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"content": "\u003cfigure id=\"attachment_19311\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10453_IMG_0346-hpf.jpg\">\u003cimg class=\"size-full wp-image-19311\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10453_IMG_0346-hpf.jpg\" alt=\"Esme Wang, an award-winning writer, lives with bipolar disorder. (Nora Elmeligy/KQED)\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10453_IMG_0346-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10453_IMG_0346-hpf-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10453_IMG_0346-hpf-320x214.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Esme Wang, an award-winning writer, lives with bipolar disorder. (Nora Elmeligy/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nora Elmeligy\u003c/strong>\u003c/p>\n\u003cp>It's been a week since the \u003ca href=\"http://ww2.kqed.org/news/uc-santa-barbara-shootings\" target=\"_blank\">deadly shooting rampage\u003c/a> near Santa Barbara. Much attention has been paid to the apparent perpetrator's \u003ca href=\"http://ww2.kqed.org/news/2014/05/26/amid-multiple-warning-signs-alleged-isla-vista-killer-slipped-through-system/\" target=\"_blank\">mental health status\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It is still possible to live a really exciting, thriving, magnificent life, even with those limitations.\" \u003c/aside>\n\u003cp>Horrific events -- and the intense media attention paid to them -- feed a false perception that people with mental illness are violent. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/04/04/why-is-fort-hood-shooters-mental-health-constantly-reported/\" target=\"_blank\">They are not.\u003c/a> They may be more likely to be \u003ca href=\"http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2811%2961851-5/fulltext\" target=\"_blank\">victims of violence\u003c/a> than to cause it.\u003c/p>\n\u003cp>For people who live with mental illness, the timeliness of the Isla Vista rampage is especially wrenching -- May is Mental Health Month, a time when community groups are trying to stress the importance of protecting and promoting mental health.\u003c/p>\n\u003cp>The Mental Health Association of San Francisco (MHASF) works together with its umbrella organization Mental Health America in working to change attitudes towards mental health and mental health care. They group says believing people who are mentally ill are likely to be violent is just one of three major stigmas they encounter. The others are the perception that people with mental illness are childlike or incompetent.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>MHASF is trying to break these stigmas down and create a new dialogue through an innovative peer program. People who have \"lived experience with a mental health challenge\" are resources to others who need help, rather than solely relying on traditionally-trained clinicians. Perhaps the most poignant example of MHASF’s peer-based approach is \u003ca href=\"http://www.mentalhealthsf.org/programs/solve/\">SOLVE\u003c/a> - \u003cem>Sharing Our Lives, Voices, and Experiences \u003c/em>- a speakers’ bureau where people who have lived through mental health conditions share their experiences, train others to tell their stories, and in doing so continue their own healing.\u003c/p>\n\u003cp>These four SOLVE speakers paint a different portrait of the face of mental illness -- and mental health.\u003c/p>\n\u003cfigure id=\"attachment_19313\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10533_IMG_0328-hpf.jpg\">\u003cimg class=\"size-medium wp-image-19313\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10533_IMG_0328-hpf-300x200.jpg\" alt=\"David Lewis. (Nora Elmeligy/KQED)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">David Lewis. (Nora Elmeligy/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>David Elliot Lewis\u003c/strong>\u003c/p>\n\u003cp>Lewis has suffered what he describes as “debilitating depression,” following the loss of his job and broken relationships. Despite having two graduate degrees, including a doctorate, he found himself homeless for a period. When he felt he had hit rock bottom, he sought help. David says he considers himself lucky for having found conscientious doctors that understood him and treated him well.\u003c/p>\n\u003cp>He has put his life back together and now lives well with his depression diagnosis. in addition to becoming an advocate for mental health, Lewis took up photography. Among several other hats he wears, Lewis is co-chair of the Mental Health Board of San Francisco, and is helping design crisis intervention training programs for police officers. The goal is to focus on verbal de-escalation and other techniques to handle those going through a mental health episode.\u003c/p>\n\u003cp>“Obviously there’s a percentage of all people that can be harmful to others,\" Lewis told me, \"that’s why we have police forces. But people suffering mental health crises aren’t at a higher rate of being harmful to others. They \u003cem>are\u003c/em> at a higher rate, though, of being harmful to themselves: not taking care of themselves, suicides, self-destructive behavior, things like that. The true tragedy of mental illness is what it does to the person experiencing it.”\u003c/p>\n\u003cp>\u003cstrong>Gaynorann Siataga\u003c/strong>\u003c/p>\n\u003cp>\u003cem>“For so long I felt like I was an issue and a burden and, just not meant to be here.. And coming to find out that I am a good person but just have issues to overcome has been amazing.”\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_19315\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10532_IMG_0322-hpf.jpg\">\u003cimg class=\"size-medium wp-image-19315\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10532_IMG_0322-hpf-300x200.jpg\" alt=\"Gaynorann Siataga (Nora Elmeligy)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gaynorann Siataga (Nora Elmeligy)\u003c/figcaption>\u003c/figure>\n\u003cp>By the time Siataga was 11-years-old, she already felt like she wasn't accepted anywhere. She had suffered physical and sexual abuse, but says her Asian-Pacific Islander family did not permit discussion of any mental health challenges. She turned to a gang for refuge and simply tried to suppress all she had been through in an attempt to deny that she was struggling.\u003c/p>\n\u003cp>Siataga says the biggest thing SOLVE has done for her was to help her break her own stigma about herself. Only after she could admit she was struggling did her own recovery begin, she says. She received several diagnoses, including bipolar disorder, depression and post traumatic stress disorder. She is now off medications and says she uses her activism as a form of therapy. Siataga helps run workshops to prevent gang violence, including the \"\u003ca href=\"http://www.pivp.org/#!workshops/ctlp\" target=\"_blank\">Gang /Turf Violence\u003c/a>\" workshop at the first-of-its-kind \u003ca href=\"http://www.pivp.org/\" target=\"_blank\">Pacific Islander Violence Prevention Conference\u003c/a>. The workshop will look at increasing gang violence among Pacific Islanders and strategies to combat the lure of young Pacific Islanders joining gangs.\u003c/p>\n\u003cp>\u003cstrong>Leonila Adams\u003c/strong>\u003c/p>\n\u003cp>\u003cem>“The SOLVE program helped me to come out from wherever I’m hiding. Maybe through my stories I will help to open their hearts. Maybe not their minds, but at least their hearts.”\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_19314\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10534_IMG_0340-hpf.jpg\">\u003cimg class=\"size-medium wp-image-19314\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10534_IMG_0340-hpf-300x200.jpg\" alt=\"Leonila Adams (Nora Elmeligy)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Leonila Adams (Nora Elmeligy)\u003c/figcaption>\u003c/figure>\n\u003cp>When Leonila graduated high school in the Philippines, her mother cried. But they were not tears of joy. Adams' mother was crying because she thought her daughter would never go to college. Adams has severe bipolar disorder, and her mother cried to her, \"I know this is the last time I will see you graduate.\"\u003c/p>\n\u003cp>Adams says employers, counselors, and even doctors have echoed that sentiment over the years. But Adams persevered. She went on to college, first earning an Associate's, then a Bachelor's degree. Today she is a full-time case manager with Family Services Agency in San Francisco. Every day, she works with people who have severe mental challenges or substance abuse problems. Finally, she was just accepted to California Institute of Integral Studies to become a counselor. Oddly, Adams credits her mother with motivating her. “What my mother said, that I will never graduate past high school, … it kept me going,” she says. As a testament to how different people recover differently, Leonila says that her faith in God, and her faith in what she can do, have pushed her to succeed.\u003c/p>\n\u003cp>\u003cstrong>Esme Wang\u003c/strong>\u003c/p>\n\u003cp>Today, Wang is \u003ca href=\"http://www.esmewang.com\" target=\"_blank\">a successful writer\u003c/a>. She's won numerous awards and fellowships.\u003c/p>\n\u003cp>But when she was 19, she was asked to leave Yale University.\u003ca href=\"http://www.esmewang.com/201102why-i-left-yale-mental-illness-higher-education/\" target=\"_blank\"> In an essay\u003c/a>, she describes that she had been diagnosed with bipolar disorder in the summer before her freshman year. By the beginning of her sophomore year, she had become desperately ill.\u003c/p>\n\u003cp>While the struggles of her bipolar disorder have changed and interrupted her life, Esme says the challenges she most commonly faces are the ones that come with how \u003cem>other\u003c/em> people respond to her mental health conditions and assume things about her.\u003c/p>\n\u003cp>The most immediate of these challenges was with her family, who took years to accept\u003cem> \u003c/em>that she had a condition, let alone overcome the stigma that was so built into their culture. When she first told her family that she needed a psychiatrist, “My mother started yelling me and saying, ‘How could you do this to us? We’ve given you everything you always wanted.’”\u003c/p>\n\u003cp>“I was born to immigrant parents who had pretty standard ideas of what their Chinese children should grow up to look like,\" Wang says. \"I was very much marked as an overachiever early on in life. Later, as I was getting older ... I started exhibiting symptoms of what was then called depression and anxiety, and over the years it became clearer and clearer that there was something that was increasingly wrong.”\u003c/p>\n\u003cp>After Wang was asked to leave Yale, her family became much more supportive. Ultimately, Wang transferred to Stanford where she graduated with stellar GPA and a degree in psychology and creative writing. She later earned a Masters degree in creative writing.\u003c/p>\n\u003cp>In addition to her writing, and the work she does with SOLVE, Wang is working with a think tank to come up with a set of best practices regarding colleges and universities -- and how they manage (or \u003ca href=\"http://www.newsweek.com/2014/02/14/how-colleges-flunk-mental-health-245492.html\" target=\"_blank\">don't manage\u003c/a>) students with mental health challenges.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“I think one aspect of my success story,\" Wang says, \"is realizing that I do have limitations, and that those limitations are not to be taken lightly, and they’re not to be plowed through as though they don’t exist, because that has caused problems for me in the past as well. But that it is still possible to live a really exciting, thriving, magnificent life, even with those limitations.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19311\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10453_IMG_0346-hpf.jpg\">\u003cimg class=\"size-full wp-image-19311\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10453_IMG_0346-hpf.jpg\" alt=\"Esme Wang, an award-winning writer, lives with bipolar disorder. (Nora Elmeligy/KQED)\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10453_IMG_0346-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10453_IMG_0346-hpf-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10453_IMG_0346-hpf-320x214.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Esme Wang, an award-winning writer, lives with bipolar disorder. (Nora Elmeligy/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nora Elmeligy\u003c/strong>\u003c/p>\n\u003cp>It's been a week since the \u003ca href=\"http://ww2.kqed.org/news/uc-santa-barbara-shootings\" target=\"_blank\">deadly shooting rampage\u003c/a> near Santa Barbara. Much attention has been paid to the apparent perpetrator's \u003ca href=\"http://ww2.kqed.org/news/2014/05/26/amid-multiple-warning-signs-alleged-isla-vista-killer-slipped-through-system/\" target=\"_blank\">mental health status\u003c/a>.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"It is still possible to live a really exciting, thriving, magnificent life, even with those limitations.\" \u003c/aside>\n\u003cp>Horrific events -- and the intense media attention paid to them -- feed a false perception that people with mental illness are violent. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/04/04/why-is-fort-hood-shooters-mental-health-constantly-reported/\" target=\"_blank\">They are not.\u003c/a> They may be more likely to be \u003ca href=\"http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2811%2961851-5/fulltext\" target=\"_blank\">victims of violence\u003c/a> than to cause it.\u003c/p>\n\u003cp>For people who live with mental illness, the timeliness of the Isla Vista rampage is especially wrenching -- May is Mental Health Month, a time when community groups are trying to stress the importance of protecting and promoting mental health.\u003c/p>\n\u003cp>The Mental Health Association of San Francisco (MHASF) works together with its umbrella organization Mental Health America in working to change attitudes towards mental health and mental health care. They group says believing people who are mentally ill are likely to be violent is just one of three major stigmas they encounter. The others are the perception that people with mental illness are childlike or incompetent.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>MHASF is trying to break these stigmas down and create a new dialogue through an innovative peer program. People who have \"lived experience with a mental health challenge\" are resources to others who need help, rather than solely relying on traditionally-trained clinicians. Perhaps the most poignant example of MHASF’s peer-based approach is \u003ca href=\"http://www.mentalhealthsf.org/programs/solve/\">SOLVE\u003c/a> - \u003cem>Sharing Our Lives, Voices, and Experiences \u003c/em>- a speakers’ bureau where people who have lived through mental health conditions share their experiences, train others to tell their stories, and in doing so continue their own healing.\u003c/p>\n\u003cp>These four SOLVE speakers paint a different portrait of the face of mental illness -- and mental health.\u003c/p>\n\u003cfigure id=\"attachment_19313\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10533_IMG_0328-hpf.jpg\">\u003cimg class=\"size-medium wp-image-19313\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10533_IMG_0328-hpf-300x200.jpg\" alt=\"David Lewis. (Nora Elmeligy/KQED)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">David Lewis. (Nora Elmeligy/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>David Elliot Lewis\u003c/strong>\u003c/p>\n\u003cp>Lewis has suffered what he describes as “debilitating depression,” following the loss of his job and broken relationships. Despite having two graduate degrees, including a doctorate, he found himself homeless for a period. When he felt he had hit rock bottom, he sought help. David says he considers himself lucky for having found conscientious doctors that understood him and treated him well.\u003c/p>\n\u003cp>He has put his life back together and now lives well with his depression diagnosis. in addition to becoming an advocate for mental health, Lewis took up photography. Among several other hats he wears, Lewis is co-chair of the Mental Health Board of San Francisco, and is helping design crisis intervention training programs for police officers. The goal is to focus on verbal de-escalation and other techniques to handle those going through a mental health episode.\u003c/p>\n\u003cp>“Obviously there’s a percentage of all people that can be harmful to others,\" Lewis told me, \"that’s why we have police forces. But people suffering mental health crises aren’t at a higher rate of being harmful to others. They \u003cem>are\u003c/em> at a higher rate, though, of being harmful to themselves: not taking care of themselves, suicides, self-destructive behavior, things like that. The true tragedy of mental illness is what it does to the person experiencing it.”\u003c/p>\n\u003cp>\u003cstrong>Gaynorann Siataga\u003c/strong>\u003c/p>\n\u003cp>\u003cem>“For so long I felt like I was an issue and a burden and, just not meant to be here.. And coming to find out that I am a good person but just have issues to overcome has been amazing.”\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_19315\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10532_IMG_0322-hpf.jpg\">\u003cimg class=\"size-medium wp-image-19315\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10532_IMG_0322-hpf-300x200.jpg\" alt=\"Gaynorann Siataga (Nora Elmeligy)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Gaynorann Siataga (Nora Elmeligy)\u003c/figcaption>\u003c/figure>\n\u003cp>By the time Siataga was 11-years-old, she already felt like she wasn't accepted anywhere. She had suffered physical and sexual abuse, but says her Asian-Pacific Islander family did not permit discussion of any mental health challenges. She turned to a gang for refuge and simply tried to suppress all she had been through in an attempt to deny that she was struggling.