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"content": "\u003cp>Three years ago, California leaders passed legislation that promised \u003ca href=\"https://calmatters.org/health/2020/08/california-leader-mental-health/\">the most dramatic expansion \u003c/a>of mental health and addiction care coverage in decades.\u003c/p>\n\u003cp>As the state’s residents struggled with the stress and trauma of a raging pandemic and a record wildfire season, mental health advocates used words like “groundbreaking” to describe the new law. Finally, they said, California was poised to become a national leader in mental health.\u003c/p>\n\u003cp>Their optimism about that law, Senate Bill 855, has been fraying ever since. Advocates say health plans routinely fail to ensure enough mental health providers accept their coverage, making patients wait too long before being seen.\u003c/p>\n\u003cp>Case in point: Last week, the Department of Managed Health Care unveiled news of a historic $200 million settlement with Kaiser Permanente for failing to provide patients with\u003ca href=\"https://calmatters.org/health/2023/10/kaiser-permanente-california-behavioral-health-settlement/\"> timely mental health appointments\u003c/a>, among other issues.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Such issues will take center stage on Wednesday at a \u003ca href=\"https://www.senate.ca.gov/mental-health-and-addiction\">special oversight hearing\u003c/a> of the Senate Select Committee on Mental Health and Addiction.\u003c/p>\n\u003cp>Democratic state Sen. Scott Wiener of San Francisco, chair of the committee and author of the California Mental Health Parity Act, says he shares many of the mental health advocates’ concerns. [pullquote size=\"medium\" align=\"right\" citation=\"Sen. Scott Wiener, D-San Francisco\"]‘We know the plans have a long history of finding ways not to cover mental health treatment. The whole purpose of this law is to put an end to that.’[/pullquote] “We know the plans have a long history of finding ways not to cover mental health treatment,” he told CalMatters. “The whole purpose of this law is to put an end to that.”\u003c/p>\n\u003cp>Before the passage of the 2020 law, the state only required health plans to cover medically necessary treatment of nine serious mental illnesses. For years, mental health advocates have tried and failed to \u003ca href=\"https://calmatters.org/projects/california-mental-health-care-parity/\">expand that list\u003c/a>. With Wiener’s law, they were finally triumphant.\u003c/p>\n\u003cp>Beginning in January 2021, the state has required plans to pay for treatment of a much more extensive array of mental health issues, along with substance use disorder and addiction. This state law is separate from a \u003ca href=\"https://www.apa.org/topics/managed-care-insurance/parity-law-resources\">federal mental health parity\u003c/a> law passed in 2008. The concept of “parity” refers to requiring insurers to treat mental and physical health conditions equally.\u003c/p>\n\u003cp>Health plans say they “have been diligently working in good faith” to comply with these laws while facing industry-wide challenges like workforce shortages. They say they are navigating guidelines that are ambiguous and uneven while waiting for the Department of Managed Health Care to finalize regulations.\u003c/p>\n\u003cp>“This creates a situation of moving goalposts for plans, providers, and our enrollees,” said Mary Ellen Grant, spokesperson for the California Association of Health Plans, in an email.\u003c/p>\n\u003ch2>Mental health parity investigations\u003c/h2>\n\u003cp>Mental health advocates have also long criticized the Department of Managed Health Care, which oversees health plans in the state that receive monthly fees to provide health care for their members. And they, too, are concerned that it’s taking so long for the official rules to be decided.\u003c/p>\n\u003cp>This summer, more than a dozen advocacy groups signed a letter of concern to the department, questioning its commitment to enforcing some aspects of\u003ca href=\"https://steinberginstitute.org/wp-content/uploads/2023/08/Comments-to-DMHC-on-BH-Investigations_DRAFT.pdf\"> the new state parity law\u003c/a>. The organizations want the department to publish and publicize its investigations.\u003c/p>\n\u003cp>“It’s still a relatively secret process,” said Lauren Finke, a policy director at The Kennedy Forum, a national organization that cosponsored California’s parity legislation.\u003c/p>\n\u003cfigure id=\"attachment_11964805\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11964805\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-800x533.jpg\" alt=\"Kaiser workers on strike in front of a building.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 2, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Department of Managed Health Care declined to make anyone available to speak with CalMatters until later this fall. In an email, a representative said the department “is committed to ensuring enrollees have appropriate access to behavioral health care when they need it.”\u003c/p>\n\u003cp>In response to advocates’ critiques that the department isn’t adequately analyzing and publicizing how well plans are complying with state parity law, the department said in a statement that it is evaluating health plans’ compliance in other ways; including that analysis in the behavioral health investigations would slow them down too much, the statement said. [pullquote size=\"medium\" align=\"right\" citation=\"Meiram Bendat, attorney and psychotherapist, Santa Barbara\"]‘The historic network inadequacy around the state and the lack of meaningful fines, that’s a real failure on the part of the department.’[/pullquote] Meiram Bendat, a Santa Barbara attorney and psychotherapist who focuses on mental health parity, says that the three-year-old state law has improved patients’ ability to receive mental health care by creating a uniform definition of what is considered “medically necessary.”\u003c/p>\n\u003cp>But when it comes to ensuring that health plans maintain adequate provider networks, he said, the department is “failing miserably.” Too often, plans offer their members only outdated lists of providers who then prove to be unavailable, Bendat said. The Department of Managed Health Care hasn’t adequately held plans accountable for this and other problematic practices, he said.\u003c/p>\n\u003cp>“The historic network inadequacy around the state and the lack of meaningful fines, that’s a real failure on the part of the department,” he said.\u003c/p>\n\u003ch2>Kaiser mental health settlement\u003c/h2>\n\u003cp>Finke, of The Kennedy Forum, called the Kaiser settlement “long overdue” and “a very important first step in the Department holding plans more accountable for their performance [or lack thereof].” The settlement includes a $50 million fine and corrective action plan as well as a commitment by Kaiser to invest an additional $150 million over five years to improve behavioral health services. [aside label='More on Around California' tag='california-law'] But Finke and others also said the settlement itself provides evidence of the department’s failures to enforce a previous \u003ca href=\"https://wpso.dmhc.ca.gov/enfactions/docs/2895/1500394196511.pdf\">settlement agreement\u003c/a> with Kaiser from 2017.\u003c/p>\n\u003cp>“Will DMHC do its job going forward? That’s the big question,” asked Fred Seavey, research director for the National Union of Healthcare Workers. The union represents 2,000 Kaiser mental health workers in Northern California who undertook a 10-week strike last year over heavy clinician workloads and long wait times for appointments.\u003c/p>\n\u003cp>He said he wrote complaints to the Department of Managed Health Care earlier this year, saying that Kaiser in Southern California has been illegally restricting the scope of behavioral health services.\u003c/p>\n\u003cp>Kaiser said, in an emailed statement, that “any accusation that we intentionally limit or restrict needed care is untrue.”\u003c/p>\n\u003cp>Southern California Kaiser members receive a wide range of behavioral health clinical offerings, the statement said. Despite a statewide shortage of clinicians, Kaiser is “doing all that we can” to expand its network of mental health providers.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "A 2020 California law expanded the number of mental health conditions that insurers must cover. Now, lawmakers are reviewing whether the law is working as intended.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Three years ago, California leaders passed legislation that promised \u003ca href=\"https://calmatters.org/health/2020/08/california-leader-mental-health/\">the most dramatic expansion \u003c/a>of mental health and addiction care coverage in decades.\u003c/p>\n\u003cp>As the state’s residents struggled with the stress and trauma of a raging pandemic and a record wildfire season, mental health advocates used words like “groundbreaking” to describe the new law. Finally, they said, California was poised to become a national leader in mental health.\u003c/p>\n\u003cp>Their optimism about that law, Senate Bill 855, has been fraying ever since. Advocates say health plans routinely fail to ensure enough mental health providers accept their coverage, making patients wait too long before being seen.\u003c/p>\n\u003cp>Case in point: Last week, the Department of Managed Health Care unveiled news of a historic $200 million settlement with Kaiser Permanente for failing to provide patients with\u003ca href=\"https://calmatters.org/health/2023/10/kaiser-permanente-california-behavioral-health-settlement/\"> timely mental health appointments\u003c/a>, among other issues.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Such issues will take center stage on Wednesday at a \u003ca href=\"https://www.senate.ca.gov/mental-health-and-addiction\">special oversight hearing\u003c/a> of the Senate Select Committee on Mental Health and Addiction.\u003c/p>\n\u003cp>Democratic state Sen. Scott Wiener of San Francisco, chair of the committee and author of the California Mental Health Parity Act, says he shares many of the mental health advocates’ concerns. \u003c/p>\u003c/div>",
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"content": "‘We know the plans have a long history of finding ways not to cover mental health treatment. The whole purpose of this law is to put an end to that.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “We know the plans have a long history of finding ways not to cover mental health treatment,” he told CalMatters. “The whole purpose of this law is to put an end to that.”\u003c/p>\n\u003cp>Before the passage of the 2020 law, the state only required health plans to cover medically necessary treatment of nine serious mental illnesses. For years, mental health advocates have tried and failed to \u003ca href=\"https://calmatters.org/projects/california-mental-health-care-parity/\">expand that list\u003c/a>. With Wiener’s law, they were finally triumphant.\u003c/p>\n\u003cp>Beginning in January 2021, the state has required plans to pay for treatment of a much more extensive array of mental health issues, along with substance use disorder and addiction. This state law is separate from a \u003ca href=\"https://www.apa.org/topics/managed-care-insurance/parity-law-resources\">federal mental health parity\u003c/a> law passed in 2008. The concept of “parity” refers to requiring insurers to treat mental and physical health conditions equally.\u003c/p>\n\u003cp>Health plans say they “have been diligently working in good faith” to comply with these laws while facing industry-wide challenges like workforce shortages. They say they are navigating guidelines that are ambiguous and uneven while waiting for the Department of Managed Health Care to finalize regulations.\u003c/p>\n\u003cp>“This creates a situation of moving goalposts for plans, providers, and our enrollees,” said Mary Ellen Grant, spokesperson for the California Association of Health Plans, in an email.\u003c/p>\n\u003ch2>Mental health parity investigations\u003c/h2>\n\u003cp>Mental health advocates have also long criticized the Department of Managed Health Care, which oversees health plans in the state that receive monthly fees to provide health care for their members. And they, too, are concerned that it’s taking so long for the official rules to be decided.\u003c/p>\n\u003cp>This summer, more than a dozen advocacy groups signed a letter of concern to the department, questioning its commitment to enforcing some aspects of\u003ca href=\"https://steinberginstitute.org/wp-content/uploads/2023/08/Comments-to-DMHC-on-BH-Investigations_DRAFT.pdf\"> the new state parity law\u003c/a>. The organizations want the department to publish and publicize its investigations.\u003c/p>\n\u003cp>“It’s still a relatively secret process,” said Lauren Finke, a policy director at The Kennedy Forum, a national organization that cosponsored California’s parity legislation.\u003c/p>\n\u003cfigure id=\"attachment_11964805\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11964805\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-800x533.jpg\" alt=\"Kaiser workers on strike in front of a building.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/10/231004-KAISER-STRIKE-MD-03-qut-1.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser workers strike in front of the Kaiser Permanente Oakland Medical Center in Oakland on Oct. 2, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The Department of Managed Health Care declined to make anyone available to speak with CalMatters until later this fall. In an email, a representative said the department “is committed to ensuring enrollees have appropriate access to behavioral health care when they need it.”\u003c/p>\n\u003cp>In response to advocates’ critiques that the department isn’t adequately analyzing and publicizing how well plans are complying with state parity law, the department said in a statement that it is evaluating health plans’ compliance in other ways; including that analysis in the behavioral health investigations would slow them down too much, the statement said. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Meiram Bendat, a Santa Barbara attorney and psychotherapist who focuses on mental health parity, says that the three-year-old state law has improved patients’ ability to receive mental health care by creating a uniform definition of what is considered “medically necessary.”\u003c/p>\n\u003cp>But when it comes to ensuring that health plans maintain adequate provider networks, he said, the department is “failing miserably.” Too often, plans offer their members only outdated lists of providers who then prove to be unavailable, Bendat said. The Department of Managed Health Care hasn’t adequately held plans accountable for this and other problematic practices, he said.\u003c/p>\n\u003cp>“The historic network inadequacy around the state and the lack of meaningful fines, that’s a real failure on the part of the department,” he said.\u003c/p>\n\u003ch2>Kaiser mental health settlement\u003c/h2>\n\u003cp>Finke, of The Kennedy Forum, called the Kaiser settlement “long overdue” and “a very important first step in the Department holding plans more accountable for their performance [or lack thereof].” The settlement includes a $50 million fine and corrective action plan as well as a commitment by Kaiser to invest an additional $150 million over five years to improve behavioral health services. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> But Finke and others also said the settlement itself provides evidence of the department’s failures to enforce a previous \u003ca href=\"https://wpso.dmhc.ca.gov/enfactions/docs/2895/1500394196511.pdf\">settlement agreement\u003c/a> with Kaiser from 2017.\u003c/p>\n\u003cp>“Will DMHC do its job going forward? That’s the big question,” asked Fred Seavey, research director for the National Union of Healthcare Workers. The union represents 2,000 Kaiser mental health workers in Northern California who undertook a 10-week strike last year over heavy clinician workloads and long wait times for appointments.\u003c/p>\n\u003cp>He said he wrote complaints to the Department of Managed Health Care earlier this year, saying that Kaiser in Southern California has been illegally restricting the scope of behavioral health services.\u003c/p>\n\u003cp>Kaiser said, in an emailed statement, that “any accusation that we intentionally limit or restrict needed care is untrue.”\u003c/p>\n\u003cp>Southern California Kaiser members receive a wide range of behavioral health clinical offerings, the statement said. Despite a statewide shortage of clinicians, Kaiser is “doing all that we can” to expand its network of mental health providers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>An \u003ca href=\"https://www.kqed.org/news/11961241/inside-californias-landmark-mental-health-reforms\">ambitious plan to change how California funds mental health care\u003c/a> will go before voters in March after Gov. Gavin Newsom signed a pair of bills Thursday to place the reforms on the primary ballot.\u003c/p>\n\u003cp>The changes to the Mental Health Services Act and a corresponding housing bond are aimed at helping Californians with severe mental illness while living on the street. The measures won overwhelming support in the Legislature despite concerns from California counties and some mental health advocates. Together, they represent Newsom’s latest effort to transform care at the intersection of mental health and homelessness.\u003c/p>\n\u003cp>The two bills Newsom signed on Thursday — Senate Bill 326 and Assembly Bill 531 — will appear on the March 5, 2024 ballot as Proposition 1.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“This was bipartisan legislation that we signed today, Democrats, Republicans — all of us impacted by the issue of mental health, mental illness,” Newsom said at a bill signing ceremony in Los Angeles. “So we’re very excited about the prospect of our success in March.”\u003c/p>\n\u003cp>SB 326 reworks the state’s Mental Health Services Act, first approved by voters in 2004. The MHSA places a 1% tax on personal income over $1 million to fund mental health care, along with services aimed at preventing mental health issues in kids and teens from becoming more severe.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"California Gov. Gavin Newsom\"]‘This was bipartisan legislation that we signed today, Democrats, Republicans — all of us impacted by the issue of mental health, mental illness.’[/pullquote]Under the changes, the law would be renamed the Behavioral Health Services Act, and tax dollars could be used to treat substance abuse, in addition to mental illness.\u003c/p>\n\u003cp>Going forward, 30% of the act’s revenue would be set aside for housing, which could include temporary units or rental subsidies for Californians with acute mental health care needs.\u003c/p>\n\u003cp>“We all come to this with our own personal stories about the frustrations of knocking our heads against walls, trying to get people we love help,” said Sen. Susan Talamantes Eggman (D-Stockton), the bill’s author. “Well, now we have all the pieces together.”\u003c/p>\n\u003cp>The bill faced initial opposition from providers of youth mental health services, who argued the plan lacked clear set-asides to pay for early interventions — such as paying for mental health clinicians to come into classrooms and help early childhood educators identify issues with students. The plan was amended to include specific set-asides for early intervention and Californians younger than 25.\u003c/p>\n\u003cp>County governments remained skeptical of the bill. Tax revenue from wealthy Californians is a volatile revenue source, and directing more of that money toward housing could leave less funding for core mental health services.\u003c/p>\n\u003cp>[aside label='More on California Law' tag='california-law']“Counties have a significant and growing obligation to fund behavioral health services under the Medi-Cal entitlement and use MHSA funds to support that obligation,” according to the final Senate analysis of the bill. “This proposal leaves counties with fewer resources to do so, including less funding available to use as a Medi-Cal match to draw down additional federal dollars.”\u003c/p>\n\u003cp>AB 531 proposes a $6.38 billion bond, with the goal of providing 10,000 new beds and supportive housing units for those with severe behavioral health needs who, supporters of the plan argue, currently end up in emergency rooms or back on the streets.\u003c/p>\n\u003cp>Over $1 billion will be set aside for veterans with behavioral health needs. Supporters of the plan are promising community-based facilities, and not the locked state mental hospitals of years past.\u003c/p>\n\u003cp>Jolissa Hebard, an outreach supervisor with the National Alliance on Mental Illness in Westside Los Angeles, said she has lived with substance use and has relatives with bipolar disorder. She also has a son who has attempted suicide.\u003c/p>\n\u003cp>“The stuff that we are doing today is going to help families to help themselves and help their loved ones,” she said.\u003c/p>\n\u003cp>The Newsom administration pushed hard to win support for the mental health changes in the state Legislature and the governor will actively pitch his plan to voters next year, said Dana Williamson, Newsom’s chief of staff.\u003c/p>\n\u003cp>“If he were here, he’d tell you this is his biggest priority,” Williamson told KQED’s Political Breakdown last month.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Jolissa Hebard, outreach supervisor, National Alliance on Mental Illness\"]‘The stuff that we are doing today is going to help families to help themselves and help their loved ones.’[/pullquote]Since taking office, Newsom has pushed for changes to how state and local governments deal with people suffering from severe psychosis or substance abuse — many of whom end up living in encampments on sidewalks or riverbeds.\u003c/p>\n\u003cp>Last year, the \u003ca href=\"https://www.kqed.org/news/11924117/governors-care-court-plan-passes-assembly-clearing-way-to-become-law\">governor signed into law the CARE Court program\u003c/a>, which authorizes judges to compel care and housing for Californians with severe mental illness. That law is \u003ca href=\"https://www.kqed.org/forum/2010101894425/care-court-is-coming-to-san-francisco-heres-what-we-can-expect\">rolling out this fall in eight counties\u003c/a> before statewide implementation next year.\u003c/p>\n\u003cp>Earlier this week, Newsom signed a bill \u003ca href=\"https://www.kqed.org/news/11963961/newsom-signs-law-expanding-conservatorships-for-those-experiencing-severe-mental-illness-substance-abuse\">expanding the state’s conservatorship law\u003c/a> governing the use of involuntary medical care.\u003c/p>\n\u003cp>Proposition 1 will be the only statewide measure on the March 5 ballot. Voters will also weigh in on primaries for president and California’s U.S. Senate seat.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>An \u003ca href=\"https://www.kqed.org/news/11961241/inside-californias-landmark-mental-health-reforms\">ambitious plan to change how California funds mental health care\u003c/a> will go before voters in March after Gov. Gavin Newsom signed a pair of bills Thursday to place the reforms on the primary ballot.\u003c/p>\n\u003cp>The changes to the Mental Health Services Act and a corresponding housing bond are aimed at helping Californians with severe mental illness while living on the street. The measures won overwhelming support in the Legislature despite concerns from California counties and some mental health advocates. Together, they represent Newsom’s latest effort to transform care at the intersection of mental health and homelessness.\u003c/p>\n\u003cp>The two bills Newsom signed on Thursday — Senate Bill 326 and Assembly Bill 531 — will appear on the March 5, 2024 ballot as Proposition 1.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This was bipartisan legislation that we signed today, Democrats, Republicans — all of us impacted by the issue of mental health, mental illness,” Newsom said at a bill signing ceremony in Los Angeles. “So we’re very excited about the prospect of our success in March.”\u003c/p>\n\u003cp>SB 326 reworks the state’s Mental Health Services Act, first approved by voters in 2004. The MHSA places a 1% tax on personal income over $1 million to fund mental health care, along with services aimed at preventing mental health issues in kids and teens from becoming more severe.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘This was bipartisan legislation that we signed today, Democrats, Republicans — all of us impacted by the issue of mental health, mental illness.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Under the changes, the law would be renamed the Behavioral Health Services Act, and tax dollars could be used to treat substance abuse, in addition to mental illness.\u003c/p>\n\u003cp>Going forward, 30% of the act’s revenue would be set aside for housing, which could include temporary units or rental subsidies for Californians with acute mental health care needs.