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"disqusTitle": "Deep Dive into California's Mental Hospitals Reveals More Questions Than Answers",
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"content": "\u003cp>My nine-month investigation into California's state mental hospitals began with a simple question: \"What happens to people found 'not guilty by reason of insanity' or 'incompetent to stand trial'?\"\u003c/p>\n\u003cp>Turns out the answers -- and the issues raised -- are complicated.\u003c/p>\n\u003cp>This week marks a grim anniversary for Napa State Hospital. Five years ago Saturday, hospital psychiatric technician Donna Gross was murdered by a patient there. I focused my reporting in Napa, as opposed to the other four state mental hospitals (Atascadero, Coalinga, Metropolitan and Patton) because I wanted to know what impact Gross's murder had on the hospital and how security and policies have changed since then. I needed to talk to hospital staff, patients and their families to find out.\u003c/p>\n\u003cp>It wasn't easy.\u003c/p>\n\u003cp>In some ways Napa is a very troubled institution. And the trouble started long before Donna Gross was murdered.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In 2004, the hospital denied access to the U.S. Department of Justice (DOJ), which was investigating conditions at the hospital. The DOJ was looking at potential violations of the \u003ca href=\"http://www.justice.gov/crt/civil-rights-institutionalized-persons\" target=\"_blank\">Civil Rights of Institutionalized Persons Act\u003c/a>. Denying the U.S. Attorney General access -- that's rather astonishing. Despite this lack of access, the DOJ interviewed hospital staff and others and \u003ca href=\"http://www.justice.gov/sites/default/files/crt/legacy/2010/12/15/napa_findlet_6-27-05.pdf\" target=\"_blank\">found\u003c/a>, among other things, failure \"to protect patients from harm and abuse.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"6PLenFAZTbDgeJeArqVR3exzy3n7xR8d\"]In 2010, a few months before \u003ca href=\"http://www.sfgate.com/health/article/Napa-State-Hospital-psychiatric-worker-slain-3248688.php\" target=\"_blank\">Donna Gross \u003c/a>was murdered, the hospital's executive director Claude E. Foulk was \u003ca href=\"http://articles.latimes.com/2010/feb/25/local/la-me-hospital-director25-2010feb25\" target=\"_blank\">fired\u003c/a> after being arrested and charged with child molestation. He was later \u003ca href=\"http://www.presstelegram.com/technology/20110223/foulk-gets-248-years-for-sex-crimes\" target=\"_blank\">sentenced to 248 years in prison\u003c/a>.\u003c/p>\n\u003cp>His replacement, Dolly Matteucci, was soon confronted with Gross's brutal murder by a patient, \u003ca href=\"http://www.sfgate.com/crime/article/Napa-mental-patient-pleads-no-contest-to-murder-2336565.php\" target=\"_blank\">Jess Massey\u003c/a>, who had been allowed to walk around unattended on hospital grounds even though he had a history of violence. He later pleaded no contest to one count of murder and is now in Corcoran State Prison.\u003c/p>\n\u003cp>Less than two months later another hospital therapist was severely beaten as he escorted a different patient on the grounds.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\">I reported earlier this week \u003c/a>that since these incidents, there have been many changes at the Napa hospital:\u003c/p>\n\u003cul>\n\u003cli>Personal distress alarms with GPS replaced the old alarms, which didn't work outside where Gross was murdered\u003c/li>\n\u003cli>More hospital police have been hired\u003c/li>\n\u003cli>Policies have been changed to protect vulnerable staff, and\u003c/li>\n\u003cli>Gov. Jerry Brown signed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1340\" target=\"_blank\">AB 1340\u003c/a>, which will allow Napa and other state hospitals to segregate the most dangerous patients and give them \"enhanced treatment\" -- including risk assessment for violent behavior and concentrated clinical therapy -- in a secure setting. Construction has not yet started on this additional housing.\u003c/li>\n\u003c/ul>\n\u003cp>It was in this context that I asked to interview hospital director Matteucci. At first I was told \"maybe,\" then I was told she could only do the interview on the phone. After pushing, I was granted an in-person interview with her in the administration building \"outside the security fence.\"\u003c/p>\n\u003cp>The hospital had more than 1,800 physical assaults last year. To be fair, \"assault\" can be anything from pushing away the hand of a nurse who's giving out medication to getting punched or worse.\u003c/p>\n\u003cp>Yet it is patients, not staff, who are usually the victims of this violence from other patients. A small number of them cause most of the problems.\u003c/p>\n\u003cp>I wanted to visit the hospital and talk with a patient. The public information officer for the Department of State Hospitals told me I was free to write to any patient I knew was there (such as perpetrators of very high profile crimes, like \u003ca href=\"http://www.nytimes.com/2013/03/31/magazine/should-it-matter-that-the-shooter-at-oikos-university-was-korean.html\" target=\"_blank\">One L. Goh\u003c/a>, the shooter at Oikos University in Oakland in 2013) to ask if they would talk to me. I knew this would be a long shot, so instead I reached out to the hospital's family support group. Eventually I visited Napa with Frank and Barbara Brackin, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/23/violence-and-healing-at-napa-state-hospital-tale-of-two-families/\" target=\"_blank\">as I described in my story on Friday.\u003c/a>\u003c/p>\n\u003cp>Their son Shawn ended up in Napa after a tragic incident in a Roseville. During an attempt by Shawn of \"suicide by cop,\" he walked into a police station waving a gun. In the melee, a police officer shot and killed another policeman by mistake.\u003c/p>\n\u003cp>Shawn was found not guilty by reason of insanity and sentenced to time in a state mental hospital.\u003c/p>\n\u003cp>In the nearly 20 years he's been there, Shawn has been brutally assaulted, most recently in 2014 when another patient slammed his head into a wall so hard his hair was stuck in the wall. The Brackins are suing the hospital for failing to protect him.\u003c/p>\n\u003cp>One thing emphasized to me over and over is that people sent to state mental hospitals are patients, not prisoners. That means they have certain rights and privileges, even if they're violent.\u003c/p>\n\u003cp>I'll never forget my visit to Napa with the Brackins. It felt like I had entered a kind of \"forbidden zone\" where outsiders rarely went. And meeting Shawn after hearing so much about him from his parents was very poignant.\u003c/p>\n\u003cp>On my visit, we were met in the parking lot by a media representative from the Department of State Hospitals. We were warned not to videotape or photograph the barbed-wired security fence, the tight security at the main gate, or people coming and going (including reporters, like me).\u003c/p>\n\u003cp>We passed through multiple locked gates, doors and a metal detector before we were told to surrender cell phones and wallets.\u003c/p>\n\u003cp>I was warned not to talk to or interview any other patients. I was asked to turn over my audio recordings of Shawn Brackin so the Department of State Hospitals could review them to make sure he didn't say anything compromising the privacy of other patients. I negotiated a much more narrow accommodation.\u003c/p>\n\u003cp>I was also denied any access to record audio of music therapy classes. I was told this could jeopardize patient privacy.\u003c/p>\n\u003cp>I found all these requests to be overly strict. I've been to numerous state prisons, including San Quentin. The Department of Corrections has allowed me to freely photograph the gate, inmates, the cell blocks -- pretty much anything except Death Row. I have attended classes, religious services and therapy classes and was allowed to record, videotape and take photos.\u003c/p>\n\u003cp>To keep us away from other patients at Napa (who were meeting with family members nearby) the four of us were escorted to a tiny (perhaps 10 feet by 10 feet) room with no air conditioning and no apparent ventilation. (I was told this is where attorneys can meet privately with patients and their families.) At one point Shawn, who appears to have severe brain damage from assaults he suffered at Napa, asked to open the door to let some air in.\u003c/p>\n\u003cp>But not all families criticize Napa. Some say their loved ones are finally getting the treatment they should have gotten in the community before they committed tragic crimes.\u003c/p>\n\u003cp>And even strong critics acknowledge there’s a role for state hospitals to play in our criminal justice system, especially for violent defendants.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>But some advocates for the mentally ill say we need to make more treatment available in the community whenever possible -- rather than in locked state hospitals like Napa.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>My nine-month investigation into California's state mental hospitals began with a simple question: \"What happens to people found 'not guilty by reason of insanity' or 'incompetent to stand trial'?\"\u003c/p>\n\u003cp>Turns out the answers -- and the issues raised -- are complicated.\u003c/p>\n\u003cp>This week marks a grim anniversary for Napa State Hospital. Five years ago Saturday, hospital psychiatric technician Donna Gross was murdered by a patient there. I focused my reporting in Napa, as opposed to the other four state mental hospitals (Atascadero, Coalinga, Metropolitan and Patton) because I wanted to know what impact Gross's murder had on the hospital and how security and policies have changed since then. I needed to talk to hospital staff, patients and their families to find out.\u003c/p>\n\u003cp>It wasn't easy.\u003c/p>\n\u003cp>In some ways Napa is a very troubled institution. And the trouble started long before Donna Gross was murdered.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2004, the hospital denied access to the U.S. Department of Justice (DOJ), which was investigating conditions at the hospital. The DOJ was looking at potential violations of the \u003ca href=\"http://www.justice.gov/crt/civil-rights-institutionalized-persons\" target=\"_blank\">Civil Rights of Institutionalized Persons Act\u003c/a>. Denying the U.S. Attorney General access -- that's rather astonishing. Despite this lack of access, the DOJ interviewed hospital staff and others and \u003ca href=\"http://www.justice.gov/sites/default/files/crt/legacy/2010/12/15/napa_findlet_6-27-05.pdf\" target=\"_blank\">found\u003c/a>, among other things, failure \"to protect patients from harm and abuse.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>In 2010, a few months before \u003ca href=\"http://www.sfgate.com/health/article/Napa-State-Hospital-psychiatric-worker-slain-3248688.php\" target=\"_blank\">Donna Gross \u003c/a>was murdered, the hospital's executive director Claude E. Foulk was \u003ca href=\"http://articles.latimes.com/2010/feb/25/local/la-me-hospital-director25-2010feb25\" target=\"_blank\">fired\u003c/a> after being arrested and charged with child molestation. He was later \u003ca href=\"http://www.presstelegram.com/technology/20110223/foulk-gets-248-years-for-sex-crimes\" target=\"_blank\">sentenced to 248 years in prison\u003c/a>.\u003c/p>\n\u003cp>His replacement, Dolly Matteucci, was soon confronted with Gross's brutal murder by a patient, \u003ca href=\"http://www.sfgate.com/crime/article/Napa-mental-patient-pleads-no-contest-to-murder-2336565.php\" target=\"_blank\">Jess Massey\u003c/a>, who had been allowed to walk around unattended on hospital grounds even though he had a history of violence. He later pleaded no contest to one count of murder and is now in Corcoran State Prison.\u003c/p>\n\u003cp>Less than two months later another hospital therapist was severely beaten as he escorted a different patient on the grounds.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\">I reported earlier this week \u003c/a>that since these incidents, there have been many changes at the Napa hospital:\u003c/p>\n\u003cul>\n\u003cli>Personal distress alarms with GPS replaced the old alarms, which didn't work outside where Gross was murdered\u003c/li>\n\u003cli>More hospital police have been hired\u003c/li>\n\u003cli>Policies have been changed to protect vulnerable staff, and\u003c/li>\n\u003cli>Gov. Jerry Brown signed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1340\" target=\"_blank\">AB 1340\u003c/a>, which will allow Napa and other state hospitals to segregate the most dangerous patients and give them \"enhanced treatment\" -- including risk assessment for violent behavior and concentrated clinical therapy -- in a secure setting. Construction has not yet started on this additional housing.\u003c/li>\n\u003c/ul>\n\u003cp>It was in this context that I asked to interview hospital director Matteucci. At first I was told \"maybe,\" then I was told she could only do the interview on the phone. After pushing, I was granted an in-person interview with her in the administration building \"outside the security fence.\"\u003c/p>\n\u003cp>The hospital had more than 1,800 physical assaults last year. To be fair, \"assault\" can be anything from pushing away the hand of a nurse who's giving out medication to getting punched or worse.\u003c/p>\n\u003cp>Yet it is patients, not staff, who are usually the victims of this violence from other patients. A small number of them cause most of the problems.\u003c/p>\n\u003cp>I wanted to visit the hospital and talk with a patient. The public information officer for the Department of State Hospitals told me I was free to write to any patient I knew was there (such as perpetrators of very high profile crimes, like \u003ca href=\"http://www.nytimes.com/2013/03/31/magazine/should-it-matter-that-the-shooter-at-oikos-university-was-korean.html\" target=\"_blank\">One L. Goh\u003c/a>, the shooter at Oikos University in Oakland in 2013) to ask if they would talk to me. I knew this would be a long shot, so instead I reached out to the hospital's family support group. Eventually I visited Napa with Frank and Barbara Brackin, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/23/violence-and-healing-at-napa-state-hospital-tale-of-two-families/\" target=\"_blank\">as I described in my story on Friday.\u003c/a>\u003c/p>\n\u003cp>Their son Shawn ended up in Napa after a tragic incident in a Roseville. During an attempt by Shawn of \"suicide by cop,\" he walked into a police station waving a gun. In the melee, a police officer shot and killed another policeman by mistake.\u003c/p>\n\u003cp>Shawn was found not guilty by reason of insanity and sentenced to time in a state mental hospital.\u003c/p>\n\u003cp>In the nearly 20 years he's been there, Shawn has been brutally assaulted, most recently in 2014 when another patient slammed his head into a wall so hard his hair was stuck in the wall. The Brackins are suing the hospital for failing to protect him.\u003c/p>\n\u003cp>One thing emphasized to me over and over is that people sent to state mental hospitals are patients, not prisoners. That means they have certain rights and privileges, even if they're violent.\u003c/p>\n\u003cp>I'll never forget my visit to Napa with the Brackins. It felt like I had entered a kind of \"forbidden zone\" where outsiders rarely went. And meeting Shawn after hearing so much about him from his parents was very poignant.\u003c/p>\n\u003cp>On my visit, we were met in the parking lot by a media representative from the Department of State Hospitals. We were warned not to videotape or photograph the barbed-wired security fence, the tight security at the main gate, or people coming and going (including reporters, like me).\u003c/p>\n\u003cp>We passed through multiple locked gates, doors and a metal detector before we were told to surrender cell phones and wallets.\u003c/p>\n\u003cp>I was warned not to talk to or interview any other patients. I was asked to turn over my audio recordings of Shawn Brackin so the Department of State Hospitals could review them to make sure he didn't say anything compromising the privacy of other patients. I negotiated a much more narrow accommodation.\u003c/p>\n\u003cp>I was also denied any access to record audio of music therapy classes. I was told this could jeopardize patient privacy.\u003c/p>\n\u003cp>I found all these requests to be overly strict. I've been to numerous state prisons, including San Quentin. The Department of Corrections has allowed me to freely photograph the gate, inmates, the cell blocks -- pretty much anything except Death Row. I have attended classes, religious services and therapy classes and was allowed to record, videotape and take photos.\u003c/p>\n\u003cp>To keep us away from other patients at Napa (who were meeting with family members nearby) the four of us were escorted to a tiny (perhaps 10 feet by 10 feet) room with no air conditioning and no apparent ventilation. (I was told this is where attorneys can meet privately with patients and their families.) At one point Shawn, who appears to have severe brain damage from assaults he suffered at Napa, asked to open the door to let some air in.\u003c/p>\n\u003cp>But not all families criticize Napa. Some say their loved ones are finally getting the treatment they should have gotten in the community before they committed tragic crimes.\u003c/p>\n\u003cp>And even strong critics acknowledge there’s a role for state hospitals to play in our criminal justice system, especially for violent defendants.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But some advocates for the mentally ill say we need to make more treatment available in the community whenever possible -- rather than in locked state hospitals like Napa.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Violence and Healing at Napa State Hospital: A Tale of 2 Families",