\u003c/p>\n\u003cp>Siataga says the biggest thing SOLVE has done for her was to help her break her own stigma about herself. Only after she could admit she was struggling did her own recovery begin, she says. She received several diagnoses, including bipolar disorder, depression and post traumatic stress disorder. She is now off medications and says she uses her activism as a form of therapy. Siataga helps run workshops to prevent gang violence, including the \"\u003ca href=\"http://www.pivp.org/#!workshops/ctlp\" target=\"_blank\">Gang /Turf Violence\u003c/a>\" workshop at the first-of-its-kind \u003ca href=\"http://www.pivp.org/\" target=\"_blank\">Pacific Islander Violence Prevention Conference\u003c/a>. The workshop will look at increasing gang violence among Pacific Islanders and strategies to combat the lure of young Pacific Islanders joining gangs.\u003c/p>\n\u003cp>\u003cstrong>Leonila Adams\u003c/strong>\u003c/p>\n\u003cp>\u003cem>“The SOLVE program helped me to come out from wherever I’m hiding. Maybe through my stories I will help to open their hearts. Maybe not their minds, but at least their hearts.”\u003c/em>\u003c/p>\n\u003cfigure id=\"attachment_19314\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10534_IMG_0340-hpf.jpg\">\u003cimg class=\"size-medium wp-image-19314\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10534_IMG_0340-hpf-300x200.jpg\" alt=\"Leonila Adams (Nora Elmeligy)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Leonila Adams (Nora Elmeligy)\u003c/figcaption>\u003c/figure>\n\u003cp>When Leonila graduated high school in the Philippines, her mother cried. But they were not tears of joy. Adams' mother was crying because she thought her daughter would never go to college. Adams has severe bipolar disorder, and her mother cried to her, \"I know this is the last time I will see you graduate.\"\u003c/p>\n\u003cp>Adams says employers, counselors, and even doctors have echoed that sentiment over the years. But Adams persevered. She went on to college, first earning an Associate's, then a Bachelor's degree. Today she is a full-time case manager with Family Services Agency in San Francisco. Every day, she works with people who have severe mental challenges or substance abuse problems. Finally, she was just accepted to California Institute of Integral Studies to become a counselor. Oddly, Adams credits her mother with motivating her. “What my mother said, that I will never graduate past high school, … it kept me going,” she says. As a testament to how different people recover differently, Leonila says that her faith in God, and her faith in what she can do, have pushed her to succeed.\u003c/p>\n\u003cp>\u003cstrong>Esme Wang\u003c/strong>\u003c/p>\n\u003cp>Today, Wang is \u003ca href=\"http://www.esmewang.com\" target=\"_blank\">a successful writer\u003c/a>. She's won numerous awards and fellowships.\u003c/p>\n\u003cp>But when she was 19, she was asked to leave Yale University.\u003ca href=\"http://www.esmewang.com/201102why-i-left-yale-mental-illness-higher-education/\" target=\"_blank\"> In an essay\u003c/a>, she describes that she had been diagnosed with bipolar disorder in the summer before her freshman year. By the beginning of her sophomore year, she had become desperately ill.\u003c/p>\n\u003cp>While the struggles of her bipolar disorder have changed and interrupted her life, Esme says the challenges she most commonly faces are the ones that come with how \u003cem>other\u003c/em> people respond to her mental health conditions and assume things about her.\u003c/p>\n\u003cp>The most immediate of these challenges was with her family, who took years to accept\u003cem> \u003c/em>that she had a condition, let alone overcome the stigma that was so built into their culture. When she first told her family that she needed a psychiatrist, “My mother started yelling me and saying, ‘How could you do this to us? We’ve given you everything you always wanted.’”\u003c/p>\n\u003cp>“I was born to immigrant parents who had pretty standard ideas of what their Chinese children should grow up to look like,\" Wang says. \"I was very much marked as an overachiever early on in life. Later, as I was getting older ... I started exhibiting symptoms of what was then called depression and anxiety, and over the years it became clearer and clearer that there was something that was increasingly wrong.”\u003c/p>\n\u003cp>After Wang was asked to leave Yale, her family became much more supportive. Ultimately, Wang transferred to Stanford where she graduated with stellar GPA and a degree in psychology and creative writing. She later earned a Masters degree in creative writing.\u003c/p>\n\u003cp>In addition to her writing, and the work she does with SOLVE, Wang is working with a think tank to come up with a set of best practices regarding colleges and universities -- and how they manage (or \u003ca href=\"http://www.newsweek.com/2014/02/14/how-colleges-flunk-mental-health-245492.html\" target=\"_blank\">don't manage\u003c/a>) students with mental health challenges.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I think one aspect of my success story,\" Wang says, \"is realizing that I do have limitations, and that those limitations are not to be taken lightly, and they’re not to be plowed through as though they don’t exist, because that has caused problems for me in the past as well. But that it is still possible to live a really exciting, thriving, magnificent life, even with those limitations.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_9250\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Sacramento_Capital_seliaymiwell_flickr-e1370983947930.jpg\">\u003cimg class=\"size-large wp-image-9250\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Sacramento_Capital_seliaymiwell_flickr-620x413.jpg\" alt=\"(seliaymiwell/flickr)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(seliaymiwell/flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>California lawmakers announced a series of budget proposals Wednesday calling for more training of law enforcement officers on how to handle people with mental illness. While lawmakers have been working on the proposals for weeks, there is renewed emphasis on them in the aftermath of a gun rampage that left seven people dead near UC Santa Barbara last weekend.\u003c/p>\n\u003cp>“How do we stop this before it happens?” said Sen. Hannah-Beth Jackson (D-Santa Barbara).\u003c/p>\n\u003cp>Jackson said police officers who visited the shooter before the violence erupted failed to investigate him thoroughly and failed to recognize warning signs of mental health problems. “This is a young man whose mental illness was right out there on YouTube, right out there on Facebook, and in screeds that he posted on blogs,” Jackson said. “And yet no one did or was able to recognize the potential for violence that resulted in this mass set of murders.”\u003c/p>\n\u003cp>Sen. Loni Hancock (D-Berkeley) says the problem continues inside the state’s jails and prisons, where nearly half the inmates suffer from mental illness. She cited incidents where mentally ill inmates were improperly pepper sprayed.\u003c!--more-->\u003c/p>\n\u003cp>“You can be a correctional officer right out of high school,” Hancock said. “Nobody tells you about the demographics of the prison population, how to treat mentally ill people, how to de-escalate situations.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Senate Democrats want to see more money invested in training law enforcement and prison personnel in how to deal with mentally ill offenders. It’s just one of a series of policy and budget proposals the caucus has been working on.\u003c/p>\n\u003cp>But now they say their efforts have taken on even greater importance after \u003ca href=\"http://ww2.kqed.org/news/2014/05/26/amid-multiple-warning-signs-alleged-isla-vista-killer-slipped-through-system/\" target=\"_blank\">what happened in Isla Vista.\u003c/a>\u003c/p>\n\u003cp>“These proposals, finalized earlier this month, are now cast under a different light than any of us had every planned,” said Darrell Steinberg, Senate president pro tem. “It’s a cruel and sad coincidence.” Steinberg also stressed that most people with mental illness are not violent.\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/151876934&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\">\u003c/iframe>\u003c/p>\n\u003cp>He and his allies want to spend $132 million on efforts aimed at reducing the number of people with mental illness who are incarcerated, and lowering recidivism rates of people who are released from prison, then re-offend because they could not get proper mental health treatment.\u003c/p>\n\u003cp>They draw their suggestions from \u003ca href=\"http://www.law.stanford.edu/sites/default/files/organization/149642/doc/slspublic/Report_v10.pdf\" target=\"_blank\">a report\u003c/a> released Wednesday by the Stanford Law School Three Strikes Project. It highlights how the population of mentally ill people in prison has ballooned in recent decades and outlines three key areas for change:\u003c/p>\n\u003col>\n\u003cli>Reform the way people with mental illness are sentenced, in part, by establishing more mental health courts that take a person’s mental health into account when judging a crime, and consider alternatives to incarceration for non-violent offenders.\u003c/li>\n\u003cli>Provide more meaningful treatment for the mentally ill, both while they are incarcerated and particularly, when they are released.\u003c/li>\n\u003cli>Establish a process and criteria for humane releases. People with mental illness are denied parole more often than other offenders, according to the Stanford report. Lawmakers suggest providing more case managers and services for parolees with mental illness.\u003c/li>\n\u003c/ol>\n\u003cp>A final budget is due next month. The Senate must first get the state Assembly and the governor to agree to these proposals before they become an official line item.\u003c/p>\n\u003cp>They’re unlikely to face opposition from law enforcement advocates who agree with the goals of the proposals.\u003c/p>\n\u003cp>“We need more training and better resources,” said Craig Brown, a lobbyist with the California Correctional Peace Officers Association. “We know we’ve been accumulating more and more inmates with mental illness. The Los Angeles County Jail has been saying for years that they’re the biggest mental health institution in the state.”\u003c/p>\n\u003cp>He says law enforcement is equally interested in reducing recidivism as lawmakers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We haven’t seen the details, and that’s where the devil is,” Brown said. “But nobody’s fighting over the goal.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_9250\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Sacramento_Capital_seliaymiwell_flickr-e1370983947930.jpg\">\u003cimg class=\"size-large wp-image-9250\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/12/Sacramento_Capital_seliaymiwell_flickr-620x413.jpg\" alt=\"(seliaymiwell/flickr)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(seliaymiwell/flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>California lawmakers announced a series of budget proposals Wednesday calling for more training of law enforcement officers on how to handle people with mental illness. While lawmakers have been working on the proposals for weeks, there is renewed emphasis on them in the aftermath of a gun rampage that left seven people dead near UC Santa Barbara last weekend.\u003c/p>\n\u003cp>“How do we stop this before it happens?” said Sen. Hannah-Beth Jackson (D-Santa Barbara).\u003c/p>\n\u003cp>Jackson said police officers who visited the shooter before the violence erupted failed to investigate him thoroughly and failed to recognize warning signs of mental health problems. “This is a young man whose mental illness was right out there on YouTube, right out there on Facebook, and in screeds that he posted on blogs,” Jackson said. “And yet no one did or was able to recognize the potential for violence that resulted in this mass set of murders.”\u003c/p>\n\u003cp>Sen. Loni Hancock (D-Berkeley) says the problem continues inside the state’s jails and prisons, where nearly half the inmates suffer from mental illness. She cited incidents where mentally ill inmates were improperly pepper sprayed.\u003c!--more-->\u003c/p>\n\u003cp>“You can be a correctional officer right out of high school,” Hancock said. “Nobody tells you about the demographics of the prison population, how to treat mentally ill people, how to de-escalate situations.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Senate Democrats want to see more money invested in training law enforcement and prison personnel in how to deal with mentally ill offenders. It’s just one of a series of policy and budget proposals the caucus has been working on.\u003c/p>\n\u003cp>But now they say their efforts have taken on even greater importance after \u003ca href=\"http://ww2.kqed.org/news/2014/05/26/amid-multiple-warning-signs-alleged-isla-vista-killer-slipped-through-system/\" target=\"_blank\">what happened in Isla Vista.\u003c/a>\u003c/p>\n\u003cp>“These proposals, finalized earlier this month, are now cast under a different light than any of us had every planned,” said Darrell Steinberg, Senate president pro tem. “It’s a cruel and sad coincidence.” Steinberg also stressed that most people with mental illness are not violent.\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/151876934&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\">\u003c/iframe>\u003c/p>\n\u003cp>He and his allies want to spend $132 million on efforts aimed at reducing the number of people with mental illness who are incarcerated, and lowering recidivism rates of people who are released from prison, then re-offend because they could not get proper mental health treatment.\u003c/p>\n\u003cp>They draw their suggestions from \u003ca href=\"http://www.law.stanford.edu/sites/default/files/organization/149642/doc/slspublic/Report_v10.pdf\" target=\"_blank\">a report\u003c/a> released Wednesday by the Stanford Law School Three Strikes Project. It highlights how the population of mentally ill people in prison has ballooned in recent decades and outlines three key areas for change:\u003c/p>\n\u003col>\n\u003cli>Reform the way people with mental illness are sentenced, in part, by establishing more mental health courts that take a person’s mental health into account when judging a crime, and consider alternatives to incarceration for non-violent offenders.\u003c/li>\n\u003cli>Provide more meaningful treatment for the mentally ill, both while they are incarcerated and particularly, when they are released.\u003c/li>\n\u003cli>Establish a process and criteria for humane releases. People with mental illness are denied parole more often than other offenders, according to the Stanford report. Lawmakers suggest providing more case managers and services for parolees with mental illness.\u003c/li>\n\u003c/ol>\n\u003cp>A final budget is due next month. The Senate must first get the state Assembly and the governor to agree to these proposals before they become an official line item.\u003c/p>\n\u003cp>They’re unlikely to face opposition from law enforcement advocates who agree with the goals of the proposals.\u003c/p>\n\u003cp>“We need more training and better resources,” said Craig Brown, a lobbyist with the California Correctional Peace Officers Association. “We know we’ve been accumulating more and more inmates with mental illness. The Los Angeles County Jail has been saying for years that they’re the biggest mental health institution in the state.”\u003c/p>\n\u003cp>He says law enforcement is equally interested in reducing recidivism as lawmakers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We haven’t seen the details, and that’s where the devil is,” Brown said. “But nobody’s fighting over the goal.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Two California counties -- Orange and Santa Clara -- joined forces and filed a lawsuit this week against five of the largest prescription narcotics manufacturers. The Los Angeles Times \u003ca href=\"http://www.latimes.com/local/la-me-rx-big-pharma-suit-20140522-story.html#page=1\" target=\"_blank\">summarized the case\u003c/a> this way:\u003c/p>\n\u003cblockquote>\u003cp>\u003cspan style=\"color: #666666\">(T)he lawsuit alleges the drug companies have reaped blockbuster profits by manipulating doctors into believing the benefits of narcotic painkillers outweighed the risks, despite \"a wealth of scientific evidence to the contrary.\" The effort \"opened the floodgates\" for such drugs and \"the result has been catastrophic,\" the lawsuit contends.\u003c/span>\u003c/p>\u003c/blockquote>\n\u003cp>Thursday on KQED News, Tara Siler spoke with Robert Bohrer, a professor at the California Western School of Law in San Diego. The lawsuit does not challenge the FDA approval of these drugs. Instead the case alleges that the companies broke state laws against f\u003cspan style=\"color: #000000\">alse advertising, unfair business practices and creating a public nuisance.\u003c/span>\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Bohrer drew parallels to the cases against tobacco companies in the 1990s. In those cases, he explained, there were federally-required warning labels on cigarette packages, and on other tobacco products.