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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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"headTitle": "Community and Civil Rights Groups Hold Vigil and Rally Over Recent Deaths at Santa Rita Jail | KQED",
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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": "‘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.’",
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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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"title": "Multiple Bay Area Health Care Strikes Reflect a Workforce Under Increasing Strain",
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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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"slug": "california-needs-more-latinx-therapists-but-the-mental-health-field-is-still-full-of-barriers-to-entry",
"title": "California Needs More Latinx Therapists — but the Mental Health Field Is Still Full of Barriers to Entry",
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"headTitle": "California Needs More Latinx Therapists — but the Mental Health Field Is Still Full of Barriers to Entry | KQED",
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"content": "\u003cp>Growing up in Daly City, Eric Valladares remembers hearing how his parents and extended family fled El Salvador during the country’s 12-year civil war that ended in 1992.\u003c/p>\n\u003cp>After settling in California, some members struggled financially, finding it hard to adjust to a country where they didn’t speak the language and felt like outsiders.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11929333,news_11926978,news_11912753\"]His family never discussed how they coped with those traumas or mentioned mental health. He remembers adults masking emotions with alcohol, something he later imitated. He didn’t realize he had a problem until he was in graduate school, learning how to help others with \u003ci>their\u003c/i> problems.\u003c/p>\n\u003cp>Valladares decided to become a therapist while an undergraduate student at San Francisco State University. He made the career choice believing he just wanted to help the Latinx community, but his decision was deeper than that.\u003c/p>\n\u003cp>“There was pain and there were experiences from my life and my family’s life that in subtle ways put me on this path,” he said. “I wanted to help others heal and help myself heal, but it didn’t occur to me until later. I thought of it as, ‘Isn’t it nice that I want to help people?’ But no, it was really, ‘I have unresolved issues and I want to work them out.’”\u003c/p>\n\u003cp>Valladares, now 37, spent years providing therapy to mostly immigrant, Spanish-speaking people. He’s now the executive director of Family Connections, a Palo Alto nonprofit that provides educational and mental health services to families with young children.\u003c/p>\n\u003cfigure id=\"attachment_11929791\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929791\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"a Latino man in a blue and white checked shirt poses for a portrait in front of a colorful tree decoration in an office\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Executive Director Eric Valladares at the Redwood City location of his mental health nonprofit, Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In many ways, Valladares exemplifies what experts and policymakers say California needs more of: He’s a multilingual Latino who brings cultural competency to mental health services. But his journey into the profession demonstrates the difficulties mental health care providers face, such as addressing their own traumas and figuring out how to navigate the professional mental health field — from earning enough money to dealing with insurance companies resistant to paying for patient care.\u003c/p>\n\u003ch2>‘Folks need to be served by people who look like them’\u003c/h2>\n\u003cp>Despite growing demand for mental health services for children struggling with depression, anxiety and suicidal ideation, the mental health field has failed at recruiting enough professionals — of any background. California has less than a quarter of the therapists it needs to care for the state’s population, and the majority specialize in treating adults, according to the Kaiser Family Foundation.\u003c/p>\n\u003cp>And the existing mental health workforce doesn’t mirror the state’s demographics. About 40% of Californians identify as Hispanic or Latino, according to research provided to KQED by the Healthforce Center at UCSF. But only 9% of clinical psychologists, 21% of marriage and family therapists and 27% of mental health counselors identified as Hispanic or Latino from 2015 to 2019, the research shows.\u003c/p>\n\u003cp>“Part of what makes any kind of therapeutic intervention work is the relationship between the provider and the person getting the service,” said Chris Stoner-Mertz, CEO of the California Alliance of Child and Family Services, a coalition of about 150 nonprofits and organizations that serve the state’s children and families. “Folks need to be served by people who look like them and who maybe had some of their life experiences.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Chris Stoner-Mertz, CEO, California Alliance of Child and Family Services\"]‘Part of what makes any kind of therapeutic intervention work is the relationship between the provider and the person getting the service. Folks need to be served by people who … maybe had some of their life experiences.’[/pullquote]The two biggest barriers to accessing mental health care are the cost and lack of providers. Insurers make it difficult for therapists to get paid by requiring a lot of paperwork, limiting mental health services they will cover and covering only patients with specific diagnoses or those who meet “medical necessity.”\u003c/p>\n\u003cp>Mental health professionals tend to fall into two camps: those who work in the public or nonprofit side and those in private practice. To avoid the hassle of dealing with insurance companies, many therapists go into private practice and accept only cash payments, which inherently means they end up serving patients who can afford to pay $100 to $250 per session.\u003c/p>\n\u003cp>The public or nonprofit side is typically supported by tax or philanthropic funding, and serves people with lower incomes or who aren’t covered by insurance. The government covers the biggest share of mental health care spending in the U.S. In 2019, \u003ca href=\"https://openminds.com/press/u-s-mental-health-spending-reached-225-1-billion-in-2019-open-minds-releases-new-analysis-on-market-spending/\">taxpayers covered 63% of all mental health care costs\u003c/a> — about $150 billion — including therapy and prescriptions, according to Open Minds, a health care market research firm.\u003c/p>\n\u003cp>When Valladares began his career 12 years ago, he wanted to treat underserved Latinx clients who had lower incomes or were immigrants, so he focused on working for nonprofit organizations. At his first job after completing a master’s degree in 2010, he earned $22 per hour or about $46,000 per year.\u003c/p>\n\u003cp>“I lived at home with my parents,” he said, to make it work financially.\u003c/p>\n\u003cp>Valladares estimates that a therapist entering a nonprofit or publicly funded agency now can expect to earn $55,000 to $70,000 per year.\u003c/p>\n\u003cp>“We’re losing a lot of therapists to private practice, and that’s OK,” Valladares said. “I don’t fault them. They don’t want yachts. They just want to be able to live.”\u003c/p>\n\u003cp>Haggling insurance companies to get paid for their services “creates a disillusionment with our mental health system,” Valladares said. “Providers like to say, ‘I don’t want to be a part of a system that just perpetuates this cycle of putting Band-Aids on much deeper issues,’ and then it pushes people into private practice. But again, if you go into private practice, who’s not getting served?”\u003c/p>\n\u003cfigure id=\"attachment_11929795\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929795\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"a Latino man in a blue checked shirt with a mask shows an orange wall of musical instruments\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Executive Director Eric Valladares displays musical instruments in the play area at the Redwood City location of Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Valladares’ focus on the Latinx community is tied to his upbringing. He recalled how some of the relatives who fled El Salvador were later hospitalized or placed on psychiatric holds because of mental health crises. One of his uncles had an alcohol addiction.\u003c/p>\n\u003cp>“I saw in my own family how they were impacted by immigration, trauma, the war that they had witnessed in their country and losing a piece of their identity through that,” he said.\u003c/p>\n\u003cp>The way he saw his relatives cope was by not talking about their issues and drinking in excess, habits he also picked up — which later led to his own alcohol addiction.\u003c/p>\n\u003cp>“In college, it’s normal to have a drink when you’re stressed out,” he said. “You don’t really look at it as a pattern or something you inherited from your family.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Eric Valladares, executive director, Family Connections\"]‘I don’t think that there’s enough of us out there. But I do have a lot of faith that there are people out there who still want to help.’[/pullquote]No one questioned Valladares about his drinking until he entered a psychology master’s program at SF State when he was 23. The program encouraged students to see a therapist. When his therapist asked him why he drank frequently, he became defensive and ignored her concerns.\u003c/p>\n\u003cp>He went from only drinking with friends on weekends to frequently drinking at home on weeknights. Then he started canceling plans because he was too hungover. As he was nearing 30, he realized he needed to change.\u003c/p>\n\u003cp>“I was able to dismiss (my alcohol addiction) for years,” he said. “I started getting older and I realized that my patterns hadn’t only changed, they had gotten worse. The biggest part was meeting my wife. She was not OK with my lifestyle.”\u003c/p>\n\u003cp>When he decided to seek help, his insurance company denied him coverage for therapy and suggested he try a support group. He paid out of pocket for a therapist for about two years and has been in recovery for seven years.\u003c/p>\n\u003cp>His graduate program opened his eyes to the undiagnosed mental health conditions he had observed in his family, and how they lacked the understanding and vocabulary to talk about their issues. His mother never described herself as having anxiety, but would often say, “I just worry a lot.”\u003c/p>\n\u003cp>“My mom was an anxious person and I was an anxious child and we bonded over that,” he recalled. “Years later, alcohol helped me calm down.”\u003c/p>\n\u003cfigure id=\"attachment_11929800\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929800\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"two people in masks speak in a children's therapy office\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Eric Valladares speaks with Carolina Calderón Balladares at the Redwood City location of Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>His experience overcoming substance use disorder taught him that even for someone working in mental health, getting access to care is still a challenge. It also illustrated how valuable therapy can be.\u003c/p>\n\u003cp>“If I had not gotten into the mental health field, I would have just assumed and assimilated that that’s part of who I am,” he said. “It does make me a believer in what we do. I don’t think that there’s enough of us out there. But I do have a lot of faith that there are people out there who still want to help.”\u003c/p>\n\u003ch2>A lack of parity\u003c/h2>\n\u003cp>Elected officials in California also recognize that the state needs to expand its mental health workforce. One strategy is to hire more counselors and behavioral coaches — roles that require less education than psychiatrists and psychologists.\u003c/p>\n\u003cp>On August 18, Gov. Gavin Newsom announced a plan to add 40,000 mental health care professionals across the state. At least half of those positions will mostly be housed in schools. Newsom said the missing component to helping kids is “people willing to do this work.” Others say the system isn’t working as it should.\u003c/p>\n\u003cp>The federal Mental Health Parity Act, passed in 1996, ruled that insurers’ dollar limits on mental health benefits couldn’t be lower than their equivalents for physical health. But “that has not been in effect for most insurance companies across the country,” said Naomi Allen, CEO and co-founder of Brightline, a Palo Alto-based behavioral health start-up that provides virtual therapy to kids.\u003c/p>\n\u003cp>She was so frustrated by the experience of trying to find therapists for her three children using commercial insurance that she co-founded Brightline in 2019.\u003c/p>\n\u003cp>“What we have is a situation where year over year, more and more therapists are not available through insurance. They’re going out of network. They’re in private practice,” Allen said. “And so we have this scenario that existed pre-COVID, where care was essentially unaffordable to the vast majority of families.”\u003c/p>\n\u003cfigure id=\"attachment_11929797\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929797\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"kids' art on a bulletin board in a therapist's office\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Art hangs in the therapy room at the Redwood City location of Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Patricia Alvarado is one of those practitioners. She founded her online-only practice, Alvarado Therapy, about five years ago, and now employs a team of mostly bilingual therapists serving Latinx clients.\u003c/p>\n\u003cp>“We’re a private pay organization,” she said. “Sometimes it can be really hard to obtain payment (from insurance companies). It could take many months. There’s a lot of restrictions … like you could only work with a client for X amount of sessions and that’s it, and the client may need more.”\u003c/p>\n\u003cp>Some patients who have insurance end up paying out of pocket just to speed up the process of getting care.\u003c/p>\n\u003cp>“A lot of time passes by, and that can take away the motivation of wanting to seek services,” Alvarado said. “It shouldn’t be as hard as it is. ”\u003c/p>\n\u003cp>Valladares provided therapy until he burned out. Then he made the switch to running programs for nonprofits like Family Connections, which works with families who don’t qualify for lower-income programs and can’t afford to pay out of pocket.\u003c/p>\n\u003cp>“As long as the families expressed an interest in mental health services, we’re able to provide them with those services, which has been really great,” he said.\u003c/p>\n\u003cp>The shift to administrative work helped Valladares stay in the field, make more money and have time to spend with his wife and two kids, ages 5 and 1.\u003c/p>\n\u003cp>“I still want to be in a position where I can affect change and support families in a different way,” he said. “I make it a point to go out there and make a connection with the people my organization is serving and definitely not lose sight of why I do what I do.”\u003c/p>\n\u003cp>\u003cem>Blanca Torres reported this story while participating in the \u003ca href=\"https://centerforhealthjournalism.org/about-us\">USC Annenberg Center for Health Journalism’s 2022 California Fellowship\u003c/a>.\u003c/em> \u003cem>Subscribe to her monthly newsletter focused on the Bay Area’s Latinx community, K Onda KQED. \u003ca href=\"https://www.kqed.org/newsletters/k-onda\">Click here to subscribe\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "Despite growing demand for children's mental health services, California has less than a quarter of the therapists it needs — and due to low pay, burnout and other barriers, culturally competent care from Latinx therapists and other therapists of color is even harder to find.",