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"content": "\u003cp>At California's five state psychiatric hospitals, patients are mostly criminal defendants found not guilty by reason of insanity or incompetent to stand trial. They've been sent to these institutions for psychiatric care. But sometimes the patients can be violent.\u003c/p>\n\u003cp>Five years ago this week, a \u003ca href=\"http://napavalleyregister.com/news/local/police-employee-at-psychiatric-hospital-killed-patient-arrested/article_c6428892-dfac-11df-805a-001cc4c03286.html\" target=\"_blank\">staff member was murdered\u003c/a> by a patient at Napa State Hospital. In the time since, the hospital has tried to improve safety. While the majority of patients are not violent, sometimes those who are target not just staff, but other patients as well.\u003c/p>\n\u003cp>Although it's rare for members of the media to gain access to the hospital, I was invited by Frank and Barbara Brackin to join them in visiting their 45-year-old son, Shawn, who has been a patient at Napa State for nearly 20 years. I met up with Shawn's parents in the parking lot.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/229804825\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>\"Sometimes he says he can't sleep when he's expecting a visit because he's so excited,\" Barbara Brackin tells me as we walk to the hospital's front door.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Our main concern now is for Shawn's safety,\" her husband says. \"He was not given the death sentence, (but) he's almost had it twice in the past three years,\" Frank adds, in reference to assaults Shawn has suffered at the hospital.\u003c/p>\n\u003cfigure id=\"attachment_96504\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-96504\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/ShawnWithDog-800x643.jpg\" alt=\"Shawn Brackin during junior high school in 1983.\" width=\"800\" height=\"643\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWithDog.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWithDog-400x322.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Shawn Brackin during junior high school in 1983. \u003ccite>(Courtesy Brackin Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After passing through a number of locked gates and surrendering our driver's licenses, we pass through several locked doors and then a metal detector, where we also surrender our cellphones and wallets.\u003c/p>\n\u003cp>At last, we're ushered into a tiny room to visit with Shawn Brackin.\u003c/p>\n\u003cp>\"I'm glad to see you,\" he says, shuffling toward us with difficulty. He's wearing a blue helmet to protect his head in case he falls -- which happens somewhat frequently -- or is pushed.\u003c/p>\n\u003cp>Shawn wasn't always in this condition, his parents had explained to me earlier. His life took a bad turn at age 6, when he was struck by a car and had a severe head injury. That accident began a slow descent that ended in tragedy.\u003c/p>\n\u003cp>After graduating from high school, Shawn became increasingly depressed and withdrawn. In 1995, he took a small gun and walked into a local police station.\u003c/p>\n\u003cp>Frank Brackin says that was an attempt at \"suicide by cop.\"\u003c/p>\n\u003cp>\"He was wanting to die,\" Frank Brackin says. \"And so he put himself before the firing squad, and he had no idea the firing squad would turn on themselves.\"\u003c/p>\n\u003cp>On that day, when he was 25 years old, Shawn was shot by police but survived. In the mayhem, an officer shot and killed another cop.\u003c/p>\n\u003cp>Shawn Brackin was charged with six felonies. As part of a plea deal, he was found \"not guilty by reason of insanity.\" And that plea -- with its diagnosis of mental illness -- is what led him to Napa State Hospital.\u003c/p>\n\u003cp>\"We had no choice, really,\" Shawn's father says. \"We wanted to protect him and make sure he had a safe environment. We thought a hospital would be a safe environment.\"\u003c/p>\n\u003cfigure id=\"attachment_96499\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-96499 size-medium\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/ShawnBrackinICU-800x757.jpg\" alt=\"Napa State Hospital patient Shawn Brackin spent 17 days in the ICU at UC San Francisco Medical Center after being severely beaten by a fellow patient in 2014.\" width=\"800\" height=\"757\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-800x757.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-400x378.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-1440x1362.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-1180x1116.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-960x908.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Napa State Hospital patient Shawn Brackin spent 17 days in the ICU at UCSF Medical Center after being severely beaten by a fellow patient in 2014. \u003ccite>(Courtesy Brackin Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But over the years, Shawn Brackin has been assaulted by several patients. Last year he suffered a particularly brutal assault when a patient turned on him.\u003c/p>\n\u003cp>\"And he slammed Shawn into the wall so hard that it buried his head into the wall and left hair in the wall,\" Frank Brackin says. \"And then he hit him. And then Shawn hit that concrete floor.\"\u003c/p>\n\u003cp>Shawn needed emergency brain surgery. He was left with severe disabilities.\u003c/p>\n\u003cp>The day I visited Shawn, his hair was damp from sweat. It was a hot day in Napa, and the tiny room had no air conditioning or ventilation. I ask him if feels he's gotten well while at the hospital, if he thinks he's better off for having been sent there.\u003c/p>\n\u003cp>\"I'm better off,\" he says. \"I'm pretty good right now.\"\u003c/p>\n\u003cp>But his mother says things are not good. Before he entered the state hospital system, Shawn was able to drive and hold a job, Barbara Brackin says.\u003c/p>\n\u003cp>\"He interacted with the family, laughed and joked, played cards. And he was the Uno champ,\" she says, and laughs. \"Nobody else could usually beat him.\"\u003c/p>\n\u003cp>Toward the end of our 45-minute visit, Frank Brackin reads a Bible verse, and then they say their goodbyes.\u003c/p>\n\u003cfigure id=\"attachment_96507\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-96507\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/ShawnWFamily-800x568.jpg\" alt=\"Shawn Brackin (top middle) celebrating Christmas with his family at Napa State Hospital in December, 2011.\" width=\"800\" height=\"568\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWFamily.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWFamily-400x284.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Shawn Brackin (top middle) celebrating Christmas with his family at Napa State Hospital in December 2011. \u003ccite>(Courtesy Brackin Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"We'll visit you again on Sunday, Shawn,\" Frank says. \"We'll have time to play some cards if you want. I love you. You're my main man, you know?\u003c/p>\n\u003cp>\"Yes sir,\" Shawn says.\u003c/p>\n\u003cp>The latest assault on Shawn Brackin was just one of 1,800 at Napa State Hospital last year. To be fair, most of those assaults are very minor.\u003c/p>\n\u003cp>While the Brackins don't dismiss what their son did 20 years ago in that police station, they feel he's had to pay too high a price and have filed a lawsuit against the hospital, alleging negligence in failing to keep their son safe.\u003c/p>\n\u003cp>Napa has made many changes since psychiatric technician \u003ca href=\"http://napavalleyregister.com/news/local/police-employee-at-psychiatric-hospital-killed-patient-arrested/article_c6428892-dfac-11df-805a-001cc4c03286.html\" target=\"_blank\">Donna Gross was murdered by a patient \u003c/a>five years ago, but mostly \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\">those changes\u003c/a> are intended to protect staff. While a new law took effect in July that will allow the hospital to isolate the most dangerous patients, hospital Executive Director Dolly Matteucci says more needs to be done.\u003c/p>\n\u003cp>\"We have made tremendous progress in safety improvements and in mitigating violence at the hospital,\" she tells me. \"But sadly it continues to be a part of our environment and our shared experience as patients and employees. And it is unacceptable.\"\u003c/p>\n\u003cfigure id=\"attachment_96512\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-96512 size-medium\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/DollyM-800x573.jpg\" alt=\"Dolly Matteucci became executive director of Napa State Hospital after Donna Gross's murder. She stands in a conference room decorated with paintings created by psychiatric patients.\" width=\"800\" height=\"573\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-800x573.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-400x286.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-1440x1031.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-1180x845.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-960x688.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dolly Matteucci became executive director of Napa State Hospital after the killing of Donna Gross. She stands in a conference room decorated with paintings created by psychiatric patients. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Not all families are critical of Napa. Many say they enjoy the visits with their loved ones -- who they say are finally getting the kind of treatment they should have gotten before the tragedy that sent them there happened.\u003c/p>\n\u003cp>Candace and Hans -- they’ve asked that we just use their first names to protect their privacy -- say their son has been at Napa for 3½ years. At their request, we’re not using his name.\u003c/p>\n\u003cp>I met with them in their home in Alameda, where Hans showed me his son's high school trophies from basketball and football.\u003c/p>\n\u003cp>\"He loved fishing, so we have pictures of him catching a 32-pound salmon,\" says Hans.\u003c/p>\n\u003cp>[contextly_sidebar id=\"z3MoWy1s3a0uaqzle3WibjbVXxDDGFT2\"]\u003c/p>\n\u003cp>Candace says that when their son was in high school, he started changing.\u003c/p>\n\u003cp>\"He couldn't organize his homework. He couldn't turn in assignments,\" she says. \"And he was becoming very quiet around the house, and also talked about feeling spirits and things around him.\"\u003c/p>\n\u003cp>It was the early signs of schizophrenia. The symptoms got worse, and his behavior escalated. Hans and Candace were so worried their son would hurt himself or someone else that they had him confined against his will.\u003c/p>\n\u003cp>\"When police come into the house and handcuff your kid and take him out of the house, in the same house he grew up in sprawled across the floor, it's quite an experience,\" she says.\u003c/p>\n\u003cp>They called the police many times, but authorities could not hold him indefinitely, so he was always released. Candace and Hans tried repeatedly to get their son psychiatric help, but as an adult he had the right to refuse treatment.\u003c/p>\n\u003cp>Finally, in 2012 while suffering delusions, their son killed someone in the Berkeley Hills.\u003c/p>\n\u003cp>He was found not guilty by reason of insanity and sent to Napa State Hospital, where his mother says he is slowly getting better.\u003c/p>\n\u003cp>\"It has taken this long to see real results of recovery,\" she says, \"in little bits and pieces along the way. It was only because of the sustained treatment we had through Napa.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Despite the complaints and problems at California’s state mental hospitals, there’s\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\"> a long waiting list \u003c/a>to get into them -- and many of those waiting spend their time in jail.\u003c/p>\n\n",
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"excerpt": "For one family, a son's safety was compromised in an attack at the psychiatric facility. For another, a son has begun recovering from violent schizophrenia.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>At California's five state psychiatric hospitals, patients are mostly criminal defendants found not guilty by reason of insanity or incompetent to stand trial. They've been sent to these institutions for psychiatric care. But sometimes the patients can be violent.\u003c/p>\n\u003cp>Five years ago this week, a \u003ca href=\"http://napavalleyregister.com/news/local/police-employee-at-psychiatric-hospital-killed-patient-arrested/article_c6428892-dfac-11df-805a-001cc4c03286.html\" target=\"_blank\">staff member was murdered\u003c/a> by a patient at Napa State Hospital. In the time since, the hospital has tried to improve safety. While the majority of patients are not violent, sometimes those who are target not just staff, but other patients as well.\u003c/p>\n\u003cp>Although it's rare for members of the media to gain access to the hospital, I was invited by Frank and Barbara Brackin to join them in visiting their 45-year-old son, Shawn, who has been a patient at Napa State for nearly 20 years. I met up with Shawn's parents in the parking lot.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/229804825&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/229804825'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"Sometimes he says he can't sleep when he's expecting a visit because he's so excited,\" Barbara Brackin tells me as we walk to the hospital's front door.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Our main concern now is for Shawn's safety,\" her husband says. \"He was not given the death sentence, (but) he's almost had it twice in the past three years,\" Frank adds, in reference to assaults Shawn has suffered at the hospital.\u003c/p>\n\u003cfigure id=\"attachment_96504\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-96504\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/ShawnWithDog-800x643.jpg\" alt=\"Shawn Brackin during junior high school in 1983.\" width=\"800\" height=\"643\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWithDog.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWithDog-400x322.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Shawn Brackin during junior high school in 1983. \u003ccite>(Courtesy Brackin Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After passing through a number of locked gates and surrendering our driver's licenses, we pass through several locked doors and then a metal detector, where we also surrender our cellphones and wallets.\u003c/p>\n\u003cp>At last, we're ushered into a tiny room to visit with Shawn Brackin.\u003c/p>\n\u003cp>\"I'm glad to see you,\" he says, shuffling toward us with difficulty. He's wearing a blue helmet to protect his head in case he falls -- which happens somewhat frequently -- or is pushed.\u003c/p>\n\u003cp>Shawn wasn't always in this condition, his parents had explained to me earlier. His life took a bad turn at age 6, when he was struck by a car and had a severe head injury. That accident began a slow descent that ended in tragedy.\u003c/p>\n\u003cp>After graduating from high school, Shawn became increasingly depressed and withdrawn. In 1995, he took a small gun and walked into a local police station.\u003c/p>\n\u003cp>Frank Brackin says that was an attempt at \"suicide by cop.\"\u003c/p>\n\u003cp>\"He was wanting to die,\" Frank Brackin says. \"And so he put himself before the firing squad, and he had no idea the firing squad would turn on themselves.\"\u003c/p>\n\u003cp>On that day, when he was 25 years old, Shawn was shot by police but survived. In the mayhem, an officer shot and killed another cop.\u003c/p>\n\u003cp>Shawn Brackin was charged with six felonies. As part of a plea deal, he was found \"not guilty by reason of insanity.\" And that plea -- with its diagnosis of mental illness -- is what led him to Napa State Hospital.\u003c/p>\n\u003cp>\"We had no choice, really,\" Shawn's father says. \"We wanted to protect him and make sure he had a safe environment. We thought a hospital would be a safe environment.\"\u003c/p>\n\u003cfigure id=\"attachment_96499\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-96499 size-medium\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/ShawnBrackinICU-800x757.jpg\" alt=\"Napa State Hospital patient Shawn Brackin spent 17 days in the ICU at UC San Francisco Medical Center after being severely beaten by a fellow patient in 2014.\" width=\"800\" height=\"757\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-800x757.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-400x378.