch ready” projects that can be completed on a quick timeline, a criteria that gives an advantage to more sophisticated counties.\u003c/p>\n\u003ch2>Which regions got more mental health funding?\u003c/h2>\n\u003cp>For example, a 2022 RAND study found that Los Angeles and the greater Sacramento region have sufficient adult acute care capacity, yet collectively those areas received nearly three-fourths of the funding distributed for acute care beds, roughly $130 million, according to the analyst’s office. Instead, those areas have a higher need for sub-acute care and community residential treatment.\u003c/p>\n\u003cp>“A great deal of resources and staff are needed to put together a compelling launch ready project,” Miller said.\u003c/p>\n\u003cp>Other areas of the state that received less money than expected based on need were the Inland Empire, Central Coast and Bay Area, Miller said.\u003c/p>\n\u003cp>Assemblymember Jacqui Irwin, who authored the legislation that put Prop. 1 on the ballot, said voters were very skeptical about how the state spends its money and that promises were made to get the money to counties quickly. But the Democrat from Thousand Oaks also questioned whether the accelerated timeline was sensible.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/politics/elections/2024/03/election-result-proposition-1/\" target=\"_blank\" rel=\"noreferrer noopener\">Prop. 1 passed\u003c/a> by the narrowest of margins last year, 50.2% to 49.8%.\u003c/p>\n\u003cp>“Do you think the administration’s … implementation has been too aggressive, or are the goals realistic?” Irwin said.\u003c/p>\n\u003ch2>State backs projects it believes will succeed\u003c/h2>\n\u003cp>Marlise Perez, a division chief for the Department of Health Care Services, pushed back against the notion that awards would leave small counties behind.\u003c/p>\n\u003cp>“I don’t want it to appear that we’re only awarding the shiniest applications,” Perez said, pointing to almost $200 million in grants that were awarded to small counties prior to Prop. 1.\u003c/p>\n\u003cp>At the same time, the administration must support projects that can actually be completed, Perez said.\u003c/p>\n\u003cp>According to the analyst’s office, 18 small counties received no funding in previous grant rounds. According to Perez, 16 of them didn’t apply. [aside postID=\"science_1995393,news_11986218,news_11980415\" label=\"Related Stories\"]\u003c/p>\n\u003cp>“Unfortunately we can only award who applies. That has been a challenge,” Perez said.\u003c/p>\n\u003cp>Her office is helping those counties with the application and now expects seven to apply for the next round of funding. One of the more difficult grant requirements is that facilities guarantee they can provide services for the next 30 years.\u003c/p>\n\u003cp>Still with more than $3.3 billion rolling out in two months, there’s little room to pivot how the money will be targeted. This round of grants will focus once again on “launch ready” projects. The remaining $1.1 billion will be awarded by early 2026.\u003c/p>\n\u003cp>Applicants have submitted projects totaling more than $8.8 billion, double the amount of money available, an indication of the severe needs across the state.\u003c/p>\n\u003cp>Assemblymember Joaquin Arambula, a Fresno Democrat, said when the system rewards those who have historically been able to provide services there is a risk of “baking in historical inequities and disparities.”\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Gov. Gavin Newsom wants to see tangible results from the $6.4 billion mental health bond voters approved last year. Moving fast carries a risk of neglecting under-resourced communities.",
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"title": "California Is Spending $6.4 Billion on Mental Health Housing. Will It Reach Those Who Need It Most? | KQED",
"description": "Gov. Gavin Newsom wants to see tangible results from the $6.4 billion mental health bond voters approved last year. Moving fast carries a risk of neglecting under-resourced communities.",
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"nprByline": "\u003ca href=\"https://calmatters.org/author/kristen-hwang\">Kristen Hwang, \u003c/a>CalMatters",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Newsom administration is moving swiftly to distribute by May billions of dollars from the 2024 mental health bond narrowly approved by voters, but concerns are emerging about whether areas of the state that have the greatest need will be left behind, according to testimony at legislative oversight hearing this week.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/mental-health/2024/03/proposition-1-gavin-newsom-2/\" target=\"_blank\" rel=\"noreferrer noopener\">Proposition 1\u003c/a>, championed by Gov. Gavin Newsom, pledged to inject $6.4 billion into the state’s overburdened mental health and addiction treatment system. Newsom promised voters the move would help the state address its \u003ca href=\"https://calmatters.org/housing/homelessness/2025/01/hud-pit-count-2024/#:~:text=The%20number%20of%20homeless%20Californians,state%20as%20of%20January%202024.\" target=\"_blank\" rel=\"noreferrer noopener\">homelessness crisis\u003c/a>, which is often publicly associated with \u003ca href=\"https://calmatters.org/housing/homelessness/2024/07/california-homelessness-myths/\" target=\"_blank\" rel=\"noreferrer noopener\">unaddressed mental health and substance use issues\u003c/a>.\u003c/p>\n\u003cp>A majority of the money, $4.4 billion, would be used to build treatment facilities to help meet the state’s estimated \u003ca href=\"https://www.rand.org/pubs/research_reports/RRA1824-1-v2.html\" target=\"_blank\" rel=\"noreferrer noopener\">10,000-bed shortage\u003c/a>. The rest of the bond money would be used on housing and managed by the state’s housing department.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Newsom wanted to move as fast as possible. Last year, he announced the state would \u003ca href=\"https://calmatters.org/health/mental-health/2024/05/mental-health-housing-proposition-1/\" target=\"_blank\" rel=\"noreferrer noopener\">release the bond money months ahead of schedule\u003c/a>. During a press conference last year, Newsom told counties to move with a “sense of urgency.”\u003c/p>\n\u003cp>“You’re either part of the problem or you’re not. Period,” he said at the time.\u003c/p>\n\u003cp>But that timeline could neglect counties that have the fewest mental health resources.\u003c/p>\n\u003cp>“Moving this money out fast does come at a cost, because there will be some who are left behind,” said Susan Holt, Fresno County Behavioral Health director, during the Tuesday Assembly Health Committee hearing.\u003c/p>\n\u003cp>Small and rural counties say they simply don’t have the manpower or expertise to navigate the complex grant requirements governing this one-time, multibillion-dollar investment. A recent \u003ca href=\"https://lao.ca.gov/reports/2025/4954/Building-CA-Behavorial-Health-Infrastructure-Progress-Update-020525.pdf\">Legislative Analyst’s Office report (PDF)\u003c/a> found that a majority of money distributed from programs similar to Prop. 1 in the past went to regions of the state that need it least. The area with the highest unmet need, the southern San Joaquin Valley, didn’t get any state money in previous rounds of funding.\u003c/p>\n\u003cp>To meet the population need, the region needs to nearly triple its capacity.\u003c/p>\n\u003cp>Prior to Prop. 1, Holt testified that Fresno County submitted nine grant applications for primarily acute care beds and did not receive any money from the state.\u003c/p>\n\u003cp>“I can speak with conviction and assurance that we understand the urgency,” Holt said. “Sometimes with this much money we need to go a little bit slower in order to go faster in the end.”\u003c/p>\n\u003cp>Counties are also concerned that the state has provided money for treatment facilities but not for workforce or services.\u003c/p>\n\u003cp>Ryan Miller, an analyst from the Legislative Analyst’s Office, examined how the state spent similar building funds in the past. His analysis found that the state has historically awarded funds to “launch ready” projects that can be completed on a quick timeline, a criteria that gives an advantage to more sophisticated counties.\u003c/p>\n\u003ch2>Which regions got more mental health funding?\u003c/h2>\n\u003cp>For example, a 2022 RAND study found that Los Angeles and the greater Sacramento region have sufficient adult acute care capacity, yet collectively those areas received nearly three-fourths of the funding distributed for acute care beds, roughly $130 million, according to the analyst’s office. Instead, those areas have a higher need for sub-acute care and community residential treatment.\u003c/p>\n\u003cp>“A great deal of resources and staff are needed to put together a compelling launch ready project,” Miller said.\u003c/p>\n\u003cp>Other areas of the state that received less money than expected based on need were the Inland Empire, Central Coast and Bay Area, Miller said.\u003c/p>\n\u003cp>Assemblymember Jacqui Irwin, who authored the legislation that put Prop. 1 on the ballot, said voters were very skeptical about how the state spends its money and that promises were made to get the money to counties quickly. But the Democrat from Thousand Oaks also questioned whether the accelerated timeline was sensible.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/politics/elections/2024/03/election-result-proposition-1/\" target=\"_blank\" rel=\"noreferrer noopener\">Prop. 1 passed\u003c/a> by the narrowest of margins last year, 50.2% to 49.8%.\u003c/p>\n\u003cp>“Do you think the administration’s … implementation has been too aggressive, or are the goals realistic?” Irwin said.\u003c/p>\n\u003ch2>State backs projects it believes will succeed\u003c/h2>\n\u003cp>Marlise Perez, a division chief for the Department of Health Care Services, pushed back against the notion that awards would leave small counties behind.\u003c/p>\n\u003cp>“I don’t want it to appear that we’re only awarding the shiniest applications,” Perez said, pointing to almost $200 million in grants that were awarded to small counties prior to Prop. 1.\u003c/p>\n\u003cp>At the same time, the administration must support projects that can actually be completed, Perez said.\u003c/p>\n\u003cp>According to the analyst’s office, 18 small counties received no funding in previous grant rounds. According to Perez, 16 of them didn’t apply. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Unfortunately we can only award who applies. That has been a challenge,” Perez said.\u003c/p>\n\u003cp>Her office is helping those counties with the application and now expects seven to apply for the next round of funding. One of the more difficult grant requirements is that facilities guarantee they can provide services for the next 30 years.\u003c/p>\n\u003cp>Still with more than $3.3 billion rolling out in two months, there’s little room to pivot how the money will be targeted. This round of grants will focus once again on “launch ready” projects. The remaining $1.1 billion will be awarded by early 2026.\u003c/p>\n\u003cp>Applicants have submitted projects totaling more than $8.8 billion, double the amount of money available, an indication of the severe needs across the state.\u003c/p>\n\u003cp>Assemblymember Joaquin Arambula, a Fresno Democrat, said when the system rewards those who have historically been able to provide services there is a risk of “baking in historical inequities and disparities.”\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "deny-and-delay-california-seeks-penalties-for-insurers-that-repeatedly-get-it-wrong",
"title": "Deny and Delay? California Seeks Penalties for Insurers That Repeatedly Get It Wrong",
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"headTitle": "Deny and Delay? California Seeks Penalties for Insurers That Repeatedly Get It Wrong | KQED",
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"content": "\u003cp>When Colleen Henderson’s 3-year-old daughter complained of pain while using the bathroom, doctors brushed it off as a urinary tract infection or constipation, common maladies in the potty-training years.\u003c/p>\n\u003cp>After being told her health insurance wouldn’t cover an ultrasound, Henderson charged the $6,000 procedure to her credit card. Then came the news: There was a grapefruit-sized tumor in her toddler’s bladder.\u003c/p>\n\u003cp>That was in 2009. The next five years, Henderson said, became a protracted battle against her insurer, UnitedHealthcare, over paying for the specialists who finally diagnosed and treated her daughter’s rare condition, \u003ca href=\"https://ajronline.org/doi/10.2214/AJR.07.3663#:~:text=Inflammatory%20Pseudotumor%20of%20the%20Bladder,-Inflammatory%20pseudotumor%20of&text=The%20bladder%20is%20a%20common,have%20been%20reported%20%5B15%5D.\">inflammatory pseudotumor\u003c/a>. She appealed uncovered hospital stays, surgeries, and medication to the insurer and state regulators, to no avail. The family racked up more than $1 million in medical debt, she said, because the insurer told her treatments recommended by doctors were unnecessary. The family declared bankruptcy.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“If I had not fought tooth and nail every step of the way, my daughter would be dead,” said Henderson, of Auburn, California, whose daughter eventually recovered and is now a thriving 20-year-old junior at Oregon State University. “You pay a lot of money to have health insurance, and you hope that your health insurance has your well-being at the forefront, but that’s not happening at all.”\u003c/p>\n\u003cp>While insurance denials are \u003ca href=\"https://www.pbs.org/newshour/health/analysis-health-insurance-claim-denials-are-on-the-rise-to-the-detriment-of-patients\">on the rise\u003c/a>, \u003ca href=\"https://www.commonwealthfund.org/publications/issue-briefs/2024/aug/unforeseen-health-care-bills-coverage-denials-by-insurers\">surveys\u003c/a> show few Americans \u003ca href=\"https://www.kff.org/private-insurance/issue-brief/claims-denials-and-appeals-in-aca-marketplace-plans-in-2023/\">appeal\u003c/a> them. Unlike in Henderson’s case, various analyses have found that many who escalate complaints to \u003ca href=\"https://www.kff.org/medicare/issue-brief/nearly-50-million-prior-authorization-requests-were-sent-to-medicare-advantage-insurers-in-2023/\">government regulators\u003c/a> successfully get \u003ca href=\"https://whyy.org/articles/pennsylvania-health-insurance-denials-data/\">denials overturned\u003c/a>. Consumer advocates and policymakers say that’s a clear sign insurance companies routinely deny care they shouldn’t. Now a proposal in the California Legislature seeks to penalize insurers who repeatedly make the wrong call.\u003c/p>\n\u003cp>While the measure, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260SB363\">SB 363\u003c/a>, would cover only about a third of insured Californians whose health plans are regulated by the state, experts say it could be one of the boldest attempts in the nation to rein in health insurer denials — before and after care is given. And California could become one of only a handful of states that require insurers to disclose denial rates and reasoning, statistics the industry often considers proprietary information.\u003c/p>\n\u003cp>The measure also seeks to force insurers to be more judicious with denials and would fine them up to $1 million per case if more than half of appeals filed with regulators are overturned in a year.\u003c/p>\n\u003cp>In 2023, \u003ca href=\"https://www.dmhc.ca.gov/Portals/0/Docs/DO/2023Infographic.pdf\">state data show (PDF)\u003c/a>, about 72% of appeals made to the Department of Managed Health Care, which regulates the vast majority of health plans, resulted in an insurer’s initial denial being reversed.\u003c/p>\n\u003cp>“When you have health insurance, you should have confidence that it’s going to cover your health care needs,” said Sen. Scott Wiener, the San Francisco Democrat who introduced the bill. “They can just delay, deny, obstruct, and, in many cases, avoid having to cover medically necessary care, and it’s unacceptable.”\u003c/p>\n\u003cp>A spokesperson for the California Association of Health Plans declined to comment, saying the group was still reviewing the bill language. Gov. Gavin Newsom’s spokesperson Elana Ross said his office generally does not comment on pending legislation.\u003c/p>\n\u003cp>Concerned about spiraling consumer health costs, \u003ca href=\"https://kffhealthnews.org/news/tag/prior-authorizations/\">state lawmakers across the nation\u003c/a> have increasingly looked for ways to verify that insurers are paying claims fairly.