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"title": "California Needs More Latinx Therapists — but the Mental Health Field Is Still Full of Barriers to Entry | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Growing up in Daly City, Eric Valladares remembers hearing how his parents and extended family fled El Salvador during the country’s 12-year civil war that ended in 1992.\u003c/p>\n\u003cp>After settling in California, some members struggled financially, finding it hard to adjust to a country where they didn’t speak the language and felt like outsiders.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>His family never discussed how they coped with those traumas or mentioned mental health. He remembers adults masking emotions with alcohol, something he later imitated. He didn’t realize he had a problem until he was in graduate school, learning how to help others with \u003ci>their\u003c/i> problems.\u003c/p>\n\u003cp>Valladares decided to become a therapist while an undergraduate student at San Francisco State University. He made the career choice believing he just wanted to help the Latinx community, but his decision was deeper than that.\u003c/p>\n\u003cp>“There was pain and there were experiences from my life and my family’s life that in subtle ways put me on this path,” he said. “I wanted to help others heal and help myself heal, but it didn’t occur to me until later. I thought of it as, ‘Isn’t it nice that I want to help people?’ But no, it was really, ‘I have unresolved issues and I want to work them out.’”\u003c/p>\n\u003cp>Valladares, now 37, spent years providing therapy to mostly immigrant, Spanish-speaking people. He’s now the executive director of Family Connections, a Palo Alto nonprofit that provides educational and mental health services to families with young children.\u003c/p>\n\u003cfigure id=\"attachment_11929791\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929791\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"a Latino man in a blue and white checked shirt poses for a portrait in front of a colorful tree decoration in an office\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58551_010_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Executive Director Eric Valladares at the Redwood City location of his mental health nonprofit, Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In many ways, Valladares exemplifies what experts and policymakers say California needs more of: He’s a multilingual Latino who brings cultural competency to mental health services. But his journey into the profession demonstrates the difficulties mental health care providers face, such as addressing their own traumas and figuring out how to navigate the professional mental health field — from earning enough money to dealing with insurance companies resistant to paying for patient care.\u003c/p>\n\u003ch2>‘Folks need to be served by people who look like them’\u003c/h2>\n\u003cp>Despite growing demand for mental health services for children struggling with depression, anxiety and suicidal ideation, the mental health field has failed at recruiting enough professionals — of any background. California has less than a quarter of the therapists it needs to care for the state’s population, and the majority specialize in treating adults, according to the Kaiser Family Foundation.\u003c/p>\n\u003cp>And the existing mental health workforce doesn’t mirror the state’s demographics. About 40% of Californians identify as Hispanic or Latino, according to research provided to KQED by the Healthforce Center at UCSF. But only 9% of clinical psychologists, 21% of marriage and family therapists and 27% of mental health counselors identified as Hispanic or Latino from 2015 to 2019, the research shows.\u003c/p>\n\u003cp>“Part of what makes any kind of therapeutic intervention work is the relationship between the provider and the person getting the service,” said Chris Stoner-Mertz, CEO of the California Alliance of Child and Family Services, a coalition of about 150 nonprofits and organizations that serve the state’s children and families. “Folks need to be served by people who look like them and who maybe had some of their life experiences.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The two biggest barriers to accessing mental health care are the cost and lack of providers. Insurers make it difficult for therapists to get paid by requiring a lot of paperwork, limiting mental health services they will cover and covering only patients with specific diagnoses or those who meet “medical necessity.”\u003c/p>\n\u003cp>Mental health professionals tend to fall into two camps: those who work in the public or nonprofit side and those in private practice. To avoid the hassle of dealing with insurance companies, many therapists go into private practice and accept only cash payments, which inherently means they end up serving patients who can afford to pay $100 to $250 per session.\u003c/p>\n\u003cp>The public or nonprofit side is typically supported by tax or philanthropic funding, and serves people with lower incomes or who aren’t covered by insurance. The government covers the biggest share of mental health care spending in the U.S. In 2019, \u003ca href=\"https://openminds.com/press/u-s-mental-health-spending-reached-225-1-billion-in-2019-open-minds-releases-new-analysis-on-market-spending/\">taxpayers covered 63% of all mental health care costs\u003c/a> — about $150 billion — including therapy and prescriptions, according to Open Minds, a health care market research firm.\u003c/p>\n\u003cp>When Valladares began his career 12 years ago, he wanted to treat underserved Latinx clients who had lower incomes or were immigrants, so he focused on working for nonprofit organizations. At his first job after completing a master’s degree in 2010, he earned $22 per hour or about $46,000 per year.\u003c/p>\n\u003cp>“I lived at home with my parents,” he said, to make it work financially.\u003c/p>\n\u003cp>Valladares estimates that a therapist entering a nonprofit or publicly funded agency now can expect to earn $55,000 to $70,000 per year.\u003c/p>\n\u003cp>“We’re losing a lot of therapists to private practice, and that’s OK,” Valladares said. “I don’t fault them. They don’t want yachts. They just want to be able to live.”\u003c/p>\n\u003cp>Haggling insurance companies to get paid for their services “creates a disillusionment with our mental health system,” Valladares said. “Providers like to say, ‘I don’t want to be a part of a system that just perpetuates this cycle of putting Band-Aids on much deeper issues,’ and then it pushes people into private practice. But again, if you go into private practice, who’s not getting served?”\u003c/p>\n\u003cfigure id=\"attachment_11929795\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929795\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"a Latino man in a blue checked shirt with a mask shows an orange wall of musical instruments\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Executive Director Eric Valladares displays musical instruments in the play area at the Redwood City location of Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Valladares’ focus on the Latinx community is tied to his upbringing. He recalled how some of the relatives who fled El Salvador were later hospitalized or placed on psychiatric holds because of mental health crises. One of his uncles had an alcohol addiction.\u003c/p>\n\u003cp>“I saw in my own family how they were impacted by immigration, trauma, the war that they had witnessed in their country and losing a piece of their identity through that,” he said.\u003c/p>\n\u003cp>The way he saw his relatives cope was by not talking about their issues and drinking in excess, habits he also picked up — which later led to his own alcohol addiction.\u003c/p>\n\u003cp>“In college, it’s normal to have a drink when you’re stressed out,” he said. “You don’t really look at it as a pattern or something you inherited from your family.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>No one questioned Valladares about his drinking until he entered a psychology master’s program at SF State when he was 23. The program encouraged students to see a therapist. When his therapist asked him why he drank frequently, he became defensive and ignored her concerns.\u003c/p>\n\u003cp>He went from only drinking with friends on weekends to frequently drinking at home on weeknights. Then he started canceling plans because he was too hungover. As he was nearing 30, he realized he needed to change.\u003c/p>\n\u003cp>“I was able to dismiss (my alcohol addiction) for years,” he said. “I started getting older and I realized that my patterns hadn’t only changed, they had gotten worse. The biggest part was meeting my wife. She was not OK with my lifestyle.”\u003c/p>\n\u003cp>When he decided to seek help, his insurance company denied him coverage for therapy and suggested he try a support group. He paid out of pocket for a therapist for about two years and has been in recovery for seven years.\u003c/p>\n\u003cp>His graduate program opened his eyes to the undiagnosed mental health conditions he had observed in his family, and how they lacked the understanding and vocabulary to talk about their issues. His mother never described herself as having anxiety, but would often say, “I just worry a lot.”\u003c/p>\n\u003cp>“My mom was an anxious person and I was an anxious child and we bonded over that,” he recalled. “Years later, alcohol helped me calm down.”\u003c/p>\n\u003cfigure id=\"attachment_11929800\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929800\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"two people in masks speak in a children's therapy office\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58556_016_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Eric Valladares speaks with Carolina Calderón Balladares at the Redwood City location of Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>His experience overcoming substance use disorder taught him that even for someone working in mental health, getting access to care is still a challenge. It also illustrated how valuable therapy can be.\u003c/p>\n\u003cp>“If I had not gotten into the mental health field, I would have just assumed and assimilated that that’s part of who I am,” he said. “It does make me a believer in what we do. I don’t think that there’s enough of us out there. But I do have a lot of faith that there are people out there who still want to help.”\u003c/p>\n\u003ch2>A lack of parity\u003c/h2>\n\u003cp>Elected officials in California also recognize that the state needs to expand its mental health workforce. One strategy is to hire more counselors and behavioral coaches — roles that require less education than psychiatrists and psychologists.\u003c/p>\n\u003cp>On August 18, Gov. Gavin Newsom announced a plan to add 40,000 mental health care professionals across the state. At least half of those positions will mostly be housed in schools. Newsom said the missing component to helping kids is “people willing to do this work.” Others say the system isn’t working as it should.\u003c/p>\n\u003cp>The federal Mental Health Parity Act, passed in 1996, ruled that insurers’ dollar limits on mental health benefits couldn’t be lower than their equivalents for physical health. But “that has not been in effect for most insurance companies across the country,” said Naomi Allen, CEO and co-founder of Brightline, a Palo Alto-based behavioral health start-up that provides virtual therapy to kids.\u003c/p>\n\u003cp>She was so frustrated by the experience of trying to find therapists for her three children using commercial insurance that she co-founded Brightline in 2019.\u003c/p>\n\u003cp>“What we have is a situation where year over year, more and more therapists are not available through insurance. They’re going out of network. They’re in private practice,” Allen said. “And so we have this scenario that existed pre-COVID, where care was essentially unaffordable to the vast majority of families.”\u003c/p>\n\u003cfigure id=\"attachment_11929797\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929797\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"kids' art on a bulletin board in a therapist's office\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58544_001_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Art hangs in the therapy room at the Redwood City location of Family Connections. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Patricia Alvarado is one of those practitioners. She founded her online-only practice, Alvarado Therapy, about five years ago, and now employs a team of mostly bilingual therapists serving Latinx clients.\u003c/p>\n\u003cp>“We’re a private pay organization,” she said. “Sometimes it can be really hard to obtain payment (from insurance companies). It could take many months. There’s a lot of restrictions … like you could only work with a client for X amount of sessions and that’s it, and the client may need more.”\u003c/p>\n\u003cp>Some patients who have insurance end up paying out of pocket just to speed up the process of getting care.\u003c/p>\n\u003cp>“A lot of time passes by, and that can take away the motivation of wanting to seek services,” Alvarado said. “It shouldn’t be as hard as it is. ”\u003c/p>\n\u003cp>Valladares provided therapy until he burned out. Then he made the switch to running programs for nonprofits like Family Connections, which works with families who don’t qualify for lower-income programs and can’t afford to pay out of pocket.\u003c/p>\n\u003cp>“As long as the families expressed an interest in mental health services, we’re able to provide them with those services, which has been really great,” he said.\u003c/p>\n\u003cp>The shift to administrative work helped Valladares stay in the field, make more money and have time to spend with his wife and two kids, ages 5 and 1.\u003c/p>\n\u003cp>“I still want to be in a position where I can affect change and support families in a different way,” he said. “I make it a point to go out there and make a connection with the people my organization is serving and definitely not lose sight of why I do what I do.”\u003c/p>\n\u003cp>\u003cem>Blanca Torres reported this story while participating in the \u003ca href=\"https://centerforhealthjournalism.org/about-us\">USC Annenberg Center for Health Journalism’s 2022 California Fellowship\u003c/a>.\u003c/em> \u003cem>Subscribe to her monthly newsletter focused on the Bay Area’s Latinx community, K Onda KQED. \u003ca href=\"https://www.kqed.org/newsletters/k-onda\">Click here to subscribe\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Kaiser Mental Health Workers Approve New Contract, Ending 10-Week Strike",
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"content": "\u003cp>Some 2,000 Kaiser Permanente mental health care employees in Northern California are returning to work after voting almost unanimously to ratify a new contract on Thursday, ending a grueling 10-week standoff over staffing shortages, wages and patient care.\u003c/p>\n\u003cp>The four-year contract gives therapists nearly two hours of additional time per week to respond to patient emails, contact social service agencies and perform other administrative tasks. The deal also includes a commitment from Kaiser to hire more therapists, improve access to treatment for patients and increase initial consultation times for children.\u003c/p>\n\u003cp>“It took much longer than it should have to reach this agreement, but, in the end, we succeeded in securing important improvements in patient care that Kaiser negotiators told us across the bargaining table that they’d never agree to,” Jennifer Browning, a Kaiser social worker who served on the bargaining committee, said in a statement.[aside label=\"related coverage\" tag=\"kaiser-strike\"]The hard-fought deal between the Oakland-based health care giant and the National Union of Healthcare Workers — the union representing Kaiser therapists, social workers, chemical dependency counselors and other mental health staffers in the Bay Area and Central Valley — \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/tentative-agreement-reached-with-nuhw-to-end-strike\">was reached earlier this week\u003c/a> after Sacramento Mayor Darrell Steinberg stepped in to mediate. Thursday’s official approval of the agreement ends the longest strike among mental health care workers in U.S. history, according to the union.\u003c/p>\n\u003cp>In a statement, Kaiser officials said they were “very pleased at the outcome” of the vote. \u003c/p>\n\u003cp>“We appreciate our therapists’ confidence in this agreement, which addresses the concerns they expressed, while upholding Kaiser Permanente’s commitment that any agreement must protect and enhance access to mental health for our members,” the statement said. “We are glad to have all our employees back, caring for their patients.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11922524/kaiser-mental-health-workers-in-northern-california-begin-open-ended-strike-over-staffing-shortages\">Workers first walked out on August 15\u003c/a>, amid accounts of widespread burnout, retention issues and unsafe therapist-to-client ratios — sometimes resulting in patients having to wait as long as three months to see a therapist, workers said. \u003c/p>\n\u003cp>Early on in the strike, Ilana Marcucci-Morris, a licensed clinical social worker in Kaiser’s psychiatry department in Oakland, said burnout and poor working conditions were contributing to dismal retention rates among employees, and making it difficult for the company to recruit new ones.\u003c/p>\n\u003cp>“There isn’t a shortage of clinicians. There’s only a shortage of clinicians that want to work for Kaiser,” Marcucci-Morris \u003ca href=\"https://www.kqed.org/news/11923034/were-drowning-why-kaiser-mental-health-workers-are-striking\">told KQED’s Forum in August\u003c/a>. “We get into this field to help people, and it’s hard to recruit therapists when Kaiser’s reputation is known to make people wait so long for therapy sessions. It’s really, really not ethical.”\u003c/p>\n\u003cp>Pressure mounted on Kaiser to resolve the impasse, as striking workers garnered support from notable state lawmakers, including Lt. Governor Eleni Kounalakis, state Senate President Pro Tempore Toni Atkins, state Sen. Scott Wiener (D-San Francisco), and Assembly Speaker Anthony Rendon.\u003c/p>\n\u003cp>“The day is going to come where the people of this country … truly have access to behavioral health care and mental health care that they need, that they deserve,” NUHW President Sal Rosselli told striking workers last Friday, speaking from the steps of Kaiser’s downtown Oakland offices, after announcing that Steinberg had agreed to mediate. “And when that day comes, historians are going to point to this strike, this union strike, as the catalyst that made it happen.”\u003c/p>\n\u003cp>Natalie Rogers, a Kaiser therapist in Santa Rosa, was among scores of employees who breathed a collective sigh of relief on Thursday, after not receiving any compensation for 10 weeks.\u003c/p>\n\u003cp>“I think we are all happy that we are going back to work. As you could imagine, it was definitely a financial strain, and an emotional strain,” Rogers said. “But I think that we have formed a unity like no other. I think that we now know … what we are capable of doing if we stick together.”\u003c/p>\n\u003cp>And because of that, she added, morale will be higher. “We will have the support from one another that we need to help push Kaiser to where we feel our patients will get the best care,” she said.\u003c/p>\n\u003cp>\u003ci>This story includes reporting from KQED’s Lesley McClurg.\u003c/i>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"headline": "Kaiser Mental Health Workers Approve New Contract, Ending 10-Week Strike",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Some 2,000 Kaiser Permanente mental health care employees in Northern California are returning to work after voting almost unanimously to ratify a new contract on Thursday, ending a grueling 10-week standoff over staffing shortages, wages and patient care.\u003c/p>\n\u003cp>The four-year contract gives therapists nearly two hours of additional time per week to respond to patient emails, contact social service agencies and perform other administrative tasks. The deal also includes a commitment from Kaiser to hire more therapists, improve access to treatment for patients and increase initial consultation times for children.\u003c/p>\n\u003cp>“It took much longer than it should have to reach this agreement, but, in the end, we succeeded in securing important improvements in patient care that Kaiser negotiators told us across the bargaining table that they’d never agree to,” Jennifer Browning, a Kaiser social worker who served on the bargaining committee, said in a statement.