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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The bill had widespread support, including the trade group for health insurance plans.\u003c/p>\n\u003cp>In a statement, Charles Bacchi, CEO of the California Association of Health Plans, said his group appreciated the \"willingness and patience of the Administration and legislative leaders to listen to the challenges posed by earlier formula and for continuing to work with health plans to find a workable solution.\" He said he hoped for quick federal approval of the new tax.\u003c/p>\n\u003cp>Several Republicans joined Democrats to get the tax through the Legislature. But not Sen. Jeff Stone, R-Indio, who said he's not convinced the deal protects consumers.\u003c/p>\n\u003cp>“Will consumers be guaranteed that their rates will not go up? Is there anything written in this bill that will codify the fact there will no increases to any citizens in the state of California? No,\" he said.\u003c/p>\n\u003cp>The legislation includes $300 million in ongoing general fund spending to support services for the developmentally disabled. Coupled with federal matching funds, the developmentally disabled will receive a total of about $500 million a year. Services for the developmentally disabled have withstood more than $1 billion in cuts since the depth of the recession.\u003c/p>\n\u003cp>The money will fund an increase in wages for service providers, who have not received a cost-of-living adjustment in years. When the first outlines of the deal were circulated earlier this month, Eileen Richey, executive director of ARCA, the Association for Regional Centers of California, said she was \"very pleased on quite a few fronts\" with the compromise.\u003c/p>\n\u003cp>Still, she noted that many programs had already closed and others are at risk.\u003c/p>\n\u003cp>\"I do think this is a great step forward,\" she said, \"but it may not be enough to be able to help all programs to stabilize.\"\u003c/p>\n\u003cp>The plan includes a commitment to a rate survey, which was key to many advocates. California's rate structure for services for the developmentally disabled dates to a time when services were far different. People who were developmentally disabled lived in large group homes, as opposed to their own homes, said Tony Anderson, chair of the Lanterman Coalition.\u003c/p>\n\u003cp>\"It's a lot more intensive than it used to be,\" he said. \"It's all about integration now, trying to get people out into the community. They used to be just ... shuttered away.\"\u003c/p>\n\u003cp>The goal of the study is to identify appropriate rates to be paid for these more intensive services. The survey is a three-year process and must be submitted to the Legislature by 2019.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The bill heads to the governor's desk next. But it won't be in effect until the Obama administration gives its approval.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp class=\"inaugural\">On a recent morning, Dr. Brian Fenmore listened to the heartbeat of the baby growing inside a pregnant patient's belly at Providence Tarzana Medical Center.\u003c/p>\n\u003cp>Everything looked and sounded normal, he says. But the woman is 42-years-old, with diabetes. Fenmore explained that she's at higher risk of having a Cesarean birth. That spurred another discussion.\u003c/p>\n\u003cp>\"If you were to say to me, 'I'm done after this, and I want my tubes tied,' this is a discussion we have to have,\" Fenmore told his patient.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/249102583\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>The American College of Obstetricians and Gynecologists says immediately following a C-section is\u003ca href=\"http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Access-to-Postpartum-Sterilization\" target=\"_blank\"> the \"ideal time\" to perform the tubal ligation procedure, \u003c/a>\"because of technical ease and convenience for the woman and physician.\" But Fenmore explained that under Providence's religiously-based ethical guidelines, he was prohibited from doing so.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Read the rest of the story on\u003ca href=\"http://www.scpr.org/news/2016/02/09/57313/ob-gyn-s-navigate-catholic-hospital-s-ethical-rule/\" target=\"_blank\"> KPCC\u003c/a>. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp class=\"inaugural\">On a recent morning, Dr. Brian Fenmore listened to the heartbeat of the baby growing inside a pregnant patient's belly at Providence Tarzana Medical Center.\u003c/p>\n\u003cp>Everything looked and sounded normal, he says. But the woman is 42-years-old, with diabetes. Fenmore explained that she's at higher risk of having a Cesarean birth. That spurred another discussion.\u003c/p>\n\u003cp>\"If you were to say to me, 'I'm done after this, and I want my tubes tied,' this is a discussion we have to have,\" Fenmore told his patient.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/249102583&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/249102583'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The American College of Obstetricians and Gynecologists says immediately following a C-section is\u003ca href=\"http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Access-to-Postpartum-Sterilization\" target=\"_blank\"> the \"ideal time\" to perform the tubal ligation procedure, \u003c/a>\"because of technical ease and convenience for the woman and physician.\" But Fenmore explained that under Providence's religiously-based ethical guidelines, he was prohibited from doing so.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Levels Of Flame Retardant In Breast Milk Are Down in California Women",
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"content": "\u003cp>Levels of harmful flame-retardant chemicals in women’s breast milk have dropped by nearly 40 percent since California’s decade-old ban on these chemicals took effect, \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0045653515303659\" target=\"_blank\">according to a new study\u003c/a> by state environmental scientists.\u003c/p>\n\u003caside class=\"pullquote alignright\">'It shows that regulatory and public health interventions do work.'\u003ccite>Dr. Barbara Lee, Calif. Department of Toxic Substances Control\u003c/cite>\u003c/aside>\n\u003cp>The chemicals, called PBDEs, were widely used for decades in household products including furniture, crib mattresses and televisions. They tend to leach out of products like furniture and can settle in household dust, tainting homes and offices and accumulating in both people and animals.\u003c/p>\n\u003cp>They persist in body fluids and fat for years, and are associated with neurological and thyroid disorders. In particular, researchers have linked fetal exposure to high levels of PBDEs to IQ deficits and hyperactivity.\u003c/p>\n\u003cp>California phased out the use of two of the main types of PBDEs in 2006. There is no federal ban on PBDEs, but the U.S. Environmental Protection Agency has worked with manufacturers to phase out production. The European Union banned PBDEs in 2004, but the chemicals may be present in products imported from other countries or U.S. products manufactured before the mid-2000s.\u003c/p>\n\u003cp>The study, sponsored by the California Department of Toxic Substances Control and conducted by researchers from the agency’s Environmental Chemistry Laboratory in Berkeley, was published in the peer-reviewed journal \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0045653515303659\" target=\"_blank\">Chemosphere\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Scientists measured PBDE levels in the breast milk of 66 first-time mothers recruited at a Santa Rosa clinic between 2009 and 2012. They compared the levels to another group of 82 first-time mothers from around the state, tested in 2003-2005, before the ban took effect — and found a 39 percent decline.\u003c/p>\n\u003cp>The study’s results echo those from a previous department study showing a similar decline in PBDE levels in the blood of San Francisco women.\u003c/p>\n\u003cp>“It’s really wonderful news,” said Barbara Lee, director of the department. “It shows that regulatory and public health interventions do work.”\u003c/p>\n\u003cp>But the study revealed other sobering data: PBDE levels in the post-ban group of mothers remained high enough that nearly 30 percent of their breastfed babies would be exposed to the chemicals at levels above what the EPA says is safe.\u003c/p>\n\u003cp>Tracey Woodruff, professor and director of the Program on Reproductive Health and the Environment at the UC San Francisco School of Medicine, said she was pleased by the study’s results.\u003c/p>\n\u003cp>“It’s one more piece of evidence that the state did the right thing” in banning PBDEs. But, she said, the chemicals are “like that bad houseguest that hangs around.”\u003c/p>\n\u003cp>“We made a mistake by using them in the beginning. You can’t pull the genie back into the lamp,” Woodruff said. “We still have people with exposures that are going to be problematic — and we’re going to be seeing problems for years.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by\u003ca href=\"http://californiahealthline.org/news/levels-of-flame-retardant-in-breast-milk-are-down/\" target=\"_blank\"> California Healthline\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Levels of harmful flame-retardant chemicals in women’s breast milk have dropped by nearly 40 percent since California’s decade-old ban on these chemicals took effect, \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0045653515303659\" target=\"_blank\">according to a new study\u003c/a> by state environmental scientists.\u003c/p>\n\u003caside class=\"pullquote alignright\">'It shows that regulatory and public health interventions do work.'\u003ccite>Dr. Barbara Lee, Calif. Department of Toxic Substances Control\u003c/cite>\u003c/aside>\n\u003cp>The chemicals, called PBDEs, were widely used for decades in household products including furniture, crib mattresses and televisions. They tend to leach out of products like furniture and can settle in household dust, tainting homes and offices and accumulating in both people and animals.\u003c/p>\n\u003cp>They persist in body fluids and fat for years, and are associated with neurological and thyroid disorders. In particular, researchers have linked fetal exposure to high levels of PBDEs to IQ deficits and hyperactivity.\u003c/p>\n\u003cp>California phased out the use of two of the main types of PBDEs in 2006. There is no federal ban on PBDEs, but the U.S. Environmental Protection Agency has worked with manufacturers to phase out production. The European Union banned PBDEs in 2004, but the chemicals may be present in products imported from other countries or U.S. products manufactured before the mid-2000s.\u003c/p>\n\u003cp>The study, sponsored by the California Department of Toxic Substances Control and conducted by researchers from the agency’s Environmental Chemistry Laboratory in Berkeley, was published in the peer-reviewed journal \u003ca href=\"http://www.sciencedirect.com/science/article/pii/S0045653515303659\" target=\"_blank\">Chemosphere\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Scientists measured PBDE levels in the breast milk of 66 first-time mothers recruited at a Santa Rosa clinic between 2009 and 2012. They compared the levels to another group of 82 first-time mothers from around the state, tested in 2003-2005, before the ban took effect — and found a 39 percent decline.\u003c/p>\n\u003cp>The study’s results echo those from a previous department study showing a similar decline in PBDE levels in the blood of San Francisco women.\u003c/p>\n\u003cp>“It’s really wonderful news,” said Barbara Lee, director of the department. “It shows that regulatory and public health interventions do work.”\u003c/p>\n\u003cp>But the study revealed other sobering data: PBDE levels in the post-ban group of mothers remained high enough that nearly 30 percent of their breastfed babies would be exposed to the chemicals at levels above what the EPA says is safe.\u003c/p>\n\u003cp>Tracey Woodruff, professor and director of the Program on Reproductive Health and the Environment at the UC San Francisco School of Medicine, said she was pleased by the study’s results.\u003c/p>\n\u003cp>“It’s one more piece of evidence that the state did the right thing” in banning PBDEs. But, she said, the chemicals are “like that bad houseguest that hangs around.”\u003c/p>\n\u003cp>“We made a mistake by using them in the beginning. You can’t pull the genie back into the lamp,” Woodruff said. “We still have people with exposures that are going to be problematic — and we’re going to be seeing problems for years.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by\u003ca href=\"http://californiahealthline.org/news/levels-of-flame-retardant-in-breast-milk-are-down/\" target=\"_blank\"> California Healthline\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Battle Erupts Over Changes in California Autism Coverage",
"title": "Battle Erupts Over Changes in California Autism Coverage",