\u003c/p>\n\u003cp>In 2024, 17 states \u003ca href=\"https://app.powerbi.com/view?r=eyJrIjoiNDNlNTJjNzItNjQyNS00NjVmLTk4MjItZDYzZjBlNTQ0ZDA2IiwidCI6IjM4MmZiOGIwLTRkYzMtNDEwNy04MGJkLTM1OTViMjQzMmZhZSIsImMiOjZ9\">enacted\u003c/a> legislation dealing with prior authorization of care by private insurers, according to the National Conference of State Legislatures. Connecticut, which has one of the most robust denial rate disclosure laws, publishes an \u003ca href=\"https://portal.ct.gov/cid/-/media/cid/reports/consumer-report-card/2024-consumerreportcard.pdf?rev=94d0c6b1e170408b974006006dbe6751\">annual report card (PDF)\u003c/a> detailing the number and percentage of claims each insurer has denied, as well as the share that ends up getting reversed. Oregon published similar information \u003ca href=\"https://dfr.oregon.gov/business/reg/health/Documents/mental-health-parity/20240915-mental-health-parity-report.pdf\">until recently\u003c/a>, when state disclosure requirements lapsed.[aside label='Related Coverage' tag='health-insurance']In California, there’s no way to know how often insurers deny care, which health experts say is especially troubling as mental health care is reaching \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2802915\">crisis levels\u003c/a> among children and young adults. According to Keith Humphreys, a health policy professor at Stanford University, it’s easier to deny mental health care because a diagnosis of, say, depression can be more subjective than that of a broken limb or cancer.\u003c/p>\n\u003cp>“We think it’s unacceptable that the state has absolutely no idea how big of a problem this is,” said Lishaun Francis, senior director of behavioral health for the advocacy group Children Now, a sponsor of the bill.\u003c/p>\n\u003cp>Under Wiener’s proposal, private insurers regulated by the Department of Managed Health Care and the Department of Insurance would be required to submit detailed data about denials and appeals. They would also need to explain those denials and report the outcomes of the appeals.\u003c/p>\n\u003cp>For appeals that make it to the state’s independent medical review process, known as IMR, insurers whose denials are overturned more than half the time would face staggering penalties. The first case that brings a company above the 50% threshold would trigger a fine of $50,000, with a penalty ranging from $100,000 to $400,000 for a second. Each one after that would cost $1 million.\u003c/p>\n\u003cp>If passed, the measure would cover roughly 12.8 million Californians on private insurance. It would not apply to patients on Medi-Cal, the state’s Medicaid program, or Medicare, and it would exclude self-insured plans offered by large employers, which are regulated by the U.S. Department of Labor and cover roughly 5.6 million Californians.\u003c/p>\n\u003cp>The phrase “deny and delay” continues to reverberate across the health care industry after the \u003ca href=\"https://www.nbcnews.com/health/health-news/ceo-shooting-health-insurance-frustration-denied-claims-rcna183805\">killing\u003c/a> of UnitedHealthcare CEO Brian Thompson. A \u003ca href=\"https://apnews.com/article/luigi-mangione-unitedhealthcare-brian-thompson-shooting-b53fde08980d160ee93fd08b1664108d\">survey\u003c/a> by NORC at the University of Chicago released shortly after the brazen attack revealed that 7 in 10 people said they believed denials for health coverage and profits by health insurance companies bore a great deal or a moderate amount of responsibility for Thompson’s death.\u003c/p>\n\u003cp>Following Thompson’s death, UnitedHealthcare said in statements that \u003ca href=\"https://www.uhc.com/news-articles/newsroom/uhg-response\">“highly inaccurate and grossly misleading information”\u003c/a> had been circulated about the way the company treats claims and that insurers, which are highly regulated, “typically have \u003ca href=\"https://www.uhc.com/news-articles/newsroom/false-statements-response\">low- to mid-single digit margins\u003c/a>.”\u003c/p>\n\u003cp>Wiener called Thompson’s killing a “cold-blooded assassination” but said his bill grew out of a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB294\">narrower proposal\u003c/a> that failed last year aimed at improving mental health coverage for children and adults under age 26. But he acknowledged the nation’s reaction to the killing underscores the long-simmering anger many Americans feel about health insurers’ practices and the urgent need for reform.\u003c/p>\n\u003cp>Humphreys, the Stanford professor, said the U.S. health system creates strong financial incentives for insurers to deny care. And, he added, state and federal penalties are paltry enough to be written off as a cost of doing business.\u003c/p>\n\u003cp>“The more care they deny, the more money they make,” he said.\u003c/p>\n\u003cp>Increasingly, large employers are starting to include language in contracts with claim administrators that would penalize them for approving too many or too few claims, said Shawn Gremminger, president of the National Alliance of Healthcare Purchaser Coalitions.\u003c/p>\n\u003cp>Gremminger represents mostly large employers who fund their own insurance, are federally regulated, and would be excluded from Wiener’s bill. But even for such so-called self-funded plans, it can be nearly impossible to determine denial rates for the insurance companies hired simply to administer claims, he said.\u003c/p>\n\u003cp>While it could be too late for many families, Sandra Maturino, of Rialto, said she hopes lawmakers tackle insurance denials so other Californians can avoid the saga she endured to get her niece treatment.\u003c/p>\n\u003cp>She adopted the girl, now 13, after her sister died. Her niece had long struggled with self-harm and violent behavior, but when therapists recommended inpatient psychiatric care, her insurer, Anthem Blue Cross, would cover it for only 30 days.\u003c/p>\n\u003cp>For more than a year, Maturino said, her niece cycled in and out of facilities and counseling because her insurance wouldn’t cover a long-term stay. Doctors tested a laundry list of prescription drugs and doses. None of it worked.\u003c/p>\n\u003cp>Anthem declined a request for comment.\u003c/p>\n\u003cp>Eventually, Maturino got her niece into a residential program in Utah, paid for by the adoption agency, where she was diagnosed with bipolar disorder and has been undergoing treatment for a year.\u003c/p>\n\u003cp>Maturino said she didn’t have the energy to appeal to Anthem. “I wasn’t going to wait around for the insurance to kill her, or for her to hurt somebody,” Maturino said.\u003c/p>\n\u003cp>\u003cem>This article was produced by \u003ca href=\"https://kffhealthnews.org/about-us\">KFF Health News\u003c/a>, which publishes \u003ca href=\"http://www.californiahealthline.org/\">California Healthline\u003c/a>, an editorially independent service of the \u003ca href=\"http://www.chcf.org/\">California Health Care Foundation\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A proposal in the California Legislature seeks to penalize insurers who repeatedly make the wrong call. The measure — SB 363 — could be one of the boldest attempts in the nation to rein in health insurer denials, experts say.",
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"title": "Deny and Delay? California Seeks Penalties for Insurers That Repeatedly Get It Wrong | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Colleen Henderson’s 3-year-old daughter complained of pain while using the bathroom, doctors brushed it off as a urinary tract infection or constipation, common maladies in the potty-training years.\u003c/p>\n\u003cp>After being told her health insurance wouldn’t cover an ultrasound, Henderson charged the $6,000 procedure to her credit card. Then came the news: There was a grapefruit-sized tumor in her toddler’s bladder.\u003c/p>\n\u003cp>That was in 2009. The next five years, Henderson said, became a protracted battle against her insurer, UnitedHealthcare, over paying for the specialists who finally diagnosed and treated her daughter’s rare condition, \u003ca href=\"https://ajronline.org/doi/10.2214/AJR.07.3663#:~:text=Inflammatory%20Pseudotumor%20of%20the%20Bladder,-Inflammatory%20pseudotumor%20of&text=The%20bladder%20is%20a%20common,have%20been%20reported%20%5B15%5D.\">inflammatory pseudotumor\u003c/a>. She appealed uncovered hospital stays, surgeries, and medication to the insurer and state regulators, to no avail. The family racked up more than $1 million in medical debt, she said, because the insurer told her treatments recommended by doctors were unnecessary. The family declared bankruptcy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“If I had not fought tooth and nail every step of the way, my daughter would be dead,” said Henderson, of Auburn, California, whose daughter eventually recovered and is now a thriving 20-year-old junior at Oregon State University. “You pay a lot of money to have health insurance, and you hope that your health insurance has your well-being at the forefront, but that’s not happening at all.”\u003c/p>\n\u003cp>While insurance denials are \u003ca href=\"https://www.pbs.org/newshour/health/analysis-health-insurance-claim-denials-are-on-the-rise-to-the-detriment-of-patients\">on the rise\u003c/a>, \u003ca href=\"https://www.commonwealthfund.org/publications/issue-briefs/2024/aug/unforeseen-health-care-bills-coverage-denials-by-insurers\">surveys\u003c/a> show few Americans \u003ca href=\"https://www.kff.org/private-insurance/issue-brief/claims-denials-and-appeals-in-aca-marketplace-plans-in-2023/\">appeal\u003c/a> them. Unlike in Henderson’s case, various analyses have found that many who escalate complaints to \u003ca href=\"https://www.kff.org/medicare/issue-brief/nearly-50-million-prior-authorization-requests-were-sent-to-medicare-advantage-insurers-in-2023/\">government regulators\u003c/a> successfully get \u003ca href=\"https://whyy.org/articles/pennsylvania-health-insurance-denials-data/\">denials overturned\u003c/a>. Consumer advocates and policymakers say that’s a clear sign insurance companies routinely deny care they shouldn’t. Now a proposal in the California Legislature seeks to penalize insurers who repeatedly make the wrong call.\u003c/p>\n\u003cp>While the measure, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260SB363\">SB 363\u003c/a>, would cover only about a third of insured Californians whose health plans are regulated by the state, experts say it could be one of the boldest attempts in the nation to rein in health insurer denials — before and after care is given. And California could become one of only a handful of states that require insurers to disclose denial rates and reasoning, statistics the industry often considers proprietary information.\u003c/p>\n\u003cp>The measure also seeks to force insurers to be more judicious with denials and would fine them up to $1 million per case if more than half of appeals filed with regulators are overturned in a year.\u003c/p>\n\u003cp>In 2023, \u003ca href=\"https://www.dmhc.ca.gov/Portals/0/Docs/DO/2023Infographic.pdf\">state data show (PDF)\u003c/a>, about 72% of appeals made to the Department of Managed Health Care, which regulates the vast majority of health plans, resulted in an insurer’s initial denial being reversed.\u003c/p>\n\u003cp>“When you have health insurance, you should have confidence that it’s going to cover your health care needs,” said Sen. Scott Wiener, the San Francisco Democrat who introduced the bill. “They can just delay, deny, obstruct, and, in many cases, avoid having to cover medically necessary care, and it’s unacceptable.”\u003c/p>\n\u003cp>A spokesperson for the California Association of Health Plans declined to comment, saying the group was still reviewing the bill language. Gov. Gavin Newsom’s spokesperson Elana Ross said his office generally does not comment on pending legislation.\u003c/p>\n\u003cp>Concerned about spiraling consumer health costs, \u003ca href=\"https://kffhealthnews.org/news/tag/prior-authorizations/\">state lawmakers across the nation\u003c/a> have increasingly looked for ways to verify that insurers are paying claims fairly.\u003c/p>\n\u003cp>In 2024, 17 states \u003ca href=\"https://app.powerbi.com/view?r=eyJrIjoiNDNlNTJjNzItNjQyNS00NjVmLTk4MjItZDYzZjBlNTQ0ZDA2IiwidCI6IjM4MmZiOGIwLTRkYzMtNDEwNy04MGJkLTM1OTViMjQzMmZhZSIsImMiOjZ9\">enacted\u003c/a> legislation dealing with prior authorization of care by private insurers, according to the National Conference of State Legislatures. Connecticut, which has one of the most robust denial rate disclosure laws, publishes an \u003ca href=\"https://portal.ct.gov/cid/-/media/cid/reports/consumer-report-card/2024-consumerreportcard.pdf?rev=94d0c6b1e170408b974006006dbe6751\">annual report card (PDF)\u003c/a> detailing the number and percentage of claims each insurer has denied, as well as the share that ends up getting reversed. Oregon published similar information \u003ca href=\"https://dfr.oregon.gov/business/reg/health/Documents/mental-health-parity/20240915-mental-health-parity-report.pdf\">until recently\u003c/a>, when state disclosure requirements lapsed.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In California, there’s no way to know how often insurers deny care, which health experts say is especially troubling as mental health care is reaching \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2802915\">crisis levels\u003c/a> among children and young adults. According to Keith Humphreys, a health policy professor at Stanford University, it’s easier to deny mental health care because a diagnosis of, say, depression can be more subjective than that of a broken limb or cancer.\u003c/p>\n\u003cp>“We think it’s unacceptable that the state has absolutely no idea how big of a problem this is,” said Lishaun Francis, senior director of behavioral health for the advocacy group Children Now, a sponsor of the bill.\u003c/p>\n\u003cp>Under Wiener’s proposal, private insurers regulated by the Department of Managed Health Care and the Department of Insurance would be required to submit detailed data about denials and appeals. They would also need to explain those denials and report the outcomes of the appeals.\u003c/p>\n\u003cp>For appeals that make it to the state’s independent medical review process, known as IMR, insurers whose denials are overturned more than half the time would face staggering penalties. The first case that brings a company above the 50% threshold would trigger a fine of $50,000, with a penalty ranging from $100,000 to $400,000 for a second. Each one after that would cost $1 million.\u003c/p>\n\u003cp>If passed, the measure would cover roughly 12.8 million Californians on private insurance. It would not apply to patients on Medi-Cal, the state’s Medicaid program, or Medicare, and it would exclude self-insured plans offered by large employers, which are regulated by the U.S. Department of Labor and cover roughly 5.6 million Californians.\u003c/p>\n\u003cp>The phrase “deny and delay” continues to reverberate across the health care industry after the \u003ca href=\"https://www.nbcnews.com/health/health-news/ceo-shooting-health-insurance-frustration-denied-claims-rcna183805\">killing\u003c/a> of UnitedHealthcare CEO Brian Thompson. A \u003ca href=\"https://apnews.com/article/luigi-mangione-unitedhealthcare-brian-thompson-shooting-b53fde08980d160ee93fd08b1664108d\">survey\u003c/a> by NORC at the University of Chicago released shortly after the brazen attack revealed that 7 in 10 people said they believed denials for health coverage and profits by health insurance companies bore a great deal or a moderate amount of responsibility for Thompson’s death.\u003c/p>\n\u003cp>Following Thompson’s death, UnitedHealthcare said in statements that \u003ca href=\"https://www.uhc.com/news-articles/newsroom/uhg-response\">“highly inaccurate and grossly misleading information”\u003c/a> had been circulated about the way the company treats claims and that insurers, which are highly regulated, “typically have \u003ca href=\"https://www.uhc.com/news-articles/newsroom/false-statements-response\">low- to mid-single digit margins\u003c/a>.”\u003c/p>\n\u003cp>Wiener called Thompson’s killing a “cold-blooded assassination” but said his bill grew out of a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB294\">narrower proposal\u003c/a> that failed last year aimed at improving mental health coverage for children and adults under age 26. But he acknowledged the nation’s reaction to the killing underscores the long-simmering anger many Americans feel about health insurers’ practices and the urgent need for reform.\u003c/p>\n\u003cp>Humphreys, the Stanford professor, said the U.S. health system creates strong financial incentives for insurers to deny care. And, he added, state and federal penalties are paltry enough to be written off as a cost of doing business.\u003c/p>\n\u003cp>“The more care they deny, the more money they make,” he said.\u003c/p>\n\u003cp>Increasingly, large employers are starting to include language in contracts with claim administrators that would penalize them for approving too many or too few claims, said Shawn Gremminger, president of the National Alliance of Healthcare Purchaser Coalitions.\u003c/p>\n\u003cp>Gremminger represents mostly large employers who fund their own insurance, are federally regulated, and would be excluded from Wiener’s bill. But even for such so-called self-funded plans, it can be nearly impossible to determine denial rates for the insurance companies hired simply to administer claims, he said.\u003c/p>\n\u003cp>While it could be too late for many families, Sandra Maturino, of Rialto, said she hopes lawmakers tackle insurance denials so other Californians can avoid the saga she endured to get her niece treatment.\u003c/p>\n\u003cp>She adopted the girl, now 13, after her sister died. Her niece had long struggled with self-harm and violent behavior, but when therapists recommended inpatient psychiatric care, her insurer, Anthem Blue Cross, would cover it for only 30 days.\u003c/p>\n\u003cp>For more than a year, Maturino said, her niece cycled in and out of facilities and counseling because her insurance wouldn’t cover a long-term stay. Doctors tested a laundry list of prescription drugs and doses. None of it worked.\u003c/p>\n\u003cp>Anthem declined a request for comment.\u003c/p>\n\u003cp>Eventually, Maturino got her niece into a residential program in Utah, paid for by the adoption agency, where she was diagnosed with bipolar disorder and has been undergoing treatment for a year.\u003c/p>\n\u003cp>Maturino said she didn’t have the energy to appeal to Anthem. “I wasn’t going to wait around for the insurance to kill her, or for her to hurt somebody,” Maturino said.\u003c/p>\n\u003cp>\u003cem>This article was produced by \u003ca href=\"https://kffhealthnews.org/about-us\">KFF Health News\u003c/a>, which publishes \u003ca href=\"http://www.californiahealthline.org/\">California Healthline\u003c/a>, an editorially independent service of the \u003ca href=\"http://www.chcf.org/\">California Health Care Foundation\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "a-new-triage-center-opened-in-san-francisco-but-questions-remain",