\u003c/p>\n\u003cp>“We all come to this with our own personal stories about the frustrations of knocking our heads against walls, trying to get people we love help,” said Sen. Susan Talamantes Eggman (D-Stockton), the bill’s author. “Well, now we have all the pieces together.”\u003c/p>\n\u003cp>The bill faced initial opposition from providers of youth mental health services, who argued the plan lacked clear set-asides to pay for early interventions — such as paying for mental health clinicians to come into classrooms and help early childhood educators identify issues with students. The plan was amended to include specific set-asides for early intervention and Californians younger than 25.\u003c/p>\n\u003cp>County governments remained skeptical of the bill. Tax revenue from wealthy Californians is a volatile revenue source, and directing more of that money toward housing could leave less funding for core mental health services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Counties have a significant and growing obligation to fund behavioral health services under the Medi-Cal entitlement and use MHSA funds to support that obligation,” according to the final Senate analysis of the bill. “This proposal leaves counties with fewer resources to do so, including less funding available to use as a Medi-Cal match to draw down additional federal dollars.”\u003c/p>\n\u003cp>AB 531 proposes a $6.38 billion bond, with the goal of providing 10,000 new beds and supportive housing units for those with severe behavioral health needs who, supporters of the plan argue, currently end up in emergency rooms or back on the streets.\u003c/p>\n\u003cp>Over $1 billion will be set aside for veterans with behavioral health needs. Supporters of the plan are promising community-based facilities, and not the locked state mental hospitals of years past.\u003c/p>\n\u003cp>Jolissa Hebard, an outreach supervisor with the National Alliance on Mental Illness in Westside Los Angeles, said she has lived with substance use and has relatives with bipolar disorder. She also has a son who has attempted suicide.\u003c/p>\n\u003cp>“The stuff that we are doing today is going to help families to help themselves and help their loved ones,” she said.\u003c/p>\n\u003cp>The Newsom administration pushed hard to win support for the mental health changes in the state Legislature and the governor will actively pitch his plan to voters next year, said Dana Williamson, Newsom’s chief of staff.\u003c/p>\n\u003cp>“If he were here, he’d tell you this is his biggest priority,” Williamson told KQED’s Political Breakdown last month.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Since taking office, Newsom has pushed for changes to how state and local governments deal with people suffering from severe psychosis or substance abuse — many of whom end up living in encampments on sidewalks or riverbeds.\u003c/p>\n\u003cp>Last year, the \u003ca href=\"https://www.kqed.org/news/11924117/governors-care-court-plan-passes-assembly-clearing-way-to-become-law\">governor signed into law the CARE Court program\u003c/a>, which authorizes judges to compel care and housing for Californians with severe mental illness. That law is \u003ca href=\"https://www.kqed.org/forum/2010101894425/care-court-is-coming-to-san-francisco-heres-what-we-can-expect\">rolling out this fall in eight counties\u003c/a> before statewide implementation next year.\u003c/p>\n\u003cp>Earlier this week, Newsom signed a bill \u003ca href=\"https://www.kqed.org/news/11963961/newsom-signs-law-expanding-conservatorships-for-those-experiencing-severe-mental-illness-substance-abuse\">expanding the state’s conservatorship law\u003c/a> governing the use of involuntary medical care.\u003c/p>\n\u003cp>Proposition 1 will be the only statewide measure on the March 5 ballot. Voters will also weigh in on primaries for president and California’s U.S. Senate seat.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Gov. Gavin Newsom on Tuesday signed the first of a series of bills that aims to transform California’s mental health system by loosening long-standing rules that dictate who can be forced into treatment.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB43\">Senate Bill 43\u003c/a>, which changes the state’s conservatorship laws for the first time in more than 50 years, broadens the standards for involuntary medical treatment to include people who are considered unable to keep themselves safe because of severe substance-use disorders or mental health issues.\u003c/p>\n\u003cp>Depending on who you ask, this transformation represents a long overdue humanitarian response — or a worrisome step backward on civil liberties.\u003c/p>\n\u003cp>“California is undertaking a \u003ca href=\"https://www.gov.ca.gov/2023/10/10/modernizing-conservatorship-law-sb43/\">major overhaul of our mental health system,\u003c/a>” Newsom said in a statement. “The mental health crisis affects us all, and people who need the most help have been too often overlooked. We are working to ensure no one falls through the cracks, and that people get the help they need and the respect they deserve.”\u003c/p>\n\u003cp>Newsom is also expected to sign legislation that sends two key ballot measures to voters next March: a $6.4 billion bond to pay for 10,000\u003cstrong> \u003c/strong>new treatment beds and expand supportive housing options, and an update to a 20-year-old law that provides funding for \u003ca href=\"https://calmatters.org/health/mental-health/2023/09/gavin-newsom-mental-health-2024-election/\">mental health services\u003c/a>. Both measures would need approval from a majority of voters.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>All of this comes just as CARE Court — Newsom’s signature mental health legislation from last year aimed at addressing treatment options for people suffering from severe mental illness — begins rolling out in an initial cohort of seven counties. Glenn, Orange, Riverside, San Diego, San Francisco, Stanislaus and Tuolumne counties opened their \u003ca href=\"https://calmatters.org/housing/2022/09/california-lawmakers-approved-care-court-what-comes-next/\">Community Assistance, Recovery, and Empowerment (CARE) courts\u003c/a> earlier this month; Los Angeles County will open its court in December. The rest of the state’s counties will follow suit next year.\u003c/p>\n\u003cp>Addressing serious mental illness among the state’s growing unhoused population is a major focus of all of these initiatives.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"conservatorship\"]A recent survey of people experiencing homelessness by the \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">UCSF Benioff Homelessness and Housing Initiative\u003c/a>, found that the majority had experienced \u003ca href=\"https://homelessness.ucsf.edu/sites/default/files/2023-06/CASPEH_Report_62023.pdf\">serious mental health conditions (PDF)\u003c/a> at some point in their lives, but also found that high housing costs and low incomes were the main reasons most actually entered homelessness.\u003c/p>\n\u003cp>CARE Court allows family, close friends, first responders and behavioral health workers to petition a court to compel a person with untreated schizophrenia or other psychotic disorders into a court-ordered treatment plan. The proposed ballot initiative to redesign the Mental Health Services Act would require that 30% of tax dollars brought in under the plan go toward housing programs, with half of that reserved for people who are chronically homeless or living in encampments.\u003c/p>\n\u003cp>The prospective changes mark a significant departure from the decades in which civil liberties protections for Californians with mental illness seemed virtually untouchable because of the landmark 1967 Lanterman-Petris-Short Act.\u003c/p>\n\u003cp>The authors of that law sought to end the inappropriate and often indefinite institutionalization of people with mental illnesses and developmental disabilities. At the time, it had been relatively easy for family members to force people into mental health treatment, often locking them away for long stretches in state hospitals where conditions were often abhorrent.\u003c/p>\n\u003ch2>New standard for involuntary treatment\u003c/h2>\n\u003cp>The law established strict criteria to determine who was eligible for involuntary treatment as well as specific timeframes that limited how long people could be held against their will. This included the 72-hour hold period, known as a 5150. But concurrent promises to build up community-based support programs did not materialize.\u003c/p>\n\u003cp>Susan Talamantes Eggman, a social worker turned Democratic state senator from Stockton, has become one of the Legislature’s main authors of mental health policies, and is among those who feel the state went too far back then.\u003c/p>\n\u003cp>“For fear of doing something wrong we did something even worse,” said Eggman, who authored SB 43 and co-authored last year’s CARE Act.\u003c/p>\n\u003cp>She told CalMatters she has tried five times in recent years to introduce legislation amending the Lanterman-Petris-Short Act, but was stymied by stiff resistance from disability rights groups and some legislators concerned with the civil liberties implications.\u003c/p>\n\u003cp>But this year’s attempt sailed through the Legislature with little opposition.\u003c/p>\n\u003cp>She called the current constellation of policy changes “the most significant thing we’ve done in the mental health, behavioral health workspace easily within the last 50 years.”\u003c/p>\n\u003ch2 id=\"h-why-some-families-want-involuntary-treatment\" class=\"wp-block-heading\">Why some families want involuntary treatment\u003c/h2>\n\u003cp>Many families of seriously mentally ill individuals say they are thrilled with Eggman’s bill and other recent policy shifts, after long feeling sidelined in their efforts to get treatment for loved ones who refuse it.\u003c/p>\n\u003cp>“I think personally that the tide is finally turning, that we are on our way to really doing something to help these very sick people get the treatment that they need,” said Linda Mimms, vice chair of the national Schizophrenia & Psychosis Action Alliance.\u003c/p>\n\u003cp>She lauded \u003ca href=\"https://www.youtube.com/watch?v=gCBATlzmvqA\">Newsom’s interview with 60 Minutes\u003c/a> last month, in which he called out critics of the changes.\u003c/p>\n\u003cp>“Change has its enemies. I get it,” Newsom said. “But one thing you cannot argue for — with all due respect to all the critics out there — is the status quo. You can’t. And in the absence of alternatives, what the hell are we going to do to address this crisis?”\u003c/p>\n\u003cp>But those critics say they aren’t defending the status quo at all. Rather, they point to other critical parts of the system — including affordable housing and an array of voluntary treatment services — that have suffered after decades of underinvestment.\u003c/p>\n\u003cp>“We’re never having the right conversation,” said Kelechi Ubozoh, a mental health advocate and author of \u003cem>We’ve Been Too Patient: Voices from Radical Mental Health\u003c/em>. “It is a conversation around poverty. We’re still saying, ‘Let’s blame it on mental health and the mental health system.’”\u003c/p>\n\u003cp>Many who live with mental illness have had traumatic experiences with involuntary treatment, Ubozoh said, and are “really scared” by the current direction the state is headed.\u003c/p>\n\u003cp>“For no one to oppose this huge erosion of civil rights is just a really concerning change in the state Legislature,” said Samuel Jain, senior attorney with Disability Rights California. He believes that state leaders, feeling pressure to address the state’s spiraling homelessness crisis, are conflating homelessness and mental illness.\u003c/p>\n\u003cp>“We don’t feel that this is going to change anything on the streets,” he said. “This strategy seems to be to take people with mental health disabilities and put them into institutions.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>In the meantime, he said, his organization’s clients often find themselves stuck in emergency departments and locked psychiatric settings because there are no community-based beds available for them.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom on Tuesday signed the first of a series of bills that aims to transform California’s mental health system by loosening long-standing rules that dictate who can be forced into treatment.\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB43\">Senate Bill 43\u003c/a>, which changes the state’s conservatorship laws for the first time in more than 50 years, broadens the standards for involuntary medical treatment to include people who are considered unable to keep themselves safe because of severe substance-use disorders or mental health issues.\u003c/p>\n\u003cp>Depending on who you ask, this transformation represents a long overdue humanitarian response — or a worrisome step backward on civil liberties.\u003c/p>\n\u003cp>“California is undertaking a \u003ca href=\"https://www.gov.ca.gov/2023/10/10/modernizing-conservatorship-law-sb43/\">major overhaul of our mental health system,\u003c/a>” Newsom said in a statement. “The mental health crisis affects us all, and people who need the most help have been too often overlooked. We are working to ensure no one falls through the cracks, and that people get the help they need and the respect they deserve.”\u003c/p>\n\u003cp>Newsom is also expected to sign legislation that sends two key ballot measures to voters next March: a $6.4 billion bond to pay for 10,000\u003cstrong> \u003c/strong>new treatment beds and expand supportive housing options, and an update to a 20-year-old law that provides funding for \u003ca href=\"https://calmatters.org/health/mental-health/2023/09/gavin-newsom-mental-health-2024-election/\">mental health services\u003c/a>. Both measures would need approval from a majority of voters.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>All of this comes just as CARE Court — Newsom’s signature mental health legislation from last year aimed at addressing treatment options for people suffering from severe mental illness — begins rolling out in an initial cohort of seven counties. Glenn, Orange, Riverside, San Diego, San Francisco, Stanislaus and Tuolumne counties opened their \u003ca href=\"https://calmatters.org/housing/2022/09/california-lawmakers-approved-care-court-what-comes-next/\">Community Assistance, Recovery, and Empowerment (CARE) courts\u003c/a> earlier this month; Los Angeles County will open its court in December. The rest of the state’s counties will follow suit next year.\u003c/p>\n\u003cp>Addressing serious mental illness among the state’s growing unhoused population is a major focus of all of these initiatives.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>A recent survey of people experiencing homelessness by the \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">UCSF Benioff Homelessness and Housing Initiative\u003c/a>, found that the majority had experienced \u003ca href=\"https://homelessness.ucsf.edu/sites/default/files/2023-06/CASPEH_Report_62023.pdf\">serious mental health conditions (PDF)\u003c/a> at some point in their lives, but also found that high housing costs and low incomes were the main reasons most actually entered homelessness.\u003c/p>\n\u003cp>CARE Court allows family, close friends, first responders and behavioral health workers to petition a court to compel a person with untreated schizophrenia or other psychotic disorders into a court-ordered treatment plan. The proposed ballot initiative to redesign the Mental Health Services Act would require that 30% of tax dollars brought in under the plan go toward housing programs, with half of that reserved for people who are chronically homeless or living in encampments.\u003c/p>\n\u003cp>The prospective changes mark a significant departure from the decades in which civil liberties protections for Californians with mental illness seemed virtually untouchable because of the landmark 1967 Lanterman-Petris-Short Act.\u003c/p>\n\u003cp>The authors of that law sought to end the inappropriate and often indefinite institutionalization of people with mental illnesses and developmental disabilities. At the time, it had been relatively easy for family members to force people into mental health treatment, often locking them away for long stretches in state hospitals where conditions were often abhorrent.\u003c/p>\n\u003ch2>New standard for involuntary treatment\u003c/h2>\n\u003cp>The law established strict criteria to determine who was eligible for involuntary treatment as well as specific timeframes that limited how long people could be held against their will. This included the 72-hour hold period, known as a 5150. But concurrent promises to build up community-based support programs did not materialize.\u003c/p>\n\u003cp>Susan Talamantes Eggman, a social worker turned Democratic state senator from Stockton, has become one of the Legislature’s main authors of mental health policies, and is among those who feel the state went too far back then.\u003c/p>\n\u003cp>“For fear of doing something wrong we did something even worse,” said Eggman, who authored SB 43 and co-authored last year’s CARE Act.\u003c/p>\n\u003cp>She told CalMatters she has tried five times in recent years to introduce legislation amending the Lanterman-Petris-Short Act, but was stymied by stiff resistance from disability rights groups and some legislators concerned with the civil liberties implications.\u003c/p>\n\u003cp>But this year’s attempt sailed through the Legislature with little opposition.\u003c/p>\n\u003cp>She called the current constellation of policy changes “the most significant thing we’ve done in the mental health, behavioral health workspace easily within the last 50 years.”\u003c/p>\n\u003ch2 id=\"h-why-some-families-want-involuntary-treatment\" class=\"wp-block-heading\">Why some families want involuntary treatment\u003c/h2>\n\u003cp>Many families of seriously mentally ill individuals say they are thrilled with Eggman’s bill and other recent policy shifts, after long feeling sidelined in their efforts to get treatment for loved ones who refuse it.\u003c/p>\n\u003cp>“I think personally that the tide is finally turning, that we are on our way to really doing something to help these very sick people get the treatment that they need,” said Linda Mimms, vice chair of the national Schizophrenia & Psychosis Action Alliance.\u003c/p>\n\u003cp>She lauded \u003ca href=\"https://www.youtube.com/watch?v=gCBATlzmvqA\">Newsom’s interview with 60 Minutes\u003c/a> last month, in which he called out critics of the changes.\u003c/p>\n\u003cp>“Change has its enemies. I get it,” Newsom said. “But one thing you cannot argue for — with all due respect to all the critics out there — is the status quo. You can’t. And in the absence of alternatives, what the hell are we going to do to address this crisis?”\u003c/p>\n\u003cp>But those critics say they aren’t defending the status quo at all. Rather, they point to other critical parts of the system — including affordable housing and an array of voluntary treatment services — that have suffered after decades of underinvestment.\u003c/p>\n\u003cp>“We’re never having the right conversation,” said Kelechi Ubozoh, a mental health advocate and author of \u003cem>We’ve Been Too Patient: Voices from Radical Mental Health\u003c/em>. “It is a conversation around poverty. We’re still saying, ‘Let’s blame it on mental health and the mental health system.’”\u003c/p>\n\u003cp>Many who live with mental illness have had traumatic experiences with involuntary treatment, Ubozoh said, and are “really scared” by the current direction the state is headed.\u003c/p>\n\u003cp>“For no one to oppose this huge erosion of civil rights is just a really concerning change in the state Legislature,” said Samuel Jain, senior attorney with Disability Rights California. He believes that state leaders, feeling pressure to address the state’s spiraling homelessness crisis, are conflating homelessness and mental illness.\u003c/p>\n\u003cp>“We don’t feel that this is going to change anything on the streets,” he said. “This strategy seems to be to take people with mental health disabilities and put them into institutions.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Not everyone has the chance to say goodbye to someone who’s dying. But when they do have that opportunity, it can be one of the most intense moments of their life.\u003c/p>\n\u003cp>Bay Area artist Wendy MacNaughton is familiar with this process, from spending time with her aunt — who had Parkinson’s — before she died. [pullquote size=\"medium\" align=\"right\" citation=\"Wendy MacNaughton, artist and author, ‘How to Say Goodbye’\"]‘Drawing is a way that I am able to look at things and to be present with people. So I started drawing her every day as she was dying.’[/pullquote] MacNaughton said that at first, she was uncomfortable being around her aunt.\u003c/p>\n\u003cp>“I’d never been at the bedside with somebody who was dying, and I didn’t know what to do,” MacNaughton said. “I didn’t know what to say. I was afraid to really sit and be with her.”\u003c/p>\n\u003cp>But for MacNaughton, “drawing is a way that I am able to look at things and to be present with people,” she said. “So I started drawing her every day as she was dying.”\u003c/p>\n\u003cp>Days after her aunt’s passing, MacNaughton received a call from the Bay Area Zen Hospice Guest House inviting her to become their artist-in-residence. The “universe steps in, as it sometimes does,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>During her residency, \u003ca href=\"https://www.wendymacnaughton.com/illustration/how-to-say-goodbye\">MacNaughton wrote and illustrated the book \u003cem>How to Say Goodbye\u003c/em>\u003c/a>. The book, as she describes it, contains “the wisdom of the hospice caregivers: how to, in a way, be present with somebody in the last days of their life.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/forum/2010101894355/how-to-say-goodbye-to-the-dying\">KQED Forum spoke to MacNaughton, and nurse Ladybird Morgan\u003c/a>, who is the co-founder of the Humane Prison Hospice Project and has worked in end-of-life care for two decades. The two shared their thoughts on how to navigate the difficult process:\u003c/p>\n\u003ch2>1. Keep these 5 phrases in mind\u003c/h2>\n\u003cp>MacNaughton shared what the executive director of the Zen Hospice Guest House learned — which are the five phrases that people can say to help them let go, and not leave anything unsaid to a loved one.\u003c/p>\n\u003cp>\u003cstrong>The phrases are:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>I forgive you.\u003c/li>\n\u003cli>Please forgive me.\u003c/li>\n\u003cli>Thank you.\u003c/li>\n\u003cli>I love you.\u003c/li>\n\u003cli>Goodbye.\u003c/li>\n\u003c/ul>\n\u003cp>“There are ways to start a conversation so that nothing is left unsaid. It doesn’t change anything, right? We’re still learning. We’re still letting go of a person. We’re still going to lose them. And maybe we’ll always have some regrets,” MacNaughton said. “I don’t think it’s possible for us to say it all and resolve it all: That’s just not possible. But we can do our best.”\u003c/p>\n\u003cp>In life, MacNaughton said many people are not the type to go right into challenging conversations with others. [aside postID=news_11923381 hero='https://ww2.kqed.org/app/uploads/sites/10/2022/08/pexels-valeria-boltneva-12965-CROPPED-1020x680.jpg'] “But the end of life is an opportunity to say those things that we’ve maybe been avoiding our whole lives, that we hold so deep in our heart that we want to let go of,” she said. “Two of the five things are about forgiveness, but maybe it’s more about letting go of things that we’ve held onto so that we can let go of the person who we love.”\u003c/p>\n\u003cp>The Prison Hospice Project’s Ladybird Morgan added that these questions can also be “a pathway to someone getting confirmation that they mattered in the world, and they were noticed.”\u003c/p>\n\u003cp>“‘Did you see? Did you understand what I meant? Did you really actually feel me?’” she said she imagines a dying person wondering. “‘Yes, I felt you. I saw you. I love you.’”\u003c/p>\n\u003ch2>2. Be present in the moment\u003c/h2>\n\u003cp>MacNaughton describes herself as a “doer.” Some people, however, may have to turn off their problem-solving brain in this situation.\u003c/p>\n\u003cp>“I am somebody who wants to fix things. I want to make things out of things,” she said. “And time and time again, life is teaching me, ‘We can’t fix things. We can’t do a lot.’”\u003c/p>\n\u003cp>“All we can do is really slow down and open up and be there with somebody in a way that is close and intimate and loving,” MacNaughton said.\u003c/p>\n\u003cp>Morgan said when dealing with the death of a loved one and trying to find closure, people can seek a place of trust and know that their connection — and love — is real.\u003c/p>\n\u003cp>“I think the only thing I can say right now in this moment is just hold your memory. Hold your love for this being close to you. That is real and that exists,” she said.