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-1440x1362.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-1180x1116.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-960x908.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Napa State Hospital patient Shawn Brackin spent 17 days in the ICU at UCSF Medical Center after being severely beaten by a fellow patient in 2014. \u003ccite>(Courtesy Brackin Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But over the years, Shawn Brackin has been assaulted by several patients. Last year he suffered a particularly brutal assault when a patient turned on him.\u003c/p>\n\u003cp>\"And he slammed Shawn into the wall so hard that it buried his head into the wall and left hair in the wall,\" Frank Brackin says. \"And then he hit him. And then Shawn hit that concrete floor.\"\u003c/p>\n\u003cp>Shawn needed emergency brain surgery. He was left with severe disabilities.\u003c/p>\n\u003cp>The day I visited Shawn, his hair was damp from sweat. It was a hot day in Napa, and the tiny room had no air conditioning or ventilation. I ask him if feels he's gotten well while at the hospital, if he thinks he's better off for having been sent there.\u003c/p>\n\u003cp>\"I'm better off,\" he says. \"I'm pretty good right now.\"\u003c/p>\n\u003cp>But his mother says things are not good. Before he entered the state hospital system, Shawn was able to drive and hold a job, Barbara Brackin says.\u003c/p>\n\u003cp>\"He interacted with the family, laughed and joked, played cards. And he was the Uno champ,\" she says, and laughs. \"Nobody else could usually beat him.\"\u003c/p>\n\u003cp>Toward the end of our 45-minute visit, Frank Brackin reads a Bible verse, and then they say their goodbyes.\u003c/p>\n\u003cfigure id=\"attachment_96507\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-96507\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/ShawnWFamily-800x568.jpg\" alt=\"Shawn Brackin (top middle) celebrating Christmas with his family at Napa State Hospital in December, 2011.\" width=\"800\" height=\"568\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWFamily.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWFamily-400x284.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Shawn Brackin (top middle) celebrating Christmas with his family at Napa State Hospital in December 2011. \u003ccite>(Courtesy Brackin Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"We'll visit you again on Sunday, Shawn,\" Frank says. \"We'll have time to play some cards if you want. I love you. You're my main man, you know?\u003c/p>\n\u003cp>\"Yes sir,\" Shawn says.\u003c/p>\n\u003cp>The latest assault on Shawn Brackin was just one of 1,800 at Napa State Hospital last year. To be fair, most of those assaults are very minor.\u003c/p>\n\u003cp>While the Brackins don't dismiss what their son did 20 years ago in that police station, they feel he's had to pay too high a price and have filed a lawsuit against the hospital, alleging negligence in failing to keep their son safe.\u003c/p>\n\u003cp>Napa has made many changes since psychiatric technician \u003ca href=\"http://napavalleyregister.com/news/local/police-employee-at-psychiatric-hospital-killed-patient-arrested/article_c6428892-dfac-11df-805a-001cc4c03286.html\" target=\"_blank\">Donna Gross was murdered by a patient \u003c/a>five years ago, but mostly \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\">those changes\u003c/a> are intended to protect staff. While a new law took effect in July that will allow the hospital to isolate the most dangerous patients, hospital Executive Director Dolly Matteucci says more needs to be done.\u003c/p>\n\u003cp>\"We have made tremendous progress in safety improvements and in mitigating violence at the hospital,\" she tells me. \"But sadly it continues to be a part of our environment and our shared experience as patients and employees. And it is unacceptable.\"\u003c/p>\n\u003cfigure id=\"attachment_96512\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-96512 size-medium\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/DollyM-800x573.jpg\" alt=\"Dolly Matteucci became executive director of Napa State Hospital after Donna Gross's murder. She stands in a conference room decorated with paintings created by psychiatric patients.\" width=\"800\" height=\"573\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-800x573.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-400x286.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-1440x1031.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-1180x845.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-960x688.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dolly Matteucci became executive director of Napa State Hospital after the killing of Donna Gross. She stands in a conference room decorated with paintings created by psychiatric patients. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Not all families are critical of Napa. Many say they enjoy the visits with their loved ones -- who they say are finally getting the kind of treatment they should have gotten before the tragedy that sent them there happened.\u003c/p>\n\u003cp>Candace and Hans -- they’ve asked that we just use their first names to protect their privacy -- say their son has been at Napa for 3½ years. At their request, we’re not using his name.\u003c/p>\n\u003cp>I met with them in their home in Alameda, where Hans showed me his son's high school trophies from basketball and football.\u003c/p>\n\u003cp>\"He loved fishing, so we have pictures of him catching a 32-pound salmon,\" says Hans.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Candace says that when their son was in high school, he started changing.\u003c/p>\n\u003cp>\"He couldn't organize his homework. He couldn't turn in assignments,\" she says. \"And he was becoming very quiet around the house, and also talked about feeling spirits and things around him.\"\u003c/p>\n\u003cp>It was the early signs of schizophrenia. The symptoms got worse, and his behavior escalated. Hans and Candace were so worried their son would hurt himself or someone else that they had him confined against his will.\u003c/p>\n\u003cp>\"When police come into the house and handcuff your kid and take him out of the house, in the same house he grew up in sprawled across the floor, it's quite an experience,\" she says.\u003c/p>\n\u003cp>They called the police many times, but authorities could not hold him indefinitely, so he was always released. Candace and Hans tried repeatedly to get their son psychiatric help, but as an adult he had the right to refuse treatment.\u003c/p>\n\u003cp>Finally, in 2012 while suffering delusions, their son killed someone in the Berkeley Hills.\u003c/p>\n\u003cp>He was found not guilty by reason of insanity and sent to Napa State Hospital, where his mother says he is slowly getting better.\u003c/p>\n\u003cp>\"It has taken this long to see real results of recovery,\" she says, \"in little bits and pieces along the way. It was only because of the sustained treatment we had through Napa.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Despite the complaints and problems at California’s state mental hospitals, there’s\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\"> a long waiting list \u003c/a>to get into them -- and many of those waiting spend their time in jail.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Grocer Coming to S.F. Neighborhood Aims to Be Island in 'Food Desert'",
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"content": "\u003cp>Several patches in and around San Francisco's Bayview neighborhood are \u003ca href=\"http://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas.aspx\" target=\"_blank\">splotched green on a map \u003c/a>produced by the federal government's Department of Agriculture. These areas are labeled \"\u003ca href=\"https://apps.ams.usda.gov/fooddeserts/fooddeserts.aspx\" target=\"_blank\">food deserts\u003c/a>\" -- which the government defines as low-income neighborhoods with limited access to \"fresh healthy affordable food.\"\u003c/p>\n\u003cp>Lifelong Bayview resident Kenneth Hill says the term \"food swamp\" might be more appropriate.\u003c/p>\n\u003cp>\"It’s swamped with food,\" he says, \"but it’s not swamped with the nutritious food that we need to live.\"\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/229308998\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>The Bayview had a grocery store selling nutritious food, but the store, Fresh and Easy, closed more than 18 months ago after its corporate owner shut down many of its West Coast locations.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The closure troubled community advocates like Hill, who works for Bayview HEAL Zone. HEAL stands for \"healthy eating and active living.\" Not surprisingly, Hill is all for a grocery store selling fresh produce, especially in an area with \u003ca href=\"http://www.sfenvironment.org/sites/default/files/fliers/files/sfe_ej_sfhh_community_health_status_assessment.pdf\" target=\"_blank\">a diabetes hospitalization rate nearly triple\u003c/a> the rest of San Francisco.\u003c/p>\n\u003cp>San Francisco Supervisor Malia Cohen, who represents the area, has been working to find a grocery store to move into the Fresh and Easy space. \"Every other part of San Francisco has a grocery store,\" she says. \"Why not this community?\"\u003c/p>\n\u003cp>She says she reached out to 120 stores, hoping to find one to move into the established space, so that neighbors would have access to healthy food.\u003c/p>\n\u003cp>\"None of these grocers had the vision to see the potential and the opportunity that lies in the neighborhood,\" she says.\u003c/p>\n\u003cfigure id=\"attachment_95382\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions.jpg\">\u003cimg class=\"size-thumbnail wp-image-95382\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-400x300.jpg\" alt=\"Employee at the Duc Loi Mission District store stocking produce on shelves. \" width=\"400\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-1440x1080.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-960x720.jpg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Employee at the Duc Loi Mission District store stocking produce on shelves. \u003ccite>(Alex Emslie/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After both a grant from the city and a much larger business loan, Howard Ngo, the owner of local store Duc Loi, agreed to expand there.\u003c/p>\n\u003cp>\"They encouraged me first, then they came after with help,\" Ngo says, in reference to the grant and loan he received. \"The city offered me $250,000 to pay for equipment. That's a big help.\"\u003c/p>\n\u003cp>And to Kenneth Hill, that's meaningful, especially in an area with a large low-income population and a high crime rate.\u003c/p>\n\u003cp>\"For this company to take a risk and come into the Bayview community, I think is tremendous,\" he says.\u003c/p>\n\u003cp>Aniete Ekanem, who lives upstairs from the store's Third Street location, said having a grocery store in the neighborhood was \"not only moral and ethical\" but also an economic opportunity.\u003c/p>\n\u003cp>\"If we can make the economics work, as the city is trying to help us do, then businesses will come. It’s just not going to be the Trader Joes ... or the 'Whole Paychecks' of the world,\" she said, referring to a common nickname for Whole Foods. \"And that’s actually fine.\"\u003c/p>\n\u003cp>Some residents have reservations. Maya Rogers, who is also with the Bayview HEAL Zone, is a lifelong Bayview resident. She said she worries because Duc Loi is not a \"general\" grocery store.\u003c/p>\n\u003cp>\"It caters to the Asian community, which we have lots of Asian culture here in the Bayview, but I’m scared that will keep people from shopping there,\" she says. \"I’m hoping that they are open to a conversation with the community. ... I wish them success because that sets the precedent for the next store.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The city is fast-tracking permits, and Duc Loi's grand opening is scheduled for March.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Several patches in and around San Francisco's Bayview neighborhood are \u003ca href=\"http://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas.aspx\" target=\"_blank\">splotched green on a map \u003c/a>produced by the federal government's Department of Agriculture. These areas are labeled \"\u003ca href=\"https://apps.ams.usda.gov/fooddeserts/fooddeserts.aspx\" target=\"_blank\">food deserts\u003c/a>\" -- which the government defines as low-income neighborhoods with limited access to \"fresh healthy affordable food.\"\u003c/p>\n\u003cp>Lifelong Bayview resident Kenneth Hill says the term \"food swamp\" might be more appropriate.\u003c/p>\n\u003cp>\"It’s swamped with food,\" he says, \"but it’s not swamped with the nutritious food that we need to live.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/229308998&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/229308998'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The Bayview had a grocery store selling nutritious food, but the store, Fresh and Easy, closed more than 18 months ago after its corporate owner shut down many of its West Coast locations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The closure troubled community advocates like Hill, who works for Bayview HEAL Zone. HEAL stands for \"healthy eating and active living.\" Not surprisingly, Hill is all for a grocery store selling fresh produce, especially in an area with \u003ca href=\"http://www.sfenvironment.org/sites/default/files/fliers/files/sfe_ej_sfhh_community_health_status_assessment.pdf\" target=\"_blank\">a diabetes hospitalization rate nearly triple\u003c/a> the rest of San Francisco.\u003c/p>\n\u003cp>San Francisco Supervisor Malia Cohen, who represents the area, has been working to find a grocery store to move into the Fresh and Easy space. \"Every other part of San Francisco has a grocery store,\" she says. \"Why not this community?\"\u003c/p>\n\u003cp>She says she reached out to 120 stores, hoping to find one to move into the established space, so that neighbors would have access to healthy food.\u003c/p>\n\u003cp>\"None of these grocers had the vision to see the potential and the opportunity that lies in the neighborhood,\" she says.\u003c/p>\n\u003cfigure id=\"attachment_95382\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions.jpg\">\u003cimg class=\"size-thumbnail wp-image-95382\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-400x300.jpg\" alt=\"Employee at the Duc Loi Mission District store stocking produce on shelves. \" width=\"400\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-1440x1080.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-960x720.jpg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Employee at the Duc Loi Mission District store stocking produce on shelves. \u003ccite>(Alex Emslie/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After both a grant from the city and a much larger business loan, Howard Ngo, the owner of local store Duc Loi, agreed to expand there.\u003c/p>\n\u003cp>\"They encouraged me first, then they came after with help,\" Ngo says, in reference to the grant and loan he received. \"The city offered me $250,000 to pay for equipment. That's a big help.\"\u003c/p>\n\u003cp>And to Kenneth Hill, that's meaningful, especially in an area with a large low-income population and a high crime rate.\u003c/p>\n\u003cp>\"For this company to take a risk and come into the Bayview community, I think is tremendous,\" he says.\u003c/p>\n\u003cp>Aniete Ekanem, who lives upstairs from the store's Third Street location, said having a grocery store in the neighborhood was \"not only moral and ethical\" but also an economic opportunity.\u003c/p>\n\u003cp>\"If we can make the economics work, as the city is trying to help us do, then businesses will come. It’s just not going to be the Trader Joes ... or the 'Whole Paychecks' of the world,\" she said, referring to a common nickname for Whole Foods. \"And that’s actually fine.\"\u003c/p>\n\u003cp>Some residents have reservations. Maya Rogers, who is also with the Bayview HEAL Zone, is a lifelong Bayview resident. She said she worries because Duc Loi is not a \"general\" grocery store.\u003c/p>\n\u003cp>\"It caters to the Asian community, which we have lots of Asian culture here in the Bayview, but I’m scared that will keep people from shopping there,\" she says. \"I’m hoping that they are open to a conversation with the community. ... I wish them success because that sets the precedent for the next store.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The city is fast-tracking permits, and Duc Loi's grand opening is scheduled for March.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Long, Dangerous Wait for Hospital Beds for Those Incompetent to Stand Trial",