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The hard-fought deal between the Oakland-based health care giant and the National Union of Healthcare Workers — the union representing Kaiser therapists, social workers, chemical dependency counselors and other mental health staffers in the Bay Area and Central Valley — \u003ca href=\"https://about.kaiserpermanente.org/who-we-are/labor-relations/tentative-agreement-reached-with-nuhw-to-end-strike\">was reached earlier this week\u003c/a> after Sacramento Mayor Darrell Steinberg stepped in to mediate. Thursday’s official approval of the agreement ends the longest strike among mental health care workers in U.S. history, according to the union.\u003c/p>\n\u003cp>In a statement, Kaiser officials said they were “very pleased at the outcome” of the vote. \u003c/p>\n\u003cp>“We appreciate our therapists’ confidence in this agreement, which addresses the concerns they expressed, while upholding Kaiser Permanente’s commitment that any agreement must protect and enhance access to mental health for our members,” the statement said. “We are glad to have all our employees back, caring for their patients.”\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11922524/kaiser-mental-health-workers-in-northern-california-begin-open-ended-strike-over-staffing-shortages\">Workers first walked out on August 15\u003c/a>, amid accounts of widespread burnout, retention issues and unsafe therapist-to-client ratios — sometimes resulting in patients having to wait as long as three months to see a therapist, workers said. \u003c/p>\n\u003cp>Early on in the strike, Ilana Marcucci-Morris, a licensed clinical social worker in Kaiser’s psychiatry department in Oakland, said burnout and poor working conditions were contributing to dismal retention rates among employees, and making it difficult for the company to recruit new ones.\u003c/p>\n\u003cp>“There isn’t a shortage of clinicians. There’s only a shortage of clinicians that want to work for Kaiser,” Marcucci-Morris \u003ca href=\"https://www.kqed.org/news/11923034/were-drowning-why-kaiser-mental-health-workers-are-striking\">told KQED’s Forum in August\u003c/a>. “We get into this field to help people, and it’s hard to recruit therapists when Kaiser’s reputation is known to make people wait so long for therapy sessions. It’s really, really not ethical.”\u003c/p>\n\u003cp>Pressure mounted on Kaiser to resolve the impasse, as striking workers garnered support from notable state lawmakers, including Lt. Governor Eleni Kounalakis, state Senate President Pro Tempore Toni Atkins, state Sen. Scott Wiener (D-San Francisco), and Assembly Speaker Anthony Rendon.\u003c/p>\n\u003cp>“The day is going to come where the people of this country … truly have access to behavioral health care and mental health care that they need, that they deserve,” NUHW President Sal Rosselli told striking workers last Friday, speaking from the steps of Kaiser’s downtown Oakland offices, after announcing that Steinberg had agreed to mediate. “And when that day comes, historians are going to point to this strike, this union strike, as the catalyst that made it happen.”\u003c/p>\n\u003cp>Natalie Rogers, a Kaiser therapist in Santa Rosa, was among scores of employees who breathed a collective sigh of relief on Thursday, after not receiving any compensation for 10 weeks.\u003c/p>\n\u003cp>“I think we are all happy that we are going back to work. As you could imagine, it was definitely a financial strain, and an emotional strain,” Rogers said. “But I think that we have formed a unity like no other. I think that we now know … what we are capable of doing if we stick together.”\u003c/p>\n\u003cp>And because of that, she added, morale will be higher. “We will have the support from one another that we need to help push Kaiser to where we feel our patients will get the best care,” she said.\u003c/p>\n\u003cp>\u003ci>This story includes reporting from KQED’s Lesley McClurg.\u003c/i>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>The union representing Kaiser Permanente mental health care workers in Northern California on Tuesday reached a tentative four-year agreement with the health care giant, potentially ending a two-month strike among thousands of workers.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"kaiser-strike\"]The tentative agreement would benefit patients and “drive collaborative efforts aimed at improving access to mental health care, while at the same time recognizing and better supporting mental health therapists” in their work, according to a \u003ca href=\"https://twitter.com/NUHW/status/1582454798242050053\">joint statement by Kaiser and the National Union of Healthcare Workers (NUHW)\u003c/a>.\u003c/p>\n\u003cp>“The day is going to come where the people of this country … truly have access to behavioral health care and mental health care that they need, that they deserve,” NUHW President Sal Rosselli told striking workers on Friday, speaking from the steps of Kaiser’s downtown Oakland offices, where he announced that Sacramento Mayor Darrell Steinberg had agreed to mediate negotiations. “And when that day comes, historians are going to point to this strike, this union strike, as the catalyst that made it happen.”\u003c/p>\n\u003cp>“The day is going to come where the term ‘mental health care’ no longer exists — it’s simply ‘health care,’ because of your sacrifice,” Rosselli added.\u003c/p>\n\u003cp>https://twitter.com/HeterodoxThis/status/1582471048334671872\u003c/p>\n\u003cp>Some 2,000 Kaiser Bay Area and Central Valley mental health workers — including therapists, social workers and chemical dependency counselors — \u003ca href=\"https://www.kqed.org/news/11922524/kaiser-mental-health-workers-in-northern-california-begin-open-ended-strike-over-staffing-shortages\">began their open-ended strike on August 15\u003c/a>, to ask for increased staffing, a wage hike and better health care access for patients. Striking employees described widespread burnout, retention issues and unsafe therapist-to-client ratios that meant patients sometimes had to wait as long as three months to see a therapist.\u003c/p>\n\u003cp>Early on in the strike, Ilana Marcucci-Morris, a licensed clinical social worker in Kaiser’s psychiatry department in Oakland, \u003ca href=\"https://www.kqed.org/news/11923034/were-drowning-why-kaiser-mental-health-workers-are-striking\">told KQED’s Forum\u003c/a> that there were 2,600 patients for every mental health worker in the Northern California Kaiser system. She said burnout and poor working conditions were contributing to dismal retention rates among employees, and making it difficult for the company to recruit new ones.\u003c/p>\n\u003cp>“There isn’t a shortage of clinicians. There’s only a shortage of clinicians that want to work for Kaiser,” Marcucci-Morris said. “We get into this field to help people, and it’s hard to recruit therapists when Kaiser’s reputation is known to make people wait so long for therapy sessions. It’s really, really not ethical.”\u003c/p>\n\u003cp>Union leaders \u003ca href=\"https://www.kqed.org/news/11925882/one-month-into-grinding-strike-negotiations-break-down-between-kaiser-permanente-and-mental-health-workers\">rejected a previous contract\u003c/a> offer from Kaiser last month that included wage increases, but did not meet the union’s demands for increased staffing and more time allotted for administrative work.\u003c/p>\n\u003cp>The striking workers garnered support over the last two months from notable state lawmakers including Lt. Governor Eleni Kounalakis, state Senate President Pro Tempore Toni Atkins, state Sen. Scott Wiener (D-San Francisco), and Assembly Speaker Anthony Rendon.\u003c/p>\n\u003cp>More details on the tentative agreement are expected to be available after a two-day ratification vote among workers later this week.\u003c/p>\n\u003cp>\u003ci>This story includes reporting from KQED’s Emma Silvers and Matthew Green, and Bay City News.\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The tentative agreement would benefit patients and “drive collaborative efforts aimed at improving access to mental health care, while at the same time recognizing and better supporting mental health therapists” in their work, according to a \u003ca href=\"https://twitter.com/NUHW/status/1582454798242050053\">joint statement by Kaiser and the National Union of Healthcare Workers (NUHW)\u003c/a>.\u003c/p>\n\u003cp>“The day is going to come where the people of this country … truly have access to behavioral health care and mental health care that they need, that they deserve,” NUHW President Sal Rosselli told striking workers on Friday, speaking from the steps of Kaiser’s downtown Oakland offices, where he announced that Sacramento Mayor Darrell Steinberg had agreed to mediate negotiations. “And when that day comes, historians are going to point to this strike, this union strike, as the catalyst that made it happen.”\u003c/p>\n\u003cp>“The day is going to come where the term ‘mental health care’ no longer exists — it’s simply ‘health care,’ because of your sacrifice,” Rosselli added.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Some 2,000 Kaiser Bay Area and Central Valley mental health workers — including therapists, social workers and chemical dependency counselors — \u003ca href=\"https://www.kqed.org/news/11922524/kaiser-mental-health-workers-in-northern-california-begin-open-ended-strike-over-staffing-shortages\">began their open-ended strike on August 15\u003c/a>, to ask for increased staffing, a wage hike and better health care access for patients. Striking employees described widespread burnout, retention issues and unsafe therapist-to-client ratios that meant patients sometimes had to wait as long as three months to see a therapist.\u003c/p>\n\u003cp>Early on in the strike, Ilana Marcucci-Morris, a licensed clinical social worker in Kaiser’s psychiatry department in Oakland, \u003ca href=\"https://www.kqed.org/news/11923034/were-drowning-why-kaiser-mental-health-workers-are-striking\">told KQED’s Forum\u003c/a> that there were 2,600 patients for every mental health worker in the Northern California Kaiser system. She said burnout and poor working conditions were contributing to dismal retention rates among employees, and making it difficult for the company to recruit new ones.\u003c/p>\n\u003cp>“There isn’t a shortage of clinicians. There’s only a shortage of clinicians that want to work for Kaiser,” Marcucci-Morris said. “We get into this field to help people, and it’s hard to recruit therapists when Kaiser’s reputation is known to make people wait so long for therapy sessions. It’s really, really not ethical.”\u003c/p>\n\u003cp>Union leaders \u003ca href=\"https://www.kqed.org/news/11925882/one-month-into-grinding-strike-negotiations-break-down-between-kaiser-permanente-and-mental-health-workers\">rejected a previous contract\u003c/a> offer from Kaiser last month that included wage increases, but did not meet the union’s demands for increased staffing and more time allotted for administrative work.\u003c/p>\n\u003cp>The striking workers garnered support over the last two months from notable state lawmakers including Lt. Governor Eleni Kounalakis, state Senate President Pro Tempore Toni Atkins, state Sen. Scott Wiener (D-San Francisco), and Assembly Speaker Anthony Rendon.\u003c/p>\n\u003cp>More details on the tentative agreement are expected to be available after a two-day ratification vote among workers later this week.\u003c/p>\n\u003cp>\u003ci>This story includes reporting from KQED’s Emma Silvers and Matthew Green, and Bay City News.\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "breaking-the-cycle-how-parental-mental-health-affects-kids-and-what-to-do-about-it",
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"content": "\u003cp>When Mariana Pimentel thinks about her childhood in a small town in Mexico, she remembers being surrounded by anger and desperation.\u003c/p>\n\u003cp>Her parents worked long hours to support Pimentel and her brothers and sisters, so they were often absent. When they \u003cem>were\u003c/em> home, her parents communicated by yelling.\u003c/p>\n\u003cp>“I want my kids to grow up in a different environment from how I grew up and not repeat the same mistakes,” said Pimentel, a 41-year-old mother of three.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11926978,news_11924343,news_11924980\"]Shifting away from the parenting style she grew up with took time and lots of work. Nine years ago, Pimentel, who lives in Salinas, began attending free classes on topics such as positive parenting and discipline at GoKids Inc., a nonprofit that provides early childhood education to lower-income families.\u003c/p>\n\u003cp>“I’ve noticed that if I am stressed or anxious, I will end up transmitting that to my kids. There is a connection,” Pimentel said. “The more I attend classes, the more I learn, the better I can help my children and the better off they will be.”\u003c/p>\n\u003cp>In addition to taking classes, Pimentel, her husband and two of her children received individual therapy through GoKids to deal with depression and anxiety. The family’s experience demonstrates the importance of addressing mental health not just for one person, but the family as a whole.\u003c/p>\n\u003ch2>Pandemic ‘forced us to look at the shadows’\u003c/h2>\n\u003cp>During the first year of the pandemic, \u003ca href=\"https://www.cdc.gov/mmwr/volumes/70/wr/mm7024a3.htm#:~:text=Among%202%2C391%20parents%2Dcaregivers%2C%20approximately,past%2Dmonth%20serious%20suicidal%20ideation.\">nearly two-thirds of caregivers, including parents, reported adverse mental or behavioral health symptoms\u003c/a>, according to a Centers for Disease Control and Prevention survey. The survey also found that 27% of parents of children under 18 reported that their mental health worsened during the pandemic.\u003c/p>\n\u003cp>The need to come to terms with how parental mental health influences the mental health of children has come into sharper focus as the United States grapples with a crisis of children experiencing higher rates of anxiety, depression and thoughts of suicide.\u003c/p>\n\u003cp>In 2020, California saw a 70% increase in kids being diagnosed with anxiety or depression. That’s 1 in 8, up from 1 in 14 in 2016, \u003ca href=\"https://assets.aecf.org/m/resourcedoc/aecf-2022kidscountdatabook-2022.pdf\">according to The Annie E. Casey Foundation (PDF)\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11929357\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929357\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-800x640.jpg\" alt=\"a young Latinx couple, a man and a woman, in white shirts, smiling in front of a blue sky\" width=\"800\" height=\"640\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-800x640.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-1020x816.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-160x128.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-1536x1229.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jose Angel Morales and Mariana Pimentel learned to manage their own stress and anxiety with therapy, and are working to pass the tools they’ve learned on to their children. \u003ccite>(Courtesy of Mariana Pimentel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Children of color suffer the most, say experts, because services remain inaccessible to them for a variety of reasons.\u003c/p>\n\u003cp>“One thing the pandemic did is that it forced us to look at the shadows, the darker things, both within ourselves and within our communities that need attention,” said Tlazoltiani Jessica Zamarripa, who co-founded the Institute of Chicana/o/x Psychology with her husband, Manuel X. Zamarripa.\u003c/p>\n\u003cp>Based in Austin, Texas, the organization provides training for mental health providers and individuals with an emphasis on ancestral knowledge and practices from Indigenous cultures of Mexico. The Zamarripas founded the Institute of Chicana/o/x Psychology as a way to combat what they call the “mental health industrial complex” that has largely left kids from nonwhite communities underserved.\u003c/p>\n\u003cp>“Our children have never been immune to the stresses, the anxieties, the intergenerational ancestral, familial, interpersonal and racial traumas, and the harms and violence we have experienced and experience now,” Zamarripa said.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Tlazoltiani Jessica Zamarripa, co-founder, Institute of Chicana/o/x Psychology\"]‘Our children have never been immune to the stresses, the anxieties, the intergenerational ancestral, familial, interpersonal and racial traumas, and the harms and violence we have experienced.’[/pullquote]Often, when a child is struggling, the focus is solely on what they are doing wrong and correcting those behaviors, while not taking into account the stressors in their environment, including some caused by stressed parents. Parents need to recognize when their children need help, but also need to understand their own behavior, mental health and patterns of generational trauma, Zamarripa said.\u003c/p>\n\u003cp>In 2019, close to 1 in 5 white children received some form of mental health treatment. For \u003ca href=\"https://www.cdc.gov/nchs/products/databriefs/db381.htm\">Latino and Black children the rate was about 1 in 11\u003c/a>, according to the CDC.\u003c/p>\n\u003cp>“It’s a deep pain to know that our children are struggling and suffering,” Zamarripa said. “We just want to believe that they’re happy and playful.”\u003c/p>\n\u003cp>But children don’t have the same coping mechanisms and understanding that adults have. When a child is acting out, Zamarripa’s advice is to avoid reacting, punishing or judging the behavior.\u003c/p>\n\u003cp>“Kids act out in all kinds of ways, and for generations and generations and generations that has been misinterpreted as bad behavior when, in fact, all behavior is communication,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11929393\" class=\"wp-caption aligncenter\" style=\"max-width: 709px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11929393\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg\" alt=\"a man and a woman in traditional Chicana/o/x dress talk in a room\" width=\"709\" height=\"399\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg 709w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM-160x90.jpg 160w\" sizes=\"(max-width: 709px) 100vw, 709px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Manuel X. Zamarippa (left) and Tlazoltiani Jessica Zamarripa, co-founders of the Institute of Chicana/o/x Psychology. \u003ccite>(Courtesy of the Institute of Chicana/o/x Psychology)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some parents, particularly the parents of children of color, often don’t know how to manage the stigma attached to seeking therapy for themselves or their children.