\u003c/p>\n\u003ch2>3. Requests may have deeper meanings — especially around food\u003c/h2>\n\u003cp>A listener named Erin called in to describe her experience as a kitchen manager at Zen Hospice Guesthouse. She said the experience was a lesson in learning how “food isn’t really about food. It’s about all these other things happening.”\u003c/p>\n\u003cp>Erin described asking someone what they wanted to eat and “it would be this opening to talk about [how] they escaped the Holocaust, and they want some chicken matzo ball soup.”\u003c/p>\n\u003cfigure id=\"attachment_11961628\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11961628\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage.jpg\" alt=\"A collage of colorful illustrations that depict scenes from hospice care, with figures in bed as other figures sit around them.\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/MacNaughton-Collage.jpg 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/MacNaughton-Collage-800x539.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/MacNaughton-Collage-1020x687.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/MacNaughton-Collage-160x108.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/MacNaughton-Collage-1536x1035.jpg 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Illustrations from Wendy MacNaughton’s book ‘How to Say Goodbye’ \u003ccite>(Courtesy of Wendy MacNaughton)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One woman wanted to drink beer and milk all day. Another man requested a fancy pot roast that he couldn’t eat.\u003c/p>\n\u003cp>“He just wanted to smell, and see all the incredible communities that would gather around food,” she said.\u003c/p>\n\u003ch2>4. Remember the scope of the world\u003c/h2>\n\u003cp>Morgan said she got into hospice work because death reminds her that “life isn’t just about me.”\u003c/p>\n\u003cp>“People are dying in so many different ways: suddenly, dramatically, violently, sometimes with grace, sometimes with planning,” she said. “But there’s many, many ways to die.” [pullquote size=\"medium\" align=\"right\" citation=\"Ladybird Morgan, co-founder, Humane Prison Hospice Project \"]‘What’s really important is taking away this mysticism, and this magical quality, of ‘being at the bedside’ — and [instead] remembering that the whole universe is here supporting us in living and dying.’[/pullquote] Even though the experience of being at the bedside of a dying person can feel small-scale and intimate, Morgan stressed the importance of remembering our place in the wider world when death is on the horizon.\u003c/p>\n\u003cp>“What’s really important is taking away this mysticism, and this magical quality, of ‘being at the bedside’ — and [instead] remembering that the whole universe is here supporting us in living and dying,” she said.\u003c/p>\n\u003cp>“How do we make more space for all of us, to be able to see what our role is in it?” asked Morgan. “Not just the magical people who happen to choose to do the work?”\u003c/p>\n\u003cp>This awareness of the wider world, and our place in it, is also helpful when considering how you could support a partner or friend who’s losing \u003cem>their \u003c/em>loved one. It is natural for people to want to be the perfect support system, acknowledged Morgan, when a KQED Forum listener asked how she could best help her husband as his father began to pass.\u003c/p>\n\u003cp>“Just be yourself,” Morgan advised. “We want to get it right. We want to do it right. But you can’t get everything right. [So you should] do what you can, when you can.”\u003c/p>\n\u003cp>She encouraged listeners to “remember that it’s not just about you,” in that there are many other outlets, like nature, art, food, museums and music, with which a person can “nourish” themselves at this difficult time, without their partner or friend needing to be their sole source of solace.\u003c/p>\n\u003cp>“It’s not just about having a conversation, or making someone talk about something or even going to therapy, which is wonderful,” Morgan said. “But just remember the bigger scope of what’s available to you.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>During her residency, \u003ca href=\"https://www.wendymacnaughton.com/illustration/how-to-say-goodbye\">MacNaughton wrote and illustrated the book \u003cem>How to Say Goodbye\u003c/em>\u003c/a>. The book, as she describes it, contains “the wisdom of the hospice caregivers: how to, in a way, be present with somebody in the last days of their life.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/forum/2010101894355/how-to-say-goodbye-to-the-dying\">KQED Forum spoke to MacNaughton, and nurse Ladybird Morgan\u003c/a>, who is the co-founder of the Humane Prison Hospice Project and has worked in end-of-life care for two decades. The two shared their thoughts on how to navigate the difficult process:\u003c/p>\n\u003ch2>1. Keep these 5 phrases in mind\u003c/h2>\n\u003cp>MacNaughton shared what the executive director of the Zen Hospice Guest House learned — which are the five phrases that people can say to help them let go, and not leave anything unsaid to a loved one.\u003c/p>\n\u003cp>\u003cstrong>The phrases are:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>I forgive you.\u003c/li>\n\u003cli>Please forgive me.\u003c/li>\n\u003cli>Thank you.\u003c/li>\n\u003cli>I love you.\u003c/li>\n\u003cli>Goodbye.\u003c/li>\n\u003c/ul>\n\u003cp>“There are ways to start a conversation so that nothing is left unsaid. It doesn’t change anything, right? We’re still learning. We’re still letting go of a person. We’re still going to lose them. And maybe we’ll always have some regrets,” MacNaughton said. “I don’t think it’s possible for us to say it all and resolve it all: That’s just not possible. But we can do our best.”\u003c/p>\n\u003cp>In life, MacNaughton said many people are not the type to go right into challenging conversations with others. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “But the end of life is an opportunity to say those things that we’ve maybe been avoiding our whole lives, that we hold so deep in our heart that we want to let go of,” she said. “Two of the five things are about forgiveness, but maybe it’s more about letting go of things that we’ve held onto so that we can let go of the person who we love.”\u003c/p>\n\u003cp>The Prison Hospice Project’s Ladybird Morgan added that these questions can also be “a pathway to someone getting confirmation that they mattered in the world, and they were noticed.”\u003c/p>\n\u003cp>“‘Did you see? Did you understand what I meant? Did you really actually feel me?’” she said she imagines a dying person wondering. “‘Yes, I felt you. I saw you. I love you.’”\u003c/p>\n\u003ch2>2. Be present in the moment\u003c/h2>\n\u003cp>MacNaughton describes herself as a “doer.” Some people, however, may have to turn off their problem-solving brain in this situation.\u003c/p>\n\u003cp>“I am somebody who wants to fix things. I want to make things out of things,” she said. “And time and time again, life is teaching me, ‘We can’t fix things. We can’t do a lot.’”\u003c/p>\n\u003cp>“All we can do is really slow down and open up and be there with somebody in a way that is close and intimate and loving,” MacNaughton said.\u003c/p>\n\u003cp>Morgan said when dealing with the death of a loved one and trying to find closure, people can seek a place of trust and know that their connection — and love — is real.\u003c/p>\n\u003cp>“I think the only thing I can say right now in this moment is just hold your memory. Hold your love for this being close to you. That is real and that exists,” she said.\u003c/p>\n\u003ch2>3. Requests may have deeper meanings — especially around food\u003c/h2>\n\u003cp>A listener named Erin called in to describe her experience as a kitchen manager at Zen Hospice Guesthouse. She said the experience was a lesson in learning how “food isn’t really about food. It’s about all these other things happening.”\u003c/p>\n\u003cp>Erin described asking someone what they wanted to eat and “it would be this opening to talk about [how] they escaped the Holocaust, and they want some chicken matzo ball soup.”\u003c/p>\n\u003cfigure id=\"attachment_11961628\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11961628\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/MacNaughton-Collage.jpg\" alt=\"A collage of colorful illustrations that depict scenes from hospice care, with figures in bed as other figures sit around them.\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/MacNaughton-Collage.jpg 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/MacNaughton-Collage-800x539.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/MacNaughton-Collage-1020x687.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/MacNaughton-Collage-160x108.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/09/MacNaughton-Collage-1536x1035.jpg 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Illustrations from Wendy MacNaughton’s book ‘How to Say Goodbye’ \u003ccite>(Courtesy of Wendy MacNaughton)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One woman wanted to drink beer and milk all day. Another man requested a fancy pot roast that he couldn’t eat.\u003c/p>\n\u003cp>“He just wanted to smell, and see all the incredible communities that would gather around food,” she said.\u003c/p>\n\u003ch2>4. Remember the scope of the world\u003c/h2>\n\u003cp>Morgan said she got into hospice work because death reminds her that “life isn’t just about me.”\u003c/p>\n\u003cp>“People are dying in so many different ways: suddenly, dramatically, violently, sometimes with grace, sometimes with planning,” she said. “But there’s many, many ways to die.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Even though the experience of being at the bedside of a dying person can feel small-scale and intimate, Morgan stressed the importance of remembering our place in the wider world when death is on the horizon.\u003c/p>\n\u003cp>“What’s really important is taking away this mysticism, and this magical quality, of ‘being at the bedside’ — and [instead] remembering that the whole universe is here supporting us in living and dying,” she said.\u003c/p>\n\u003cp>“How do we make more space for all of us, to be able to see what our role is in it?” asked Morgan. “Not just the magical people who happen to choose to do the work?”\u003c/p>\n\u003cp>This awareness of the wider world, and our place in it, is also helpful when considering how you could support a partner or friend who’s losing \u003cem>their \u003c/em>loved one. It is natural for people to want to be the perfect support system, acknowledged Morgan, when a KQED Forum listener asked how she could best help her husband as his father began to pass.\u003c/p>\n\u003cp>“Just be yourself,” Morgan advised. “We want to get it right. We want to do it right. But you can’t get everything right. [So you should] do what you can, when you can.”\u003c/p>\n\u003cp>She encouraged listeners to “remember that it’s not just about you,” in that there are many other outlets, like nature, art, food, museums and music, with which a person can “nourish” themselves at this difficult time, without their partner or friend needing to be their sole source of solace.\u003c/p>\n\u003cp>“It’s not just about having a conversation, or making someone talk about something or even going to therapy, which is wonderful,” Morgan said. “But just remember the bigger scope of what’s available to you.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "How Cambodian Americans Heal the Cycle of Intergenerational Trauma",
"headTitle": "How Cambodian Americans Heal the Cycle of Intergenerational Trauma | KQED",
"content": "\u003cp>\u003cem>If you or someone you know may be considering suicide or is in crisis, call or text\u003c/em>\u003ca href=\"https://988lifeline.org/\">\u003cem> 988 to reach the Suicide & Crisis Lifeline\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>[dropcap]L[/dropcap]ions and angels guard the perimeter of the main pagoda at Fresno’s largest Cambodian Buddhist temple, resplendent in gold, green and red hues. They were witness to the inauguration of the temple’s first-ever abbot, a lifelong appointment so rare that dozens of Cambodian Buddhist monks from around the world flew in to offer blessings.\u003c/p>\n\u003cp>A sea of orange robes lined the procession route winding around the pagoda. At the center, the new abbot, Say Bunthon, sat atop a chariot serenely taking in the scene. Temple-goers began their circular march as a boisterous band of musicians and singers set the rhythm. This was where I met Nancy Meas a year ago.\u003c/p>\n\u003cp>“Aren’t they gorgeous?” she asked, smiling from behind a row of lush flower bouquets.\u003c/p>\n\u003cfigure id=\"attachment_11960677\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960677\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The pagoda at the Fresno Cambodian Buddhist Society temple on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Designed to mimic the colors of the Buddhist flag, blue, orange, red, yellow and white bursts of delphiniums, snapdragons and mums were arranged on the dais. There are 12 in all, and together, they symbolize completion. For Meas, they were a hopeful sign that things were moving in a new direction.\u003c/p>\n\u003cp>She’s dealt with more than her fair share of pain and loss.\u003c/p>\n\u003cp>The 36-year-old was born and raised in Fresno to parents who fled the Khmer Rouge. From 1975 to 1979, soldiers under communist leader Pol Pot, murdered, tortured and starved people in an attempt to rebuild a society free of Western influences.\u003c/p>\n\u003cp>More than 40 years after \u003ca href=\"https://sfi.usc.edu/collections/cambodian-genocide\">the genocide killed some 2 million Cambodians\u003c/a>, the refugees who survived are still struggling to move past the trauma they endured. And that brutal past is often echoed in the next generation — children of refugees like Meas and her siblings.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>Piecing life back together after a genocide\u003c/h2>\n\u003cp>Nancy’s father, Kong Meas, became a monk at the Fresno temple in 2014, a few years after his mother died. She was a nun and Kong felt the need to carry on the family tradition. Through his practice, he found a measure of peace after surviving brutal working conditions under the Khmer Rouge regime. There wasn’t always enough food and many people starved to death.\u003c/p>\n\u003cp>“We’d work so hard every day, but they would only give us a little bit of porridge,” he said, speaking in Khmer. “Since I didn’t have food to eat, I became really skinny and I couldn’t walk. I would almost fall.”\u003c/p>\n\u003cfigure id=\"attachment_11960680\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960680\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Nancy Meas (left) and her father Kong Meas hold a photo of Phay Prak, Nancy’s grandmother and Kong’s mother in the garden at the Fresno Cambodian Buddhist Society temple on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One of his children died from starvation. His older brother was executed by Khmer Rouge soldiers. He never knew what happened to his remains.\u003c/p>\n\u003cp>“They killed soldiers from the former Lon Nol government. They took them away by carloads, including my brother,” he said.\u003c/p>\n\u003cp>In 1979, when the regime fell, Kong and his family fled to Thailand. While they waited for exit visas, he risked his life to help other people sneak into their camp, Khao-I-Dang. \u003ca href=\"https://www.unhcr.org/news/stories/famed-cambodian-refugee-camp-reopens-educational-centre\">It was the main place people could get visas to immigrate.\u003c/a>\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=B1L6eMymNr0\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>“Sometimes, I would see others on the path having a difficult time,” Kong said. “Or sometimes, the people were lost and didn’t know the path. I would see them and just help guide them.”\u003c/p>\n\u003cp>Kong Meas recalled how risky the missions were. Most of the time, they had to travel at night. [pullquote size=\"medium\" align=\"right\" citation=\"Kong Meas, monk, Fresno Cambodian Buddhist Society \"]‘We’d work so hard every day, but they would only give us a little bit of porridge. Since I didn’t have food to eat, I became really skinny and I couldn’t walk. I would almost fall.’[/pullquote] They encountered thieves who searched travelers for hidden jewelry and he was always on the lookout for armed guards that prowled the jungle paths.\u003c/p>\n\u003cp>“Even when we arrived, we wouldn’t go in immediately for fear that soldiers would see us and shoot us,” he said.\u003c/p>\n\u003cp>One day, it was his family’s turn to leave. They received a visa for the United States and immigrated to Fresno in 1984. Nancy was born two years later.\u003c/p>\n\u003cp>More than 40 years after the genocide, Nancy knows her parents suffer from the trauma of what they witnessed, but they don’t talk much about the details. Even if her parents were willing to share more about what they went through, Nancy might not understand them. She grew up in the U.S., speaking English, while her parents mostly speak Khmer. Things get lost in translation.\u003c/p>\n\u003cp>“It’s broken English, broken Khmer all mixed up. There’s a lot of miscommunication,” Nancy said.\u003c/p>\n\u003cfigure id=\"attachment_11960678\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960678\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Community members offer alms to the monks at the Fresno Cambodian Buddhist Society temple on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There are cultural differences at play between the generations too. Nancy said her parents didn’t understand the way their kids dressed or acted once they moved to Fresno. Cambodian society, where they had grown up, is a more reserved society, one with more rules.\u003c/p>\n\u003cp>“It’s hard to understand their parents, where they came from,” Nancy said. “It’s just a culture clash.”\u003c/p>\n\u003cp>And Nancy said her parents didn’t have a lot of time to spend with their kids to overcome these barriers. They were busy adjusting to a foreign country and finding work, which left Nancy and her siblings fending for themselves in the lower-income neighborhood where they lived.\u003c/p>\n\u003ch2>Second-generation trauma looks different\u003c/h2>\n\u003cp>The Meas family survived a genocide, but they couldn’t escape more tragedy in the U.S.\u003c/p>\n\u003cp>Nancy Meas is one of eight kids, but only five are still alive today. One child died in Cambodia, and Fresno claimed two more. Nancy’s older sister, Kunnea Meas, died by suicide in 2010 at age 25. [pullquote size=\"medium\" align=\"right\" citation=\"Nancy Meas\"]‘It’s hard to understand their parents, where they came from. It’s just a culture clash.’[/pullquote] “We didn’t expect it to happen,” Nancy said. “My sister was a very bubbly person, loving, caring, kind.”\u003c/p>\n\u003cp>Kunnea was only a year older than Nancy and they were close.\u003c/p>\n\u003cp>“It was just so hurtful that she couldn’t at least share what was going inside, what was bothering her because we were really best friends,” she said.\u003c/p>\n\u003cp>Kunnea had been struggling with depression for months, but it was taboo in their family to talk about it.\u003c/p>\n\u003cp>“You have to be happy and move forward,” Nancy said. “And [my parents] would always tell me the kids back in Cambodia have it much worse than us. You know, we are blessed to be here in America.”\u003c/p>\n\u003cp>Nancy knows this is how her parents learned to cope with all they suffered, but she wonders about the impact it had on her sister’s mental health.\u003c/p>\n\u003cfigure id=\"attachment_11960681\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960681\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Nancy Meas at the Fresno Cambodian Buddhist Society temple on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I felt like they were dismissing what we felt internally,” Nancy said. “[I don’t want] to blame them, but I feel, in a sense, that’s the reason why my sister hid everything inside and didn’t dare to let anything out. And she dealt with it by herself.”\u003c/p>\n\u003cp>Around the same time, one of Nancy’s brothers, Chantha, was detained for gang activity. She said gangs were hard to avoid in the Southeast Fresno neighborhood where they grew up. Gangs were a way for boys, in particular, to protect themselves. Two of Nancy’s four brothers got involved. Because of his gang connections, Chantha was deported to Cambodia.\u003c/p>\n\u003cp>“He doesn’t even know Cambodia,” she said. “He doesn’t know the culture. He can barely speak the language.” [aside postID=news_11954142 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/06/062623-CALIFORNIA-ARMENIA-01-KQED-1020x680.jpg'] Just after he was detained, Kunnea died by suicide. Chantha was in shackles when he attended Kunnea’s viewing. He wasn’t even allowed to stay in the country long enough to attend her funeral, which took place several days later.\u003c/p>\n\u003cp>“He took it really hard. He was able to go to her viewing for literally 30 minutes and it broke my heart to see him drop down to his knees and just bawl,” Nancy said.\u003c/p>\n\u003cp>Lawyers for the family have been working to bring him back home for the past seven years.\u003c/p>\n\u003cp>Rocked by these losses, Nancy planned a trip to Cambodia the following year. She wanted to visit sacred religious sites, check on her brother and ground herself. While there, she experienced something profound, what she calls an “awakening.”\u003c/p>\n\u003cp>“I completely changed. I just completely prioritized my life and filtered out what wasn’t important and what was,” she said.\u003c/p>\n\u003cp>When she returned to Fresno, she leaned into her faith, spending time at the temple meditating and praying. It helped her feel spiritually connected to her ancestors and able to accept what had happened.\u003c/p>\n\u003cp>“I felt like I had a huge role in bringing the family together in a sense, spiritually,” she said. “And if I don’t do that, I feel like we’re gonna fall apart again.”\u003c/p>\n\u003cp>But Nancy’s faith was put to the test once again. Just a few years ago, her oldest sister died from complications related to alcohol, a way of coping with all the other losses.\u003c/p>\n\u003ch2>Culturally responsive mental health care could help\u003c/h2>\n\u003cp>Throughout her grief and loss, Nancy Meas continues to turn to her religion and culture for comfort. She saw a therapist when Kunnea died, but didn’t feel the need to continue sessions. She said if the care focused more specifically on the experience of Cambodian Americans, it might have been different. She would even be open to getting her parents to try it too.\u003c/p>\n\u003cp>There is a model for that type of culturally responsive care in Fresno already. But it’s geared toward the Hmong population, many of whom are older and don’t like direct questions.\u003c/p>\n\u003cfigure id=\"attachment_11960682\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960682\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Fresno Center in Fresno on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s almost like a dance,” said Ze Vang, the clinical director at \u003ca href=\"https://fresnocenter.org/\">The Fresno Center\u003c/a> whose mission is to offer health and immigration services to the Southeast Asian community. “They come in, we have to talk about, ‘So what did you do today?’ That type of thing, and they’re like, ‘Oh nothing.’ And we have to kind of dance around what they do and how they’re feeling. And then, 10 minutes into the session, they finally say, ‘Oh, I feel really depressed.’”\u003c/p>\n\u003cp>The Fresno Center’s success with the Hmong community started with destigmatizing mental health, a huge obstacle to accessing mental health care. [pullquote size=\"medium\" align=\"right\" citation=\"Dr. Ghia Xiong, clinical psychologist and program director, The Fresno Center\"]‘Generation after generation told them that if you have mental health, you’re actually crazy.’[/pullquote] “Generation after generation told them that if you have mental health [treatment], you’re actually crazy,” said clinical psychologist and program director Dr. Ghia Xiong.\u003c/p>\n\u003cp>It turned out that people were turned off by terms like “mental health” or “clinic.”\u003c/p>\n\u003cp>“We actually have the ladies test this out with their husbands,” Xiong said. “When he asks you where you’re going, you just say, ‘I’m going to the Happy House,’ rather than, ‘going and seeking mental health.’”\u003c/p>\n\u003cp>And, crucially, the center offers therapy in the Hmong language.\u003c/p>\n\u003cp>“When you provide mental health services with the interpreter, it completely changes the context of therapy,” Vang said. “Because then you have to translate what the client is saying to the interpreter, then the interpreter translates to you. You lose all the emotions.”\u003c/p>\n\u003cp>\u003ca href=\"https://mhsoac.ca.gov/transparency-suite/fiscal-transparency-dashboard/\">In California, mental health programs are growing in size and scope\u003c/a> and becoming more widely available for underserved populations like Hmong and Cambodian Americans.