"title": "Long, Dangerous Wait for Hospital Beds for Those Incompetent to Stand Trial",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>In 2010, Rodney Bock was arrested for carrying a loaded gun into a restaurant in Yuba City, north of Sacramento. Bock had severe mental illness and was later found incompetent to stand trial. He was released on bail, but was rearrested after he failed to appear at a court hearing.\u003c/p>\n\u003cp>Bock, 56, was placed in the Sutter County jail, awaiting transfer to a state hospital. While there, he began suffering hallucinations. After more than two weeks in jail, Bock hanged himself.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Jail is simply too dangerous a place for these most vulnerable defendants.'\u003cbr>\n\u003ccite>Micaela Davis, ACLU attorney\u003c/cite>\u003c/aside>\n\u003cp>Mentally ill defendants declared incompetent to stand trial, as Bock was, are supposed to be transferred to state mental hospitals for treatment within two or three months. But more than 300 of them statewide are languishing in county jails because there’s simply no bed space.\u003c/p>\n\u003cp>Bock's daughters are now plaintiffs in \u003ca href=\"https://www.aclunc.org/news/aclu-sues-state-hospital-system-failing-mentally-ill-developmentally-disabled-criminal\" target=\"_blank\">a lawsuit\u003c/a> filed by the American Civil Liberties Union, charging two state agencies, including the Department of State Hospitals, with denying mentally ill inmates their right to due process -- and the treatment they need.\u003c/p>\n\u003cp>\"Jail is simply too dangerous a place for these most vulnerable defendants,\" said Micaela Davis, lead attorney in the lawsuit. \"We have inmates that are waiting eight, nine months and sometimes over a year before being transferred to a facility for treatment.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/229285297\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>California's new state budget includes more than $17 million to add beds for defendants declared incompetent to stand trial. But not everyone agrees that's the best approach.\u003c/p>\n\u003cp>Stephen Manley is a mental health court judge in Santa Clara County. His court helps defendants struggling with severe mental illnesses, including bipolar disorder or schizophrenia, find alternatives to incarceration.\u003c/p>\n\u003cp>Manley doesn't want more psychiatric hospital beds; he wants to reserve state hospitals for the most violent defendants.\u003c/p>\n\u003cp>\u003ci>\"\u003c/i>We send far too many people to state hospitals who do not pose a risk to public safety,\" he says. \"Because we don’t work with them to figure out if there isn’t a local alternative.\"\u003c/p>\n\u003cp>Manley believes the psychiatric hospitals are already overcrowded -- and understaffed. \"As long as we keep overcrowding the hospitals, all we do is feed the fire,\" he says, referring to violence within the hospitals.\u003c/p>\n\u003cp>There were more than 1,800 physical assaults at Napa State Hospital last year alone. Hospital officials say patients who are there to have their sanity restored for trial inflict the most serious injuries.\u003c/p>\n\u003cp>[contextly_sidebar id=\"666xBwWJElI4zsw4g0a4Y9yXz6yonNLT\"]Ryan Navarre, with the organization representing Napa Hospital police, says that even officers are at risk. He recalled one patient specifically who put rocks into his socks and then spun them around \"violently,\" he said.\u003c/p>\n\u003cp>State psychiatric hospitals continue \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\">working to find a balance \u003c/a>between treatment and security for patients and staff.\u003c/p>\n\u003cp>Meanwhile, Manley thinks the best solution for nonviolent offenders is to create more community-based treatment facilities.\u003c/p>\n\u003cp>\"If we add another 500 beds people to a state hospital, all we do is make the problem worse,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But funding is already inadequate for mental health treatment. And creating more community-based programs raises new challenges -- including resistance from neighbors who don’t really want to live near facilities whose clients are mentally ill criminal defendants.\u003c/p>\n\n",
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"excerpt": "Hundreds of mentally ill defendants statewide are housed in county jails, because there's no room for them at state hospitals.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In 2010, Rodney Bock was arrested for carrying a loaded gun into a restaurant in Yuba City, north of Sacramento. Bock had severe mental illness and was later found incompetent to stand trial. He was released on bail, but was rearrested after he failed to appear at a court hearing.\u003c/p>\n\u003cp>Bock, 56, was placed in the Sutter County jail, awaiting transfer to a state hospital. While there, he began suffering hallucinations. After more than two weeks in jail, Bock hanged himself.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Jail is simply too dangerous a place for these most vulnerable defendants.'\u003cbr>\n\u003ccite>Micaela Davis, ACLU attorney\u003c/cite>\u003c/aside>\n\u003cp>Mentally ill defendants declared incompetent to stand trial, as Bock was, are supposed to be transferred to state mental hospitals for treatment within two or three months. But more than 300 of them statewide are languishing in county jails because there’s simply no bed space.\u003c/p>\n\u003cp>Bock's daughters are now plaintiffs in \u003ca href=\"https://www.aclunc.org/news/aclu-sues-state-hospital-system-failing-mentally-ill-developmentally-disabled-criminal\" target=\"_blank\">a lawsuit\u003c/a> filed by the American Civil Liberties Union, charging two state agencies, including the Department of State Hospitals, with denying mentally ill inmates their right to due process -- and the treatment they need.\u003c/p>\n\u003cp>\"Jail is simply too dangerous a place for these most vulnerable defendants,\" said Micaela Davis, lead attorney in the lawsuit. \"We have inmates that are waiting eight, nine months and sometimes over a year before being transferred to a facility for treatment.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/229285297&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/229285297'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>California's new state budget includes more than $17 million to add beds for defendants declared incompetent to stand trial. But not everyone agrees that's the best approach.\u003c/p>\n\u003cp>Stephen Manley is a mental health court judge in Santa Clara County. His court helps defendants struggling with severe mental illnesses, including bipolar disorder or schizophrenia, find alternatives to incarceration.\u003c/p>\n\u003cp>Manley doesn't want more psychiatric hospital beds; he wants to reserve state hospitals for the most violent defendants.\u003c/p>\n\u003cp>\u003ci>\"\u003c/i>We send far too many people to state hospitals who do not pose a risk to public safety,\" he says. \"Because we don’t work with them to figure out if there isn’t a local alternative.\"\u003c/p>\n\u003cp>Manley believes the psychiatric hospitals are already overcrowded -- and understaffed. \"As long as we keep overcrowding the hospitals, all we do is feed the fire,\" he says, referring to violence within the hospitals.\u003c/p>\n\u003cp>There were more than 1,800 physical assaults at Napa State Hospital last year alone. Hospital officials say patients who are there to have their sanity restored for trial inflict the most serious injuries.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Ryan Navarre, with the organization representing Napa Hospital police, says that even officers are at risk. He recalled one patient specifically who put rocks into his socks and then spun them around \"violently,\" he said.\u003c/p>\n\u003cp>State psychiatric hospitals continue \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\">working to find a balance \u003c/a>between treatment and security for patients and staff.\u003c/p>\n\u003cp>Meanwhile, Manley thinks the best solution for nonviolent offenders is to create more community-based treatment facilities.\u003c/p>\n\u003cp>\"If we add another 500 beds people to a state hospital, all we do is make the problem worse,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But funding is already inadequate for mental health treatment. And creating more community-based programs raises new challenges -- including resistance from neighbors who don’t really want to live near facilities whose clients are mentally ill criminal defendants.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "5 Years After Brutal Murder, Napa Hospital Seeks to Balance Treatment With Security",
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"content": "\u003cp>From a distance, the campus looks like a small suburban office park. Buildings are fringed by a wide lawn, but on the perimeter is a tall metal fence, topped by barbed wire. This is Napa State Hospital, a psychiatric hospital managed by California's Department of State Hospitals.\u003c/p>\n\u003cp>Here, anyone who enters the secure area, workers and visitors alike, passes through multiple doors, metal detectors and locked gates.\u003c/p>\n\u003cp>While most people with mental illness are not violent, more than 80 percent of Napa’s patients are referred here by the criminal justice system. Some of them committed horrific crimes but were found not guilty by reason of insanity or incompetent to stand trial but ordered to a psychiatric hospital.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/229093529\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Many of these patients can still be dangerous. Last year alone, the hospital says they committed more than 1,800 physical assaults.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For staff here, this week marks a somber anniversary. It was here, on October 23, 2010, that psychiatric technician\u003ca href=\"http://napavalleyregister.com/news/local/police-employee-at-psychiatric-hospital-killed-patient-arrested/article_c6428892-dfac-11df-805a-001cc4c03286.html\" target=\"_blank\"> Donna Gross was murdered by a patient\u003c/a> -- grabbed, dragged and strangled to death.\u003c/p>\n\u003cp>\"Everyone who was here the day that Donna died on these grounds has PTSD, and we will never be able to address it. We just carry it. It's there,\" says Michael Jarschke. He has worked as a psychiatric technician at Napa State Hospital for 32 years.\u003c/p>\n\u003cfigure id=\"attachment_93418\" class=\"wp-caption alignright\" style=\"max-width: 428px\">\u003cimg class=\" wp-image-93418\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/DonnaFlyer-800x1002.jpg\" alt=\"A poster in the union hall at Napa State Hospital invites workers to a memorial service for their murdered co-worker Donna Gross.\" width=\"428\" height=\"536\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-800x1002.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-400x501.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-1440x1803.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-1180x1477.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-960x1202.jpg 960w\" sizes=\"(max-width: 428px) 100vw, 428px\">\u003cfigcaption class=\"wp-caption-text\">A poster in the union hall at Napa State Hospital invites workers to a memorial service for their murdered co-worker, Donna Gross. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the time of Donna Gross’s murder, staff members all carried alarms to call for help. But Jarschke says that back then the alarm worked only inside the buildings -- not outside, where Gross was murdered.\u003c/p>\n\u003cp>\"When you think about it today, that's almost ludicrous that we would do this,\" Jarschke said. \"We always look back five years [later] and say, 'Wow, we were really dumb back then.' ''\u003c/p>\n\u003cp>As president of the union representing psychiatric technicians, Jarschke helped form the “Safety Now Coalition,\" employees who organized -- and demanded -- change.\u003c/p>\n\u003cp>Hospital Executive Director Dolly Matteucci says there have been changes, like limiting the ability of potentially dangerous patients to walk around freely.\u003c/p>\n\u003cp>\"At this point in time, we have a much more stringent and informed and comprehensive grounds access policy,\" Matteucci said.\u003c/p>\n\u003cp>Matteucci describes the most important change at Napa -- a new personal alarm system with GPS to help hospital police respond more quickly to emergencies anywhere on the grounds. She has one hanging around her neck and explains that by pulling it, it sends an \"immediate notification to dispatch and to all hospital police.\"\u003c/p>\n\u003caside class=\"pullquote alignleft\">'Violence is part of the daily life at Napa.'\u003ccite>Psychiatrist Steve Seager\u003c/cite>\u003c/aside>\n\u003cp>When I asked how frequently staff members are pulling the alarm, I was astonished by her response.\u003c/p>\n\u003cp>\"The tag gets pulled from 11 to 17 times in a day,\" she told me. \"Staff might see a patient escalating and say, 'That’s looking a little precarious. I want a little help before I engage that patient.' \"\u003c/p>\n\u003cp>She says that the heavy use of the alarm system illustrates how difficult it can be to serve such a challenging population \"in a very complex, active environment that was not built for a forensic patient population.\"\u003c/p>\n\u003cp>Napa State Hospital opened in 1875. Until 20 years ago, most of its patients were civil commitments. Today, the vast majority have criminal backgrounds, including gangs. In fact Napa patients include members of the Crips, Bloods, Aryan Brotherhood -- they're all there.\u003c/p>\n\u003cfigure id=\"attachment_93421\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-93421\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/MichaelJarschke-800x979.jpg\" alt=\"Michael Jarschke leads the Napa Chapter of the California Association of Psychiatric Technicians. He pushed to create a new alarm system with GPS to protect staff members.\" width=\"800\" height=\"979\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-800x979.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-400x490.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-1440x1763.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-1180x1444.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-960x1175.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Michael Jarschke leads the Napa Chapter of the California Association of Psychiatric Technicians. He pushed to create a new alarm system with GPS to protect staff members. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To address that, Matteucci says, Napa has added more hospital police. But the hospital remains a dangerous place for staff.\u003c/p>\n\u003cp>At a hearing of the state Senate Health Committee last year, psychiatric technician Stephanie Diaz gave tearful, halting testimony, recounting her recent experience with one patient. As she was escorting him up a stairwell, she said he tripped her, pinned her to the floor and attempted to rape her.\u003c/p>\n\u003cp>\"I started screaming at the top of my lungs,\" she told the committee, \"praying that someone would hear me. I wasn’t sure if I (had) pulled my alarm completely, and after a slight delay I heard the alarm sound and help arrived. It felt like an eternity. And I feared for my life.\"\u003c/p>\n\u003cp>Diaz was testifying on behalf of legislation that would allow California's five state mental hospitals to isolate the most dangerous patients and give them more intensive treatment. The bill, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=201320140AB1340\" target=\"_blank\">AB 1340\u003c/a>, passed and was signed by Gov. Jerry Brown last year, but it will take time to implement.\u003c/p>\n\u003cp>Napa psychiatrist Steve Seager is a vocal critic of hospital administration. He says much more needs to be done to protect both patients and staff.\u003c/p>\n\u003cp>\"Violence is part of our life every day,\" he said. \"It’s just a constant thing. It’s not like violence happens now and again. Violence is part of the daily life at Napa.\"\u003c/p>\n\u003cp>It begs the question: Why would anyone want to work here?\u003c/p>\n\u003cp>[contextly_sidebar id=\"Ph3dhrjoXhqHDhZk6y2mkbAQ02y0zDED\"]\"One of my nurses said, 'This is a Jesus job.' The patients need treatment. They’re criminals.They've committed crimes. I never forget that. But they deserve to be treated with dignity, which we try and do,\" Seager said.\u003c/p>\n\u003cp>Despite the violence, despite their criminal records, the clients at Napa are patients, not prisoners. Hospital director Matteucci reminds us that as patients, they have certain rights.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"They have the right and ability to be out and about in their treatment environment, treatment in groups. Exercising as a group. So it's just a demonstration of the complexity of our system,\" she said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>From a distance, the campus looks like a small suburban office park. Buildings are fringed by a wide lawn, but on the perimeter is a tall metal fence, topped by barbed wire. This is Napa State Hospital, a psychiatric hospital managed by California's Department of State Hospitals.\u003c/p>\n\u003cp>Here, anyone who enters the secure area, workers and visitors alike, passes through multiple doors, metal detectors and locked gates.\u003c/p>\n\u003cp>While most people with mental illness are not violent, more than 80 percent of Napa’s patients are referred here by the criminal justice system. Some of them committed horrific crimes but were found not guilty by reason of insanity or incompetent to stand trial but ordered to a psychiatric hospital.