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"content": "\u003cp>\u003cspan style=\"font-weight: 400\">Suzanne Adams stood outside \u003ca href=\"http://www.catsinc.org/a-woman-s-place.html\" target=\"_blank\" rel=\"noopener\">A Woman’s Place\u003c/a>, a homeless drop-in center in San Francisco. Adams, who works there as a psychologist, pointed to the curb near the front entrance. It's where taxis regularly drop off homeless patients who have just been discharged from the hospital. \u003c/span>\u003c/p>\n\u003cp>\"Generally speaking the driver is kind enough to assist some of these women in exiting the vehicle and grabbing some of their belongings,\" Adams said. \"The patient or client enters in through our door sometimes bewildered and confused as to why they’re here.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Many of the women are elderly. Some have never been to A Woman's Place before the taxi drops them off, while others are regulars. Whatever the case, the center just isn’t prepared to take in medically fragile patients straight from the hospital, according to Adams. It’s not a clinic, and it’s not even a shelter. Women and families can stop in to take showers, do laundry or get counseling. There aren’t any beds, just a television set and lots of chairs. \u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1152\" target=\"_blank\" rel=\"noopener\">A bill\u003c/a> under consideration in Sacramento aims to address this practice, which some advocates call \"patient dumping.\" They say hospitals commonly discharge homeless patients by sending them to social service agencies or other nonprofits, and they do this without contacting those locations first.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams said this “dumping” happens at least once a week at A Woman's Place. One of the cases that haunts her involves an elderly woman who has a serious mental illness. Recently, the client had deteriorated so much that she couldn’t use the toilet alone. \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"She wasn’t leaving the building under her own accord,\" Adams said. \"She wasn’t accessing food or water without the assistance of other people. She tried to pay me a dollar the other day to go buy her some ramen so that she could eat.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams sent the woman to the hospital, hoping psychiatric services would help. \u003c/span>\u003c/p>\n\u003cp>\"Unfortunately, less than 24 hours later, she returned here,\" Adams said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The same client was resting at the center on the day a KQED reporter visited, sitting in a black chair that she favors. Adams said the woman’s mental illness still wasn't well-controlled, so she couldn't speak coherently or consent to an interview. \u003c/span>\u003c/p>\n\u003cp>\"In an ideal world, she would be transferred to a 'board and care' or an assisted living facility, where they could manage her mental health as well as her medical health in a fashion that we simply don’t have the infrastructure for,\" Adams said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislation moving through the state Senate would require that patients be discharged to one of four \"safe and appropriate\" locations: their primary dwelling (as identified by the homeless patient), another health center or hospital, a nonprofit or social service agency that has given written consent to accept the patient, or an alternative spot that the patient has consented to go to, in writing. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"http://sd22.senate.ca.gov/\" target=\"_blank\" rel=\"noopener\">Sen. Ed Hernandez\u003c/a>, D-West Covina, introduced the bill. He said hospitals, as part of society, have obligations to homeless Californians. \u003c/span>\u003c/p>\n\u003cp>\"If they fall down and have a heart attack, and somebody sends them to the hospital, we’re required by law -- which is the humane thing to do -- to treat those individuals,\" said Hernandez, who is an optometrist and chair of the Senate Health Committee. He was referring to a federal law called \u003ca href=\"https://www.acep.org/news-media-top-banner/emtala/#sm.000005tj0xf3geeirxddg2ghqr9qa\" target=\"_blank\" rel=\"noopener\">EMTALA\u003c/a>, which mandates that emergency rooms accept and treat everyone, regardless of ability to pay.\u003c/p>\n\u003cp>But EMTALA doesn't address how patients are discharged from ERs. \"Once they’re treated, the humane thing is to figure out where we’re going to place them, as opposed to just leaving them out in the street immediately,\" Hernandez said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">His bill would require some additional work on the part of ER staffers at California hospitals, such as getting consent from a shelter where the hospital wants to send the patient. \u003c/span>\u003c/p>\n\u003cp>\"I can’t imagine that it’s going to be that costly to pick up the phone,\" Hernandez said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislation also lays out a checklist of things to do before discharge. For example, the patient must be hydrated, have recently eaten and be dressed in weather-appropriate clothing. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But hospitals are pushing back, saying the list is too specific, and doesn’t give hospital workers enough flexibility to decide what’s right for each patient. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://www.calhospital.org/profile/peggy-broussard-wheeler\" target=\"_blank\" rel=\"noopener\">Peggy Wheeler\u003c/a> is the vice president for rural health and governance for the \u003ca href=\"https://www.calhospital.org/\" target=\"_blank\" rel=\"noopener\">California Hospital Association\u003c/a>. She said the bill would put yet another burden on emergency care. \u003c/span>\u003c/p>\n\u003cp>\"Hospital ERs are overcrowded,\" Wheeler said. \"If we had to hold on to a patient in a bed in the ER, that’s one less bed, two less beds, three less beds that would be available for other members of the community that need to come in and use the ER.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams, the psychologist at A Woman’s Place, thinks the bill is a good step. But she said it doesn’t get at the \u003c/span>\u003cspan style=\"font-weight: 400\">root \u003c/span>\u003cspan style=\"font-weight: 400\">problem, which is that the Bay Area doesn’t have enough options for patients who still need help \u003c/span>\u003cspan style=\"font-weight: 400\">after\u003c/span>\u003cspan style=\"font-weight: 400\"> they leave the hospital. 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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"She wasn’t leaving the building under her own accord,\" Adams said. \"She wasn’t accessing food or water without the assistance of other people. She tried to pay me a dollar the other day to go buy her some ramen so that she could eat.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams sent the woman to the hospital, hoping psychiatric services would help. \u003c/span>\u003c/p>\n\u003cp>\"Unfortunately, less than 24 hours later, she returned here,\" Adams said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The same client was resting at the center on the day a KQED reporter visited, sitting in a black chair that she favors. Adams said the woman’s mental illness still wasn't well-controlled, so she couldn't speak coherently or consent to an interview. \u003c/span>\u003c/p>\n\u003cp>\"In an ideal world, she would be transferred to a 'board and care' or an assisted living facility, where they could manage her mental health as well as her medical health in a fashion that we simply don’t have the infrastructure for,\" Adams said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislation moving through the state Senate would require that patients be discharged to one of four \"safe and appropriate\" locations: their primary dwelling (as identified by the homeless patient), another health center or hospital, a nonprofit or social service agency that has given written consent to accept the patient, or an alternative spot that the patient has consented to go to, in writing. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"http://sd22.senate.ca.gov/\" target=\"_blank\" rel=\"noopener\">Sen. Ed Hernandez\u003c/a>, D-West Covina, introduced the bill. He said hospitals, as part of society, have obligations to homeless Californians. \u003c/span>\u003c/p>\n\u003cp>\"If they fall down and have a heart attack, and somebody sends them to the hospital, we’re required by law -- which is the humane thing to do -- to treat those individuals,\" said Hernandez, who is an optometrist and chair of the Senate Health Committee. He was referring to a federal law called \u003ca href=\"https://www.acep.org/news-media-top-banner/emtala/#sm.000005tj0xf3geeirxddg2ghqr9qa\" target=\"_blank\" rel=\"noopener\">EMTALA\u003c/a>, which mandates that emergency rooms accept and treat everyone, regardless of ability to pay.\u003c/p>\n\u003cp>But EMTALA doesn't address how patients are discharged from ERs. \"Once they’re treated, the humane thing is to figure out where we’re going to place them, as opposed to just leaving them out in the street immediately,\" Hernandez said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">His bill would require some additional work on the part of ER staffers at California hospitals, such as getting consent from a shelter where the hospital wants to send the patient. \u003c/span>\u003c/p>\n\u003cp>\"I can’t imagine that it’s going to be that costly to pick up the phone,\" Hernandez said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislation also lays out a checklist of things to do before discharge. For example, the patient must be hydrated, have recently eaten and be dressed in weather-appropriate clothing. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But hospitals are pushing back, saying the list is too specific, and doesn’t give hospital workers enough flexibility to decide what’s right for each patient. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://www.calhospital.org/profile/peggy-broussard-wheeler\" target=\"_blank\" rel=\"noopener\">Peggy Wheeler\u003c/a> is the vice president for rural health and governance for the \u003ca href=\"https://www.calhospital.org/\" target=\"_blank\" rel=\"noopener\">California Hospital Association\u003c/a>. She said the bill would put yet another burden on emergency care. \u003c/span>\u003c/p>\n\u003cp>\"Hospital ERs are overcrowded,\" Wheeler said. \"If we had to hold on to a patient in a bed in the ER, that’s one less bed, two less beds, three less beds that would be available for other members of the community that need to come in and use the ER.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams, the psychologist at A Woman’s Place, thinks the bill is a good step. But she said it doesn’t get at the \u003c/span>\u003cspan style=\"font-weight: 400\">root \u003c/span>\u003cspan style=\"font-weight: 400\">problem, which is that the Bay Area doesn’t have enough options for patients who still need help \u003c/span>\u003cspan style=\"font-weight: 400\">after\u003c/span>\u003cspan style=\"font-weight: 400\"> they leave the hospital. 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"content": "\u003cp>Lawmakers will begin debate next month on a bill that would require doctors to screen new moms for mental health problems – once while they’re pregnant and again, after giving birth.\u003c/p>\n\u003cp>But a lot of doctors don’t like the idea. Many obstetricians and pediatricians are afraid to screen new moms for depression and anxiety.\u003c/p>\n\u003cp>“What are you going to do with those people who screen positive?” said Laura Sirott, an OB/GYN who practices in Pasadena. “Some providers have nowhere to send them.”\u003c/p>\n\u003cp>Of women who screen positive for postpartum depression, 78 percent don’t get mental health treatment, according to a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4618720/\" target=\"_blank\" rel=\"noopener\">2015 study review\u003c/a> published in the journal \u003cem>Obstetrics & Gynecology\u003c/em>. Dr. Sirott’s patients have told her the range of reasons why they don’t take her up on a referral to a psychologist.\u003c/p>\n\u003cp>“Oh, they don’t take my insurance. Or my insurance pays for three visits. I can’t take time off of work to go to those visits. It’s a three-month wait to get in to that person,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And, it’s hard to find a psychiatrist who is trained in the complexities of prescribing medications to pregnant or breastfeeding women, and who is willing to treat them, especially in rural areas.\u003c/p>\n\u003cp>“So it’s very frustrating to ask patients about a problem and then not have any way to solve that problem,” Sirott said.\u003c/p>\n\u003cp>But moms are frustrated, too. After the baby comes, no one asks about them anymore. Wendy Root Askew struggled for years to get pregnant, and when she finally did, her anxiety got worse. She couldn’t stop worrying that something would go wrong.\u003c/p>\n\u003cp>“And then after I had my son, I would have these dreams where someone would come to the door and they would say ‘Well, you know, we’re just going to wait two weeks to see if you get to keep your baby or not,’” she said. “And it really impacted my ability to bond with him.”\u003c/p>\n\u003cp>She likes the bill, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB2193\" target=\"_blank\" rel=\"noopener\">AB 2193\u003c/a>, because it goes beyond mandated screening. It requires health insurance companies to set up case management programs to help moms find a therapist, and to connect obstetricians or pediatricians with a psychiatric expert.\u003c/p>\n\u003cp>“Just like we have case management programs for patients who have diabetes or sleep issues or back pain, a case management program requires the insurance company to take some ownership of making sure their patients are getting the treatment they need to be healthy,” said Root Askew, who is now advocating for the bill on behalf of the group \u003ca href=\"https://www.2020mom.org/\" target=\"_blank\" rel=\"noopener\">2020 Mom\u003c/a>.\u003c/p>\n\u003cp>Health insurance companies haven’t taken a position on the legislation. It’s unclear how much it will cost them to comply, because some already have infrastructure in place for case management programs and some don’t. But there is consensus among insurers and health advocates that such programs save money in the long run.\u003c/p>\n\u003cp>“The sooner that you can get good treatment for a mom, the less expensive that condition will be to manage over the course of the woman’s life and over the course of that child’s life,” Root Askew said.\u003c/p>\n\u003cp>Doctors still have their objections. Under the bill, they could be disciplined for not screening. And screening takes time. Sometimes a doctor asks a mom how she’s sleeping, and she’s in tears for the next 30 minutes.\u003c/p>\n\u003cp>The health care system, and the incentives, aren’t set up for this, said Dr. Sirott.\u003c/p>\n\u003cp>“Currently, I get six dollars for screening a patient,” she said. “By the time I put it on a piece of paper and print it, it’s not worth it.”\u003c/p>\n\u003cp>And it’s not clear it’s worth it to the patients either. Four other states – Illinois, Massachusetts, New Jersey, and West Virginia – have tried mandated screening, and it made no difference in patient outcomes, according to \u003ca href=\"https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201300505?code=ps-site\" target=\"_blank\" rel=\"noopener\">a study\u003c/a> published in \u003cem>Psychiatric Services\u003c/em> in 2015.\u003c/p>\n\u003cp>Even with California’s extra requirements on insurance companies to facilitate care, women could still face high co-pays or limits on therapy sessions. Or, they’re so overwhelmed caring for a newborn, they never leave the house.\u003c/p>\n\u003cp>What does seem to work, according to the study, is when nurses or mental health providers visit new moms at home.\u003c/p>\n\u003cp>“Despite abundant good will, there is no evidence that state policies are addressing this great need,” the study authors wrote.\u003c/p>\n\u003cp>But supporters of the proposed bill say doctors need to start somewhere. Screening is the first step in recognizing the full scope of the problem, said Mountain View psychiatrist \u003ca href=\"https://www.elcaminohospital.org/doctors/nirmaljit-dhami\" target=\"_blank\" rel=\"noopener\">Nirmaljit Dhami\u003c/a>, adding that women should be screened on an ongoing basis throughout pregnancy and for a year after birth, not just once or twice as the bill requires.