"title": "A New Triage Center Opened in San Francisco, but Questions Remain",
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"headTitle": "A New Triage Center Opened in San Francisco, but Questions Remain | KQED",
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"content": "\u003cp>Alex Crafton stood at the corner of Sixth and Jessie streets in \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco’s\u003c/a> South of Market neighborhood, holding a cup of coffee. A few weeks ago, police arrested the 26-year-old for drug possession outside his former SRO at the same corner, releasing him within 24 hours.\u003c/p>\n\u003cp>He’s currently living with a friend in the Mission, but he came back to the area recently to check out San Francisco’s latest experiment to address the fentanyl crisis, something he knows first-hand through struggling with addiction for several years.\u003c/p>\n\u003cp>“The cops have been cracking down more lately, but it’s a lawless city,” Crafton said after exiting a new triage center \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Mayor Daniel Lurie\u003c/a> and other city agencies, including the San Francisco Police Department and Public Health Department, opened this month on 469 Stevenson St. in a fenced-off corner of a former Nordstrom parking lot. “I don’t know if I agree with forcing people to go into rehab because that generally doesn’t work.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On a recent Tuesday, workers at the triage center offered free water, coffee and snacks, and helped visitors sign up for government IDs and other programs like emergency shelter and Journey Home, which offers bus tickets out of the city for people looking to reunite with loved ones.\u003c/p>\n\u003cp>John DaRosa, who lives in his car near Sixth and Jessie, stopped by the triage center to find a place to stay that night and a cup of coffee. While staff connected with him, he left, still unsure about a place to sleep.\u003c/p>\n\u003cp>“They were very welcoming,” he said. “I’d like to get help.”\u003c/p>\n\u003cp>They are some of the people that Lurie is hoping to reach with the space he envisions as a walk-in center where people can get connected with health and social services, as well as a drop-off point where law enforcement can bring people who have been arrested for processing.\u003c/p>\n\u003cp>The triage center opened to the public on Feb. 7, but details about how law enforcement will operate during the 30-day pilot remain scant.\u003c/p>\n\u003cp>In its first week, the site was primarily a few picnic tables and white tents. Spokespersons from both SFPD and the mayor’s office declined to say when police operations would start but noted that site outcomes and local conditions will be evaluated after 30 days.\u003c/p>\n\u003cp>“I can’t sit by, so we are trying this and demand that people move from the street into the triage center, a place where they can get a cup of coffee, they can be seen by somebody,” Lurie said on \u003ca href=\"https://www.kqed.org/forum/2010101908873/san-francisco-mayor-daniel-lurie-takes-your-questions\">KQED’s \u003cem>Forum\u003c/em>\u003c/a>. “We’re going to try something new, and that’s what the triage center is doing.”\u003c/p>\n\u003cfigure id=\"attachment_12026723\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12026723\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A new outdoor triage center in a parking lot on Stevenson Street on Feb. 11, 2025. At the site, individuals who are arrested will get dropped off by police so they can either get treatment, take a bus out of town or go to jail. The center, operating as a 30-day pilot program, also offers resources and food to individuals. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>On Feb. 12, Lurie \u003ca href=\"https://www.kqed.org/news/12025495/luries-fentanyl-response-clears-san-francisco-board-of-supervisors\">signed his first major piece of legislation into law\u003c/a>, which aims to expedite hiring and contracting by limiting the Board of Supervisors’ approval for certain programs addressing the fentanyl crisis, an opioid about 50 times stronger than heroin that has been associated with the most overdose deaths in San Francisco in recent years.\u003c/p>\n\u003cp>The same day, Lurie announced a second site will open this spring in the Tenderloin at 822 Geary St. for law enforcement, paramedics and street outreach teams to place people experiencing mental health or substance use crises. The Tenderloin facility is a tenet of Lurie’s plan for his first six months in office, along with opening 1,500 shelter beds, which he’s acknowledged the city lacks enough of to direct people to at the drop-off sites.\u003c/p>\n\u003cp>“The center will be staffed by medical professionals,” he said at a press conference. “It will divert people from the emergency department at places like SF General (Hospital), and it will accept patients dropped off by police, paramedics and street crisis response teams. This will free up essential hospital and first responder resources.”\u003c/p>\n\u003cp>It’s not the first time that the city has tried a pop-up-style center aimed at improving street conditions and connecting people to drug treatment.\u003c/p>\n\u003cp>In 2022, as part of Mayor London Breed’s Tenderloin Emergency Initiative, \u003ca href=\"https://www.kqed.org/news/11915870/inside-san-franciscos-tenderloin-center-that-serves-hundreds-every-day\">the city opened the Tenderloin Center\u003c/a>, a temporary site that operated at United Nations Plaza and offered food, hygiene services and connections to health and social services. Unlike Lurie’s new sites, it allowed supervised drug consumption. Medical professionals there reversed more than 300 overdoses, with no lives lost.\u003c/p>\n\u003cp>However, the Tenderloin Center faced scrutiny from residents and local businesses for its location in the heart of the Civic Center, where it often drew hundreds of people daily.\u003c/p>\n\u003cp>“What was really great about that program (Tenderloin Center) is that with all of the many overdoses they encountered there, not a single life was lost,” said Crafton, who visited the Tenderloin Center during its 10-month run. “That was a good thing.”\u003c/p>\n\u003cfigure id=\"attachment_12026724\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12026724\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">John DaRosa and April DaRosa outside of an outdoor triage area on Stevenson Street on Feb. 11, 2025. The two are hoping to get a shelter space. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Law enforcement, along with leaders from the public health and emergency management departments, expressed support for the city’s latest fentanyl response.\u003c/p>\n\u003cp>“This center will be a tremendous help to our officers who are working hard to enforce the law and improve street conditions in San Francisco,” SFPD Chief Bill Scott said in a statement. “I want to thank Mayor Daniel Lurie for moving swiftly to address this crisis and empowering our entire city in the effort.”\u003c/p>\n\u003cp>As of Monday, police have not yet used the triage center for any arrest processing or drop-offs, according to a spokesperson from the mayor’s office. He said police have so far been able to process arrests directly on the street and have not yet utilized the new command center in the SoMa parking lot.\u003c/p>\n\u003cp>The site was closed all Presidents Day weekend due to inadequate staffing, according to the mayor’s spokesperson.\u003c/p>\n\u003cp>But addiction experts like Vitka Eisen, CEO of HealthRIGHT 360, the city’s largest nonprofit drug treatment provider, remain skeptical. While HealthRIGHT has been asked to set aside additional beds for drop-offs at its SoMa RISE sobering center, the broader strategy of the drop-off sites remains unclear.[aside postID=news_12025495 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/250107-LurieInterfaithCeremony-31_qed.jpg']\u003c/p>\n\u003cp>“I don’t think the solution to people’s drug use on the streets — the solution doesn’t come from law enforcement,” said Eisen, as multiple people could be seen bent over using drugs openly in the recently power-washed alleyway near the triage center. “I’m not entirely clear on the intent of what’s been open on Jessie Street.”\u003c/p>\n\u003cp>Neighborhood residents like Byron Carter, who lives about a block from the site at Hotel Henry, are skeptical about the triage center’s long-term goals. He’s noticed cleaner streets during the day since it opened, but said drug dealing, public drug use and other dangerous activity resume after the center closes for the night.\u003c/p>\n\u003cp>Meanwhile, people like Crafton are still trying to navigate the new services. On his way out, he said the triage site could help anyone unaware of available resources. But the help he’s seeking — a place he can afford as he tries to get off fentanyl — wasn’t available.\u003c/p>\n\u003cp>“They have the HOT (Homeless Outreach Team) team there, the people who refer you to different programs like housing or getting public benefits like food stamps. You know, just pointing you in the right direction,” Crafton said. “But I pretty much knew about all those things, and I’m all good. I just wanted a cup of coffee.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Skepticism surrounds Mayor Daniel Lurie’s pilot triage sites, which aim to create drop-off points for police while also connecting voluntary walk-ins with health and social services. ",
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"title": "A New Triage Center Opened in San Francisco, but Questions Remain | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Alex Crafton stood at the corner of Sixth and Jessie streets in \u003ca href=\"https://www.kqed.org/news/tag/san-francisco\">San Francisco’s\u003c/a> South of Market neighborhood, holding a cup of coffee. A few weeks ago, police arrested the 26-year-old for drug possession outside his former SRO at the same corner, releasing him within 24 hours.\u003c/p>\n\u003cp>He’s currently living with a friend in the Mission, but he came back to the area recently to check out San Francisco’s latest experiment to address the fentanyl crisis, something he knows first-hand through struggling with addiction for several years.\u003c/p>\n\u003cp>“The cops have been cracking down more lately, but it’s a lawless city,” Crafton said after exiting a new triage center \u003ca href=\"https://www.kqed.org/news/tag/daniel-lurie\">Mayor Daniel Lurie\u003c/a> and other city agencies, including the San Francisco Police Department and Public Health Department, opened this month on 469 Stevenson St. in a fenced-off corner of a former Nordstrom parking lot. “I don’t know if I agree with forcing people to go into rehab because that generally doesn’t work.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On a recent Tuesday, workers at the triage center offered free water, coffee and snacks, and helped visitors sign up for government IDs and other programs like emergency shelter and Journey Home, which offers bus tickets out of the city for people looking to reunite with loved ones.\u003c/p>\n\u003cp>John DaRosa, who lives in his car near Sixth and Jessie, stopped by the triage center to find a place to stay that night and a cup of coffee. While staff connected with him, he left, still unsure about a place to sleep.\u003c/p>\n\u003cp>“They were very welcoming,” he said. “I’d like to get help.”\u003c/p>\n\u003cp>They are some of the people that Lurie is hoping to reach with the space he envisions as a walk-in center where people can get connected with health and social services, as well as a drop-off point where law enforcement can bring people who have been arrested for processing.\u003c/p>\n\u003cp>The triage center opened to the public on Feb. 7, but details about how law enforcement will operate during the 30-day pilot remain scant.\u003c/p>\n\u003cp>In its first week, the site was primarily a few picnic tables and white tents. Spokespersons from both SFPD and the mayor’s office declined to say when police operations would start but noted that site outcomes and local conditions will be evaluated after 30 days.\u003c/p>\n\u003cp>“I can’t sit by, so we are trying this and demand that people move from the street into the triage center, a place where they can get a cup of coffee, they can be seen by somebody,” Lurie said on \u003ca href=\"https://www.kqed.org/forum/2010101908873/san-francisco-mayor-daniel-lurie-takes-your-questions\">KQED’s \u003cem>Forum\u003c/em>\u003c/a>. “We’re going to try something new, and that’s what the triage center is doing.”\u003c/p>\n\u003cfigure id=\"attachment_12026723\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12026723\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-4-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">A new outdoor triage center in a parking lot on Stevenson Street on Feb. 11, 2025. At the site, individuals who are arrested will get dropped off by police so they can either get treatment, take a bus out of town or go to jail. The center, operating as a 30-day pilot program, also offers resources and food to individuals. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>On Feb. 12, Lurie \u003ca href=\"https://www.kqed.org/news/12025495/luries-fentanyl-response-clears-san-francisco-board-of-supervisors\">signed his first major piece of legislation into law\u003c/a>, which aims to expedite hiring and contracting by limiting the Board of Supervisors’ approval for certain programs addressing the fentanyl crisis, an opioid about 50 times stronger than heroin that has been associated with the most overdose deaths in San Francisco in recent years.\u003c/p>\n\u003cp>The same day, Lurie announced a second site will open this spring in the Tenderloin at 822 Geary St. for law enforcement, paramedics and street outreach teams to place people experiencing mental health or substance use crises. The Tenderloin facility is a tenet of Lurie’s plan for his first six months in office, along with opening 1,500 shelter beds, which he’s acknowledged the city lacks enough of to direct people to at the drop-off sites.\u003c/p>\n\u003cp>“The center will be staffed by medical professionals,” he said at a press conference. “It will divert people from the emergency department at places like SF General (Hospital), and it will accept patients dropped off by police, paramedics and street crisis response teams. This will free up essential hospital and first responder resources.”