\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">\"There were lawsuits brought over the marketing practices of tobacco companies that in some sense undermined what was on the label,\" Bohrer said. One example is \"light\" cigarettes, which were marketed as less harmful because they continued laser levels of tar and nicotine.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/150835617&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">But, Bohrer explained, \"The tobacco companies knew that the behavior of cigarette smokers when they have a better filter is to inhale more and to smoke more often, so the claims were false and misleading that light cigarettes were more healthy.\" The Supreme Court ruled that these state laws, laws the prohibit false and misleading advertising \"could be used against tobacco companiees for the additional language that went beyond the federally required warning.\"\u003c/span>\u003c/p>\n\u003cp>Bohrer the tobacco example is \"very close\" to the allegations in the case against narcotics makers. \"Yes, there’s a federal warning on here, but you’re engaging in additional activities that go beyond that and undermine it in a way that’s false and misleading.\"\u003c/p>\n\u003cp>The five companies being sued are Endo Health Solutions, \u003cspan style=\"color: #000000\">Purdue Pharma, Teva Pharmaceutical Industries' Cephalon, Johnson and Johnson's Janssen Pharmaceuticals, and Actavis.\u003c/span>\u003c/p>\n\u003cp>The lawsuit does not specify restitution.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">Borher said the lawsuit raises fascinating and complicated questions, \"about who’s really responsible here, the doctors, the pharmaceutical companies, and the fact that we have this enormous public health problem that is only in part prescritipion drugs and is part of a bigger picture of addiction and drug abuse in the U.S. today.\"\u003c/span>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Two California counties -- Orange and Santa Clara -- joined forces and filed a lawsuit this week against five of the largest prescription narcotics manufacturers. The Los Angeles Times \u003ca href=\"http://www.latimes.com/local/la-me-rx-big-pharma-suit-20140522-story.html#page=1\" target=\"_blank\">summarized the case\u003c/a> this way:\u003c/p>\n\u003cblockquote>\u003cp>\u003cspan style=\"color: #666666\">(T)he lawsuit alleges the drug companies have reaped blockbuster profits by manipulating doctors into believing the benefits of narcotic painkillers outweighed the risks, despite \"a wealth of scientific evidence to the contrary.\" The effort \"opened the floodgates\" for such drugs and \"the result has been catastrophic,\" the lawsuit contends.\u003c/span>\u003c/p>\u003c/blockquote>\n\u003cp>Thursday on KQED News, Tara Siler spoke with Robert Bohrer, a professor at the California Western School of Law in San Diego. The lawsuit does not challenge the FDA approval of these drugs. Instead the case alleges that the companies broke state laws against f\u003cspan style=\"color: #000000\">alse advertising, unfair business practices and creating a public nuisance.\u003c/span>\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Bohrer drew parallels to the cases against tobacco companies in the 1990s. In those cases, he explained, there were federally-required warning labels on cigarette packages, and on other tobacco products.\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">\"There were lawsuits brought over the marketing practices of tobacco companies that in some sense undermined what was on the label,\" Bohrer said. One example is \"light\" cigarettes, which were marketed as less harmful because they continued laser levels of tar and nicotine.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/150835617&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">But, Bohrer explained, \"The tobacco companies knew that the behavior of cigarette smokers when they have a better filter is to inhale more and to smoke more often, so the claims were false and misleading that light cigarettes were more healthy.\" The Supreme Court ruled that these state laws, laws the prohibit false and misleading advertising \"could be used against tobacco companiees for the additional language that went beyond the federally required warning.\"\u003c/span>\u003c/p>\n\u003cp>Bohrer the tobacco example is \"very close\" to the allegations in the case against narcotics makers. \"Yes, there’s a federal warning on here, but you’re engaging in additional activities that go beyond that and undermine it in a way that’s false and misleading.\"\u003c/p>\n\u003cp>The five companies being sued are Endo Health Solutions, \u003cspan style=\"color: #000000\">Purdue Pharma, Teva Pharmaceutical Industries' Cephalon, Johnson and Johnson's Janssen Pharmaceuticals, and Actavis.\u003c/span>\u003c/p>\n\u003cp>The lawsuit does not specify restitution.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">Borher said the lawsuit raises fascinating and complicated questions, \"about who’s really responsible here, the doctors, the pharmaceutical companies, and the fact that we have this enormous public health problem that is only in part prescritipion drugs and is part of a bigger picture of addiction and drug abuse in the U.S. today.\"\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_19203\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/calsafeselect3.jpg\">\u003cimg class=\"size-large wp-image-19203\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/calsafeselect3-640x426.jpg\" alt=\"One of the nurseries at Fruitvale Academy,, an education program for pregnant and parenting teens and their children. (Brittany Patterson/KQED)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">An unusual sight at a high school: a nursery. But Fruitvale Academy is an education program for pregnant and parenting teens -- their children are cared for on campus at a nursery like this. (Brittany Patterson/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brittany Patterson\u003c/strong>\u003c/p>\n\u003cp>When Jennifer Martinez found out she was pregnant when she was 14, she says that the support systems in her life abruptly changed. She lost all of her friends, she couldn’t reach out to her family, and suddenly she felt alone.\u003c/p>\n\u003cp>She had run away from home and spent time in and out of jail. When she got pregnant, she was living with her boyfriend's parents. Just a year after her son, Vincent, was born, Martinez learned she was pregnant again.\u003c/p>\n\u003cp>Choosing to have this second child, a daughter, was a turning point in her life, she said.\u003c/p>\n\u003cp>“As soon as I had my daughter, I finished my last jail time,” Martinez said. “I told my probation officer, ‘I promise I’m not going to come back here again.’”\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Her probation officer suggested that Martinez check out a special high school for pregnant and parenting teens. The high school is run by the Alameda County branch of the California School Age Families Program, or Cal-SAFE and serves young women and men between the ages of 12-19 or grades 8-12.\u003c/p>\n\u003cp>Martinez, now 19, is on track to graduate from the school's Hayward campus in November with her high school diploma. While she has been finishing her education, her children, now ages 4 and 3, have been beginning theirs. As part of enrollment in the Cal-SAFE program, students must enroll their children in Early Head Start, located right on the same campus.\u003c/p>\n\u003cp>Parents attend class between 9 a.m. and 3 p.m. each day, and instead of worrying about their children, they can walk just a few hundred feet to check on their little ones. Parents and children are also required to spend their lunch hour together.\u003c/p>\n\u003cp>Martinez says the Cal-SAFE program has not only helped her get her life on track, but has also provided a way for her children to begin their lives on more solid ground. More than 73 percent of the students left the Cal-SAFE Program having successfully completed their high school education, far above the cited graduation rate for teen mothers of 30 percent, according to a 2010 report by the California Department of Education.\u003c/p>\n\u003cp>“This program is amazing,” Martinez said. “It’s about building support systems. Having a community here has helped me so much.\u003c/p>\n\u003cp>\u003cstrong>Uncertain Future\u003c/strong>\u003c/p>\n\u003cp>But now, the Alameda County Cal-SAFE program might be in jeopardy of losing its funding. While a major issue has been systematic budget cuts, a bigger issue might be the upcoming retirement of a key advocate for the program: Sheila Jordan, Alameda County Office of Education's superintendent.\u003c/p>\n\u003cp>Currently, the Alameda County Cal-SAFE program is funded primarily by the Alameda County Office of Education, with a small bit of their budget coming Average Daily Attendance money, or ADA. But it has really been the continued support of Jordan who has pledged county dollars to keep the program afloat.\u003c/p>\n\u003cp>“These are young women who were in school, often they’ve dropped out,” Jordan said. “It takes a lot of personal work with these young women, but the pride we have and they have in graduating is huge.”\u003c/p>\n\u003cp>Without Jordan's dogged commitment, the program's future is on less solid ground.\u003c/p>\n\u003cp>\u003cstrong>What it takes\u003c/strong>\u003c/p>\n\u003cp>Sitting outside in the sunny lunch area, a few young mothers feed their children vegetables or applesauce. The air is filled with giggles and cries from gaggle of toddlers playing with one another.\u003c/p>\n\u003cp>Physically, the program has been crafted to create a learning-conducive environment. Brightly colored drawings and other art projects are pasted on the walls of the classrooms and hallways. At both campuses huge bulletin boards advertise resources for the young parents.\u003c/p>\n\u003cp>According to \u003ca href=\"http://www.cde.ca.gov/ls/cg/pp/legreport.asp\">data\u003c/a> collected from Cal-SAFE programs, a significant majority of the children born to Cal-SAFE students were born healthy.\u003c/p>\n\u003cp>Principal Carolyn Hobbs administers Alameda County’s Cal-SAFE Program. She says the program gets remarkable results, especially considering the challenges backgrounds their students have coped with.\u003c/p>\n\u003cp>The students who come to the program are in widely different places academically. Often their living situations are precarious. In addition, many aren't prepared for the physical changes that their bodies will go through during pregnancy.\u003c/p>\n\u003cp>The teaching staff starts by mapping out where each student is in terms of credits and works to develop a road map to graduation.\u003c/p>\n\u003cp>“For many of them it’s the first time they see where they can go,” Hobbs said. “They see a light at the end of the tunnel and realize, ‘I can graduate.’”\u003c/p>\n\u003cp>The program also has a nurse on staff who works hard to make sure students make all of their scheduled doctor’s appointments.\u003c/p>\n\u003cp>The staff make themselves available for more than just questions about learning.\u003c/p>\n\u003cp>“We can talk to our teachers about anything,” Martinez said. “I wouldn’t have been able to go up to my math teacher at my old school and be like, ‘Hey, I’m pregnant. What do I do?’”\u003c/p>\n\u003cp>Hobbs acknowledges that it’s not inexpensive to fund a program like this, but she says, the investment goes far beyond the 90 students the program can serve: It helps to build generations of contributors to society.\u003c/p>\n\u003cp>The young people who come to the program often come from tumultuous backgrounds. In addition to academics, the Cal-SAFE program teaches these teens how to become successful parents with classes on parenting skills, proper nutrition, even budgeting skills. The program enhances students' world view, showing students that they can achieve more for themselves and their children.\u003c/p>\n\u003cp>“Where do you put your money?” Hobbs says. “You could be pennywise and pound foolish. But consider the costs of incarceration versus education.”\u003c/p>\n\u003cp>Martinez says she’s seen a huge improvement in the cognitive abilities of her own children. They can sing the alphabet, name colors, and sing songs together.\u003c/p>\n\u003cp>“They surprise me sometimes,” she said. “I think ‘you’re not going to be able to do it.’ And they do it. I feel like they’re going to be the smartest kids in the world.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"6mapvcpD3u4b9RREpncg1NLA1BjoQakj\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Her probation officer suggested that Martinez check out a special high school for pregnant and parenting teens. The high school is run by the Alameda County branch of the California School Age Families Program, or Cal-SAFE and serves young women and men between the ages of 12-19 or grades 8-12.\u003c/p>\n\u003cp>Martinez, now 19, is on track to graduate from the school's Hayward campus in November with her high school diploma. While she has been finishing her education, her children, now ages 4 and 3, have been beginning theirs. As part of enrollment in the Cal-SAFE program, students must enroll their children in Early Head Start, located right on the same campus.\u003c/p>\n\u003cp>Parents attend class between 9 a.m. and 3 p.m. each day, and instead of worrying about their children, they can walk just a few hundred feet to check on their little ones. Parents and children are also required to spend their lunch hour together.\u003c/p>\n\u003cp>Martinez says the Cal-SAFE program has not only helped her get her life on track, but has also provided a way for her children to begin their lives on more solid ground. More than 73 percent of the students left the Cal-SAFE Program having successfully completed their high school education, far above the cited graduation rate for teen mothers of 30 percent, according to a 2010 report by the California Department of Education.\u003c/p>\n\u003cp>“This program is amazing,” Martinez said. “It’s about building support systems. Having a community here has helped me so much.\u003c/p>\n\u003cp>\u003cstrong>Uncertain Future\u003c/strong>\u003c/p>\n\u003cp>But now, the Alameda County Cal-SAFE program might be in jeopardy of losing its funding. While a major issue has been systematic budget cuts, a bigger issue might be the upcoming retirement of a key advocate for the program: Sheila Jordan, Alameda County Office of Education's superintendent.\u003c/p>\n\u003cp>Currently, the Alameda County Cal-SAFE program is funded primarily by the Alameda County Office of Education, with a small bit of their budget coming Average Daily Attendance money, or ADA. But it has really been the continued support of Jordan who has pledged county dollars to keep the program afloat.\u003c/p>\n\u003cp>“These are young women who were in school, often they’ve dropped out,” Jordan said. “It takes a lot of personal work with these young women, but the pride we have and they have in graduating is huge.”\u003c/p>\n\u003cp>Without Jordan's dogged commitment, the program's future is on less solid ground.\u003c/p>\n\u003cp>\u003cstrong>What it takes\u003c/strong>\u003c/p>\n\u003cp>Sitting outside in the sunny lunch area, a few young mothers feed their children vegetables or applesauce. The air is filled with giggles and cries from gaggle of toddlers playing with one another.\u003c/p>\n\u003cp>Physically, the program has been crafted to create a learning-conducive environment. Brightly colored drawings and other art projects are pasted on the walls of the classrooms and hallways. At both campuses huge bulletin boards advertise resources for the young parents.\u003c/p>\n\u003cp>According to \u003ca href=\"http://www.cde.ca.gov/ls/cg/pp/legreport.asp\">data\u003c/a> collected from Cal-SAFE programs, a significant majority of the children born to Cal-SAFE students were born healthy.\u003c/p>\n\u003cp>Principal Carolyn Hobbs administers Alameda County’s Cal-SAFE Program. She says the program gets remarkable results, especially considering the challenges backgrounds their students have coped with.\u003c/p>\n\u003cp>The students who come to the program are in widely different places academically. Often their living situations are precarious. In addition, many aren't prepared for the physical changes that their bodies will go through during pregnancy.\u003c/p>\n\u003cp>The teaching staff starts by mapping out where each student is in terms of credits and works to develop a road map to graduation.\u003c/p>\n\u003cp>“For many of them it’s the first time they see where they can go,” Hobbs said. “They see a light at the end of the tunnel and realize, ‘I can graduate.’”\u003c/p>\n\u003cp>The program also has a nurse on staff who works hard to make sure students make all of their scheduled doctor’s appointments.\u003c/p>\n\u003cp>The staff make themselves available for more than just questions about learning.\u003c/p>\n\u003cp>“We can talk to our teachers about anything,” Martinez said. “I wouldn’t have been able to go up to my math teacher at my old school and be like, ‘Hey, I’m pregnant. What do I do?’”\u003c/p>\n\u003cp>Hobbs acknowledges that it’s not inexpensive to fund a program like this, but she says, the investment goes far beyond the 90 students the program can serve: It helps to build generations of contributors to society.\u003c/p>\n\u003cp>The young people who come to the program often come from tumultuous backgrounds. In addition to academics, the Cal-SAFE program teaches these teens how to become successful parents with classes on parenting skills, proper nutrition, even budgeting skills. The program enhances students' world view, showing students that they can achieve more for themselves and their children.