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I often tell doctors that if you don't know that somebody is suicidal it doesn't mean that their suicidality will go away,” she said. “If you don't ask, the risk is the same.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Lawmakers will begin debate next month on a bill that would require doctors to screen new moms for mental health problems – once while they’re pregnant and again, after giving birth.\u003c/p>\n\u003cp>But a lot of doctors don’t like the idea. Many obstetricians and pediatricians are afraid to screen new moms for depression and anxiety.\u003c/p>\n\u003cp>“What are you going to do with those people who screen positive?” said Laura Sirott, an OB/GYN who practices in Pasadena. “Some providers have nowhere to send them.”\u003c/p>\n\u003cp>Of women who screen positive for postpartum depression, 78 percent don’t get mental health treatment, according to a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4618720/\" target=\"_blank\" rel=\"noopener\">2015 study review\u003c/a> published in the journal \u003cem>Obstetrics & Gynecology\u003c/em>. Dr. Sirott’s patients have told her the range of reasons why they don’t take her up on a referral to a psychologist.\u003c/p>\n\u003cp>“Oh, they don’t take my insurance. Or my insurance pays for three visits. I can’t take time off of work to go to those visits. It’s a three-month wait to get in to that person,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And, it’s hard to find a psychiatrist who is trained in the complexities of prescribing medications to pregnant or breastfeeding women, and who is willing to treat them, especially in rural areas.\u003c/p>\n\u003cp>“So it’s very frustrating to ask patients about a problem and then not have any way to solve that problem,” Sirott said.\u003c/p>\n\u003cp>But moms are frustrated, too. After the baby comes, no one asks about them anymore. Wendy Root Askew struggled for years to get pregnant, and when she finally did, her anxiety got worse. She couldn’t stop worrying that something would go wrong.\u003c/p>\n\u003cp>“And then after I had my son, I would have these dreams where someone would come to the door and they would say ‘Well, you know, we’re just going to wait two weeks to see if you get to keep your baby or not,’” she said. “And it really impacted my ability to bond with him.”\u003c/p>\n\u003cp>She likes the bill, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB2193\" target=\"_blank\" rel=\"noopener\">AB 2193\u003c/a>, because it goes beyond mandated screening. It requires health insurance companies to set up case management programs to help moms find a therapist, and to connect obstetricians or pediatricians with a psychiatric expert.\u003c/p>\n\u003cp>“Just like we have case management programs for patients who have diabetes or sleep issues or back pain, a case management program requires the insurance company to take some ownership of making sure their patients are getting the treatment they need to be healthy,” said Root Askew, who is now advocating for the bill on behalf of the group \u003ca href=\"https://www.2020mom.org/\" target=\"_blank\" rel=\"noopener\">2020 Mom\u003c/a>.\u003c/p>\n\u003cp>Health insurance companies haven’t taken a position on the legislation. It’s unclear how much it will cost them to comply, because some already have infrastructure in place for case management programs and some don’t. But there is consensus among insurers and health advocates that such programs save money in the long run.\u003c/p>\n\u003cp>“The sooner that you can get good treatment for a mom, the less expensive that condition will be to manage over the course of the woman’s life and over the course of that child’s life,” Root Askew said.\u003c/p>\n\u003cp>Doctors still have their objections. Under the bill, they could be disciplined for not screening. And screening takes time. Sometimes a doctor asks a mom how she’s sleeping, and she’s in tears for the next 30 minutes.\u003c/p>\n\u003cp>The health care system, and the incentives, aren’t set up for this, said Dr. Sirott.\u003c/p>\n\u003cp>“Currently, I get six dollars for screening a patient,” she said. “By the time I put it on a piece of paper and print it, it’s not worth it.”\u003c/p>\n\u003cp>And it’s not clear it’s worth it to the patients either. Four other states – Illinois, Massachusetts, New Jersey, and West Virginia – have tried mandated screening, and it made no difference in patient outcomes, according to \u003ca href=\"https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201300505?code=ps-site\" target=\"_blank\" rel=\"noopener\">a study\u003c/a> published in \u003cem>Psychiatric Services\u003c/em> in 2015.\u003c/p>\n\u003cp>Even with California’s extra requirements on insurance companies to facilitate care, women could still face high co-pays or limits on therapy sessions. Or, they’re so overwhelmed caring for a newborn, they never leave the house.\u003c/p>\n\u003cp>What does seem to work, according to the study, is when nurses or mental health providers visit new moms at home.\u003c/p>\n\u003cp>“Despite abundant good will, there is no evidence that state policies are addressing this great need,” the study authors wrote.\u003c/p>\n\u003cp>But supporters of the proposed bill say doctors need to start somewhere. Screening is the first step in recognizing the full scope of the problem, said Mountain View psychiatrist \u003ca href=\"https://www.elcaminohospital.org/doctors/nirmaljit-dhami\" target=\"_blank\" rel=\"noopener\">Nirmaljit Dhami\u003c/a>, adding that women should be screened on an ongoing basis throughout pregnancy and for a year after birth, not just once or twice as the bill requires.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I often tell doctors that if you don't know that somebody is suicidal it doesn't mean that their suicidality will go away,” she said. “If you don't ask, the risk is the same.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "How Smartphones Are Making Kids Unhappy",
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"content": "\u003cp>For the first time, a generation of children is going through adolescence with smartphones ever-present. \u003ca href=\"http://www.psychology.sdsu.edu/people/jean-twenge/\">Jean Twenge\u003c/a>, a professor of psychology at San Diego State University, has a name for these young people born between 1995 and 2012: \"iGen.\"\u003c/p>\n\u003cp>She says members of this generation are physically safer than those who came before them. They drink less, they learn to drive later and they're holding off on having sex. But psychologically, she argues, they are far more vulnerable.\u003c/p>\n\u003cp>\"It's not an exaggeration to describe iGen as being on the brink of the worst mental health crisis in decades,\" she writes in a \u003ca href=\"https://www.theatlantic.com/magazine/archive/2017/09/has-the-smartphone-destroyed-a-generation/534198/\">story\u003c/a> in \u003cem>The Atlantic, \u003c/em>adapted from her \u003ca href=\"http://www.simonandschuster.com/books/iGen/Jean-M-Twenge/9781501151989\">forthcoming book\u003c/a>. And she says it's largely because of smartphones.\u003c/p>\n\u003cp>Twenge spoke to \u003cem>All Things Considered\u003c/em> about her research and her conclusions. This interview has been edited for length and clarity.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/542016165/542087124\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>How does teen behavior now differ from generations past?\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Today's teens are just not spending as much time with their friends in person, face-to-face, where they can really read each others' emotions and get that social support. And we know from lots and lots of research that spending time with other people in person is one of the best predictors for psychological well-being and one of the best protections against having mental health issues.\u003c/p>\n\u003cp>\u003cstrong>What is this generation facing that worries you so much?