\u003c/p>\n\u003cfigure id=\"attachment_11960679\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960679\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The photos of community elders adorn the walls at the Fresno Cambodian Buddhist Society temple on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In 2004, California voters passed Proposition 63, a ballot initiative known as the Mental Health Services Fund. It places a 1% tax on incomes over $1 million, which funds mental health programs like The Fresno Center.\u003c/p>\n\u003cp>Although Vang and Xiong are both Hmong and specialize in treating Hmong patients, they say the intergenerational trauma and barriers to accessing care are similar across the Southeast Asian community. [pullquote size=\"medium\" align=\"right\" citation=\"Ze Vang, clinical director, The Fresno Center\"]‘Sometimes, the parents are just so busy making a living, so busy with making sure that there’s food on the table, they don’t have time for their kids.’[/pullquote]“Sometimes, the parents are just so busy making a living, so busy with making sure that there’s food on the table, they don’t have time for their kids,” Vang said.\u003c/p>\n\u003cp>She said many don’t understand why their children are struggling in the U.S., where life is so much easier than in Cambodia. On the flip side, the younger generation can feel abandoned and misunderstood.\u003c/p>\n\u003cp>“There’s really no sense of belonging with the family,” Vang said. “There’s no sort of relationship at all.”\u003c/p>\n\u003cp>To make up for that, children often try to find supportive relationships somewhere else, sometimes in gangs. Many also suffer from anxiety, depression and suicidal thoughts.\u003c/p>\n\u003cp>“But it’s because their parents have their own trauma,” Vang said.\u003c/p>\n\u003ch2>Fostering a sense of belonging\u003c/h2>\n\u003cp>Formal therapy isn’t the only way to help folks dealing with trauma. As Nancy Meas found, volunteering at the Cambodian Buddhist temple and maintaining a connection to the older generation through language and tradition can go a long way.\u003c/p>\n\u003cp>It offers a sense of belonging.\u003c/p>\n\u003cp>“Even though I’m American-born, I feel like to make my ancestors proud, to make my parents and family proud, I have to carry on the tradition,” she said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.facebook.com/UKCP.org/\">United Khmer Cultural Preservation\u003c/a> is trying to do the same thing for more Cambodian kids. It runs a weekly language and cultural arts class for children and teens as a way of bridging the cultural gap between generations.\u003c/p>\n\u003cfigure id=\"attachment_11960687\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960687\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Cahoeun (Chantao) Gov helps her granddaughters Zora Sanchez and Kai Sanchez pray at the Fresno Cambodian Buddhist Society temple on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Setha Nhim teaches on weekends, teaching children how to play traditional Cambodian instruments.\u003c/p>\n\u003cp>“I started practicing a little before with Yeh Yeh,” said 8-year-old Nadine Gov as she tapped along on a drum. “I knew a little bit before we came.”\u003c/p>\n\u003cp>Now, she can count to 100 in Khmer, which makes her grandmother — her Yeh Yeh — proud. [pullquote size=\"medium\" align=\"right\" citation=\"Chhoeun Gov, grandmother\"]‘I bring my grandchildren to learn about culture. I don’t want to forget Cambodian culture. And I like my culture a lot.’[/pullquote] “I bring my grandchildren to learn about culture,” said Chhoeun Gov, Nadine’s grandmother. “I don’t want to forget Cambodian culture. And I like my culture a lot.”\u003c/p>\n\u003cp>Phany Sor enrolled all four of her kids in language classes at the cultural center because her husband is Lao and the kids mostly speak English at home.\u003c/p>\n\u003cp>“It’s kind of hard, like how you have two parents, different languages,” she said. “I want them to learn our language too.”\u003c/p>\n\u003cp>Nancy Meas doesn’t want to forget either. That’s why she often visits the Cambodian temple, taking a meditation walk each time.\u003c/p>\n\u003cp>“So each step that I take around the perimeter, you know the shrine, I feel like it brings me more healing, brings more peace, more comfort,” she said.\u003c/p>\n\u003cp>She often lingers at her favorite spot, the pond.\u003c/p>\n\u003cp>“I love seeing the lotus flowers,” she said gazing at a sea of green. The flowers sprout from green lily pads as tall, thin stalks blooming with white and pink flowers.\u003c/p>\n\u003cp>“In order for it to become the beautiful flower, it has to go through mud and all the dirt and challenges, the weather,” Nancy said. “But at the end of all the challenges and the winds and the storms it blooms so beautifully.”\u003cbr>\n\u003cem>\u003cbr>\nThis reporting was supported by the Carter Center’s \u003ca href=\"https://www.cartercenter.org/health/mental_health/fellowships/\">Rosalynn Carter Fellowship for Mental Health Journalism\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Thousands of Cambodians fled the Khmer Rouge and ended up in California. Now, their children are trying to cope with the collective trauma.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>If you or someone you know may be considering suicide or is in crisis, call or text\u003c/em>\u003ca href=\"https://988lifeline.org/\">\u003cem> 988 to reach the Suicide & Crisis Lifeline\u003c/em>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">L\u003c/span>\u003c/p>\u003cp>ions and angels guard the perimeter of the main pagoda at Fresno’s largest Cambodian Buddhist temple, resplendent in gold, green and red hues. They were witness to the inauguration of the temple’s first-ever abbot, a lifelong appointment so rare that dozens of Cambodian Buddhist monks from around the world flew in to offer blessings.\u003c/p>\n\u003cp>A sea of orange robes lined the procession route winding around the pagoda. At the center, the new abbot, Say Bunthon, sat atop a chariot serenely taking in the scene. Temple-goers began their circular march as a boisterous band of musicians and singers set the rhythm. This was where I met Nancy Meas a year ago.\u003c/p>\n\u003cp>“Aren’t they gorgeous?” she asked, smiling from behind a row of lush flower bouquets.\u003c/p>\n\u003cfigure id=\"attachment_11960677\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960677\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-02-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The pagoda at the Fresno Cambodian Buddhist Society temple on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Designed to mimic the colors of the Buddhist flag, blue, orange, red, yellow and white bursts of delphiniums, snapdragons and mums were arranged on the dais. There are 12 in all, and together, they symbolize completion. For Meas, they were a hopeful sign that things were moving in a new direction.\u003c/p>\n\u003cp>She’s dealt with more than her fair share of pain and loss.\u003c/p>\n\u003cp>The 36-year-old was born and raised in Fresno to parents who fled the Khmer Rouge. From 1975 to 1979, soldiers under communist leader Pol Pot, murdered, tortured and starved people in an attempt to rebuild a society free of Western influences.\u003c/p>\n\u003cp>More than 40 years after \u003ca href=\"https://sfi.usc.edu/collections/cambodian-genocide\">the genocide killed some 2 million Cambodians\u003c/a>, the refugees who survived are still struggling to move past the trauma they endured. And that brutal past is often echoed in the next generation — children of refugees like Meas and her siblings.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>Piecing life back together after a genocide\u003c/h2>\n\u003cp>Nancy’s father, Kong Meas, became a monk at the Fresno temple in 2014, a few years after his mother died. She was a nun and Kong felt the need to carry on the family tradition. Through his practice, he found a measure of peace after surviving brutal working conditions under the Khmer Rouge regime. There wasn’t always enough food and many people starved to death.\u003c/p>\n\u003cp>“We’d work so hard every day, but they would only give us a little bit of porridge,” he said, speaking in Khmer. “Since I didn’t have food to eat, I became really skinny and I couldn’t walk. I would almost fall.”\u003c/p>\n\u003cfigure id=\"attachment_11960680\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960680\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-07-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Nancy Meas (left) and her father Kong Meas hold a photo of Phay Prak, Nancy’s grandmother and Kong’s mother in the garden at the Fresno Cambodian Buddhist Society temple on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>One of his children died from starvation. His older brother was executed by Khmer Rouge soldiers. He never knew what happened to his remains.\u003c/p>\n\u003cp>“They killed soldiers from the former Lon Nol government. They took them away by carloads, including my brother,” he said.\u003c/p>\n\u003cp>In 1979, when the regime fell, Kong and his family fled to Thailand. While they waited for exit visas, he risked his life to help other people sneak into their camp, Khao-I-Dang. \u003ca href=\"https://www.unhcr.org/news/stories/famed-cambodian-refugee-camp-reopens-educational-centre\">It was the main place people could get visas to immigrate.\u003c/a>\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/B1L6eMymNr0'\n title='//www.youtube.com/embed/B1L6eMymNr0'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp> \u003c/p>\n\u003cp>“Sometimes, I would see others on the path having a difficult time,” Kong said. “Or sometimes, the people were lost and didn’t know the path. I would see them and just help guide them.”\u003c/p>\n\u003cp>Kong Meas recalled how risky the missions were. Most of the time, they had to travel at night. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> They encountered thieves who searched travelers for hidden jewelry and he was always on the lookout for armed guards that prowled the jungle paths.\u003c/p>\n\u003cp>“Even when we arrived, we wouldn’t go in immediately for fear that soldiers would see us and shoot us,” he said.\u003c/p>\n\u003cp>One day, it was his family’s turn to leave. They received a visa for the United States and immigrated to Fresno in 1984. Nancy was born two years later.\u003c/p>\n\u003cp>More than 40 years after the genocide, Nancy knows her parents suffer from the trauma of what they witnessed, but they don’t talk much about the details. Even if her parents were willing to share more about what they went through, Nancy might not understand them. She grew up in the U.S., speaking English, while her parents mostly speak Khmer. Things get lost in translation.\u003c/p>\n\u003cp>“It’s broken English, broken Khmer all mixed up. There’s a lot of miscommunication,” Nancy said.\u003c/p>\n\u003cfigure id=\"attachment_11960678\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960678\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-03-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Community members offer alms to the monks at the Fresno Cambodian Buddhist Society temple on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There are cultural differences at play between the generations too. Nancy said her parents didn’t understand the way their kids dressed or acted once they moved to Fresno. Cambodian society, where they had grown up, is a more reserved society, one with more rules.\u003c/p>\n\u003cp>“It’s hard to understand their parents, where they came from,” Nancy said. “It’s just a culture clash.”\u003c/p>\n\u003cp>And Nancy said her parents didn’t have a lot of time to spend with their kids to overcome these barriers. They were busy adjusting to a foreign country and finding work, which left Nancy and her siblings fending for themselves in the lower-income neighborhood where they lived.\u003c/p>\n\u003ch2>Second-generation trauma looks different\u003c/h2>\n\u003cp>The Meas family survived a genocide, but they couldn’t escape more tragedy in the U.S.\u003c/p>\n\u003cp>Nancy Meas is one of eight kids, but only five are still alive today. One child died in Cambodia, and Fresno claimed two more. Nancy’s older sister, Kunnea Meas, died by suicide in 2010 at age 25. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “We didn’t expect it to happen,” Nancy said. “My sister was a very bubbly person, loving, caring, kind.”\u003c/p>\n\u003cp>Kunnea was only a year older than Nancy and they were close.\u003c/p>\n\u003cp>“It was just so hurtful that she couldn’t at least share what was going inside, what was bothering her because we were really best friends,” she said.\u003c/p>\n\u003cp>Kunnea had been struggling with depression for months, but it was taboo in their family to talk about it.\u003c/p>\n\u003cp>“You have to be happy and move forward,” Nancy said. “And [my parents] would always tell me the kids back in Cambodia have it much worse than us. You know, we are blessed to be here in America.”\u003c/p>\n\u003cp>Nancy knows this is how her parents learned to cope with all they suffered, but she wonders about the impact it had on her sister’s mental health.\u003c/p>\n\u003cfigure id=\"attachment_11960681\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960681\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-08-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Nancy Meas at the Fresno Cambodian Buddhist Society temple on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“I felt like they were dismissing what we felt internally,” Nancy said. “[I don’t want] to blame them, but I feel, in a sense, that’s the reason why my sister hid everything inside and didn’t dare to let anything out. And she dealt with it by herself.”\u003c/p>\n\u003cp>Around the same time, one of Nancy’s brothers, Chantha, was detained for gang activity. She said gangs were hard to avoid in the Southeast Fresno neighborhood where they grew up. Gangs were a way for boys, in particular, to protect themselves. Two of Nancy’s four brothers got involved. Because of his gang connections, Chantha was deported to Cambodia.\u003c/p>\n\u003cp>“He doesn’t even know Cambodia,” she said. “He doesn’t know the culture. He can barely speak the language.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> Just after he was detained, Kunnea died by suicide. Chantha was in shackles when he attended Kunnea’s viewing. He wasn’t even allowed to stay in the country long enough to attend her funeral, which took place several days later.\u003c/p>\n\u003cp>“He took it really hard. He was able to go to her viewing for literally 30 minutes and it broke my heart to see him drop down to his knees and just bawl,” Nancy said.\u003c/p>\n\u003cp>Lawyers for the family have been working to bring him back home for the past seven years.\u003c/p>\n\u003cp>Rocked by these losses, Nancy planned a trip to Cambodia the following year. She wanted to visit sacred religious sites, check on her brother and ground herself. While there, she experienced something profound, what she calls an “awakening.”\u003c/p>\n\u003cp>“I completely changed. I just completely prioritized my life and filtered out what wasn’t important and what was,” she said.\u003c/p>\n\u003cp>When she returned to Fresno, she leaned into her faith, spending time at the temple meditating and praying. It helped her feel spiritually connected to her ancestors and able to accept what had happened.\u003c/p>\n\u003cp>“I felt like I had a huge role in bringing the family together in a sense, spiritually,” she said. “And if I don’t do that, I feel like we’re gonna fall apart again.”\u003c/p>\n\u003cp>But Nancy’s faith was put to the test once again. Just a few years ago, her oldest sister died from complications related to alcohol, a way of coping with all the other losses.\u003c/p>\n\u003ch2>Culturally responsive mental health care could help\u003c/h2>\n\u003cp>Throughout her grief and loss, Nancy Meas continues to turn to her religion and culture for comfort. She saw a therapist when Kunnea died, but didn’t feel the need to continue sessions. She said if the care focused more specifically on the experience of Cambodian Americans, it might have been different. She would even be open to getting her parents to try it too.\u003c/p>\n\u003cp>There is a model for that type of culturally responsive care in Fresno already. But it’s geared toward the Hmong population, many of whom are older and don’t like direct questions.\u003c/p>\n\u003cfigure id=\"attachment_11960682\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960682\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-09-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The Fresno Center in Fresno on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“It’s almost like a dance,” said Ze Vang, the clinical director at \u003ca href=\"https://fresnocenter.org/\">The Fresno Center\u003c/a> whose mission is to offer health and immigration services to the Southeast Asian community. “They come in, we have to talk about, ‘So what did you do today?’ That type of thing, and they’re like, ‘Oh nothing.’ And we have to kind of dance around what they do and how they’re feeling. And then, 10 minutes into the session, they finally say, ‘Oh, I feel really depressed.’”\u003c/p>\n\u003cp>The Fresno Center’s success with the Hmong community started with destigmatizing mental health, a huge obstacle to accessing mental health care. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “Generation after generation told them that if you have mental health [treatment], you’re actually crazy,” said clinical psychologist and program director Dr. Ghia Xiong.\u003c/p>\n\u003cp>It turned out that people were turned off by terms like “mental health” or “clinic.”\u003c/p>\n\u003cp>“We actually have the ladies test this out with their husbands,” Xiong said. “When he asks you where you’re going, you just say, ‘I’m going to the Happy House,’ rather than, ‘going and seeking mental health.’”\u003c/p>\n\u003cp>And, crucially, the center offers therapy in the Hmong language.\u003c/p>\n\u003cp>“When you provide mental health services with the interpreter, it completely changes the context of therapy,” Vang said. “Because then you have to translate what the client is saying to the interpreter, then the interpreter translates to you. You lose all the emotions.”\u003c/p>\n\u003cp>\u003ca href=\"https://mhsoac.ca.gov/transparency-suite/fiscal-transparency-dashboard/\">In California, mental health programs are growing in size and scope\u003c/a> and becoming more widely available for underserved populations like Hmong and Cambodian Americans.\u003c/p>\n\u003cfigure id=\"attachment_11960679\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960679\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-04-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">The photos of community elders adorn the walls at the Fresno Cambodian Buddhist Society temple on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In 2004, California voters passed Proposition 63, a ballot initiative known as the Mental Health Services Fund. It places a 1% tax on incomes over $1 million, which funds mental health programs like The Fresno Center.\u003c/p>\n\u003cp>Although Vang and Xiong are both Hmong and specialize in treating Hmong patients, they say the intergenerational trauma and barriers to accessing care are similar across the Southeast Asian community. \u003c/p>\u003c/div>",
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"content": "‘Sometimes, the parents are just so busy making a living, so busy with making sure that there’s food on the table, they don’t have time for their kids.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Sometimes, the parents are just so busy making a living, so busy with making sure that there’s food on the table, they don’t have time for their kids,” Vang said.\u003c/p>\n\u003cp>She said many don’t understand why their children are struggling in the U.S., where life is so much easier than in Cambodia. On the flip side, the younger generation can feel abandoned and misunderstood.\u003c/p>\n\u003cp>“There’s really no sense of belonging with the family,” Vang said. “There’s no sort of relationship at all.”\u003c/p>\n\u003cp>To make up for that, children often try to find supportive relationships somewhere else, sometimes in gangs. Many also suffer from anxiety, depression and suicidal thoughts.\u003c/p>\n\u003cp>“But it’s because their parents have their own trauma,” Vang said.\u003c/p>\n\u003ch2>Fostering a sense of belonging\u003c/h2>\n\u003cp>Formal therapy isn’t the only way to help folks dealing with trauma. As Nancy Meas found, volunteering at the Cambodian Buddhist temple and maintaining a connection to the older generation through language and tradition can go a long way.\u003c/p>\n\u003cp>It offers a sense of belonging.\u003c/p>\n\u003cp>“Even though I’m American-born, I feel like to make my ancestors proud, to make my parents and family proud, I have to carry on the tradition,” she said.\u003c/p>\n\u003cp>\u003ca href=\"https://www.facebook.com/UKCP.org/\">United Khmer Cultural Preservation\u003c/a> is trying to do the same thing for more Cambodian kids. It runs a weekly language and cultural arts class for children and teens as a way of bridging the cultural gap between generations.\u003c/p>\n\u003cfigure id=\"attachment_11960687\" class=\"wp-caption aligncenter\" style=\"max-width: 2000px\">\u003cimg decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-11960687\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED.jpg\" alt=\"\" width=\"2000\" height=\"1333\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED.jpg 2000w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED-1536x1024.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2023/09/091023-CAMBODIAN-MENTAL-HEALTH-MD-05-KQED-1920x1280.jpg 1920w\" sizes=\"(max-width: 2000px) 100vw, 2000px\">\u003cfigcaption class=\"wp-caption-text\">Cahoeun (Chantao) Gov helps her granddaughters Zora Sanchez and Kai Sanchez pray at the Fresno Cambodian Buddhist Society temple on Sept. 9, 2023. \u003ccite>(Martin do Nascimento/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Setha Nhim teaches on weekends, teaching children how to play traditional Cambodian instruments.\u003c/p>\n\u003cp>“I started practicing a little before with Yeh Yeh,” said 8-year-old Nadine Gov as she tapped along on a drum. “I knew a little bit before we came.”\u003c/p>\n\u003cp>Now, she can count to 100 in Khmer, which makes her grandmother — her Yeh Yeh — proud. \u003c/p>\u003c/div>",