\u003c/p>\n\u003cp>“Where do you put your money?” Hobbs says. “You could be pennywise and pound foolish. But consider the costs of incarceration versus education.”\u003c/p>\n\u003cp>Martinez says she’s seen a huge improvement in the cognitive abilities of her own children. 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"content": "\u003cfigure id=\"attachment_19088\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/463408273-e1400078049904.jpg\">\u003cimg class=\"size-large wp-image-19088\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/463408273-640x425.jpg\" alt=\"A Human Rights Watch study found that most children working in tobacco field got sick with nausea, dizziness, lightheadedness. (Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A Human Rights Watch study found that most children working in tobacco fields got sick with nausea, dizziness, lightheadedness. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp style=\"color: #111111\">\u003cstrong>By Debbie Elliott,\u003c/strong> \u003ca href=\"http://www.npr.org/2014/05/14/312181116/too-young-to-smoke-but-not-to-pick-tobacco\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp style=\"color: #111111\">Kids under 18 can't buy cigarettes in the U.S., but they can legally work in tobacco fields when they're as young as 12.\u003c/p>\n\u003cp style=\"color: #111111\">One of those kids is Eddie Ramirez, 15, who works the fields in the summer.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"T\u003cspan style=\"color: #111111\">he rows are narrow and the tobacco is really big. You just feel like you're suffocating or can't breathe really well.\" --\u003cem> Eddie Ramirez, 15\u003c/em>\u003c/span>\u003cem> \u003c/em>\u003c/aside>\n\u003cp style=\"color: #111111\">\"It just sticks to my hand,\" he says of the plant. \"It's really sticky, you know, and really yellow.\" It's nearly impossible to wash off, he says.\u003c/p>\n\u003cp style=\"color: #111111\">A \u003ca style=\"font-style: inherit;color: #4774cc\" href=\"http://www.hrw.org/node/125316\" target=\"_blank\">new report from Human Rights Watch\u003c/a> says the practice of children farming tobacco is hazardous and should be stopped. The group interviewed more than 140 kids in 2012 and 2013, including Eddie, who work on tobacco farms in the South.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp style=\"color: #111111\">From the sparse mobile home he shares with his mother in Snow Hill, N.C., Eddie describes feeling lightheaded and queasy after a 12-hour day in the tobacco fields.\u003c!--more-->\u003c/p>\n\u003cp style=\"color: #111111\">\"In the mornings, tobacco is wet because of the dew and, like, the rows are narrow and the tobacco is really big. You just feel like you're suffocating or can't breathe really well,\" he says. \"You just want to stop and not do it no more.\"\u003c/p>\n\u003cp style=\"color: #111111\">Eddie, who's in the eighth grade, is hired by contractors who provide labor to growers in the area. His family came here from Honduras when he was 7. By the time he was 12, Eddie says, he had started working in the fields alongside his mother to help make ends meet.\u003c/p>\n\u003cp style=\"color: #111111\">\"We found that the overwhelming majority of kids we interviewed got sick while they were working in tobacco fields with nausea, headaches, dizziness, lightheadedness,\" says Human Rights Watch researcher Margaret Wurth. \"And many of the symptoms they reported are consistent with acute nicotine poisoning, which happens when workers absorb nicotine through their skin.\"\u003c/p>\n\u003cp style=\"color: #111111\">No one tracks how many kids work on tobacco farms, so there's no way to know how common or widespread the practice is. But Human Rights Watch argues that it's too hazardous and should be illegal.\u003c/p>\n\u003cp style=\"color: #111111\">Matt Myers, president of the Campaign for Tobacco-Free Kids, says the report points out a gaping hole in U.S. labor law.\u003c/p>\n\u003cp style=\"color: #111111\">\"It's outrageous that in 2014, children are still working in tobacco farms. It is well-known how dangerous exposure both to nicotine and to the many pesticides used on tobacco is to kids,\" Myers says.\u003c/p>\n\u003cp style=\"color: #111111\">Congress has resisted changing farm labor laws, and the Labor Department \u003ca style=\"font-style: inherit;color: #4774cc\" href=\"http://www.npr.org/blogs/thetwo-way/2012/04/27/151532873/obama-administration-backs-down-from-new-child-labor-rules-on-farms\" target=\"_blank\">withdrew proposed stricter standards\u003c/a> for kids in 2012 under political pressure. Human Rights Watch is now calling on major tobacco companies to get kids out of the fields.\u003c/p>\n\u003cp style=\"color: #111111\">The report notes that tobacco giant Philip Morris International has the most comprehensive child labor policy — but that it doesn't go far enough.\u003c/p>\n\u003cp style=\"color: #111111\">Miguel Coleta, director of external labor policies at PMI, says the child labor abuses outlined by Human Rights Watch violate company guidelines.\u003c/p>\n\u003cp style=\"color: #111111\">\"If children are doing hazardous work, that has to stop,\" Coleta says.\u003c/p>\n\u003cp style=\"color: #111111\">But Coleta says there are roles for kids younger than 18 on farms, under the right conditions. For example, he says, \"ensuring that whatever children are doing on the farm is appropriate to their age and is not something that is undermining their health or their future.\"\u003c/p>\n\u003cp style=\"color: #111111\">Top U.S. cigarette makers, including Altria and R.J. Reynolds, say they require growers to protect young workers. Altria spokesman Jeff Caldwell says there are some jobs kids can perform safely.\u003c/p>\n\u003cp style=\"color: #111111\">\"The Human Rights Watch recommendations to prohibit youth of any age from handling or coming into contact with tobacco is counter to a lot of farming practices that currently take place in the U.S.,\" Caldwell says.\u003c/p>\n\u003cp style=\"color: #111111\">In North Carolina, 15-year-old Eddie Ramirez is hopeful the newfound attention to his summer job will bring changes like safety gear and places to use the restroom.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"m6HzQShWvCTSQIjpeiiTzHTDbsFPIU1D\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp style=\"color: #111111\">From the sparse mobile home he shares with his mother in Snow Hill, N.C., Eddie describes feeling lightheaded and queasy after a 12-hour day in the tobacco fields.\u003c!--more-->\u003c/p>\n\u003cp style=\"color: #111111\">\"In the mornings, tobacco is wet because of the dew and, like, the rows are narrow and the tobacco is really big. You just feel like you're suffocating or can't breathe really well,\" he says. \"You just want to stop and not do it no more.\"\u003c/p>\n\u003cp style=\"color: #111111\">Eddie, who's in the eighth grade, is hired by contractors who provide labor to growers in the area. His family came here from Honduras when he was 7. By the time he was 12, Eddie says, he had started working in the fields alongside his mother to help make ends meet.\u003c/p>\n\u003cp style=\"color: #111111\">\"We found that the overwhelming majority of kids we interviewed got sick while they were working in tobacco fields with nausea, headaches, dizziness, lightheadedness,\" says Human Rights Watch researcher Margaret Wurth. \"And many of the symptoms they reported are consistent with acute nicotine poisoning, which happens when workers absorb nicotine through their skin.\"\u003c/p>\n\u003cp style=\"color: #111111\">No one tracks how many kids work on tobacco farms, so there's no way to know how common or widespread the practice is. But Human Rights Watch argues that it's too hazardous and should be illegal.\u003c/p>\n\u003cp style=\"color: #111111\">Matt Myers, president of the Campaign for Tobacco-Free Kids, says the report points out a gaping hole in U.S. labor law.\u003c/p>\n\u003cp style=\"color: #111111\">\"It's outrageous that in 2014, children are still working in tobacco farms. It is well-known how dangerous exposure both to nicotine and to the many pesticides used on tobacco is to kids,\" Myers says.\u003c/p>\n\u003cp style=\"color: #111111\">Congress has resisted changing farm labor laws, and the Labor Department \u003ca style=\"font-style: inherit;color: #4774cc\" href=\"http://www.npr.org/blogs/thetwo-way/2012/04/27/151532873/obama-administration-backs-down-from-new-child-labor-rules-on-farms\" target=\"_blank\">withdrew proposed stricter standards\u003c/a> for kids in 2012 under political pressure. Human Rights Watch is now calling on major tobacco companies to get kids out of the fields.\u003c/p>\n\u003cp style=\"color: #111111\">The report notes that tobacco giant Philip Morris International has the most comprehensive child labor policy — but that it doesn't go far enough.\u003c/p>\n\u003cp style=\"color: #111111\">Miguel Coleta, director of external labor policies at PMI, says the child labor abuses outlined by Human Rights Watch violate company guidelines.\u003c/p>\n\u003cp style=\"color: #111111\">\"If children are doing hazardous work, that has to stop,\" Coleta says.\u003c/p>\n\u003cp style=\"color: #111111\">But Coleta says there are roles for kids younger than 18 on farms, under the right conditions. For example, he says, \"ensuring that whatever children are doing on the farm is appropriate to their age and is not something that is undermining their health or their future.\"\u003c/p>\n\u003cp style=\"color: #111111\">Top U.S. cigarette makers, including Altria and R.J. Reynolds, say they require growers to protect young workers. Altria spokesman Jeff Caldwell says there are some jobs kids can perform safely.\u003c/p>\n\u003cp style=\"color: #111111\">\"The Human Rights Watch recommendations to prohibit youth of any age from handling or coming into contact with tobacco is counter to a lot of farming practices that currently take place in the U.S.,\" Caldwell says.\u003c/p>\n\u003cp style=\"color: #111111\">In North Carolina, 15-year-old Eddie Ramirez is hopeful the newfound attention to his summer job will bring changes like safety gear and places to use the restroom.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"m6HzQShWvCTSQIjpeiiTzHTDbsFPIU1D\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_19043\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/IMG_0259-e1399412365349.jpg\">\u003cimg class=\"wp-image-19043 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/IMG_0259-640x480.jpg\" alt=\"IMG_0259\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The fear of street violence in her East Oakland community prevents Maria Peña (left) from taking her children to neighborhood parks and from allowing them to play in front of their home. A supervised playgroup provides that opportunity. (Ryder Diaz/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: When it's too dangerous for children to play outside, what can parents do? Thirty-five-year-old Maria Peña recalls her own childhood in East Oakland as one spent playing happily on the streets with neighborhood children. Today, her community’s high crime rate makes the street a hazardous place for her two kids. As part of our ongoing health series \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Vital Signs\u003c/a>, Peña describes how an East Oakland playgroup called \u003ca href=\"http://lotusbloomfamily.org/\" target=\"_blank\">Room to Bloom\u003c/a> gives her four-year-old daughter a safe space to be a kid.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Maria Peña\u003c/strong>\u003c/p>\n\u003cp>We were going to leave to a baseball game and something held us back from leaving. It was a drive-by in broad daylight.\u003c/p>\n\u003cp>My daughter is 4-years-old, and she's like, \"Why are they shooting? Why are these people doing this?\"\u003c!--more-->\u003c/p>\n\u003cp>Sadly we can't come to the parks here in Oakland. And that's because they're full of kids hanging out and either selling drugs or doing drugs or drinking. I'm afraid that someone's going to drive by and do a drive-by (shooting) at the park.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So now instead of them playing out in the yard, we have to play in the back or find a game to do inside. Or go to another park.\u003c/p>\n\u003cp>I was looking for a place like this for Samantha to socialize. Because she's been with adults -- and before she goes to kindergarten -- I need her to socialize with kids her age.\u003c/p>\n\u003cp>Honestly, I thought (Room to Bloom was going to be) something negative. I was like, \"(It's) by Castlemont? No, it's not good. It's East Oakland. It's going to be more crime. We're going to have people out here selling drugs or doing god-knows-what.\"\u003c/p>\n\u003cp>But I said, \"You know what, I'm going to give it a try.\"\u003c/p>\n\u003cp>I was amazed. They get to socialize; they get to do artwork. They do story time. Today we had drums, and she gets to play outside which is the best part. There's not many other options like this.\u003c/p>\n\u003cp>This (street violence) is a reality. This is where we live. It exists but this is not going to shape you up. Just because you hear this or see this, this is not who we are.\u003c/p>\n\u003cp>I took a chance to come here, and it was the best choice I've made. And I feel that's healthy because I wasn't stuck at home afraid.\u003c/p>\n\u003cp>\u003cem>This story was reported by Ryder Diaz.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/148377841&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca style=\"font-weight: bold;color: #114999\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"9duGucNZWAxIpbOdUXpy8XosOT4PTF9x\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So now instead of them playing out in the yard, we have to play in the back or find a game to do inside. Or go to another park.\u003c/p>\n\u003cp>I was looking for a place like this for Samantha to socialize. Because she's been with adults -- and before she goes to kindergarten -- I need her to socialize with kids her age.\u003c/p>\n\u003cp>Honestly, I thought (Room to Bloom was going to be) something negative. I was like, \"(It's) by Castlemont? No, it's not good. It's East Oakland. It's going to be more crime. We're going to have people out here selling drugs or doing god-knows-what.\"\u003c/p>\n\u003cp>But I said, \"You know what, I'm going to give it a try.\"\u003c/p>\n\u003cp>I was amazed. They get to socialize; they get to do artwork. They do story time. Today we had drums, and she gets to play outside which is the best part. There's not many other options like this.\u003c/p>\n\u003cp>This (street violence) is a reality. This is where we live. It exists but this is not going to shape you up. Just because you hear this or see this, this is not who we are.\u003c/p>\n\u003cp>I took a chance to come here, and it was the best choice I've made. And I feel that's healthy because I wasn't stuck at home afraid.\u003c/p>\n\u003cp>\u003cem>This story was reported by Ryder Diaz.\u003c/em>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/148377841&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003ca style=\"font-weight: bold;color: #114999\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"9duGucNZWAxIpbOdUXpy8XosOT4PTF9x\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Turn Off Your Truck: Central Valley Teens Campaign to Cut Emissions",