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/229093529&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/229093529'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Many of these patients can still be dangerous. Last year alone, the hospital says they committed more than 1,800 physical assaults.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For staff here, this week marks a somber anniversary. It was here, on October 23, 2010, that psychiatric technician\u003ca href=\"http://napavalleyregister.com/news/local/police-employee-at-psychiatric-hospital-killed-patient-arrested/article_c6428892-dfac-11df-805a-001cc4c03286.html\" target=\"_blank\"> Donna Gross was murdered by a patient\u003c/a> -- grabbed, dragged and strangled to death.\u003c/p>\n\u003cp>\"Everyone who was here the day that Donna died on these grounds has PTSD, and we will never be able to address it. We just carry it. It's there,\" says Michael Jarschke. He has worked as a psychiatric technician at Napa State Hospital for 32 years.\u003c/p>\n\u003cfigure id=\"attachment_93418\" class=\"wp-caption alignright\" style=\"max-width: 428px\">\u003cimg class=\" wp-image-93418\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/DonnaFlyer-800x1002.jpg\" alt=\"A poster in the union hall at Napa State Hospital invites workers to a memorial service for their murdered co-worker Donna Gross.\" width=\"428\" height=\"536\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-800x1002.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-400x501.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-1440x1803.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-1180x1477.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-960x1202.jpg 960w\" sizes=\"(max-width: 428px) 100vw, 428px\">\u003cfigcaption class=\"wp-caption-text\">A poster in the union hall at Napa State Hospital invites workers to a memorial service for their murdered co-worker, Donna Gross. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the time of Donna Gross’s murder, staff members all carried alarms to call for help. But Jarschke says that back then the alarm worked only inside the buildings -- not outside, where Gross was murdered.\u003c/p>\n\u003cp>\"When you think about it today, that's almost ludicrous that we would do this,\" Jarschke said. \"We always look back five years [later] and say, 'Wow, we were really dumb back then.' ''\u003c/p>\n\u003cp>As president of the union representing psychiatric technicians, Jarschke helped form the “Safety Now Coalition,\" employees who organized -- and demanded -- change.\u003c/p>\n\u003cp>Hospital Executive Director Dolly Matteucci says there have been changes, like limiting the ability of potentially dangerous patients to walk around freely.\u003c/p>\n\u003cp>\"At this point in time, we have a much more stringent and informed and comprehensive grounds access policy,\" Matteucci said.\u003c/p>\n\u003cp>Matteucci describes the most important change at Napa -- a new personal alarm system with GPS to help hospital police respond more quickly to emergencies anywhere on the grounds. She has one hanging around her neck and explains that by pulling it, it sends an \"immediate notification to dispatch and to all hospital police.\"\u003c/p>\n\u003caside class=\"pullquote alignleft\">'Violence is part of the daily life at Napa.'\u003ccite>Psychiatrist Steve Seager\u003c/cite>\u003c/aside>\n\u003cp>When I asked how frequently staff members are pulling the alarm, I was astonished by her response.\u003c/p>\n\u003cp>\"The tag gets pulled from 11 to 17 times in a day,\" she told me. \"Staff might see a patient escalating and say, 'That’s looking a little precarious. I want a little help before I engage that patient.' \"\u003c/p>\n\u003cp>She says that the heavy use of the alarm system illustrates how difficult it can be to serve such a challenging population \"in a very complex, active environment that was not built for a forensic patient population.\"\u003c/p>\n\u003cp>Napa State Hospital opened in 1875. Until 20 years ago, most of its patients were civil commitments. Today, the vast majority have criminal backgrounds, including gangs. In fact Napa patients include members of the Crips, Bloods, Aryan Brotherhood -- they're all there.\u003c/p>\n\u003cfigure id=\"attachment_93421\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-93421\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/MichaelJarschke-800x979.jpg\" alt=\"Michael Jarschke leads the Napa Chapter of the California Association of Psychiatric Technicians. He pushed to create a new alarm system with GPS to protect staff members.\" width=\"800\" height=\"979\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-800x979.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-400x490.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-1440x1763.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-1180x1444.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-960x1175.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Michael Jarschke leads the Napa Chapter of the California Association of Psychiatric Technicians. He pushed to create a new alarm system with GPS to protect staff members. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To address that, Matteucci says, Napa has added more hospital police. But the hospital remains a dangerous place for staff.\u003c/p>\n\u003cp>At a hearing of the state Senate Health Committee last year, psychiatric technician Stephanie Diaz gave tearful, halting testimony, recounting her recent experience with one patient. As she was escorting him up a stairwell, she said he tripped her, pinned her to the floor and attempted to rape her.\u003c/p>\n\u003cp>\"I started screaming at the top of my lungs,\" she told the committee, \"praying that someone would hear me. I wasn’t sure if I (had) pulled my alarm completely, and after a slight delay I heard the alarm sound and help arrived. It felt like an eternity. And I feared for my life.\"\u003c/p>\n\u003cp>Diaz was testifying on behalf of legislation that would allow California's five state mental hospitals to isolate the most dangerous patients and give them more intensive treatment. The bill, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=201320140AB1340\" target=\"_blank\">AB 1340\u003c/a>, passed and was signed by Gov. Jerry Brown last year, but it will take time to implement.\u003c/p>\n\u003cp>Napa psychiatrist Steve Seager is a vocal critic of hospital administration. He says much more needs to be done to protect both patients and staff.\u003c/p>\n\u003cp>\"Violence is part of our life every day,\" he said. \"It’s just a constant thing. It’s not like violence happens now and again. Violence is part of the daily life at Napa.\"\u003c/p>\n\u003cp>It begs the question: Why would anyone want to work here?\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\"One of my nurses said, 'This is a Jesus job.' The patients need treatment. They’re criminals.They've committed crimes. I never forget that. But they deserve to be treated with dignity, which we try and do,\" Seager said.\u003c/p>\n\u003cp>Despite the violence, despite their criminal records, the clients at Napa are patients, not prisoners. Hospital director Matteucci reminds us that as patients, they have certain rights.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"They have the right and ability to be out and about in their treatment environment, treatment in groups. Exercising as a group. So it's just a demonstration of the complexity of our system,\" she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Tj Keeya Talamoni-Marcks walks off the field with sweat dripping from his forehead, as more than 20 other Clear Lake High School students finish their grueling football practice in temperatures that reached over 90 degrees.\u003c/p>\n\u003cp>Clear Lake's Cardinals are getting ready to play against Colusa High in a few days, and Talamoni-Marcks, a tackle and guard, holds his helmet with one hand and makes a beeline for the water fountain while limping. He recently recovered from a toe injury, and complains about pain in his foot. Still, he shrugs it off, saying pain and visible bruises on his arms are “part of the game.”\u003c/p>\n\u003cp>Sports are a source of pride for Talamoni-Marks and his family, of Pomo Indian and Samoan descent. The 15-year-old wants to follow in his parents’ footsteps -- his mom was a basketball star and his dad \"running back of the year\" at Clear Lake High, the only high school in Lakeport, about 120 miles north of San Francisco.\u003c/p>\n\u003cp>\"Sports keep me away from drugs and alcohol. They keep me healthy,\" he says. \"I want to get other Natives healthier too, and I think sports could be the way.\"\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/228392878\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>His teammate and childhood friend, Rodrigo Lupercio, agrees heartily.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For both teenagers, sports have become an inspiration to tackle a bigger challenge than any football match: substance abuse among Pomo Indian communities in Lake County.\u003c/p>\n\u003cp>Nationwide, Native Americans are more likely to die of alcohol-related causes such as \u003ca href=\"http://www.cdc.gov/nchs/data/dvs/LCWK1_2013.pdf\" target=\"_blank\">chronic liver disease\u003c/a> and fatal motor \u003ca href=\"http://www.cdc.gov/motorvehiclesafety/native/factsheet.html\" target=\"_blank\">crashes involving alcohol\u003c/a> than any other ethnic group in the U.S., according to the Centers for Disease Control. Native Americans also have very high rates of \u003ca href=\"http://www.cdc.gov/tobacco/campaign/tips/resources/data/cigarette-smoking-in-united-states.html\" target=\"_blank\">cigarette smoking\u003c/a> compared to whites, blacks, Hispanics or Asians.\u003c/p>\n\u003cp>Lupercio, from the Big Valley Band of Pomo Indians, has witnessed the toll of alcohol and tobacco use on his grandfather. The two are very close. They used to play baseball and \"always have a good time\" together, he says. But now, Lupercio, just 14, fears the worst.\u003c/p>\n\u003cp>\"He shakes a lot and has a hard time walking. Because he drank so much throughout all of his life, it became part of his system. He needs it,\" said Lupercio. \"It makes me sad because I know I won't be seeing him in a couple of years.\"\u003c/p>\n\u003cfigure id=\"attachment_90209\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/IMG_9368-e1444259274261.jpg\">\u003cimg class=\"size-full wp-image-90209\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/IMG_9368-e1444259274261.jpg\" alt=\"Rodrigo Lupercio plays football, basketball and baseball at Clear Lake High. He says more physical activity through sports at Indian reservations could decrease substance abuse.\" width=\"1920\" height=\"1280\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rodrigo Lupercio plays football, basketball and baseball at Clear Lake High. He says more physical activity through sports at Indian reservations could decrease substance abuse. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Talamoni-Marcks tries to convince his mother to quit smoking after seeing another smoker, his former karate teacher, have to breathe through a hole in his throat. The lesson?\u003c/p>\n\u003cp>\"I don't think I would ever,\" he says of smoking. \"I hate it. (My mother) is addicted to it, and I hate to see her like that.\"\u003c/p>\n\u003cp>Last summer, the two teenagers took their views on addiction a step further. As part of their applications to a native youth health summit in Washington, D.C., they wrote essays on ways to improve the health of their communities.\u003c/p>\n\u003cp>The National Indian Health Board, a non-profit representing tribal governments organizing the summit, selected them along with 28 others to meet with staff members for the U.S. Senate Committee on Indian Affairs and discuss their ideas.\u003c/p>\n\u003cp>Lupercio spoke of seeking greater participation in sports at the Big Valley Rancheria, the reservation where he's spent most of his life.\u003c/p>\n\u003cp>\"Down in the reservation, I’d say all Indians should have their own sports teams. I think that would get them active, and they wouldn’t want to do drugs. They’d just want to just do sports,\" he said.\u003c/p>\n\u003cp>Talamoni-Marcks wants to keep sporting events with Native participants alcohol and smoke-free.\u003c/p>\n\u003cp>\"Give them water rather than beer, don't let them smoke there. And just have a fun game, while keeping healthy,\" said Talamoni-Marcks.\u003c/p>\n\u003cp>The teenagers also want a rehab and wellness center for youth and adults within their tribal communities, and greater educational opportunities that will lead to better jobs. The unemployment rate for Native Americans was almost double the national rate in 2013, according to \u003ca href=\"http://www.bls.gov/cps/cpsrace2013.pdf\" target=\"_blank\">figures\u003c/a> from the Bureau of Labor Statistics.\u003c/p>\n\u003cp>Talamoni-Marcks and Lupercio hope their meeting in Washington with the Senate staffers will eventually bring much needed resources to change the health outcomes in their communities. They believe that advocacy can make a difference. But if that takes too long, they dream of another path that does not involve the federal budget.\u003c/p>\n\u003cp>\"I want to play professional sports to help my family, to help my community, to come back and donate money while doing stuff I love to do,\" said Talamoni-Marcks.\u003c/p>\n\u003cp>For Lupercio, who wants to become a professional football player, the most important thing now is emotional support for his grandfather.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I just want to say, 'I love you grandpa, and you’ll always be in my heart,' \" he said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Tj Keeya Talamoni-Marcks walks off the field with sweat dripping from his forehead, as more than 20 other Clear Lake High School students finish their grueling football practice in temperatures that reached over 90 degrees.\u003c/p>\n\u003cp>Clear Lake's Cardinals are getting ready to play against Colusa High in a few days, and Talamoni-Marcks, a tackle and guard, holds his helmet with one hand and makes a beeline for the water fountain while limping. He recently recovered from a toe injury, and complains about pain in his foot. Still, he shrugs it off, saying pain and visible bruises on his arms are “part of the game.”\u003c/p>\n\u003cp>Sports are a source of pride for Talamoni-Marks and his family, of Pomo Indian and Samoan descent. The 15-year-old wants to follow in his parents’ footsteps -- his mom was a basketball star and his dad \"running back of the year\" at Clear Lake High, the only high school in Lakeport, about 120 miles north of San Francisco.\u003c/p>\n\u003cp>\"Sports keep me away from drugs and alcohol. They keep me healthy,\" he says. \"I want to get other Natives healthier too, and I think sports could be the way.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/228392878&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/228392878'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>His teammate and childhood friend, Rodrigo Lupercio, agrees heartily.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For both teenagers, sports have become an inspiration to tackle a bigger challenge than any football match: substance abuse among Pomo Indian communities in Lake County.\u003c/p>\n\u003cp>Nationwide, Native Americans are more likely to die of alcohol-related causes such as \u003ca href=\"http://www.cdc.gov/nchs/data/dvs/LCWK1_2013.pdf\" target=\"_blank\">chronic liver disease\u003c/a> and fatal motor \u003ca href=\"http://www.cdc.gov/motorvehiclesafety/native/factsheet.html\" target=\"_blank\">crashes involving alcohol\u003c/a> than any other ethnic group in the U.S., according to the Centers for Disease Control. Native Americans also have very high rates of \u003ca href=\"http://www.cdc.gov/tobacco/campaign/tips/resources/data/cigarette-smoking-in-united-states.html\" target=\"_blank\">cigarette smoking\u003c/a> compared to whites, blacks, Hispanics or Asians.\u003c/p>\n\u003cp>Lupercio, from the Big Valley Band of Pomo Indians, has witnessed the toll of alcohol and tobacco use on his grandfather. The two are very close. They used to play baseball and \"always have a good time\" together, he says. But now, Lupercio, just 14, fears the worst.\u003c/p>\n\u003cp>\"He shakes a lot and has a hard time walking. Because he drank so much throughout all of his life, it became part of his system. He needs it,\" said Lupercio. \"It makes me sad because I know I won't be seeing him in a couple of years.\"\u003c/p>\n\u003cfigure id=\"attachment_90209\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/IMG_9368-e1444259274261.jpg\">\u003cimg class=\"size-full wp-image-90209\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/IMG_9368-e1444259274261.jpg\" alt=\"Rodrigo Lupercio plays football, basketball and baseball at Clear Lake High. He says more physical activity through sports at Indian reservations could decrease substance abuse.\" width=\"1920\" height=\"1280\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rodrigo Lupercio plays football, basketball and baseball at Clear Lake High. He says more physical activity through sports at Indian reservations could decrease substance abuse. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Talamoni-Marcks tries to convince his mother to quit smoking after seeing another smoker, his former karate teacher, have to breathe through a hole in his throat. The lesson?\u003c/p>\n\u003cp>\"I don't think I would ever,\" he says of smoking. \"I hate it. (My mother) is addicted to it, and I hate to see her like that.\"\u003c/p>\n\u003cp>Last summer, the two teenagers took their views on addiction a step further. As part of their applications to a native youth health summit in Washington, D.C., they wrote essays on ways to improve the health of their communities.\u003c/p>\n\u003cp>The National Indian Health Board, a non-profit representing tribal governments organizing the summit, selected them along with 28 others to meet with staff members for the U.S. Senate Committee on Indian Affairs and discuss their ideas.\u003c/p>\n\u003cp>Lupercio spoke of seeking greater participation in sports at the Big Valley Rancheria, the reservation where he's spent most of his life.\u003c/p>\n\u003cp>\"Down in the reservation, I’d say all Indians should have their own sports teams. I think that would get them active, and they wouldn’t want to do drugs. They’d just want to just do sports,\" he said.\u003c/p>\n\u003cp>Talamoni-Marcks wants to keep sporting events with Native participants alcohol and smoke-free.\u003c/p>\n\u003cp>\"Give them water rather than beer, don't let them smoke there. And just have a fun game, while keeping healthy,\" said Talamoni-Marcks.\u003c/p>\n\u003cp>The teenagers also want a rehab and wellness center for youth and adults within their tribal communities, and greater educational opportunities that will lead to better jobs. The unemployment rate for Native Americans was almost double the national rate in 2013, according to \u003ca href=\"http://www.bls.gov/cps/cpsrace2013.pdf\" target=\"_blank\">figures\u003c/a> from the Bureau of Labor Statistics.\u003c/p>\n\u003cp>Talamoni-Marcks and Lupercio hope their meeting in Washington with the Senate staffers will eventually bring much needed resources to change the health outcomes in their communities. They believe that advocacy can make a difference. But if that takes too long, they dream of another path that does not involve the federal budget.\u003c/p>\n\u003cp>\"I want to play professional sports to help my family, to help my community, to come back and donate money while doing stuff I love to do,\" said Talamoni-Marcks.\u003c/p>\n\u003cp>For Lupercio, who wants to become a professional football player, the most important thing now is emotional support for his grandfather.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I just want to say, 'I love you grandpa, and you’ll always be in my heart,' \" he said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Approves Laws To Cut Use Of Antipsychotics In Foster Care",
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"content": "\u003cp>Efforts to protect children in foster care from being inappropriately medicated with powerful antipsychotic drugs got a big boost forward on Tuesday, when California Gov. Jerry Brown signed three bills into law designed to reform prescribing.\u003c/p>\n\u003cp>Overprescribing of psychiatric meds for foster youth is a persistent problem nationwide, with children given the drugs at double or triple the rate of those not in foster care.\u003c/p>\n\u003cp>In 2011, the federal Government Accounting Office found \u003ca href=\"http://www.gao.gov/products/GAO-12-201\" target=\"_blank\">nearly 1 in 4 children\u003c/a> in foster care was taking psychotropic medications, which include antipsychotics, antidepressants, mood stabilizers and stimulants.\u003c/p>\n\u003cp>Hundreds of children were found to be taking five or more psychotropic medications at a time, and thousands were prescribed doses that exceeded FDA-approved guidelines. According to the report, monitoring programs fell short of guidelines established by the American Academy of Child and Adolescent Psychiatry. Many of the medications have side effects that include lethargy, weight gain, diabetes and tremors.\u003c/p>\n\u003cp>The California legislation, \u003ca href=\"http://www.npr.org/sections/health-shots/2015/09/02/436350334/california-moves-to-stop-misuse-of-psychiatric-meds-in-foster-care\" target=\"_blank\">which covers 63,000 children and teens in foster care\u003c/a>, will allow public health nurses access to medical records to monitor the foster children who are prescribed psychotropic drugs; identify the group homes that rely most on these medications and potentially require them to take corrective action; and provide child welfare workers with better training and oversight tools to spot dangerous prescribing practices.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"I hope the approval of this legislation tells our foster care youth that we love them, that their lives matter to all of us and that we care deeply about their future,\" said state Sen. Jim Beall, a San Jose Democrat, author of two of the bills.\u003c/p>\n\u003cp>The Oakland-based National Center for Youth Law, which was among the legislation's sponsors, called it the most comprehensive effort in the U.S. to date to curb the misuse of psychotropics in foster care. However, a bill that would have required a prior medical examination and ongoing monitoring before a juvenile court could authorize psychotropic drugs was pulled from the legislative package following intensive lobbying by associations representing physicians and group homes.\u003c/p>\n\u003cp>The bill's author said he would reintroduce the measure in January.\u003c/p>\n\u003chr>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Elaine Korry writes about health care and social policy from the San Francisco Bay Area. She recently wrote about \u003c/em>\u003ca href=\"http://www.npr.org/sections/health-shots/2015/09/02/436350334/california-moves-to-stop-misuse-of-psychiatric-meds-in-foster-care\" target=\"_blank\">antipsychotic medications and foster care \u003c/a>\u003cem>for NPR and Youth Today. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=California+Approves+Laws+To+Cut+Use+Of+Antipsychotics+In+Foster+Care&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Efforts to protect children in foster care from being inappropriately medicated with powerful antipsychotic drugs got a big boost forward on Tuesday, when California Gov. Jerry Brown signed three bills into law designed to reform prescribing.\u003c/p>\n\u003cp>Overprescribing of psychiatric meds for foster youth is a persistent problem nationwide, with children given the drugs at double or triple the rate of those not in foster care.\u003c/p>\n\u003cp>In 2011, the federal Government Accounting Office found \u003ca href=\"http://www.gao.gov/products/GAO-12-201\" target=\"_blank\">nearly 1 in 4 children\u003c/a> in foster care was taking psychotropic medications, which include antipsychotics, antidepressants, mood stabilizers and stimulants.\u003c/p>\n\u003cp>Hundreds of children were found to be taking five or more psychotropic medications at a time, and thousands were prescribed doses that exceeded FDA-approved guidelines. According to the report, monitoring programs fell short of guidelines established by the American Academy of Child and Adolescent Psychiatry. Many of the medications have side effects that include lethargy, weight gain, diabetes and tremors.\u003c/p>\n\u003cp>The California legislation, \u003ca href=\"http://www.npr.org/sections/health-shots/2015/09/02/436350334/california-moves-to-stop-misuse-of-psychiatric-meds-in-foster-care\" target=\"_blank\">which covers 63,000 children and teens in foster care\u003c/a>, will allow public health nurses access to medical records to monitor the foster children who are prescribed psychotropic drugs; identify the group homes that rely most on these medications and potentially require them to take corrective action; and provide child welfare workers with better training and oversight tools to spot dangerous prescribing practices.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I hope the approval of this legislation tells our foster care youth that we love them, that their lives matter to all of us and that we care deeply about their future,\" said state Sen. Jim Beall, a San Jose Democrat, author of two of the bills.\u003c/p>\n\u003cp>The Oakland-based National Center for Youth Law, which was among the legislation's sponsors, called it the most comprehensive effort in the U.S. to date to curb the misuse of psychotropics in foster care. However, a bill that would have required a prior medical examination and ongoing monitoring before a juvenile court could authorize psychotropic drugs was pulled from the legislative package following intensive lobbying by associations representing physicians and group homes.\u003c/p>\n\u003cp>The bill's author said he would reintroduce the measure in January.\u003c/p>\n\u003chr>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Elaine Korry writes about health care and social policy from the San Francisco Bay Area. She recently wrote about \u003c/em>\u003ca href=\"http://www.npr.org/sections/health-shots/2015/09/02/436350334/california-moves-to-stop-misuse-of-psychiatric-meds-in-foster-care\" target=\"_blank\">antipsychotic medications and foster care \u003c/a>\u003cem>for NPR and Youth Today. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2015 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=California+Approves+Laws+To+Cut+Use+Of+Antipsychotics+In+Foster+Care&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Fully one-third of California farmworkers speak a language indigenous to Mexico. They likely do not understand Spanish. And when they need to see a doctor, there's usually no one to translate for them.\u003c/p>\n\u003cp>In an emergency, it can be downright frightening. Angelina Diaz-Ramirez, 50, suffered a heart attack while working in a green bean field near Salinas. She is from southern Mexico and speaks Triqui.\u003c/p>\n\u003cp>Diaz-Ramirez was taken by ambulance, and she says no one explained anything to her before she underwent a surgery. \"I was scared, but I didn't have a choice,\" she says.\u003c/p>\n\u003cp>As part of our ongoing series Vital Signs, photojournalist Jeremy Raff produced the video about Diaz-Ramirez. Read his \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/28/need-a-medical-interpreter-try-looking-in-californias-strawberry-fields/\" target=\"_blank\">full story \u003c/a>on the dire need for medical interpreters for indigenous Mexicans who have immigrated to California.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cp>In order for Berkeley’s penny-an-ounce soda tax to work, advocates say, retailers have to pass it through to customers. That way, the shoppers will see the higher price on the shelf, and some will choose lower priced (i.e. non-sugary) drinks.\u003c/p>\n\u003cp>In an analysis, UC Berkeley researchers say many retailers are doing just that. They sampled prices in Berkeley, Oakland and San Francisco, just before last November’s election when \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\" rel=\"noopener\">Berkeley voters overwhelmingly passed\u003c/a> the first-in-the-country soda tax.\u003c/p>\n\u003cp>Then they sampled prices again last summer, after the tax had gone into effect March 1. They found that retailers were passing through 69 percent of the tax on sodas and 47 percent of the tax on average for all sugar-sweetened beverages.\u003c/p>\n\u003cp>For a 20-ounce soda that had cost $1.75 now would cost $1.89, a 14-cent increase.\u003c/p>\n\u003cp>Lead author Jennifer Falbe, a post-doctoral researcher in the UC Berkeley School of Public Health, said she was encouraged by these findings.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s promising that so early after implementation, we’re already seeing prices increase,” she said. “However, because it is so early, it’s worth it to continue to monitor how the prices change to see where prices ultimately end up.”\u003c/p>\n\u003cp>\u003ca href=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2015.302881\" target=\"_blank\" rel=\"noopener\">The analysis\u003c/a> is published in the American Journal of Public Health.\u003c/p>\n\u003cp>In August, \u003ca href=\"http://www.news.cornell.edu/stories/2015/08/study-berkeley-soda-tax-falls-flat\" target=\"_blank\" rel=\"noopener\">another study\u003c/a> found a similar result — less than half of the tax was passed through. Oddly, researchers found that the pass through for Coke and Pepsi was only 22 percent.\u003c/p>\n\u003cp>Falbe said some store owners had told the research team that they planned to raise prices. “Some store owners said they hadn’t had a chance to go through their invoices to find out how much they should be rising prices on all their beverages,” Falbe said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The study did not address if the higher price means people are buying fewer sugary drinks. Falbe said her team is in the process of looking at that data.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In order for Berkeley’s penny-an-ounce soda tax to work, advocates say, retailers have to pass it through to customers. That way, the shoppers will see the higher price on the shelf, and some will choose lower priced (i.e. non-sugary) drinks.\u003c/p>\n\u003cp>In an analysis, UC Berkeley researchers say many retailers are doing just that. They sampled prices in Berkeley, Oakland and San Francisco, just before last November’s election when \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/11/04/will-berkeley-and-san-francisco-soda-tax-measures-set-precedent/\" target=\"_blank\" rel=\"noopener\">Berkeley voters overwhelmingly passed\u003c/a> the first-in-the-country soda tax.\u003c/p>\n\u003cp>Then they sampled prices again last summer, after the tax had gone into effect March 1. They found that retailers were passing through 69 percent of the tax on sodas and 47 percent of the tax on average for all sugar-sweetened beverages.\u003c/p>\n\u003cp>For a 20-ounce soda that had cost $1.75 now would cost $1.89, a 14-cent increase.\u003c/p>\n\u003cp>Lead author Jennifer Falbe, a post-doctoral researcher in the UC Berkeley School of Public Health, said she was encouraged by these findings.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s promising that so early after implementation, we’re already seeing prices increase,” she said. “However, because it is so early, it’s worth it to continue to monitor how the prices change to see where prices ultimately end up.”\u003c/p>\n\u003cp>\u003ca href=\"http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2015.302881\" target=\"_blank\" rel=\"noopener\">The analysis\u003c/a> is published in the American Journal of Public Health.\u003c/p>\n\u003cp>In August, \u003ca href=\"http://www.news.cornell.edu/stories/2015/08/study-berkeley-soda-tax-falls-flat\" target=\"_blank\" rel=\"noopener\">another study\u003c/a> found a similar result — less than half of the tax was passed through. Oddly, researchers found that the pass through for Coke and Pepsi was only 22 percent.\u003c/p>\n\u003cp>Falbe said some store owners had told the research team that they planned to raise prices. “Some store owners said they hadn’t had a chance to go through their invoices to find out how much they should be rising prices on all their beverages,” Falbe said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The study did not address if the higher price means people are buying fewer sugary drinks. Falbe said her team is in the process of looking at that data.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "'Senior Villages' Struggle with Call to Diversify",