\u003c/p>\n\u003cp>It’s not the first time that the city has tried a pop-up-style center aimed at improving street conditions and connecting people to drug treatment.\u003c/p>\n\u003cp>In 2022, as part of Mayor London Breed’s Tenderloin Emergency Initiative, \u003ca href=\"https://www.kqed.org/news/11915870/inside-san-franciscos-tenderloin-center-that-serves-hundreds-every-day\">the city opened the Tenderloin Center\u003c/a>, a temporary site that operated at United Nations Plaza and offered food, hygiene services and connections to health and social services. Unlike Lurie’s new sites, it allowed supervised drug consumption. Medical professionals there reversed more than 300 overdoses, with no lives lost.\u003c/p>\n\u003cp>However, the Tenderloin Center faced scrutiny from residents and local businesses for its location in the heart of the Civic Center, where it often drew hundreds of people daily.\u003c/p>\n\u003cp>“What was really great about that program (Tenderloin Center) is that with all of the many overdoses they encountered there, not a single life was lost,” said Crafton, who visited the Tenderloin Center during its 10-month run. “That was a good thing.”\u003c/p>\n\u003cfigure id=\"attachment_12026724\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12026724\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED.jpg 2000w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/02/20250211_SFPOLICETRIAGE_GC-9-KQED-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">John DaRosa and April DaRosa outside of an outdoor triage area on Stevenson Street on Feb. 11, 2025. The two are hoping to get a shelter space. \u003ccite>(Gina Castro/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Law enforcement, along with leaders from the public health and emergency management departments, expressed support for the city’s latest fentanyl response.\u003c/p>\n\u003cp>“This center will be a tremendous help to our officers who are working hard to enforce the law and improve street conditions in San Francisco,” SFPD Chief Bill Scott said in a statement. “I want to thank Mayor Daniel Lurie for moving swiftly to address this crisis and empowering our entire city in the effort.”\u003c/p>\n\u003cp>As of Monday, police have not yet used the triage center for any arrest processing or drop-offs, according to a spokesperson from the mayor’s office. He said police have so far been able to process arrests directly on the street and have not yet utilized the new command center in the SoMa parking lot.\u003c/p>\n\u003cp>The site was closed all Presidents Day weekend due to inadequate staffing, according to the mayor’s spokesperson.\u003c/p>\n\u003cp>But addiction experts like Vitka Eisen, CEO of HealthRIGHT 360, the city’s largest nonprofit drug treatment provider, remain skeptical. While HealthRIGHT has been asked to set aside additional beds for drop-offs at its SoMa RISE sobering center, the broader strategy of the drop-off sites remains unclear.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I don’t think the solution to people’s drug use on the streets — the solution doesn’t come from law enforcement,” said Eisen, as multiple people could be seen bent over using drugs openly in the recently power-washed alleyway near the triage center. “I’m not entirely clear on the intent of what’s been open on Jessie Street.”\u003c/p>\n\u003cp>Neighborhood residents like Byron Carter, who lives about a block from the site at Hotel Henry, are skeptical about the triage center’s long-term goals. He’s noticed cleaner streets during the day since it opened, but said drug dealing, public drug use and other dangerous activity resume after the center closes for the night.\u003c/p>\n\u003cp>Meanwhile, people like Crafton are still trying to navigate the new services. On his way out, he said the triage site could help anyone unaware of available resources. But the help he’s seeking — a place he can afford as he tries to get off fentanyl — wasn’t available.\u003c/p>\n\u003cp>“They have the HOT (Homeless Outreach Team) team there, the people who refer you to different programs like housing or getting public benefits like food stamps. You know, just pointing you in the right direction,” Crafton said. “But I pretty much knew about all those things, and I’m all good. I just wanted a cup of coffee.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "amid-wildfire-trauma-la-county-dispatches-mental-health-workers-to-evacuees",
"title": "Amid Wildfire Trauma, LA County Dispatches Mental Health Workers to Evacuees",
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"headTitle": "Amid Wildfire Trauma, LA County Dispatches Mental Health Workers to Evacuees | KQED",
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"content": "\u003cp>Pasadena, Los Angeles County — As Fernando Ramirez drove to work the day after the Eaton Fire erupted, smoke darkened the sky, ash and embers rained onto his windshield, and the air smelled of melting rubber and plastic.\u003c/p>\n\u003cp>He pulled to the side of the road and cried at the sight of residents trying to save their homes.\u003c/p>\n\u003cp>“I could see people standing on the roof, watering it, trying to protect it from the fire, and they just looked so hopeless,” said Ramirez, a community outreach worker with the Pasadena Public Health Department.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That evening, the 49-year-old volunteered for a 14-hour shift at the city’s evacuation center, as did colleagues who had also been activated for emergency medical duty. Running on adrenaline and little sleep after finding shelter for homeless people all day, Ramirez spent the night circulating among more than a thousand evacuees, offering wellness checks, companionship, and hope to those who looked distressed.\u003c/p>\n\u003cp>Local health departments, such as Ramirez’s, have become a key part of governments’ response to wildfires, floods, and other extreme weather events, which scientists say are becoming \u003ca href=\"https://www.ipcc.ch/report/ar6/wg2/downloads/report/IPCC_AR6_WGII_Chapter14.pdf#page=20\">more intense and frequent\u003c/a> due to climate change. The emotional toll of fleeing and possibly losing a home can help cause or exacerbate mental health conditions such as anxiety, depression, post-traumatic stress disorder, suicidal ideation, and substance use, according to health and climate experts.\u003c/p>\n\u003cfigure id=\"attachment_12023220\" class=\"wp-caption aligncenter\" style=\"max-width: 2048px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023220\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy.jpg\" alt=\"\" width=\"2048\" height=\"1365\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\">\u003cfigcaption class=\"wp-caption-text\">Fernando Ramirez, an outreach worker with the Pasadena Public Health Department, circulated around the city’s evacuation site on Jan. 8, offering mental health support. He said one of the hardest parts of his shift was helping people look for missing loved ones. \u003ccite>(Molly Castle Work/KFF Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Wildfires have become a recurring experience for many Angelenos, making it difficult for people to feel safe in their home or able to go about daily living, said Lisa Wong, director of the Los Angeles County Department of Mental Health. However, with each extreme weather event, the county has improved its support for evacuees, she said.\u003c/p>\n\u003cp>For instance, Wong said the county deployed a team of mental health workers trained to comfort evacuees without retraumatizing them, including by avoiding asking questions likely to bring up painful memories. The department has also learned to better track people’s health needs and redirect those who may find massive evacuation settings uncomfortable to other shelters or interim housing, Wong said. In those first days, the biggest goal is often to reduce people’s anxiety by providing them with information.\u003c/p>\n\u003cp>“We’ve learned that right when a crisis happens, people don’t necessarily want to talk about mental health,” said Wong, who staffed the evacuation site Jan. 8 with nine colleagues.\u003c/p>\n\u003cp>Instead, she and her team deliver a message of support: “This is really bad right now, but you’re not going to do this alone. We have a whole system set up for recovery, too. Once you get past the initial shock of what happened — initial housing needs, medication needs, all those things — then there’s this whole pathway to recovery that we set up.”\u003c/p>\n\u003cp>The convention center in downtown Pasadena, which normally hosts home shows, comic cons, and trade shows, was transformed into an evacuation site with hundreds of cots. It was one of at least 13 shelters opened to serve \u003ca href=\"https://www.cbsnews.com/news/california-fire-maps-palisades-eaton-hurst-2025/\">more than 200,000 residents\u003c/a> under evacuation orders.\u003c/p>\n\u003cfigure id=\"attachment_12023224\" class=\"wp-caption aligncenter\" style=\"max-width: 2048px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023224\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy.jpg\" alt=\"\" width=\"2048\" height=\"1365\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\">\u003cfigcaption class=\"wp-caption-text\">The Pasadena Convention Center normally hosts home shows, comic cons, and trade shows, but it was transformed into an evacuation site with hundreds of cots — one of at least 13 shelters opened to serve more than 200,000 residents under evacuation orders from the Los Angeles fires. \u003ccite>(Molly Castle Work/KFF Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The January wildfires have burned an estimated 64 square miles — an area larger than the city of Paris — and destroyed at least 12,300 buildings since they started on Jan. 7. AccuWeather estimates the region will likely face more than \u003ca href=\"https://www.accuweather.com/en/weather-news/accuweather-estimates-more-than-250-billion-in-damages-and-economic-loss-from-la-wildfires/1733821\">$250 billion in economic losses\u003c/a> from the blazes, surpassing the estimates from the state’s record-breaking 2020 wildfire season.\u003c/p>\n\u003cp>Lisa Patel, executive director of the \u003ca href=\"https://medsocietiesforclimatehealth.org/\">Medical Society Consortium on Climate and Health\u003c/a>, said she’s most concerned about low-income residents, who are less likely to access mental health support.\u003c/p>\n\u003cp>“There was a mental health crisis even before the pandemic,” said Patel, who is also a clinical associate professor of pediatrics at Stanford School of Medicine, referring to the COVID-19 pandemic. “The pandemic made it worse. Now you lace in all of this climate change and these disasters into a health care system that isn’t set up to care for the people that already have mental health illness.”\u003c/p>\n\u003cp>Early research suggests exposure to large amounts of wildfire smoke can damage the brain and increase the risk of developing anxiety, she added.\u003c/p>\n\u003cp>At the Pasadena Convention Center, Elaine Santiago sat on a cot in a hallway as volunteers pulled wagons loaded with soup, sandwiches, bottled water, and other necessities.\u003c/p>\n\u003cp>Santiago said she drew comfort from being at the Pasadena evacuation center, knowing that she wasn’t alone in the tragedy.\u003c/p>\n\u003cp>“It sort of gives me a sense of peace at times,” Santiago said. “Maybe that’s weird. We’re all experiencing this together.”\u003c/p>\n\u003cp>She had been celebrating her 78th birthday with family when she fled her home in the small city of Sierra Madre, east of Pasadena. As she watched flames whip around her neighborhood, she, along with children and grandkids, scrambled to secure their dogs in crates and grabbed important documents before they left.\u003c/p>\n\u003cp>The widower had leaned on her husband in past emergencies, and now she felt lost.\u003c/p>\n\u003cp>“I did feel helpless,” Santiago said. “I figured I’m the head of the household; I should know what to do. But I didn’t know.”\u003c/p>\n\u003cfigure id=\"attachment_12023226\" class=\"wp-caption aligncenter\" style=\"max-width: 2048px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023226\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy.jpg\" alt=\"\" width=\"2048\" height=\"1365\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\">\u003cfigcaption class=\"wp-caption-text\">Elaine Santiago had been celebrating her 78th birthday with family when she fled her home in the small city of Sierra Madre, east of Pasadena, on the night of Jan. 7. She drew comfort from being at the evacuation site. ‘It sort of gives me a sense of peace at times,” she says. “Maybe that’s weird. We’re all experiencing this together.’ \u003ccite>(Molly Castle Work/KFF Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Donny McCullough, who sat on a neighboring green cot draped in a Red Cross blanket, had fled his Pasadena home with his family early on the morning of Jan. 8. Without power at home, the 68-year-old stayed up listening for updates on a battery-powered radio. His eyes remained red from smoke irritation hours later.[aside label=\"Related Stories\" postID=\"news_12021661,news_12022057,news_12021150\"]“I had my wife and two daughters, and I was trying not to show fear, so I quietly, inside, was like, ‘Oh my God,’” said McCullough, a music producer and writer. “I’m driving away, looking at the house, wondering if it’s going to be the last time I’m going to see it.”\u003c/p>\n\u003cp>He saved his master recording from a seven-year music project, but he left behind his studio with all his other work from a four-decade career in music.\u003c/p>\n\u003cp>Not all evacuees arrived with family. Some came searching for loved ones. That’s one of the hardest parts of his shift, Ramirez said. The community outreach worker helped walk people around the building, cot by cot.\u003c/p>\n\u003cp>A week in, at least two dozen people had been killed in the wildfires.\u003c/p>\n\u003cp>The work takes a toll on disaster relief workers, too. Ramirez said many feared losing their homes in the fires and some already had. He attends therapy weekly, which he said helps him manage his emotions.\u003c/p>\n\u003cp>At the evacuation center, Ramirez described being on autopilot.\u003c/p>\n\u003cp>“Some of us react differently. I tend to go into fight mode,” Ramirez said. “I react. I run towards the fire. I run towards personal service. Then, once that passes, that’s when my trauma catches up with me.”\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Need help?\u003c/em>\u003c/strong> \u003cem>Los Angeles County residents in need of support can call the county’s mental health helpline at 1-800-854-7771. The national Suicide & Crisis Lifeline, 988, is also available for those who’d like to speak with someone confidentially, free of charge.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was produced by \u003c/em>\u003ca href=\"https://kffhealthnews.org/about-us\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem>, which publishes \u003c/em>\u003ca href=\"http://www.californiahealthline.org/\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>California Healthline\u003c/em>\u003c/a>\u003cem>, an editorially independent service of the \u003c/em>\u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>California Health Care Foundation\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Mental health work is crucial as the emotional toll of fleeing or losing a home can cause or exacerbate conditions such as anxiety, depression, suicidal ideation and substance use, according to experts. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Pasadena, Los Angeles County — As Fernando Ramirez drove to work the day after the Eaton Fire erupted, smoke darkened the sky, ash and embers rained onto his windshield, and the air smelled of melting rubber and plastic.\u003c/p>\n\u003cp>He pulled to the side of the road and cried at the sight of residents trying to save their homes.\u003c/p>\n\u003cp>“I could see people standing on the roof, watering it, trying to protect it from the fire, and they just looked so hopeless,” said Ramirez, a community outreach worker with the Pasadena Public Health Department.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That evening, the 49-year-old volunteered for a 14-hour shift at the city’s evacuation center, as did colleagues who had also been activated for emergency medical duty. Running on adrenaline and little sleep after finding shelter for homeless people all day, Ramirez spent the night circulating among more than a thousand evacuees, offering wellness checks, companionship, and hope to those who looked distressed.