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"content": "\u003cfigure id=\"attachment_18994\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf.jpg\">\u003cimg class=\"size-full wp-image-18994\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf.jpg\" alt=\"Theresa Moreno, 15, talks to a trucker about strategies to reduce pollution. (Alice Daniel/KQED)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/05/RS10094_Theresa-tells-a-trucker-about-how-to-pollute-less-hpf-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Theresa Moreno, 15, talks to a trucker about strategies to reduce pollution. (Alice Daniel/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>At the intersection of I-5 and Highway 41 lies Kettleman City, a frequent stop for big-rig truckers. But drivers often leave their trucks idling while they have a meal, and residents worry about the resulting air pollution. As part of our first-person health series \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>,\" we hear from two people: Theresa Moreno and Maricela Mares-a la Torre, a community organizer with Greenaction. She trains young people to talk to truckers about air pollution. Mares-a la Torre begins:\u003c/em>\u003c/p>\n\u003cp>What we find is that a lot of the truckers that are stopped up here at the junction, they're going into the restaurants, they're hanging out, checking their email, eating their lunch, and they're letting their trucks idle because supposedly, they don't want the air conditioning to turn off. But that's against the law.\u003c/p>\n\u003cp>We've trained our youth to go out and talk to truckers about idling and diesel emission safety. We try to go out in pairs just because it makes you a little braver if you're with somebody, and truckers can be, you know, a little bit gruff.\u003c!--more-->\u003c/p>\n\u003cp>\u003ci>Mares-a la Torre watches as 15-year-old Theresa Moreno approaches a truck driver, near his rig.\u003c/i>\u003c/p>\n\u003cp>\"Hi. My name is Theresa Moreno. I'm here handing this flyer on behalf of Greenaction. I want to talk to about the safety as a trucker. As you know, the diesel is harmful, you're aware of California idling laws. But did you know that you can get help to upgrade your truck? There's more information on this flyer.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Okay, thank you. Thank you for the information,\" the driver replies.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/147559202&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>Moreno explains why she got involved:\u003c/em>\u003c/p>\n\u003cp>Well, I have asthma. Which many of us in the town have asthma. I know when I was smaller, I couldn't be outside for an hour cause the next day I would wake up sick.\u003c/p>\n\u003cp>Why can't they just turn off their truck? Whenever we go to a store, we turn off our truck or our car and we go inside the store. It's cool right? And we go back in our car, of course it's hot. I mean, we rough it out. You have to put down the windows. You're good.\u003c/p>\n\u003cp>It feels pretty good to go up to a trucker. You feel like you're making a change. To help change the world little by little by little. Make it a better place to live.\u003c/p>\n\u003cp>\u003cem>Mares-a la Torre tells Moreno she did a good job.\u003c/em>\u003c/p>\n\u003cp>\"You got the information in their hands,\" she tells Moreno, \"and that's what's important.\"\u003c/p>\n\u003cp>\u003cem>This story was reported by Alice Daniel.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\"> Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Okay, thank you. Thank you for the information,\" the driver replies.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/147559202&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>Moreno explains why she got involved:\u003c/em>\u003c/p>\n\u003cp>Well, I have asthma. Which many of us in the town have asthma. I know when I was smaller, I couldn't be outside for an hour cause the next day I would wake up sick.\u003c/p>\n\u003cp>Why can't they just turn off their truck? Whenever we go to a store, we turn off our truck or our car and we go inside the store. It's cool right? And we go back in our car, of course it's hot. I mean, we rough it out. You have to put down the windows. You're good.\u003c/p>\n\u003cp>It feels pretty good to go up to a trucker. You feel like you're making a change. To help change the world little by little by little. Make it a better place to live.\u003c/p>\n\u003cp>\u003cem>Mares-a la Torre tells Moreno she did a good job.\u003c/em>\u003c/p>\n\u003cp>\"You got the information in their hands,\" she tells Moreno, \"and that's what's important.\"\u003c/p>\n\u003cp>\u003cem>This story was reported by Alice Daniel.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\"> Share your own story about health in your community on the radio.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Report: High Rates of Pesticide Use Near Many California Schools",
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"content": "\u003cfigure id=\"attachment_18974\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/photo-2-e1398960397957.jpg\">\u003cimg class=\"size-large wp-image-18974\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/photo-2-640x480.jpg\" alt=\"Central Valley farmworkers and environmentalists protest pesticide spraying on farms near schools, from outside an elementary school in West Fresno at risk. (Sasha Khokha/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Central Valley farmworkers and environmentalists protest pesticide spraying on farms near schools, from outside an elementary school in West Fresno at risk. (Sasha Khokha/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>A new state report shows tens of thousands of California students attend schools very close to farms where heavy amounts of pesticides are used.\u003c/p>\n\u003cp>Farmworkers and pesticide reform groups say the data is long overdue.\u003c/p>\n\u003cp>This is the first time the California Department of Public Health (CDPH) has \u003ca href=\"http://cehtp.org/p/page.jsp?page_key=1040\" target=\"_blank\">comprehensively surveyed \u003c/a>pesticide use near the 2,500 schools in 15 California counties with the most pesticide use. CDPH defined \"near\" as within 1/4 mile, a \"\u003ca href=\"http://cehtp.org/projects/ehss01/pesticides_and_schools/Pesticides_Schools_FAQs.pdf\" target=\"_blank\">common distance\u003c/a>\" when pesticides are used near schools. Monterey, Ventura, Tulare, and Fresno counties had the most students and schools located within a quarter-mile of where pesticides are used.\u003c/p>\n\u003cp>Latino school children are 91 percent more likely than white students to attend schools near fields with heavy pesticide use.\u003c!--more-->\u003c/p>\n\u003cp>Dr. Asa Bradman reviewed the report for CDPH. He directs the Center for Environmental Research and Children’s Health at UC Berkeley.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We’re trying to understand how pesticides are used, what their potential toxicity is, identify communities where additional research is warranted, and then potentially take steps to reduce those exposures,\" Bradman said.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/147422295&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>In the report, authors are clear that the study does not measure whether any children were actually exposed to pesticides and does NOT link pesticide use to health effects in children.\u003c/p>\n\u003cp>Even so, rural residents like Domitila Lemus, in the Central Valley community of Plainview, would like to know more about the health risks are.\u003c/p>\n\u003cp>“Our school is right near a grape vineyard,” she said in Spanish. “When kids come out of school sometimes, the first thing they smell is pesticides. I want to reach into the hearts of farmers so they advise schools when they are going to spray -- and are careful with our children.\"\u003c/p>\n\u003cp>Pesticide reform groups have criticized the timing of the study, which was released late last week after a \u003ca href=\"http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_1401-1450/sb_1411_bill_20140221_introduced.html\" target=\"_blank\">pesticide safety bill\u003c/a> failed in a state senate committee. That measure would have increased requirements for farmers to notify residents and schools in advance of applying certain pesticides. A Department of Public Health spokesman says the timing was coincidental.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"PxOTuA4WkCaszfdilwocdTeHQajRW1uS\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We’re trying to understand how pesticides are used, what their potential toxicity is, identify communities where additional research is warranted, and then potentially take steps to reduce those exposures,\" Bradman said.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/147422295&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>In the report, authors are clear that the study does not measure whether any children were actually exposed to pesticides and does NOT link pesticide use to health effects in children.\u003c/p>\n\u003cp>Even so, rural residents like Domitila Lemus, in the Central Valley community of Plainview, would like to know more about the health risks are.\u003c/p>\n\u003cp>“Our school is right near a grape vineyard,” she said in Spanish. “When kids come out of school sometimes, the first thing they smell is pesticides. I want to reach into the hearts of farmers so they advise schools when they are going to spray -- and are careful with our children.\"\u003c/p>\n\u003cp>Pesticide reform groups have criticized the timing of the study, which was released late last week after a \u003ca href=\"http://www.leginfo.ca.gov/pub/13-14/bill/sen/sb_1401-1450/sb_1411_bill_20140221_introduced.html\" target=\"_blank\">pesticide safety bill\u003c/a> failed in a state senate committee. That measure would have increased requirements for farmers to notify residents and schools in advance of applying certain pesticides. A Department of Public Health spokesman says the timing was coincidental.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"PxOTuA4WkCaszfdilwocdTeHQajRW1uS\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_18958\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/thomashawk/3396042806/in/photolist-hKr7ZG-NyYN7-Q4Sue-8BJVgU-NyYVm-efaaEg-effU5b-efa9kz-efaafp-effSPE-effS5L-NzrB4-NyZ2o-6b6Bdb-ba34VP-ba35eF-o4dSz-YteKt-9PtxFt-516wLR-51aJB5-kEtxz-6mvNzB-6Gh5QT-51aLt1-5GCTEz-fNW3uU-6GkWYj-6GkUN7-6Gm7rd-itxXGM-8rRNtd-6Gh31B-8rNHLR-er2Fr7-8rNHgH-8rRNyN-8rRPuY-8rNJdD-8rRNom-8rNHBn-8rRNJq-8rNHuB-8rRNgY-eZbpkD-6Gm3BC-6GgYiz-arK7kf-ba3aYt-97TLvP\">\u003cimg class=\"size-large wp-image-18958\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/3396042806_104f70f704_b-640x376.jpg\" alt=\"A new law permits San Francisco Sheriff Department staff to enroll people into health plans. (Thomas Hawk/Flickr)\" width=\"640\" height=\"376\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A new law permits San Francisco Sheriff Department staff to enroll people into health plans. (Thomas Hawk/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The San Francisco Sheriff's Department is implementing a new city law allowing its staff to enroll inmates into health insurance under the Affordable Care Act. Sheriff Ross Mirkarimi believes that making sure people have health coverage when they're released will help prevent them from committing another crime and coming back.\u003c/p>\n\u003cp>“I believe that will go a long way to helping us improve public safety by using a public health strategy,” he said.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Health insurance sign-ups available to all inmates at the San Francisco county jail.\u003c/aside>\n\u003cp>He estimates this will help save taxpayers millions of dollars.\u003c/p>\n\u003cp>One inmate – Sophia – recently requested help signing up for health insurance. Sophia, who asked that her last name not be used, was caught driving a stolen car in January and sentenced to three months in the county jail. She says that was because she stopped getting treatment for her substance abuse and mental health problems when her health insurance expired.\u003c!--more-->\u003c/p>\n\u003cp>“It stopped in December. And I didn’t get it reinstated. So I didn’t address any of my issues and I guess that’s why I found myself in a car, driving around,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>She thought she might not do that again if she could get back on a health plan. She asked the jail if they could help her find one. Tanya Mara, the director of the health division of jail reentry services, came to walk her through the process of applying for health insurance.\u003c/p>\n\u003cp>“Prior to your arrest, did you have an income?\" Mara asked Sophia. \"Does your income change from month to month? What do you expect your income to be for 2014?”\u003c/p>\n\u003cp>Mara quickly identified a program for Sophia.\u003c/p>\n\u003cp>“You would likely qualify for Medi-Cal,” she says. “With the Affordable Care Act, you can now qualify for Medi-Cal based on income.” Medi-Cal is California's version of Medicaid, health insurance for people who are low income.\u003c/p>\n\u003cp>Obamacare has changed two key things for the formerly incarcerated. First, it expanded Medicaid to include childless adults. That means most prisoners will now qualify for the free government health coverage when they get out. Second, all plans must now cover treatment for mental health and substance use disorders –- problems that affect more than half the people in prison or jail, according to a report by the U.S. Department of Justice.\u003c/p>\n\u003cp>\u003cstrong>\"Captive Audience\" for Enrollment\u003c/strong>\u003c/p>\n\u003cp>Pretty soon, health insurance sign-ups like Sophia’s will happen for all inmates at the San Francisco county jail -- whether they request it or not. And they’ll happen right when most new arrivals get booked into custody.\u003c/p>\n\u003cp>“You have a captive audience,” Sheriff Mirkarimi said. He wants to make sure the 30,000 prisoners who come through the jail system every year are covered on the day they’re released.\u003c/p>\n\u003cp>The sheriff was behind the new city law. It authorizes his staff to enroll people into health care plans under the Affordable Care Act, 24 hours a day, 7 days a week. Other counties and states are exploring similar efforts for people exiting jail or prison.\u003c/p>\n\u003cp>But Mirkarimi acknowledges that getting coverage is just one small step. Just because someone has a newly minted Medi-Cal card doesn't mean they'll know how to use it.\u003c/p>\n\u003cp>“No, they’re going to have to demonstrate the wherewithal and resourcefulness to use that Medi-Cal card,” he said. “We, and our staff, help them get ready. But ultimately, it’s on them.”\u003c/p>\n\u003cp>That’s not how Wanda Fain sees it. She was just released from state prison after 21 years behind bars. Everything is new to her. Getting on and off escalators is weird. Mobile phones are a new concept. She says she needs a friend just to help her ride the bus.\u003c/p>\n\u003cp>“They tell me what bus we on, they tell me what stops to get off,” she said, “what specific things to look for so I won’t miss a stop.”\u003c/p>\n\u003cp>Don’t even get her started on housing.\u003c/p>\n\u003cp>“Us parolees, we can’t leave San Francisco. But at the same token, we can’t afford to stay in San Francisco,” she said. “Cause it’s, what ,$4,000 for a one bedroom? Who coming out of prison got that money?”\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/147255043&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>Navigating the health care system is even more confusing. Fain has seizures, lymphoma, and bipolar disorder. In prison, the guards regulated all of her care for her. She wasn't allowed to eat a meal until she took her meds. But on the outside, it's up to her to find the right doctor, the right pharmacy –- and to figure out which four buses she needs to take to get there.\u003c/p>\n\u003cp>“It's little things like that that people think are so easy,\" she said, shaking her head. “They are so overwhelming.”\u003c/p>\n\u003cp>If Sheriff Mirkarimi's plan is going to work, people getting out of jail are going to need help on the other side.\u003c/p>\n\u003cp>\u003cstrong>Clinic Helps Former Prisoners Navigate Health Care System\u003c/strong>\u003c/p>\n\u003cp>Most inmates leaving jail or prison are like Fain and have several chronic conditions. And most are so focused on other things that they rarely get medical help until things are so bad that they end up in the Emergency Room.\u003c/p>\n\u003cp>“These are really some of the sickest patients we see in our system,” said Shira Shavit, a family doctor in San Francisco. “They have high rates of hospitalization, very high rates of using the emergency room, and also very high rates of death.”\u003c/p>\n\u003cp>Dr. Shavit is trying to shift those trends. She’s the director of The Transitions Clinic, a specialized program designed for former prisoners, where doctors, psychiatrists, and social workers all consult together on the same patients. But its key staff are community health workers who have all spent time behind bars, too; people like Juanita Alvarado who help patients with all the tasks that would otherwise get in the way of caring for their health -- applying for housing, social security, finding a job, printing out paperwork or bus maps.\u003c/p>\n\u003cp>“Basically holding their hands in the first few weeks after they’re out,” Alvarado said.\u003c/p>\n\u003cp>She keeps the bookshelf behind her desk stocked with soup, breakfast bars, peanut butter, and tuna fish. A lot of their patients are denied food stamps because of drug convictions and have trouble finding affordable groceries.\u003c/p>\n\u003cp>“So I hook them up with a little bag,” Alvarado said.\u003c/p>\n\u003cp>The one-stop-shop approach works. Transition program patients show up for their appointments at higher rates than other patients, and, Dr. Shavit says ER use among their patients has dropped by 50 percent.\u003c/p>\n\u003cp>That caught the attention of the federal government, which foots a lot of those ER bills with taxpayer dollars. It gave the clinic a special $6.8 million \u003ca href=\"http://innovation.cms.gov/initiatives/Health-Care-Innovation-Awards/California.html\" target=\"_blank\">innovation grant\u003c/a> created under the Affordable Care Act to expand the concept beyond San Francisco. The team is using the money to help 11 clinics in six states and Puerto Rico hire and train former prisoners to staff similar programs. Federal health officials believe this will ultimately save $8 million.\u003c/p>\n\u003cp>The even broader goal – for both Mirkarimi’s plan and the Transitions Clinic – is that health care will help keep people from going back to jail or prison. Recidivism rates have dipped in recent years, but they are still high – 61 percent of people who leave a California prison return within three years. For people on parole or probation in San Francisco, the rate is even higher.\u003c/p>\n\u003cp>Wanda Fain feels like she’s just skirting those statistics. She lives a short walk away from the Transitions Clinic and comes often to get help with a range of tasks and health issues.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“If I didn't have Juanita Alvarado, or Dr. Shavit, or any of them, I’d be in – I don’t know where I’d be,” she said. “Probably on my way back.