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"content": "\u003cp>Hilary Baldi can’t get her mind around the idea that she might have to stop seeing many of the children with autism whom she has been helping for years.\u003c/p>\n\u003caside class=\"pullquote alignright\">Thousands of children receiving autism services could be forced to look for new providers under new state rules.\u003c/aside>\n\u003cp>Baldi has been running a nonprofit called Behavioral Intervention for Autism for 23 years now. She has offices in Emeryville and Fresno.\u003c/p>\n\u003cp>But now she fears she will have to shutter the Fresno office and discontinue therapy for about two-thirds of the 80 children she sees.\u003c/p>\n\u003cp>According to children’s health advocates, roughly half of the providers who work with the 9,000 children with autism at the state’s regional centers could be excluded from seeing those kids as the state shifts to managed care.\u003c/p>\n\u003cp>Beginning March 1, the state Department of Health Care Services will start the transition at 21 regional centers across the state. These centers are nonprofits that contract with the state to provide services for people with developmental disabilities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>State officials say the regional centers will continue to serve the kids. The children will not experience a disruption in service because no one will lose a provider without another one lined up, they say.\u003c/p>\n\u003cp>The change is merely a shift in payment systems, according to state officials — moving from a Medi-Cal program run by the regional centers to one coordinated by managed care companies.\u003c/p>\n\u003cp>But as a practical matter, advocates say, the families of up to half of these kids could find themselves searching for new providers. The reason: The state’s new rules seem to exclude longtime providers from payment unless they are supervised by people with newer credentials.\u003c/p>\n\u003cp>That could force people like Baldi to stop seeing regional center clients.\u003c/p>\n\u003cp>“I don’t know how [these children] are going to get absorbed. There are so many people on waiting lists now, I can’t imagine thousands of families suddenly needing to find a new provider,” Baldi said. “I don’t know where they’re going to go.”\u003c/p>\n\u003cp>A few weeks ago, children’s advocates and parents said they were reassured by the state’s promises that the transition would be nearly seamless and that the same providers would be caring for the kids. But now these groups say they are deeply concerned because, after talking to state officials about the new rules, it became clear that about half of the providers would not be authorized to perform the same duties as before.\u003c/p>\n\u003cp>Children’s advocates say under the rules only providers with newer credentials can be paid for care. Providers trained a dozen or more years ago cannot, if they are practicing on their own, the advocates say.\u003c/p>\n\u003cp>Demand for services is already greater than supply and the advocates say these rules will make matters far worse.\u003c/p>\n\u003cp>Children with autism don’t handle change well and need consistent care, Baldi said.\u003c/p>\n\u003cp>“We’re talking about children who have fallen behind already,” Baldi said. “There’s a gap between them and other kids, and that gap will get bigger and bigger if they go without therapy.”\u003c/p>\n\u003cp>Dan Unumb agreed. He is executive director of the Autism Legal Resource Center for Autism Speaks, a national advocacy group based in New York City with offices in Los Angeles.\u003c/p>\n\u003cp>“If you’ve eliminated half of the providers in the regional centers, where are you going to get new providers?” Unumb said. “Where is the other half going to come from? That’s the big question. How are they going to do this?”\u003c/p>\n\u003cp>[contextly_sidebar id=\"QQv9e8noG6vNCxBIYQ03pp6euGAczahd\"]Autism Speaks is a sponsor of a recently introduced bill by Sen. Holly Mitchell (D-Los Angeles) that seeks to eliminate the rule excluding so many providers from payment.\u003c/p>\n\u003cp>“It would ensure that children who need autism treatment continue to have access to the critical behavioral health treatments that they need,” Mitchell said in an email.\u003c/p>\n\u003cp>But Unumb said that the department’s transition of these kids is expected to be finished before any bill can become law.\u003c/p>\n\u003cp>“What’s going to happen is there are a whole group of providers who can’t serve the kids they’ve been serving. So in practical terms, you’re going to have kids who are not having continuity of care,” Unumb said.\u003c/p>\n\u003cp>The department has promised “continuity of service,” which is slightly different from continuity of care, Unumb said. The state doesn’t have a legal obligation to ensure beneficiaries keep the same provider.\u003c/p>\n\u003cp>“Folks feel they were misled,” Unumb said, “because this should just be a financing change. Families aren’t going to be perusing the State Plan Amendment and then cross-referencing the Institutions and Welfare Code to see if they can keep their provider. This whole thing is so unnecessary.”\u003c/p>\n\u003cp>Anthony Cava, information officer at the Department of Health Care Services, said by email that the same providers can do exactly what they’ve been doing, as long as they meet the guidelines issued by the department.\u003c/p>\n\u003cp>“The existing practices of … providers to care for children receiving [behavioral health treatment] services will remain the same,” Cava wrote, “and they can provide care under the direct supervision of a behavior analyst or behavior management consultant.”\u003c/p>\n\u003cp>According to Kristin Jacobson, executive director of Autism Deserves Equal Coverage in Burlingame, the state is downplaying the consequences.\u003c/p>\n\u003cp>“It’s sort of a technical song-and-dance, where it appears that they’re saying all of the providers can continue what they’re doing, but in practice they can only do the same thing if they’re now supervised,” Jacobson said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I mean, we’ve all been hoping that all providers will be able to provide the same services, but what [the department] has put out in writing doesn’t reflect that,” she said. “If you look at the numbers of providers who are excluded, you very well could be wiping out half the kids.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hilary Baldi can’t get her mind around the idea that she might have to stop seeing many of the children with autism whom she has been helping for years.\u003c/p>\n\u003caside class=\"pullquote alignright\">Thousands of children receiving autism services could be forced to look for new providers under new state rules.\u003c/aside>\n\u003cp>Baldi has been running a nonprofit called Behavioral Intervention for Autism for 23 years now. She has offices in Emeryville and Fresno.\u003c/p>\n\u003cp>But now she fears she will have to shutter the Fresno office and discontinue therapy for about two-thirds of the 80 children she sees.\u003c/p>\n\u003cp>According to children’s health advocates, roughly half of the providers who work with the 9,000 children with autism at the state’s regional centers could be excluded from seeing those kids as the state shifts to managed care.\u003c/p>\n\u003cp>Beginning March 1, the state Department of Health Care Services will start the transition at 21 regional centers across the state. These centers are nonprofits that contract with the state to provide services for people with developmental disabilities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>State officials say the regional centers will continue to serve the kids. The children will not experience a disruption in service because no one will lose a provider without another one lined up, they say.\u003c/p>\n\u003cp>The change is merely a shift in payment systems, according to state officials — moving from a Medi-Cal program run by the regional centers to one coordinated by managed care companies.\u003c/p>\n\u003cp>But as a practical matter, advocates say, the families of up to half of these kids could find themselves searching for new providers. The reason: The state’s new rules seem to exclude longtime providers from payment unless they are supervised by people with newer credentials.\u003c/p>\n\u003cp>That could force people like Baldi to stop seeing regional center clients.\u003c/p>\n\u003cp>“I don’t know how [these children] are going to get absorbed. There are so many people on waiting lists now, I can’t imagine thousands of families suddenly needing to find a new provider,” Baldi said. “I don’t know where they’re going to go.”\u003c/p>\n\u003cp>A few weeks ago, children’s advocates and parents said they were reassured by the state’s promises that the transition would be nearly seamless and that the same providers would be caring for the kids. But now these groups say they are deeply concerned because, after talking to state officials about the new rules, it became clear that about half of the providers would not be authorized to perform the same duties as before.\u003c/p>\n\u003cp>Children’s advocates say under the rules only providers with newer credentials can be paid for care. Providers trained a dozen or more years ago cannot, if they are practicing on their own, the advocates say.\u003c/p>\n\u003cp>Demand for services is already greater than supply and the advocates say these rules will make matters far worse.\u003c/p>\n\u003cp>Children with autism don’t handle change well and need consistent care, Baldi said.\u003c/p>\n\u003cp>“We’re talking about children who have fallen behind already,” Baldi said. “There’s a gap between them and other kids, and that gap will get bigger and bigger if they go without therapy.”\u003c/p>\n\u003cp>Dan Unumb agreed. He is executive director of the Autism Legal Resource Center for Autism Speaks, a national advocacy group based in New York City with offices in Los Angeles.\u003c/p>\n\u003cp>“If you’ve eliminated half of the providers in the regional centers, where are you going to get new providers?” Unumb said. “Where is the other half going to come from? That’s the big question. How are they going to do this?”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Autism Speaks is a sponsor of a recently introduced bill by Sen. Holly Mitchell (D-Los Angeles) that seeks to eliminate the rule excluding so many providers from payment.\u003c/p>\n\u003cp>“It would ensure that children who need autism treatment continue to have access to the critical behavioral health treatments that they need,” Mitchell said in an email.\u003c/p>\n\u003cp>But Unumb said that the department’s transition of these kids is expected to be finished before any bill can become law.\u003c/p>\n\u003cp>“What’s going to happen is there are a whole group of providers who can’t serve the kids they’ve been serving. So in practical terms, you’re going to have kids who are not having continuity of care,” Unumb said.\u003c/p>\n\u003cp>The department has promised “continuity of service,” which is slightly different from continuity of care, Unumb said. The state doesn’t have a legal obligation to ensure beneficiaries keep the same provider.\u003c/p>\n\u003cp>“Folks feel they were misled,” Unumb said, “because this should just be a financing change. Families aren’t going to be perusing the State Plan Amendment and then cross-referencing the Institutions and Welfare Code to see if they can keep their provider. This whole thing is so unnecessary.”\u003c/p>\n\u003cp>Anthony Cava, information officer at the Department of Health Care Services, said by email that the same providers can do exactly what they’ve been doing, as long as they meet the guidelines issued by the department.\u003c/p>\n\u003cp>“The existing practices of … providers to care for children receiving [behavioral health treatment] services will remain the same,” Cava wrote, “and they can provide care under the direct supervision of a behavior analyst or behavior management consultant.”\u003c/p>\n\u003cp>According to Kristin Jacobson, executive director of Autism Deserves Equal Coverage in Burlingame, the state is downplaying the consequences.\u003c/p>\n\u003cp>“It’s sort of a technical song-and-dance, where it appears that they’re saying all of the providers can continue what they’re doing, but in practice they can only do the same thing if they’re now supervised,” Jacobson said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I mean, we’ve all been hoping that all providers will be able to provide the same services, but what [the department] has put out in writing doesn’t reflect that,” she said. “If you look at the numbers of providers who are excluded, you very well could be wiping out half the kids.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Let’s say you have a son who develops a drug problem or becomes suicidal. His doctor says he needs extensive treatment at a residential mental health center. But your insurance company denies the coverage.\u003c/p>\n\u003cp>Consumers\u003ca href=\"https://www.dmhc.ca.gov/FileaComplaint/IndependentMedicalReviewComplaintForm.aspx#.Vs4EhfkrKUk\" target=\"_blank\"> can appeal those decisions \u003c/a>to California’s Department of Managed Health Care, which will review the insurance company’s decision and either uphold it or overturn it.\u003c/p>\n\u003cp>Under law, the agency has six days to complete an urgent review, upon receipt of a complete application. \u003ca href=\"http://www.psych-appeal.com/california-dmhc-sued-for-unlawful-handling-of-mental-health-appeals/\" target=\"_blank\"> A lawsuit \u003c/a>filed late Tuesday alleges that the agency routinely violates review deadlines, sometimes taking weeks or longer to render a decision.\u003c/p>\n\u003cp>“The consequences of not receiving a timely decision can be devastating,\" says Meiram Bendat, an attorney for the plaintiffs and president of Psych-Appeal, a mental health advocacy law firm. \"Patients must decide whether to pay for costly treatments out of pocket, with the very real possibility of not getting reimbursed – or simply say ‘no’ and forego the care they desperately need.\"\u003c/p>\n\u003cp>The Department of Managed Health Care regulates health insurance plans that cover 25 million Californians. The number of people affected by the urgent review process addressed in the lawsuit is relatively few. Last year, the agency reviewed 1,789 insurance denials for care; 508 were handled on a expedited basis; and 15 percent of those (78 cases) were for mental health conditions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The department would not comment on the lawsuit directly, but said its top priority is to protect the health care rights of consumers.\u003c/p>\n\u003cp>“We take our responsibility very seriously in assisting health care consumers to receive medically necessary care when they need it,\" said Rachel Arrezola, deputy director of communications.\u003c/p>\n\u003cp>The lawsuit was filed in Los Angeles Superior Court on behalf of Evolve Growth Initiatives, which operates adolescent mental health and substance abuse treatment facilities in California and New York.\u003c/p>\n\u003cp>Evolve CEO Mendi Baron says delays in rendering appeal decisions put mental health providers in an awkward position.\u003c/p>\n\u003cp>“Mental health providers often delay or terminate care instead of taking on the risks associated with these delayed appeals” Baron says. “While Evolve does not discharge patients pending appeals, we find that if they can’t pay for treatment themselves, many patients simply won’t stay in treatment.”\u003c/p>\n\u003cp>The lawsuit filed against the Department of Managed Health Care is unusual. Consumer health advocates recently applauded the agency for taking a hard line on enforcing \u003ca href=\"http://www.dol.gov/ebsa/mentalhealthparity/\" target=\"_blank\">mental health parity regulations \u003c/a>–- which require health insurers to provide mental health benefits equal to medical care. The agency fined Kaiser Permanente $4 million in 2013 for not providing patients timely access to mental health appointments and for effectively dissuading individual therapy. In 2014, Kaiser agreed to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/09/09/kaiser-agrees-to-pay-4-million-fine-over-mental-health-care-drops-lawsuit/\" target=\"_blank\">pay the fine\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“DMHC may tout mental health parity,” Baron said, “but its practices are making a mockery of actual mental health care.