\u003c/strong>\u003c/p>\n\u003cp>iGen is showing mental health issues across a wide variety of indicators. They're more likely than young people just five or 10 years ago to say that they're anxious, that they have symptoms of depression, that they have thought about suicide or have even [attempted] suicide. So across the board, there's a really consistent trend with mental health issues increasing among teens.\u003c/p>\n\u003cp>\u003cstrong>Is it specifically the smartphone, or is it social media? Or is it the number of hours per day spent on these things?\u003c/strong>\u003c/p>\n\u003cp>So, you look at the pattern of loneliness. It suddenly begins to increase around 2012. And the majority of Americans had a cell phone by the end of 2012, according to the \u003ca href=\"http://www.pewinternet.org/2013/06/05/smartphone-ownership-2013/\">Pew Center\u003c/a>.\u003c/p>\n\u003cp>Given that using social media for more hours is linked to more loneliness, and that smartphones were used by the majority of Americans around 2012, and that's the same time loneliness increases, that's very suspicious. You can't absolutely prove causation, but by a bunch of different studies, there's this connection between spending a lot of time on social media and feeling lonely.\u003c/p>\n\u003cp>\u003cstrong>How much of a factor is parenting?\u003c/strong>\u003c/p>\n\u003cp>So I was somewhat surprised when I interviewed iGen teens how many of them are deeply aware of the negative effects of smartphones. Parenting is playing a role. I think many parents are worried about their teens driving, and going out with their friends and drinking. Yet parents are often not worrying about their teen who stays at home but is on their phone all the time. But they should be worried about that. I think parents are worried about the wrong thing.\u003c/p>\n\u003cp>\u003cstrong>Can you propose solutions that might help people?\u003c/strong>\u003c/p>\n\u003cp>The first is just awareness that spending a lot of time on the phone is not harmless and that if you're spending a lot of time on the phone, then it may take away from activities that might be more beneficial for psychological well-being, like spending time with people in person.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Then for parents, I think it is [a] good idea to put off giving your child a smartphone as long as you can. If you feel they need a phone, say, for riding a bus, you can get them a flip phone. They still sell them. And then once your teen has a smartphone, there are apps that allow parents to restrict the number of hours a day that teens are on the smartphone, and also what time of day they use it.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+Smartphones+Are+Making+Kids+Unhappy&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For the first time, a generation of children is going through adolescence with smartphones ever-present. \u003ca href=\"http://www.psychology.sdsu.edu/people/jean-twenge/\">Jean Twenge\u003c/a>, a professor of psychology at San Diego State University, has a name for these young people born between 1995 and 2012: \"iGen.\"\u003c/p>\n\u003cp>She says members of this generation are physically safer than those who came before them. They drink less, they learn to drive later and they're holding off on having sex. But psychologically, she argues, they are far more vulnerable.\u003c/p>\n\u003cp>\"It's not an exaggeration to describe iGen as being on the brink of the worst mental health crisis in decades,\" she writes in a \u003ca href=\"https://www.theatlantic.com/magazine/archive/2017/09/has-the-smartphone-destroyed-a-generation/534198/\">story\u003c/a> in \u003cem>The Atlantic, \u003c/em>adapted from her \u003ca href=\"http://www.simonandschuster.com/books/iGen/Jean-M-Twenge/9781501151989\">forthcoming book\u003c/a>. And she says it's largely because of smartphones.\u003c/p>\n\u003cp>Twenge spoke to \u003cem>All Things Considered\u003c/em> about her research and her conclusions. This interview has been edited for length and clarity.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/542016165/542087124\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>How does teen behavior now differ from generations past?\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Today's teens are just not spending as much time with their friends in person, face-to-face, where they can really read each others' emotions and get that social support. And we know from lots and lots of research that spending time with other people in person is one of the best predictors for psychological well-being and one of the best protections against having mental health issues.\u003c/p>\n\u003cp>\u003cstrong>What is this generation facing that worries you so much?\u003c/strong>\u003c/p>\n\u003cp>iGen is showing mental health issues across a wide variety of indicators. They're more likely than young people just five or 10 years ago to say that they're anxious, that they have symptoms of depression, that they have thought about suicide or have even [attempted] suicide. So across the board, there's a really consistent trend with mental health issues increasing among teens.\u003c/p>\n\u003cp>\u003cstrong>Is it specifically the smartphone, or is it social media? Or is it the number of hours per day spent on these things?\u003c/strong>\u003c/p>\n\u003cp>So, you look at the pattern of loneliness. It suddenly begins to increase around 2012. And the majority of Americans had a cell phone by the end of 2012, according to the \u003ca href=\"http://www.pewinternet.org/2013/06/05/smartphone-ownership-2013/\">Pew Center\u003c/a>.\u003c/p>\n\u003cp>Given that using social media for more hours is linked to more loneliness, and that smartphones were used by the majority of Americans around 2012, and that's the same time loneliness increases, that's very suspicious. You can't absolutely prove causation, but by a bunch of different studies, there's this connection between spending a lot of time on social media and feeling lonely.\u003c/p>\n\u003cp>\u003cstrong>How much of a factor is parenting?\u003c/strong>\u003c/p>\n\u003cp>So I was somewhat surprised when I interviewed iGen teens how many of them are deeply aware of the negative effects of smartphones. Parenting is playing a role. I think many parents are worried about their teens driving, and going out with their friends and drinking. Yet parents are often not worrying about their teen who stays at home but is on their phone all the time. But they should be worried about that. I think parents are worried about the wrong thing.\u003c/p>\n\u003cp>\u003cstrong>Can you propose solutions that might help people?\u003c/strong>\u003c/p>\n\u003cp>The first is just awareness that spending a lot of time on the phone is not harmless and that if you're spending a lot of time on the phone, then it may take away from activities that might be more beneficial for psychological well-being, like spending time with people in person.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Then for parents, I think it is [a] good idea to put off giving your child a smartphone as long as you can. If you feel they need a phone, say, for riding a bus, you can get them a flip phone. They still sell them. And then once your teen has a smartphone, there are apps that allow parents to restrict the number of hours a day that teens are on the smartphone, and also what time of day they use it.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+Smartphones+Are+Making+Kids+Unhappy&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Despite three warnings and a multimillion-dollar fine a few years ago, Kaiser Permanente still fails to provide members with appropriate access to mental health care, according to \u003ca href=\"https://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055_r_full%20service-behavioral%20health_061217.pdf\">a recent survey\u003c/a> of the HMO by the state of California.\u003c/p>\n\u003cp>The routine survey, released by the state Department of Managed Health Care, found that Kaiser Foundation Health Plan did not provide enrollees \u003ca href=\"http://khn.org/news/achieving-mental-health-parity-slow-going-even-in-pace-car-state/\">with “timely access” to behavioral health treatment\u003c/a>, in violation of state law. (Kaiser Health News, which produces California Healthline, is not affiliated with Kaiser Permanente.)