\u003c/p>\n\u003cp>Local health departments, such as Ramirez’s, have become a key part of governments’ response to wildfires, floods, and other extreme weather events, which scientists say are becoming \u003ca href=\"https://www.ipcc.ch/report/ar6/wg2/downloads/report/IPCC_AR6_WGII_Chapter14.pdf#page=20\">more intense and frequent\u003c/a> due to climate change. The emotional toll of fleeing and possibly losing a home can help cause or exacerbate mental health conditions such as anxiety, depression, post-traumatic stress disorder, suicidal ideation, and substance use, according to health and climate experts.\u003c/p>\n\u003cfigure id=\"attachment_12023220\" class=\"wp-caption aligncenter\" style=\"max-width: 2048px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023220\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy.jpg\" alt=\"\" width=\"2048\" height=\"1365\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-03-3840-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\">\u003cfigcaption class=\"wp-caption-text\">Fernando Ramirez, an outreach worker with the Pasadena Public Health Department, circulated around the city’s evacuation site on Jan. 8, offering mental health support. He said one of the hardest parts of his shift was helping people look for missing loved ones. \u003ccite>(Molly Castle Work/KFF Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Wildfires have become a recurring experience for many Angelenos, making it difficult for people to feel safe in their home or able to go about daily living, said Lisa Wong, director of the Los Angeles County Department of Mental Health. However, with each extreme weather event, the county has improved its support for evacuees, she said.\u003c/p>\n\u003cp>For instance, Wong said the county deployed a team of mental health workers trained to comfort evacuees without retraumatizing them, including by avoiding asking questions likely to bring up painful memories. The department has also learned to better track people’s health needs and redirect those who may find massive evacuation settings uncomfortable to other shelters or interim housing, Wong said. In those first days, the biggest goal is often to reduce people’s anxiety by providing them with information.\u003c/p>\n\u003cp>“We’ve learned that right when a crisis happens, people don’t necessarily want to talk about mental health,” said Wong, who staffed the evacuation site Jan. 8 with nine colleagues.\u003c/p>\n\u003cp>Instead, she and her team deliver a message of support: “This is really bad right now, but you’re not going to do this alone. We have a whole system set up for recovery, too. Once you get past the initial shock of what happened — initial housing needs, medication needs, all those things — then there’s this whole pathway to recovery that we set up.”\u003c/p>\n\u003cp>The convention center in downtown Pasadena, which normally hosts home shows, comic cons, and trade shows, was transformed into an evacuation site with hundreds of cots. It was one of at least 13 shelters opened to serve \u003ca href=\"https://www.cbsnews.com/news/california-fire-maps-palisades-eaton-hurst-2025/\">more than 200,000 residents\u003c/a> under evacuation orders.\u003c/p>\n\u003cfigure id=\"attachment_12023224\" class=\"wp-caption aligncenter\" style=\"max-width: 2048px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023224\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy.jpg\" alt=\"\" width=\"2048\" height=\"1365\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-01-3840-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\">\u003cfigcaption class=\"wp-caption-text\">The Pasadena Convention Center normally hosts home shows, comic cons, and trade shows, but it was transformed into an evacuation site with hundreds of cots — one of at least 13 shelters opened to serve more than 200,000 residents under evacuation orders from the Los Angeles fires. \u003ccite>(Molly Castle Work/KFF Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The January wildfires have burned an estimated 64 square miles — an area larger than the city of Paris — and destroyed at least 12,300 buildings since they started on Jan. 7. AccuWeather estimates the region will likely face more than \u003ca href=\"https://www.accuweather.com/en/weather-news/accuweather-estimates-more-than-250-billion-in-damages-and-economic-loss-from-la-wildfires/1733821\">$250 billion in economic losses\u003c/a> from the blazes, surpassing the estimates from the state’s record-breaking 2020 wildfire season.\u003c/p>\n\u003cp>Lisa Patel, executive director of the \u003ca href=\"https://medsocietiesforclimatehealth.org/\">Medical Society Consortium on Climate and Health\u003c/a>, said she’s most concerned about low-income residents, who are less likely to access mental health support.\u003c/p>\n\u003cp>“There was a mental health crisis even before the pandemic,” said Patel, who is also a clinical associate professor of pediatrics at Stanford School of Medicine, referring to the COVID-19 pandemic. “The pandemic made it worse. Now you lace in all of this climate change and these disasters into a health care system that isn’t set up to care for the people that already have mental health illness.”\u003c/p>\n\u003cp>Early research suggests exposure to large amounts of wildfire smoke can damage the brain and increase the risk of developing anxiety, she added.\u003c/p>\n\u003cp>At the Pasadena Convention Center, Elaine Santiago sat on a cot in a hallway as volunteers pulled wagons loaded with soup, sandwiches, bottled water, and other necessities.\u003c/p>\n\u003cp>Santiago said she drew comfort from being at the Pasadena evacuation center, knowing that she wasn’t alone in the tragedy.\u003c/p>\n\u003cp>“It sort of gives me a sense of peace at times,” Santiago said. “Maybe that’s weird. We’re all experiencing this together.”\u003c/p>\n\u003cp>She had been celebrating her 78th birthday with family when she fled her home in the small city of Sierra Madre, east of Pasadena. As she watched flames whip around her neighborhood, she, along with children and grandkids, scrambled to secure their dogs in crates and grabbed important documents before they left.\u003c/p>\n\u003cp>The widower had leaned on her husband in past emergencies, and now she felt lost.\u003c/p>\n\u003cp>“I did feel helpless,” Santiago said. “I figured I’m the head of the household; I should know what to do. But I didn’t know.”\u003c/p>\n\u003cfigure id=\"attachment_12023226\" class=\"wp-caption aligncenter\" style=\"max-width: 2048px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-12023226\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy.jpg\" alt=\"\" width=\"2048\" height=\"1365\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/California-fires-Pasadena-02-3840-copy-1920x1280.jpg 1920w\" sizes=\"auto, (max-width: 2048px) 100vw, 2048px\">\u003cfigcaption class=\"wp-caption-text\">Elaine Santiago had been celebrating her 78th birthday with family when she fled her home in the small city of Sierra Madre, east of Pasadena, on the night of Jan. 7. She drew comfort from being at the evacuation site. ‘It sort of gives me a sense of peace at times,” she says. “Maybe that’s weird. We’re all experiencing this together.’ \u003ccite>(Molly Castle Work/KFF Health News)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Donny McCullough, who sat on a neighboring green cot draped in a Red Cross blanket, had fled his Pasadena home with his family early on the morning of Jan. 8. Without power at home, the 68-year-old stayed up listening for updates on a battery-powered radio. His eyes remained red from smoke irritation hours later.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“I had my wife and two daughters, and I was trying not to show fear, so I quietly, inside, was like, ‘Oh my God,’” said McCullough, a music producer and writer. “I’m driving away, looking at the house, wondering if it’s going to be the last time I’m going to see it.”\u003c/p>\n\u003cp>He saved his master recording from a seven-year music project, but he left behind his studio with all his other work from a four-decade career in music.\u003c/p>\n\u003cp>Not all evacuees arrived with family. Some came searching for loved ones. That’s one of the hardest parts of his shift, Ramirez said. The community outreach worker helped walk people around the building, cot by cot.\u003c/p>\n\u003cp>A week in, at least two dozen people had been killed in the wildfires.\u003c/p>\n\u003cp>The work takes a toll on disaster relief workers, too. Ramirez said many feared losing their homes in the fires and some already had. He attends therapy weekly, which he said helps him manage his emotions.\u003c/p>\n\u003cp>At the evacuation center, Ramirez described being on autopilot.\u003c/p>\n\u003cp>“Some of us react differently. I tend to go into fight mode,” Ramirez said. “I react. I run towards the fire. I run towards personal service. Then, once that passes, that’s when my trauma catches up with me.”\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Need help?\u003c/em>\u003c/strong> \u003cem>Los Angeles County residents in need of support can call the county’s mental health helpline at 1-800-854-7771. The national Suicide & Crisis Lifeline, 988, is also available for those who’d like to speak with someone confidentially, free of charge.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This article was produced by \u003c/em>\u003ca href=\"https://kffhealthnews.org/about-us\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>KFF Health News\u003c/em>\u003c/a>\u003cem>, which publishes \u003c/em>\u003ca href=\"http://www.californiahealthline.org/\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>California Healthline\u003c/em>\u003c/a>\u003cem>, an editorially independent service of the \u003c/em>\u003ca href=\"http://www.chcf.org/\" target=\"_blank\" rel=\"noreferrer noopener\">\u003cem>California Health Care Foundation\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The devastation brought on by the wildfires blazing through Los Angeles — ash-covered rubble, the air clouded in a smoky haze — is a scene that’s all too familiar to Jeff Okrepkie.\u003c/p>\n\u003cp>When the 2017 Tubbs Fire first spread into his community of Coffey Park in Santa Rosa, “an ember roughly the size of a golf ball hit the ground and rolled in front of my house, setting off other embers,” Okrepkie said. “And that’s when I was like, ‘All right, time to get out.’”\u003c/p>\n\u003cp>The Tubbs Fire is considered one of the most \u003ca href=\"https://34c031f8-c9fd-4018-8c5a-4159cdff6b0d-cdn-endpoint.azureedge.net/-/media/calfire-website/our-impact/fire-statistics/top20_destruction.pdf?rev=8d25d868e50f40aea60833642d65b449&hash=1DBAA251C9CC52EDC5AAEA2358158664\">destructive\u003c/a> wildfires in California history, destroying 5,600 structures, including around 5% of Santa Rosa’s housing stock. (The most destructive fire remains the 2018 Camp Fire that devastated the town of Paradise.)\u003c/p>\n\u003cp>Where the fires in Los Angeles fit in this grim record will likely take a while to work out. Multiple fires have burned over 35,000 acres, as of Friday morning, and have destroyed thousands of structures across several neighborhoods. At least 10 people have died.\u003c/p>\n\u003cfigure id=\"attachment_12021672\" class=\"wp-caption alignright\" style=\"max-width: 528px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12021672\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg\" alt=\"A middle aged white male with graying hair and goatee beard smiles at the camera standing in a park on a sunny day, crossing his arms, and wearing a light blue and gray suit and an open button shirt with no tie.\" width=\"528\" height=\"688\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg 528w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543-160x208.jpg 160w\" sizes=\"auto, (max-width: 528px) 100vw, 528px\">\u003cfigcaption class=\"wp-caption-text\">Jeff Okrepkie. \u003ccite>(Courtesy of Jeff Okrepkie)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For many caught up in this disaster, they’re beginning to process the reality that they’ve lost their entire homes — an experience Okrepkie shares, too.\u003c/p>\n\u003cp>“One of the things that I always hated to hear was, ‘Well, it’s just stuff. And you have your lives, right?’” he said.\u003c/p>\n\u003cp>“Of course, having that is paramount to anything else. But it’s not just the physical object. It’s the memories that come with those — whether it be Christmas ornaments or baby pictures. “It is a long and difficult process and it is extremely emotional.”\u003c/p>\n\u003cp>For other Bay Area residents, like Crystal Johnson, the fires can serve as a reminder of how vulnerable Californians are to the threat of climate disasters. She’s originally from Redondo Beach and has been checking in with family and friends.\u003c/p>\n\u003cp>“Don’t wait. Get your important papers together, medications, you know, important contacts, information, all that kind of stuff. \u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">Have it ready to go so that if something happens\u003c/a>. Have a plan in place,” Johnson said.\u003c/p>\n\u003cp>In the long term, given the scale of destruction in Los Angeles, the road to recovery could take years. Okrepkie, who started a nonprofit to rebuild his community of Coffey Park in Santa Rosa, offered the following advice:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003cstrong>‘Do not go through it alone’\u003c/strong>\u003c/h2>\n\u003cp>A wildfire can be a life-threatening event, taking a toll on people’s physical and emotional health.\u003c/p>\n\u003cp>According to a 2023 \u003ca href=\"https://www.mdpi.com/1660-4601/18/4/1487\">study\u003c/a> by researchers at the University of California, San Diego, “climate trauma” led to increased instances of chronic mental health problems, like post-traumatic stress disorder and depression.\u003c/p>\n\u003cp>If you know someone who needs help coping in the aftermath of the Los Angeles fires, here’s a \u003ca href=\"https://www.kqed.org/science/1928658/wildfires-reignite-old-trauma-for-survivors-of-last-octobers-devastation\">list\u003c/a> of what you can do.\u003c/p>\n\u003cp>For Okrepkie, he said one of the most helpful approaches was to seek support among others who’ve gone through a similar experience.\u003c/p>\n\u003cp>“Everyone’s method of going through this and coping with it is going to be different,” he said. “But I will say: Do not go through it alone. Find a group that you can go through this together with.”\u003c/p>\n\u003cp>Okrepkie said he’s seen the difference that a community working together can have, after seeing his nonprofit help to raise $1 million to rebuild Coffey Park. He said he was inspired to do this after seeing misinformation on social media about rebuilding — a dynamic that he sees similarly playing out with the Los Angeles fires currently.\u003c/p>\n\u003ch2>\u003cstrong>‘It takes patience’\u003c/strong>\u003c/h2>\n\u003cp>The long-term financial impacts of major wildfires can take years to resolve.\u003c/p>\n\u003cp>“The responses that are needed — whether it be more firefighting resources to information to funds for those that have lost everything — never ceases,” said Okrepkie. “So it’s not just helping them in the first couple of days after. It’s going to be an ongoing thing for weeks, months and likely years.”[aside label=\"Related Stories\" postID=\"news_12021019,news_12021150,news_12021308\"]Damage from the Tubbs Fires is estimated at over $10 billion, according to one consulting \u003ca href=\"https://vertexeng.com/insights/economic-fallout-of-tubbs-wildfire-santa-rosa/\">group\u003c/a> involved in California wildfire response.\u003c/p>\n\u003cp>Okrepkie, an insurance agent, said the best thing to do is be patient. He moved back into his new rebuilt home in 2020, around three years after Tubbs Fire burned down his home. He said he’s happy his family is cared for and back in their home neighborhood of Coffey Park.\u003c/p>\n\u003cp>“I know that there is a natural urge to get back into your home and want to do it as quickly as possible. But it’s going to take patience because everybody is going to be learning for the first time — or relearning — things,” he said.\u003c/p>\n\u003ch2>\u003cstrong>Where to begin with the insurance claims?\u003c/strong>\u003c/h2>\n\u003cp>Okrepkie himself said he had no fewer than nine insurance adjusters to sort out all his claims.\u003c/p>\n\u003cp>He has the following advice to get started:\u003c/p>\n\u003cul>\n\u003cli>Document everything. “Do not agree to anything over the phone,” he said.\u003c/li>\n\u003cli>Follow up phone conversations over email to confirm the verbal exchange.\u003c/li>\n\u003cli>Accept that the process is complex. Disaster adjusters, typically working out of state, may be reassigned throughout the process — and an adjustor is assigned to a specific line of coverage, from property to additional living expenses. “In case adjuster A leaves and an adjuster B comes in and it’s not documented on their end, you can show them ‘This is what was discussed and this is what was agreed to.’”