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"content": "‘I bring my grandchildren to learn about culture. I don’t want to forget Cambodian culture. And I like my culture a lot.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp> “I bring my grandchildren to learn about culture,” said Chhoeun Gov, Nadine’s grandmother. “I don’t want to forget Cambodian culture. And I like my culture a lot.”\u003c/p>\n\u003cp>Phany Sor enrolled all four of her kids in language classes at the cultural center because her husband is Lao and the kids mostly speak English at home.\u003c/p>\n\u003cp>“It’s kind of hard, like how you have two parents, different languages,” she said. “I want them to learn our language too.”\u003c/p>\n\u003cp>Nancy Meas doesn’t want to forget either. That’s why she often visits the Cambodian temple, taking a meditation walk each time.\u003c/p>\n\u003cp>“So each step that I take around the perimeter, you know the shrine, I feel like it brings me more healing, brings more peace, more comfort,” she said.\u003c/p>\n\u003cp>She often lingers at her favorite spot, the pond.\u003c/p>\n\u003cp>“I love seeing the lotus flowers,” she said gazing at a sea of green. The flowers sprout from green lily pads as tall, thin stalks blooming with white and pink flowers.\u003c/p>\n\u003cp>“In order for it to become the beautiful flower, it has to go through mud and all the dirt and challenges, the weather,” Nancy said. “But at the end of all the challenges and the winds and the storms it blooms so beautifully.”\u003cbr>\n\u003cem>\u003cbr>\nThis reporting was supported by the Carter Center’s \u003ca href=\"https://www.cartercenter.org/health/mental_health/fellowships/\">Rosalynn Carter Fellowship for Mental Health Journalism\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>A \u003ca href=\"https://www.kqed.org/news/11954314/3-big-takeaways-from-californias-311-billion-budget-deal\">major proposal from Gov. Gavin Newsom\u003c/a> to overhaul the state’s behavioral and mental health system is likely to take nearly $720 million away from services provided by county governments annually, according to a \u003ca href=\"https://lao.ca.gov/Publications/Report/4782\">new analysis\u003c/a> from the Legislative Analyst’s Office.\u003c/p>\n\u003cp>Although that money would be reallocated within the system, in part to \u003ca href=\"https://calmatters.org/health/mental-health/2023/06/mental-health-funding-2/\">house homeless individuals with severe mental illness\u003c/a> and addiction disorders, the report authors note that Newsom and key legislators supporting the proposal have neither provided a complete justification for the changes nor have they published an analysis on how the changes may “negatively impact current services.”\u003c/p>\n\u003cp>“Consequently, as the Legislature considers the proposal, we recommend asking the administration certain questions to assess whether the proposal is warranted,” the report states.\u003c/p>\n\u003cp>Newsom wants the Legislature to put his proposal before voters next year in tandem with a $4.68 billion bond measure to add psychiatric treatment beds. It would change how the state allocates money under the Mental Health Services Act, which levies a 1% tax on income above $1 million to fund behavioral health services.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Homelessness has become one of the most \u003ca href=\"https://calmatters.org/housing/homelessness/2023/04/california-homeless-spending-audit/\">high-profile challenges plaguing California\u003c/a>, increasing 32% in the past four years. Newsom, who promised to reduce homelessness, announced his intent during his \u003ca href=\"https://calmatters.org/politics/2023/03/gavin-newsom-legacy-tour/\">State of the State tour\u003c/a> to divert nearly one-third of the state’s Mental Health Services Act money to help address homelessness.\u003c/p>\n\u003cp>Since that time, \u003ca href=\"https://calmatters.org/health/2023/04/mental-health-funding/\">local behavioral health providers and county officials\u003c/a> have criticized the proposal because of its potential to cut services and pit mental health programs against homeless services. The state has spent more than $20 billion on \u003ca href=\"https://calmatters.org/housing/homelessness/2023/04/california-homeless-spending-audit/\">housing and homelessness since 2018\u003c/a>.\u003c/p>\n\u003cp>Supporters, meanwhile, say reprioritizing how the money is spent is long overdue in light of the growing needs of the state’s homeless population as well as the addition of new funding sources for mental health programs.\u003c/p>\n\u003cp>In a statement, Newsom’s Deputy Communications Director Brandon Richards said “upsetting the status quo” was necessary in light of California’s changing health care needs.\u003c/p>\n\u003ch2>Mental health needs among California homeless\u003c/h2>\n\u003cp>A recent study from UC San Francisco found that two-thirds of \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">homeless individuals experience mental health conditions\u003c/a>, although income loss is the driving force behind the state’s homelessness crisis.\u003c/p>\n\u003cp>“What’s more upsetting is watching people continue to suffer on the streets with ineffective interventions and inability to access much-needed treatment,” Richards said. “A California behavioral health system of care that is more focused, more transparent, and more accountable for results is what all Californians deserve and what this historic reform aims to achieve.”\u003c/p>\n\u003cp>Roughly one-third of the county mental health infrastructure in the state is supported by the Mental Health Services Act, which was approved by voters in 2004 as a ballot initiative. Substantial changes to the act, like the ones Newsom proposed, require voter approval. Last year the tax generated about $3.8 billion.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Brandon Richards, deputy communications director, Gov. Gavin Newsom\"]‘What’s more upsetting, is watching people continue to suffer on the streets with ineffective interventions and inability to access much-needed treatment.’[/pullquote]\u003c/p>\n\u003cp>Critics of Newsom’s proposal say the new analysis bolsters their argument that the changes will result in significant cuts to current programs, particularly those that \u003ca href=\"https://calmatters.org/health/mental-health/2023/06/mental-health-funding-2/\">support children\u003c/a>.\u003c/p>\n\u003cp>Newsom’s office has so far “danced around” how much money would be cut, said Adrienne Shilton, a lobbyist for the California Alliance of Children and Family Services, which represents behavioral health providers in every county. The report is the first to quantify how the proposal would impact programs statewide.\u003c/p>\n\u003cp>“We’re seeing in real dollars what the impact would be,” Shilton said.\u003c/p>\n\u003cp>The analysis estimates spending on current programs would be reduced from $1.34 billion to $621 million under the plan.\u003c/p>\n\u003ch2>Housing money in Gavin Newsom’s plan\u003c/h2>\n\u003cp>The report identified several key changes and unanswered questions for the Legislature to consider in \u003ca href=\"https://lao.ca.gov/Publications/Series/3\">Newsom’s plan\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Reduced flexibility: \u003c/strong>Counties would have less flexibility to determine how money is spent. Based on current expenditures, counties would be required to increase spending on housing by $493 million and on “full-service partnerships” by $121 million. “Full-service partnerships” include intensive wraparound services like case management, housing and employment support as well as clinical care.\u003c/li>\n\u003cli>\u003cstrong>Program cuts likely: \u003c/strong>To meet spending targets and caps, counties would likely need to reduce spending on current programs including “outpatient services, crisis response, prevention services, and outreach.”\u003c/li>\n\u003cli>\u003cstrong>Less independent oversight: \u003c/strong>The proposed restructuring moves much of the program implementation and oversight authority to the Department of Health Care Services. The change “significantly limits” the independent oversight of the current Mental Health Services Oversight and Accountability Commission.[aside label='More on Mental Health Care' tag='mental-health']Sacramento Mayor Darrell Steinberg, who helped author the original law and has been a key supporter of the changes, said the law was always meant to prioritize “the plight of people living with serious mental illness on our streets.”\u003c/li>\n\u003c/ul>\n\u003cp>“It’s appropriate, in fact, it’s necessary to set priority status,” Steinberg said.\u003c/p>\n\u003cp>Steinberg and Newsom’s office also contend that the state has invested heavily in the mental health safety net in other ways, including changes to the Medi-Cal system and a $4.4 billion one-time infusion into the \u003ca href=\"https://calmatters.org/health/2022/03/california-children-mental-health-crisis/\">Children and Youth Behavioral Health Initiative\u003c/a>.\u003c/p>\n\u003cp>“It’s no longer a funding source that stands alone,” Steinberg said. “[Now], the opportunity is to weave all these pieces together so that everyone has access to care, and nobody is left out or left behind.”\u003c/p>\n\u003cp>Still, advocates say it is premature to assume those investments have had a positive impact and that many have not yet been implemented. In an opposition letter, Lishaun Francis, senior director for behavioral health at Children Now said the state “has yet to demonstrate that it has delivered” on its promises and that the proposal deprioritizes children and youth.[pullquote size=\"medium\" align=\"right\" citation=\"Sacramento Mayor Darrell Steinberg\"]‘The opportunity is to weave all these pieces together so that everyone has access to care — and nobody is left out or left behind.’[/pullquote]Advocates also say those funding sources, particularly Medi-Cal, won’t reimburse for the non-clinical programs like classroom interventions and family resource centers that have historically been supported by the Mental Health Services Act. Medi-Cal is the state’s health insurance program for extremely low-income Californians.\u003c/p>\n\u003cp>“Families need flexibility,” said Christine Stoner-Mertz, chief executive officer of the California Alliance of Child and Family Services. “We need community-designed practices, and we haven’t been successful in doing that with just Medi-Cal.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Gov. Gavin Newsom wants to direct more funds from California's millionaire’s tax toward housing. Some county-run mental health programs could lose out.",
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"title": "Newsom’s Mental Health Plan Could Strip Over $700 Million in Services | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A \u003ca href=\"https://www.kqed.org/news/11954314/3-big-takeaways-from-californias-311-billion-budget-deal\">major proposal from Gov. Gavin Newsom\u003c/a> to overhaul the state’s behavioral and mental health system is likely to take nearly $720 million away from services provided by county governments annually, according to a \u003ca href=\"https://lao.ca.gov/Publications/Report/4782\">new analysis\u003c/a> from the Legislative Analyst’s Office.\u003c/p>\n\u003cp>Although that money would be reallocated within the system, in part to \u003ca href=\"https://calmatters.org/health/mental-health/2023/06/mental-health-funding-2/\">house homeless individuals with severe mental illness\u003c/a> and addiction disorders, the report authors note that Newsom and key legislators supporting the proposal have neither provided a complete justification for the changes nor have they published an analysis on how the changes may “negatively impact current services.”\u003c/p>\n\u003cp>“Consequently, as the Legislature considers the proposal, we recommend asking the administration certain questions to assess whether the proposal is warranted,” the report states.\u003c/p>\n\u003cp>Newsom wants the Legislature to put his proposal before voters next year in tandem with a $4.68 billion bond measure to add psychiatric treatment beds. It would change how the state allocates money under the Mental Health Services Act, which levies a 1% tax on income above $1 million to fund behavioral health services.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Homelessness has become one of the most \u003ca href=\"https://calmatters.org/housing/homelessness/2023/04/california-homeless-spending-audit/\">high-profile challenges plaguing California\u003c/a>, increasing 32% in the past four years. Newsom, who promised to reduce homelessness, announced his intent during his \u003ca href=\"https://calmatters.org/politics/2023/03/gavin-newsom-legacy-tour/\">State of the State tour\u003c/a> to divert nearly one-third of the state’s Mental Health Services Act money to help address homelessness.\u003c/p>\n\u003cp>Since that time, \u003ca href=\"https://calmatters.org/health/2023/04/mental-health-funding/\">local behavioral health providers and county officials\u003c/a> have criticized the proposal because of its potential to cut services and pit mental health programs against homeless services. The state has spent more than $20 billion on \u003ca href=\"https://calmatters.org/housing/homelessness/2023/04/california-homeless-spending-audit/\">housing and homelessness since 2018\u003c/a>.\u003c/p>\n\u003cp>Supporters, meanwhile, say reprioritizing how the money is spent is long overdue in light of the growing needs of the state’s homeless population as well as the addition of new funding sources for mental health programs.\u003c/p>\n\u003cp>In a statement, Newsom’s Deputy Communications Director Brandon Richards said “upsetting the status quo” was necessary in light of California’s changing health care needs.\u003c/p>\n\u003ch2>Mental health needs among California homeless\u003c/h2>\n\u003cp>A recent study from UC San Francisco found that two-thirds of \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\">homeless individuals experience mental health conditions\u003c/a>, although income loss is the driving force behind the state’s homelessness crisis.\u003c/p>\n\u003cp>“What’s more upsetting is watching people continue to suffer on the streets with ineffective interventions and inability to access much-needed treatment,” Richards said. “A California behavioral health system of care that is more focused, more transparent, and more accountable for results is what all Californians deserve and what this historic reform aims to achieve.”\u003c/p>\n\u003cp>Roughly one-third of the county mental health infrastructure in the state is supported by the Mental Health Services Act, which was approved by voters in 2004 as a ballot initiative. Substantial changes to the act, like the ones Newsom proposed, require voter approval. Last year the tax generated about $3.8 billion.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Critics of Newsom’s proposal say the new analysis bolsters their argument that the changes will result in significant cuts to current programs, particularly those that \u003ca href=\"https://calmatters.org/health/mental-health/2023/06/mental-health-funding-2/\">support children\u003c/a>.\u003c/p>\n\u003cp>Newsom’s office has so far “danced around” how much money would be cut, said Adrienne Shilton, a lobbyist for the California Alliance of Children and Family Services, which represents behavioral health providers in every county. The report is the first to quantify how the proposal would impact programs statewide.\u003c/p>\n\u003cp>“We’re seeing in real dollars what the impact would be,” Shilton said.\u003c/p>\n\u003cp>The analysis estimates spending on current programs would be reduced from $1.34 billion to $621 million under the plan.\u003c/p>\n\u003ch2>Housing money in Gavin Newsom’s plan\u003c/h2>\n\u003cp>The report identified several key changes and unanswered questions for the Legislature to consider in \u003ca href=\"https://lao.ca.gov/Publications/Series/3\">Newsom’s plan\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Reduced flexibility: \u003c/strong>Counties would have less flexibility to determine how money is spent. Based on current expenditures, counties would be required to increase spending on housing by $493 million and on “full-service partnerships” by $121 million. “Full-service partnerships” include intensive wraparound services like case management, housing and employment support as well as clinical care.\u003c/li>\n\u003cli>\u003cstrong>Program cuts likely: \u003c/strong>To meet spending targets and caps, counties would likely need to reduce spending on current programs including “outpatient services, crisis response, prevention services, and outreach.”\u003c/li>\n\u003cli>\u003cstrong>Less independent oversight: \u003c/strong>The proposed restructuring moves much of the program implementation and oversight authority to the Department of Health Care Services. The change “significantly limits” the independent oversight of the current Mental Health Services Oversight and Accountability Commission.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Sacramento Mayor Darrell Steinberg, who helped author the original law and has been a key supporter of the changes, said the law was always meant to prioritize “the plight of people living with serious mental illness on our streets.”\u003c/li>\n\u003c/ul>\n\u003cp>“It’s appropriate, in fact, it’s necessary to set priority status,” Steinberg said.\u003c/p>\n\u003cp>Steinberg and Newsom’s office also contend that the state has invested heavily in the mental health safety net in other ways, including changes to the Medi-Cal system and a $4.4 billion one-time infusion into the \u003ca href=\"https://calmatters.org/health/2022/03/california-children-mental-health-crisis/\">Children and Youth Behavioral Health Initiative\u003c/a>.\u003c/p>\n\u003cp>“It’s no longer a funding source that stands alone,” Steinberg said. “[Now], the opportunity is to weave all these pieces together so that everyone has access to care, and nobody is left out or left behind.”\u003c/p>\n\u003cp>Still, advocates say it is premature to assume those investments have had a positive impact and that many have not yet been implemented. In an opposition letter, Lishaun Francis, senior director for behavioral health at Children Now said the state “has yet to demonstrate that it has delivered” on its promises and that the proposal deprioritizes children and youth.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Advocates also say those funding sources, particularly Medi-Cal, won’t reimburse for the non-clinical programs like classroom interventions and family resource centers that have historically been supported by the Mental Health Services Act. Medi-Cal is the state’s health insurance program for extremely low-income Californians.\u003c/p>\n\u003cp>“Families need flexibility,” said Christine Stoner-Mertz, chief executive officer of the California Alliance of Child and Family Services. “We need community-designed practices, and we haven’t been successful in doing that with just Medi-Cal.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "This California City Made a Huge Impact on Homelessness. Then Money Ran Out",
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"headTitle": "This California City Made a Huge Impact on Homelessness. Then Money Ran Out | KQED",
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"content": "\u003cp>A new homeless outreach program pairing a social worker with a police officer in Grass Valley, a small town in the Sierra Nevada foothills, seemed to be working.\u003c/p>\n\u003cp>The state-funded effort sent the team to homeless encampments, where they helped build trust among vulnerable people and persuaded them to accept help, according to the nonprofit Hospitality House, which ran the program.\u003c/p>\n\u003cp>It blew past its goal of engaging 90 people in three years, instead meeting with more than 200. It even helped move some people directly into housing, including an 80-year-old veteran.\u003c/p>\n\u003cp>But when the three-year grant paying for that outreach ended in June, there was no money to replace it. So the program came to a screeching halt, to the disappointment of all involved.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It is a profound loss to not be able to do this,” said Nancy Baglietto, executive director of Hospitality House.\u003c/p>\n\u003cp>That loss embodies the worst fears of homeless service providers across California, as they struggle to piece together new funding sources after their state grants expire.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Carolyn Coleman, executive director and CEO, League of California Cities\"]‘It really defies logic that the state budget once again fails to include funding to match the scale of the crisis we are experiencing.’[/pullquote]\u003c/p>\n\u003cp>Many had hoped that Gov. Gavin Newsom and legislative leaders would change that dynamic in the state budget deal they announced last week by committing ongoing funds for homelessness that nonprofits, cities and counties could rely on year after year.\u003c/p>\n\u003cp>It didn’t happen.\u003c/p>\n\u003cp>Instead, Newsom and lawmakers settled on another round of one-time funding.\u003c/p>\n\u003cp>“It really defies logic that the state budget once again fails to include funding to match the scale of the crisis we are experiencing,” said Carolyn Coleman, executive director and CEO of the League of California Cities, which \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/04/california-homeless-cities/\">pressed Newsom’s administration for a guaranteed $3 billion a year in homelessness funding\u003c/a>.\u003c/p>\n\u003ch2>‘Unprecedented’ homelessness funding under Newsom\u003c/h2>\n\u003cp>As California grapples with how to provide for its massive population of more than 170,000 unhoused residents, Newsom has stepped up homelessness funding to unprecedented levels. He’s funneled nearly $21 billion into housing and homelessness since the 2018–19 fiscal year.\u003c/p>\n\u003cp>This year, for the third year in a row, the state budget allocates $1 billion to the Homeless Housing, Assistance and Prevention fund, which local officials can use for housing, outreach at encampments, emergency shelters and more.\u003c/p>\n\u003cp>But the vast majority of Newsom’s homelessness spending has been in one-time grants, which providers say makes it difficult to fund the kind of long-term programs that could make a noticeable dent in the crisis.\u003c/p>\n\u003cfigure id=\"attachment_11954915\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11954915 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg\" alt=\"There are tents, belongings scattered and stacked, RVs in the background, a random shopping cart, and more. Many blue tarps cover the tops of the encampment area.\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">An encampment in Los Angeles, on June 20, 2023. \u003ccite>(Julie A Hotz/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California would need to spend \u003ca href=\"https://www.mercurynews.com/2022/12/20/what-will-it-cost-to-end-homelessness-in-california-8-billion-a-year-for-12-years/\">$8.1 billion a year for a dozen years\u003c/a> to eliminate homelessness in the state, according to \u003ca href=\"https://calneeds.csh.org/\">a report by the Corporation for Supportive Housing and the California Housing Partnership\u003c/a>, two nonprofit advocacy groups.\u003c/p>\n\u003cp>The governor’s office defended this approach to funding homelessness, pointing out that the state has provided an “unprecedented” $15.3 billion for the issue since he took office at the start of 2019.[aside postID=news_11949327 hero='https://ww2.kqed.org/app/uploads/sites/10/2023/05/RS58533_080_KQED_WoodStreetOaklandCalTrans_09082022-1020x680.jpg']The governor has also \u003ca href=\"https://www.gov.ca.gov/2023/03/19/governor-newsom-proposes-modernization-of-californias-behavioral-health-system-and-more-mental-health-housing/#:~:text=Amend%20the%20Mental%20Health%20Services,people%20with%20substance%20use%20disorders.\">proposed a 2024 ballot measure to amend the Mental Health Services Act\u003c/a> that would provide $1 billion a year for housing for people with mental illnesses and substance abuse disorders. That amendment would require voter approval to take effect.\u003c/p>\n\u003cp>“This budget provides not just funding to address homelessness — it builds in the accountability needed to ensure that tax dollars are being maximized to produce real results,” Daniel Lopez, Newsom’s deputy communications director, said in an emailed statement. “Ultimately, the challenge of homelessness and housing must be met not only with dollars, but it also requires strong accountability coupled with financial resources to make lasting progress for our state.”\u003c/p>\n\u003cp>To be eligible for homelessness funding under this budget, cities and counties must submit homeless action plans — in coordination with other jurisdictions in their region — that detail the progress they’ve made.\u003c/p>\n\u003ch2>Short-term homeless services\u003c/h2>\n\u003cp>There was some momentum this year to move away from one-time spending on homelessness. More than two dozen state legislators \u003ca href=\"https://www.calcities.org/docs/default-source/advocacy/ad-67-2023-24-budget-request-housing-and-homelessness.pdf?sfvrsn=4fbcd4a9_3/AD-67-2023-24-Budget-Request-Housing-and-Homel\">signed a letter in May supporting the League of California Cities’ demand (PDF)\u003c/a> for $3 billion a year. A coalition led by the California State Association of Counties also called for ongoing funds and drafted bill language it urged legislators to adopt.\u003c/p>\n\u003cp>But that proved to be a tough ask with Newsom’s office projecting a $30 billion-plus budget deficit.\u003c/p>\n\u003cp>For years, city and county leaders, legislators and homelessness nonprofits have been clamoring for a source of ongoing funding to tackle the homelessness crisis. \u003ca href=\"https://calmatters.org/legislator-tracker/luz-rivas-1974/\">Assemblymember Luz Rivas, a Democrat from Arleta\u003c/a>, pushed a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB71\">bill in 2021\u003c/a> that would have established ongoing homelessness funding by \u003ca href=\"https://www.mercurynews.com/2021/01/13/new-bill-would-fight-homelessness-by-raising-californias-corporate-tax-rates/\">raising taxes on large businesses\u003c/a>, but the bill died without making it out of the Assembly. Last year, California voters rejected a \u003ca href=\"https://www.mercurynews.com/2022/01/31/could-betting-on-sports-games-help-solve-californias-homelessness-crisis/\">ballot measure to legalize sports betting\u003c/a>, which would have directed fees and taxes from those wages into a fund for homelessness.\u003c/p>\n\u003cp>Baglietto, of Hospitality House, says that type of permanent funding could have helped save her organization’s Grass Valley outreach program.[pullquote size=\"medium\" align=\"right\" citation=\"Nancy Baglietto, executive director, Hospitality House\"]‘We don’t know each year where the funding is going to come from. It’s kind of a nail-biting scenario.’[/pullquote]Hospitality House and the Grass Valley Police Department received $575,000 in 2020 through a state violence intervention program. The city put the money toward homeless outreach as a way to prevent unhoused people from experiencing violence in encampments, and also to reduce confrontations between police and unhoused people. By the time the grant ran out this year, Grass Valley’s crime rate had improved and the city was no longer eligible for the money, Baglietto said.\u003c/p>\n\u003cp>It wasn’t the first time the nonprofit was forced to scramble because of unreliable state funding. Hospitality House’s 65-bed homeless shelter was once largely funded by state grants. Several years ago, the state changed how that money was allocated — focusing on permanent housing instead of shelter — and Hospitality House’s portion dried up. So the nonprofit cobbled together funding from a dozen different sources to fill the hole left by the state money, Baglietto said.\u003c/p>\n\u003cp>Now, Hospitality House keeps its shelter open through money from \u003ca href=\"https://calmatters.org/health/2022/02/california-medi-cal-reform/\">CalAIM, Newsom’s recent Medi-Cal expansion\u003c/a>. The nonprofit still has a “massive” gap, which it is temporarily filling with federal COVID funds designed to help businesses retain employees. That money runs out next year.\u003c/p>\n\u003cp>“We don’t know each year where the funding is going to come from,” Baglietto said. “It’s kind of a nail-biting scenario.”\u003c/p>\n\u003ch2>‘Havoc’ for California nonprofits\u003c/h2>\n\u003cp>Union Station Homeless Services, which coordinates programs throughout the San Gabriel Valley in Los Angeles County, faces the same issues, said CEO Anne Miskey. Every budget cycle, her team has to spend two or three months piecing together their financing as the funding they get from the state changes or ends. Sometimes, the parameters for a state grant shift and clients Union Station has been working with for years suddenly are no longer eligible.[aside label='More on California’s Unhoused Community' tag='homelessness']“This is just creating havoc in our sector,” Miskey said. “And this is why people are leaving. It’s not the clients. It’s not the work. It’s this piece.”\u003c/p>\n\u003cp>The new state budget has some new language around homelessness funding. It requires that anyone applying for a grant be part of a regional plan that lays out the specific roles and responsibilities of each participant.\u003c/p>\n\u003cp>That was something the \u003ca href=\"https://www.counties.org/sites/main/files/file-attachments/at_home_-_accountability_details_-_final_5-19-23.pdf?1684533540\">California State Association of Counties pushed for (PDF)\u003c/a>, arguing that currently cities, counties and other groups too often fight over who should be building shelters, offering mental health help or providing other homeless services.\u003c/p>\n\u003cp>The budget also promises that it is the Legislature’s “intent” to provide additional the same funding in the 2024-25 fiscal year.\u003c/p>\n\u003cp>That’s not enough, said Graham Knaus, CEO of the California State Association of Counties.\u003c/p>\n\u003cp>“Counties cannot budget based on legislative intent,” he said. “Nobody can. We certainly can’t make multi-year commitments based upon intent where there’s no clarity about what’s going to happen next year.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Gov. Gavin Newsom poured 'unprecedented' money into homelessness, but providers say one-time grants do not allow for long-term solutions to the state's biggest crisis.",