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"content": "\u003cp>You couldn’t pay any of the 80-year-olds in this Pacific Heights living room to go to a senior center. About a dozen sit in a circle in armchairs, or shoulder to shoulder on the sofa, a thick book of plays in their laps.\u003c/p>\n\u003cp>\"One, two, cha cha cha!\" one woman reads, \"Very good, cha cha cha!\"\u003c/p>\n\u003cp>The group gathers once a month, rotating among each other's houses, to read plays together. Today, it’s Neil Simon’s “Come Blow Your Horn,” a comedy about a young man, bored living with his parents, who moves in with his older brother to find excitement.\u003c/p>\n\u003cp>\"Answer phone, cha cha cha,\" the actor reads. \"Hello? Snow? Don’t you know you could get arrested for having such a sexy voice?\"\u003c/p>\n\u003cp>Everyone here is a member of the \u003ca href=\"http://www.sfvillage.org\" target=\"_blank\">San Francisco Village\u003c/a> -- a grass-roots group of local seniors from across the city, who banded together to support each other so they could stay home as they age.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/226663948\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Members help each other with things like grocery shopping, changing lightbulbs, giving rides to doctors’ appointments. A corps of volunteers is on hand to help with gardening, computer support and other chores. And a roster of local vendors offers a range of discounted services, like plumbing. But at the heart of the movement are the social activities.\u003c/p>\n\u003cp>\"You know what I hear they played at 3 in the morning?\" another actor reads from the script. \"Strip Scrabble.\"\u003c/p>\n\u003cp>Throughout the year, there are holiday dinners, museum outings, yoga classes, hiking groups. Sarah Goldman started this play-reading group five years ago. For her, joining the village was really about meeting new people after she left her job.\u003c/p>\n\u003cp>\"So the village came along at a time when I was looking to expand a friendship circle,\" she says.\u003c/p>\n\u003cp>It’s more than that, of course. Goldman is 87. The stairs in her apartment building seem to be getting steeper every year. She knows she can't stay forever.\u003c/p>\n\u003cp>\u003ci>\"\u003c/i>I do not want to move to a continuing care community,\" she says. \"Nor would I have the funds to do so if I did.\"\u003c/p>\n\u003cp>Like many elderly people, Goldman isn't interested in living with her kids.\u003c/p>\n\u003cp>\"My family is estranged from me, my biological family,\" she says. \"I have difficult relationships. They’re across the country.\"\u003c/p>\n\u003cp>Goldman had hoped people in the village could help her identify somewhere else to live on her own. But in mid-September, she moved into a retirement community in San Francisco, one that can provide assisted living if she ever needs it. She says she's still part of the village and plans to continue with the play-reading group and other activities.\u003c/p>\n\u003cp>\"I appreciate being able to have people that I can talk to,\" she says.\u003c/p>\n\u003cp>\u003cstrong>100 Villages and Growing\u003c/strong>\u003c/p>\n\u003cp>There are now more than 100 senior villages across the country, and another hundred in the works. But as the movement grows, it is starting to confront some growing pains, particularly around financial sustainability and diversity.\u003c/p>\n\u003cp>Ninety percent of village members are white and middle class. These demographics date back to the founders of the village movement: They didn't have the money to pay for full-time care to stay at home, but they had too much money to qualify for many government services. Most in-home programs are strictly for low-income folks.\u003c/p>\n\u003cp>\"But there aren’t really services for seniors who are near poor, or who are middle income,\" says Carrie Graham, a medical sociologist at UC Berkeley who studies villages.\u003cem> \"\u003c/em>And a lot of services that are available to middle-income seniors are unaffordable.\"\u003c/p>\n\u003cp>Joining a village costs about $50 a month. Those membership fees fund the staff that administers the services and organizes volunteers who give rides and help with chores. But those fees may not be enough anymore. As members grow older, Graham says, village finances are getting strained.\u003c/p>\n\u003cp>\"We hear villages saying older members might use more services, they might need more volunteers,\" she says.\u003c/p>\n\u003cp>\u003cstrong>New Funds Come with Strings Attached\u003c/strong>\u003c/p>\n\u003cp>So they’re looking for more money. In San Francisco, the village started hunting for grants from the city and foundations. But this money comes with strings attached. Funders want the white, middle-class movement to expand to more low-income and minority elders. This might be harder than it sounds.\u003c/p>\n\u003cp>At a recent happy hour for members of the Ashby Village in Berkeley, everyone was white. Executive Director Andy Gaines says the Berkeley group was started by former professors from the university. Diversifying beyond that circle has been really difficult.\u003c/p>\n\u003cp>News about Ashby Village \"is very much passing word of mouth,\" Gaines says. \"So it’s people who know people, and so the tendency is for it to stay within a smaller community.\"\u003c/p>\n\u003cp>Ashby Village tried to recruit more African-Americans from local churches. But they weren’t interested. Some organizers have observed that communities of color have a stronger emphasis on families caring for elders.\u003c/p>\n\u003cp>\"There tends to be a stereotype of ethnic groups or immigrant groups being much more accepting of relying on their children. And in fact, expect to rely on their children in old age,\" says Graham. \"It would make sense that they may not find a model of independent aging as attractive.\"\u003c/p>\n\u003cp>In general, Graham and Gaines have noticed a tendency toward racial and religious isolation in aging services.\u003c/p>\n\u003cfigure id=\"attachment_83261\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/SFV_Member_JaneyN.jpg\">\u003cimg class=\"size-thumbnail wp-image-83261\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/SFV_Member_JaneyN-400x267.jpg\" alt=\"Janey Norman is a member of San Francisco Village. \" width=\"400\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/09/SFV_Member_JaneyN-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/SFV_Member_JaneyN-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/SFV_Member_JaneyN.jpg 959w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Janey Norman is a member of San Francisco Village. \u003ccite>(Courtesy: San Francisco Village)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"Especially as people are growing older, there is more kind of desire to stay like with like,\" Gaines says. \"And less active movement towards reaching out to meet other populations.\"\u003c/p>\n\u003cp>Back at San Francisco Village, member Janey Norman thinks the focus on race is misplaced. She’s African-American. She says, for her, joining the village was never about meeting other people of color.\u003c/p>\n\u003cp>\"Belonging to a village, it’s about human beings and\u003cem> \u003c/em>sharing interests, and caring for each other and being there for each other,\" she says.\u003c/p>\n\u003cp>Norman is all for subsidizing membership fees so that low-income people can join the village. But the idea of funders pushing the movement to diversify racially offends her.\u003c/p>\n\u003cp>\"It becomes a money thing. 'If we get more black people in here, if we get more Asians, we can get more money here,' \" she says. \"What is all of this? Why? Why?\"\u003c/p>\n\u003cp>What Norman wants is friends to share a bottle of Louis Martini cabernet with. People to talk to about art and music. Folks who will look out for her if there’s an earthquake.\u003c/p>\n\u003cp>\"It goes beyond color, OK,\" she says. \"To me it’s not about color. It’s about connection with human beings.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>New America Media and the Gerontological Society of America provided support for this story. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>You couldn’t pay any of the 80-year-olds in this Pacific Heights living room to go to a senior center. About a dozen sit in a circle in armchairs, or shoulder to shoulder on the sofa, a thick book of plays in their laps.\u003c/p>\n\u003cp>\"One, two, cha cha cha!\" one woman reads, \"Very good, cha cha cha!\"\u003c/p>\n\u003cp>The group gathers once a month, rotating among each other's houses, to read plays together. Today, it’s Neil Simon’s “Come Blow Your Horn,” a comedy about a young man, bored living with his parents, who moves in with his older brother to find excitement.\u003c/p>\n\u003cp>\"Answer phone, cha cha cha,\" the actor reads. \"Hello? Snow? Don’t you know you could get arrested for having such a sexy voice?\"\u003c/p>\n\u003cp>Everyone here is a member of the \u003ca href=\"http://www.sfvillage.org\" target=\"_blank\">San Francisco Village\u003c/a> -- a grass-roots group of local seniors from across the city, who banded together to support each other so they could stay home as they age.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/226663948&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/226663948'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Members help each other with things like grocery shopping, changing lightbulbs, giving rides to doctors’ appointments. A corps of volunteers is on hand to help with gardening, computer support and other chores. And a roster of local vendors offers a range of discounted services, like plumbing. But at the heart of the movement are the social activities.\u003c/p>\n\u003cp>\"You know what I hear they played at 3 in the morning?\" another actor reads from the script. \"Strip Scrabble.\"\u003c/p>\n\u003cp>Throughout the year, there are holiday dinners, museum outings, yoga classes, hiking groups. Sarah Goldman started this play-reading group five years ago. For her, joining the village was really about meeting new people after she left her job.\u003c/p>\n\u003cp>\"So the village came along at a time when I was looking to expand a friendship circle,\" she says.\u003c/p>\n\u003cp>It’s more than that, of course. Goldman is 87. The stairs in her apartment building seem to be getting steeper every year. She knows she can't stay forever.\u003c/p>\n\u003cp>\u003ci>\"\u003c/i>I do not want to move to a continuing care community,\" she says. \"Nor would I have the funds to do so if I did.\"\u003c/p>\n\u003cp>Like many elderly people, Goldman isn't interested in living with her kids.\u003c/p>\n\u003cp>\"My family is estranged from me, my biological family,\" she says. \"I have difficult relationships. They’re across the country.\"\u003c/p>\n\u003cp>Goldman had hoped people in the village could help her identify somewhere else to live on her own. But in mid-September, she moved into a retirement community in San Francisco, one that can provide assisted living if she ever needs it. She says she's still part of the village and plans to continue with the play-reading group and other activities.\u003c/p>\n\u003cp>\"I appreciate being able to have people that I can talk to,\" she says.\u003c/p>\n\u003cp>\u003cstrong>100 Villages and Growing\u003c/strong>\u003c/p>\n\u003cp>There are now more than 100 senior villages across the country, and another hundred in the works. But as the movement grows, it is starting to confront some growing pains, particularly around financial sustainability and diversity.\u003c/p>\n\u003cp>Ninety percent of village members are white and middle class. These demographics date back to the founders of the village movement: They didn't have the money to pay for full-time care to stay at home, but they had too much money to qualify for many government services. Most in-home programs are strictly for low-income folks.\u003c/p>\n\u003cp>\"But there aren’t really services for seniors who are near poor, or who are middle income,\" says Carrie Graham, a medical sociologist at UC Berkeley who studies villages.\u003cem> \"\u003c/em>And a lot of services that are available to middle-income seniors are unaffordable.\"\u003c/p>\n\u003cp>Joining a village costs about $50 a month. Those membership fees fund the staff that administers the services and organizes volunteers who give rides and help with chores. But those fees may not be enough anymore. As members grow older, Graham says, village finances are getting strained.\u003c/p>\n\u003cp>\"We hear villages saying older members might use more services, they might need more volunteers,\" she says.\u003c/p>\n\u003cp>\u003cstrong>New Funds Come with Strings Attached\u003c/strong>\u003c/p>\n\u003cp>So they’re looking for more money. In San Francisco, the village started hunting for grants from the city and foundations. But this money comes with strings attached. Funders want the white, middle-class movement to expand to more low-income and minority elders. This might be harder than it sounds.\u003c/p>\n\u003cp>At a recent happy hour for members of the Ashby Village in Berkeley, everyone was white. Executive Director Andy Gaines says the Berkeley group was started by former professors from the university. Diversifying beyond that circle has been really difficult.\u003c/p>\n\u003cp>News about Ashby Village \"is very much passing word of mouth,\" Gaines says. \"So it’s people who know people, and so the tendency is for it to stay within a smaller community.\"\u003c/p>\n\u003cp>Ashby Village tried to recruit more African-Americans from local churches. But they weren’t interested. Some organizers have observed that communities of color have a stronger emphasis on families caring for elders.\u003c/p>\n\u003cp>\"There tends to be a stereotype of ethnic groups or immigrant groups being much more accepting of relying on their children. And in fact, expect to rely on their children in old age,\" says Graham. \"It would make sense that they may not find a model of independent aging as attractive.\"\u003c/p>\n\u003cp>In general, Graham and Gaines have noticed a tendency toward racial and religious isolation in aging services.\u003c/p>\n\u003cfigure id=\"attachment_83261\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/SFV_Member_JaneyN.jpg\">\u003cimg class=\"size-thumbnail wp-image-83261\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/09/SFV_Member_JaneyN-400x267.jpg\" alt=\"Janey Norman is a member of San Francisco Village. \" width=\"400\" height=\"267\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/09/SFV_Member_JaneyN-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/SFV_Member_JaneyN-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/09/SFV_Member_JaneyN.jpg 959w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Janey Norman is a member of San Francisco Village. \u003ccite>(Courtesy: San Francisco Village)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"Especially as people are growing older, there is more kind of desire to stay like with like,\" Gaines says. \"And less active movement towards reaching out to meet other populations.\"\u003c/p>\n\u003cp>Back at San Francisco Village, member Janey Norman thinks the focus on race is misplaced. She’s African-American. She says, for her, joining the village was never about meeting other people of color.\u003c/p>\n\u003cp>\"Belonging to a village, it’s about human beings and\u003cem> \u003c/em>sharing interests, and caring for each other and being there for each other,\" she says.\u003c/p>\n\u003cp>Norman is all for subsidizing membership fees so that low-income people can join the village. But the idea of funders pushing the movement to diversify racially offends her.\u003c/p>\n\u003cp>\"It becomes a money thing. 'If we get more black people in here, if we get more Asians, we can get more money here,' \" she says. \"What is all of this? Why? Why?\"\u003c/p>\n\u003cp>What Norman wants is friends to share a bottle of Louis Martini cabernet with. People to talk to about art and music. Folks who will look out for her if there’s an earthquake.\u003c/p>\n\u003cp>\"It goes beyond color, OK,\" she says. \"To me it’s not about color. It’s about connection with human beings.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>SACRAMENTO — Dirty cooling towers were to blame for an \u003ca href=\"http://ww2.kqed.org/news/2015/08/28/san-quentin-responds-to-possible-legionnaires-outbreak\" target=\"_blank\">outbreak of Legionnaires' disease\u003c/a> that has sickened dozens of inmates and at least three employees at San Quentin State Prison since late August, according to a report Thursday.\u003c/p>\n\u003cp>Tests showed two of the towers on the roof of the prison's Central Health Services Building had high concentrations of the bacterium that causes the disease, according to the federal receiver who controls inmate medical care. The report says people walking near the towers evidently inhaled contaminated mist, because no drinking water was affected.\u003c/p>\n\u003cp>Receiver J. Clark Kelso blamed a buildup of sludge in the cooling tower water pans, as well as a heat wave in the San Francisco Bay Area, for the Legionnaires' disease outbreak that sickened 81 inmates and sent 13 of them to outside hospitals. Twelve employees are still being tested.\u003c/p>\n\u003cp>The towers have since been cleaned and the 163-year-old prison north of San Francisco is back to normal.\u003c/p>\n\u003cp>In an interview with KQED, Donald Specter with the Prison Law Office, an advocacy group, says the administration handled the situation well.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"They were quite transparent about the whole process. We were allowed to go into the prison and interview scores of prisoners and talk to prison officials. And they brought in the appropriate specialists to help them solve the problem.”\u003c/p>\n\u003cp>For a time, the outbreak caused the state's oldest prison to cancel visits, hot meals and showers, and haul in water and portable toilets for the more than 3,300 inmates and 1,200 employees.\u003c/p>\n\u003cp>Legionnaires' disease is considered a severe type of pneumonia that can bring high fever, chills and a cough. It occurs when contaminated water is inhaled in the form of steam, mist or moisture. A recent outbreak that sickened 128 people and killed 12 in New York City was similarly traced to a Bronx hotel's rooftop air conditioning unit.\u003c/p>\n\u003cp>The Department of Corrections and Rehabilitation said it is working with employees at prisons statewide to make sure they carefully clean danger areas.\u003c/p>\n\u003cp>Separately, Kelso reported that 88 percent of 5,420 inmates housed in Avenal and Pleasant Valley state prisons, the epicenter of California's Valley Fever outbreak, recently refused to be tested for exposure to the soil-borne fungus that causes the disease.