\u003c/li>\n\u003c/ul>\n\u003cp>An additional complication is that in recent years, \u003ca href=\"https://www.kqed.org/science/1985175/insurance-in-california-is-changing-heres-how-it-may-affect-you\">insurance companies have pulled back from homeowner policies in California\u003c/a>. As for the fires in Los Angeles, there are concerns that the damage could \u003ca href=\"https://www.kqed.org/news/12021019/la-fires-threaten-california-insurance-market-stability-housing-costs\">overextend\u003c/a> the state’s FAIR Plan — the state’s insurer of last resort.\u003c/p>\n\u003cp>You can find more details on navigating insurance claims and wildfires \u003ca href=\"https://laist.com/news/housing-homelessness/cheat-sheet-what-to-do-if-you-need-to-make-a-fire-insurance-claim\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cem>Farida Jhabvala Romero and Brian Watt contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The devastation brought on by the wildfires blazing through Los Angeles — ash-covered rubble, the air clouded in a smoky haze — is a scene that’s all too familiar to Jeff Okrepkie.\u003c/p>\n\u003cp>When the 2017 Tubbs Fire first spread into his community of Coffey Park in Santa Rosa, “an ember roughly the size of a golf ball hit the ground and rolled in front of my house, setting off other embers,” Okrepkie said. “And that’s when I was like, ‘All right, time to get out.’”\u003c/p>\n\u003cp>The Tubbs Fire is considered one of the most \u003ca href=\"https://34c031f8-c9fd-4018-8c5a-4159cdff6b0d-cdn-endpoint.azureedge.net/-/media/calfire-website/our-impact/fire-statistics/top20_destruction.pdf?rev=8d25d868e50f40aea60833642d65b449&hash=1DBAA251C9CC52EDC5AAEA2358158664\">destructive\u003c/a> wildfires in California history, destroying 5,600 structures, including around 5% of Santa Rosa’s housing stock. (The most destructive fire remains the 2018 Camp Fire that devastated the town of Paradise.)\u003c/p>\n\u003cp>Where the fires in Los Angeles fit in this grim record will likely take a while to work out. Multiple fires have burned over 35,000 acres, as of Friday morning, and have destroyed thousands of structures across several neighborhoods. At least 10 people have died.\u003c/p>\n\u003cfigure id=\"attachment_12021672\" class=\"wp-caption alignright\" style=\"max-width: 528px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-12021672\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg\" alt=\"A middle aged white male with graying hair and goatee beard smiles at the camera standing in a park on a sunny day, crossing his arms, and wearing a light blue and gray suit and an open button shirt with no tie.\" width=\"528\" height=\"688\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543.jpg 528w, https://cdn.kqed.org/wp-content/uploads/sites/10/2025/01/06WUNfLv-e1736558884543-160x208.jpg 160w\" sizes=\"auto, (max-width: 528px) 100vw, 528px\">\u003cfigcaption class=\"wp-caption-text\">Jeff Okrepkie. \u003ccite>(Courtesy of Jeff Okrepkie)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For many caught up in this disaster, they’re beginning to process the reality that they’ve lost their entire homes — an experience Okrepkie shares, too.\u003c/p>\n\u003cp>“One of the things that I always hated to hear was, ‘Well, it’s just stuff. And you have your lives, right?’” he said.\u003c/p>\n\u003cp>“Of course, having that is paramount to anything else. But it’s not just the physical object. It’s the memories that come with those — whether it be Christmas ornaments or baby pictures. “It is a long and difficult process and it is extremely emotional.”\u003c/p>\n\u003cp>For other Bay Area residents, like Crystal Johnson, the fires can serve as a reminder of how vulnerable Californians are to the threat of climate disasters. She’s originally from Redondo Beach and has been checking in with family and friends.\u003c/p>\n\u003cp>“Don’t wait. Get your important papers together, medications, you know, important contacts, information, all that kind of stuff. \u003ca href=\"https://www.kqed.org/news/11833686/what-to-pack-in-your-emergency-bag-with-covid-19-in-mind\">Have it ready to go so that if something happens\u003c/a>. Have a plan in place,” Johnson said.\u003c/p>\n\u003cp>In the long term, given the scale of destruction in Los Angeles, the road to recovery could take years. Okrepkie, who started a nonprofit to rebuild his community of Coffey Park in Santa Rosa, offered the following advice:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003cstrong>‘Do not go through it alone’\u003c/strong>\u003c/h2>\n\u003cp>A wildfire can be a life-threatening event, taking a toll on people’s physical and emotional health.\u003c/p>\n\u003cp>According to a 2023 \u003ca href=\"https://www.mdpi.com/1660-4601/18/4/1487\">study\u003c/a> by researchers at the University of California, San Diego, “climate trauma” led to increased instances of chronic mental health problems, like post-traumatic stress disorder and depression.\u003c/p>\n\u003cp>If you know someone who needs help coping in the aftermath of the Los Angeles fires, here’s a \u003ca href=\"https://www.kqed.org/science/1928658/wildfires-reignite-old-trauma-for-survivors-of-last-octobers-devastation\">list\u003c/a> of what you can do.\u003c/p>\n\u003cp>For Okrepkie, he said one of the most helpful approaches was to seek support among others who’ve gone through a similar experience.\u003c/p>\n\u003cp>“Everyone’s method of going through this and coping with it is going to be different,” he said. “But I will say: Do not go through it alone. Find a group that you can go through this together with.”\u003c/p>\n\u003cp>Okrepkie said he’s seen the difference that a community working together can have, after seeing his nonprofit help to raise $1 million to rebuild Coffey Park. He said he was inspired to do this after seeing misinformation on social media about rebuilding — a dynamic that he sees similarly playing out with the Los Angeles fires currently.\u003c/p>\n\u003ch2>\u003cstrong>‘It takes patience’\u003c/strong>\u003c/h2>\n\u003cp>The long-term financial impacts of major wildfires can take years to resolve.\u003c/p>\n\u003cp>“The responses that are needed — whether it be more firefighting resources to information to funds for those that have lost everything — never ceases,” said Okrepkie. “So it’s not just helping them in the first couple of days after. It’s going to be an ongoing thing for weeks, months and likely years.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Damage from the Tubbs Fires is estimated at over $10 billion, according to one consulting \u003ca href=\"https://vertexeng.com/insights/economic-fallout-of-tubbs-wildfire-santa-rosa/\">group\u003c/a> involved in California wildfire response.\u003c/p>\n\u003cp>Okrepkie, an insurance agent, said the best thing to do is be patient. He moved back into his new rebuilt home in 2020, around three years after Tubbs Fire burned down his home. He said he’s happy his family is cared for and back in their home neighborhood of Coffey Park.\u003c/p>\n\u003cp>“I know that there is a natural urge to get back into your home and want to do it as quickly as possible. But it’s going to take patience because everybody is going to be learning for the first time — or relearning — things,” he said.\u003c/p>\n\u003ch2>\u003cstrong>Where to begin with the insurance claims?\u003c/strong>\u003c/h2>\n\u003cp>Okrepkie himself said he had no fewer than nine insurance adjusters to sort out all his claims.\u003c/p>\n\u003cp>He has the following advice to get started:\u003c/p>\n\u003cul>\n\u003cli>Document everything. “Do not agree to anything over the phone,” he said.\u003c/li>\n\u003cli>Follow up phone conversations over email to confirm the verbal exchange.\u003c/li>\n\u003cli>Accept that the process is complex. Disaster adjusters, typically working out of state, may be reassigned throughout the process — and an adjustor is assigned to a specific line of coverage, from property to additional living expenses. “In case adjuster A leaves and an adjuster B comes in and it’s not documented on their end, you can show them ‘This is what was discussed and this is what was agreed to.’”\u003c/li>\n\u003c/ul>\n\u003cp>An additional complication is that in recent years, \u003ca href=\"https://www.kqed.org/science/1985175/insurance-in-california-is-changing-heres-how-it-may-affect-you\">insurance companies have pulled back from homeowner policies in California\u003c/a>. As for the fires in Los Angeles, there are concerns that the damage could \u003ca href=\"https://www.kqed.org/news/12021019/la-fires-threaten-california-insurance-market-stability-housing-costs\">overextend\u003c/a> the state’s FAIR Plan — the state’s insurer of last resort.\u003c/p>\n\u003cp>You can find more details on navigating insurance claims and wildfires \u003ca href=\"https://laist.com/news/housing-homelessness/cheat-sheet-what-to-do-if-you-need-to-make-a-fire-insurance-claim\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cem>Farida Jhabvala Romero and Brian Watt contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>Updated 3:40 p.m. Monday\u003c/em>\u003c/p>\n\u003cp>Taking a cue from tobacco regulation, \u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a>’s attorney general wants to force social media companies to slap warning labels on their apps that clearly state the risks posed to kids and teens.\u003c/p>\n\u003cp>The proposal follows the advice of the U.S. surgeon general, who called earlier this year \u003ca href=\"https://www.kqed.org/news/11990672/us-surgeon-general-urges-congress-to-require-warning-labels-for-social-media\">for Congress to mandate warning labels\u003c/a> on the federal level — a call that so far, lawmakers have not answered. Attorney General Rob Bonta and Orinda Assemblymember Rebecca Bauer-Kahan announced the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260AB56\">new legislation\u003c/a> at a Boys & Girls Club in San Francisco on Monday, alongside a family whose daughter died by suicide four months ago after becoming, as her mother Victoria Hinks said, obsessed with social media.\u003c/p>\n\u003cp>“She was hooked,” a tearful Hinks said of her 16-year-old, Alexandra. Hinks noted that she and her husband implemented all the advice of experts in terms of limiting Alexandra’s screen time, taking her phone away at night and using parental filters and controls.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We tried to pull her out. We took her door off the hinges. We tried to take her phone away at night, but it was like taking a drug away from an addict,” she said. “We set up TikTok’s so-called parental controls to limit Alexandra to one hour per day. It meant nothing.”\u003c/p>\n\u003cp>Bonta said social media companies know their products are addictive and harmful but have refused to make changes.\u003c/p>\n\u003cp>The proposed California label would read: “The Surgeon General has advised that there are ample indicators that social media can have a profound risk of harm to the mental health and well-being of children and adolescents.”\u003c/p>\n\u003cp>[aside postID=news_11999273 hero='https://cdn.kqed.org/wp-content/uploads/sites/10/2024/08/TikTokGetty-1020x706.jpg']\u003c/p>\n\u003cp>Adolescents who spend more than three hours a day on social media are twice as likely to experience depression and anxiety, Bonta noted. He said if Congress won’t act, California should.\u003c/p>\n\u003cp>“Let’s be clear. This isn’t theoretical. It’s not a study about what might be. This is about real children and teenagers, real families, real impacts on real lives,” he said, noting that many apps have algorithms that “purposely prey on the psychological and developmental vulnerabilities of young people to keep them hooked.”\u003c/p>\n\u003cp>Assemblymember Bauer-Kahan stressed that the government had taken steps for decades to force private industry to make their products safer — such as mandating seatbelts in cars, recalling tainted foods and putting warning labels on tobacco products. A mother of teenagers, Bauer-Kahan said tech companies have a “powerful profit motive” to keep people online.\u003c/p>\n\u003cp>“Our children are aware of the harms, but they feel trapped,” she said. “They feel afraid of being isolated. And they just can’t stop. The companies know this. They know the damage they’re doing. We’ve heard it from the folks inside these companies who have testified on the issue.”\u003c/p>\n\u003cp>Jim Steyer, founder and CEO of Common Sense Media, which is sponsoring the legislation, called this a “tobacco moment for the country,” harkening back to the debates over warning labels and other regulations for cigarette makers who knew their products caused cancer but did not tell the public.\u003c/p>\n\u003cp>It’s not the first foray by California into regulating social media apps. In September, Gov. Gavin Newsom signed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billHistoryClient.xhtml?bill_id=202320240SB976\">a bill\u003c/a> aimed at forcing social media companies to change their algorithms to \u003ca href=\"https://www.kqed.org/news/12005967/california-acts-to-protect-children-from-addictive-social-media\">make them less addictive to teens and children\u003c/a>. Bonta supported that law and has also \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-secures-court-decision-largely-denying-meta%E2%80%99s-attempt\">brought\u003c/a> several \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-files-lawsuit-against-meta-over-harms-youth-mental-health\">multi-state lawsuits \u003c/a>against social media companies, including Meta and \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-attorney-general-james-lead-coalition-suing-tiktok\">TikTok\u003c/a>.\u003c/p>\n\u003cp>He said the warning label won’t be a panacea but is part of a multi-pronged effort to address a public health crisis.\u003c/p>\n\u003cp>A spokesperson for Meta declined to comment on the pending legislation. TikTok did not immediately respond to a request for comment.\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "Legislation announced Monday in San Francisco would force social media companies to include labels warning of their apps’ “profound risk” for children and teenagers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>Updated 3:40 p.m. Monday\u003c/em>\u003c/p>\n\u003cp>Taking a cue from tobacco regulation, \u003ca href=\"https://www.kqed.org/news/tag/california\">California\u003c/a>’s attorney general wants to force social media companies to slap warning labels on their apps that clearly state the risks posed to kids and teens.\u003c/p>\n\u003cp>The proposal follows the advice of the U.S. surgeon general, who called earlier this year \u003ca href=\"https://www.kqed.org/news/11990672/us-surgeon-general-urges-congress-to-require-warning-labels-for-social-media\">for Congress to mandate warning labels\u003c/a> on the federal level — a call that so far, lawmakers have not answered. Attorney General Rob Bonta and Orinda Assemblymember Rebecca Bauer-Kahan announced the \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260AB56\">new legislation\u003c/a> at a Boys & Girls Club in San Francisco on Monday, alongside a family whose daughter died by suicide four months ago after becoming, as her mother Victoria Hinks said, obsessed with social media.\u003c/p>\n\u003cp>“She was hooked,” a tearful Hinks said of her 16-year-old, Alexandra. Hinks noted that she and her husband implemented all the advice of experts in terms of limiting Alexandra’s screen time, taking her phone away at night and using parental filters and controls.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We tried to pull her out. We took her door off the hinges. We tried to take her phone away at night, but it was like taking a drug away from an addict,” she said. “We set up TikTok’s so-called parental controls to limit Alexandra to one hour per day. It meant nothing.”\u003c/p>\n\u003cp>Bonta said social media companies know their products are addictive and harmful but have refused to make changes.\u003c/p>\n\u003cp>The proposed California label would read: “The Surgeon General has advised that there are ample indicators that social media can have a profound risk of harm to the mental health and well-being of children and adolescents.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Adolescents who spend more than three hours a day on social media are twice as likely to experience depression and anxiety, Bonta noted. He said if Congress won’t act, California should.