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"title": "This California City Made a Huge Impact on Homelessness. Then Money Ran Out | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A new homeless outreach program pairing a social worker with a police officer in Grass Valley, a small town in the Sierra Nevada foothills, seemed to be working.\u003c/p>\n\u003cp>The state-funded effort sent the team to homeless encampments, where they helped build trust among vulnerable people and persuaded them to accept help, according to the nonprofit Hospitality House, which ran the program.\u003c/p>\n\u003cp>It blew past its goal of engaging 90 people in three years, instead meeting with more than 200. It even helped move some people directly into housing, including an 80-year-old veteran.\u003c/p>\n\u003cp>But when the three-year grant paying for that outreach ended in June, there was no money to replace it. So the program came to a screeching halt, to the disappointment of all involved.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It is a profound loss to not be able to do this,” said Nancy Baglietto, executive director of Hospitality House.\u003c/p>\n\u003cp>That loss embodies the worst fears of homeless service providers across California, as they struggle to piece together new funding sources after their state grants expire.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘It really defies logic that the state budget once again fails to include funding to match the scale of the crisis we are experiencing.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many had hoped that Gov. Gavin Newsom and legislative leaders would change that dynamic in the state budget deal they announced last week by committing ongoing funds for homelessness that nonprofits, cities and counties could rely on year after year.\u003c/p>\n\u003cp>It didn’t happen.\u003c/p>\n\u003cp>Instead, Newsom and lawmakers settled on another round of one-time funding.\u003c/p>\n\u003cp>“It really defies logic that the state budget once again fails to include funding to match the scale of the crisis we are experiencing,” said Carolyn Coleman, executive director and CEO of the League of California Cities, which \u003ca href=\"https://calmatters.org/newsletters/whatmatters/2023/04/california-homeless-cities/\">pressed Newsom’s administration for a guaranteed $3 billion a year in homelessness funding\u003c/a>.\u003c/p>\n\u003ch2>‘Unprecedented’ homelessness funding under Newsom\u003c/h2>\n\u003cp>As California grapples with how to provide for its massive population of more than 170,000 unhoused residents, Newsom has stepped up homelessness funding to unprecedented levels. He’s funneled nearly $21 billion into housing and homelessness since the 2018–19 fiscal year.\u003c/p>\n\u003cp>This year, for the third year in a row, the state budget allocates $1 billion to the Homeless Housing, Assistance and Prevention fund, which local officials can use for housing, outreach at encampments, emergency shelters and more.\u003c/p>\n\u003cp>But the vast majority of Newsom’s homelessness spending has been in one-time grants, which providers say makes it difficult to fund the kind of long-term programs that could make a noticeable dent in the crisis.\u003c/p>\n\u003cfigure id=\"attachment_11954915\" class=\"wp-caption aligncenter\" style=\"max-width: 1200px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11954915 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg\" alt=\"There are tents, belongings scattered and stacked, RVs in the background, a random shopping cart, and more. Many blue tarps cover the tops of the encampment area.\" width=\"1200\" height=\"800\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02.jpg 1200w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/07/CalMattersUnhousedLA02-160x107.jpg 160w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\">\u003cfigcaption class=\"wp-caption-text\">An encampment in Los Angeles, on June 20, 2023. \u003ccite>(Julie A Hotz/CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California would need to spend \u003ca href=\"https://www.mercurynews.com/2022/12/20/what-will-it-cost-to-end-homelessness-in-california-8-billion-a-year-for-12-years/\">$8.1 billion a year for a dozen years\u003c/a> to eliminate homelessness in the state, according to \u003ca href=\"https://calneeds.csh.org/\">a report by the Corporation for Supportive Housing and the California Housing Partnership\u003c/a>, two nonprofit advocacy groups.\u003c/p>\n\u003cp>The governor’s office defended this approach to funding homelessness, pointing out that the state has provided an “unprecedented” $15.3 billion for the issue since he took office at the start of 2019.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The governor has also \u003ca href=\"https://www.gov.ca.gov/2023/03/19/governor-newsom-proposes-modernization-of-californias-behavioral-health-system-and-more-mental-health-housing/#:~:text=Amend%20the%20Mental%20Health%20Services,people%20with%20substance%20use%20disorders.\">proposed a 2024 ballot measure to amend the Mental Health Services Act\u003c/a> that would provide $1 billion a year for housing for people with mental illnesses and substance abuse disorders. That amendment would require voter approval to take effect.\u003c/p>\n\u003cp>“This budget provides not just funding to address homelessness — it builds in the accountability needed to ensure that tax dollars are being maximized to produce real results,” Daniel Lopez, Newsom’s deputy communications director, said in an emailed statement. “Ultimately, the challenge of homelessness and housing must be met not only with dollars, but it also requires strong accountability coupled with financial resources to make lasting progress for our state.”\u003c/p>\n\u003cp>To be eligible for homelessness funding under this budget, cities and counties must submit homeless action plans — in coordination with other jurisdictions in their region — that detail the progress they’ve made.\u003c/p>\n\u003ch2>Short-term homeless services\u003c/h2>\n\u003cp>There was some momentum this year to move away from one-time spending on homelessness. More than two dozen state legislators \u003ca href=\"https://www.calcities.org/docs/default-source/advocacy/ad-67-2023-24-budget-request-housing-and-homelessness.pdf?sfvrsn=4fbcd4a9_3/AD-67-2023-24-Budget-Request-Housing-and-Homel\">signed a letter in May supporting the League of California Cities’ demand (PDF)\u003c/a> for $3 billion a year. A coalition led by the California State Association of Counties also called for ongoing funds and drafted bill language it urged legislators to adopt.\u003c/p>\n\u003cp>But that proved to be a tough ask with Newsom’s office projecting a $30 billion-plus budget deficit.\u003c/p>\n\u003cp>For years, city and county leaders, legislators and homelessness nonprofits have been clamoring for a source of ongoing funding to tackle the homelessness crisis. \u003ca href=\"https://calmatters.org/legislator-tracker/luz-rivas-1974/\">Assemblymember Luz Rivas, a Democrat from Arleta\u003c/a>, pushed a \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB71\">bill in 2021\u003c/a> that would have established ongoing homelessness funding by \u003ca href=\"https://www.mercurynews.com/2021/01/13/new-bill-would-fight-homelessness-by-raising-californias-corporate-tax-rates/\">raising taxes on large businesses\u003c/a>, but the bill died without making it out of the Assembly. Last year, California voters rejected a \u003ca href=\"https://www.mercurynews.com/2022/01/31/could-betting-on-sports-games-help-solve-californias-homelessness-crisis/\">ballot measure to legalize sports betting\u003c/a>, which would have directed fees and taxes from those wages into a fund for homelessness.\u003c/p>\n\u003cp>Baglietto, of Hospitality House, says that type of permanent funding could have helped save her organization’s Grass Valley outreach program.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Hospitality House and the Grass Valley Police Department received $575,000 in 2020 through a state violence intervention program. The city put the money toward homeless outreach as a way to prevent unhoused people from experiencing violence in encampments, and also to reduce confrontations between police and unhoused people. By the time the grant ran out this year, Grass Valley’s crime rate had improved and the city was no longer eligible for the money, Baglietto said.\u003c/p>\n\u003cp>It wasn’t the first time the nonprofit was forced to scramble because of unreliable state funding. Hospitality House’s 65-bed homeless shelter was once largely funded by state grants. Several years ago, the state changed how that money was allocated — focusing on permanent housing instead of shelter — and Hospitality House’s portion dried up. So the nonprofit cobbled together funding from a dozen different sources to fill the hole left by the state money, Baglietto said.\u003c/p>\n\u003cp>Now, Hospitality House keeps its shelter open through money from \u003ca href=\"https://calmatters.org/health/2022/02/california-medi-cal-reform/\">CalAIM, Newsom’s recent Medi-Cal expansion\u003c/a>. The nonprofit still has a “massive” gap, which it is temporarily filling with federal COVID funds designed to help businesses retain employees. That money runs out next year.\u003c/p>\n\u003cp>“We don’t know each year where the funding is going to come from,” Baglietto said. “It’s kind of a nail-biting scenario.”\u003c/p>\n\u003ch2>‘Havoc’ for California nonprofits\u003c/h2>\n\u003cp>Union Station Homeless Services, which coordinates programs throughout the San Gabriel Valley in Los Angeles County, faces the same issues, said CEO Anne Miskey. Every budget cycle, her team has to spend two or three months piecing together their financing as the funding they get from the state changes or ends. Sometimes, the parameters for a state grant shift and clients Union Station has been working with for years suddenly are no longer eligible.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“This is just creating havoc in our sector,” Miskey said. “And this is why people are leaving. It’s not the clients. It’s not the work. It’s this piece.”\u003c/p>\n\u003cp>The new state budget has some new language around homelessness funding. It requires that anyone applying for a grant be part of a regional plan that lays out the specific roles and responsibilities of each participant.\u003c/p>\n\u003cp>That was something the \u003ca href=\"https://www.counties.org/sites/main/files/file-attachments/at_home_-_accountability_details_-_final_5-19-23.pdf?1684533540\">California State Association of Counties pushed for (PDF)\u003c/a>, arguing that currently cities, counties and other groups too often fight over who should be building shelters, offering mental health help or providing other homeless services.\u003c/p>\n\u003cp>The budget also promises that it is the Legislature’s “intent” to provide additional the same funding in the 2024-25 fiscal year.\u003c/p>\n\u003cp>That’s not enough, said Graham Knaus, CEO of the California State Association of Counties.\u003c/p>\n\u003cp>“Counties cannot budget based on legislative intent,” he said. “Nobody can. We certainly can’t make multi-year commitments based upon intent where there’s no clarity about what’s going to happen next year.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "community-and-civil-rights-groups-hold-vigil-and-rally-over-recent-deaths-at-santa-rita-jail",
"title": "Community and Civil Rights Groups Hold Vigil and Rally Over Recent Deaths at Santa Rita Jail",
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"content": "\u003cp>Over 70 people from civil rights groups and families of those affected by mental illness and incarceration held a vigil and noise demonstration organized by the Care First Community Coalition on Saturday to grieve and protest a \u003ca href=\"https://www.ktvu.com/news/4th-person-to-die-at-santa-rita-jail-in-6-weeks\">spate of recent deaths at Santa Rita Jail\u003c/a>, Alameda County’s main adult detention facility.[pullquote size=\"medium\" align=\"right\" citation=\"Dorsey Nunn, executive director, Legal Services for Prisoners with Children\"]‘At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.’[/pullquote]\u003c/p>\n\u003cp>The Dublin-based jail is not only one of the largest detention facilities in the United States, it is also \u003ca href=\"https://www.kqed.org/news/11918230/grand-jury-major-health-and-safety-violations-at-santa-rita-jail-require-urgent-attention\">one of the most notorious\u003c/a>, where major health and safety violations have been reported and where over 66 people have lost their lives since 2014. So far this year, there have been four deaths at Santa Rita Jail.\u003c/p>\n\u003cp>“All four of those people died needlessly within days of their intake,” said Joy George with \u003ca href=\"https://restoreoakland.org/\">Restore Oakland\u003c/a>, a community advocacy group. “They died after being evaluated … even though there were multiple red flags. They should have been diverted. They should have been elsewhere. They should not have been incarcerated at Santa Rita Jail.”\u003c/p>\n\u003cp>The facility was \u003ca href=\"https://oaklandside.org/2022/02/08/judge-places-santa-rita-jail-under-external-oversight-ending-mental-health-abuse-lawsuit/\">placed under federal supervision in 2022 for at least six years\u003c/a> to improve conditions for those experiencing mental illness. During the rally, protestors read the names of those who had died in the jail over the last nine years.\u003c/p>\n\u003cfigure id=\"attachment_11945442\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945442 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-800x600.jpg\" alt=\"Large white signs, with names, birth and death dates painted in black, lay arranged on a cement walkway in neat rows.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Demonstrators lay 66 painted signs on the plaza in front of the jail, each bearing the name of a person who died in the jail over the last decade. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While some of the deaths have been attributed by jail officials to suspected fentanyl overdoses, protesters say the majority generally were caused by people not getting the care they needed (whether for mental illness or substance use disorder) in the facility.\u003c/p>\n\u003cfigure id=\"attachment_11945446\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945446 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg\" alt=\"A Black man wearing black clothing and holding a microphone stands in front of several colored signs on a cement walkway outside.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dorsey Nunn, executive director of Legal Services for Prisoners With Children, speaks to a crowd of demonstrators in front of Santa Rita Jail. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“In the event that I’m out of control with a drug habit, should you take me to a drug program or should you take me to jail?” said Dorsey Nunn, executive director of the nonprofit \u003ca href=\"https://prisonerswithchildren.org/\">Legal Services for Prisoners With Children\u003c/a>. “At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.”\u003c/p>\n\u003cp>Advocates with the Care First Community Coalition pushed for the “Care First, Jails Last” policy resolution that was adopted by Alameda County in 2021, which set goals for law enforcement agencies in the county to stop the practice of arresting and jailing people dealing with mental health and/or substance use issues. The resolution also called for creating a community-led process to establish behavioral/mental health care and social services. The coalition demanded that the Alameda County Board of Supervisors investigate jail deaths and provide over $50 million for mental health services that were promised but have yet to be implemented. A meeting with the board about budget presentations will be held on April 11.[aside postID=\"news_11918230,news_11854891,news_11853540\" label=\"Related Posts\"]“The last time my brother Donald Nelson was able to walk, it was walking into this facility … that was May 1st, 2020,” said Norma Nelson. She said her brother, Donald Nelson, died after he was fatally assaulted in a holding cell by another detainee just hours into custody. “Losing a loved one who needs medical and mental health care while in the hands of our social and criminal justice system cuts to the heart with a different kind of pain — it’s deep.”\u003c/p>\n\u003cp>Nelson added that the sheriff’s department didn’t acknowledge the murder publicly until a reporter months later reported it. Lt. Tya Modeste, public information officer for the Alameda County Sheriff’s Office, said she was aware that the jail’s “reputation wasn’t great in the past” and that “people found out their family members passed away by hearing it on the news,” but she says they’ve been working hard under the new sheriff, Yesenia Sanchez, to turn that around.\u003c/p>\n\u003cp>“We welcome peaceful protests and understand that the community and families are frustrated,” said Modeste. “It’s difficult to see someone lose their life … We’re not just sitting back and watching people die in our custody.”\u003c/p>\n\u003cp>Modeste outlined various initiatives the Sheriff’s Office has taken, including building a focus group and inviting community members to discussions with the executive staff and Sanchez about grievances; working with federal monitors and attorneys who represent the incarcerated population on federal oversight; working collectively with community-based partners; sending out press releases when someone dies in custody; and getting in touch with families.\u003c/p>\n\u003cfigure id=\"attachment_11945441\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945441 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-800x600.jpg\" alt=\"A young woman with a dark, shaved head, wearing a sleeveless black tank top, black jeans, and black Adidas sneakers, holds a microphone with both hands as she stands in front of signs that are yellow, red and white. Several people stand off to the side looking in her direction.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kari Malkki, a healing justice intern at Restore Oakland, addresses the crowd of demonstrators on the plaza in front of Santa Rita Jail on April 1, 2023. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re putting policies and practices in place so that we can make sure that when something like this happens, that we look at our policies, we look at our practices, we look at our services,” said Modeste. “We invite all the stakeholders to the table so that we’re discussing this together and we’re looking at ways to make sure we’re providing better service for our incarcerated population. Sheriff Sanchez is committed to restoring public trust. She’s committed to making sure that we’re being absolutely transparent.”\u003c/p>\n\u003cp>Katy Polony, a family advocate who works with \u003ca href=\"https://acfasmi.org/\">Families Advocating for the Seriously Mentally Ill\u003c/a> (FASMI), says there’s a need for more hospital beds, supportive housing, continuum of care and case management teams.\u003c/p>\n\u003cfigure id=\"attachment_11945443\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945443 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-800x600.jpg\" alt=\"A large group of people sit and stand looking in the same direction, many wearing bright yellow, with a low, green hill and trees behind them.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A crowd of demonstrators, including faith leaders, community organizers, formerly incarcerated people and the families of people who died while at Santa Rita, listen quietly as Norma Nelson (not pictured) shares her experience of trying to get information from the Sheriff’s Office about the death of her brother, Donald Nelson, in Santa Rita Jail in 2020. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Families are getting no support, no training, nothing. When their kids are cycling through the system, they’re like, ‘What do I do? What am I doing?’” said Polony. “The most important thing with someone who has schizophrenia or another psychotic disease is to treat them right away. We need early intervention programs, which means a psychiatrist, a psychologist, a vocal rehab … We could do it, but we don’t.”\u003c/p>\n\u003cp>Tiffany Monk says her brother who had schizophrenia, bipolar disorder and high blood pressure died in Santa Rita Jail, but that the lack of communication and cooperation from the authorities means she’s still not sure exactly what happened to him.\u003c/p>\n\u003cp>“I’m hoping [the new sheriff] makes a difference, that she takes her job seriously and holds these people accountable, because it’s not right,” said Monk. “They’re killing people and it’s like nothing’s happening.”\u003c/p>\n\u003cp>The average daily population at Santa Rita Jail fell to 2,108 in the fourth quarter of 2022, according to a survey by the \u003ca href=\"http://www.bscc.ca.gov/wp-content/uploads/Jail-Pop-Trends-Through-Q4-2022_3.20.23.pdf\">Board of State and Community Corrections (PDF)\u003c/a>, while on April 2, the Alameda County Sheriff’s Office reported a \u003ca href=\"https://content.govdelivery.com/bulletins/gd/ACSO-35285e4?wgt_ref=ACSO_WIDGET_2\">population of 1,778\u003c/a>.\u003c/p>\n\u003cp>The Care First Coalition has been calling for the reinvestment of funds from the jail into community-based mental health and substance use.\u003c/p>\n\u003cp>“The federal court decree requiring county investment in increased staffing of the jail is based on an estimate of 3,000 prisoners, which Santa Rita has not had since 2014,” said John Lindsay-Poland of American Friends Service Committee.\u003c/p>\n\u003cp>\u003cem>This story has been updated to include the latest average daily population figures for Santa Rita Jail, and a comment from John Lindsay-Poland of American Friends Service Committee.\u003c/em>\u003c/p>\n\u003cp>\u003cem>KQED’s Annelise Finney and Spencer Whitney contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "With four people having died within 6 weeks in 2023 alone, families and civil rights groups expressed grief and outrage over conditions at the notorious Dublin-based facility in Alameda County where protesters say more than 60 people lost their lives in the last 10 years.",