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Let’s say you have a son who develops a drug problem or becomes suicidal. His doctor says he needs extensive treatment at a residential mental health center. But your insurance company denies the coverage.\u003c/p>\n\u003cp>Consumers\u003ca href=\"https://www.dmhc.ca.gov/FileaComplaint/IndependentMedicalReviewComplaintForm.aspx#.Vs4EhfkrKUk\" target=\"_blank\"> can appeal those decisions \u003c/a>to California’s Department of Managed Health Care, which will review the insurance company’s decision and either uphold it or overturn it.\u003c/p>\n\u003cp>Under law, the agency has six days to complete an urgent review, upon receipt of a complete application. \u003ca href=\"http://www.psych-appeal.com/california-dmhc-sued-for-unlawful-handling-of-mental-health-appeals/\" target=\"_blank\"> A lawsuit \u003c/a>filed late Tuesday alleges that the agency routinely violates review deadlines, sometimes taking weeks or longer to render a decision.\u003c/p>\n\u003cp>“The consequences of not receiving a timely decision can be devastating,\" says Meiram Bendat, an attorney for the plaintiffs and president of Psych-Appeal, a mental health advocacy law firm. \"Patients must decide whether to pay for costly treatments out of pocket, with the very real possibility of not getting reimbursed – or simply say ‘no’ and forego the care they desperately need.\"\u003c/p>\n\u003cp>The Department of Managed Health Care regulates health insurance plans that cover 25 million Californians. The number of people affected by the urgent review process addressed in the lawsuit is relatively few. Last year, the agency reviewed 1,789 insurance denials for care; 508 were handled on a expedited basis; and 15 percent of those (78 cases) were for mental health conditions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The department would not comment on the lawsuit directly, but said its top priority is to protect the health care rights of consumers.\u003c/p>\n\u003cp>“We take our responsibility very seriously in assisting health care consumers to receive medically necessary care when they need it,\" said Rachel Arrezola, deputy director of communications.\u003c/p>\n\u003cp>The lawsuit was filed in Los Angeles Superior Court on behalf of Evolve Growth Initiatives, which operates adolescent mental health and substance abuse treatment facilities in California and New York.\u003c/p>\n\u003cp>Evolve CEO Mendi Baron says delays in rendering appeal decisions put mental health providers in an awkward position.\u003c/p>\n\u003cp>“Mental health providers often delay or terminate care instead of taking on the risks associated with these delayed appeals” Baron says. “While Evolve does not discharge patients pending appeals, we find that if they can’t pay for treatment themselves, many patients simply won’t stay in treatment.”\u003c/p>\n\u003cp>The lawsuit filed against the Department of Managed Health Care is unusual. Consumer health advocates recently applauded the agency for taking a hard line on enforcing \u003ca href=\"http://www.dol.gov/ebsa/mentalhealthparity/\" target=\"_blank\">mental health parity regulations \u003c/a>–- which require health insurers to provide mental health benefits equal to medical care. The agency fined Kaiser Permanente $4 million in 2013 for not providing patients timely access to mental health appointments and for effectively dissuading individual therapy. In 2014, Kaiser agreed to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/09/09/kaiser-agrees-to-pay-4-million-fine-over-mental-health-care-drops-lawsuit/\" target=\"_blank\">pay the fine\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“DMHC may tout mental health parity,” Baron said, “but its practices are making a mockery of actual mental health care.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>SACRAMENTO, Calif. (AP) — California's inspector general gave a failing grade to medical care at a fourth prison Monday as the state tries to regain responsibility for health treatment after a decade of federal control.\u003c/p>\n\u003cp>Valley State Prison in Chowchilla received a failing grade in nine of the 14 benchmarks used by inspectors. Medical records often were missing, misfiled, incomplete or illegible. Medicine often was not provided as needed. Essential supplies and basic equipment were missing from many examination rooms.\u003c/p>\n\u003cp>Problems included a failure to provide inmates with follow-up care after initial appointments. Some appointments were delayed for months, while others never occurred, inspectors found. Nurses repeatedly failed to carry out doctors' orders, to identify and act on patients' medical problems, or to recognize those with urgent needs.\u003c/p>\n\u003cp>In one case, a patient who went untreated for low blood sodium for three weeks had a seizure that required life-support measures and sent him to an intensive care unit at an outside hospital.\u003c/p>\n\u003cp>\"Poor care resulted in bad or potentially really bad outcomes,\" said Steven Fama, an attorney with the Berkeley-based Prison Law Office that represents ill inmates.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The medium-security prison houses nearly 3,400 inmates about 40 miles northwest of Fresno.\u003c/p>\n\u003cp>Joyce Hayhoe, a spokeswoman for the federal receiver who runs the prison health care system, said officials are fixing the problems.\u003c/p>\n\u003cp>The inspector general previously found that prisons in Delano, Susanville and Vacaville are providing inadequate care.\u003c/p>\n\u003cp>Seven other prisons have received passing grades, and one prison, in Folsom, has been returned to state control.\u003c/p>\n\u003cp>U.S. District Judge Thelton Henderson said last year that the state must successfully operate all 34 adult prisons for a year before he considers ending a long-running class action lawsuit.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Henderson seized control a decade ago after he found that conditions were so poor that an average of an inmate a week was dying of medical malpractice or neglect.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>SACRAMENTO, Calif. (AP) — California's inspector general gave a failing grade to medical care at a fourth prison Monday as the state tries to regain responsibility for health treatment after a decade of federal control.\u003c/p>\n\u003cp>Valley State Prison in Chowchilla received a failing grade in nine of the 14 benchmarks used by inspectors. Medical records often were missing, misfiled, incomplete or illegible. Medicine often was not provided as needed. Essential supplies and basic equipment were missing from many examination rooms.\u003c/p>\n\u003cp>Problems included a failure to provide inmates with follow-up care after initial appointments. Some appointments were delayed for months, while others never occurred, inspectors found. Nurses repeatedly failed to carry out doctors' orders, to identify and act on patients' medical problems, or to recognize those with urgent needs.\u003c/p>\n\u003cp>In one case, a patient who went untreated for low blood sodium for three weeks had a seizure that required life-support measures and sent him to an intensive care unit at an outside hospital.\u003c/p>\n\u003cp>\"Poor care resulted in bad or potentially really bad outcomes,\" said Steven Fama, an attorney with the Berkeley-based Prison Law Office that represents ill inmates.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "San Francisco Supervisors One Step Closer to Raising Tobacco Age to 21",
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"content": "\u003cp>A San Francisco Board of Supervisors committee voted Monday to raise the legal age to buy tobacco products from 18 to 21. The vote of the Land Use Committee was 3-0 to prohibit retailers from selling tobacco products -- including smokeless tobacco and e-cigarettes -- to those under age 21.\u003c/p>\n\u003cp>The full board will consider the ordinance next Tuesday, March 1. If the measure passes and is signed by the mayor, San Francisco would join \u003ca href=\"http://tobacco21.org/wp-content/uploads/2014/02/Tobacco-21-Cities-new22.pdf\" target=\"_blank\">more than 120 cities nationally \u003c/a>-- including Boston and New York -- in approving the change. Hawaii raised the age statewide, effective Jan. 1. In California, Healdsburg and \u003ca href=\"http://www.prnewswire.com/news-releases/berkeley-raises-smoking-age-to-21-300210500.html\" target=\"_blank\">Berkeley \u003c/a>have both approved the higher age. A bill in the California Assembly to raise the age statewide stalled last fall.\u003c/p>\n\u003cp>Proponents of the change say that many teenagers access cigarettes and other tobacco products from friends who are old enough to legally buy them. Raising the age to 21 moves legal buyers out of the social circle of most high school students, advocates say.\u003c/p>\n\u003cp>\"This is an important public health issue,\" said Supervisor Scott Wiener, one of the sponsors of the ordinance, who said that teenagers who take up smoking are more likely to get \"hooked for the long term,\" but those who start older are less likely to do so.\u003c/p>\n\u003cp>\"If we can make it harder for young people to get access to tobacco, we will see significant public health benefits,\" he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A landmark study from the prestigious Institute of Medicine reached a similar conclusion in \u003ca href=\"https://iom.nationalacademies.org/~/media/Files/Report%20Files/2015/TobaccoMinAge/tobacco_minimum_age_report_brief.pdf\" target=\"_blank\">an analysis published last year\u003c/a>. The panel found that if the minimum legal age to buy tobacco were raised to 21, tobacco use by would drop by 12 percent by the time today's teens reached adulthood.\u003c/p>\n\u003cp>David Sutton, a spokesman for tobacco industry leader Altria, the parent company of Philip Morris, said that the company supports the minimum age of 18 and called the question of raising the minimum age \"a complex issue.\"\u003c/p>\n\u003cp>He said cities and states should defer to Congress and the Food and Drug Administration to \"evaluate the issue.\"\u003c/p>\n\u003cp>Tom Briant, with the National Association of Tobacco Outlets, raised a different issue. He said that California law \"specifically preempts a local government from adopting a higher age to buy tobacco products.\" The \u003ca href=\"http://www.pressdemocrat.com/news/4606690-181/healdsburg-suspends-its-over-21-requirement\" target=\"_blank\">Santa Rosa Press Democrat reported\u003c/a> that Healdsburg ultimately suspended enforcement of raising the minimum age to 21 after being threatened with a lawsuit by Briant's organization.\u003c/p>\n\u003cp>While California law sets many aspects of tobacco regulation, including the minimum age of purchase, Wiener is confident that San Francisco's ordinance would withstand legal scrutiny.\u003c/p>\n\u003cp>\"We believe -- and our city attorney believes -- that this ordinance is very compatible with state law,\" he said. \"We will prevail in a challenge and a lawsuit by the tobacco industry.\"\u003c/p>\n\u003cp>Briant also said his organization believes that people who are 18 should have the right to make decisions about what lawful products to use. \"Since someone who is 18 can get married, can serve in the military, can vote,\" he said, \"they are of age to make an adult decision whether or not to buy or use tobacco products.\"\u003c/p>\n\u003cp>Advocates of the change counter that the drinking age is 21, and many states set 21 as the minimum age for casino gambling.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>A national survey from the Centers for Disease Control and Prevention last year found that three out of four adults favor making 21 the minimum age for sale of tobacco products -- and that includes seven out of 10 current adult smokers.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A San Francisco Board of Supervisors committee voted Monday to raise the legal age to buy tobacco products from 18 to 21. The vote of the Land Use Committee was 3-0 to prohibit retailers from selling tobacco products -- including smokeless tobacco and e-cigarettes -- to those under age 21.\u003c/p>\n\u003cp>The full board will consider the ordinance next Tuesday, March 1. If the measure passes and is signed by the mayor, San Francisco would join \u003ca href=\"http://tobacco21.org/wp-content/uploads/2014/02/Tobacco-21-Cities-new22.pdf\" target=\"_blank\">more than 120 cities nationally \u003c/a>-- including Boston and New York -- in approving the change. Hawaii raised the age statewide, effective Jan. 1. In California, Healdsburg and \u003ca href=\"http://www.prnewswire.com/news-releases/berkeley-raises-smoking-age-to-21-300210500.html\" target=\"_blank\">Berkeley \u003c/a>have both approved the higher age. A bill in the California Assembly to raise the age statewide stalled last fall.\u003c/p>\n\u003cp>Proponents of the change say that many teenagers access cigarettes and other tobacco products from friends who are old enough to legally buy them. Raising the age to 21 moves legal buyers out of the social circle of most high school students, advocates say.\u003c/p>\n\u003cp>\"This is an important public health issue,\" said Supervisor Scott Wiener, one of the sponsors of the ordinance, who said that teenagers who take up smoking are more likely to get \"hooked for the long term,\" but those who start older are less likely to do so.\u003c/p>\n\u003cp>\"If we can make it harder for young people to get access to tobacco, we will see significant public health benefits,\" he said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A landmark study from the prestigious Institute of Medicine reached a similar conclusion in \u003ca href=\"https://iom.nationalacademies.org/~/media/Files/Report%20Files/2015/TobaccoMinAge/tobacco_minimum_age_report_brief.pdf\" target=\"_blank\">an analysis published last year\u003c/a>. The panel found that if the minimum legal age to buy tobacco were raised to 21, tobacco use by would drop by 12 percent by the time today's teens reached adulthood.\u003c/p>\n\u003cp>David Sutton, a spokesman for tobacco industry leader Altria, the parent company of Philip Morris, said that the company supports the minimum age of 18 and called the question of raising the minimum age \"a complex issue.\"\u003c/p>\n\u003cp>He said cities and states should defer to Congress and the Food and Drug Administration to \"evaluate the issue.\"\u003c/p>\n\u003cp>Tom Briant, with the National Association of Tobacco Outlets, raised a different issue. He said that California law \"specifically preempts a local government from adopting a higher age to buy tobacco products.\" The \u003ca href=\"http://www.pressdemocrat.com/news/4606690-181/healdsburg-suspends-its-over-21-requirement\" target=\"_blank\">Santa Rosa Press Democrat reported\u003c/a> that Healdsburg ultimately suspended enforcement of raising the minimum age to 21 after being threatened with a lawsuit by Briant's organization.\u003c/p>\n\u003cp>While California law sets many aspects of tobacco regulation, including the minimum age of purchase, Wiener is confident that San Francisco's ordinance would withstand legal scrutiny.\u003c/p>\n\u003cp>\"We believe -- and our city attorney believes -- that this ordinance is very compatible with state law,\" he said. \"We will prevail in a challenge and a lawsuit by the tobacco industry.\"\u003c/p>\n\u003cp>Briant also said his organization believes that people who are 18 should have the right to make decisions about what lawful products to use. \"Since someone who is 18 can get married, can serve in the military, can vote,\" he said, \"they are of age to make an adult decision whether or not to buy or use tobacco products.\"\u003c/p>\n\u003cp>Advocates of the change counter that the drinking age is 21, and many states set 21 as the minimum age for casino gambling.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>A national survey from the Centers for Disease Control and Prevention last year found that three out of four adults favor making 21 the minimum age for sale of tobacco products -- and that includes seven out of 10 current adult smokers.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Schools Should Recognize Trauma as a Disability, Compton Lawsuit Says",