\u003c/p>\n\u003cp>“Sometimes the difficulty with gaining access [to mental health care] is even getting buy-in” from parents, said Patricia Alvarado of Alvarado Therapy, a Los Angeles-based practice made up of Latinx and Spanish-speaking therapists. “If we’re talking about a young person, like a kid or a teenager, it can be quite difficult to say, ‘Yes, I need help.’ And also for the parent, depending on their socioeconomic status, their background, their education, they may not even know what that means.”\u003c/p>\n\u003cp>Not treating mental illness in kids can cause long-term harm. CDC researchers estimate that \u003ca href=\"https://www.cdc.gov/childrensmentalhealth/features/kf-childrens-mental-health-report.html\">13% to 20% of children are affected by an emotional or mental health disorder before the age of 17\u003c/a>.\u003c/p>\n\u003cp>“We still don’t know the long-term impact of the pandemic on children,” said Dr. Sandra Pisano, director of behavioral health for AltaMed, a community health provider in Southern California that serves lower-income people and mostly Latinx patients. “By normalizing wellness and self-care, this is where there’s a great opportunity for us to provide services to develop a healthy future generation after the pandemic.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dr. Sandra Pisano, director of behavioral health, AltaMed\"]‘By normalizing wellness and self-care, this is where there’s a great opportunity for us to provide services to develop a healthy future generation after the pandemic.’[/pullquote]According to Pisano, many parents don’t know how to talk to their children about self-care, which can be as simple as good sleep, eating well, taking deep breaths and doing something that brings joy or relaxation.\u003c/p>\n\u003cp>“It’s important for them as they grow older … that they still have the practice of self-care, because this is creating a healthy child who will eventually be a healthy adult,” Pisano said.\u003c/p>\n\u003ch2>The transformative power of therapy\u003c/h2>\n\u003cp>When she was 24 years old, Pimentel left her home in Hidalgo, a state in central Mexico, to join her brother and sister in Salinas. There she met her husband, Jose Angel Morales, and started a family. Their three children are ages 9, 6 and 7 months.\u003c/p>\n\u003cp>“I looked for parenting resources when my eldest daughter was born, and connected with GoKids,” she said. “We started with classes and workshops and then wellness visits for my daughter and then, eventually, I found out they offered therapy.”\u003c/p>\n\u003cp>In 2020, Pimentel sank into depression after going through a miscarriage and went to therapy for the first time to deal with her grief.\u003c/p>\n\u003cp>In early 2021, she noticed her son biting his nails, a habit that went from occasional to excessive. His personality shifted from mostly happy and outgoing to somber and anxious, she said. He came home from school with bruises because classmates were bullying him.\u003c/p>\n\u003cfigure id=\"attachment_11929362\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929362\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-800x600.jpg\" alt=\"a Latinx family posing in a park, with a dad, mom and three young kids\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-1536x1153.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut.jpg 1599w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jose Angel Morales, Mariana Pimentel and their children. \u003ccite>(Courtesy of Mariana Pimentel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time, Pimentel’s 9-year-old was also showing signs of anxiety. When she had to take a test or do something new, she would freeze with fear and struggle to complete her work. The stress of going from remote to in-person school also put a strain on her. Her children attended therapy sessions for about a year, until December of 2021.\u003c/p>\n\u003cp>Pimentel’s husband went to therapy last year to cope with stress from the pandemic — like losing his job at a car wash and family members contracting the virus, including Pimentel.\u003c/p>\n\u003cp>According to Pimentel, her husband’s therapist helped him realize that he had put too much emphasis on working extra hours or taking on additional tasks, all because he was afraid of being fired. He eventually found a new job at a different car wash and is far less stressed about work.\u003c/p>\n\u003cp>For families like Pimentel’s, having timely access to affordable mental health services was transformative, along with creating a culture of mental wellness at home.\u003c/p>\n\u003cp>Her son is more relaxed and joyful, she said, and many of his anxious behaviors, such as the nail biting, have decreased. He’s also developed the tools and confidence to stand up to bullies.\u003c/p>\n\u003cp>Her daughter has learned to calm her anxiety with techniques such as taking deep breaths, a sip of water or a short walk. She is bringing home higher grades.\u003c/p>\n\u003cp>“I didn’t know that I had depression or that I had a lot of anxiety,” Pimentel said, referring to the time before she entered therapy. “I have discovered many things, how to understand these issues and how I can work on them. And also how to help my children.”\u003c/p>\n\u003cp>\u003cem>Blanca Torres reported this story while participating in the \u003ca href=\"https://centerforhealthjournalism.org/about-us\">USC Annenberg Center for Health Journalism’s 2022 California Fellowship\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "In 2020, California saw a 70% increase in kids being diagnosed with anxiety or depression, which experts say can't be separated from parents and caregivers' struggles — and children of color are suffering the most. Here's how one family used therapy and other tools to address stress and grief.",
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"title": "Breaking the Cycle: How Parental Mental Health Affects Kids — and What to Do About It | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Mariana Pimentel thinks about her childhood in a small town in Mexico, she remembers being surrounded by anger and desperation.\u003c/p>\n\u003cp>Her parents worked long hours to support Pimentel and her brothers and sisters, so they were often absent. When they \u003cem>were\u003c/em> home, her parents communicated by yelling.\u003c/p>\n\u003cp>“I want my kids to grow up in a different environment from how I grew up and not repeat the same mistakes,” said Pimentel, a 41-year-old mother of three.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Shifting away from the parenting style she grew up with took time and lots of work. Nine years ago, Pimentel, who lives in Salinas, began attending free classes on topics such as positive parenting and discipline at GoKids Inc., a nonprofit that provides early childhood education to lower-income families.\u003c/p>\n\u003cp>“I’ve noticed that if I am stressed or anxious, I will end up transmitting that to my kids. There is a connection,” Pimentel said. “The more I attend classes, the more I learn, the better I can help my children and the better off they will be.”\u003c/p>\n\u003cp>In addition to taking classes, Pimentel, her husband and two of her children received individual therapy through GoKids to deal with depression and anxiety. The family’s experience demonstrates the importance of addressing mental health not just for one person, but the family as a whole.\u003c/p>\n\u003ch2>Pandemic ‘forced us to look at the shadows’\u003c/h2>\n\u003cp>During the first year of the pandemic, \u003ca href=\"https://www.cdc.gov/mmwr/volumes/70/wr/mm7024a3.htm#:~:text=Among%202%2C391%20parents%2Dcaregivers%2C%20approximately,past%2Dmonth%20serious%20suicidal%20ideation.\">nearly two-thirds of caregivers, including parents, reported adverse mental or behavioral health symptoms\u003c/a>, according to a Centers for Disease Control and Prevention survey. The survey also found that 27% of parents of children under 18 reported that their mental health worsened during the pandemic.\u003c/p>\n\u003cp>The need to come to terms with how parental mental health influences the mental health of children has come into sharper focus as the United States grapples with a crisis of children experiencing higher rates of anxiety, depression and thoughts of suicide.\u003c/p>\n\u003cp>In 2020, California saw a 70% increase in kids being diagnosed with anxiety or depression. That’s 1 in 8, up from 1 in 14 in 2016, \u003ca href=\"https://assets.aecf.org/m/resourcedoc/aecf-2022kidscountdatabook-2022.pdf\">according to The Annie E. Casey Foundation (PDF)\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11929357\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929357\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-800x640.jpg\" alt=\"a young Latinx couple, a man and a woman, in white shirts, smiling in front of a blue sky\" width=\"800\" height=\"640\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-800x640.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-1020x816.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-160x128.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut-1536x1229.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58811_image000000-1-2-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jose Angel Morales and Mariana Pimentel learned to manage their own stress and anxiety with therapy, and are working to pass the tools they’ve learned on to their children. \u003ccite>(Courtesy of Mariana Pimentel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Children of color suffer the most, say experts, because services remain inaccessible to them for a variety of reasons.\u003c/p>\n\u003cp>“One thing the pandemic did is that it forced us to look at the shadows, the darker things, both within ourselves and within our communities that need attention,” said Tlazoltiani Jessica Zamarripa, who co-founded the Institute of Chicana/o/x Psychology with her husband, Manuel X. Zamarripa.\u003c/p>\n\u003cp>Based in Austin, Texas, the organization provides training for mental health providers and individuals with an emphasis on ancestral knowledge and practices from Indigenous cultures of Mexico. The Zamarripas founded the Institute of Chicana/o/x Psychology as a way to combat what they call the “mental health industrial complex” that has largely left kids from nonwhite communities underserved.\u003c/p>\n\u003cp>“Our children have never been immune to the stresses, the anxieties, the intergenerational ancestral, familial, interpersonal and racial traumas, and the harms and violence we have experienced and experience now,” Zamarripa said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Often, when a child is struggling, the focus is solely on what they are doing wrong and correcting those behaviors, while not taking into account the stressors in their environment, including some caused by stressed parents. Parents need to recognize when their children need help, but also need to understand their own behavior, mental health and patterns of generational trauma, Zamarripa said.\u003c/p>\n\u003cp>In 2019, close to 1 in 5 white children received some form of mental health treatment. For \u003ca href=\"https://www.cdc.gov/nchs/products/databriefs/db381.htm\">Latino and Black children the rate was about 1 in 11\u003c/a>, according to the CDC.\u003c/p>\n\u003cp>“It’s a deep pain to know that our children are struggling and suffering,” Zamarripa said. “We just want to believe that they’re happy and playful.”\u003c/p>\n\u003cp>But children don’t have the same coping mechanisms and understanding that adults have. When a child is acting out, Zamarripa’s advice is to avoid reacting, punishing or judging the behavior.\u003c/p>\n\u003cp>“Kids act out in all kinds of ways, and for generations and generations and generations that has been misinterpreted as bad behavior when, in fact, all behavior is communication,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11929393\" class=\"wp-caption aligncenter\" style=\"max-width: 709px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11929393\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg\" alt=\"a man and a woman in traditional Chicana/o/x dress talk in a room\" width=\"709\" height=\"399\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM.jpg 709w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58816_2_5_2022-12_52_44-AM-160x90.jpg 160w\" sizes=\"(max-width: 709px) 100vw, 709px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Manuel X. Zamarippa (left) and Tlazoltiani Jessica Zamarripa, co-founders of the Institute of Chicana/o/x Psychology. \u003ccite>(Courtesy of the Institute of Chicana/o/x Psychology)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some parents, particularly the parents of children of color, often don’t know how to manage the stigma attached to seeking therapy for themselves or their children.\u003c/p>\n\u003cp>“Sometimes the difficulty with gaining access [to mental health care] is even getting buy-in” from parents, said Patricia Alvarado of Alvarado Therapy, a Los Angeles-based practice made up of Latinx and Spanish-speaking therapists. “If we’re talking about a young person, like a kid or a teenager, it can be quite difficult to say, ‘Yes, I need help.’ And also for the parent, depending on their socioeconomic status, their background, their education, they may not even know what that means.”\u003c/p>\n\u003cp>Not treating mental illness in kids can cause long-term harm. CDC researchers estimate that \u003ca href=\"https://www.cdc.gov/childrensmentalhealth/features/kf-childrens-mental-health-report.html\">13% to 20% of children are affected by an emotional or mental health disorder before the age of 17\u003c/a>.\u003c/p>\n\u003cp>“We still don’t know the long-term impact of the pandemic on children,” said Dr. Sandra Pisano, director of behavioral health for AltaMed, a community health provider in Southern California that serves lower-income people and mostly Latinx patients. “By normalizing wellness and self-care, this is where there’s a great opportunity for us to provide services to develop a healthy future generation after the pandemic.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>According to Pisano, many parents don’t know how to talk to their children about self-care, which can be as simple as good sleep, eating well, taking deep breaths and doing something that brings joy or relaxation.\u003c/p>\n\u003cp>“It’s important for them as they grow older … that they still have the practice of self-care, because this is creating a healthy child who will eventually be a healthy adult,” Pisano said.\u003c/p>\n\u003ch2>The transformative power of therapy\u003c/h2>\n\u003cp>When she was 24 years old, Pimentel left her home in Hidalgo, a state in central Mexico, to join her brother and sister in Salinas. There she met her husband, Jose Angel Morales, and started a family. Their three children are ages 9, 6 and 7 months.\u003c/p>\n\u003cp>“I looked for parenting resources when my eldest daughter was born, and connected with GoKids,” she said. “We started with classes and workshops and then wellness visits for my daughter and then, eventually, I found out they offered therapy.”\u003c/p>\n\u003cp>In 2020, Pimentel sank into depression after going through a miscarriage and went to therapy for the first time to deal with her grief.\u003c/p>\n\u003cp>In early 2021, she noticed her son biting his nails, a habit that went from occasional to excessive. His personality shifted from mostly happy and outgoing to somber and anxious, she said. He came home from school with bruises because classmates were bullying him.\u003c/p>\n\u003cfigure id=\"attachment_11929362\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11929362\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-800x600.jpg\" alt=\"a Latinx family posing in a park, with a dad, mom and three young kids\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut-1536x1153.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/10/RS58810_IMG-20220915-WA0009-qut.jpg 1599w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jose Angel Morales, Mariana Pimentel and their children. \u003ccite>(Courtesy of Mariana Pimentel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the same time, Pimentel’s 9-year-old was also showing signs of anxiety. When she had to take a test or do something new, she would freeze with fear and struggle to complete her work. The stress of going from remote to in-person school also put a strain on her. Her children attended therapy sessions for about a year, until December of 2021.\u003c/p>\n\u003cp>Pimentel’s husband went to therapy last year to cope with stress from the pandemic — like losing his job at a car wash and family members contracting the virus, including Pimentel.\u003c/p>\n\u003cp>According to Pimentel, her husband’s therapist helped him realize that he had put too much emphasis on working extra hours or taking on additional tasks, all because he was afraid of being fired. He eventually found a new job at a different car wash and is far less stressed about work.\u003c/p>\n\u003cp>For families like Pimentel’s, having timely access to affordable mental health services was transformative, along with creating a culture of mental wellness at home.\u003c/p>\n\u003cp>Her son is more relaxed and joyful, she said, and many of his anxious behaviors, such as the nail biting, have decreased. He’s also developed the tools and confidence to stand up to bullies.\u003c/p>\n\u003cp>Her daughter has learned to calm her anxiety with techniques such as taking deep breaths, a sip of water or a short walk. She is bringing home higher grades.\u003c/p>\n\u003cp>“I didn’t know that I had depression or that I had a lot of anxiety,” Pimentel said, referring to the time before she entered therapy. “I have discovered many things, how to understand these issues and how I can work on them. And also how to help my children.”\u003c/p>\n\u003cp>\u003cem>Blanca Torres reported this story while participating in the \u003ca href=\"https://centerforhealthjournalism.org/about-us\">USC Annenberg Center for Health Journalism’s 2022 California Fellowship\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Many California Families Can't Access Mental Health Care for Kids. This East Palo Alto Mom Found a Way",