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"title": "Community and Civil Rights Groups Hold Vigil and Rally Over Recent Deaths at Santa Rita Jail | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Over 70 people from civil rights groups and families of those affected by mental illness and incarceration held a vigil and noise demonstration organized by the Care First Community Coalition on Saturday to grieve and protest a \u003ca href=\"https://www.ktvu.com/news/4th-person-to-die-at-santa-rita-jail-in-6-weeks\">spate of recent deaths at Santa Rita Jail\u003c/a>, Alameda County’s main adult detention facility.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Dublin-based jail is not only one of the largest detention facilities in the United States, it is also \u003ca href=\"https://www.kqed.org/news/11918230/grand-jury-major-health-and-safety-violations-at-santa-rita-jail-require-urgent-attention\">one of the most notorious\u003c/a>, where major health and safety violations have been reported and where over 66 people have lost their lives since 2014. So far this year, there have been four deaths at Santa Rita Jail.\u003c/p>\n\u003cp>“All four of those people died needlessly within days of their intake,” said Joy George with \u003ca href=\"https://restoreoakland.org/\">Restore Oakland\u003c/a>, a community advocacy group. “They died after being evaluated … even though there were multiple red flags. They should have been diverted. They should have been elsewhere. They should not have been incarcerated at Santa Rita Jail.”\u003c/p>\n\u003cp>The facility was \u003ca href=\"https://oaklandside.org/2022/02/08/judge-places-santa-rita-jail-under-external-oversight-ending-mental-health-abuse-lawsuit/\">placed under federal supervision in 2022 for at least six years\u003c/a> to improve conditions for those experiencing mental illness. During the rally, protestors read the names of those who had died in the jail over the last nine years.\u003c/p>\n\u003cfigure id=\"attachment_11945442\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945442 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9642-800x600.jpg\" alt=\"Large white signs, with names, birth and death dates painted in black, lay arranged on a cement walkway in neat rows.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9642-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Demonstrators lay 66 painted signs on the plaza in front of the jail, each bearing the name of a person who died in the jail over the last decade. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>While some of the deaths have been attributed by jail officials to suspected fentanyl overdoses, protesters say the majority generally were caused by people not getting the care they needed (whether for mental illness or substance use disorder) in the facility.\u003c/p>\n\u003cfigure id=\"attachment_11945446\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945446 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg\" alt=\"A Black man wearing black clothing and holding a microphone stands in front of several colored signs on a cement walkway outside.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9652-1-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dorsey Nunn, executive director of Legal Services for Prisoners With Children, speaks to a crowd of demonstrators in front of Santa Rita Jail. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“In the event that I’m out of control with a drug habit, should you take me to a drug program or should you take me to jail?” said Dorsey Nunn, executive director of the nonprofit \u003ca href=\"https://prisonerswithchildren.org/\">Legal Services for Prisoners With Children\u003c/a>. “At a certain point there is something called compassion, and we are sorely missing it as a society, particularly when it comes to Black and brown folks.”\u003c/p>\n\u003cp>Advocates with the Care First Community Coalition pushed for the “Care First, Jails Last” policy resolution that was adopted by Alameda County in 2021, which set goals for law enforcement agencies in the county to stop the practice of arresting and jailing people dealing with mental health and/or substance use issues. The resolution also called for creating a community-led process to establish behavioral/mental health care and social services. The coalition demanded that the Alameda County Board of Supervisors investigate jail deaths and provide over $50 million for mental health services that were promised but have yet to be implemented. A meeting with the board about budget presentations will be held on April 11.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“The last time my brother Donald Nelson was able to walk, it was walking into this facility … that was May 1st, 2020,” said Norma Nelson. She said her brother, Donald Nelson, died after he was fatally assaulted in a holding cell by another detainee just hours into custody. “Losing a loved one who needs medical and mental health care while in the hands of our social and criminal justice system cuts to the heart with a different kind of pain — it’s deep.”\u003c/p>\n\u003cp>Nelson added that the sheriff’s department didn’t acknowledge the murder publicly until a reporter months later reported it. Lt. Tya Modeste, public information officer for the Alameda County Sheriff’s Office, said she was aware that the jail’s “reputation wasn’t great in the past” and that “people found out their family members passed away by hearing it on the news,” but she says they’ve been working hard under the new sheriff, Yesenia Sanchez, to turn that around.\u003c/p>\n\u003cp>“We welcome peaceful protests and understand that the community and families are frustrated,” said Modeste. “It’s difficult to see someone lose their life … We’re not just sitting back and watching people die in our custody.”\u003c/p>\n\u003cp>Modeste outlined various initiatives the Sheriff’s Office has taken, including building a focus group and inviting community members to discussions with the executive staff and Sanchez about grievances; working with federal monitors and attorneys who represent the incarcerated population on federal oversight; working collectively with community-based partners; sending out press releases when someone dies in custody; and getting in touch with families.\u003c/p>\n\u003cfigure id=\"attachment_11945441\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945441 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9639-800x600.jpg\" alt=\"A young woman with a dark, shaved head, wearing a sleeveless black tank top, black jeans, and black Adidas sneakers, holds a microphone with both hands as she stands in front of signs that are yellow, red and white. Several people stand off to the side looking in her direction.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9639-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kari Malkki, a healing justice intern at Restore Oakland, addresses the crowd of demonstrators on the plaza in front of Santa Rita Jail on April 1, 2023. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We’re putting policies and practices in place so that we can make sure that when something like this happens, that we look at our policies, we look at our practices, we look at our services,” said Modeste. “We invite all the stakeholders to the table so that we’re discussing this together and we’re looking at ways to make sure we’re providing better service for our incarcerated population. Sheriff Sanchez is committed to restoring public trust. She’s committed to making sure that we’re being absolutely transparent.”\u003c/p>\n\u003cp>Katy Polony, a family advocate who works with \u003ca href=\"https://acfasmi.org/\">Families Advocating for the Seriously Mentally Ill\u003c/a> (FASMI), says there’s a need for more hospital beds, supportive housing, continuum of care and case management teams.\u003c/p>\n\u003cfigure id=\"attachment_11945443\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-scaled.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11945443 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2023/04/IMG_9646-800x600.jpg\" alt=\"A large group of people sit and stand looking in the same direction, many wearing bright yellow, with a low, green hill and trees behind them.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1536x1152.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-2048x1536.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2023/04/IMG_9646-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A crowd of demonstrators, including faith leaders, community organizers, formerly incarcerated people and the families of people who died while at Santa Rita, listen quietly as Norma Nelson (not pictured) shares her experience of trying to get information from the Sheriff’s Office about the death of her brother, Donald Nelson, in Santa Rita Jail in 2020. \u003ccite>(Annelise Finney/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Families are getting no support, no training, nothing. When their kids are cycling through the system, they’re like, ‘What do I do? What am I doing?’” said Polony. “The most important thing with someone who has schizophrenia or another psychotic disease is to treat them right away. We need early intervention programs, which means a psychiatrist, a psychologist, a vocal rehab … We could do it, but we don’t.”\u003c/p>\n\u003cp>Tiffany Monk says her brother who had schizophrenia, bipolar disorder and high blood pressure died in Santa Rita Jail, but that the lack of communication and cooperation from the authorities means she’s still not sure exactly what happened to him.\u003c/p>\n\u003cp>“I’m hoping [the new sheriff] makes a difference, that she takes her job seriously and holds these people accountable, because it’s not right,” said Monk. “They’re killing people and it’s like nothing’s happening.”\u003c/p>\n\u003cp>The average daily population at Santa Rita Jail fell to 2,108 in the fourth quarter of 2022, according to a survey by the \u003ca href=\"http://www.bscc.ca.gov/wp-content/uploads/Jail-Pop-Trends-Through-Q4-2022_3.20.23.pdf\">Board of State and Community Corrections (PDF)\u003c/a>, while on April 2, the Alameda County Sheriff’s Office reported a \u003ca href=\"https://content.govdelivery.com/bulletins/gd/ACSO-35285e4?wgt_ref=ACSO_WIDGET_2\">population of 1,778\u003c/a>.\u003c/p>\n\u003cp>The Care First Coalition has been calling for the reinvestment of funds from the jail into community-based mental health and substance use.\u003c/p>\n\u003cp>“The federal court decree requiring county investment in increased staffing of the jail is based on an estimate of 3,000 prisoners, which Santa Rita has not had since 2014,” said John Lindsay-Poland of American Friends Service Committee.\u003c/p>\n\u003cp>\u003cem>This story has been updated to include the latest average daily population figures for Santa Rita Jail, and a comment from John Lindsay-Poland of American Friends Service Committee.\u003c/em>\u003c/p>\n\u003cp>\u003cem>KQED’s Annelise Finney and Spencer Whitney contributed reporting to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>When San Mateo County Sheriff Christina Corpus responded last Monday to the horrific mass shootings at two Half Moon Bay farms, she wasn’t only concerned about the victims and their families.\u003c/p>\n\u003cp>She also was worried about her deputies, whose job is to run toward violent crime scenes.\u003c/p>\n\u003cp>Corpus made history when she was elected last year as the county’s first female sheriff, also becoming one of the first Latina sheriffs in California. She’s always been an outlier in law enforcement — a petite woman, the daughter of immigrants.[pullquote align=\"right\" size=\"medium\" citation=\"Scott Wiese, Monterey Park police chief\"]‘The only way they are going to protect this community is if they are mentally prepared to do so.’[/pullquote]Sometimes that outsider status has been a challenge in \u003ca href=\"https://experience.arcgis.com/experience/f941acef8b2d4c6c99a74309897415df/\">a sheriff’s department that is still largely male dominated\u003c/a>. But Corpus said it’s also given her a different perspective, even at the start of her career, when the advice was basically to suck it up.\u003c/p>\n\u003cp>“When I was in our field-training program 20 years ago, I responded to a call for service of an unresponsive toddler on Thanksgiving morning,” she told KQED in an interview two weeks before the Jan. 23 shootings that left seven farmworkers dead and an eighth critically injured.\u003c/p>\n\u003cp>“And as I arrived on scene, I saw the fire department pulling this little boy out of a pond, and they worked for about 45 minutes on resuscitating him, but they were unsuccessful.”\u003c/p>\n\u003cp>The boy had slipped outside while his mother was changing her newborn baby’s diaper. Corpus remembers that her training officer told her to conduct the interviews and investigation without showing any emotion. When her report was done, they went back on patrol.\u003c/p>\n\u003cp>“Not once was I asked, ‘Are you OK? Do you want to talk to anybody?'” she said.\u003c/p>\n\u003cp>That service call, though, has stayed with Corpus.\u003c/p>\n\u003cp>“There’s not a Thanksgiving morning that goes by that I don’t think about that curly-haired little boy in overalls and think about how he would have been an adult by now,” she said. “And then I think about the mother. Now that I’m a mother, how has she navigated through life?”\u003c/p>\n\u003cp>For first responders, Corpus says, it’s like being handed a backpack on the first day of work.\u003c/p>\n\u003cp>“And every time you go to a critical incident, you put a rock in your backpack,” she said. “And if you don’t take those rocks out of your backpack, the backpack’s gonna get too heavy and you’re going to topple over.”\u003c/p>\n\u003cp>During that interview with KQED, before the shooting rampage, Corpus spoke about creating a robust mental wellness program at the San Mateo County Sheriff’s Department, and working to ensure that there is a culture in which officers know it’s OK to ask for help.\u003c/p>\n\u003cp>Corpus put those plans into action last week. She said her first move on Monday was to get to the crime scenes herself to support her officers. Then she released the deputies who first responded so they could go home and be with their families.\u003c/p>\n\u003cp>Those officers also met with one of her department’s mental health professionals, she said.\u003c/p>\n\u003cp>“[I came to do] a debriefing with them and to openly talk about it,” Corpus said last week. “And I’ll be checking in with them on a daily basis to make sure that they’re OK and whatever support that they need, they’ll have it from me and the organization.”\u003c/p>\n\u003cp>Corpus isn’t alone in prioritizing what’s become known as “officer wellness.” The \u003ca href=\"https://www.themarshallproject.org/2017/10/03/it-s-time-we-talk-about-police-suicide\">increased focus on this issue\u003c/a> comes amid a mounting body of data showing that \u003ca href=\"https://www.usatoday.com/story/news/nation/2022/06/10/high-suicide-rate-police-firefighters-mental-health/7470846001/\">law enforcement officers are more likely to die of suicide than in the line of duty\u003c/a>.[aside label=\"related coverage\" tag=\"mass-shootings\"]In recent years, many departments across the country have created \u003ca href=\"https://www.baltimorepolice.org/about/officer-safety-wellness/director-officer-safety-and-wellness\">positions or offices within their own command structure\u003c/a> that are dedicated to supporting the mental health of their officers.\u003c/p>\n\u003cp>In California, the agency that trains police officers began offering local departments \u003ca href=\"https://post.ca.gov/Wellness\">entire courses on wellness and resilience\u003c/a> just last year, after funding was approved by state leaders.\u003c/p>\n\u003cp>That money comes years after the federal government highlighted the issue. Supporting officer safety and wellness was among the six main recommendations for improving policing that were highlighted in the final report of President Barack Obama’s 2015 \u003ca href=\"https://cops.usdoj.gov/pdf/taskforce/taskforce_finalreport.pdf\">Task Force on 21st Century Policing (PDF)\u003c/a> — an initiative convened largely in response to the unrest in Ferguson, Missouri, after the police killing of Michael Brown.\u003c/p>\n\u003cp>In the report, the task force spelled out why the mental health of law enforcement officers is “critical” to public safety at large.\u003c/p>\n\u003cp>“An officer whose capabilities, judgment, and behavior are adversely affected by poor physical or psychological health not only may be of little use to the community he or she serves but also may be a danger to the community and to other officers,” the report stated, pointing to corroborating testimony from a \u003ca href=\"https://www.police1.com/columnists/laurence-miller/\">prominent police psychologist\u003c/a>.\u003c/p>\n\u003cp>“Dr. Laurence Miller observed in his testimony that supervisors would not allow an officer to go on patrol with a deficiently maintained vehicle, an un-serviced duty weapon, or a malfunctioning radio — but pay little attention to the maintenance of what is all officers’ most valuable resource: their brains,” the report states.\u003c/p>\n\u003cp>Monterey Park Police Chief Scott Wiese acknowledged the connection between officer wellness and community safety during a news conference earlier this month, a day after his agency responded to the killing of 11 people at a local ballroom dance club.\u003c/p>\n\u003cp>“The officers that were here last night are just coming on duty right now — they are upstairs at briefing,” he said during a press conference. “When I get done talking to you here, I will go back upstairs and make sure my officers are mindful of what took place and that they’re in a good place tonight, because their wellness means a lot to me. And the only way they are going to protect this community is if they are mentally prepared to do so.”\u003c/p>\n\u003cp>Back in Half Moon Bay, Lenny Mendonca, who owns Half Moon Bay Brewing Company, said he was heartened to hear of Corpus’s focus on mental health.\u003c/p>\n\u003cp>“It starts at the top — they have to be able to say, ‘This is OK. We want you to talk about it,’” said Mendonca, who served as Gov. Gavin Newsom’s chief economic and business adviser until leaving the job in 2020 \u003ca href=\"https://www.kqed.org/news/11896784/the-politics-of-inflation-with-lenny-mendonca\">to focus on his own mental health challenges\u003c/a>.\u003c/p>\n\u003cp>“I’m glad she’s talking about it.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When San Mateo County Sheriff Christina Corpus responded last Monday to the horrific mass shootings at two Half Moon Bay farms, she wasn’t only concerned about the victims and their families.\u003c/p>\n\u003cp>She also was worried about her deputies, whose job is to run toward violent crime scenes.\u003c/p>\n\u003cp>Corpus made history when she was elected last year as the county’s first female sheriff, also becoming one of the first Latina sheriffs in California. She’s always been an outlier in law enforcement — a petite woman, the daughter of immigrants.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Sometimes that outsider status has been a challenge in \u003ca href=\"https://experience.arcgis.com/experience/f941acef8b2d4c6c99a74309897415df/\">a sheriff’s department that is still largely male dominated\u003c/a>. But Corpus said it’s also given her a different perspective, even at the start of her career, when the advice was basically to suck it up.\u003c/p>\n\u003cp>“When I was in our field-training program 20 years ago, I responded to a call for service of an unresponsive toddler on Thanksgiving morning,” she told KQED in an interview two weeks before the Jan. 23 shootings that left seven farmworkers dead and an eighth critically injured.\u003c/p>\n\u003cp>“And as I arrived on scene, I saw the fire department pulling this little boy out of a pond, and they worked for about 45 minutes on resuscitating him, but they were unsuccessful.”\u003c/p>\n\u003cp>The boy had slipped outside while his mother was changing her newborn baby’s diaper. Corpus remembers that her training officer told her to conduct the interviews and investigation without showing any emotion. When her report was done, they went back on patrol.\u003c/p>\n\u003cp>“Not once was I asked, ‘Are you OK? Do you want to talk to anybody?'” she said.\u003c/p>\n\u003cp>That service call, though, has stayed with Corpus.\u003c/p>\n\u003cp>“There’s not a Thanksgiving morning that goes by that I don’t think about that curly-haired little boy in overalls and think about how he would have been an adult by now,” she said. “And then I think about the mother. Now that I’m a mother, how has she navigated through life?”\u003c/p>\n\u003cp>For first responders, Corpus says, it’s like being handed a backpack on the first day of work.\u003c/p>\n\u003cp>“And every time you go to a critical incident, you put a rock in your backpack,” she said. “And if you don’t take those rocks out of your backpack, the backpack’s gonna get too heavy and you’re going to topple over.”\u003c/p>\n\u003cp>During that interview with KQED, before the shooting rampage, Corpus spoke about creating a robust mental wellness program at the San Mateo County Sheriff’s Department, and working to ensure that there is a culture in which officers know it’s OK to ask for help.\u003c/p>\n\u003cp>Corpus put those plans into action last week. She said her first move on Monday was to get to the crime scenes herself to support her officers. Then she released the deputies who first responded so they could go home and be with their families.\u003c/p>\n\u003cp>Those officers also met with one of her department’s mental health professionals, she said.\u003c/p>\n\u003cp>“[I came to do] a debriefing with them and to openly talk about it,” Corpus said last week. “And I’ll be checking in with them on a daily basis to make sure that they’re OK and whatever support that they need, they’ll have it from me and the organization.”\u003c/p>\n\u003cp>Corpus isn’t alone in prioritizing what’s become known as “officer wellness.” The \u003ca href=\"https://www.themarshallproject.org/2017/10/03/it-s-time-we-talk-about-police-suicide\">increased focus on this issue\u003c/a> comes amid a mounting body of data showing that \u003ca href=\"https://www.usatoday.com/story/news/nation/2022/06/10/high-suicide-rate-police-firefighters-mental-health/7470846001/\">law enforcement officers are more likely to die of suicide than in the line of duty\u003c/a>.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In recent years, many departments across the country have created \u003ca href=\"https://www.baltimorepolice.org/about/officer-safety-wellness/director-officer-safety-and-wellness\">positions or offices within their own command structure\u003c/a> that are dedicated to supporting the mental health of their officers.\u003c/p>\n\u003cp>In California, the agency that trains police officers began offering local departments \u003ca href=\"https://post.ca.gov/Wellness\">entire courses on wellness and resilience\u003c/a> just last year, after funding was approved by state leaders.\u003c/p>\n\u003cp>That money comes years after the federal government highlighted the issue. Supporting officer safety and wellness was among the six main recommendations for improving policing that were highlighted in the final report of President Barack Obama’s 2015 \u003ca href=\"https://cops.usdoj.gov/pdf/taskforce/taskforce_finalreport.pdf\">Task Force on 21st Century Policing (PDF)\u003c/a> — an initiative convened largely in response to the unrest in Ferguson, Missouri, after the police killing of Michael Brown.\u003c/p>\n\u003cp>In the report, the task force spelled out why the mental health of law enforcement officers is “critical” to public safety at large.\u003c/p>\n\u003cp>“An officer whose capabilities, judgment, and behavior are adversely affected by poor physical or psychological health not only may be of little use to the community he or she serves but also may be a danger to the community and to other officers,” the report stated, pointing to corroborating testimony from a \u003ca href=\"https://www.police1.com/columnists/laurence-miller/\">prominent police psychologist\u003c/a>.\u003c/p>\n\u003cp>“Dr. Laurence Miller observed in his testimony that supervisors would not allow an officer to go on patrol with a deficiently maintained vehicle, an un-serviced duty weapon, or a malfunctioning radio — but pay little attention to the maintenance of what is all officers’ most valuable resource: their brains,” the report states.\u003c/p>\n\u003cp>Monterey Park Police Chief Scott Wiese acknowledged the connection between officer wellness and community safety during a news conference earlier this month, a day after his agency responded to the killing of 11 people at a local ballroom dance club.