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18958\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/thomashawk/3396042806/in/photolist-hKr7ZG-NyYN7-Q4Sue-8BJVgU-NyYVm-efaaEg-effU5b-efa9kz-efaafp-effSPE-effS5L-NzrB4-NyZ2o-6b6Bdb-ba34VP-ba35eF-o4dSz-YteKt-9PtxFt-516wLR-51aJB5-kEtxz-6mvNzB-6Gh5QT-51aLt1-5GCTEz-fNW3uU-6GkWYj-6GkUN7-6Gm7rd-itxXGM-8rRNtd-6Gh31B-8rNHLR-er2Fr7-8rNHgH-8rRNyN-8rRPuY-8rNJdD-8rRNom-8rNHBn-8rRNJq-8rNHuB-8rRNgY-eZbpkD-6Gm3BC-6GgYiz-arK7kf-ba3aYt-97TLvP\">\u003cimg class=\"size-large wp-image-18958\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/3396042806_104f70f704_b-640x376.jpg\" alt=\"A new law permits San Francisco Sheriff Department staff to enroll people into health plans. (Thomas Hawk/Flickr)\" width=\"640\" height=\"376\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A new law permits San Francisco Sheriff Department staff to enroll people into health plans. (Thomas Hawk/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>The San Francisco Sheriff's Department is implementing a new city law allowing its staff to enroll inmates into health insurance under the Affordable Care Act. Sheriff Ross Mirkarimi believes that making sure people have health coverage when they're released will help prevent them from committing another crime and coming back.\u003c/p>\n\u003cp>“I believe that will go a long way to helping us improve public safety by using a public health strategy,” he said.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Health insurance sign-ups available to all inmates at the San Francisco county jail.\u003c/aside>\n\u003cp>He estimates this will help save taxpayers millions of dollars.\u003c/p>\n\u003cp>One inmate – Sophia – recently requested help signing up for health insurance. Sophia, who asked that her last name not be used, was caught driving a stolen car in January and sentenced to three months in the county jail. She says that was because she stopped getting treatment for her substance abuse and mental health problems when her health insurance expired.\u003c!--more-->\u003c/p>\n\u003cp>“It stopped in December. And I didn’t get it reinstated. So I didn’t address any of my issues and I guess that’s why I found myself in a car, driving around,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She thought she might not do that again if she could get back on a health plan. She asked the jail if they could help her find one. Tanya Mara, the director of the health division of jail reentry services, came to walk her through the process of applying for health insurance.\u003c/p>\n\u003cp>“Prior to your arrest, did you have an income?\" Mara asked Sophia. \"Does your income change from month to month? What do you expect your income to be for 2014?”\u003c/p>\n\u003cp>Mara quickly identified a program for Sophia.\u003c/p>\n\u003cp>“You would likely qualify for Medi-Cal,” she says. “With the Affordable Care Act, you can now qualify for Medi-Cal based on income.” Medi-Cal is California's version of Medicaid, health insurance for people who are low income.\u003c/p>\n\u003cp>Obamacare has changed two key things for the formerly incarcerated. First, it expanded Medicaid to include childless adults. That means most prisoners will now qualify for the free government health coverage when they get out. Second, all plans must now cover treatment for mental health and substance use disorders –- problems that affect more than half the people in prison or jail, according to a report by the U.S. Department of Justice.\u003c/p>\n\u003cp>\u003cstrong>\"Captive Audience\" for Enrollment\u003c/strong>\u003c/p>\n\u003cp>Pretty soon, health insurance sign-ups like Sophia’s will happen for all inmates at the San Francisco county jail -- whether they request it or not. And they’ll happen right when most new arrivals get booked into custody.\u003c/p>\n\u003cp>“You have a captive audience,” Sheriff Mirkarimi said. He wants to make sure the 30,000 prisoners who come through the jail system every year are covered on the day they’re released.\u003c/p>\n\u003cp>The sheriff was behind the new city law. It authorizes his staff to enroll people into health care plans under the Affordable Care Act, 24 hours a day, 7 days a week. Other counties and states are exploring similar efforts for people exiting jail or prison.\u003c/p>\n\u003cp>But Mirkarimi acknowledges that getting coverage is just one small step. Just because someone has a newly minted Medi-Cal card doesn't mean they'll know how to use it.\u003c/p>\n\u003cp>“No, they’re going to have to demonstrate the wherewithal and resourcefulness to use that Medi-Cal card,” he said. “We, and our staff, help them get ready. But ultimately, it’s on them.”\u003c/p>\n\u003cp>That’s not how Wanda Fain sees it. She was just released from state prison after 21 years behind bars. Everything is new to her. Getting on and off escalators is weird. Mobile phones are a new concept. She says she needs a friend just to help her ride the bus.\u003c/p>\n\u003cp>“They tell me what bus we on, they tell me what stops to get off,” she said, “what specific things to look for so I won’t miss a stop.”\u003c/p>\n\u003cp>Don’t even get her started on housing.\u003c/p>\n\u003cp>“Us parolees, we can’t leave San Francisco. But at the same token, we can’t afford to stay in San Francisco,” she said. “Cause it’s, what ,$4,000 for a one bedroom? Who coming out of prison got that money?”\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/147255043&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>Navigating the health care system is even more confusing. Fain has seizures, lymphoma, and bipolar disorder. In prison, the guards regulated all of her care for her. She wasn't allowed to eat a meal until she took her meds. But on the outside, it's up to her to find the right doctor, the right pharmacy –- and to figure out which four buses she needs to take to get there.\u003c/p>\n\u003cp>“It's little things like that that people think are so easy,\" she said, shaking her head. “They are so overwhelming.”\u003c/p>\n\u003cp>If Sheriff Mirkarimi's plan is going to work, people getting out of jail are going to need help on the other side.\u003c/p>\n\u003cp>\u003cstrong>Clinic Helps Former Prisoners Navigate Health Care System\u003c/strong>\u003c/p>\n\u003cp>Most inmates leaving jail or prison are like Fain and have several chronic conditions. And most are so focused on other things that they rarely get medical help until things are so bad that they end up in the Emergency Room.\u003c/p>\n\u003cp>“These are really some of the sickest patients we see in our system,” said Shira Shavit, a family doctor in San Francisco. “They have high rates of hospitalization, very high rates of using the emergency room, and also very high rates of death.”\u003c/p>\n\u003cp>Dr. Shavit is trying to shift those trends. She’s the director of The Transitions Clinic, a specialized program designed for former prisoners, where doctors, psychiatrists, and social workers all consult together on the same patients. But its key staff are community health workers who have all spent time behind bars, too; people like Juanita Alvarado who help patients with all the tasks that would otherwise get in the way of caring for their health -- applying for housing, social security, finding a job, printing out paperwork or bus maps.\u003c/p>\n\u003cp>“Basically holding their hands in the first few weeks after they’re out,” Alvarado said.\u003c/p>\n\u003cp>She keeps the bookshelf behind her desk stocked with soup, breakfast bars, peanut butter, and tuna fish. A lot of their patients are denied food stamps because of drug convictions and have trouble finding affordable groceries.\u003c/p>\n\u003cp>“So I hook them up with a little bag,” Alvarado said.\u003c/p>\n\u003cp>The one-stop-shop approach works. Transition program patients show up for their appointments at higher rates than other patients, and, Dr. Shavit says ER use among their patients has dropped by 50 percent.\u003c/p>\n\u003cp>That caught the attention of the federal government, which foots a lot of those ER bills with taxpayer dollars. It gave the clinic a special $6.8 million \u003ca href=\"http://innovation.cms.gov/initiatives/Health-Care-Innovation-Awards/California.html\" target=\"_blank\">innovation grant\u003c/a> created under the Affordable Care Act to expand the concept beyond San Francisco. The team is using the money to help 11 clinics in six states and Puerto Rico hire and train former prisoners to staff similar programs. Federal health officials believe this will ultimately save $8 million.\u003c/p>\n\u003cp>The even broader goal – for both Mirkarimi’s plan and the Transitions Clinic – is that health care will help keep people from going back to jail or prison. Recidivism rates have dipped in recent years, but they are still high – 61 percent of people who leave a California prison return within three years. For people on parole or probation in San Francisco, the rate is even higher.\u003c/p>\n\u003cp>Wanda Fain feels like she’s just skirting those statistics. She lives a short walk away from the Transitions Clinic and comes often to get help with a range of tasks and health issues.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "State's Walk and Bike Infrastructure Poised for Healthy Update",
"title": "State's Walk and Bike Infrastructure Poised for Healthy Update",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_18867\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/bike-path-pic.jpg\">\u003cimg class=\"size-large wp-image-18867\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/bike-path-pic-640x428.jpg\" alt=\"(Getty images)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty images)\u003c/figcaption>\u003c/figure>\n\u003cp>Far more Californians are choosing biking or walking to get around these days. Over the last 10 years, the number of trips Californians made on foot and by bike doubled, according to the latest California Household Travel Survey.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Every $1 million invested in bikeways, returns between $1.2 million and $3.8 million in health care savings.\u003c/aside>\n\u003cp>Now the state has launched the \u003ca href=\"http://www.catc.ca.gov/programs/ATP.htm\" target=\"_blank\">Active Transportation Program\u003c/a> (ATP). Caltrans funds, combined with other regional and federal grants will create a $360 million pot of money that will be awarded to program applicants this August.\u003c/p>\n\u003cp>The money will be targeted at projects like bike lanes and safer intersections for pedestrians, but also non-infrastructure programs like bike-to-work events and community engagement.\u003c/p>\n\u003cp>Jeanie Ward-Waller is the California advocacy organizer for the \u003ca href=\"http://saferoutespartnership.org/\" target=\"_blank\">Safe Routes to School National Partnership\u003c/a>. She said this is the most money by far that has been offered to improve walk/bike routes.\u003c!--more-->\u003c/p>\n\u003cp>But she said that it is also unique because the priorities for awarding the money are not just about transportation. Part of the decision about awarding the money will be based on potential boosts to public health. Some money is earmarked for projects in disadvantaged communities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s watershed in terms of supporting walking and biking, but it’s also a watershed in how it is being targeted,\" Ward-Waller said. \"I think it’s a new standard about how we are approaching transportation and prioritizing things like public health and sustainability and making sure equity is a lens.”\u003c/p>\n\u003cp>There are plenty of studies linking improved health to walking or biking.\u003c/p>\n\u003cp>According to \u003ca href=\"http://everybodywalk.org/\" target=\"_blank\">Every Body Walk\u003c/a>, walking 20 to 25 minutes a week can extend life by several years. A 45-minute daily walk halves the odds of catching a cold. Walking also leads to improved outcomes with depression, arthritis and dementia.\u003c/p>\n\u003cp>In financial terms, the \u003ca href=\"http://calbike.org/\" target=\"_blank\">California Bicycle Coalition\u003c/a> says every $1 million invested in bikeways returns between $1.2 million and $3.8 million in health care savings.\u003c/p>\n\u003cp>Dave Snyder, executive director of the coalition, said because the amount of money for bike/walk programs is so much higher than what Sacramento has offered in the past, it is drawing welcome attention. Before, he said, the programs for walking and biking were funded from small, discreet pots of money and could almost be written off as \"cute ideas.\"\u003c/p>\n\u003cp>\"Now it’s a line item in the transportation budget, and we hope people will say 'That’s a good program why are we just giving this amount?'” Snyder said.\u003c/p>\n\u003cp>Snyder said if you look closer, it amounts to only 1 percent of the state's overall transportation budget.\u003c/p>\n\u003cp>He said his group is especially excited to see so-called \"first and last mile\" projects funded. These funds would help get people easily and safely from their homes or offices to mass transit or major bike paths.\u003c/p>\n\u003cp>\"Often between two points there are two transit stops that is quick and easy, but there is a half mile missing on either side. So it’s practically not a useful transit system. If we can solve that last mile problem and make it much easier to get to your stop, then transit becomes much easier and more viable,\" Snyder said.\u003c/p>\n\u003cp>Initial proposals for the program are due at the end of May. Snyder said there has been so much enthusiasm about ATP he expects the funding to be oversubscribed by a factor of 10.\u003c/p>\n\u003cp>For Tony Dang, deputy director of \u003ca href=\"http://californiawalks.org/\" target=\"_blank\">California Walks\u003c/a>, the public health benefits are not just the mental and physical benefits that come from moving. Dang says by getting cars off the road, that also decreases asthma rates.\u003c/p>\n\u003cp>He said he's excited to see the funding going to unexpected populations.\u003c/p>\n\u003cp>\"I think walking and biking may seem very sexy these days and it skews younger, but our organization would like to see programs for seniors,\" Dang said. \"We’re going to see more and more people age and we’d like them to age in place with dignity. And when people get older and can’t drive, we’d like them to still be able to see their family and get to their friends and the store.\"\u003c/p>\n\u003cp>One of the ways that can happen is by doing audits of infrastructure near senior centers. It may also involve programs that create senior walking groups.\u003c/p>\n\u003cp>ATP also promises to help health by addressing pedestrian safety issues, Dang said. 2013 was a particularly bad year for pedestrian fatalities in the Bay Area.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"San Francisco and San Jose had record highs last year. We need to invest in streets in a way that not just benefits car drivers,\" Dang said. \"We need street to be safer for everyone, whether on foot, bike or in a car.\"\u003c/p>\n\n",
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"excerpt": "California will award $360 million for programs promoting walking and biking, with an emphasis on health.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18867\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/bike-path-pic.jpg\">\u003cimg class=\"size-large wp-image-18867\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/bike-path-pic-640x428.jpg\" alt=\"(Getty images)\" width=\"640\" height=\"428\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty images)\u003c/figcaption>\u003c/figure>\n\u003cp>Far more Californians are choosing biking or walking to get around these days. Over the last 10 years, the number of trips Californians made on foot and by bike doubled, according to the latest California Household Travel Survey.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Every $1 million invested in bikeways, returns between $1.2 million and $3.8 million in health care savings.\u003c/aside>\n\u003cp>Now the state has launched the \u003ca href=\"http://www.catc.ca.gov/programs/ATP.htm\" target=\"_blank\">Active Transportation Program\u003c/a> (ATP). Caltrans funds, combined with other regional and federal grants will create a $360 million pot of money that will be awarded to program applicants this August.\u003c/p>\n\u003cp>The money will be targeted at projects like bike lanes and safer intersections for pedestrians, but also non-infrastructure programs like bike-to-work events and community engagement.\u003c/p>\n\u003cp>Jeanie Ward-Waller is the California advocacy organizer for the \u003ca href=\"http://saferoutespartnership.org/\" target=\"_blank\">Safe Routes to School National Partnership\u003c/a>. She said this is the most money by far that has been offered to improve walk/bike routes.\u003c!--more-->\u003c/p>\n\u003cp>But she said that it is also unique because the priorities for awarding the money are not just about transportation. Part of the decision about awarding the money will be based on potential boosts to public health. Some money is earmarked for projects in disadvantaged communities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s watershed in terms of supporting walking and biking, but it’s also a watershed in how it is being targeted,\" Ward-Waller said. \"I think it’s a new standard about how we are approaching transportation and prioritizing things like public health and sustainability and making sure equity is a lens.”\u003c/p>\n\u003cp>There are plenty of studies linking improved health to walking or biking.\u003c/p>\n\u003cp>According to \u003ca href=\"http://everybodywalk.org/\" target=\"_blank\">Every Body Walk\u003c/a>, walking 20 to 25 minutes a week can extend life by several years. A 45-minute daily walk halves the odds of catching a cold. Walking also leads to improved outcomes with depression, arthritis and dementia.\u003c/p>\n\u003cp>In financial terms, the \u003ca href=\"http://calbike.org/\" target=\"_blank\">California Bicycle Coalition\u003c/a> says every $1 million invested in bikeways returns between $1.2 million and $3.8 million in health care savings.\u003c/p>\n\u003cp>Dave Snyder, executive director of the coalition, said because the amount of money for bike/walk programs is so much higher than what Sacramento has offered in the past, it is drawing welcome attention. Before, he said, the programs for walking and biking were funded from small, discreet pots of money and could almost be written off as \"cute ideas.