\u003c/p>\n\u003cp>“Let’s be clear. This isn’t theoretical. It’s not a study about what might be. This is about real children and teenagers, real families, real impacts on real lives,” he said, noting that many apps have algorithms that “purposely prey on the psychological and developmental vulnerabilities of young people to keep them hooked.”\u003c/p>\n\u003cp>Assemblymember Bauer-Kahan stressed that the government had taken steps for decades to force private industry to make their products safer — such as mandating seatbelts in cars, recalling tainted foods and putting warning labels on tobacco products. A mother of teenagers, Bauer-Kahan said tech companies have a “powerful profit motive” to keep people online.\u003c/p>\n\u003cp>“Our children are aware of the harms, but they feel trapped,” she said. “They feel afraid of being isolated. And they just can’t stop. The companies know this. They know the damage they’re doing. We’ve heard it from the folks inside these companies who have testified on the issue.”\u003c/p>\n\u003cp>Jim Steyer, founder and CEO of Common Sense Media, which is sponsoring the legislation, called this a “tobacco moment for the country,” harkening back to the debates over warning labels and other regulations for cigarette makers who knew their products caused cancer but did not tell the public.\u003c/p>\n\u003cp>It’s not the first foray by California into regulating social media apps. In September, Gov. Gavin Newsom signed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billHistoryClient.xhtml?bill_id=202320240SB976\">a bill\u003c/a> aimed at forcing social media companies to change their algorithms to \u003ca href=\"https://www.kqed.org/news/12005967/california-acts-to-protect-children-from-addictive-social-media\">make them less addictive to teens and children\u003c/a>. Bonta supported that law and has also \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-secures-court-decision-largely-denying-meta%E2%80%99s-attempt\">brought\u003c/a> several \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-files-lawsuit-against-meta-over-harms-youth-mental-health\">multi-state lawsuits \u003c/a>against social media companies, including Meta and \u003ca href=\"https://oag.ca.gov/news/press-releases/attorney-general-bonta-attorney-general-james-lead-coalition-suing-tiktok\">TikTok\u003c/a>.\u003c/p>\n\u003cp>He said the warning label won’t be a panacea but is part of a multi-pronged effort to address a public health crisis.\u003c/p>\n\u003cp>A spokesperson for Meta declined to comment on the pending legislation. TikTok did not immediately respond to a request for comment.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "anxious-about-the-2024-election-heres-what-therapists-recommend",
"title": "Anxious About the 2024 Election? Here's What Therapists Recommend",
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"content": "\u003cp>We’re almost there, folks. Two years of nonstop campaigning for the White House will finally come to a close this Tuesday, Nov. 5, on \u003ca href=\"https://www.kqed.org/news/12008419/ballot-drop-off-location-near-me-early-voting-site-election-2024\">Election Day\u003c/a>.\u003c/p>\n\u003cp>In 2023, the Pew Research Center found that \u003ca href=\"https://www.pewresearch.org/politics/2023/09/19/americans-dismal-views-of-the-nations-politics/\">65% of Americans say they always or often feel “exhausted” when thinking about politics\u003c/a>. And that was before all the dramatic twists and turns of 2024 that have given us the present circumstances: Vice President Kamala Harris and former president Donald Trump \u003ca href=\"https://www.nytimes.com/2024/10/25/us/politics/poll-harris-trump-times-siena.html\">deadlocked in the polls of every single swing state\u003c/a>, leaving even the most experienced political analysts with little clue of who will be the next president.\u003c/p>\n\u003cp>But besides election exhaustion, there are other feelings felt across the political spectrum, from anxiety and frustration to straight-up fear. Among many undocumented and mixed-status immigrant families, for example, there’s a lot of nervousness about Trump enacting what he calls “\u003ca href=\"https://www.youtube.com/watch?v=OtpORNvI26w\">the largest deportation program in American history\u003c/a>.” After the former president survived a public assassination attempt in July at a Pennsylvania campaign rally, a large number of his most ardent supporters \u003ca href=\"https://www.pbs.org/newshour/politics/after-the-assassination-attempt-against-trump-anger-and-anxiety-loom-over-the-republican-convention\">fear that Trump could be targeted again\u003c/a>. And as \u003ca href=\"https://www.kqed.org/news/12011576/what-do-young-voters-care-about-most-in-this-presidential-election\">millions of Gen Z Americans prepare to cast their votes for the first time\u003c/a>, many have shared \u003ca href=\"https://www.kqed.org/arts/13967133/charli-xcx-fans-election-2024-harris-trump\">their frustration that neither candidate may do enough to protect the lives of Palestinians in Gaza\u003c/a>.\u003c/p>\n\u003cp>If you’re feeling these big emotions, you’re not alone.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Let’s normalize [feeling] anxious because it is a very high-stakes election,” said Kelli McLean, a California marriage and family therapist who works on issues relating to trauma, anxiety and depression with her clients. “This is anxiety-provoking.”\u003c/p>\n\u003cp>“A lot of times when we’re feeling a certain type of way about something, it comes out in other ways we don’t expect,” said Ioanna Angelakis, a licensed marriage and family therapist based in San Francisco. “So it’s really important to be honest and truthful with yourself and others about what’s going on and to formulate a plan, so you have something to fall back on — should the worst thing happen.”\u003c/p>\n\u003cp>Keep reading for expert advice on the things you can do before, on and after Nov. 5 to help manage anxiety about the 2024 election.\u003c/p>\n\u003ch2>Try to consume less election news\u003c/h2>\n\u003cp>When something is very important to us, it’s normal for us to keep checking on it as much as we can. In a presidential election as unpredictable as this one, we may have the TV on all the time or be constantly checking social media to see if there’s any tiny piece of new information that will give us hope that things will “go our way.”\u003c/p>\n\u003cp>But seeking out this feeling of control — in a situation that frankly cannot be controlled by any one single individual — can lead to us feeling even more helpless, McClean said.\u003c/p>\n\u003cp>“There is a direct correlation between how much anxiety people are feeling to what they’re watching,” she said. “The election is everywhere, and people are inundating themselves with this. It’s information overload.”\u003c/p>\n\u003cp>[aside label=\"2024 Bay Area Voter Guide\" link1='https://www.kqed.org/voterguide/bayarea,Learn about every single race and measure across the nine Bay Area counties' hero=https://cdn.kqed.org/wp-content/uploads/sites/80/2024/02/Aside-Bay-Area-Voter-Guide-2024-Primary-Election-1200x1200-1.png]\u003c/p>\n\u003cp>One recommendation McLean has been sharing with her clients is to stay away from social media as much as they can — or as much as they can bear — for the next few days. “They’re limiting their exposure to these 24-hour news cycles, which can be anxiety-provoking for people,” she said.\u003c/p>\n\u003ch2>Remember, polls aren’t crystal balls\u003c/h2>\n\u003cp>In the \u003ca href=\"https://www.kqed.org/lowdown/3825/what-is-the-electoral-college-and-is-it-time-to-get-rid-of-it\">seven swing states that are key to winning the election\u003c/a>, polls have switched back and forth between a Trump lead and a Harris lead for weeks now. While you may look for any sliver of hope in new polls, keep in mind that most recent polls \u003ca href=\"https://www.cbsnews.com/news/harris-trump-poll-pennsylvania-29-10-2024/\">have only changed by 1 or 2 percentage points\u003c/a>, which is within a poll’s margin of error — the window of uncertainty your poll results may have. For example, in an \u003ca href=\"https://www.cbsnews.com/news/trump-harris-poll-gender-gap/\">Oct. 28 CBS News/YouGov poll of registered voters in Pennsylvania\u003c/a>, Harris and Trump are tied 49%–49%, but the margin of error is 2.6%.\u003c/p>\n\u003cp>Polls are, after all, surveys of smaller groups meant to reflect a larger population. While Harris and Trump are tied among the smaller group surveyed, that doesn’t mean that in all of Pennsylvania, there’s a perfect tie among those who plan to vote for Harris and Trump. The margin of error tells us that the candidates’ numbers could actually be a little higher or a little lower — within that 2.6% range.\u003c/p>\n\u003cp>All of this goes to say that it’s probably a good idea to limit how much we look at polls. Remember: the 2016 and 2020 elections delivered many electoral surprises that polls didn’t predict. Since then, \u003ca href=\"https://www.vox.com/2024-elections/370649/trust-polls-2016-2020-election-2024-pollster-polling-miss\">pollsters have refined their methods\u003c/a> — but even they say that polls are not “perfectly predictive.”\u003c/p>\n\u003cp>That’s why therapists like Angelakis are reminding their clients to accept the uncertainty in this major event and work from there. “The future is unpredictable and unknown — it’s a mystery,” she said. “All we can do is just stay grounded.”\u003c/p>\n\u003ch2>Enjoy the weekend before Election Day as much as you can\u003c/h2>\n\u003cp>Yes, the first Tuesday of November could be historic for the country. But let’s not forget that the first \u003cem>weekend\u003c/em> of November is quite special in its own right.\u003c/p>\n\u003cp>Diwali, the Hindu festival that celebrates light triumphing over darkness, \u003ca href=\"https://www.sfchronicle.com/entertainment/article/diwali-deepavali-hindu-festival-19854481.php\">begins this year in the early hours of Thursday, Oct. 31\u003c/a>, and lasts until the next morning. Halloween is also on Thursday — a perfect excuse for families and friends to get together ahead of the weekend.[aside postID=science_1995033 hero='https://cdn.kqed.org/wp-content/uploads/sites/35/2024/10/Claremont-Canyon-by-Fred-Rowe-East-Bay-Regional-Park-District-1020x574.jpg']\u003c/p>\n\u003cp>On Friday, Nov. 1 and Saturday, Nov. 2, \u003ca href=\"https://www.kqed.org/news/tag/dia-de-los-muertos\">Día de los Muertos\u003c/a> will be celebrated across California, with cities like \u003ca href=\"https://www.dayofthedeadsf.org/\">San Francisco\u003c/a>, \u003ca href=\"https://unitycouncil.org/program/diaoakland/\">Oakland\u003c/a>, \u003ca href=\"https://diasanjose.com/\">San José\u003c/a> and \u003ca href=\"https://boyleheightsbeat.com/your-guide-to-free-dia-de-los-muertos-events-on-the-eastside/\">Los Angeles \u003c/a>hosting community-led celebrations.\u003c/p>\n\u003cp>“Enjoy your weekend,” Angelakis said. “Don’t let these fears take you over because they’re just fears right now … they’re not your reality.”\u003c/p>\n\u003cp>Find \u003ca href=\"https://www.kqed.org/arts/13967439/merlin-the-pig-northern-california-animals-house-pig-mina-alali-davis\">some joyful things going on to distract you\u003c/a>, and most importantly, find ways to laugh with your loved ones, she recommended. Even try to “poke fun at your fears,” Angelakis said, “and you can let out steam that way.”\u003c/p>\n\u003cp>You can also read our guide to \u003ca href=\"https://www.kqed.org/science/1995033/12-bay-area-hikes-for-escaping-the-election-even-for-a-few-hours\">the outdoor spots in the Bay Area that might bring you a little calm and peace\u003c/a> in the run-up to Election Day and beyond.\u003c/p>\n\u003ch2>Parents and caregivers: Keep in mind the needs of your little ones\u003c/h2>\n\u003cp>Even if your family doesn’t talk too much about politics at the dinner table, there’s still a chance that your child may be hearing about the election from their friends or classmates. Whether they share this directly with you or not, they may be absorbing the anxiety of others around them.\u003c/p>\n\u003cp>“Kids are the spokespeople of their parents and their family’s fears,” Angelakis said. “When your child is acting out, or when your child is isolating, these are signs that your child is worried about something.”\u003c/p>\n\u003cp>This is when it’s very important to have \u003ca href=\"https://www.kqed.org/news/11764070/how-to-talk-with-kids-after-a-traumatic-event\">age-appropriate conversations about what’s happening out in the world\u003c/a>, McLean said.\u003c/p>\n\u003cp>[aside postID=news_11764070]“If you’re dealing with a small child, know that a lot of this is too much for them to fully take in, and it can be traumatizing,” she said. “You can explain to them the process without going into scary details: ‘Two people are competing and they have different beliefs. People can get very mad and nervous about it. But you’re still going to be safe in this home with your parents.’”\u003c/p>\n\u003cp>“We don’t want to lie to them or over-promise, but just not expose them to things that are not appropriate on the news or social media,” McLean said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/mindshift/59143/war-crisis-tragedy-how-to-talk-with-kids-when-the-news-is-scary\">\u003cem>Read KQED’s bilingual guide on how to talk to kids during difficult or scary major moments.\u003c/em>\u003c/a>\u003c/p>\n\u003ch2>Watch your anxiety levels on Election Day itself …\u003c/h2>\n\u003cp>It’s Nov. 5. You — or those around — have already voted. And results of the presidential election start coming in at 5 p.m. Pacific Time, when the polls close on the East Coast.\u003c/p>\n\u003cp>Every major TV network will have nonstop coverage of the results throughout the night, and it’s very likely that most restaurants, bars and community spaces with a television will be showing this coverage. But remember: you can choose how much of this coverage you consume.\u003c/p>\n\u003cp>If you know that waiting hours into the early morning for the results of each swing state — which just a few thousand votes could decide — will really set your anxiety spiraling, take breaks from watching. What might be even better for you is making a plan with family or friends to do something completely different on Nov. 5.\u003c/p>\n\u003cp>Regardless of how much (or little) news you consume on Tuesday, remember: there will still be results at the end of the vote count — which could take days, like it did in 2020.\u003c/p>\n\u003ch2>… and focus on your breathing\u003c/h2>\n\u003cp>Another strategy that Angelakis recommends is giving yourself time for breathing exercises.\u003c/p>\n\u003cp>“Take two breaths in and one breath out,” she said, adding that you can do as many of these exercises until you start feeling a little more grounded.\u003c/p>\n\u003cp>“If you try that breathing, it feels really good,” Angelakis said. “It calms your nervous system down.”\u003c/p>\n\u003cp>She especially recommends doing these breathing exercises if anxious thoughts start coming in throughout Election Night. When you feel these thoughts rising, “visualize the best possible outcome in a day of your life,” she said, “from every last detail that you wake up until the moment you go to bed at night.”\u003c/p>\n\u003cp>Why: By bringing back our focus to our own lives and our own actions, we remind ourselves what is in our own control — and let go of worries about things out of our control.\u003c/p>\n\u003ch2>Don’t forget the power you have in your own community\u003c/h2>\n\u003cp>The results of this general election will not impact everyone equally — and this is true far beyond the presidential race.\u003c/p>\n\u003cp>When talking to folks from communities that are most vulnerable to policy shifts, McLean hears how folks sometimes feel disconnected from the decisions happening in Washington, D.C. “They feel powerless,” she said.\u003c/p>\n\u003cp>But ultimately, “we are not powerless,” McClean said. “Getting involved in grassroots activism, something local in your own community, can help with these feelings of powerlessness.”\u003c/p>\n\u003cp>[aside label='More Election Coverage' tag='election-2024']And remember that even if you can’t vote — whether it’s because of your immigration status, \u003ca href=\"https://www.kqed.org/news/12009162/election-2024-what-are-the-voting-rights-of-current-and-formerly-incarcerated-californians\">criminal record\u003c/a> or age — you still have a lot of power. In the Bay Area, for example, the labor rights organization \u003ca href=\"https://www.tuwu.org/about\">Trabajadores Unidos Workers United\u003c/a> (TUWU) has helped undocumented workers organize themselves for years to demand and gain higher wages, \u003ca href=\"https://www.kqed.org/news/11946661/ive-been-contributing-undocumented-workers-are-key-to-californias-economy-a-new-bill-would-give-them-unemployment-benefits\">labor protections\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12005037/sf-proposes-relief-fund-to-aid-wage-theft-victims-left-unpaid-by-employers\">social services\u003c/a> at the local and state level.