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"content": "\u003cp>A group of middle and high school students in Compton have filed a first-of-its-kind federal lawsuit saying violence at home and in their neighborhoods has impaired their ability to learn at school. The students, along with three teachers who are also plaintiffs, allege the Compton Unified School District has failed to recognize and address their trauma-induced disabilities, and therefore has denied their legal right to an equal education.\u003c/p>\n\u003caside class=\"pullquote alignright\">'You have to address trauma in order to do anything about the achievement gap.'\u003ccite>Anne Hudson-Price, attorney representing students\u003c/cite>\u003c/aside>\n\u003cp>Lead plaintiff Peter P. (not his real name) was raped by an abusive stepfather, who also beat his siblings and his mom.\u003c/p>\n\u003cp>“We’d go to school with black eyes and busted teeth,” he said.\u003c/p>\n\u003cp>Peter’s neighborhood was as dangerous as his home. He was once mistaken for his older brother and shot in the street, and said he’s has witnessed his friends and others being shot.\u003c/p>\n\u003cp>“If you’re surrounded in an area that’s gang-affiliated, you go to school having to watch your back all the time,” Peter said. “You’re already scared senseless. That’s what affects studying.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Peter said he has excelled in school at times, but often he’s been too preoccupied to focus. His rage led to a slew of suspensions and expulsions.\u003c/p>\n\u003cp>Other plaintiffs reported witnessing repeated shootings and being shot at themselves. One boy was mistaken for someone else, arrested at gunpoint and handcuffed at his elementary school when he was a sixth grader. Another watched his father point a gun at his mother, while a young woman said she’d been sexually assaulted on a public bus on her way home from school.\u003c/p>\n\u003cp>“You have to address trauma in order to do anything about the achievement gap,\" said Anne Hudson-Price, an attorney with Public Counsel who represents the students.\u003c/p>\n\u003cp>Learning requires a state of attentive calm, Hudson-Price and her colleagues note in court papers. But it’s one that traumatized kids rarely if ever achieve.\u003c/p>\n\u003cp>\u003cstrong>May Be Eligible for Accommodations \u003c/strong>\u003c/p>\n\u003cp>Last September, District Judge Michael Fitzgerald allowed the case to move forward, ruling that the students could be entitled to accommodations under the Americans with Disabilities Act, just as learning-disabled students are.\u003c/p>\n\u003cp>If the plaintiffs prevail, they could pave the way for large-scale changes in school policies nationwide.\u003c/p>\n\u003cp>The lawsuit seeks consistent mental health support for students, as well as training and coaching for teachers to understand trauma and respond appropriately. The plaintiffs want to end punitive discipline like suspensions and expulsions, which they allege are counter-productive because they push traumatized kids out of school and into the criminal justice system.\u003c/p>\n\u003cp>Peter argued that throughout his school career, Compton school district teachers and administrators knew of the issues that caused him to act out and do poorly in school, but offered no help, even last year when he was homeless. He lived openly on the roof of the cafeteria at Dominguez High School for two months.\u003c/p>\n\u003cp>\u003cstrong>'To Me, It’s a Civil Rights Issue'\u003c/strong>\u003c/p>\n\u003cp>Hudson-Price said the plaintiffs are not asking for screening of individual children. Instead, they demand that the district establish so-called trauma-informed policies for all of its 26,000 students because so many of them are affected.\u003c/p>\n\u003cp>More than half of the district’s students have experienced at least one traumatic event, based on an analysis of self-reported data by Christina Bethell, a professor of public health at Johns Hopkins University who directs the Child and Adolescent Health Measurement Initiative.\u003c/p>\n\u003cp>Homicide rates in Compton are five times the national average. A significant number of the districts students are homeless or in foster care and many are poor. Ninety three percent of the district’s students qualify for free or reduced price lunches.\u003c/p>\n\u003cp>“To me, it’s a civil rights issue,” said Marleen Wong, an associate dean and professor at the University of Southern California, School of Social Work, who’s filed a declaration in support of the lawsuit.\u003c/p>\n\u003cp>Compton school officials declined interview requests. But, District Superintendent Darin Brawley said in a written statement that school officials believe the lawsuit targets Compton for its “name recognition and publicity value.”\u003c/p>\n\u003cp>In court papers, Compton Unified School District officials contend that trauma isn’t a disability. They argue that attaching the stigma of disability to kids because they come from poor, high crime neighborhoods would be devastating. What’s more, they say students’ bad behavior could be the result of immaturity or bad judgment, not the trauma they might have suffered. Still, they contend that the district is sensitive to trauma, citing trainings for teachers and school staff. An item posted last month on the district website highlights increased counseling services for students through a partnership with a local non-profit.\u003c/p>\n\u003cp>Underpinning the plaintiffs’ case is relatively new research that shows repeated exposure to trauma causes both long-term and immediate damage to developing brains and bodies.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cdc.gov/violenceprevention/acestudy/\" target=\"_blank\">1998 Adverse Childhood Experiences study\u003c/a>, conducted by researchers at Kaiser Permanente in San Diego and the Centers for Disease Control and Prevention, showed that traumatic childhood experiences, like abuse or neglect, or living with alcoholic, drug-addicted or mentally ill parents raised the risk of physical and mental health issues in later life. The more trauma a person experienced in childhood, the more likely she was to suffer health consequences like cancer, addiction or obesity as an adult.\u003c/p>\n\u003cp>[contextly_sidebar id=\"yWp5rXRUR0385dImwL3RJ0d36hRQTS0H\"]But repeated trauma also affects children profoundly during their earliest years, because of the plasticity of their brains, writes Joyce Dorado, a psychologist and professor at the UC San Francisco in her declaration supporting the lawsuit.\u003c/p>\n\u003cp>When the brain’s basic survival mechanisms of fight or flight or freeze and surrender are triggered again and again, the limbic system, which controls those responses is overdeveloped and the pre-frontal cortex, which is responsible for clear thinking and concentration is stunted.\u003c/p>\n\u003cp>The result, according to scientists, is that the brains of traumatized children are essentially re-wired so that the smallest upset can cause them to lash out in anger in a fight or flight state or to withdraw, removing themselves psychologically from a situation. Thus, traumatized kids can’t learn as well as those whose brains have developed in calmer circumstances.\u003c/p>\n\u003cp>Students in Washington state who reported three or more adverse childhood experiences were four times more likely to fail in school and six times more likely to have serious behavior problems, according to a 2015 study by researchers at Washington State University.\u003c/p>\n\u003cp>The good news is that trauma is treatable, USC's Wong said.\u003c/p>\n\u003cp>She and her colleagues published \u003ca href=\"http://www.nctsnet.org/nctsn_assets/Articles/100.pdf\" target=\"_blank\">a study \u003c/a>in the Journal of the American Medical Association in 2003 that showed that students in South and East Los Angeles who reported PTSD saw their symptoms ease after just 10 weeks of group therapy.\u003c/p>\n\u003cp>Now, a handful of schools and school districts around the country, including some in Oakland, San Francisco and San Diego have gone farther, incorporating therapy, teacher training and restorative discipline policies to create trauma-informed campuses.\u003c/p>\n\u003cp>In San Francisco,\u003ca href=\"http://,%20the%20UCSF%20Healthy%20Environments%20and%20Response%20to%20Trauma%20in%20Schools%20or%20HEAR%E2%80%A6\" target=\"_blank\"> the UCSF Healthy Environments and Response to Trauma in Schools\u003c/a> or HEARTS establishes prevention programs to help kids deal with trauma and intervention efforts for kids who are at-risk or suffer from post-traumatic stress. In addition to training for teachers and parents, the program provides support for teachers who may suffer from stress and burnout because of their work with troubled kids. Additionally, HEARTS has worked with schools and district-wide to create alternatives to punitive discipline like suspensions from school.\u003c/p>\n\u003cp>After five years in one school, Dorado said she’s seen an 86 percent decrease in physical aggression, a 95 percent decrease in suspensions, and an 87 percent decrease in referrals to the office.\u003c/p>\n\u003cp>Such transformations take three to five years, Dorado said.\u003c/p>\n\u003cp>“It would be misguided to think it happens quickly. If you think one year is enough, no. That flies in the face of what we’ve learned from organizational change research.”\u003c/p>\n\u003cp>There is no still no data on whether trauma-informed programs have improved students’ academic performance, Dorado said.\u003c/p>\n\u003cp>The HEARTS program has received a number of grants for its work, including one that contributed about $90,000 per year. But Dorado said she and others are creating a model for trauma informed schools that administrators can replicate at a more sustainable cost of about $50,000 or $60,000 annually, or what a principal might spend to hire a reading specialist or other support staff.\u003c/p>\n\u003cp>The students’ lawsuit is set for a hearing next January. Hudson-Price said that the two sides have engaged in mediation, which was recommended by the judge, but she declined to elaborate.\u003c/p>\n\u003cp>Lead plaintiff Peter P said that he thinks the problem in Compton is that adults have simply ignored the problems of kids in need.\u003c/p>\n\u003cp>“How can you not tell a kid is worried? How can you not see it. You have to ask what’s going on?”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Meanwhile, Peter has left the Compton school district for his senior year, and hopes to attend a community college next year.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>A group of middle and high school students in Compton have filed a first-of-its-kind federal lawsuit saying violence at home and in their neighborhoods has impaired their ability to learn at school. The students, along with three teachers who are also plaintiffs, allege the Compton Unified School District has failed to recognize and address their trauma-induced disabilities, and therefore has denied their legal right to an equal education.\u003c/p>\n\u003caside class=\"pullquote alignright\">'You have to address trauma in order to do anything about the achievement gap.'\u003ccite>Anne Hudson-Price, attorney representing students\u003c/cite>\u003c/aside>\n\u003cp>Lead plaintiff Peter P. (not his real name) was raped by an abusive stepfather, who also beat his siblings and his mom.\u003c/p>\n\u003cp>“We’d go to school with black eyes and busted teeth,” he said.\u003c/p>\n\u003cp>Peter’s neighborhood was as dangerous as his home. He was once mistaken for his older brother and shot in the street, and said he’s has witnessed his friends and others being shot.\u003c/p>\n\u003cp>“If you’re surrounded in an area that’s gang-affiliated, you go to school having to watch your back all the time,” Peter said. “You’re already scared senseless. That’s what affects studying.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Peter said he has excelled in school at times, but often he’s been too preoccupied to focus. His rage led to a slew of suspensions and expulsions.\u003c/p>\n\u003cp>Other plaintiffs reported witnessing repeated shootings and being shot at themselves. One boy was mistaken for someone else, arrested at gunpoint and handcuffed at his elementary school when he was a sixth grader. Another watched his father point a gun at his mother, while a young woman said she’d been sexually assaulted on a public bus on her way home from school.\u003c/p>\n\u003cp>“You have to address trauma in order to do anything about the achievement gap,\" said Anne Hudson-Price, an attorney with Public Counsel who represents the students.\u003c/p>\n\u003cp>Learning requires a state of attentive calm, Hudson-Price and her colleagues note in court papers. But it’s one that traumatized kids rarely if ever achieve.\u003c/p>\n\u003cp>\u003cstrong>May Be Eligible for Accommodations \u003c/strong>\u003c/p>\n\u003cp>Last September, District Judge Michael Fitzgerald allowed the case to move forward, ruling that the students could be entitled to accommodations under the Americans with Disabilities Act, just as learning-disabled students are.\u003c/p>\n\u003cp>If the plaintiffs prevail, they could pave the way for large-scale changes in school policies nationwide.