\"\u003c/p>\n\u003cp>\"Now it’s a line item in the transportation budget, and we hope people will say 'That’s a good program why are we just giving this amount?'” Snyder said.\u003c/p>\n\u003cp>Snyder said if you look closer, it amounts to only 1 percent of the state's overall transportation budget.\u003c/p>\n\u003cp>He said his group is especially excited to see so-called \"first and last mile\" projects funded. These funds would help get people easily and safely from their homes or offices to mass transit or major bike paths.\u003c/p>\n\u003cp>\"Often between two points there are two transit stops that is quick and easy, but there is a half mile missing on either side. So it’s practically not a useful transit system. If we can solve that last mile problem and make it much easier to get to your stop, then transit becomes much easier and more viable,\" Snyder said.\u003c/p>\n\u003cp>Initial proposals for the program are due at the end of May. Snyder said there has been so much enthusiasm about ATP he expects the funding to be oversubscribed by a factor of 10.\u003c/p>\n\u003cp>For Tony Dang, deputy director of \u003ca href=\"http://californiawalks.org/\" target=\"_blank\">California Walks\u003c/a>, the public health benefits are not just the mental and physical benefits that come from moving. Dang says by getting cars off the road, that also decreases asthma rates.\u003c/p>\n\u003cp>He said he's excited to see the funding going to unexpected populations.\u003c/p>\n\u003cp>\"I think walking and biking may seem very sexy these days and it skews younger, but our organization would like to see programs for seniors,\" Dang said. \"We’re going to see more and more people age and we’d like them to age in place with dignity. And when people get older and can’t drive, we’d like them to still be able to see their family and get to their friends and the store.\"\u003c/p>\n\u003cp>One of the ways that can happen is by doing audits of infrastructure near senior centers. It may also involve programs that create senior walking groups.\u003c/p>\n\u003cp>ATP also promises to help health by addressing pedestrian safety issues, Dang said. 2013 was a particularly bad year for pedestrian fatalities in the Bay Area.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"San Francisco and San Jose had record highs last year. We need to invest in streets in a way that not just benefits car drivers,\" Dang said. \"We need street to be safer for everyone, whether on foot, bike or in a car.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "California Legislature To Consider Antibiotic Ban in Animals",
"title": "California Legislature To Consider Antibiotic Ban in Animals",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_18838\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/ab1437edit.jpg\">\u003cimg class=\"size-large wp-image-18838 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/ab1437edit-640x557.jpg\" alt=\"Stanford University Infectious Disease Specialist David Relman with Assemblyman Kevin Mullin looking on (Jeff Walters/Assembly Democratic Caucus).\" width=\"640\" height=\"557\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Stanford University Infectious Disease Specialist David Relman with Assemblyman Kevin Mullin looking on (Jeff Walters/Assembly Democratic Caucus).\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Joe Rubin\u003c/strong>\u003c/p>\n\u003cp>A new bill in the California Legislature could give California the distinction of going where the federal government hasn’t — more strictly regulating the way that livestock are given antibiotics.\u003c/p>\n\u003cp>But freshman state Assemblyman Kevin Mullin (D-South San Francisco), who is introducing state Assembly Bill 1437, says getting it through the agricultural committee is a bit of long shot.\u003c/p>\n\u003cp>More than 70 percent of all antibiotics in the U.S. are given to animals, often to healthy livestock. Until very recently drug companies marketed the growth-promoting benefits of antibiotics. And many meat producers, keen for additional profits and assured by pharmaceutical companies that the practice was safe for people and animals, would routinely add antibiotics to feed.\u003c/p>\n\u003cp>In December, the Food and Drug Administration, after years of debate on the issue, asked drug companies to voluntarily stop marketing the growth-promoting benefits of antibiotics out of concerns for public health. The companies are largely complying. But critics like the Natural Resources Defense Council and New York Times food writer \u003ca href=\"http://www.nytimes.com/2013/12/18/opinion/bittman-the-fdas-not-really-such-good-news.html?pagewanted=all&_r=0\" target=\"_blank\">Mark Bittman\u003c/a> have criticized the FDA’s approach as lax and unlikely to lead to any real change.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->There is reason critics are skeptical about how much change is actually happening. The European Union took a similar step banning the use of antibiotics for animal growth promotion back in 2006. A \u003ca href=\"http://www.wageningenur.nl/en/Research-Results/Projects-and-programmes/MARAN-Antibiotic-usage/Trends-in-use-per-species/Antibiotic-usage-in-broilers.htm\" target=\"_blank\">study\u003c/a> of antibiotic use in the Netherlands found that usage actually went up in chickens in the ensuing years. It seems as if chicken ranches and feed lots continued to use antimicrobials at the same rate, but for disease prevention instead of overtly for growth promotion. It wasn’t until 2009 that rates began to tumble when bans on most of those prophylactic uses of antibiotics started to take effect.\u003c/p>\n\u003cp>Like a similar bill that U.S. Sen. Dianne Feinstein (D-Calif.) has been floating for several years, Mullin’s bill seeks to mirror those tougher European standards.\u003c/p>\n\u003cp>On Tuesday, Dr. David Relman, an infectious disease specialist from Stanford University, spoke at a Sacramento press conference in favor of AB 1437. He said he is treating more and more patients who have contracted so-called superbugs. He recalled one case last year that haunts him, a woman with an infection in her bloodstream that was resistant to every known antibiotic. He couldn’t save her.\u003c/p>\n\u003cp>When asked if the prolific use of antibiotics in livestock were really partly to blame for her death, Relman said, “To that particular woman, we can't say. But to many, many woman and men like her, we would have to say the burden of evidence says yes.”\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/146153547&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>That burden of evidence includes some studies that are showing more conclusive evidence of resistant pathogens in animals jumping to people. A recent Johns Hopkins School of Medicine \u003ca href=\"http://www.nature.com/news/pig-manure-fertilizer-linked-to-human-mrsa-infections-1.13752\" target=\"_blank\">examination\u003c/a> found that residents living near a pig farm in Pennsylvania were more likely to become infected with methicillin-resistant Staphylococcus aureus (MRSA) bacteria.\u003c/p>\n\u003cp>The real worry is the unknown. As Relman described it, antimicrobial resistance is a bit like climate change. Every bit of antibiotic overuse can add up to a bigger problem.\u003c/p>\n\u003cp>But Bill Mattos, president of the California Poultry Association, says the health concerns over the use of antibiotics in livestock are being overblown.\u003c/p>\n\u003cp>“Most of the problem comes from doctors overmedicating their patients,\" Mattos said. \"That’s where the problem is because everybody wants antibiotics when they get sick.\"\u003c/p>\n\u003cp>Mattos said he is confident that AB 1437 won’t survive its committee hearing next week because the bill doesn’t have enough supporters. The Poultry Association is backing a competing and more modest bill in the State Senate authored by Jerry Hill (D-San Mateo). Hill’s bill essentially makes the recent FDA’s recommendations mandatory, rather than voluntary in California.\u003c/p>\n\u003cp>Mattos said every year California produces 300 million chickens. Those chickens employ and feed a lot of people.\u003c/p>\n\u003cp>“If you want an antibiotic free product, you can buy it. It says it on the label. Ten to 15 percent of people are looking for antibiotic free, 80 percent don’t care,” Mattos said.\u003c/p>\n\u003cp>On Tuesday, in his assembly office, Mullin — who represents cities in San Mateo County just south of San Francisco — was sounding like a man about to possibly lose a battle.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“There is no question that in this building, we are in an uphill fight to get this public health issue heard and to have action taken on the bill,\" Mullin said. \"But we remain optimistic and hopeful that as the general public becomes more aware of these concerns, that that will change the political calculus at the state capital.”\u003c/p>\n\n",
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"excerpt": "California legislator wants to ban regular use of antibiotics on feed lots over public health concerns.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18838\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/ab1437edit.jpg\">\u003cimg class=\"size-large wp-image-18838 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/ab1437edit-640x557.jpg\" alt=\"Stanford University Infectious Disease Specialist David Relman with Assemblyman Kevin Mullin looking on (Jeff Walters/Assembly Democratic Caucus).\" width=\"640\" height=\"557\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Stanford University Infectious Disease Specialist David Relman with Assemblyman Kevin Mullin looking on (Jeff Walters/Assembly Democratic Caucus).\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Joe Rubin\u003c/strong>\u003c/p>\n\u003cp>A new bill in the California Legislature could give California the distinction of going where the federal government hasn’t — more strictly regulating the way that livestock are given antibiotics.\u003c/p>\n\u003cp>But freshman state Assemblyman Kevin Mullin (D-South San Francisco), who is introducing state Assembly Bill 1437, says getting it through the agricultural committee is a bit of long shot.\u003c/p>\n\u003cp>More than 70 percent of all antibiotics in the U.S. are given to animals, often to healthy livestock. Until very recently drug companies marketed the growth-promoting benefits of antibiotics. And many meat producers, keen for additional profits and assured by pharmaceutical companies that the practice was safe for people and animals, would routinely add antibiotics to feed.\u003c/p>\n\u003cp>In December, the Food and Drug Administration, after years of debate on the issue, asked drug companies to voluntarily stop marketing the growth-promoting benefits of antibiotics out of concerns for public health. The companies are largely complying. But critics like the Natural Resources Defense Council and New York Times food writer \u003ca href=\"http://www.nytimes.com/2013/12/18/opinion/bittman-the-fdas-not-really-such-good-news.html?pagewanted=all&_r=0\" target=\"_blank\">Mark Bittman\u003c/a> have criticized the FDA’s approach as lax and unlikely to lead to any real change.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->There is reason critics are skeptical about how much change is actually happening. The European Union took a similar step banning the use of antibiotics for animal growth promotion back in 2006. A \u003ca href=\"http://www.wageningenur.nl/en/Research-Results/Projects-and-programmes/MARAN-Antibiotic-usage/Trends-in-use-per-species/Antibiotic-usage-in-broilers.htm\" target=\"_blank\">study\u003c/a> of antibiotic use in the Netherlands found that usage actually went up in chickens in the ensuing years. It seems as if chicken ranches and feed lots continued to use antimicrobials at the same rate, but for disease prevention instead of overtly for growth promotion. It wasn’t until 2009 that rates began to tumble when bans on most of those prophylactic uses of antibiotics started to take effect.\u003c/p>\n\u003cp>Like a similar bill that U.S. Sen. Dianne Feinstein (D-Calif.) has been floating for several years, Mullin’s bill seeks to mirror those tougher European standards.\u003c/p>\n\u003cp>On Tuesday, Dr. David Relman, an infectious disease specialist from Stanford University, spoke at a Sacramento press conference in favor of AB 1437. He said he is treating more and more patients who have contracted so-called superbugs. He recalled one case last year that haunts him, a woman with an infection in her bloodstream that was resistant to every known antibiotic. He couldn’t save her.\u003c/p>\n\u003cp>When asked if the prolific use of antibiotics in livestock were really partly to blame for her death, Relman said, “To that particular woman, we can't say. But to many, many woman and men like her, we would have to say the burden of evidence says yes.”\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/146153547&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>That burden of evidence includes some studies that are showing more conclusive evidence of resistant pathogens in animals jumping to people. A recent Johns Hopkins School of Medicine \u003ca href=\"http://www.nature.com/news/pig-manure-fertilizer-linked-to-human-mrsa-infections-1.13752\" target=\"_blank\">examination\u003c/a> found that residents living near a pig farm in Pennsylvania were more likely to become infected with methicillin-resistant Staphylococcus aureus (MRSA) bacteria.\u003c/p>\n\u003cp>The real worry is the unknown. As Relman described it, antimicrobial resistance is a bit like climate change. Every bit of antibiotic overuse can add up to a bigger problem.\u003c/p>\n\u003cp>But Bill Mattos, president of the California Poultry Association, says the health concerns over the use of antibiotics in livestock are being overblown.\u003c/p>\n\u003cp>“Most of the problem comes from doctors overmedicating their patients,\" Mattos said. \"That’s where the problem is because everybody wants antibiotics when they get sick.\"\u003c/p>\n\u003cp>Mattos said he is confident that AB 1437 won’t survive its committee hearing next week because the bill doesn’t have enough supporters. The Poultry Association is backing a competing and more modest bill in the State Senate authored by Jerry Hill (D-San Mateo). Hill’s bill essentially makes the recent FDA’s recommendations mandatory, rather than voluntary in California.\u003c/p>\n\u003cp>Mattos said every year California produces 300 million chickens. Those chickens employ and feed a lot of people.\u003c/p>\n\u003cp>“If you want an antibiotic free product, you can buy it. It says it on the label. Ten to 15 percent of people are looking for antibiotic free, 80 percent don’t care,” Mattos said.\u003c/p>\n\u003cp>On Tuesday, in his assembly office, Mullin — who represents cities in San Mateo County just south of San Francisco — was sounding like a man about to possibly lose a battle.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“There is no question that in this building, we are in an uphill fight to get this public health issue heard and to have action taken on the bill,\" Mullin said. \"But we remain optimistic and hopeful that as the general public becomes more aware of these concerns, that that will change the political calculus at the state capital.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cdiv>\n\u003cfigure id=\"attachment_18779\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/140319_pharmacist254_0-e1398097423659.jpg\">\u003cimg class=\"size-large wp-image-18779\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/140319_pharmacist254_0-640x426.jpg\" alt=\"Dr. Sarah Ma goes over medications and dosages with diabetes patient Joe Navarro. (Credit: Anacleto Rapping)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sarah Ma, a pharmacist with USC, goes over medications with diabetes patient Joe Navarro. (Credit: Anacleto Rapping)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Laurie Udesky,\u003c/strong>\u003ca href=\"http://centerforhealthreporting.org/article/increased-responsibility-pays-health-dividends\" target=\"_blank\"> CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cp>Jose Navarro regularly trekked to the drugstore after being diagnosed as a diabetic seven years ago. In a sign of transformation in the local fight against diabetes, the pharmacist is now coming to him.\u003c/p>\n\u003cp>On a recent day Sarah Ma, a 28-year-old USC clinical pharmacist, set up shop at Navarro’s kitchen table in Santa Ana.\u003c/p>\n\u003cp>She checked Navarro’s blood pressure and blood sugar, examined his feet for cuts or infection, and refilled his monthly pill box. On previous visits she had changed the hour he took some medications, altered some doses, and discontinued others.\u003c/p>\n\u003cp>She inspected the refrigerator. “I see carrots, eggs, beets, cheese and yogurt that I haven’t seen before,” she said, delighted.\u003c/p>\n\u003cp>It wasn’t all great news. Navarro, 78, had told Ma that the pastry he had at breakfast was tiny. Actually, it engulfed half the plate Ma brought with her to illustrate what portions to eat of different food groups.\u003c!--more-->\u003c/p>\n\u003cp>Ma began working closely with Navarro last October. Now, he feels much better, which means he’s not a candidate for an emergency room or expensive hospitalization.\u003c/p>\n\u003cp>It also means an important new tool is emerging in the effort to contain diabetes, which afflicts one in 10 adults in Los Angeles County, one in 14 in Orange County, and can lead to amputations, blindness or death. Direct medical spending on the disease in Los Angeles County alone tops $6 billion annually.