\u003c/p>\n\u003cp>Those who were tested at the two Central Valley prisons were four times as likely to have been exposed to the fungus as inmates at other state prisons. However, the high rate of refusals raises questions about the effectiveness of the testing, which cost taxpayers $5.4 million this year, Kelso said.\u003c/p>\n\u003cp>The prison system is using the tests to decide which inmates can more safely be housed at the prisons near Fresno. An early round of tests this year forced more than 2,100 inmates to be moved from the two prisons, while more than 3,000 inmates could be moved in to take their place because they are less likely to get the disease.\u003c/p>\n\u003cp>Liz Gransee, a spokeswoman for the receiver, said the office is sending a team to talk to inmate representatives at the two prisons to find out why so many refused, and it plans an education campaign based on the results.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Andrew Stelzer contributed to this report.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>SACRAMENTO — Dirty cooling towers were to blame for an \u003ca href=\"http://ww2.kqed.org/news/2015/08/28/san-quentin-responds-to-possible-legionnaires-outbreak\" target=\"_blank\">outbreak of Legionnaires' disease\u003c/a> that has sickened dozens of inmates and at least three employees at San Quentin State Prison since late August, according to a report Thursday.\u003c/p>\n\u003cp>Tests showed two of the towers on the roof of the prison's Central Health Services Building had high concentrations of the bacterium that causes the disease, according to the federal receiver who controls inmate medical care. The report says people walking near the towers evidently inhaled contaminated mist, because no drinking water was affected.\u003c/p>\n\u003cp>Receiver J. Clark Kelso blamed a buildup of sludge in the cooling tower water pans, as well as a heat wave in the San Francisco Bay Area, for the Legionnaires' disease outbreak that sickened 81 inmates and sent 13 of them to outside hospitals. Twelve employees are still being tested.\u003c/p>\n\u003cp>The towers have since been cleaned and the 163-year-old prison north of San Francisco is back to normal.\u003c/p>\n\u003cp>In an interview with KQED, Donald Specter with the Prison Law Office, an advocacy group, says the administration handled the situation well.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"They were quite transparent about the whole process. We were allowed to go into the prison and interview scores of prisoners and talk to prison officials. And they brought in the appropriate specialists to help them solve the problem.”\u003c/p>\n\u003cp>For a time, the outbreak caused the state's oldest prison to cancel visits, hot meals and showers, and haul in water and portable toilets for the more than 3,300 inmates and 1,200 employees.\u003c/p>\n\u003cp>Legionnaires' disease is considered a severe type of pneumonia that can bring high fever, chills and a cough. It occurs when contaminated water is inhaled in the form of steam, mist or moisture. A recent outbreak that sickened 128 people and killed 12 in New York City was similarly traced to a Bronx hotel's rooftop air conditioning unit.\u003c/p>\n\u003cp>The Department of Corrections and Rehabilitation said it is working with employees at prisons statewide to make sure they carefully clean danger areas.\u003c/p>\n\u003cp>Separately, Kelso reported that 88 percent of 5,420 inmates housed in Avenal and Pleasant Valley state prisons, the epicenter of California's Valley Fever outbreak, recently refused to be tested for exposure to the soil-borne fungus that causes the disease.\u003c/p>\n\u003cp>Those who were tested at the two Central Valley prisons were four times as likely to have been exposed to the fungus as inmates at other state prisons. However, the high rate of refusals raises questions about the effectiveness of the testing, which cost taxpayers $5.4 million this year, Kelso said.\u003c/p>\n\u003cp>The prison system is using the tests to decide which inmates can more safely be housed at the prisons near Fresno. An early round of tests this year forced more than 2,100 inmates to be moved from the two prisons, while more than 3,000 inmates could be moved in to take their place because they are less likely to get the disease.\u003c/p>\n\u003cp>Liz Gransee, a spokeswoman for the receiver, said the office is sending a team to talk to inmate representatives at the two prisons to find out why so many refused, and it plans an education campaign based on the results.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Andrew Stelzer contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Every year, 140,000 Americans are diagnosed with colon cancer, and more than 50,000 die from it. It's the third leading cause of cancer-related deaths. But among those tens of thousands who are suffering, African-Americans are especially vulnerable.\u003c/p>\n\u003cp>“African-Americans are more likely to get colon cancer, they’re more likely to have an advanced stage of disease when they’re diagnosed with colon cancer,\" says Dr. Fola May, a gastroenterologist at UCLA. \"They’re more likely to die from colon cancer.”\u003c/p>\n\u003caside class=\"pullquote alignright\">\n“It’s a message that we need to get out, especially to the African-American community, that by going and having a colonoscopy, you lessen the chances of being diagnosed with this.\"\u003cbr>\n\u003ccite>Erin Stennis, widow of colon cancer patient\u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>May is co-author of a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/25737445\" target=\"_blank\">recent study\u003c/a> that looked at the records of Californians between 40 and 80 years old who have a parent, sibling, or child that’s had colon cancer. That population is at higher risk of developing colon cancer themselves. But of that group, only three out of five had been screened for colon cancer themselves.\u003c/p>\n\u003cp>Dr. Brennan Spiegel, senior author of the study and director of health services at Cedars Sinai in Los Angeles, said this finding revealed \"a big problem.\" The findings grew more sobering from there.\u003c/p>\n\u003cp>\"(W)hen we drilled down into that group and looked at racial and ethnic disparities, we found that African-Americans were 71 percent less likely to get screened than white Californians,\" he said. \"So, this is an even bigger indictment.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Colon cancer screening is especially beneficial, because benign lesions can be found and removed, preventing cancer from having a chance to develop.\u003c/p>\n\u003cp>You might think that close relatives of colon cancer patients would want to be screened. But take the case of the family of Cordell Harper, a 67-year-old African-American man. Fourteen years ago he was diagnosed with colon cancer. He underwent surgery and chemotherapy.\u003c/p>\n\u003cp>Harper has three brothers. They all refuse to get colonoscopies.\u003c/p>\n\u003cp>“So, if having a brother get colon cancer doesn’t make you want to get a colonoscopy, what will?” he asks, with a laugh. \"Having issues, you know, and it may be too late then.”\u003c/p>\n\u003cp>Harper’s brothers are all over 50. That’s the age many\u003ca href=\"http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/colorectal-cancer-screening\" target=\"_blank\"> national organizations\u003c/a> recommend people begin colon cancer screening. But those with a family history \u003ca href=\"http://www.cancer.org/cancer/colonandrectumcancer/moreinformation/colonandrectumcancerearlydetection/colorectal-cancer-early-detection-acs-recommendations\" target=\"_blank\">should start sooner\u003c/a>. Part of the reason Harper’s brothers won’t get screened has to do with the stigma of having a colonoscopy, which involves threading a flexible tube, called a colonoscope, through the rectum and into the colon. Dr. Fola May says that’s a common concern.\u003c/p>\n\u003cp>“Men in our \u003ca href=\"http://www.researchgate.net/publication/276209726_Addressing_Low_Colorectal_Cancer_Screening_in_African_Americans_Using_Focus_Groups_to_Inform_the_Development_of_Effective_Interventions\" target=\"_blank\">focus group study \u003c/a>and men in other studies have said, ‘I do not want any sort of procedure where I have to have any sort of instrument that’s placed into my behind,' \" May said. \"That was a persistent theme throughout our ... studies.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/226272254\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>That was the case with Michael Stennis, who died of colon cancer in 2003. I met his wife, Erin Stennis, at a “Relay for Life” cancer event in Los Angeles this summer. After he found blood in his stool, a gastroenterologist told him to get a colonoscopy.\u003c/p>\n\u003cp>“When he found out what a colonoscopy was, he said no one was going to do that to him,\" Erin Stennis told me. \"So he literally sucked up the pain for about six years, and it got to the point where I found him one day hunched over in a closet in our home.”\u003c/p>\n\u003cp>Her husband was soon diagnosed with stage four colon cancer. He lived just two more years. During that time, the couple talked to everyone they could, going to churches and other groups, to try to raise awareness of colon cancer among African Americans.\u003c/p>\n\u003cp>“I think it’s a message that we need to get out, especially to the African-American community,\" Erin Stennis said, \"that by going and having a colonoscopy, you lessen the chances of being diagnosed with this. It’s getting over the stigma attached to colonoscopy and what the procedure entails.\"\u003c/p>\n\u003cp>But the low screening rates are due to more than stigma. In another \u003ca href=\"http://www.gastrojournal.org/article/S0016-5085(15)32000-X/abstract\" target=\"_blank\">study\u003c/a>, Spiegel and his colleagues, found that part of the responsibility may rest with doctors.\u003c/p>\n\u003cp>“We found that African-Americans were more likely to say that their doctor never recommended a colonoscopy or any kind of colon cancer screening than any other racial and ethnic groups,” Dr. Spiegel said.\u003c/p>\n\u003cp>Dr. Spiegel says that’s a big failure at the provider level. A nudge from the doctor could make a big difference.\u003c/p>\n\u003cp>“We found that when doctors do recommend screening, it increases the chances of getting screened by nearly twofold,” Dr. Spiegel said.\u003c/p>\n\u003cp>Dr. Spiegel’s team is planning a follow-up study to see if the Affordable Care Act, which fully covers preventive tests like colonoscopies, will make any dent in the racial disparity of colon cancer outcomes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Avishay Artsy reported this story as a 2015 California Health Journalism Fellow at the USC Annenberg School of Journalism.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Colon cancer screening is especially beneficial, because benign lesions can be found and removed, preventing cancer from having a chance to develop.\u003c/p>\n\u003cp>You might think that close relatives of colon cancer patients would want to be screened. But take the case of the family of Cordell Harper, a 67-year-old African-American man. Fourteen years ago he was diagnosed with colon cancer. He underwent surgery and chemotherapy.\u003c/p>\n\u003cp>Harper has three brothers. They all refuse to get colonoscopies.\u003c/p>\n\u003cp>“So, if having a brother get colon cancer doesn’t make you want to get a colonoscopy, what will?” he asks, with a laugh. \"Having issues, you know, and it may be too late then.”\u003c/p>\n\u003cp>Harper’s brothers are all over 50. That’s the age many\u003ca href=\"http://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/colorectal-cancer-screening\" target=\"_blank\"> national organizations\u003c/a> recommend people begin colon cancer screening. But those with a family history \u003ca href=\"http://www.cancer.org/cancer/colonandrectumcancer/moreinformation/colonandrectumcancerearlydetection/colorectal-cancer-early-detection-acs-recommendations\" target=\"_blank\">should start sooner\u003c/a>. Part of the reason Harper’s brothers won’t get screened has to do with the stigma of having a colonoscopy, which involves threading a flexible tube, called a colonoscope, through the rectum and into the colon. Dr. Fola May says that’s a common concern.\u003c/p>\n\u003cp>“Men in our \u003ca href=\"http://www.researchgate.net/publication/276209726_Addressing_Low_Colorectal_Cancer_Screening_in_African_Americans_Using_Focus_Groups_to_Inform_the_Development_of_Effective_Interventions\" target=\"_blank\">focus group study \u003c/a>and men in other studies have said, ‘I do not want any sort of procedure where I have to have any sort of instrument that’s placed into my behind,' \" May said. \"That was a persistent theme throughout our ... studies.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/226272254&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/226272254'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>That was the case with Michael Stennis, who died of colon cancer in 2003. I met his wife, Erin Stennis, at a “Relay for Life” cancer event in Los Angeles this summer. After he found blood in his stool, a gastroenterologist told him to get a colonoscopy.\u003c/p>\n\u003cp>“When he found out what a colonoscopy was, he said no one was going to do that to him,\" Erin Stennis told me. \"So he literally sucked up the pain for about six years, and it got to the point where I found him one day hunched over in a closet in our home.”\u003c/p>\n\u003cp>Her husband was soon diagnosed with stage four colon cancer. He lived just two more years. During that time, the couple talked to everyone they could, going to churches and other groups, to try to raise awareness of colon cancer among African Americans.\u003c/p>\n\u003cp>“I think it’s a message that we need to get out, especially to the African-American community,\" Erin Stennis said, \"that by going and having a colonoscopy, you lessen the chances of being diagnosed with this. It’s getting over the stigma attached to colonoscopy and what the procedure entails.\"\u003c/p>\n\u003cp>But the low screening rates are due to more than stigma. In another \u003ca href=\"http://www.gastrojournal.org/article/S0016-5085(15)32000-X/abstract\" target=\"_blank\">study\u003c/a>, Spiegel and his colleagues, found that part of the responsibility may rest with doctors.\u003c/p>\n\u003cp>“We found that African-Americans were more likely to say that their doctor never recommended a colonoscopy or any kind of colon cancer screening than any other racial and ethnic groups,” Dr. Spiegel said.\u003c/p>\n\u003cp>Dr. Spiegel says that’s a big failure at the provider level. A nudge from the doctor could make a big difference.\u003c/p>\n\u003cp>“We found that when doctors do recommend screening, it increases the chances of getting screened by nearly twofold,” Dr. Spiegel said.\u003c/p>\n\u003cp>Dr. Spiegel’s team is planning a follow-up study to see if the Affordable Care Act, which fully covers preventive tests like colonoscopies, will make any dent in the racial disparity of colon cancer outcomes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Avishay Artsy reported this story as a 2015 California Health Journalism Fellow at the USC Annenberg School of Journalism.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"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.",
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"masters-of-scale": {
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},
"mindshift": {
"id": "mindshift",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"morning-edition": {
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"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.",
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"onourwatch": {
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"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?",
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"order": 11
},
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"on-the-media": {
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"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",
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"link": "/radio/program/on-the-media",
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},
"pbs-newshour": {
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"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
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},
"perspectives": {
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"order": 14
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"planet-money": {
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"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",
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"link": "/radio/program/planet-money",
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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},
"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",
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"order": 5
},
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
"link": "/radio/program/possible",
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"spotify": "https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"
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},
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