\u003c/p>\n\u003cp>The lawsuit seeks consistent mental health support for students, as well as training and coaching for teachers to understand trauma and respond appropriately. The plaintiffs want to end punitive discipline like suspensions and expulsions, which they allege are counter-productive because they push traumatized kids out of school and into the criminal justice system.\u003c/p>\n\u003cp>Peter argued that throughout his school career, Compton school district teachers and administrators knew of the issues that caused him to act out and do poorly in school, but offered no help, even last year when he was homeless. He lived openly on the roof of the cafeteria at Dominguez High School for two months.\u003c/p>\n\u003cp>\u003cstrong>'To Me, It’s a Civil Rights Issue'\u003c/strong>\u003c/p>\n\u003cp>Hudson-Price said the plaintiffs are not asking for screening of individual children. Instead, they demand that the district establish so-called trauma-informed policies for all of its 26,000 students because so many of them are affected.\u003c/p>\n\u003cp>More than half of the district’s students have experienced at least one traumatic event, based on an analysis of self-reported data by Christina Bethell, a professor of public health at Johns Hopkins University who directs the Child and Adolescent Health Measurement Initiative.\u003c/p>\n\u003cp>Homicide rates in Compton are five times the national average. A significant number of the districts students are homeless or in foster care and many are poor. Ninety three percent of the district’s students qualify for free or reduced price lunches.\u003c/p>\n\u003cp>“To me, it’s a civil rights issue,” said Marleen Wong, an associate dean and professor at the University of Southern California, School of Social Work, who’s filed a declaration in support of the lawsuit.\u003c/p>\n\u003cp>Compton school officials declined interview requests. But, District Superintendent Darin Brawley said in a written statement that school officials believe the lawsuit targets Compton for its “name recognition and publicity value.”\u003c/p>\n\u003cp>In court papers, Compton Unified School District officials contend that trauma isn’t a disability. They argue that attaching the stigma of disability to kids because they come from poor, high crime neighborhoods would be devastating. What’s more, they say students’ bad behavior could be the result of immaturity or bad judgment, not the trauma they might have suffered. Still, they contend that the district is sensitive to trauma, citing trainings for teachers and school staff. An item posted last month on the district website highlights increased counseling services for students through a partnership with a local non-profit.\u003c/p>\n\u003cp>Underpinning the plaintiffs’ case is relatively new research that shows repeated exposure to trauma causes both long-term and immediate damage to developing brains and bodies.\u003c/p>\n\u003cp>The \u003ca href=\"http://www.cdc.gov/violenceprevention/acestudy/\" target=\"_blank\">1998 Adverse Childhood Experiences study\u003c/a>, conducted by researchers at Kaiser Permanente in San Diego and the Centers for Disease Control and Prevention, showed that traumatic childhood experiences, like abuse or neglect, or living with alcoholic, drug-addicted or mentally ill parents raised the risk of physical and mental health issues in later life. The more trauma a person experienced in childhood, the more likely she was to suffer health consequences like cancer, addiction or obesity as an adult.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>But repeated trauma also affects children profoundly during their earliest years, because of the plasticity of their brains, writes Joyce Dorado, a psychologist and professor at the UC San Francisco in her declaration supporting the lawsuit.\u003c/p>\n\u003cp>When the brain’s basic survival mechanisms of fight or flight or freeze and surrender are triggered again and again, the limbic system, which controls those responses is overdeveloped and the pre-frontal cortex, which is responsible for clear thinking and concentration is stunted.\u003c/p>\n\u003cp>The result, according to scientists, is that the brains of traumatized children are essentially re-wired so that the smallest upset can cause them to lash out in anger in a fight or flight state or to withdraw, removing themselves psychologically from a situation. Thus, traumatized kids can’t learn as well as those whose brains have developed in calmer circumstances.\u003c/p>\n\u003cp>Students in Washington state who reported three or more adverse childhood experiences were four times more likely to fail in school and six times more likely to have serious behavior problems, according to a 2015 study by researchers at Washington State University.\u003c/p>\n\u003cp>The good news is that trauma is treatable, USC's Wong said.\u003c/p>\n\u003cp>She and her colleagues published \u003ca href=\"http://www.nctsnet.org/nctsn_assets/Articles/100.pdf\" target=\"_blank\">a study \u003c/a>in the Journal of the American Medical Association in 2003 that showed that students in South and East Los Angeles who reported PTSD saw their symptoms ease after just 10 weeks of group therapy.\u003c/p>\n\u003cp>Now, a handful of schools and school districts around the country, including some in Oakland, San Francisco and San Diego have gone farther, incorporating therapy, teacher training and restorative discipline policies to create trauma-informed campuses.\u003c/p>\n\u003cp>In San Francisco,\u003ca href=\"http://,%20the%20UCSF%20Healthy%20Environments%20and%20Response%20to%20Trauma%20in%20Schools%20or%20HEAR%E2%80%A6\" target=\"_blank\"> the UCSF Healthy Environments and Response to Trauma in Schools\u003c/a> or HEARTS establishes prevention programs to help kids deal with trauma and intervention efforts for kids who are at-risk or suffer from post-traumatic stress. In addition to training for teachers and parents, the program provides support for teachers who may suffer from stress and burnout because of their work with troubled kids. Additionally, HEARTS has worked with schools and district-wide to create alternatives to punitive discipline like suspensions from school.\u003c/p>\n\u003cp>After five years in one school, Dorado said she’s seen an 86 percent decrease in physical aggression, a 95 percent decrease in suspensions, and an 87 percent decrease in referrals to the office.\u003c/p>\n\u003cp>Such transformations take three to five years, Dorado said.\u003c/p>\n\u003cp>“It would be misguided to think it happens quickly. If you think one year is enough, no. That flies in the face of what we’ve learned from organizational change research.”\u003c/p>\n\u003cp>There is no still no data on whether trauma-informed programs have improved students’ academic performance, Dorado said.\u003c/p>\n\u003cp>The HEARTS program has received a number of grants for its work, including one that contributed about $90,000 per year. But Dorado said she and others are creating a model for trauma informed schools that administrators can replicate at a more sustainable cost of about $50,000 or $60,000 annually, or what a principal might spend to hire a reading specialist or other support staff.\u003c/p>\n\u003cp>The students’ lawsuit is set for a hearing next January. Hudson-Price said that the two sides have engaged in mediation, which was recommended by the judge, but she declined to elaborate.\u003c/p>\n\u003cp>Lead plaintiff Peter P said that he thinks the problem in Compton is that adults have simply ignored the problems of kids in need.\u003c/p>\n\u003cp>“How can you not tell a kid is worried? How can you not see it. You have to ask what’s going on?”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Meanwhile, Peter has left the Compton school district for his senior year, and hopes to attend a community college next year.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Cal/OSHA Rejects Condom Requirement in Porn Films",
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"content": "\u003cp>\u003cstrong>Update: Feb. 18, 4:30 p.m.\u003c/strong>\u003c/p>\n\u003cp>California's Divison of Occupational Safety and Health -- Cal/OSHA -- rejected proposed regulations Thursday that would have required actors in all porn films statewide to use condoms.\u003c/p>\n\u003cp>Cal/OSHA's Standards Board voted 3-2 to accept the new regulations, but needed four \"yes\" votes to pass. The board voted to ask Cal/OSHA staff to work on new regulations for the porn industry.\u003c/p>\n\u003cp>The board heard five hours of testimony from scores of actors, writers, directors and producers at the hearing in Oakland.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/247790917\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Several said doing so would force the industry underground, prompting it to film in secret, which would essentially make all those involved criminals. They added it might also put an end to the industry's own requirement that actors be tested for sexually transmitted disease every 14 days.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"I ask you not to approve this policy that will endanger me and my colleagues,\" porn actress Maxine Holloway said during the hearing that continued.\u003c/p>\n\u003cp>The problem, several speakers said, is that a large segment of their audience loses interest in a film when they see actors with condoms. \"Like it or not, there a very real market demand for condomless sex,\" said one woman who identified herself as a sex worker.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>Adult film executives are complaining that proposed state health and safety regulations threaten to drive the industry out of the state.\u003c/p>\n\u003cp>California regulators with the Division of Occupational Safety and Health (Cal/OSHA) will vote on new rules Thursday that would require performers to use condoms, dental dams, and even eye gear on set.\u003c/p>\n\u003cp>Performers say the rules go too far.\u003c/p>\n\u003cp>“If you think about how porn is looking today, and how it’ll look after February 18\u003csup>th\u003c/sup>, we’re talking about gloves, full body cover, and goggles,” said Eric Leue, executive director of the Free Speech Coalition, a porn industry trade group. “It’s going to turn into surgical porn.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/247726098\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>The majority of adult films globally are produced in California. In 2012, \u003ca href=\"http://www.kqed.org/news/story/2013/01/15/114539/porn_industry_turned_off_by_la_mandate_for_condoms_on_set\" target=\"_blank\">Los Angeles County passed a local law\u003c/a> mandating condom use on adult film sets. But statewide, the rules are more vague.\u003c/p>\n\u003cp>The adult film industry is regulated by the same health and safety codes that govern hospitals. Film producers are required to protect actors against certain infections that can be sexually transmitted. But the regulations don't specify that performers must use condoms.\u003c/p>\n\u003cp>The new proposed regulations clarify this. If passed, they will take effect this spring.\u003c/p>\n\u003cp>“The industry had been complaining that the reason they were violating the regulations was because they didn't apply to them,” said Adam Cohen, a public health consultant with the AIDS Healthcare Foundation, a nonprofit that has been pushing for the new rules since 2009. “This will put on the books, officially, that the state of California sees adult film employees as deserving of worker health and safety protections.”\u003c/p>\n\u003cp>The industry fears the requirements could hit their bottom line.\u003c/p>\n\u003cp>“For the consumer, there’s not going to be the fantasy, there’s not going to be the artistic vision and the expression of sexual freedom,” Leue says. “It’s going to be hazmat suits.”\u003c/p>\n\u003cp>Supporters of the rules reject that.\u003c/p>\n\u003cp>“That’s 100 percent hyperbole,” says Cohen. “There are many studios that film exclusively with condoms and have stated publicly that their sales are fantastic.”\u003c/p>\n\u003cp>Twenty-eight percent of adult film workers tested positive for chlamydia and/or gonorrhea, according to a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/23191956\">2012 study\u003c/a> published in the journal Sexually Transmitted Diseases.\u003c/p>\n\u003cp>The proposed Cal/OSHA rules would also require producers to pay for medical visits for performers and offer vaccines for hepatitis A, hepatitis B and HPV. They also require testing performers for sexually transmitted infections every three months.\u003c/p>\n\u003cp>Leue says performers feel that the Cal/OSHA board did not adequately consider their input on how the regulations would affect them, or their suggestions for alternate prevention strategies, such as PrEP, a daily pill that has been shown to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/02/no-new-infections-in-hundreds-taking-pill-to-prevent-hiv/\">prevent new HIV infections\u003c/a>, but is also associated with less condom use and higher rates of other sexually transmitted infections. (The proposed regulations were updated to recommend performers discuss PrEP with a doctor).\u003c/p>\n\u003cp>Leue also says studios already test more frequently than the proposed rules: every two weeks vs. every three months.\u003c/p>\n\u003cp>“Testing is not prevention,” says Cohen. “Taking an STD test to prevent an STD is like taking a pregnancy test to prevent pregnancy. Testing, and condoms, is the best form of prevention.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post includes reporting from the Associated Press. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update: Feb. 18, 4:30 p.m.\u003c/strong>\u003c/p>\n\u003cp>California's Divison of Occupational Safety and Health -- Cal/OSHA -- rejected proposed regulations Thursday that would have required actors in all porn films statewide to use condoms.\u003c/p>\n\u003cp>Cal/OSHA's Standards Board voted 3-2 to accept the new regulations, but needed four \"yes\" votes to pass. The board voted to ask Cal/OSHA staff to work on new regulations for the porn industry.\u003c/p>\n\u003cp>The board heard five hours of testimony from scores of actors, writers, directors and producers at the hearing in Oakland.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/247790917&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/247790917'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Several said doing so would force the industry underground, prompting it to film in secret, which would essentially make all those involved criminals. They added it might also put an end to the industry's own requirement that actors be tested for sexually transmitted disease every 14 days.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I ask you not to approve this policy that will endanger me and my colleagues,\" porn actress Maxine Holloway said during the hearing that continued.