\u003c/p>\n\u003cp>The matter has now been referred back to the state Office of Enforcement for further action, which could include an additional fine.\u003c/p>\n\u003cp>California’s timely access laws require insurers to provide patients access to a medical appointment within 48 hours for an urgent problem, or within 10 business days for a non-urgent issue. Kaiser patients, however, often have to wait longer, according to the department.\u003c/p>\n\u003cp>The survey looked at Kaiser’s behavioral health files through Jan. 1, 2015. The department found that while the HMO had “undertaken extensive and meaningful efforts” to improve access to mental health care, the problems remain.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Headquartered in Oakland, \u003ca href=\"https://share.kaiserpermanente.org/article/fast-facts-about-kaiser-permanente/\">Kaiser Permanente\u003c/a> is one of the largest not-for-profit managed health care plans in the country, with an annual operating revenue of $64.6 billion and 8.5 million members in California.\u003c/p>\n\u003cp>In a formal response to the watchdog agency, Kaiser listed more than 10 changes it has made to improve members’ access to mental health care, including contracting with providers outside of the organization and aggressively recruiting and hiring clinicians. The plan cited internal audits finding that they complied with timely access laws more than 90 percent of the time and stated “a corrective action plan is not warranted.”\u003c/p>\n\u003cp>“We have made great progress over the nearly two years since this survey was begun to improve access by hiring over 1,030 new psychiatrists and therapists, expanding our network of community practitioners, and introducing more convenient ways to access treatment,” John Nelson, vice president of government relations for Kaiser, wrote in an email to Kaiser Health News.\u003c/p>\n\u003cp>The department, however, responded in its report that while Kaiser Permanente has been working with Office of Enforcement to correct the problems, “the access issues remain unresolved.”\u003c/p>\n\u003cp>In 2013, Kaiser agreed to pay a $4 million fine for several deficiencies in the plan’s delivery of mental health services — one of the largest ever paid by an insurer in the state. In 2015, the department found that \u003ca href=\"http://khn.org/news/kaiser-permanente-faulted-again-for-mental-health-care-in-california/\">some Kaiser patients still had to wait\u003c/a> weeks or even months to see a psychiatrist or a therapist.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055_r_behavioral%20follow%20up_021315.pdf\">one case cited by the department\u003c/a> in a 2015 survey, a child was brought in by her father because of “aggressive behaviors, sexualized behaviors and significant behavioral problems in both the home and school environment.” The family told providers that they were “in crisis” and “pleaded for treatment.” The child, however, was not seen for therapy until seven weeks later.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Despite three warnings and a multimillion-dollar fine a few years ago, Kaiser Permanente still fails to provide members with appropriate access to mental health care, according to \u003ca href=\"https://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055_r_full%20service-behavioral%20health_061217.pdf\">a recent survey\u003c/a> of the HMO by the state of California.\u003c/p>\n\u003cp>The routine survey, released by the state Department of Managed Health Care, found that Kaiser Foundation Health Plan did not provide enrollees \u003ca href=\"http://khn.org/news/achieving-mental-health-parity-slow-going-even-in-pace-car-state/\">with “timely access” to behavioral health treatment\u003c/a>, in violation of state law. (Kaiser Health News, which produces California Healthline, is not affiliated with Kaiser Permanente.)\u003c/p>\n\u003cp>The matter has now been referred back to the state Office of Enforcement for further action, which could include an additional fine.\u003c/p>\n\u003cp>California’s timely access laws require insurers to provide patients access to a medical appointment within 48 hours for an urgent problem, or within 10 business days for a non-urgent issue. Kaiser patients, however, often have to wait longer, according to the department.\u003c/p>\n\u003cp>The survey looked at Kaiser’s behavioral health files through Jan. 1, 2015. The department found that while the HMO had “undertaken extensive and meaningful efforts” to improve access to mental health care, the problems remain.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Headquartered in Oakland, \u003ca href=\"https://share.kaiserpermanente.org/article/fast-facts-about-kaiser-permanente/\">Kaiser Permanente\u003c/a> is one of the largest not-for-profit managed health care plans in the country, with an annual operating revenue of $64.6 billion and 8.5 million members in California.\u003c/p>\n\u003cp>In a formal response to the watchdog agency, Kaiser listed more than 10 changes it has made to improve members’ access to mental health care, including contracting with providers outside of the organization and aggressively recruiting and hiring clinicians. The plan cited internal audits finding that they complied with timely access laws more than 90 percent of the time and stated “a corrective action plan is not warranted.”\u003c/p>\n\u003cp>“We have made great progress over the nearly two years since this survey was begun to improve access by hiring over 1,030 new psychiatrists and therapists, expanding our network of community practitioners, and introducing more convenient ways to access treatment,” John Nelson, vice president of government relations for Kaiser, wrote in an email to Kaiser Health News.\u003c/p>\n\u003cp>The department, however, responded in its report that while Kaiser Permanente has been working with Office of Enforcement to correct the problems, “the access issues remain unresolved.”\u003c/p>\n\u003cp>In 2013, Kaiser agreed to pay a $4 million fine for several deficiencies in the plan’s delivery of mental health services — one of the largest ever paid by an insurer in the state. In 2015, the department found that \u003ca href=\"http://khn.org/news/kaiser-permanente-faulted-again-for-mental-health-care-in-california/\">some Kaiser patients still had to wait\u003c/a> weeks or even months to see a psychiatrist or a therapist.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055_r_behavioral%20follow%20up_021315.pdf\">one case cited by the department\u003c/a> in a 2015 survey, a child was brought in by her father because of “aggressive behaviors, sexualized behaviors and significant behavioral problems in both the home and school environment.” The family told providers that they were “in crisis” and “pleaded for treatment.” The child, however, was not seen for therapy until seven weeks later.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Post-Election, Doctors See Kids Suffering Trump-Related Anxiety",