\u003c/p>\n\u003cp>“These are multi-year fights. They don’t happen overnight,” said Samuel Romero, organizing director of TUWU. “So many of these things wouldn’t have been able to pass without the support of the community that we organize with, the majority being folks that aren’t even eligible to vote.”\u003c/p>\n\u003cp>And as you work with your community to make change, don’t forget that a big part of that is also what happens in your home. “It is a huge election, and there is a lot at stake,” McClean said. “But it is important for people to ground themselves in their own lives and really take care of themselves first.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>We’re almost there, folks. Two years of nonstop campaigning for the White House will finally come to a close this Tuesday, Nov. 5, on \u003ca href=\"https://www.kqed.org/news/12008419/ballot-drop-off-location-near-me-early-voting-site-election-2024\">Election Day\u003c/a>.\u003c/p>\n\u003cp>In 2023, the Pew Research Center found that \u003ca href=\"https://www.pewresearch.org/politics/2023/09/19/americans-dismal-views-of-the-nations-politics/\">65% of Americans say they always or often feel “exhausted” when thinking about politics\u003c/a>. And that was before all the dramatic twists and turns of 2024 that have given us the present circumstances: Vice President Kamala Harris and former president Donald Trump \u003ca href=\"https://www.nytimes.com/2024/10/25/us/politics/poll-harris-trump-times-siena.html\">deadlocked in the polls of every single swing state\u003c/a>, leaving even the most experienced political analysts with little clue of who will be the next president.\u003c/p>\n\u003cp>But besides election exhaustion, there are other feelings felt across the political spectrum, from anxiety and frustration to straight-up fear. Among many undocumented and mixed-status immigrant families, for example, there’s a lot of nervousness about Trump enacting what he calls “\u003ca href=\"https://www.youtube.com/watch?v=OtpORNvI26w\">the largest deportation program in American history\u003c/a>.” After the former president survived a public assassination attempt in July at a Pennsylvania campaign rally, a large number of his most ardent supporters \u003ca href=\"https://www.pbs.org/newshour/politics/after-the-assassination-attempt-against-trump-anger-and-anxiety-loom-over-the-republican-convention\">fear that Trump could be targeted again\u003c/a>. And as \u003ca href=\"https://www.kqed.org/news/12011576/what-do-young-voters-care-about-most-in-this-presidential-election\">millions of Gen Z Americans prepare to cast their votes for the first time\u003c/a>, many have shared \u003ca href=\"https://www.kqed.org/arts/13967133/charli-xcx-fans-election-2024-harris-trump\">their frustration that neither candidate may do enough to protect the lives of Palestinians in Gaza\u003c/a>.\u003c/p>\n\u003cp>If you’re feeling these big emotions, you’re not alone.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Let’s normalize [feeling] anxious because it is a very high-stakes election,” said Kelli McLean, a California marriage and family therapist who works on issues relating to trauma, anxiety and depression with her clients. “This is anxiety-provoking.”\u003c/p>\n\u003cp>“A lot of times when we’re feeling a certain type of way about something, it comes out in other ways we don’t expect,” said Ioanna Angelakis, a licensed marriage and family therapist based in San Francisco. “So it’s really important to be honest and truthful with yourself and others about what’s going on and to formulate a plan, so you have something to fall back on — should the worst thing happen.”\u003c/p>\n\u003cp>Keep reading for expert advice on the things you can do before, on and after Nov. 5 to help manage anxiety about the 2024 election.\u003c/p>\n\u003ch2>Try to consume less election news\u003c/h2>\n\u003cp>When something is very important to us, it’s normal for us to keep checking on it as much as we can. In a presidential election as unpredictable as this one, we may have the TV on all the time or be constantly checking social media to see if there’s any tiny piece of new information that will give us hope that things will “go our way.”\u003c/p>\n\u003cp>But seeking out this feeling of control — in a situation that frankly cannot be controlled by any one single individual — can lead to us feeling even more helpless, McClean said.\u003c/p>\n\u003cp>“There is a direct correlation between how much anxiety people are feeling to what they’re watching,” she said. “The election is everywhere, and people are inundating themselves with this. It’s information overload.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>One recommendation McLean has been sharing with her clients is to stay away from social media as much as they can — or as much as they can bear — for the next few days. “They’re limiting their exposure to these 24-hour news cycles, which can be anxiety-provoking for people,” she said.\u003c/p>\n\u003ch2>Remember, polls aren’t crystal balls\u003c/h2>\n\u003cp>In the \u003ca href=\"https://www.kqed.org/lowdown/3825/what-is-the-electoral-college-and-is-it-time-to-get-rid-of-it\">seven swing states that are key to winning the election\u003c/a>, polls have switched back and forth between a Trump lead and a Harris lead for weeks now. While you may look for any sliver of hope in new polls, keep in mind that most recent polls \u003ca href=\"https://www.cbsnews.com/news/harris-trump-poll-pennsylvania-29-10-2024/\">have only changed by 1 or 2 percentage points\u003c/a>, which is within a poll’s margin of error — the window of uncertainty your poll results may have. For example, in an \u003ca href=\"https://www.cbsnews.com/news/trump-harris-poll-gender-gap/\">Oct. 28 CBS News/YouGov poll of registered voters in Pennsylvania\u003c/a>, Harris and Trump are tied 49%–49%, but the margin of error is 2.6%.\u003c/p>\n\u003cp>Polls are, after all, surveys of smaller groups meant to reflect a larger population. While Harris and Trump are tied among the smaller group surveyed, that doesn’t mean that in all of Pennsylvania, there’s a perfect tie among those who plan to vote for Harris and Trump. The margin of error tells us that the candidates’ numbers could actually be a little higher or a little lower — within that 2.6% range.\u003c/p>\n\u003cp>All of this goes to say that it’s probably a good idea to limit how much we look at polls. Remember: the 2016 and 2020 elections delivered many electoral surprises that polls didn’t predict. Since then, \u003ca href=\"https://www.vox.com/2024-elections/370649/trust-polls-2016-2020-election-2024-pollster-polling-miss\">pollsters have refined their methods\u003c/a> — but even they say that polls are not “perfectly predictive.”\u003c/p>\n\u003cp>That’s why therapists like Angelakis are reminding their clients to accept the uncertainty in this major event and work from there. “The future is unpredictable and unknown — it’s a mystery,” she said. “All we can do is just stay grounded.”\u003c/p>\n\u003ch2>Enjoy the weekend before Election Day as much as you can\u003c/h2>\n\u003cp>Yes, the first Tuesday of November could be historic for the country. But let’s not forget that the first \u003cem>weekend\u003c/em> of November is quite special in its own right.\u003c/p>\n\u003cp>Diwali, the Hindu festival that celebrates light triumphing over darkness, \u003ca href=\"https://www.sfchronicle.com/entertainment/article/diwali-deepavali-hindu-festival-19854481.php\">begins this year in the early hours of Thursday, Oct. 31\u003c/a>, and lasts until the next morning. Halloween is also on Thursday — a perfect excuse for families and friends to get together ahead of the weekend.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On Friday, Nov. 1 and Saturday, Nov. 2, \u003ca href=\"https://www.kqed.org/news/tag/dia-de-los-muertos\">Día de los Muertos\u003c/a> will be celebrated across California, with cities like \u003ca href=\"https://www.dayofthedeadsf.org/\">San Francisco\u003c/a>, \u003ca href=\"https://unitycouncil.org/program/diaoakland/\">Oakland\u003c/a>, \u003ca href=\"https://diasanjose.com/\">San José\u003c/a> and \u003ca href=\"https://boyleheightsbeat.com/your-guide-to-free-dia-de-los-muertos-events-on-the-eastside/\">Los Angeles \u003c/a>hosting community-led celebrations.\u003c/p>\n\u003cp>“Enjoy your weekend,” Angelakis said. “Don’t let these fears take you over because they’re just fears right now … they’re not your reality.”\u003c/p>\n\u003cp>Find \u003ca href=\"https://www.kqed.org/arts/13967439/merlin-the-pig-northern-california-animals-house-pig-mina-alali-davis\">some joyful things going on to distract you\u003c/a>, and most importantly, find ways to laugh with your loved ones, she recommended. Even try to “poke fun at your fears,” Angelakis said, “and you can let out steam that way.”\u003c/p>\n\u003cp>You can also read our guide to \u003ca href=\"https://www.kqed.org/science/1995033/12-bay-area-hikes-for-escaping-the-election-even-for-a-few-hours\">the outdoor spots in the Bay Area that might bring you a little calm and peace\u003c/a> in the run-up to Election Day and beyond.\u003c/p>\n\u003ch2>Parents and caregivers: Keep in mind the needs of your little ones\u003c/h2>\n\u003cp>Even if your family doesn’t talk too much about politics at the dinner table, there’s still a chance that your child may be hearing about the election from their friends or classmates. Whether they share this directly with you or not, they may be absorbing the anxiety of others around them.\u003c/p>\n\u003cp>“Kids are the spokespeople of their parents and their family’s fears,” Angelakis said. “When your child is acting out, or when your child is isolating, these are signs that your child is worried about something.”\u003c/p>\n\u003cp>This is when it’s very important to have \u003ca href=\"https://www.kqed.org/news/11764070/how-to-talk-with-kids-after-a-traumatic-event\">age-appropriate conversations about what’s happening out in the world\u003c/a>, McLean said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“If you’re dealing with a small child, know that a lot of this is too much for them to fully take in, and it can be traumatizing,” she said. “You can explain to them the process without going into scary details: ‘Two people are competing and they have different beliefs. People can get very mad and nervous about it. But you’re still going to be safe in this home with your parents.’”\u003c/p>\n\u003cp>“We don’t want to lie to them or over-promise, but just not expose them to things that are not appropriate on the news or social media,” McLean said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/mindshift/59143/war-crisis-tragedy-how-to-talk-with-kids-when-the-news-is-scary\">\u003cem>Read KQED’s bilingual guide on how to talk to kids during difficult or scary major moments.\u003c/em>\u003c/a>\u003c/p>\n\u003ch2>Watch your anxiety levels on Election Day itself …\u003c/h2>\n\u003cp>It’s Nov. 5. You — or those around — have already voted. And results of the presidential election start coming in at 5 p.m. Pacific Time, when the polls close on the East Coast.\u003c/p>\n\u003cp>Every major TV network will have nonstop coverage of the results throughout the night, and it’s very likely that most restaurants, bars and community spaces with a television will be showing this coverage. But remember: you can choose how much of this coverage you consume.\u003c/p>\n\u003cp>If you know that waiting hours into the early morning for the results of each swing state — which just a few thousand votes could decide — will really set your anxiety spiraling, take breaks from watching. What might be even better for you is making a plan with family or friends to do something completely different on Nov. 5.\u003c/p>\n\u003cp>Regardless of how much (or little) news you consume on Tuesday, remember: there will still be results at the end of the vote count — which could take days, like it did in 2020.\u003c/p>\n\u003ch2>… and focus on your breathing\u003c/h2>\n\u003cp>Another strategy that Angelakis recommends is giving yourself time for breathing exercises.\u003c/p>\n\u003cp>“Take two breaths in and one breath out,” she said, adding that you can do as many of these exercises until you start feeling a little more grounded.\u003c/p>\n\u003cp>“If you try that breathing, it feels really good,” Angelakis said. “It calms your nervous system down.”\u003c/p>\n\u003cp>She especially recommends doing these breathing exercises if anxious thoughts start coming in throughout Election Night. When you feel these thoughts rising, “visualize the best possible outcome in a day of your life,” she said, “from every last detail that you wake up until the moment you go to bed at night.”\u003c/p>\n\u003cp>Why: By bringing back our focus to our own lives and our own actions, we remind ourselves what is in our own control — and let go of worries about things out of our control.\u003c/p>\n\u003ch2>Don’t forget the power you have in your own community\u003c/h2>\n\u003cp>The results of this general election will not impact everyone equally — and this is true far beyond the presidential race.\u003c/p>\n\u003cp>When talking to folks from communities that are most vulnerable to policy shifts, McLean hears how folks sometimes feel disconnected from the decisions happening in Washington, D.C. “They feel powerless,” she said.\u003c/p>\n\u003cp>But ultimately, “we are not powerless,” McClean said. “Getting involved in grassroots activism, something local in your own community, can help with these feelings of powerlessness.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>And remember that even if you can’t vote — whether it’s because of your immigration status, \u003ca href=\"https://www.kqed.org/news/12009162/election-2024-what-are-the-voting-rights-of-current-and-formerly-incarcerated-californians\">criminal record\u003c/a> or age — you still have a lot of power. In the Bay Area, for example, the labor rights organization \u003ca href=\"https://www.tuwu.org/about\">Trabajadores Unidos Workers United\u003c/a> (TUWU) has helped undocumented workers organize themselves for years to demand and gain higher wages, \u003ca href=\"https://www.kqed.org/news/11946661/ive-been-contributing-undocumented-workers-are-key-to-californias-economy-a-new-bill-would-give-them-unemployment-benefits\">labor protections\u003c/a> and \u003ca href=\"https://www.kqed.org/news/12005037/sf-proposes-relief-fund-to-aid-wage-theft-victims-left-unpaid-by-employers\">social services\u003c/a> at the local and state level.\u003c/p>\n\u003cp>“These are multi-year fights. They don’t happen overnight,” said Samuel Romero, organizing director of TUWU. “So many of these things wouldn’t have been able to pass without the support of the community that we organize with, the majority being folks that aren’t even eligible to vote.”\u003c/p>\n\u003cp>And as you work with your community to make change, don’t forget that a big part of that is also what happens in your home. “It is a huge election, and there is a lot at stake,” McClean said. “But it is important for people to ground themselves in their own lives and really take care of themselves first.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/news/series/baycurious",
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"source": "kqed",
"order": 3
},
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"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
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}
},
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"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
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"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
"meta": {
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
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}
},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
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"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
"site": "radio",
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},
"link": "/radio/program/code-switch-life-kit",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"meta": {
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
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"id": "fresh-air",
"title": "Fresh Air",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"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. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
"meta": {
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},
"link": "/radio/program/morning-edition"
},
"onourwatch": {
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