\u003c/p>\n\u003cp>The problem, several speakers said, is that a large segment of their audience loses interest in a film when they see actors with condoms. \"Like it or not, there a very real market demand for condomless sex,\" said one woman who identified herself as a sex worker.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>Adult film executives are complaining that proposed state health and safety regulations threaten to drive the industry out of the state.\u003c/p>\n\u003cp>California regulators with the Division of Occupational Safety and Health (Cal/OSHA) will vote on new rules Thursday that would require performers to use condoms, dental dams, and even eye gear on set.\u003c/p>\n\u003cp>Performers say the rules go too far.\u003c/p>\n\u003cp>“If you think about how porn is looking today, and how it’ll look after February 18\u003csup>th\u003c/sup>, we’re talking about gloves, full body cover, and goggles,” said Eric Leue, executive director of the Free Speech Coalition, a porn industry trade group. “It’s going to turn into surgical porn.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/247726098&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/247726098'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The majority of adult films globally are produced in California. In 2012, \u003ca href=\"http://www.kqed.org/news/story/2013/01/15/114539/porn_industry_turned_off_by_la_mandate_for_condoms_on_set\" target=\"_blank\">Los Angeles County passed a local law\u003c/a> mandating condom use on adult film sets. But statewide, the rules are more vague.\u003c/p>\n\u003cp>The adult film industry is regulated by the same health and safety codes that govern hospitals. Film producers are required to protect actors against certain infections that can be sexually transmitted. But the regulations don't specify that performers must use condoms.\u003c/p>\n\u003cp>The new proposed regulations clarify this. If passed, they will take effect this spring.\u003c/p>\n\u003cp>“The industry had been complaining that the reason they were violating the regulations was because they didn't apply to them,” said Adam Cohen, a public health consultant with the AIDS Healthcare Foundation, a nonprofit that has been pushing for the new rules since 2009. “This will put on the books, officially, that the state of California sees adult film employees as deserving of worker health and safety protections.”\u003c/p>\n\u003cp>The industry fears the requirements could hit their bottom line.\u003c/p>\n\u003cp>“For the consumer, there’s not going to be the fantasy, there’s not going to be the artistic vision and the expression of sexual freedom,” Leue says. “It’s going to be hazmat suits.”\u003c/p>\n\u003cp>Supporters of the rules reject that.\u003c/p>\n\u003cp>“That’s 100 percent hyperbole,” says Cohen. “There are many studios that film exclusively with condoms and have stated publicly that their sales are fantastic.”\u003c/p>\n\u003cp>Twenty-eight percent of adult film workers tested positive for chlamydia and/or gonorrhea, according to a \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/23191956\">2012 study\u003c/a> published in the journal Sexually Transmitted Diseases.\u003c/p>\n\u003cp>The proposed Cal/OSHA rules would also require producers to pay for medical visits for performers and offer vaccines for hepatitis A, hepatitis B and HPV. They also require testing performers for sexually transmitted infections every three months.\u003c/p>\n\u003cp>Leue says performers feel that the Cal/OSHA board did not adequately consider their input on how the regulations would affect them, or their suggestions for alternate prevention strategies, such as PrEP, a daily pill that has been shown to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/02/no-new-infections-in-hundreds-taking-pill-to-prevent-hiv/\">prevent new HIV infections\u003c/a>, but is also associated with less condom use and higher rates of other sexually transmitted infections. (The proposed regulations were updated to recommend performers discuss PrEP with a doctor).\u003c/p>\n\u003cp>Leue also says studios already test more frequently than the proposed rules: every two weeks vs. every three months.\u003c/p>\n\u003cp>“Testing is not prevention,” says Cohen. “Taking an STD test to prevent an STD is like taking a pregnancy test to prevent pregnancy. Testing, and condoms, is the best form of prevention.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post includes reporting from the Associated Press. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The cost of providing full Medi-Cal benefits to undocumented immigrant children in California could be significantly more than the state’s health care agency has projected, according to experts and advocates.\u003c/p>\n\u003cp>That’s because state officials may have underestimated the number of kids in the United States illegally who will be eligible for the program -– though it’s hard to know precisely by how much.\u003c/p>\n\u003cp>The Department of Health Care Services has said about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/california-budget-includes-health-coverage-of-undocumented-children-a-first-nationally/\" target=\"_blank\">170,000 such children\u003c/a> will be eligible for full Medi-Cal beginning in May, when the expansion takes effect, and that covering them will cost the state $142.8 million in fiscal year 2016-2017.\u003c/p>\n\u003cp>But some advocates believe the number of eligible kids – and thus the price of covering them – will be much higher.\u003c/p>\n\u003cp>“Oh, no, it’s going to be a lot more than that,” said Mark Diel, executive director of California Coverage and Health Initiatives, a children’s health advocacy group based in Sacramento. “We think the overall number will be more like 260,000 kids who will be eligible.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And that, Diel believes, could add roughly $40 million to the health care department’s projection.\u003c/p>\n\u003cp>Unlike the regular Medi-Cal program, which is a partnership with the federal government, the state of California must foot the full bill for coverage of kids who are not in the country legally, except when they seek emergency services.\u003c/p>\n\u003cp>What’s missing from the state’s estimate of that bill, Diehl said, are at least 70,000 undocumented children currently receiving benefits through Kaiser Permanente and about 20,000 more who get varying levels of care through county programs.\u003c/p>\n\u003cp>However, those additional 90,000 children will not be as expensive to cover as the ones counted by state health officials, because they already are receiving care.\u003c/p>\n\u003cp>Most of the 170,000 eligible children included in the state’s estimate “don’t have any care at all right now, outside of some of them getting care in the ER,” Diel explained. “It will be their first year of coverage, and that’s a lot more expensive.”\u003c/p>\n\u003cp>The 90,000 additional children who are already getting care would cost about half as much as the first-timers, on average, because “it’s easier to care for them,” he said.\u003c/p>\n\u003cp>[contextly_sidebar id=\"8LfJdr5rt0Uz6n9ZjpXzSqG4uMKL0DYQ\"]But the state’s eligibility numbers could be off by even more than 90,000, said Richard Figueroa, program director at the California Endowment, a health care philanthropy.\u003c/p>\n\u003cp>He said as many as 300,000 children in the country illegally might be eligible for full Medi-Cal benefits, though no one really knows exactly how many children in California are without legal papers.\u003c/p>\n\u003cp>Diel said his estimate of $40 million in extra state spending is a conservative number. “It’s speculation, but it’s speculation based on past experience,” he said.\u003c/p>\n\u003cp>Ronald Coleman, government affairs manager in the Sacramento office of the Los Angeles-based California Immigrant Policy Center, a think tank and advocacy group, said it is premature to pin down the cost of covering the children living in the U.S. and California illegally who are not yet counted by the health care department.\u003c/p>\n\u003cp>However, “it’s safe to say the state will have to put additional funds into this,” Coleman said.\u003c/p>\n\u003cp>Figures on those living in the U.S. and California without legal permission are unclear, and the cost of caring for children who already have some kind of coverage is also uncertain, he said.\u003c/p>\n\u003cp>He noted that not all of the 70,000 or more kids currently getting care through Kaiser Permanente will necessarily go into Medi-Cal. Talks are underway to decide how best to care for them.\u003c/p>\n\u003cp>In addition, the equation could change if a federal court injunction is lifted on President Barack Obama’s executive order offering citizenship to some of these people, Coleman noted. The Supreme Court in January agreed to hear the case.\u003c/p>\n\u003cp>If the injunction is lifted, some of the kids in California could be eligible for citizenship under Obama’s order.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Assuming they qualified, they would be covered under regular Medi-Cal, which gets significant funding from the federal government, thus reducing the state’s bill for their care.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The cost of providing full Medi-Cal benefits to undocumented immigrant children in California could be significantly more than the state’s health care agency has projected, according to experts and advocates.\u003c/p>\n\u003cp>That’s because state officials may have underestimated the number of kids in the United States illegally who will be eligible for the program -– though it’s hard to know precisely by how much.\u003c/p>\n\u003cp>The Department of Health Care Services has said about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/06/17/california-budget-includes-health-coverage-of-undocumented-children-a-first-nationally/\" target=\"_blank\">170,000 such children\u003c/a> will be eligible for full Medi-Cal beginning in May, when the expansion takes effect, and that covering them will cost the state $142.8 million in fiscal year 2016-2017.\u003c/p>\n\u003cp>But some advocates believe the number of eligible kids – and thus the price of covering them – will be much higher.\u003c/p>\n\u003cp>“Oh, no, it’s going to be a lot more than that,” said Mark Diel, executive director of California Coverage and Health Initiatives, a children’s health advocacy group based in Sacramento. “We think the overall number will be more like 260,000 kids who will be eligible.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And that, Diel believes, could add roughly $40 million to the health care department’s projection.\u003c/p>\n\u003cp>Unlike the regular Medi-Cal program, which is a partnership with the federal government, the state of California must foot the full bill for coverage of kids who are not in the country legally, except when they seek emergency services.\u003c/p>\n\u003cp>What’s missing from the state’s estimate of that bill, Diehl said, are at least 70,000 undocumented children currently receiving benefits through Kaiser Permanente and about 20,000 more who get varying levels of care through county programs.\u003c/p>\n\u003cp>However, those additional 90,000 children will not be as expensive to cover as the ones counted by state health officials, because they already are receiving care.\u003c/p>\n\u003cp>Most of the 170,000 eligible children included in the state’s estimate “don’t have any care at all right now, outside of some of them getting care in the ER,” Diel explained. “It will be their first year of coverage, and that’s a lot more expensive.”\u003c/p>\n\u003cp>The 90,000 additional children who are already getting care would cost about half as much as the first-timers, on average, because “it’s easier to care for them,” he said.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>But the state’s eligibility numbers could be off by even more than 90,000, said Richard Figueroa, program director at the California Endowment, a health care philanthropy.\u003c/p>\n\u003cp>He said as many as 300,000 children in the country illegally might be eligible for full Medi-Cal benefits, though no one really knows exactly how many children in California are without legal papers.\u003c/p>\n\u003cp>Diel said his estimate of $40 million in extra state spending is a conservative number. “It’s speculation, but it’s speculation based on past experience,” he said.\u003c/p>\n\u003cp>Ronald Coleman, government affairs manager in the Sacramento office of the Los Angeles-based California Immigrant Policy Center, a think tank and advocacy group, said it is premature to pin down the cost of covering the children living in the U.S. and California illegally who are not yet counted by the health care department.\u003c/p>\n\u003cp>However, “it’s safe to say the state will have to put additional funds into this,” Coleman said.\u003c/p>\n\u003cp>Figures on those living in the U.S. and California without legal permission are unclear, and the cost of caring for children who already have some kind of coverage is also uncertain, he said.\u003c/p>\n\u003cp>He noted that not all of the 70,000 or more kids currently getting care through Kaiser Permanente will necessarily go into Medi-Cal. Talks are underway to decide how best to care for them.\u003c/p>\n\u003cp>In addition, the equation could change if a federal court injunction is lifted on President Barack Obama’s executive order offering citizenship to some of these people, Coleman noted. The Supreme Court in January agreed to hear the case.\u003c/p>\n\u003cp>If the injunction is lifted, some of the kids in California could be eligible for citizenship under Obama’s order.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Assuming they qualified, they would be covered under regular Medi-Cal, which gets significant funding from the federal government, thus reducing the state’s bill for their care.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>GENEVA (AP) — The World Health Organization declared an international emergency on Monday over the explosive spread of the mosquito-borne Zika virus, which is linked to birth defects in the Americas, saying it is an \"extraordinary event.\"\u003c/p>\n\u003cp>The U.N. health agency convened an emergency meeting of independent experts in Geneva to assess the outbreak after noting a suspicious link between Zika's arrival in Brazil last year and a surge in the number of babies born with abnormally small heads.\u003c/p>\n\u003cp>\"After a review of the evidence, the committee advised that the clusters of microcephaly and other neurological complications constitute an extraordinary event and public health threat to other parts of the world,\" WHO Director-General Margaret Chan said.\u003c/p>\n\u003cp>WHO estimates there could be up to 4 million cases of Zika in the Americas in the next year, but no recommendations were made to restrict travel or trade.