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"headTitle": "Many California Families Can’t Access Mental Health Care for Kids. This East Palo Alto Mom Found a Way | KQED",
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"content": "\u003cp>Jasmine Cuevas stood at her kitchen stove preparing migas, stirring a pan of eggs and tortillas before calling her four children to dinner.\u003c/p>\n\u003cp>She spooned servings onto plates while asking each about their day.\u003c/p>\n\u003cp>“I get out of work, get them from school and then we come straight home,” she said. “And, it’s a wreck: dinner, homework, reading, bath and then bedtime by 7:30 at the latest.”\u003c/p>\n\u003cp>Cuevas, who lives in East Palo Alto, does her best to manage her parental duties from the mundane to the challenging. Before her two oldest children, now ages 7 and 9, started kindergarten, they showed signs of anxiety, stress and frustration.\u003c/p>\n\u003cp>One child had violent outbursts regularly, hitting and biting siblings — or anyone around. Sometimes, according to Cuevas, the child cried inconsolably. She said the other child began exhibiting signs of anxiety in preschool.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Three years ago, Cuevas, who has been a single mother for stretches of her kids’ lives, decided to seek therapy for her children. She remembers telling them, “You need to talk to someone, let’s talk to someone.”\u003c/p>\n\u003cfigure id=\"attachment_11927013\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11927013\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut-800x533.jpg\" alt=\"A woman wearing all black clothing and red lipstick stands in a well-lit kitchen spooning eggs from a pan to a plate.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jasmine Cuevas cooks dinner for her four children at their home in East Palo Alto on March 30, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Cuevas is among millions of parents whose children are struggling with their emotional and mental health. KQED decided to not include the names and genders of Cuevas’ children in this story to protect their privacy after consulting a gender educator.\u003c/p>\n\u003cp>In California, \u003ca href=\"https://assets.aecf.org/m/resourcedoc/aecf-2022kidscountdatabook-2022.pdf\">1 in 8 children was diagnosed with anxiety or depression in 2020\u003c/a>, a 70% increase from 2016 when 1 in 14 received a similar diagnosis, according to a 2022 report from The Annie E. Casey Foundation.\u003c/p>\n\u003cp>Demand for mental health services for children has swelled as expressions of anxiety, depression and suicidal thoughts have increased alarmingly — a situation experts have labeled a crisis. But while parents are told to “get help” for their children, they often run into one or two main obstacles: the high cost of care, and the lack of therapists.[pullquote align=\"right\" size=\"medium\" citation=\"Alex Briscoe, principal, California Children's Trust\"]‘What will we do as a culture when we come into consciousness about the fact that twice as many of our kids are trying to kill themselves?’[/pullquote]Many therapists who run private practices don’t accept insurance. Without insurance, therapy is unaffordable for most families, as sessions can cost anywhere from $100 to $250 or more, according to health care providers interviewed for this story.\u003c/p>\n\u003cp>The result is that \u003ca href=\"https://www.cdc.gov/nchs/products/databriefs/db381.htm\">Black and Latinx children receive mental health care at about half the rate of white children\u003c/a>, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Advising the parents of non-white children to “get help” is like telling them to open a door to an empty room, said Eric Valladares, executive director of Family Connections, a Palo Alto-based nonprofit that provides educational and mental health services to families with young children.\u003c/p>\n\u003cfigure id=\"attachment_11927054\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11927054\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS58557_015_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"A man in a a blue plaid shirt and blue surgical mask holds his hands together in front of him as he seemingly talks with a person standing out of focus with their back to the camera. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58557_015_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58557_015_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58557_015_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58557_015_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58557_015_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Executive Director Eric Valladares speaks with Carolina Calderón Balladares at Family Connections in Redwood City on Sept. 6, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There’s not much furniture in there,” he continued. “That’s where there is a gap for our families. They tell us, ‘I want to talk about these things, but where do I go? Who do I grab on to?’”\u003c/p>\n\u003cp>According to the CDC, \u003ca href=\"https://www.cdc.gov/mmwr/volumes/71/su/su7102a1.htm?s_cid=su7102a1_w#results\">1 in 5 children and adolescents age 12 to 17 reported experiencing a major depressive episode\u003c/a> from 2013 to 2019. The CDC also reported that in 2019, \u003ca href=\"https://www.cdc.gov/nchhstp/dear_colleague/2020/dcl-102320-YRBS-2009-2019-report.html\">37% of high school students expressed feeling sad or hopeless\u003c/a>, up from 26% in 2009.\u003c/p>\n\u003cp>“Over the last 10 to 15 years, we’ve seen a doubling of inpatient admissions for self-injury, and suicide leapfrogging cancer and car wrecks as a cause of death” for young people, said Alex Briscoe, principal at the California Children’s Trust, a nonprofit organization focused on reimagining California’s approach to children’s mental health.\u003c/p>\n\u003cp>“So the broader question for us is, what will we do as a culture when we come into consciousness about the fact that twice as many of our kids are trying to kill themselves?”\u003c/p>\n\u003cp>Health insurers often won’t cover preventive services and instead provide coverage only when a patient’s condition is severe or fits a particular diagnosis. A 2018 study by the California Health Care Foundation found that close to \u003ca href=\"https://www.chcf.org/wp-content/uploads/2018/12/MentalHealthCA2018.pdf\">two-thirds of adolescents with major depressive episodes in California do not receive treatment\u003c/a>.\u003c/p>\n\u003cp>Nationwide, spending on mental health, from therapy to prescriptions, more than doubled to \u003ca href=\"https://openminds.com/press/u-s-mental-health-spending-reached-225-1-billion-in-2019-open-minds-releases-new-analysis-on-market-spending/\">$225 billion from 2009 to 2019\u003c/a>, according to a report from Open Minds, a health care market research firm. That represents only about 5.5% of all health care spending, the report says.\u003c/p>\n\u003cp>California is rolling out the Child and Youth Behavioral Health Initiative, a $4.7 billion, five-year plan to overhaul the way the state prevents, treats and responds to mental illness and disorders in children.\u003c/p>\n\u003cp>“What we hear particularly from youth is the importance of prevention and nonclinical support,” Melissa Stafford Jones, the program’s director, told KQED. “They’ve said to us, ‘Don’t wait until we’re in a crisis to support us.’”\u003c/p>\n\u003cp>The funding was approved in 2021, but state leaders and agencies are still deciding how to dole out the money. The plan’s goals include making services more accessible to underserved children and expanding the workforce of therapists and service providers.\u003c/p>\n\u003cp>The initiative could bring about substantial change, but that will probably take four to five years, according to Chris Stoner-Mertz, CEO of California Alliance of Child and Family Services, a coalition of about 150 nonprofits and organizations that serve the state’s children and families.\u003c/p>\n\u003cp>When asked whether the money is specifically helping kids in crisis now, Stoner-Mertz replied, “To be frank, no.”\u003c/p>\n\u003cp>“It really is primarily infrastructure, and capacity building,” she continued. “But none of it is like, ‘Here’s money to provide a service today.’”[pullquote align=\"right\" size=\"medium\" citation=\"Melissa Stafford Jones, program director, Child and Youth Behavioral Health Initiative\"]‘What we hear particularly from youth is the importance of prevention and nonclinical support. They’ve said to us, ‘Don’t wait until we’re in a crisis to support us.”[/pullquote]Medi-Cal, the state-funded insurance program for people with lower incomes, covers mental health care services including therapy, but of the 5.3 million children and youth enrolled in the program, only 5% have received a mental health care service, according to the California Children’s Trust.\u003c/p>\n\u003cp>Cuevas’ family is part of that small fraction who has benefitted. And unlike some parents who are afraid or distrustful of seeking help, she was eager for her kids to go to therapy. That’s because she knew how much it helped her.\u003c/p>\n\u003cp>Cuevas, 29, said she was raised in a home she considered emotionally and physically abusive. She remembers briefly seeing a therapist when she was 8 or 9 years old.\u003c/p>\n\u003cp>“I loved it, loved it, loved it. (The therapist) was so nice. She was so understanding,” Cuevas said. “I never used to express myself at all. Nobody ever listened to me. And when they did listen to me, they said, ‘Oh, you’re lying.’”\u003c/p>\n\u003cp>After a few sessions, her mother abruptly stopped taking her to appointments, Cuevas said. She never found out why.\u003c/p>\n\u003cp>“It was really hard,” she recalled. “I was like, ‘Great, I’m back to my little bubble in my corner of darkness and not knowing what to do.’”\u003c/p>\n\u003cp>Cuevas became a mom at 20. She was in a marriage that she described as emotionally abusive. It ended soon after her first child was born. Cuevas remarried and had three more children. Her second husband was also abusive, she said. She briefly lived in her car after the relationship fell apart.\u003c/p>\n\u003cp>She connected with Gabriela Buendia, a therapist who worked at her kids’ preschool as a mental health consultant. Cuevas met with Buendia almost weekly to talk about her children’s behaviors. She said she learned to try to understand why her kids were acting out instead of just correcting or reacting to them.\u003c/p>\n\u003cp>Preschool-age children show their emotions through their behaviors, according to Buendia.\u003c/p>\n\u003cp>“A lot of kids are dealing with chronic stress, chronic trauma, significant challenges at home,” said Buendia, who offered assessments to Cuevas but didn’t treat her children. “Many of them don’t have the language to express how they are feeling, so they will show us through their behaviors.”\u003c/p>\n\u003cfigure id=\"attachment_11927056\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11927056 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"A man in a blue plaid shirt and surgical mask, with grey pants stands in a yard and gestures toward a bright orange wall adorned with varies items nailed or fixed in place such as pots, pans, a colander and a xylophone. Above them all on the wall is the word musical. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Executive Director Eric Valladares in the play area at Family Connections in Redwood City on Sept. 6, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After a few years of building trust, Cuevas started going to Buendia for therapy for herself. She never forgot the feeling of having someone in her life she could trust who listened.\u003c/p>\n\u003cp>“I’m more open-minded,” she said. “I’ve been able to express my feelings more.”\u003c/p>\n\u003cp>Finding help for her two oldest children was relatively simple, Cuevas said. She went to a San Mateo County health office to request appointments.\u003c/p>\n\u003cp>“I went through four therapists before we found the right match,” she said. “I didn’t give up.”\u003c/p>\n\u003cp>Starting in 2019, her two oldest children saw a therapist once a week over Zoom. Their sessions often involved games and activities.\u003c/p>\n\u003cp>Buendia said a couple of factors made a difference for Cuevas’ family. One is that her kids’ preschool looked for signs of mental health challenges and had a consultant on staff.\u003c/p>\n\u003cp>Another is that Cuevas learned how to advocate for her children, and had access to insurance that covered therapy. Many parents, Buendia said, either don’t have access to the system or don’t know how to navigate it.\u003c/p>\n\u003cp>“I admire this mom so much. She’s like the epitome of someone who has struggled so much, overcome so much,” Buendia said. “She’s overcome so many obstacles and trauma and yet is still so connected to her feelings and is vulnerable and is so connected to her children. She’s incredible.”\u003c/p>\n\u003cp>In February, Cuevas moved her family into a townhome in East Palo Alto, providing a more stable situation. She had to stop working at the start of the pandemic to care for her kids, but is back to work full-time in food service at Stanford University. In August, she married again.\u003c/p>\n\u003cp>“I’m finally in this great relationship with a person who loves my kids, who loves me, and treats me the way I need to be treated. My kids are happier than ever,” Cuevas said. “I’m not going to lie, I have a lot of anxiety. I have a lot of panic attacks. So, I’m working on it.”\u003c/p>\n\u003cp>Cuevas said therapy improved the way she communicates with her children. In the past, she said she worried more about cleaning her home than taking the time to connect with her children. Now she makes sure they eat meals together and talk before bedtime. She wants her children to have a different experience than she had growing up.\u003c/p>\n\u003cp>She wants them to feel free to express their needs and emotions.\u003c/p>\n\u003cp>“I know that after finding the therapist for them and finding one myself, I noticed a change where they could confide in me and tell me what’s going on and express themselves,” Cuevas said. “It’s amazing how much trauma and how much hurt we have in our family. But there’s hope.\u003c/p>\n\u003cp>“With therapy you have that hope.”\u003c/p>\n\u003cp>\u003cem>Blanca Torres reported this story while participating in the \u003ca href=\"https://centerforhealthjournalism.org/about-us\">USC Annenberg Center for Health Journalism’s 2022 California Fellowship\u003c/a>\u003c/em>.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Jasmine Cuevas stood at her kitchen stove preparing migas, stirring a pan of eggs and tortillas before calling her four children to dinner.\u003c/p>\n\u003cp>She spooned servings onto plates while asking each about their day.\u003c/p>\n\u003cp>“I get out of work, get them from school and then we come straight home,” she said. “And, it’s a wreck: dinner, homework, reading, bath and then bedtime by 7:30 at the latest.”\u003c/p>\n\u003cp>Cuevas, who lives in East Palo Alto, does her best to manage her parental duties from the mundane to the challenging. Before her two oldest children, now ages 7 and 9, started kindergarten, they showed signs of anxiety, stress and frustration.\u003c/p>\n\u003cp>One child had violent outbursts regularly, hitting and biting siblings — or anyone around. Sometimes, according to Cuevas, the child cried inconsolably. She said the other child began exhibiting signs of anxiety in preschool.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Three years ago, Cuevas, who has been a single mother for stretches of her kids’ lives, decided to seek therapy for her children. She remembers telling them, “You need to talk to someone, let’s talk to someone.”\u003c/p>\n\u003cfigure id=\"attachment_11927013\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11927013\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut-800x533.jpg\" alt=\"A woman wearing all black clothing and red lipstick stands in a well-lit kitchen spooning eggs from a pan to a plate.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS54936_007_KQED_JasmineCuevasFamily_03302022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jasmine Cuevas cooks dinner for her four children at their home in East Palo Alto on March 30, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Cuevas is among millions of parents whose children are struggling with their emotional and mental health. KQED decided to not include the names and genders of Cuevas’ children in this story to protect their privacy after consulting a gender educator.\u003c/p>\n\u003cp>In California, \u003ca href=\"https://assets.aecf.org/m/resourcedoc/aecf-2022kidscountdatabook-2022.pdf\">1 in 8 children was diagnosed with anxiety or depression in 2020\u003c/a>, a 70% increase from 2016 when 1 in 14 received a similar diagnosis, according to a 2022 report from The Annie E. Casey Foundation.\u003c/p>\n\u003cp>Demand for mental health services for children has swelled as expressions of anxiety, depression and suicidal thoughts have increased alarmingly — a situation experts have labeled a crisis. But while parents are told to “get help” for their children, they often run into one or two main obstacles: the high cost of care, and the lack of therapists.\u003c/p>\u003c/div>",