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"content": "\u003cp>Sixth grade started out fine for Mohammed, an 11-year-old Muslim boy who lives in East Oakland, until Donald Trump won the presidency.\u003c/p>\n\u003cp>\"After Trump got elected, everybody started treating me differently,\" he said. His classmates started criticizing Muslims, and calling him a “terrorist,” he said.\u003c/p>\n\u003cp>The boy, whose family wanted him to be identified only as “Mohammed” rather than his real name to protect his privacy, said he started getting depressed after the harassment and name-calling started. He said he began having physical symptoms of anxiety like chest pain and headaches. He even talked about killing himself.\u003c/p>\n\u003cp>\"After he got elected I felt different than I used to be feeling,” he said, hugging his knees to his chest as he sat on the edge of the couch at his family’s studio apartment in the Oakland hills. “I changed in a bad way.\"\u003c/p>\n\u003cp>The type of chest pain he felt, along with shortness of breath and other physical symptoms of anxiety, are complaints some Bay Area pediatricians said they're seeing more of in immigrant and Muslim populations, based on rhetoric set in motion by President Trump's administration.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It felt like somebody was pushing something on me,\" Mohammed said in a quiet voice. \"It was like the bones in my chest were like going backward. It hurt a lot.\"\u003c/p>\n\u003cp>Dr. Gabriela Bronson-Castain, a pediatric psychologist in Oakland, said most of the kids she sees who are experiencing this fear have families who immigrated to the U.S. from Central America or families who are Muslim.\u003c/p>\n\u003cp>\"It is not uncommon within our assessments to hear somehow an inherent fear of the Trump administration,\" Bronson-Castain said. \"Very unsolicited -- you know and you're talking about sometimes 8, 9 and 10-year-old kids.\"\u003c/p>\n\u003cp>She said the first child she saw, the day after the election, was a boy who claimed to have a BB gun at his school because he was afraid of being deported. Really the kid was bluffing; he didn’t have a BB gun.\u003c/p>\n\u003cp>\"But he wanted everybody to know that he did in the event that somebody would try to take him away,\" Bronson-Castain said, referring to the child's fear of deportation or separation from his family.\u003c/p>\n\u003cp>Bronson-Castain said kids try to cope in one of two ways: \"They’ll act inward, which I think we see as maybe some kind of self-injury or more depressive symptoms; potential suicidality. Or we see them act outward, which is, 'I become aggressive. I bring that BB gun to school. I carry a knife in my bag just in case.' \"\u003c/p>\n\u003cp>Another pediatrician, Dr. Nooshin Razani, said she’s never seen symptoms so severe in response to politics. Discrimination is always painful, she said, but it’s worse when it comes from an authority figure.\u003c/p>\n\u003cp>\"It's one thing if you're 1 percent of the population. And everyone else is targeting you,\" the doctor said. \"It's another thing when the government of the most powerful country in the whole world is also on the side of everyone that's targeting you.\"\u003c/p>\n\u003cp>Razani herself said she feels nervous as an Iranian American. Iran is one of the countries targeted in both versions of Trump’s travel ban. She said having Iran called out like that by the administration actually helps her empathize.\u003c/p>\n\u003cp>\"There's a lot of moments where I am able to bond with my patients in a way that I've never been able to do before because we may all be on the list of seven,\" she said, referring to the list of seven countries included in Trump’s first travel ban.\u003c/p>\n\u003cp>\u003cstrong>Doctors Mobilize to Help Patients Deal With Trump-Era Anxiety\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>In response, pediatricians like Razani and Bronson-Castain are organizing. They're both part of a group of health professionals informally called #EveryoneBelongsHere. They recently gathered at a home in the Oakland hills.\u003c/p>\n\u003cfigure id=\"attachment_317718\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-317718\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-800x450.jpg\" alt=\"(From left to right) Doctors Jyothi Marbin, Abimbola Dairo, Emma Anselin, and Preeya Desai are getting politically active in response to President Trump's proposed health and immigration policies. They met with staff from U.S. Congresswoman Barbara Lee's office to discuss their concerns about how immigration is affecting the health of Bay Area children.\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-768x432.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">(From left to right) Doctors Jyothi Marbin, Abimbola Dairo, Emma Anselin, and Preeya Desai are getting politically active in response to President Trump's proposed health and immigration policies. They met with staff from U.S. congresswoman Barbara Lee's office to discuss their concerns about how immigration is affecting the health of Bay Area children. \u003ccite>(Courtesy Jyothi Marbin)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some were there to get politically active. Others came to talk about how best to help their immigrant patients. Dr. Noemi Spinazzi said she’s worried about Immigration and Customs Enforcement (ICE).\u003c/p>\n\u003cp>\"I was wondering if ICE would have any latitude to run any searches of our database using key words like 'immigrant' to kind of isolate those people who would be vulnerable,\" she asked.\u003c/p>\n\u003cp>A lawyer in the crowd explained it would be tough for ICE to force access to medical records.\u003c/p>\n\u003cp>Another doctor wondered whether putting cards with legal advice for immigrants in her waiting room would draw attention to her practice or endanger the people she sees?\u003c/p>\n\u003cp>Many in the group have been moved to action after seeing young patients -- patients like Mohammed -- who are suffering as they hear talk about potential changes to immigration and travel policies. Even if their parents try to shield them from the news, they still pick up on that tension, doctors said.\u003c/p>\n\u003cp>\u003cstrong>Parents Struggle to Help Their Kids Cope\u003cbr>\n\u003c/strong>\u003cbr>\nBack in East Oakland, Mohammed's mother said that their family left their home country of Yemen after she was attacked for working on women's rights. The family of four then fled to the U.S. and eventually got asylum.\u003c/p>\n\u003cp>\"I don't know what to do,\" she said. \"So should we leave here and go back to our country? My country is in war. So we’re rejected here and we can't go back to our country and I don't know about what the future is going to bring for us.\"\u003c/p>\n\u003cp>Mohammed said he doesn’t want to tell his teachers of his challenges with his classmates because he thinks that will make things worse, and he doesn’t want his parents to get involved because he said he wants to fix the problem by himself.\u003c/p>\n\u003cp>\"Not every Muslim is a terrorist,\" Mohammed said about being called one by classmates. \"Some are terrorists. But I’m not. … I didn’t do anything to you, so you shouldn’t call me a terrorist.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Mohammed said his chest pain has been getting better with medical treatment, and his first therapy session is scheduled this month.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Sixth grade started out fine for Mohammed, an 11-year-old Muslim boy who lives in East Oakland, until Donald Trump won the presidency.\u003c/p>\n\u003cp>\"After Trump got elected, everybody started treating me differently,\" he said. His classmates started criticizing Muslims, and calling him a “terrorist,” he said.\u003c/p>\n\u003cp>The boy, whose family wanted him to be identified only as “Mohammed” rather than his real name to protect his privacy, said he started getting depressed after the harassment and name-calling started. He said he began having physical symptoms of anxiety like chest pain and headaches. He even talked about killing himself.\u003c/p>\n\u003cp>\"After he got elected I felt different than I used to be feeling,” he said, hugging his knees to his chest as he sat on the edge of the couch at his family’s studio apartment in the Oakland hills. “I changed in a bad way.\"\u003c/p>\n\u003cp>The type of chest pain he felt, along with shortness of breath and other physical symptoms of anxiety, are complaints some Bay Area pediatricians said they're seeing more of in immigrant and Muslim populations, based on rhetoric set in motion by President Trump's administration.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It felt like somebody was pushing something on me,\" Mohammed said in a quiet voice. \"It was like the bones in my chest were like going backward. It hurt a lot.\"\u003c/p>\n\u003cp>Dr. Gabriela Bronson-Castain, a pediatric psychologist in Oakland, said most of the kids she sees who are experiencing this fear have families who immigrated to the U.S. from Central America or families who are Muslim.\u003c/p>\n\u003cp>\"It is not uncommon within our assessments to hear somehow an inherent fear of the Trump administration,\" Bronson-Castain said. \"Very unsolicited -- you know and you're talking about sometimes 8, 9 and 10-year-old kids.\"\u003c/p>\n\u003cp>She said the first child she saw, the day after the election, was a boy who claimed to have a BB gun at his school because he was afraid of being deported. Really the kid was bluffing; he didn’t have a BB gun.