\u003c/p>\n\u003cp>“The officers that were here last night are just coming on duty right now — they are upstairs at briefing,” he said during a press conference. “When I get done talking to you here, I will go back upstairs and make sure my officers are mindful of what took place and that they’re in a good place tonight, because their wellness means a lot to me. And the only way they are going to protect this community is if they are mentally prepared to do so.”\u003c/p>\n\u003cp>Back in Half Moon Bay, Lenny Mendonca, who owns Half Moon Bay Brewing Company, said he was heartened to hear of Corpus’s focus on mental health.\u003c/p>\n\u003cp>“It starts at the top — they have to be able to say, ‘This is OK. We want you to talk about it,’” said Mendonca, who served as Gov. Gavin Newsom’s chief economic and business adviser until leaving the job in 2020 \u003ca href=\"https://www.kqed.org/news/11896784/the-politics-of-inflation-with-lenny-mendonca\">to focus on his own mental health challenges\u003c/a>.\u003c/p>\n\u003cp>“I’m glad she’s talking about it.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Nearly 2,000 registered nurses at Alta Bates Summit Medical Center campuses in Oakland and Berkeley began a five-day strike Monday in response to high turnover rates, staff shortages and workplace safety issues.\u003c/p>\n\u003cp>The nurses, represented by the California Nurses Association and National Nurses United, called on Sutter Health to implement workplace violence prevention plans, increase staffing and provide more robust safety resources, including better access to medical-grade safety equipment.\u003c/p>\n\u003cp>“I am seeing nurses leave the medical center for other nursing positions on a regular basis. We have nurses working overtime, and even double shifts, day after day to keep the hospital running,” said Mike Hill, a nurse in Sutter’s intensive care unit.\u003c/p>\n\u003cp>Hill said that while workplace violence in hospitals — mostly of patients toward staff — has always been a concern, there was an uptick in incidents during the pandemic, when many patients didn’t have the family support they needed.\u003c/p>\n\u003cp>“Sometimes it’s intentional. Other times, it’s from anger, fear or a medical condition that causes them to lash out at staff. Either way, it’s dangerous for us as professionals,” said Hill. “It’s not just physical violence. Sometimes it’s verbal threats.”\u003c/p>\n\u003cp>When workplace violence occurs, hospitals announce “code gray” on the intercom system to alert security, Hill said. But like the nursing team, the security department at Alta Bates is understaffed, and in some cases it takes too long for guards to arrive at the scene, Hill said, forcing other nurses to step in to help their colleagues. Hill said more security guards are needed both inside the hospital and in the parking garage, to prevent vehicle break-ins, thefts and attacks on staff.\u003c/p>\n\u003cp>Those concerns about violence, he added, are compounded by the hospital failing to take the necessary measures to effectively protect nurses from COVID exposure and other diseases.\u003c/p>\n\u003cp>Last year, the California Division of Occupational Safety and Health (Cal/OSHA) fined Sutter Health for violations tied to COVID-related workplace safety issues after an investigation was launched in response to the July 2021 \u003ca href=\"https://www.nationalnursesunited.org/press/calosha-finds-alta-bates-summit-medical-center-guilty-eight-serious-violations\">death of an Alta Bates nurse\u003c/a>, who contracted the disease.\u003c/p>\n\u003cp>“Sutter must create working conditions to enhance patient care while also providing a safe work environment that retains nurses,” said Hill.\u003c/p>\n\u003cp>Ann Gaebler, a registered nurse of over 40 years, said she has never seen Sutter “act this disrespectfully” toward nurses, and it’s causing experienced health care providers to leave.\u003c/p>\n\u003cp>“Without proper mentorship, we see young nurses suffering the moral injury and the moral distress of having to care for patients without the support they need, and so they leave,” Gaebler said in a statement. “This is not how you grow the next generation of nurses or how to take care of a community. We need Sutter to step up to address our concerns about retention, so we can continue to provide excellent care to our patients.”[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Joanne Spetz, director, Philip R. Lee Institute for Health Policy Studies, UCSF\"]‘I think the pandemic revealed and exacerbated a lot of problems that existed already, and some of those problems were brewing around stress and burnout and workloads, as we’re hearing from physicians and nurses and other health care professionals.’[/pullquote]\u003c/p>\n\u003cp>In response to the walkout, Sutter management faulted local leaders in the nurses unions, accusing them of putting “politics above the patients and the nurses they represent” despite Sutter being willing to bargain, a spokesperson said in a statement on Monday.\u003c/p>\n\u003cp>“Our attention remains on providing safe, high-quality care to the patients and communities we’re honored to serve, and we are confident in our ability to manage this disruption,” the statement said. “We are hopeful the union shares our desire to reach an agreement and enable our nurses to turn their focus back to the patients the union has asked them to walk away from.”\u003c/p>\n\u003cfigure id=\"attachment_11930036\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11930036\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-800x533.jpg\" alt=\"People holding yellow and red signs and wearing red nurse outfits walk across the street.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses begin a five-day strike at Alta Bates Summit Medical Center in Oakland on Oct. 24, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sutter Health’s proposed contract includes a pay increase of more than 20% over four years and a commitment to pursuing initiatives aimed at promoting diversity and advancing equity among its employees, along with continued health coverage for nurses and their families.\u003c/p>\n\u003cp>The Sutter nurses strike is just the latest in a slew of labor actions in recent months among health care workers throughout the Bay Area, mirroring a larger nationwide trend.\u003c/p>\n\u003cp>The walkout comes less than a week after some 2,000 Kaiser Permanente mental health care employees approved \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/new-4-year-agreement-ratified\">a four-year contract\u003c/a>, ending an unprecedented, grueling 10-week strike over staffing shortages, wages and patient care, and just days after the Valley Physicians Group, a union representing about 450 doctors employed by Santa Clara County, announced its intention to hit the picket line on November 1 over similar issues.[aside postID=\"news_11929713,news_11924980\" label=\"Related Posts\"]Even though \u003ca href=\"https://www.bls.gov/opub/ted/2020/union-membership-rate-8-point-6-percent-in-manufacturing-23-point-4-percent-in-utilities-in-2019.htm#:~:text=Bureau%20of%20Labor%20Statistics,-The%20Economics%20Daily&text=In%202019%2C%20the%20union%20membership,hunting%3B%20and%20finance%20and%20insurance.\">less than 7% of health care workers nationwide were unionized\u003c/a> as of 2020, the health care sector \u003ca href=\"https://www.npr.org/sections/health-shots/2021/01/11/955128562/for-health-care-workers-the-pandemic-is-fueling-renewed-interest-in-unions\">also has seen renewed interest in unionization since the pandemic\u003c/a>.\u003c/p>\n\u003cp>“I think the pandemic revealed and exacerbated a lot of problems that existed already, and some of those problems were brewing around stress and burnout and workloads, as we’re hearing from physicians and nurses and other health care professionals,” Dr. Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF, told KQED.\u003c/p>\n\u003cp>The pandemic, she added, also laid bare the extent of labor shortages across a wide range of essential jobs within health care settings, including custodial staff, nursing assistants, food-service workers and delivery people.\u003c/p>\n\u003cp>“When those jobs are all in short supply, that puts even more pressure on physicians, nurses and others,” Spetz said.\u003c/p>\n\u003cp>And many health care workers are finding that their most common demands — for reduced workloads, more support services, more time for administrative tasks and, in a growing number of instances, tougher security measures — are often not sufficiently met by employers, who often cite nationwide labor shortages and rising costs of doing business.\u003c/p>\n\u003cp>Unionization is more popular than it’s ever been, even across political lines, with \u003ca href=\"https://news.gallup.com/poll/398303/approval-labor-unions-highest-point-1965.aspx\">a recent Gallup poll showing that 71% of Americans approve of labor unions\u003c/a>, the highest approval rating since 1965.\u003c/p>\n\u003cp>But questions remain over how financially well positioned hospitals are to hire and train more people and meet their employees’ increasingly vocal — and organized — demands.\u003c/p>\n\u003cp>“Health care is competing against a lot of other industries and sectors that also are having difficulty recruiting,” Spetz said.\u003c/p>\n\u003cp>“A skilled trade or retail or a restaurant can change their prices pretty quickly, but for health care, they are in these often multiyear insurance contracts and they cannot immediately drum up more revenue in order to pay those higher wages,” said Spetz. “They’re likely to be going back to the insurance industry in the next few years as their contracts come up for renegotiation and ask for more money. And then the insurance companies eventually are going to need to figure out how to pass that on in the price of higher premiums.”\u003c/p>\n\u003cp>And, Spetz added, the pressure of keeping costs down at a time of rampant inflation in a labor-intensive field like health care is exacerbated by the rising costs of supplies and equipment.\u003c/p>\n\u003cp>“Because it takes a while to have the ability to raise revenue … that just puts more financial pressure,” Spetz said, adding that as the pandemic relief money fades, hospitals will be facing financial shortfalls and worrying about “how the money’s going to play out for them.”\u003c/p>\n\u003cp>“A lot of it comes down to building a workplace where health care workers really feel valued, are able to use all their skills, are respected as professionals, regardless of what level they work within the organization … and have the autonomy to use their knowledge and skills to the highest ability,” Spetz said. “You need to be adequately staffed in general. And so that’s going to be the big challenge for employers, is how to create that healthy, supportive work culture. And you have to do that while you’re dealing with labor shortages and plugging all the holes that need to be plugged.”\u003c/p>\n\u003cp>\u003cem>Additional reporting was contributed by Bay City News and KQED’s Laura Klivans.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Multiple Bay Area Health Care Strikes Reflect a Workforce Under Increasing Strain | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nearly 2,000 registered nurses at Alta Bates Summit Medical Center campuses in Oakland and Berkeley began a five-day strike Monday in response to high turnover rates, staff shortages and workplace safety issues.\u003c/p>\n\u003cp>The nurses, represented by the California Nurses Association and National Nurses United, called on Sutter Health to implement workplace violence prevention plans, increase staffing and provide more robust safety resources, including better access to medical-grade safety equipment.\u003c/p>\n\u003cp>“I am seeing nurses leave the medical center for other nursing positions on a regular basis. We have nurses working overtime, and even double shifts, day after day to keep the hospital running,” said Mike Hill, a nurse in Sutter’s intensive care unit.\u003c/p>\n\u003cp>Hill said that while workplace violence in hospitals — mostly of patients toward staff — has always been a concern, there was an uptick in incidents during the pandemic, when many patients didn’t have the family support they needed.\u003c/p>\n\u003cp>“Sometimes it’s intentional. Other times, it’s from anger, fear or a medical condition that causes them to lash out at staff. Either way, it’s dangerous for us as professionals,” said Hill. “It’s not just physical violence. Sometimes it’s verbal threats.”\u003c/p>\n\u003cp>When workplace violence occurs, hospitals announce “code gray” on the intercom system to alert security, Hill said. But like the nursing team, the security department at Alta Bates is understaffed, and in some cases it takes too long for guards to arrive at the scene, Hill said, forcing other nurses to step in to help their colleagues. Hill said more security guards are needed both inside the hospital and in the parking garage, to prevent vehicle break-ins, thefts and attacks on staff.\u003c/p>\n\u003cp>Those concerns about violence, he added, are compounded by the hospital failing to take the necessary measures to effectively protect nurses from COVID exposure and other diseases.\u003c/p>\n\u003cp>Last year, the California Division of Occupational Safety and Health (Cal/OSHA) fined Sutter Health for violations tied to COVID-related workplace safety issues after an investigation was launched in response to the July 2021 \u003ca href=\"https://www.nationalnursesunited.org/press/calosha-finds-alta-bates-summit-medical-center-guilty-eight-serious-violations\">death of an Alta Bates nurse\u003c/a>, who contracted the disease.\u003c/p>\n\u003cp>“Sutter must create working conditions to enhance patient care while also providing a safe work environment that retains nurses,” said Hill.\u003c/p>\n\u003cp>Ann Gaebler, a registered nurse of over 40 years, said she has never seen Sutter “act this disrespectfully” toward nurses, and it’s causing experienced health care providers to leave.\u003c/p>\n\u003cp>“Without proper mentorship, we see young nurses suffering the moral injury and the moral distress of having to care for patients without the support they need, and so they leave,” Gaebler said in a statement. “This is not how you grow the next generation of nurses or how to take care of a community. We need Sutter to step up to address our concerns about retention, so we can continue to provide excellent care to our patients.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In response to the walkout, Sutter management faulted local leaders in the nurses unions, accusing them of putting “politics above the patients and the nurses they represent” despite Sutter being willing to bargain, a spokesperson said in a statement on Monday.\u003c/p>\n\u003cp>“Our attention remains on providing safe, high-quality care to the patients and communities we’re honored to serve, and we are confident in our ability to manage this disruption,” the statement said. “We are hopeful the union shares our desire to reach an agreement and enable our nurses to turn their focus back to the patients the union has asked them to walk away from.”\u003c/p>\n\u003cfigure id=\"attachment_11930036\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11930036\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-800x533.jpg\" alt=\"People holding yellow and red signs and wearing red nurse outfits walk across the street.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS59635_001_KQED_SutterRNStrikeOakland_10242022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nurses begin a five-day strike at Alta Bates Summit Medical Center in Oakland on Oct. 24, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Sutter Health’s proposed contract includes a pay increase of more than 20% over four years and a commitment to pursuing initiatives aimed at promoting diversity and advancing equity among its employees, along with continued health coverage for nurses and their families.\u003c/p>\n\u003cp>The Sutter nurses strike is just the latest in a slew of labor actions in recent months among health care workers throughout the Bay Area, mirroring a larger nationwide trend.\u003c/p>\n\u003cp>The walkout comes less than a week after some 2,000 Kaiser Permanente mental health care employees approved \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/new-4-year-agreement-ratified\">a four-year contract\u003c/a>, ending an unprecedented, grueling 10-week strike over staffing shortages, wages and patient care, and just days after the Valley Physicians Group, a union representing about 450 doctors employed by Santa Clara County, announced its intention to hit the picket line on November 1 over similar issues.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Even though \u003ca href=\"https://www.bls.gov/opub/ted/2020/union-membership-rate-8-point-6-percent-in-manufacturing-23-point-4-percent-in-utilities-in-2019.htm#:~:text=Bureau%20of%20Labor%20Statistics,-The%20Economics%20Daily&text=In%202019%2C%20the%20union%20membership,hunting%3B%20and%20finance%20and%20insurance.\">less than 7% of health care workers nationwide were unionized\u003c/a> as of 2020, the health care sector \u003ca href=\"https://www.npr.org/sections/health-shots/2021/01/11/955128562/for-health-care-workers-the-pandemic-is-fueling-renewed-interest-in-unions\">also has seen renewed interest in unionization since the pandemic\u003c/a>.\u003c/p>\n\u003cp>“I think the pandemic revealed and exacerbated a lot of problems that existed already, and some of those problems were brewing around stress and burnout and workloads, as we’re hearing from physicians and nurses and other health care professionals,” Dr. Joanne Spetz, director of the Philip R. Lee Institute for Health Policy Studies at UCSF, told KQED.\u003c/p>\n\u003cp>The pandemic, she added, also laid bare the extent of labor shortages across a wide range of essential jobs within health care settings, including custodial staff, nursing assistants, food-service workers and delivery people.\u003c/p>\n\u003cp>“When those jobs are all in short supply, that puts even more pressure on physicians, nurses and others,” Spetz said.\u003c/p>\n\u003cp>And many health care workers are finding that their most common demands — for reduced workloads, more support services, more time for administrative tasks and, in a growing number of instances, tougher security measures — are often not sufficiently met by employers, who often cite nationwide labor shortages and rising costs of doing business.\u003c/p>\n\u003cp>Unionization is more popular than it’s ever been, even across political lines, with \u003ca href=\"https://news.gallup.com/poll/398303/approval-labor-unions-highest-point-1965.aspx\">a recent Gallup poll showing that 71% of Americans approve of labor unions\u003c/a>, the highest approval rating since 1965.\u003c/p>\n\u003cp>But questions remain over how financially well positioned hospitals are to hire and train more people and meet their employees’ increasingly vocal — and organized — demands.\u003c/p>\n\u003cp>“Health care is competing against a lot of other industries and sectors that also are having difficulty recruiting,” Spetz said.\u003c/p>\n\u003cp>“A skilled trade or retail or a restaurant can change their prices pretty quickly, but for health care, they are in these often multiyear insurance contracts and they cannot immediately drum up more revenue in order to pay those higher wages,” said Spetz. “They’re likely to be going back to the insurance industry in the next few years as their contracts come up for renegotiation and ask for more money. And then the insurance companies eventually are going to need to figure out how to pass that on in the price of higher premiums.”\u003c/p>\n\u003cp>And, Spetz added, the pressure of keeping costs down at a time of rampant inflation in a labor-intensive field like health care is exacerbated by the rising costs of supplies and equipment.\u003c/p>\n\u003cp>“Because it takes a while to have the ability to raise revenue … that just puts more financial pressure,” Spetz said, adding that as the pandemic relief money fades, hospitals will be facing financial shortfalls and worrying about “how the money’s going to play out for them.”\u003c/p>\n\u003cp>“A lot of it comes down to building a workplace where health care workers really feel valued, are able to use all their skills, are respected as professionals, regardless of what level they work within the organization … and have the autonomy to use their knowledge and skills to the highest ability,” Spetz said. “You need to be adequately staffed in general. And so that’s going to be the big challenge for employers, is how to create that healthy, supportive work culture. And you have to do that while you’re dealing with labor shortages and plugging all the holes that need to be plugged.”\u003c/p>\n\u003cp>\u003cem>Additional reporting was contributed by Bay City News and KQED’s Laura Klivans.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Bay Curious",
"officialWebsiteLink": "/news/series/baycurious",
"meta": {
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"source": "kqed",
"order": 3
},
"link": "/podcasts/baycurious",
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"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
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}
},
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"id": "bbc-world-service",
"title": "BBC World Service",
"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",
"officialWebsiteLink": "https://www.bbc.co.uk/sounds/play/live:bbc_world_service",
"meta": {
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"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
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"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"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",
"imageAlt": "KQED The California Report",
"officialWebsiteLink": "/californiareport",
"meta": {
"site": "news",
"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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"rss": "https://ww2.kqed.org/news/tag/tcram/feed/podcast"
}
},
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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",
"meta": {
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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"rss": "https://ww2.kqed.org/news/tag/tcrmag/feed/podcast"
}
},
"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": {
"id": "closealltabs",
"title": "Close All Tabs",
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/02/CAT_2_Tile-scaled.jpg",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
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"code-switch-life-kit": {
"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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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/code-switch-life-kit",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"rss": "https://feeds.npr.org/510312/podcast.xml"
}
},
"commonwealth-club": {
"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",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"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",
"officialWebsiteLink": "/forum",
"meta": {
"site": "news",
"source": "kqed",
"order": 9
},
"link": "/forum",
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"apple": "https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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}
},
"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"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",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
"airtime": "MON-FRI 7pm-8pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "npr"
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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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"here-and-now": {
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"title": "Here & Now",
"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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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
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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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"npr": "https://rpb3r.app.goo.gl/3zxy",
"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",
"meta": {
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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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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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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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",
"subscribe": {
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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)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"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": {
"site": "news",
"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"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": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
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