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"content": "‘What will we do as a culture when we come into consciousness about the fact that twice as many of our kids are trying to kill themselves?’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Many therapists who run private practices don’t accept insurance. Without insurance, therapy is unaffordable for most families, as sessions can cost anywhere from $100 to $250 or more, according to health care providers interviewed for this story.\u003c/p>\n\u003cp>The result is that \u003ca href=\"https://www.cdc.gov/nchs/products/databriefs/db381.htm\">Black and Latinx children receive mental health care at about half the rate of white children\u003c/a>, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Advising the parents of non-white children to “get help” is like telling them to open a door to an empty room, said Eric Valladares, executive director of Family Connections, a Palo Alto-based nonprofit that provides educational and mental health services to families with young children.\u003c/p>\n\u003cfigure id=\"attachment_11927054\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11927054\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS58557_015_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"A man in a a blue plaid shirt and blue surgical mask holds his hands together in front of him as he seemingly talks with a person standing out of focus with their back to the camera. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58557_015_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58557_015_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58557_015_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58557_015_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58557_015_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Executive Director Eric Valladares speaks with Carolina Calderón Balladares at Family Connections in Redwood City on Sept. 6, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“There’s not much furniture in there,” he continued. “That’s where there is a gap for our families. They tell us, ‘I want to talk about these things, but where do I go? Who do I grab on to?’”\u003c/p>\n\u003cp>According to the CDC, \u003ca href=\"https://www.cdc.gov/mmwr/volumes/71/su/su7102a1.htm?s_cid=su7102a1_w#results\">1 in 5 children and adolescents age 12 to 17 reported experiencing a major depressive episode\u003c/a> from 2013 to 2019. The CDC also reported that in 2019, \u003ca href=\"https://www.cdc.gov/nchhstp/dear_colleague/2020/dcl-102320-YRBS-2009-2019-report.html\">37% of high school students expressed feeling sad or hopeless\u003c/a>, up from 26% in 2009.\u003c/p>\n\u003cp>“Over the last 10 to 15 years, we’ve seen a doubling of inpatient admissions for self-injury, and suicide leapfrogging cancer and car wrecks as a cause of death” for young people, said Alex Briscoe, principal at the California Children’s Trust, a nonprofit organization focused on reimagining California’s approach to children’s mental health.\u003c/p>\n\u003cp>“So the broader question for us is, what will we do as a culture when we come into consciousness about the fact that twice as many of our kids are trying to kill themselves?”\u003c/p>\n\u003cp>Health insurers often won’t cover preventive services and instead provide coverage only when a patient’s condition is severe or fits a particular diagnosis. A 2018 study by the California Health Care Foundation found that close to \u003ca href=\"https://www.chcf.org/wp-content/uploads/2018/12/MentalHealthCA2018.pdf\">two-thirds of adolescents with major depressive episodes in California do not receive treatment\u003c/a>.\u003c/p>\n\u003cp>Nationwide, spending on mental health, from therapy to prescriptions, more than doubled to \u003ca href=\"https://openminds.com/press/u-s-mental-health-spending-reached-225-1-billion-in-2019-open-minds-releases-new-analysis-on-market-spending/\">$225 billion from 2009 to 2019\u003c/a>, according to a report from Open Minds, a health care market research firm. That represents only about 5.5% of all health care spending, the report says.\u003c/p>\n\u003cp>California is rolling out the Child and Youth Behavioral Health Initiative, a $4.7 billion, five-year plan to overhaul the way the state prevents, treats and responds to mental illness and disorders in children.\u003c/p>\n\u003cp>“What we hear particularly from youth is the importance of prevention and nonclinical support,” Melissa Stafford Jones, the program’s director, told KQED. “They’ve said to us, ‘Don’t wait until we’re in a crisis to support us.’”\u003c/p>\n\u003cp>The funding was approved in 2021, but state leaders and agencies are still deciding how to dole out the money. The plan’s goals include making services more accessible to underserved children and expanding the workforce of therapists and service providers.\u003c/p>\n\u003cp>The initiative could bring about substantial change, but that will probably take four to five years, according to Chris Stoner-Mertz, CEO of California Alliance of Child and Family Services, a coalition of about 150 nonprofits and organizations that serve the state’s children and families.\u003c/p>\n\u003cp>When asked whether the money is specifically helping kids in crisis now, Stoner-Mertz replied, “To be frank, no.”\u003c/p>\n\u003cp>“It really is primarily infrastructure, and capacity building,” she continued. “But none of it is like, ‘Here’s money to provide a service today.’”\u003c/p>\u003c/div>",
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"content": "‘What we hear particularly from youth is the importance of prevention and nonclinical support. They’ve said to us, ‘Don’t wait until we’re in a crisis to support us.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Medi-Cal, the state-funded insurance program for people with lower incomes, covers mental health care services including therapy, but of the 5.3 million children and youth enrolled in the program, only 5% have received a mental health care service, according to the California Children’s Trust.\u003c/p>\n\u003cp>Cuevas’ family is part of that small fraction who has benefitted. And unlike some parents who are afraid or distrustful of seeking help, she was eager for her kids to go to therapy. That’s because she knew how much it helped her.\u003c/p>\n\u003cp>Cuevas, 29, said she was raised in a home she considered emotionally and physically abusive. She remembers briefly seeing a therapist when she was 8 or 9 years old.\u003c/p>\n\u003cp>“I loved it, loved it, loved it. (The therapist) was so nice. She was so understanding,” Cuevas said. “I never used to express myself at all. Nobody ever listened to me. And when they did listen to me, they said, ‘Oh, you’re lying.’”\u003c/p>\n\u003cp>After a few sessions, her mother abruptly stopped taking her to appointments, Cuevas said. She never found out why.\u003c/p>\n\u003cp>“It was really hard,” she recalled. “I was like, ‘Great, I’m back to my little bubble in my corner of darkness and not knowing what to do.’”\u003c/p>\n\u003cp>Cuevas became a mom at 20. She was in a marriage that she described as emotionally abusive. It ended soon after her first child was born. Cuevas remarried and had three more children. Her second husband was also abusive, she said. She briefly lived in her car after the relationship fell apart.\u003c/p>\n\u003cp>She connected with Gabriela Buendia, a therapist who worked at her kids’ preschool as a mental health consultant. Cuevas met with Buendia almost weekly to talk about her children’s behaviors. She said she learned to try to understand why her kids were acting out instead of just correcting or reacting to them.\u003c/p>\n\u003cp>Preschool-age children show their emotions through their behaviors, according to Buendia.\u003c/p>\n\u003cp>“A lot of kids are dealing with chronic stress, chronic trauma, significant challenges at home,” said Buendia, who offered assessments to Cuevas but didn’t treat her children. “Many of them don’t have the language to express how they are feeling, so they will show us through their behaviors.”\u003c/p>\n\u003cfigure id=\"attachment_11927056\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11927056 size-medium\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/09/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg\" alt=\"A man in a blue plaid shirt and surgical mask, with grey pants stands in a yard and gestures toward a bright orange wall adorned with varies items nailed or fixed in place such as pots, pans, a colander and a xylophone. Above them all on the wall is the word musical. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/09/RS58566_024_KQED_EricValladaresFamilyConnections_09062022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Executive Director Eric Valladares in the play area at Family Connections in Redwood City on Sept. 6, 2022. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After a few years of building trust, Cuevas started going to Buendia for therapy for herself. She never forgot the feeling of having someone in her life she could trust who listened.\u003c/p>\n\u003cp>“I’m more open-minded,” she said. “I’ve been able to express my feelings more.”\u003c/p>\n\u003cp>Finding help for her two oldest children was relatively simple, Cuevas said. She went to a San Mateo County health office to request appointments.\u003c/p>\n\u003cp>“I went through four therapists before we found the right match,” she said. “I didn’t give up.”\u003c/p>\n\u003cp>Starting in 2019, her two oldest children saw a therapist once a week over Zoom. Their sessions often involved games and activities.\u003c/p>\n\u003cp>Buendia said a couple of factors made a difference for Cuevas’ family. One is that her kids’ preschool looked for signs of mental health challenges and had a consultant on staff.\u003c/p>\n\u003cp>Another is that Cuevas learned how to advocate for her children, and had access to insurance that covered therapy. Many parents, Buendia said, either don’t have access to the system or don’t know how to navigate it.\u003c/p>\n\u003cp>“I admire this mom so much. She’s like the epitome of someone who has struggled so much, overcome so much,” Buendia said. “She’s overcome so many obstacles and trauma and yet is still so connected to her feelings and is vulnerable and is so connected to her children. She’s incredible.”\u003c/p>\n\u003cp>In February, Cuevas moved her family into a townhome in East Palo Alto, providing a more stable situation. She had to stop working at the start of the pandemic to care for her kids, but is back to work full-time in food service at Stanford University. In August, she married again.\u003c/p>\n\u003cp>“I’m finally in this great relationship with a person who loves my kids, who loves me, and treats me the way I need to be treated. My kids are happier than ever,” Cuevas said. “I’m not going to lie, I have a lot of anxiety. I have a lot of panic attacks. So, I’m working on it.”\u003c/p>\n\u003cp>Cuevas said therapy improved the way she communicates with her children. In the past, she said she worried more about cleaning her home than taking the time to connect with her children. Now she makes sure they eat meals together and talk before bedtime. She wants her children to have a different experience than she had growing up.\u003c/p>\n\u003cp>She wants them to feel free to express their needs and emotions.\u003c/p>\n\u003cp>“I know that after finding the therapist for them and finding one myself, I noticed a change where they could confide in me and tell me what’s going on and express themselves,” Cuevas said. “It’s amazing how much trauma and how much hurt we have in our family. But there’s hope.\u003c/p>\n\u003cp>“With therapy you have that hope.”\u003c/p>\n\u003cp>\u003cem>Blanca Torres reported this story while participating in the \u003ca href=\"https://centerforhealthjournalism.org/about-us\">USC Annenberg Center for Health Journalism’s 2022 California Fellowship\u003c/a>\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The need for therapists, social workers, psychologists and psychiatrists is greater than ever. Under relentless pressure from the pandemic and inflation, wildfires, gun violence, racism and war, Californians are crying out for help.\u003c/p>\n\u003cp>But that doesn’t mean they can get it.\u003c/p>\n\u003cp>In every corner of mental health right now, a similar story is being told: There simply aren’t enough providers.\u003c/p>\n\u003cp>Patients receive lists of names from their insurers, only to learn none of the therapists on these so-called “ghost lists” will see them. Clinicians who do offer a spot often only accept cash.\u003c/p>\n\u003cp>Nonprofit mental health care providers report needing to have an offer letter ready at a job interview, fearing applicants will take another position if they wait.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Kaiser mental health care clinicians have been \u003ca href=\"https://www.kqed.org/news/11923034/were-drowning-why-kaiser-mental-health-workers-are-striking\">out on strike for weeks\u003c/a> now in Northern California, describing exhausting working conditions and long delays in care for their patients. Kaiser, for its part, points a finger at a familiar culprit: the mental health care provider shortage.\u003c/p>\n\u003cp>CalMatters spoke with more than two dozen mental health experts, public officials and providers around California to ask about the impacts of the mental health care provider shortage, and what can be done about it. Their responses ranged from desperate to hopeful.\u003c/p>\n\u003cp>All agree we are at a pivotal movement.\u003c/p>\n\u003cp>In part, that’s because Gov. Gavin Newsom’s administration is investing heavily in overhauling the state’s mental health care system. At the same time, the state recently enacted laws requiring insurers to provide timely access to mental health care. Some worry a lack of providers could jeopardize these bold new initiatives. Others see this as an opportunity to reimagine how mental health care in the state is delivered.\u003c/p>\n\u003cp>Here’s what the experts had to say:\u003c/p>\n\u003ch2>How big is the provider shortage problem?\u003c/h2>\n\u003cp>It depends on what part of the elephant you’re looking at, said Catherine Teare, associate director of the California Health Care Foundation’s People-Centered Care team. County mental health departments are struggling to hire. So are commercial health plans. So are nonprofits.\u003c/p>\n\u003cp>At the same time, she said, “the level of mental distress is increased.”\u003c/p>\n\u003cp>“For children or adults who need a lot, or need it urgently, it’s a scary time,” she said.\u003c/p>\n\u003cp>Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, told CalMatters that the number of licensed behavioral health care providers in the state increased by 20% between 2016 and 2020. But, that’s been offset by an increase in demand he calls “really unprecedented.”\u003c/p>\n\u003cp>For patients, how bad the shortage is depends, in part, on where you live, your insurance, your income, your age, the care you need and whether you want a clinician of color or one who speaks a language other than English.\u003c/p>\n\u003cp>\u003ca href=\"https://www.chcf.org/publication/californias-current-future-behavioral-health-workforce/\">A report\u003c/a> published by the University of California, San Francisco in 2018 — even before the \u003ca href=\"https://www.healthmanagement.com/wp-content/uploads/HMA-NCMW-Issue-Brief-10-27-21.pdf\">pandemic sent need skyrocketing\u003c/a> — predicted that by 2028, demand for psychologists and other therapists would be 40% more than supply. For kids, the shortage is especially dire: Close to a third of California’s 58 counties have \u003ca href=\"https://www.aacap.org/aacap/Advocacy/Federal_and_State_Initiatives/Workforce_Maps/Home.aspx\">no child and adolescent psychiatrists at all\u003c/a>, according to the American Academy of Child and Adolescent Psychiatry.[aside label=\"Related Stories\" postID=\"news_11924343,news_11924117,news_11923034\"]\u003ca href=\"https://www.chcf.org/wp-content/uploads/2022/07/MentalHealthAlmanac2022.pdf\">A new report\u003c/a> from the California Health Care Foundation shows that the Bay Area has 19 licensed psychiatrists and 73 licensed psychologists per 100,000 people — significantly more than the state averages of 12 and 44. At the other end of the spectrum, the San Joaquin Valley has six psychiatrists and 16 psychologists for the equivalent number of people.\u003c/p>\n\u003cp>Jessica Dominguez, a licensed marriage and family therapist at Kaiser Richmond who is currently on strike, said the Bay Area has plenty of providers.\u003c/p>\n\u003cp>“Throw a rock, you’re going to hit a therapist,” said Dominguez, who said she plans to leave the organization.\u003c/p>\n\u003cp>But others who work in the region, including Matthew Madaus, executive director of the Behavioral Health Collaborative of Alameda County, said “100% absolutely” there’s a shortage even in the Bay Area.\u003c/p>\n\u003cp>If you search for a behavioral health clinician on Indeed.com, Madaus said, it comes up with thousands of open positions within a 25-mile radius.\u003c/p>\n\u003cp>“It’s extraordinary the level of demand,” he said.\u003c/p>\n\u003cp>One problem: It’s difficult to capture how many clinicians don’t accept any insurance at all, and thus aren’t accessible to the vast majority of patients who can’t pay out of pocket.\u003c/p>\n\u003cp>What we do know: We need more and better data. For instance, some experts say the increase described by Ghaly does not reflect how many licensed providers are actually seeing patients, nor does it capture how many are seeing people who are uninsured or on Medi-Cal.\u003c/p>\n\u003cp>Democratic state Sen. Scott Wiener of San Francisco authored\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB964\"> a bill\u003c/a> this year that would require the Department of Health Care Access and Information to prepare a report for the Legislature by Jan. 1, 2024, describing the state of California’s behavioral health workforce, and how best to address the shortage. Senate Bill 964 is on the governor’s desk.\u003c/p>\n\u003cp>\u003ca href=\"https://workforce.org/wp-content/uploads/2022/08/San-Diego-Behavioral-Health-Workforce-Report-.pdf\">San Diego County has already researched the shortage.\u003c/a> Officials there estimate they currently have 17,000 behavioral health care workers and need an additional 8,100 to meet current demand. In the next five years, they anticipate needing another 10,000 workers, in part because so many will be retiring.\u003c/p>\n\u003ch2>What’s causing the shortage?\u003c/h2>\n\u003cp>Mental health care leaders will tell you the shortage itself is nothing new. But the pandemic has aggravated the problems. More providers have left their jobs, citing burnout. Or they’ve left the state, citing cost of living. New telehealth start-ups specializing in mental health treatment offer good pay and flexible hours; many experts said they have added to the demand by siphoning off providers from the public sector.[pullquote align=\"right\" size=\"medium\" citation=\"Catherine Teare, associate director of People-Centered Care, California Health Care Foundation\"]‘For children or adults who need a lot, or need it urgently, it’s a scary time.’[/pullquote]In a 2018 report on the \u003ca href=\"https://healthforce.ucsf.edu/publications/california-s-current-and-future-behavioral-health-workforce\">behavioral health workforce shortage\u003c/a>, Janet Coffman of UCSF also raised the concern that 45% of psychiatrists and 37% of psychologists would likely be retiring within a decade. The pandemic has accelerated this trend, she said.\u003c/p>\n\u003cp>Many clinicians say they’re simply exhausted. It’s not just that more people need help, but that many of them are coming in sicker, with mental health issues that have gone untreated.