\u003c/p>\n\u003cp>\"But he wanted everybody to know that he did in the event that somebody would try to take him away,\" Bronson-Castain said, referring to the child's fear of deportation or separation from his family.\u003c/p>\n\u003cp>Bronson-Castain said kids try to cope in one of two ways: \"They’ll act inward, which I think we see as maybe some kind of self-injury or more depressive symptoms; potential suicidality. Or we see them act outward, which is, 'I become aggressive. I bring that BB gun to school. I carry a knife in my bag just in case.' \"\u003c/p>\n\u003cp>Another pediatrician, Dr. Nooshin Razani, said she’s never seen symptoms so severe in response to politics. Discrimination is always painful, she said, but it’s worse when it comes from an authority figure.\u003c/p>\n\u003cp>\"It's one thing if you're 1 percent of the population. And everyone else is targeting you,\" the doctor said. \"It's another thing when the government of the most powerful country in the whole world is also on the side of everyone that's targeting you.\"\u003c/p>\n\u003cp>Razani herself said she feels nervous as an Iranian American. Iran is one of the countries targeted in both versions of Trump’s travel ban. She said having Iran called out like that by the administration actually helps her empathize.\u003c/p>\n\u003cp>\"There's a lot of moments where I am able to bond with my patients in a way that I've never been able to do before because we may all be on the list of seven,\" she said, referring to the list of seven countries included in Trump’s first travel ban.\u003c/p>\n\u003cp>\u003cstrong>Doctors Mobilize to Help Patients Deal With Trump-Era Anxiety\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>In response, pediatricians like Razani and Bronson-Castain are organizing. They're both part of a group of health professionals informally called #EveryoneBelongsHere. They recently gathered at a home in the Oakland hills.\u003c/p>\n\u003cfigure id=\"attachment_317718\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-317718\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-800x450.jpg\" alt=\"(From left to right) Doctors Jyothi Marbin, Abimbola Dairo, Emma Anselin, and Preeya Desai are getting politically active in response to President Trump's proposed health and immigration policies. They met with staff from U.S. Congresswoman Barbara Lee's office to discuss their concerns about how immigration is affecting the health of Bay Area children.\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-768x432.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">(From left to right) Doctors Jyothi Marbin, Abimbola Dairo, Emma Anselin, and Preeya Desai are getting politically active in response to President Trump's proposed health and immigration policies. They met with staff from U.S. congresswoman Barbara Lee's office to discuss their concerns about how immigration is affecting the health of Bay Area children. \u003ccite>(Courtesy Jyothi Marbin)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some were there to get politically active. Others came to talk about how best to help their immigrant patients. Dr. Noemi Spinazzi said she’s worried about Immigration and Customs Enforcement (ICE).\u003c/p>\n\u003cp>\"I was wondering if ICE would have any latitude to run any searches of our database using key words like 'immigrant' to kind of isolate those people who would be vulnerable,\" she asked.\u003c/p>\n\u003cp>A lawyer in the crowd explained it would be tough for ICE to force access to medical records.\u003c/p>\n\u003cp>Another doctor wondered whether putting cards with legal advice for immigrants in her waiting room would draw attention to her practice or endanger the people she sees?\u003c/p>\n\u003cp>Many in the group have been moved to action after seeing young patients -- patients like Mohammed -- who are suffering as they hear talk about potential changes to immigration and travel policies. Even if their parents try to shield them from the news, they still pick up on that tension, doctors said.\u003c/p>\n\u003cp>\u003cstrong>Parents Struggle to Help Their Kids Cope\u003cbr>\n\u003c/strong>\u003cbr>\nBack in East Oakland, Mohammed's mother said that their family left their home country of Yemen after she was attacked for working on women's rights. The family of four then fled to the U.S. and eventually got asylum.\u003c/p>\n\u003cp>\"I don't know what to do,\" she said. \"So should we leave here and go back to our country? My country is in war. So we’re rejected here and we can't go back to our country and I don't know about what the future is going to bring for us.\"\u003c/p>\n\u003cp>Mohammed said he doesn’t want to tell his teachers of his challenges with his classmates because he thinks that will make things worse, and he doesn’t want his parents to get involved because he said he wants to fix the problem by himself.\u003c/p>\n\u003cp>\"Not every Muslim is a terrorist,\" Mohammed said about being called one by classmates. \"Some are terrorists. But I’m not. … I didn’t do anything to you, so you shouldn’t call me a terrorist.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mohammed said his chest pain has been getting better with medical treatment, and his first therapy session is scheduled this month.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Talking is Easy for Therapists, Except When It's About Guns. Veterans Want to Teach Them How.",
"title": "Talking is Easy for Therapists, Except When It's About Guns. Veterans Want to Teach Them How.",
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"content": "\u003cp>Jay Zimmerman got his first BB gun when he was seven, and his first shotgun when he was ten.\u003c/p>\n\u003cp>“Growing up in Appalachia, you look forward to getting your first firearm probably more so than your first car,” he says.\u003c/p>\n\u003cp>His grandfather taught him to hunt squirrel and quail. Zimmerman, who lives in Tennessee, says pretty much everyone he knows has a gun. It’s just part of the culture.\u003c/p>\n\u003cp>“When I went into the military, that culture was reinforced,” he says. “Your weapon is almost another appendage. It’s part of who you are.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/305633357\" 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>Zimmerman was a medic in the army in the late 1990s and early 2000s. He served in Bosnia, Africa, and the Middle East. Since he came home, he’s struggled with PTSD and depression. It reached a crisis point a few years ago, when his best friend -- the guy who had saved his life in a combat zone -- killed himself. Zimmerman decided his time was up too.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I decided that I would have one more birthday with my daughter, one more Christmas with my daughter,” he says. “I had devised my own exit strategy for sixteen February, 2013.”\u003c/p>\n\u003cp>But then he bumped into a woman who used to ride the same school bus when they were kids. His exit date came and went. They’re married now.\u003c/p>\n\u003cp>Zimmerman is a peer counselor at the \u003ca href=\"http://Mountain%20Home%20VA%20Medical%20Center\" target=\"_blank\">Mountain Home VA Medical Center\u003c/a> in Johnson City, Tennessee. He also travels to conferences all over the country, sharing his story with therapists and with other vets. He tries to set an example that it’s okay to ask for help. Even today, if he’s not doing well, he disassembles his guns and stores them separately from ammunition, so he can’t make any rash decisions. If things get really bad, Zimmerman has a special arrangement with a few friends.\u003c/p>\n\u003cp>“I call them and say, 'Look, I’m feeling like it’s not safe for me to have firearms in my home. Can you store them for me for a couple days till I feel like I’m OK to have them back?'\"\u003c/p>\n\u003cfigure id=\"attachment_274997\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-274997\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/Jay-Zimmerman-in-uniform-and-dad-800x600.jpg\" alt=\"Jay Zimmerman (right) was an army medic. He poses with his dad before he deployed to Bosnia in 1998.