\u003c/p>\n\u003cp>\"It is important to understand, there are several measures pregnant women can take,\" Chan said. \"If you can delay travel and it does not affect your other family commitments, it is something they can consider.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"If they need to travel, they can get advice from their physician and take personal protective measures, like wearing long sleeves and shirts and pants and use mosquito repellent.\"\u003c/p>\n\u003cp>The last such public health emergency was declared for the devastating 2014 Ebola outbreak in West Africa, which killed more than 11,000 people. A similar declaration was made for polio the year before.\u003c/p>\n\u003cp>Such emergency declarations are meant as an international SOS signal and usually trigger increased money and efforts to stop the outbreak, as well as prompting research into possible treatments and vaccines.\u003c/p>\n\u003cp>WHO officials say it could be six to nine months before science proves or disproves any connection between Zika and the spike in the number of babies born in Brazil with abnormally small heads.\u003c/p>\n\u003cp>WHO, which was widely criticized for its slow response to the 2014 Ebola crisis in West Africa, has been eager to show its responsiveness this time. Despite dire warnings that Ebola was out of control in mid-2014, WHO didn't declare an emergency until August, when nearly 1,000 people had died.\u003c/p>\n\u003cp>Its officials say that up to 4 million cases of Zika could turn up in the Americas within the next year. Zika was first identified in 1947 in a Ugandan forest but until last year, it wasn't believed to cause any serious effects; about 80 percent of infected people never experience symptoms. The virus has also been linked to Guillain-Barre syndrome, which causes muscle weakness and nerve problems.\u003c/p>\n\u003cp>\"Of course, the world and the World Health Organization have all learned from the Ebola crisis,\" WHO spokesman Christian Lindmeier said earlier Monday before the emergency was declared. \"That's why we are trying to bring in the best experts we can gather for this event, to try to establish what steps to take and what the way forward should be.\"\u003c/p>\n\u003cp>Lindmeier credited authorities in Brazil for being \"extremely transparent\" since the Zika outbreak turned up there in May. He said WHO first raised the possible connection between the virus and abnormally small heads back in October — a prospect that has sown fear among many would-be mothers and pregnant women.\u003c/p>\n\u003cp>Brazilian officials shared lab samples with foreign experts and brought in scientists from abroad, he said.\u003c/p>\n\u003cp>\"What we know so far is that the only microcephaly cases we see currently are from Brazil,\" Lindmeier said, noting that abnormally small heads in newborns can have many causes — such as the effects of herbicides, alcohol use, or drugs and toxins. \"This is exactly what is the concerning question: why do we see this in Brazil?\"\u003c/p>\n\u003cp>Jimmy Whitworth, an infectious diseases expert at the London School of Hygiene and Tropical Medicine, said we might soon see other babies born with malformed heads as the virus becomes entrenched in other countries.\u003c/p>\n\u003cp>\"It could be that we're getting the strongest signal in Brazil,\" he said before WHO's annoucement. \"But having these cases occurring and pinning it to Zika is tough.\"\u003c/p>\n\u003cp>Whitworth said it was important for WHO to act quickly, despite definitive evidence that Zika is responsible for the surge in microcephaly cases.\u003c/p>\n\u003cp>\"For situations like this, you have to essentially have a 'no regrets' policy,\" he said. \"Maybe this will be a false alarm when more information is available months later, but it's serious enough on the evidence we have right now that we have to act.\"\u003c/p>\n\u003cp>\u003cem>Maria Cheng reported from London.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Original Post:\u003c/strong>\u003c/p>\n\u003cp>GENEVA (AP) — The World Health Organization declared an international emergency on Monday over the explosive spread of the mosquito-borne Zika virus, which is linked to birth defects in the Americas, saying it is an \"extraordinary event.\"\u003c/p>\n\u003cp>The U.N. health agency convened an emergency meeting of independent experts in Geneva to assess the outbreak after noting a suspicious link between Zika's arrival in Brazil last year and a surge in the number of babies born with abnormally small heads.\u003c/p>\n\u003cp>\"After a review of the evidence, the committee advised that the clusters of microcephaly and other neurological complications constitute an extraordinary event and public health threat to other parts of the world,\" WHO Director-General Margaret Chan said.\u003c/p>\n\u003cp>WHO estimates there could be up to 4 million cases of Zika in the Americas in the next year, but no recommendations were made to restrict travel or trade.\u003c/p>\n\u003cp>\"It is important to understand, there are several measures pregnant women can take,\" Chan said. \"If you can delay travel and it does not affect your other family commitments, it is something they can consider.\u003c/p>\n\u003cp>\"If they need to travel, they can get advice from their physician and take personal protective measures, like wearing long sleeves and shirts and pants and use mosquito repellent.\"\u003c/p>\n\u003cp>The last such public health emergency was declared for the devastating 2014 Ebola outbreak in West Africa, which killed more than 11,000 people. A similar declaration was made for polio the year before.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Such emergency declarations are meant as an international SOS signal and usually trigger increased money and efforts to stop the outbreak, as well as prompting research into possible treatments and vaccines.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>GENEVA (AP) — The World Health Organization declared an international emergency on Monday over the explosive spread of the mosquito-borne Zika virus, which is linked to birth defects in the Americas, saying it is an \"extraordinary event.\"\u003c/p>\n\u003cp>The U.N. health agency convened an emergency meeting of independent experts in Geneva to assess the outbreak after noting a suspicious link between Zika's arrival in Brazil last year and a surge in the number of babies born with abnormally small heads.\u003c/p>\n\u003cp>\"After a review of the evidence, the committee advised that the clusters of microcephaly and other neurological complications constitute an extraordinary event and public health threat to other parts of the world,\" WHO Director-General Margaret Chan said.\u003c/p>\n\u003cp>WHO estimates there could be up to 4 million cases of Zika in the Americas in the next year, but no recommendations were made to restrict travel or trade.\u003c/p>\n\u003cp>\"It is important to understand, there are several measures pregnant women can take,\" Chan said. \"If you can delay travel and it does not affect your other family commitments, it is something they can consider.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"If they need to travel, they can get advice from their physician and take personal protective measures, like wearing long sleeves and shirts and pants and use mosquito repellent.\"\u003c/p>\n\u003cp>The last such public health emergency was declared for the devastating 2014 Ebola outbreak in West Africa, which killed more than 11,000 people. A similar declaration was made for polio the year before.\u003c/p>\n\u003cp>Such emergency declarations are meant as an international SOS signal and usually trigger increased money and efforts to stop the outbreak, as well as prompting research into possible treatments and vaccines.\u003c/p>\n\u003cp>WHO officials say it could be six to nine months before science proves or disproves any connection between Zika and the spike in the number of babies born in Brazil with abnormally small heads.\u003c/p>\n\u003cp>WHO, which was widely criticized for its slow response to the 2014 Ebola crisis in West Africa, has been eager to show its responsiveness this time. Despite dire warnings that Ebola was out of control in mid-2014, WHO didn't declare an emergency until August, when nearly 1,000 people had died.\u003c/p>\n\u003cp>Its officials say that up to 4 million cases of Zika could turn up in the Americas within the next year. Zika was first identified in 1947 in a Ugandan forest but until last year, it wasn't believed to cause any serious effects; about 80 percent of infected people never experience symptoms. The virus has also been linked to Guillain-Barre syndrome, which causes muscle weakness and nerve problems.\u003c/p>\n\u003cp>\"Of course, the world and the World Health Organization have all learned from the Ebola crisis,\" WHO spokesman Christian Lindmeier said earlier Monday before the emergency was declared. \"That's why we are trying to bring in the best experts we can gather for this event, to try to establish what steps to take and what the way forward should be.\"\u003c/p>\n\u003cp>Lindmeier credited authorities in Brazil for being \"extremely transparent\" since the Zika outbreak turned up there in May. He said WHO first raised the possible connection between the virus and abnormally small heads back in October — a prospect that has sown fear among many would-be mothers and pregnant women.\u003c/p>\n\u003cp>Brazilian officials shared lab samples with foreign experts and brought in scientists from abroad, he said.\u003c/p>\n\u003cp>\"What we know so far is that the only microcephaly cases we see currently are from Brazil,\" Lindmeier said, noting that abnormally small heads in newborns can have many causes — such as the effects of herbicides, alcohol use, or drugs and toxins. \"This is exactly what is the concerning question: why do we see this in Brazil?\"\u003c/p>\n\u003cp>Jimmy Whitworth, an infectious diseases expert at the London School of Hygiene and Tropical Medicine, said we might soon see other babies born with malformed heads as the virus becomes entrenched in other countries.\u003c/p>\n\u003cp>\"It could be that we're getting the strongest signal in Brazil,\" he said before WHO's annoucement. \"But having these cases occurring and pinning it to Zika is tough.\"\u003c/p>\n\u003cp>Whitworth said it was important for WHO to act quickly, despite definitive evidence that Zika is responsible for the surge in microcephaly cases.\u003c/p>\n\u003cp>\"For situations like this, you have to essentially have a 'no regrets' policy,\" he said. \"Maybe this will be a false alarm when more information is available months later, but it's serious enough on the evidence we have right now that we have to act.\"\u003c/p>\n\u003cp>\u003cem>Maria Cheng reported from London.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Original Post:\u003c/strong>\u003c/p>\n\u003cp>GENEVA (AP) — The World Health Organization declared an international emergency on Monday over the explosive spread of the mosquito-borne Zika virus, which is linked to birth defects in the Americas, saying it is an \"extraordinary event.\"\u003c/p>\n\u003cp>The U.N. health agency convened an emergency meeting of independent experts in Geneva to assess the outbreak after noting a suspicious link between Zika's arrival in Brazil last year and a surge in the number of babies born with abnormally small heads.\u003c/p>\n\u003cp>\"After a review of the evidence, the committee advised that the clusters of microcephaly and other neurological complications constitute an extraordinary event and public health threat to other parts of the world,\" WHO Director-General Margaret Chan said.\u003c/p>\n\u003cp>WHO estimates there could be up to 4 million cases of Zika in the Americas in the next year, but no recommendations were made to restrict travel or trade.\u003c/p>\n\u003cp>\"It is important to understand, there are several measures pregnant women can take,\" Chan said. \"If you can delay travel and it does not affect your other family commitments, it is something they can consider.\u003c/p>\n\u003cp>\"If they need to travel, they can get advice from their physician and take personal protective measures, like wearing long sleeves and shirts and pants and use mosquito repellent.\"\u003c/p>\n\u003cp>The last such public health emergency was declared for the devastating 2014 Ebola outbreak in West Africa, which killed more than 11,000 people. A similar declaration was made for polio the year before.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>The call to a Glendora emergency dispatcher one night last October had the grim details that, officials say, have become all too familiar: a woman had found her brother unconscious on his bathroom floor. She feared he’d overdosed on drugs.\u003c/p>\n\u003cp>When Glendora Police Corporal Bill Lee and his partner, Jon Drake, responded to the call, they found a scrap of aluminum foil beside the man, holding a little bead of heroin. They noted the man’s sluggish heartbeat, faltering respiration and pinpoint pupils associated with opiate poisoning.\u003c/p>\n\u003cp>But unlike similar experiences in the past, this time Lee and Drake had a tool authorities credit with saving the man’s life: they administered a nasal spray containing the potent opioid blocker naloxone.\u003c/p>\n\u003cp>In less than 90 seconds, the man’s breathing returned to normal. He was taken to the hospital, and when Drake checked on him shortly afterwards, he was conscious, Lee said.\u003c/p>\n\u003cp>Like other communities across California, Lee’s small town in the foothills of the San Gabriel Mountains east of Los Angeles has seen a surge in heroin abuse.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When there’s an overdose call, it's often a police officer -- like Lee -- who is the first to arrive on the scene.\u003c/p>\n\u003cp>In the past, he said, he would do whatever he could. “Then you wait for fire to get there, and unfortunately, sometimes things don’t work out,” he said. Now he's hoping the naloxone spray \"will provide us with a means of changing that pattern.”\u003c/p>\n\u003cp>Some advocates call it the \"overdose antidote.\"\u003c/p>\n\u003cp>Last year, \u003ca href=\"http://sd27.senate.ca.gov/news/2014-09-19-california-governor-signs-bill-prevent-drug-overdose-fatalities\" target=\"_blank\">California lawmakers authorized\u003c/a> police officers to carry naloxone, also commonly known by a brand name, Narcan. Now, a handful of law enforcement agencies are issuing the emergency medication to officers.\u003c/p>\n\u003cp>Glendora’s tiny police department – which also was a pioneer two decades ago in equipping officers with defibrillators to help heart attack victims – issues naloxone to its emergency medical technicians.