\u003c/p>\n\u003cp>“Our patient population has become so much more difficult to work with than it used to be a decade ago,” said Randall Hagar, legislative advocate and policy consultant for the Psychiatric Physicians Alliance of California.\u003c/p>\n\u003cp>As openings go unfilled, those who remain are left to carry more of the weight, he said.\u003c/p>\n\u003cp>Another problem Hagar and others mention: paperwork. Doctors spend some 40% of their time on paperwork, he said.\u003c/p>\n\u003cp>Many clinicians, especially providers of color, also say they are simply not getting enough emotional support from their employers. Dominguez, the Kaiser therapist, said she founded La Clinica, a nationally recognized pilot program to serve Spanish-speaking clients, in 2016. When tragedies happen in the community, she said, they affect clinicians, too. But, “you’re just expected to plug along and keep going,” she said.\u003c/p>\n\u003cp>Continually witnessing trauma can be exhausting, said Jeff Capps, a social worker with Pacific Clinics in Los Angeles. He emphasizes the need to make the work more sustainable for clinicians. That includes better pay.\u003c/p>\n\u003cp>“Sometimes in our field, the assumption is that since you get value out of your work, you don’t need to be as compensated,” he said.\u003c/p>\n\u003cp>A 2019 report by the health care consulting firm Milliman found that commercial plans in California, when setting rates, \u003ca href=\"https://www.milliman.com/en/insight/addiction-and-mental-health-vs-physical-health-widening-disparities-in-network-use-and-p\">pay primary care providers an average 15% more\u003c/a> than they pay behavioral health care providers.\u003c/p>\n\u003cp>Luke Bergmann, San Diego County’s director of behavioral health, said his county’s report on the provider shortage showed that, in some cases, people chose to work at Panda Express instead of substance use disorder clinics “because they simply cannot make as much.”\u003c/p>\n\u003cp>“People talk about loving the work,” he said. “For people to leave this work is an incredible emotional sacrifice.”\u003c/p>\n\u003cp>Candy Curiel, clinical director of Pacific Clinics for the Inland Empire, said inflation is making the situation even worse.\u003c/p>\n\u003cp>“Everything is so costly at this point, people feel they need to seek more money,” she said.\u003c/p>\n\u003ch2>Everyone is competing with everyone else. Is this a zero-sum game?\u003c/h2>\n\u003cp>Michelle Cabrera, executive director of the County Behavioral Health Directors Association of California, said the state’s mental health care system is so overwhelmed, everyone is poaching from each other.\u003c/p>\n\u003cp>“Let me be clear: It is a zero-sum game,” she said. “There’s only so many licensed or competent professionals in the state of California to do these jobs.”\u003c/p>\n\u003cp>In August, state Superintendent of Public Instruction Tony Thurmond announced that he had secured funding to \u003ca href=\"https://www.cde.ca.gov/nr/ne/yr22/yr22rel39.asp\">hire 10,000 additional mental health clinicians\u003c/a> to serve the state’s students. That effort is key to the Department of Education’s push to increase mental health care provided in schools.\u003c/p>\n\u003cp>Adrienne Shilton, senior policy advocate for the California Alliance of Child and Family Services, called the $200 million to establish a new scholarship program for master’s-level clinicians “a big win.”\u003c/p>\n\u003cp>But for Cabrera, the announcement “just puts fear at the heart of county behavioral health.”\u003c/p>\n\u003cp>She wonders how counties can possibly compete.\u003c/p>\n\u003cp>“I don’t know that we’ve really had a reckoning yet on the degree to which demand so far exceeds the available supply of providers in our state,” she said.[pullquote align=\"right\" size=\"medium\" citation=\"Karen Larsen, CEO, Steinberg Institute\"]‘We finally have all of this money and transformation coming. All these amazing things … and it couldn’t come at a worse time in terms of our workforce.’[/pullquote]This is the vicious circle for workers who are salaried. Nonprofit providers often pay less than schools and counties. Schools and counties, in turn, pay less than Kaiser and some of the new telehealth start-ups.\u003c/p>\n\u003cp>Nonprofit jobs that used to attract 40 or 50 applicants might only get two or three now, said Madaus, of the Behavioral Health Collaborative of Alameda County. Some nonprofits are looking at the possibility of providing free housing as an incentive, he said.\u003c/p>\n\u003cp>Even as it contributes to burnout, the increasing demand has, in some ways, opened new doors for clinicians.\u003c/p>\n\u003cp>Michael Torres, child and family clinical psychologist for Kaiser in San Leandro who is currently on strike, said that of 15 people on his team, six have left in the past year. Some are leaving to do telehealth, or to work in the private sector. Those positions can offer better work-life balance and more flexibility, he said. They also allow clinicians to see patients weekly or biweekly, he said, instead of every four to six weeks as often happens at Kaiser.\u003c/p>\n\u003cfigure id=\"attachment_11923074\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11923074\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57894_032_KQED_KaiserStrikeOakland_08192022-qut-800x533.jpg\" alt='people in red shirts carrying signs that read \"patients over profits\"' width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57894_032_KQED_KaiserStrikeOakland_08192022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57894_032_KQED_KaiserStrikeOakland_08192022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57894_032_KQED_KaiserStrikeOakland_08192022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57894_032_KQED_KaiserStrikeOakland_08192022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57894_032_KQED_KaiserStrikeOakland_08192022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser mental health care workers and supporters march from Oakland Kaiser Medical Center to Kaiser’s corporate headquarters on Friday, Aug. 19, 2022, the fifth day of an open-ended strike. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How will the provider shortage affect the Newsom administration’s big mental health care initiatives?\u003c/h2>\n\u003cp>Coming into office, Newsom made clear that he wanted to prioritize mental health. Over the past few years, his administration has championed a number of bold new initiatives. These include:\u003c/p>\n\u003cul>\n\u003cli>The \u003ca href=\"https://www.chhs.ca.gov/wp-content/uploads/2021/12/Children-and-Youth-Behavioral-Health-Initiative-Brief.pdf\">Children and Youth Behavioral Health Initiative\u003c/a>, a \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/KidsMentalHealthMasterPlan_8.18.22.pdf?emrc=6d3847\">$4.7 billion investment\u003c/a> meant to transform the children’s mental health care system.\u003c/li>\n\u003cli>CalAIM, a major transformation of the state’s Medi-Cal system.\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11924117/governors-care-court-plan-passes-assembly-clearing-way-to-become-law\">CARE Court\u003c/a>, a controversial proposal to compel people with serious mental illness into care and housing.\u003c/li>\n\u003c/ul>\n\u003cp>Lawmakers in recent years strengthened requirements that private insurers adhere to federal and state mental health parity laws — which require equal treatment of mental and physical health concerns.\u003c/p>\n\u003cp>But many of those tasked with implementing these efforts say they are worried.\u003c/p>\n\u003cp>“We have that conversation all the time,” said Madaus, of the Behavioral Health Collaborative of Alameda County. As new funding sources come online, he said, nonprofit executives consistently tell him: “I can’t take any more funding because I can’t hire more staff.”\u003c/p>\n\u003cp>Karen Larsen, chief executive officer of the Steinberg Institute, a nonprofit that advocates on mental health care policy, is also concerned. Prior to assuming her current role, Larsen spent two decades as head of Yolo County’s behavioral health department.\u003c/p>\n\u003cp>“We finally have all of this money and transformation coming,” she said. “All these amazing things … and it couldn’t come at a worse time in terms of our workforce.”\u003c/p>\n\u003cp>Ghaly says he shares that concern. But he adds that “incredible investments have been made,” not just in innovative programs, but in addressing the workforce shortage head-on.\u003c/p>\n\u003ch2>How do we increase the number of providers?\u003c/h2>\n\u003cp>Earlier this year, Josh Leonard, executive director of the East Bay Agency for Children, was struggling to fill openings for mental health clinicians. Over several months, the nonprofit — anticipating a bump in its contract with Alameda County — raised all clinicians’ salaries by at least 15%.\u003c/p>\n\u003cp>It worked. At least for now.\u003c/p>\n\u003cp>While Leonard’s not considering the workforce crisis over, he knows that decision was important.\u003c/p>\n\u003cp>Jessica Hernandez, a clinician there, agrees.\u003c/p>\n\u003cp>“For me it has helped out tremendously,” she said. “Now I want to stay longer.”[pullquote align=\"right\" size=\"medium\" citation=\"Janet Coffman, University of California San Francisco\"]‘We’re making much bigger investments in the behavioral health workforce than we have since I started engaging in this field in the ’90s.’[/pullquote]To make the work more appealing and sustainable, providers say a lot needs to change. Besides pay, other factors are also critical, including reducing paperwork, offering more flexibility and providing more support to therapists.\u003c/p>\n\u003cp>That last one has been key for Hernandez.\u003c/p>\n\u003cp>“They’re acknowledging that it’s really, really tough,” she said.\u003c/p>\n\u003cp>To meet growing need, new providers also must be brought in. Scholarships and loan repayment programs are helpful, but universities need more spots to train new clinicians.\u003c/p>\n\u003cp>Coffman, of UCSF, calls herself “cautiously optimistic.”\u003c/p>\n\u003cp>“We’re making much bigger investments in the behavioral health workforce than we have since I started engaging in this field in the ’90s,” she said.\u003c/p>\n\u003cp>This year’s budget allocates more than $360 million for the state to spend over the next three years on everything from recruiting high schoolers into behavioral health to expanding social work slots at public universities and helping psychiatry students with loan repayment.\u003c/p>\n\u003cp>Gov. Newsom also emphasized workforce development in his recent \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/KidsMentalHealthMasterPlan_8.18.22.pdf?emrc=6d3847\">master plan for kids’ mental health\u003c/a>. Some of the $4.7 billion will go toward bringing in 40,000 new mental health care workers, he said.\u003c/p>\n\u003ch2>Can we reimagine how mental health care is provided?\u003c/h2>\n\u003cp>Ultimately, getting mental health care to everyone who needs it is going to require both expanding our idea of who should provide that care — and how they should do it.\u003c/p>\n\u003cp>“If you only see the system in the context of what it currently is, yeah, we’re stuck by the provider shortage,” said Alex Briscoe, head of California Children’s Trust, an initiative to change the state’s mental health care system for children.\u003c/p>\n\u003cp>“But I would say that we can’t let that stop us, and I actually think it represents an opportunity,” Briscoe said.\u003c/p>\n\u003cp>For Briscoe, this includes team-based models — already used by some nonprofits — involving a therapist, a case worker, a parenting coach or housing or employment specialist, and a peer provider who has lived with mental illness and is uniquely positioned to support others in crisis.\u003c/p>\n\u003cp>It includes more people with shared life experiences and those who live in the local community, he said.\u003c/p>\n\u003cp>Mental health care workers are often middle-class white women, while many of the people they serve — especially on Medi-Cal — are lower-income people of color, said Dr. Rhea Boyd, a pediatrician and public health advocate who works with Briscoe at the California Children’s Trust. She wonders: What if we expanded the provider class so that it included the people who cut or braid your hair? What if the people who offered you mental health care lived on your block?\u003c/p>\n\u003cp>A lot of these things already exist informally, she said. What’s needed is a way to pay for them.\u003c/p>\n\u003cp>That’s starting to emerge.\u003c/p>\n\u003cp>Two years ago, the state finally authorized a pathway to \u003ca href=\"https://calmatters.org/health/2020/09/california-peer-mental-health/\">certify peer providers\u003c/a>, allowing organizations that employ them to bill Medi-Cal. California was the 49th state to do so.\u003c/p>\n\u003cp>Other new categories of workers are also being proposed. CalAIM created a job description called “community health workers,” trusted residents who do outreach in their own communities. And the state’s Children and Youth Behavioral Health Initiative is developing the role of behavioral health coaches, who work with young people on school campuses. Both would work in team-based models under the supervision of licensed providers.\u003c/p>\n\u003cp>Coffman and others say it’s also important to invest in career ladders, so people who enter the field as peer providers have the option to earn more advanced degrees.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“This is the opportunity California has in front of it,” said Ghaly, secretary of the California Health and Human Services Agency. “And it’s going to start by how transformative, innovative and successful we are in creating not just the workforce that we know but the workforce that we’ve yet to discover.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The need for therapists, social workers, psychologists and psychiatrists is greater than ever. Under relentless pressure from the pandemic and inflation, wildfires, gun violence, racism and war, Californians are crying out for help.\u003c/p>\n\u003cp>But that doesn’t mean they can get it.\u003c/p>\n\u003cp>In every corner of mental health right now, a similar story is being told: There simply aren’t enough providers.\u003c/p>\n\u003cp>Patients receive lists of names from their insurers, only to learn none of the therapists on these so-called “ghost lists” will see them. Clinicians who do offer a spot often only accept cash.\u003c/p>\n\u003cp>Nonprofit mental health care providers report needing to have an offer letter ready at a job interview, fearing applicants will take another position if they wait.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Kaiser mental health care clinicians have been \u003ca href=\"https://www.kqed.org/news/11923034/were-drowning-why-kaiser-mental-health-workers-are-striking\">out on strike for weeks\u003c/a> now in Northern California, describing exhausting working conditions and long delays in care for their patients. Kaiser, for its part, points a finger at a familiar culprit: the mental health care provider shortage.\u003c/p>\n\u003cp>CalMatters spoke with more than two dozen mental health experts, public officials and providers around California to ask about the impacts of the mental health care provider shortage, and what can be done about it. Their responses ranged from desperate to hopeful.\u003c/p>\n\u003cp>All agree we are at a pivotal movement.\u003c/p>\n\u003cp>In part, that’s because Gov. Gavin Newsom’s administration is investing heavily in overhauling the state’s mental health care system. At the same time, the state recently enacted laws requiring insurers to provide timely access to mental health care. Some worry a lack of providers could jeopardize these bold new initiatives. Others see this as an opportunity to reimagine how mental health care in the state is delivered.\u003c/p>\n\u003cp>Here’s what the experts had to say:\u003c/p>\n\u003ch2>How big is the provider shortage problem?\u003c/h2>\n\u003cp>It depends on what part of the elephant you’re looking at, said Catherine Teare, associate director of the California Health Care Foundation’s People-Centered Care team. County mental health departments are struggling to hire. So are commercial health plans. So are nonprofits.\u003c/p>\n\u003cp>At the same time, she said, “the level of mental distress is increased.”\u003c/p>\n\u003cp>“For children or adults who need a lot, or need it urgently, it’s a scary time,” she said.\u003c/p>\n\u003cp>Dr. Mark Ghaly, secretary of the California Health and Human Services Agency, told CalMatters that the number of licensed behavioral health care providers in the state increased by 20% between 2016 and 2020. But, that’s been offset by an increase in demand he calls “really unprecedented.”\u003c/p>\n\u003cp>For patients, how bad the shortage is depends, in part, on where you live, your insurance, your income, your age, the care you need and whether you want a clinician of color or one who speaks a language other than English.\u003c/p>\n\u003cp>\u003ca href=\"https://www.chcf.org/publication/californias-current-future-behavioral-health-workforce/\">A report\u003c/a> published by the University of California, San Francisco in 2018 — even before the \u003ca href=\"https://www.healthmanagement.com/wp-content/uploads/HMA-NCMW-Issue-Brief-10-27-21.pdf\">pandemic sent need skyrocketing\u003c/a> — predicted that by 2028, demand for psychologists and other therapists would be 40% more than supply. For kids, the shortage is especially dire: Close to a third of California’s 58 counties have \u003ca href=\"https://www.aacap.org/aacap/Advocacy/Federal_and_State_Initiatives/Workforce_Maps/Home.aspx\">no child and adolescent psychiatrists at all\u003c/a>, according to the American Academy of Child and Adolescent Psychiatry.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://www.chcf.org/wp-content/uploads/2022/07/MentalHealthAlmanac2022.pdf\">A new report\u003c/a> from the California Health Care Foundation shows that the Bay Area has 19 licensed psychiatrists and 73 licensed psychologists per 100,000 people — significantly more than the state averages of 12 and 44. At the other end of the spectrum, the San Joaquin Valley has six psychiatrists and 16 psychologists for the equivalent number of people.\u003c/p>\n\u003cp>Jessica Dominguez, a licensed marriage and family therapist at Kaiser Richmond who is currently on strike, said the Bay Area has plenty of providers.\u003c/p>\n\u003cp>“Throw a rock, you’re going to hit a therapist,” said Dominguez, who said she plans to leave the organization.