\u003c/p>\n\u003cp>More broadly, it also means that pharmacists in California may be on a path to take a much larger role in patient care, and in controlling health care costs.\u003c/p>\n\u003cp>\u003cstrong>Early, Impressive Results\u003c/strong>\u003c/p>\n\u003cp>Ma is part of a three year, $12-million study run by the USC School of Pharmacy and funded by the federal Centers for Medicare and Medicaid Services. Several teams from the school, including professional and student pharmacists, have fanned out to safety net clinics in Los Angeles and Orange counties to test whether patients will benefit if pharmacists’ scope of practice expands into territory normally handled by physicians, including greater autonomy in filling prescriptions and more direct contact with high-risk clients.\u003c/p>\n\u003cp>The early results are impressive:\u003c/p>\n\u003cul>\n\u003cli>Nearly nine of 10 patients who had out-of-control blood pressure saw their readings drop below hypertension levels and remain there within 45 days of working with the pharmacy teams, according to Steve Chen, an associate professor of pharmacy at USC and a developer of the study.\u003c/li>\n\u003cli>Similarly, diabetes patients whose blood sugar levels had been too high were twice as likely to have them under control within six months if they worked with a pharmacist team.\u003c/li>\n\u003cli>In the program’s first 11 months, pharmacists corrected 19,696 medication problems among 1,993 patients, an astonishing nine medication problems per patient.\u003c/li>\n\u003cli>Even more alarming, more than 2,000 of those problems – including excessive dosing, duplication, and drug interactions – were potentially dangerous to patients. In a recent example, a patient with poor kidney function was taking two blood pressure medications that combined could have spiked potassium to a level “that could have literally stopped his heart,” Chen said.\u003c/li>\n\u003cli>Study coordinators project a 25 percent decrease in hospitalizations for the estimated 6,000 patients in the project.\u003c/li>\n\u003c/ul>\n\u003cp>The results are preliminary and unpublished, since the study will continue into next year. When the research is published it is likely to add to the debate over how to contain medical costs.\u003c/p>\n\u003cp>The study began October 1, 2012 at five clinics run by AltaMed Health Services Corp. in underserved neighborhoods in El Monte, West Covina, Boyle Heights, Pico Rivera and Huntington Beach.\u003c/p>\n\u003cp>Three-person USC teams – clinical pharmacist, a pharmacy resident and a pharmacy technician – became primary caregivers for hypertension and blood pressure patients, and others with chronic illnesses. They initiated increased clinic visits, or made house calls as needed. The study has since been expanded to 11 AltaMed clinics in Orange and Los Angeles Counties.\u003c/p>\n\u003cp>Lobbyists for pharmacists in Sacramento pointed to the study as they successfully argued last year for bumping up pharmacists’ authority. A California law that went into effect this January codified a new class of “advanced practice pharmacists” who can enter collaborative agreements with physicians to start, change or discontinue medications, and help manage chronic diseases.\u003c/p>\n\u003cp>\u003cstrong>Initial Resistance from Doctors\u003c/strong>\u003c/p>\n\u003cp>At the outset many AltaMed doctors were rankled by the pharmacy teams.\u003c/p>\n\u003cp>“Quite frankly there was a fair amount of anxiety up front from physicians,” said Dr. Michael Hochman, AltaMed’s director of innovation. The idea that pharmacists could take charge of a drug regimen was a particular concern. “One question I got frequently was ‘Why did I go to medical school?” Hochman said.\u003c/p>\n\u003cp>AltaMed doctors have since been won over, Hochman said, especially after referring perplexing cases to the pharmacists. Hochman says on any given day every AltaMed doctor in the study clinics refers two to three patients to the pharmacist teams.\u003c/p>\n\u003cp>The pharmacists often find that they have to do a lot of educating\u003cstrong>. \u003c/strong>Sarah Ma said she has encountered great resistance to taking insulin among the mostly Latino population the clinics serve.\u003c/p>\n\u003cp>“Patients will come in and say insulin can cause blindness, amputations, it can cause me to go to the hospital. They’ll say my neighbor or my uncle or son or somebody started insulin and they died,” said Ma. “You have to ask them a lot of questions and try to elicit answers to help them connect the dots.”\u003c/p>\n\u003cp>Michelle Lee, a USC clinical pharmacist at AltaMed’s Boyle Heights clinic, recently asked Alfredo Perez, a 46-year-old diabetes patient, if he’d taken his insulin as prescribed.\u003c/p>\n\u003cp>“I did but I stopped because my vision became blurry for two days,” he responded.\u003c/p>\n\u003cp>“I’m scared to take insulin,” he told a reporter. “I’m afraid that once I start, I’ll never be off of it.”\u003c/p>\n\u003cp>Lee had spent months trying to gently coax Perez to take insulin. Each time he resisted, she asked him to try a lower dose. On this day she noted that his blood sugar was 93, more than 63 points above what it should be for the time of day, and she tried a more direct strategy.\u003c/p>\n\u003cp>“You’ve had high sugars for a long time. It’s going to damage your eyes, you’re going to lose your eyesight,” she said with authority. Instead of waiting two weeks for the next appointment, Lee asked Perez to return in a week and try a very small dose of insulin, and he agreed to do so.\u003c/p>\n\u003cp>\u003cstrong>Likely Cost Savings\u003c/strong>\u003c/p>\n\u003cp>Although such patient encounters are time consuming, many studies suggest that when clinical pharmacists work on primary care teams, overall healthcare costs plummet.\u003c/p>\n\u003cp>A recent report by the U.S. Public Health Service found that every dollar invested in clinical pharmacy services saved about 10 dollars in health spending, as patients better understood how to manage their illnesses and avoid expensive treatments that result from missed or misapplied medications\u003cstrong>.\u003c/strong>\u003c/p>\n\u003cp>Although the USC/AltaMed study is still 17 months from completion, there has already been interest in duplicating the project.\u003c/p>\n\u003cp>Robert Beltran, the chief medical officer for Brand New Day, a Medicare Specialty Health Plan that serves 6,000 members in Los Angeles, Orange, Riverside, San Bernardino and Kings Counties, said he plans to start a pharmacist team program in Orange County and the Inland Empire in late spring or this summer.\u003c/p>\n\u003cp>When asked about whether AltaMed will continue the pharmacist program after the grant runs out, Altamed’s Hochman said, “That’s the million dollar question. We have proven to ourselves beyond a reasonable doubt that the (USC-led pharmacist teams) are a very high-value service to patients.”\u003c/p>\n\u003cp>But typically, clinics like AltaMed don’t get reimbursed by Medi-Cal, Medicare, or private insurance for pharmacist services. “We are hopeful it will become a reimbursed service for us in the near future,” he said.\u003c/p>\n\u003cdiv>\u003c/div>\n\u003c/div>\n\u003cp>[contextly_auto_sidebar id=\"uPCv7ELLO6PmiIKvr6zeDyDCdW31Nw02\"]\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cdiv>\n\u003cfigure id=\"attachment_18779\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/140319_pharmacist254_0-e1398097423659.jpg\">\u003cimg class=\"size-large wp-image-18779\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/140319_pharmacist254_0-640x426.jpg\" alt=\"Dr. Sarah Ma goes over medications and dosages with diabetes patient Joe Navarro. (Credit: Anacleto Rapping)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Sarah Ma, a pharmacist with USC, goes over medications with diabetes patient Joe Navarro. (Credit: Anacleto Rapping)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Laurie Udesky,\u003c/strong>\u003ca href=\"http://centerforhealthreporting.org/article/increased-responsibility-pays-health-dividends\" target=\"_blank\"> CHCF Center for Health Reporting\u003c/a>\u003c/p>\n\u003cp>Jose Navarro regularly trekked to the drugstore after being diagnosed as a diabetic seven years ago. In a sign of transformation in the local fight against diabetes, the pharmacist is now coming to him.\u003c/p>\n\u003cp>On a recent day Sarah Ma, a 28-year-old USC clinical pharmacist, set up shop at Navarro’s kitchen table in Santa Ana.\u003c/p>\n\u003cp>She checked Navarro’s blood pressure and blood sugar, examined his feet for cuts or infection, and refilled his monthly pill box. On previous visits she had changed the hour he took some medications, altered some doses, and discontinued others.\u003c/p>\n\u003cp>She inspected the refrigerator. “I see carrots, eggs, beets, cheese and yogurt that I haven’t seen before,” she said, delighted.\u003c/p>\n\u003cp>It wasn’t all great news. Navarro, 78, had told Ma that the pastry he had at breakfast was tiny. Actually, it engulfed half the plate Ma brought with her to illustrate what portions to eat of different food groups.\u003c!--more-->\u003c/p>\n\u003cp>Ma began working closely with Navarro last October. Now, he feels much better, which means he’s not a candidate for an emergency room or expensive hospitalization.\u003c/p>\n\u003cp>It also means an important new tool is emerging in the effort to contain diabetes, which afflicts one in 10 adults in Los Angeles County, one in 14 in Orange County, and can lead to amputations, blindness or death. Direct medical spending on the disease in Los Angeles County alone tops $6 billion annually.\u003c/p>\n\u003cp>More broadly, it also means that pharmacists in California may be on a path to take a much larger role in patient care, and in controlling health care costs.\u003c/p>\n\u003cp>\u003cstrong>Early, Impressive Results\u003c/strong>\u003c/p>\n\u003cp>Ma is part of a three year, $12-million study run by the USC School of Pharmacy and funded by the federal Centers for Medicare and Medicaid Services. Several teams from the school, including professional and student pharmacists, have fanned out to safety net clinics in Los Angeles and Orange counties to test whether patients will benefit if pharmacists’ scope of practice expands into territory normally handled by physicians, including greater autonomy in filling prescriptions and more direct contact with high-risk clients.\u003c/p>\n\u003cp>The early results are impressive:\u003c/p>\n\u003cul>\n\u003cli>Nearly nine of 10 patients who had out-of-control blood pressure saw their readings drop below hypertension levels and remain there within 45 days of working with the pharmacy teams, according to Steve Chen, an associate professor of pharmacy at USC and a developer of the study.\u003c/li>\n\u003cli>Similarly, diabetes patients whose blood sugar levels had been too high were twice as likely to have them under control within six months if they worked with a pharmacist team.\u003c/li>\n\u003cli>In the program’s first 11 months, pharmacists corrected 19,696 medication problems among 1,993 patients, an astonishing nine medication problems per patient.\u003c/li>\n\u003cli>Even more alarming, more than 2,000 of those problems – including excessive dosing, duplication, and drug interactions – were potentially dangerous to patients. In a recent example, a patient with poor kidney function was taking two blood pressure medications that combined could have spiked potassium to a level “that could have literally stopped his heart,” Chen said.\u003c/li>\n\u003cli>Study coordinators project a 25 percent decrease in hospitalizations for the estimated 6,000 patients in the project.\u003c/li>\n\u003c/ul>\n\u003cp>The results are preliminary and unpublished, since the study will continue into next year. When the research is published it is likely to add to the debate over how to contain medical costs.\u003c/p>\n\u003cp>The study began October 1, 2012 at five clinics run by AltaMed Health Services Corp. in underserved neighborhoods in El Monte, West Covina, Boyle Heights, Pico Rivera and Huntington Beach.\u003c/p>\n\u003cp>Three-person USC teams – clinical pharmacist, a pharmacy resident and a pharmacy technician – became primary caregivers for hypertension and blood pressure patients, and others with chronic illnesses. They initiated increased clinic visits, or made house calls as needed. The study has since been expanded to 11 AltaMed clinics in Orange and Los Angeles Counties.\u003c/p>\n\u003cp>Lobbyists for pharmacists in Sacramento pointed to the study as they successfully argued last year for bumping up pharmacists’ authority. A California law that went into effect this January codified a new class of “advanced practice pharmacists” who can enter collaborative agreements with physicians to start, change or discontinue medications, and help manage chronic diseases.\u003c/p>\n\u003cp>\u003cstrong>Initial Resistance from Doctors\u003c/strong>\u003c/p>\n\u003cp>At the outset many AltaMed doctors were rankled by the pharmacy teams.\u003c/p>\n\u003cp>“Quite frankly there was a fair amount of anxiety up front from physicians,” said Dr. Michael Hochman, AltaMed’s director of innovation. The idea that pharmacists could take charge of a drug regimen was a particular concern. “One question I got frequently was ‘Why did I go to medical school?” Hochman said.\u003c/p>\n\u003cp>AltaMed doctors have since been won over, Hochman said, especially after referring perplexing cases to the pharmacists. Hochman says on any given day every AltaMed doctor in the study clinics refers two to three patients to the pharmacist teams.\u003c/p>\n\u003cp>The pharmacists often find that they have to do a lot of educating\u003cstrong>. \u003c/strong>Sarah Ma said she has encountered great resistance to taking insulin among the mostly Latino population the clinics serve.\u003c/p>\n\u003cp>“Patients will come in and say insulin can cause blindness, amputations, it can cause me to go to the hospital. They’ll say my neighbor or my uncle or son or somebody started insulin and they died,” said Ma. “You have to ask them a lot of questions and try to elicit answers to help them connect the dots.”\u003c/p>\n\u003cp>Michelle Lee, a USC clinical pharmacist at AltaMed’s Boyle Heights clinic, recently asked Alfredo Perez, a 46-year-old diabetes patient, if he’d taken his insulin as prescribed.\u003c/p>\n\u003cp>“I did but I stopped because my vision became blurry for two days,” he responded.\u003c/p>\n\u003cp>“I’m scared to take insulin,” he told a reporter. “I’m afraid that once I start, I’ll never be off of it.”\u003c/p>\n\u003cp>Lee had spent months trying to gently coax Perez to take insulin. Each time he resisted, she asked him to try a lower dose. On this day she noted that his blood sugar was 93, more than 63 points above what it should be for the time of day, and she tried a more direct strategy.\u003c/p>\n\u003cp>“You’ve had high sugars for a long time. It’s going to damage your eyes, you’re going to lose your eyesight,” she said with authority. Instead of waiting two weeks for the next appointment, Lee asked Perez to return in a week and try a very small dose of insulin, and he agreed to do so.\u003c/p>\n\u003cp>\u003cstrong>Likely Cost Savings\u003c/strong>\u003c/p>\n\u003cp>Although such patient encounters are time consuming, many studies suggest that when clinical pharmacists work on primary care teams, overall healthcare costs plummet.\u003c/p>\n\u003cp>A recent report by the U.S. Public Health Service found that every dollar invested in clinical pharmacy services saved about 10 dollars in health spending, as patients better understood how to manage their illnesses and avoid expensive treatments that result from missed or misapplied medications\u003cstrong>.\u003c/strong>\u003c/p>\n\u003cp>Although the USC/AltaMed study is still 17 months from completion, there has already been interest in duplicating the project.\u003c/p>\n\u003cp>Robert Beltran, the chief medical officer for Brand New Day, a Medicare Specialty Health Plan that serves 6,000 members in Los Angeles, Orange, Riverside, San Bernardino and Kings Counties, said he plans to start a pharmacist team program in Orange County and the Inland Empire in late spring or this summer.\u003c/p>\n\u003cp>When asked about whether AltaMed will continue the pharmacist program after the grant runs out, Altamed’s Hochman said, “That’s the million dollar question. 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"tagline": "The flip side of gentrification, told through one town",
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},
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"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
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},
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"order": 8
},
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},
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
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"order": 9
},
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"hidden-brain": {
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"airtime": "SUN 7pm-8pm",
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"source": "NPR"
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"airtime": "SUN 7:30pm-8pm",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
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},
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
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},
"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "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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