\u003c/p>\n\u003cp>The San Diego County Sheriff’s Department recently moved beyond a test program to equip all deputies. San Francisco also has a \u003ca href=\"http://www.sf-police.org/index.aspx?page=3763&recordid=1129\" target=\"_blank\">pilot project underway.\u003c/a> The Orange County Sheriff’s Department expects to expand its initial program to include all deputies in the first quarter of this year, said Lt. Jeff Hallock, a department spokesman.\u003c/p>\n\u003cp>San Diego sheriff’s Capt. James Bovet, who oversaw his department’s pilot program, said the naloxone spray clearly met a need. From 2000 to 2014, the county saw the death rate from opioid overdose increase by 50 percent, “and the trend was just increasing upward,” he said.\u003c/p>\n\u003cp>During the pilot program to test whether naloxone could help, sheriff’s deputies frequently arrived at the scene of an overdose before paramedics, Bovet said. He said the San Diego Sheriff’s Department has successfully revived 28 people with naloxone since the pilot program began. Orange County Sheriff’s and Glendora officers have each recorded one save as well.\u003c/p>\n\u003cfigure id=\"attachment_143815\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"size-thumbnail wp-image-143815\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-400x288.jpg\" alt=\"Some California law enforcement agencies are equipping their patrol officers with nasal inhalers that dispense naloxone, a potent antidote to opiate drug overdoses.\" width=\"400\" height=\"288\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-400x288.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-800x576.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-768x553.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-1440x1037.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-1180x850.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-960x692.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1.jpg 1502w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Some California law enforcement agencies are equipping their patrol officers with nasal inhalers that dispense naloxone, a potent antidote to opiate drug overdoses. \u003ccite>(Courtesy Orange County Sheriff’s Department)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Opioids depress brain functions that regulate breathing, and during an overdose, respiration slows, then stops. Naloxone kicks the opioids off those crucial brain receptors so an overdose victim can breathe again. While naloxone is non-addictive and generally considered safe, it pushes addicts into immediate withdrawal, sometimes triggering side effects such as a rapid increase in in blood pressure or seizures.\u003c/p>\n\u003cp>At the \u003ca href=\"http://www.nchrc.org\" target=\"_blank\">North Carolina Harm Reduction Coalition\u003c/a> –- a leading advocate of broadening naloxone availability –- advocacy and communications coordinator Tessie Castillo calls such adverse reactions “extremely rare.”\u003c/p>\n\u003cp>Still, some law enforcement agencies have balked at the $52-per-dose cost of the remedy, Castillo said.\u003c/p>\n\u003cp>“Sometimes there’s a reluctance to institute yet one more program and have officers train on yet one more thing,” she said. “They’ll argue that the ambulance crews already get there soon enough.”\u003c/p>\n\u003cp>Meanwhile, California has broadened access to the antidote further with a \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1535\" target=\"_blank\">new law permitting pharmacies to sell naloxone \u003c/a>without a prescription.\u003c/p>\n\u003cp>“The evidence shows very clearly that the most effective way to make sure that naloxone is at the scene of an overdose is to get it into the hands of people who use drugs and their friends and family members,” said Laura Thomas, California deputy director of the Drug Policy Alliance.\u003c/p>\n\u003cp>Bertha Madras, who served as deputy director of the White House Office on National Drug Control Policy in the George W. Bush administration, said she’s gained confidence in naloxone’s usefulness since it first came to her attention.\u003c/p>\n\u003cp>Madras said that while serving as a deputy drug czar, she questioned whether widespread access to the antidote might lead addicts to “a sense of confidence that they could push the envelope with higher doses.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>She said she now strongly supports public safety personnel having ready access to naloxone. But the uninformed may be misled by the antidote’s seeming ability to provide a miracle cure, she said. The body stores some opiates in fat for long periods, and an overdose could recur after the naloxone wears off, Madras said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The call to a Glendora emergency dispatcher one night last October had the grim details that, officials say, have become all too familiar: a woman had found her brother unconscious on his bathroom floor. She feared he’d overdosed on drugs.\u003c/p>\n\u003cp>When Glendora Police Corporal Bill Lee and his partner, Jon Drake, responded to the call, they found a scrap of aluminum foil beside the man, holding a little bead of heroin. They noted the man’s sluggish heartbeat, faltering respiration and pinpoint pupils associated with opiate poisoning.\u003c/p>\n\u003cp>But unlike similar experiences in the past, this time Lee and Drake had a tool authorities credit with saving the man’s life: they administered a nasal spray containing the potent opioid blocker naloxone.\u003c/p>\n\u003cp>In less than 90 seconds, the man’s breathing returned to normal. He was taken to the hospital, and when Drake checked on him shortly afterwards, he was conscious, Lee said.\u003c/p>\n\u003cp>Like other communities across California, Lee’s small town in the foothills of the San Gabriel Mountains east of Los Angeles has seen a surge in heroin abuse.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When there’s an overdose call, it's often a police officer -- like Lee -- who is the first to arrive on the scene.\u003c/p>\n\u003cp>In the past, he said, he would do whatever he could. “Then you wait for fire to get there, and unfortunately, sometimes things don’t work out,” he said. Now he's hoping the naloxone spray \"will provide us with a means of changing that pattern.”\u003c/p>\n\u003cp>Some advocates call it the \"overdose antidote.\"\u003c/p>\n\u003cp>Last year, \u003ca href=\"http://sd27.senate.ca.gov/news/2014-09-19-california-governor-signs-bill-prevent-drug-overdose-fatalities\" target=\"_blank\">California lawmakers authorized\u003c/a> police officers to carry naloxone, also commonly known by a brand name, Narcan. Now, a handful of law enforcement agencies are issuing the emergency medication to officers.\u003c/p>\n\u003cp>Glendora’s tiny police department – which also was a pioneer two decades ago in equipping officers with defibrillators to help heart attack victims – issues naloxone to its emergency medical technicians.\u003c/p>\n\u003cp>The San Diego County Sheriff’s Department recently moved beyond a test program to equip all deputies. San Francisco also has a \u003ca href=\"http://www.sf-police.org/index.aspx?page=3763&recordid=1129\" target=\"_blank\">pilot project underway.\u003c/a> The Orange County Sheriff’s Department expects to expand its initial program to include all deputies in the first quarter of this year, said Lt. Jeff Hallock, a department spokesman.\u003c/p>\n\u003cp>San Diego sheriff’s Capt. James Bovet, who oversaw his department’s pilot program, said the naloxone spray clearly met a need. From 2000 to 2014, the county saw the death rate from opioid overdose increase by 50 percent, “and the trend was just increasing upward,” he said.\u003c/p>\n\u003cp>During the pilot program to test whether naloxone could help, sheriff’s deputies frequently arrived at the scene of an overdose before paramedics, Bovet said. He said the San Diego Sheriff’s Department has successfully revived 28 people with naloxone since the pilot program began. Orange County Sheriff’s and Glendora officers have each recorded one save as well.\u003c/p>\n\u003cfigure id=\"attachment_143815\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003cimg class=\"size-thumbnail wp-image-143815\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-400x288.jpg\" alt=\"Some California law enforcement agencies are equipping their patrol officers with nasal inhalers that dispense naloxone, a potent antidote to opiate drug overdoses.\" width=\"400\" height=\"288\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-400x288.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-800x576.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-768x553.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-1440x1037.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-1180x850.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1-960x692.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2016/01/NaloxoneAndLawEnforcement_1.jpg 1502w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003cfigcaption class=\"wp-caption-text\">Some California law enforcement agencies are equipping their patrol officers with nasal inhalers that dispense naloxone, a potent antidote to opiate drug overdoses. \u003ccite>(Courtesy Orange County Sheriff’s Department)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Opioids depress brain functions that regulate breathing, and during an overdose, respiration slows, then stops. Naloxone kicks the opioids off those crucial brain receptors so an overdose victim can breathe again. While naloxone is non-addictive and generally considered safe, it pushes addicts into immediate withdrawal, sometimes triggering side effects such as a rapid increase in in blood pressure or seizures.\u003c/p>\n\u003cp>At the \u003ca href=\"http://www.nchrc.org\" target=\"_blank\">North Carolina Harm Reduction Coalition\u003c/a> –- a leading advocate of broadening naloxone availability –- advocacy and communications coordinator Tessie Castillo calls such adverse reactions “extremely rare.”\u003c/p>\n\u003cp>Still, some law enforcement agencies have balked at the $52-per-dose cost of the remedy, Castillo said.\u003c/p>\n\u003cp>“Sometimes there’s a reluctance to institute yet one more program and have officers train on yet one more thing,” she said. “They’ll argue that the ambulance crews already get there soon enough.”\u003c/p>\n\u003cp>Meanwhile, California has broadened access to the antidote further with a \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1535\" target=\"_blank\">new law permitting pharmacies to sell naloxone \u003c/a>without a prescription.\u003c/p>\n\u003cp>“The evidence shows very clearly that the most effective way to make sure that naloxone is at the scene of an overdose is to get it into the hands of people who use drugs and their friends and family members,” said Laura Thomas, California deputy director of the Drug Policy Alliance.\u003c/p>\n\u003cp>Bertha Madras, who served as deputy director of the White House Office on National Drug Control Policy in the George W. Bush administration, said she’s gained confidence in naloxone’s usefulness since it first came to her attention.\u003c/p>\n\u003cp>Madras said that while serving as a deputy drug czar, she questioned whether widespread access to the antidote might lead addicts to “a sense of confidence that they could push the envelope with higher doses.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>She said she now strongly supports public safety personnel having ready access to naloxone. But the uninformed may be misled by the antidote’s seeming ability to provide a miracle cure, she said. The body stores some opiates in fat for long periods, and an overdose could recur after the naloxone wears off, Madras said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"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.",
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"meta": {
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
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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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"jerrybrown": {
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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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},
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"id": "latino-usa",
"title": "Latino USA",
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"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
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"officialWebsiteLink": "http://latinousa.org/",
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"link": "/radio/program/latino-usa",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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},
"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/",
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"source": "American Public Media"
},
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},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"meta": {
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"rss": "https://rss.art19.com/masters-of-scale"
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},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
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"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
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"order": 11
},
"link": "/podcasts/onourwatch",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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},
"link": "/radio/program/on-the-media",
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"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
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},
"pbs-newshour": {
"id": "pbs-newshour",
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"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
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},
"link": "/radio/program/pbs-newshour",
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"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
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},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
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"officialWebsiteLink": "/perspectives/",
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"order": 14
},
"link": "/perspectives",
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"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
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"meta": {
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},
"link": "/radio/program/planet-money",
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"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
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},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
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