\u003c/p>\n\u003cp>But others who work in the region, including Matthew Madaus, executive director of the Behavioral Health Collaborative of Alameda County, said “100% absolutely” there’s a shortage even in the Bay Area.\u003c/p>\n\u003cp>If you search for a behavioral health clinician on Indeed.com, Madaus said, it comes up with thousands of open positions within a 25-mile radius.\u003c/p>\n\u003cp>“It’s extraordinary the level of demand,” he said.\u003c/p>\n\u003cp>One problem: It’s difficult to capture how many clinicians don’t accept any insurance at all, and thus aren’t accessible to the vast majority of patients who can’t pay out of pocket.\u003c/p>\n\u003cp>What we do know: We need more and better data. For instance, some experts say the increase described by Ghaly does not reflect how many licensed providers are actually seeing patients, nor does it capture how many are seeing people who are uninsured or on Medi-Cal.\u003c/p>\n\u003cp>Democratic state Sen. Scott Wiener of San Francisco authored\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220SB964\"> a bill\u003c/a> this year that would require the Department of Health Care Access and Information to prepare a report for the Legislature by Jan. 1, 2024, describing the state of California’s behavioral health workforce, and how best to address the shortage. Senate Bill 964 is on the governor’s desk.\u003c/p>\n\u003cp>\u003ca href=\"https://workforce.org/wp-content/uploads/2022/08/San-Diego-Behavioral-Health-Workforce-Report-.pdf\">San Diego County has already researched the shortage.\u003c/a> Officials there estimate they currently have 17,000 behavioral health care workers and need an additional 8,100 to meet current demand. In the next five years, they anticipate needing another 10,000 workers, in part because so many will be retiring.\u003c/p>\n\u003ch2>What’s causing the shortage?\u003c/h2>\n\u003cp>Mental health care leaders will tell you the shortage itself is nothing new. But the pandemic has aggravated the problems. More providers have left their jobs, citing burnout. Or they’ve left the state, citing cost of living. New telehealth start-ups specializing in mental health treatment offer good pay and flexible hours; many experts said they have added to the demand by siphoning off providers from the public sector.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In a 2018 report on the \u003ca href=\"https://healthforce.ucsf.edu/publications/california-s-current-and-future-behavioral-health-workforce\">behavioral health workforce shortage\u003c/a>, Janet Coffman of UCSF also raised the concern that 45% of psychiatrists and 37% of psychologists would likely be retiring within a decade. The pandemic has accelerated this trend, she said.\u003c/p>\n\u003cp>Many clinicians say they’re simply exhausted. It’s not just that more people need help, but that many of them are coming in sicker, with mental health issues that have gone untreated.\u003c/p>\n\u003cp>“Our patient population has become so much more difficult to work with than it used to be a decade ago,” said Randall Hagar, legislative advocate and policy consultant for the Psychiatric Physicians Alliance of California.\u003c/p>\n\u003cp>As openings go unfilled, those who remain are left to carry more of the weight, he said.\u003c/p>\n\u003cp>Another problem Hagar and others mention: paperwork. Doctors spend some 40% of their time on paperwork, he said.\u003c/p>\n\u003cp>Many clinicians, especially providers of color, also say they are simply not getting enough emotional support from their employers. Dominguez, the Kaiser therapist, said she founded La Clinica, a nationally recognized pilot program to serve Spanish-speaking clients, in 2016. When tragedies happen in the community, she said, they affect clinicians, too. But, “you’re just expected to plug along and keep going,” she said.\u003c/p>\n\u003cp>Continually witnessing trauma can be exhausting, said Jeff Capps, a social worker with Pacific Clinics in Los Angeles. He emphasizes the need to make the work more sustainable for clinicians. That includes better pay.\u003c/p>\n\u003cp>“Sometimes in our field, the assumption is that since you get value out of your work, you don’t need to be as compensated,” he said.\u003c/p>\n\u003cp>A 2019 report by the health care consulting firm Milliman found that commercial plans in California, when setting rates, \u003ca href=\"https://www.milliman.com/en/insight/addiction-and-mental-health-vs-physical-health-widening-disparities-in-network-use-and-p\">pay primary care providers an average 15% more\u003c/a> than they pay behavioral health care providers.\u003c/p>\n\u003cp>Luke Bergmann, San Diego County’s director of behavioral health, said his county’s report on the provider shortage showed that, in some cases, people chose to work at Panda Express instead of substance use disorder clinics “because they simply cannot make as much.”\u003c/p>\n\u003cp>“People talk about loving the work,” he said. “For people to leave this work is an incredible emotional sacrifice.”\u003c/p>\n\u003cp>Candy Curiel, clinical director of Pacific Clinics for the Inland Empire, said inflation is making the situation even worse.\u003c/p>\n\u003cp>“Everything is so costly at this point, people feel they need to seek more money,” she said.\u003c/p>\n\u003ch2>Everyone is competing with everyone else. Is this a zero-sum game?\u003c/h2>\n\u003cp>Michelle Cabrera, executive director of the County Behavioral Health Directors Association of California, said the state’s mental health care system is so overwhelmed, everyone is poaching from each other.\u003c/p>\n\u003cp>“Let me be clear: It is a zero-sum game,” she said. “There’s only so many licensed or competent professionals in the state of California to do these jobs.”\u003c/p>\n\u003cp>In August, state Superintendent of Public Instruction Tony Thurmond announced that he had secured funding to \u003ca href=\"https://www.cde.ca.gov/nr/ne/yr22/yr22rel39.asp\">hire 10,000 additional mental health clinicians\u003c/a> to serve the state’s students. That effort is key to the Department of Education’s push to increase mental health care provided in schools.\u003c/p>\n\u003cp>Adrienne Shilton, senior policy advocate for the California Alliance of Child and Family Services, called the $200 million to establish a new scholarship program for master’s-level clinicians “a big win.”\u003c/p>\n\u003cp>But for Cabrera, the announcement “just puts fear at the heart of county behavioral health.”\u003c/p>\n\u003cp>She wonders how counties can possibly compete.\u003c/p>\n\u003cp>“I don’t know that we’ve really had a reckoning yet on the degree to which demand so far exceeds the available supply of providers in our state,” she said.\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>This is the vicious circle for workers who are salaried. Nonprofit providers often pay less than schools and counties. Schools and counties, in turn, pay less than Kaiser and some of the new telehealth start-ups.\u003c/p>\n\u003cp>Nonprofit jobs that used to attract 40 or 50 applicants might only get two or three now, said Madaus, of the Behavioral Health Collaborative of Alameda County. Some nonprofits are looking at the possibility of providing free housing as an incentive, he said.\u003c/p>\n\u003cp>Even as it contributes to burnout, the increasing demand has, in some ways, opened new doors for clinicians.\u003c/p>\n\u003cp>Michael Torres, child and family clinical psychologist for Kaiser in San Leandro who is currently on strike, said that of 15 people on his team, six have left in the past year. Some are leaving to do telehealth, or to work in the private sector. Those positions can offer better work-life balance and more flexibility, he said. They also allow clinicians to see patients weekly or biweekly, he said, instead of every four to six weeks as often happens at Kaiser.\u003c/p>\n\u003cfigure id=\"attachment_11923074\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11923074\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/08/RS57894_032_KQED_KaiserStrikeOakland_08192022-qut-800x533.jpg\" alt='people in red shirts carrying signs that read \"patients over profits\"' width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57894_032_KQED_KaiserStrikeOakland_08192022-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57894_032_KQED_KaiserStrikeOakland_08192022-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57894_032_KQED_KaiserStrikeOakland_08192022-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57894_032_KQED_KaiserStrikeOakland_08192022-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2022/08/RS57894_032_KQED_KaiserStrikeOakland_08192022-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Kaiser mental health care workers and supporters march from Oakland Kaiser Medical Center to Kaiser’s corporate headquarters on Friday, Aug. 19, 2022, the fifth day of an open-ended strike. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>How will the provider shortage affect the Newsom administration’s big mental health care initiatives?\u003c/h2>\n\u003cp>Coming into office, Newsom made clear that he wanted to prioritize mental health. Over the past few years, his administration has championed a number of bold new initiatives. These include:\u003c/p>\n\u003cul>\n\u003cli>The \u003ca href=\"https://www.chhs.ca.gov/wp-content/uploads/2021/12/Children-and-Youth-Behavioral-Health-Initiative-Brief.pdf\">Children and Youth Behavioral Health Initiative\u003c/a>, a \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/KidsMentalHealthMasterPlan_8.18.22.pdf?emrc=6d3847\">$4.7 billion investment\u003c/a> meant to transform the children’s mental health care system.\u003c/li>\n\u003cli>CalAIM, a major transformation of the state’s Medi-Cal system.\u003c/li>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11924117/governors-care-court-plan-passes-assembly-clearing-way-to-become-law\">CARE Court\u003c/a>, a controversial proposal to compel people with serious mental illness into care and housing.\u003c/li>\n\u003c/ul>\n\u003cp>Lawmakers in recent years strengthened requirements that private insurers adhere to federal and state mental health parity laws — which require equal treatment of mental and physical health concerns.\u003c/p>\n\u003cp>But many of those tasked with implementing these efforts say they are worried.\u003c/p>\n\u003cp>“We have that conversation all the time,” said Madaus, of the Behavioral Health Collaborative of Alameda County. As new funding sources come online, he said, nonprofit executives consistently tell him: “I can’t take any more funding because I can’t hire more staff.”\u003c/p>\n\u003cp>Karen Larsen, chief executive officer of the Steinberg Institute, a nonprofit that advocates on mental health care policy, is also concerned. Prior to assuming her current role, Larsen spent two decades as head of Yolo County’s behavioral health department.\u003c/p>\n\u003cp>“We finally have all of this money and transformation coming,” she said. “All these amazing things … and it couldn’t come at a worse time in terms of our workforce.”\u003c/p>\n\u003cp>Ghaly says he shares that concern. But he adds that “incredible investments have been made,” not just in innovative programs, but in addressing the workforce shortage head-on.\u003c/p>\n\u003ch2>How do we increase the number of providers?\u003c/h2>\n\u003cp>Earlier this year, Josh Leonard, executive director of the East Bay Agency for Children, was struggling to fill openings for mental health clinicians. Over several months, the nonprofit — anticipating a bump in its contract with Alameda County — raised all clinicians’ salaries by at least 15%.\u003c/p>\n\u003cp>It worked. At least for now.\u003c/p>\n\u003cp>While Leonard’s not considering the workforce crisis over, he knows that decision was important.\u003c/p>\n\u003cp>Jessica Hernandez, a clinician there, agrees.\u003c/p>\n\u003cp>“For me it has helped out tremendously,” she said. “Now I want to stay longer.”\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>To make the work more appealing and sustainable, providers say a lot needs to change. Besides pay, other factors are also critical, including reducing paperwork, offering more flexibility and providing more support to therapists.\u003c/p>\n\u003cp>That last one has been key for Hernandez.\u003c/p>\n\u003cp>“They’re acknowledging that it’s really, really tough,” she said.\u003c/p>\n\u003cp>To meet growing need, new providers also must be brought in. Scholarships and loan repayment programs are helpful, but universities need more spots to train new clinicians.\u003c/p>\n\u003cp>Coffman, of UCSF, calls herself “cautiously optimistic.”\u003c/p>\n\u003cp>“We’re making much bigger investments in the behavioral health workforce than we have since I started engaging in this field in the ’90s,” she said.\u003c/p>\n\u003cp>This year’s budget allocates more than $360 million for the state to spend over the next three years on everything from recruiting high schoolers into behavioral health to expanding social work slots at public universities and helping psychiatry students with loan repayment.\u003c/p>\n\u003cp>Gov. Newsom also emphasized workforce development in his recent \u003ca href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/KidsMentalHealthMasterPlan_8.18.22.pdf?emrc=6d3847\">master plan for kids’ mental health\u003c/a>. Some of the $4.7 billion will go toward bringing in 40,000 new mental health care workers, he said.\u003c/p>\n\u003ch2>Can we reimagine how mental health care is provided?\u003c/h2>\n\u003cp>Ultimately, getting mental health care to everyone who needs it is going to require both expanding our idea of who should provide that care — and how they should do it.\u003c/p>\n\u003cp>“If you only see the system in the context of what it currently is, yeah, we’re stuck by the provider shortage,” said Alex Briscoe, head of California Children’s Trust, an initiative to change the state’s mental health care system for children.\u003c/p>\n\u003cp>“But I would say that we can’t let that stop us, and I actually think it represents an opportunity,” Briscoe said.\u003c/p>\n\u003cp>For Briscoe, this includes team-based models — already used by some nonprofits — involving a therapist, a case worker, a parenting coach or housing or employment specialist, and a peer provider who has lived with mental illness and is uniquely positioned to support others in crisis.\u003c/p>\n\u003cp>It includes more people with shared life experiences and those who live in the local community, he said.\u003c/p>\n\u003cp>Mental health care workers are often middle-class white women, while many of the people they serve — especially on Medi-Cal — are lower-income people of color, said Dr. Rhea Boyd, a pediatrician and public health advocate who works with Briscoe at the California Children’s Trust. She wonders: What if we expanded the provider class so that it included the people who cut or braid your hair? What if the people who offered you mental health care lived on your block?\u003c/p>\n\u003cp>A lot of these things already exist informally, she said. What’s needed is a way to pay for them.\u003c/p>\n\u003cp>That’s starting to emerge.\u003c/p>\n\u003cp>Two years ago, the state finally authorized a pathway to \u003ca href=\"https://calmatters.org/health/2020/09/california-peer-mental-health/\">certify peer providers\u003c/a>, allowing organizations that employ them to bill Medi-Cal. California was the 49th state to do so.\u003c/p>\n\u003cp>Other new categories of workers are also being proposed. CalAIM created a job description called “community health workers,” trusted residents who do outreach in their own communities. And the state’s Children and Youth Behavioral Health Initiative is developing the role of behavioral health coaches, who work with young people on school campuses. Both would work in team-based models under the supervision of licensed providers.\u003c/p>\n\u003cp>Coffman and others say it’s also important to invest in career ladders, so people who enter the field as peer providers have the option to earn more advanced degrees.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This is the opportunity California has in front of it,” said Ghaly, secretary of the California Health and Human Services Agency. “And it’s going to start by how transformative, innovative and successful we are in creating not just the workforce that we know but the workforce that we’ve yet to discover.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
"airtime": "SUN 9pm-10pm",
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"meta": {
"site": "radio",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"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": {
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"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.",
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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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"id": "here-and-now",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg",
"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
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"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
"rss": "https://feeds.npr.org/510308/podcast.xml"
}
},
"how-i-built-this": {
"id": "how-i-built-this",
"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",
"subscribe": {
"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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"rss": "https://feeds.npr.org/510313/podcast.xml"
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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",
"imageAlt": "KQED Hyphenación",
"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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"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"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",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"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": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/xtTd",
"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": {
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"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": {
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"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",
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}
},
"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/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
"site": "radio",
"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
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