\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Jay Zimmerman (right) was an army medic. He poses with his dad before he deployed to Bosnia in 1998. \u003ccite>(Photo Courtesy of Jay Zimmerman)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Suicide is an impulsive act. Nearly half the people who survive an attempt say the time between their first thought of suicide and the attempt itself was less than 10 minutes. But the method can mean the difference between life and death: people who take pills have time to change their minds. Not with guns.\u003c/p>\n\u003cp>About 70 percent of veterans who commit suicide do so with a gun, which prompted President Barack Obama to order the VA to talk to vets about gun safety and storage options like the ones Zimmerman uses.\u003c/p>\n\u003cp>But here’s the trouble: Most therapists aren’t gun people. They don’t know how to talk about guns. And so they don’t.\u003c/p>\n\u003cp>“One obvious reason for that is that no one has taught them how,” explained Megan McCarthy, National Deputy Director in the Office for Suicide Prevention at the Department of Veterans Affairs.\u003c/p>\n\u003cp>McCarthy was invited to speak recently at a suicide-prevention conference in San Francisco for therapists who work with vets.\u003c/p>\n\u003cp>“How many of you would say you feel really comfortable having a conversation with any of the people you work with about limiting access to all lethal means?” she asked the roomful of therapists.\u003c/p>\n\u003cp>Hardly anyone raised their hand.\u003c/p>\n\u003cp>“Okay, so that’s why we’re here today,” she said.\u003c/p>\n\u003cp>Researchers recommend starting with a field trip to a shooting range. There, therapists can learn about different kinds of firearms, as well as gun locks, and get an introduction to gun culture.\u003c/p>\n\u003cp>When counseling vets, therapists have to ask more questions and be less directive, according to McCarthy.\u003c/p>\n\u003cp>“We often conceive of ourselves as experts, as people who impart information to clients,” she said. But with vets, \"it may take time to build trust. Telling them what to do the first time you’ve met them is probably not going to be a very effective approach.”\u003c/p>\n\u003cfigure id=\"attachment_275001\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-full wp-image-275001\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/AFSP.VAConference-Audience-1-e1482453949563.jpg\" alt=\"Therapists learn how to talk to vets about guns at a conference in San Francisco.\" width=\"640\" height=\"480\">\u003cfigcaption class=\"wp-caption-text\">Therapists learn how to talk to vets about guns at a conference in San Francisco.\u003c/figcaption>\u003c/figure>\n\u003cp> \u003c/p>\n\u003cp>McCarthy presented a case study at the conference: A 28-year old army veteran who fought in Iraq told his VA psychiatrist that he had an argument with his girlfriend last week. He drove to an empty parking lot and sat with his loaded handgun in his lap, intending to kill himself.\u003c/p>\n\u003cp>He didn’t do it. A week later, the man told his psychiatrist things were still tense with his girlfriend. But he didn’t want to talk about suicide or storing his gun.\u003c/p>\n\u003cp>McCarthy asked the clinicians in the audience what they would do next, if they were this man’s psychiatrist.\u003c/p>\n\u003cp>“Why did he not do it? That would be my question,” said one therapist.\u003c/p>\n\u003cp>“I’d say, would you be willing to talk more about that?” said another.\u003c/p>\n\u003cp>“I would want to see this individual again, within the same week,” said a third. “I believe in strong intervention.”\u003c/p>\n\u003cp>Jay Zimmerman, the former army medic and peer counselor, stood up. He told them they’re all wrong.\u003c/p>\n\u003cp>“Chances are the reason he’s not talking to you is because he’s afraid he’s going to lose his gun, that he carries pretty much all the time,” he said. “My buddies are the same way, we all carry all the time.”\u003c/p>\n\u003cp>Zimmerman said the vet in the case study would rather talk to someone like him than someone in a white coat.\u003c/p>\n\u003cp>“If he’s got that good relationship with me as a peer, as a buddy, he’s probably already called me and talked to me,” he explained.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The takeaway for psychologists at the San Francisco conference, McCarthy said, is that sometimes their role is not to intervene, but to be a facilitator, someone who can connect vets with peer counselors like Zimmerman, or suggest they talk with a buddy, not always a professional.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Jay Zimmerman got his first BB gun when he was seven, and his first shotgun when he was ten.\u003c/p>\n\u003cp>“Growing up in Appalachia, you look forward to getting your first firearm probably more so than your first car,” he says.\u003c/p>\n\u003cp>His grandfather taught him to hunt squirrel and quail. Zimmerman, who lives in Tennessee, says pretty much everyone he knows has a gun. It’s just part of the culture.\u003c/p>\n\u003cp>“When I went into the military, that culture was reinforced,” he says. “Your weapon is almost another appendage. It’s part of who you are.”\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/305633357&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/305633357'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Zimmerman was a medic in the army in the late 1990s and early 2000s. He served in Bosnia, Africa, and the Middle East. Since he came home, he’s struggled with PTSD and depression. It reached a crisis point a few years ago, when his best friend -- the guy who had saved his life in a combat zone -- killed himself. Zimmerman decided his time was up too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I decided that I would have one more birthday with my daughter, one more Christmas with my daughter,” he says. “I had devised my own exit strategy for sixteen February, 2013.”\u003c/p>\n\u003cp>But then he bumped into a woman who used to ride the same school bus when they were kids. His exit date came and went. They’re married now.\u003c/p>\n\u003cp>Zimmerman is a peer counselor at the \u003ca href=\"http://Mountain%20Home%20VA%20Medical%20Center\" target=\"_blank\">Mountain Home VA Medical Center\u003c/a> in Johnson City, Tennessee. He also travels to conferences all over the country, sharing his story with therapists and with other vets. He tries to set an example that it’s okay to ask for help. Even today, if he’s not doing well, he disassembles his guns and stores them separately from ammunition, so he can’t make any rash decisions. If things get really bad, Zimmerman has a special arrangement with a few friends.\u003c/p>\n\u003cp>“I call them and say, 'Look, I’m feeling like it’s not safe for me to have firearms in my home. Can you store them for me for a couple days till I feel like I’m OK to have them back?'\"\u003c/p>\n\u003cfigure id=\"attachment_274997\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-274997\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/Jay-Zimmerman-in-uniform-and-dad-800x600.jpg\" alt=\"Jay Zimmerman (right) was an army medic. He poses with his dad before he deployed to Bosnia in 1998.\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Jay Zimmerman (right) was an army medic. He poses with his dad before he deployed to Bosnia in 1998. \u003ccite>(Photo Courtesy of Jay Zimmerman)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Suicide is an impulsive act. Nearly half the people who survive an attempt say the time between their first thought of suicide and the attempt itself was less than 10 minutes. But the method can mean the difference between life and death: people who take pills have time to change their minds. Not with guns.\u003c/p>\n\u003cp>About 70 percent of veterans who commit suicide do so with a gun, which prompted President Barack Obama to order the VA to talk to vets about gun safety and storage options like the ones Zimmerman uses.\u003c/p>\n\u003cp>But here’s the trouble: Most therapists aren’t gun people. They don’t know how to talk about guns. And so they don’t.\u003c/p>\n\u003cp>“One obvious reason for that is that no one has taught them how,” explained Megan McCarthy, National Deputy Director in the Office for Suicide Prevention at the Department of Veterans Affairs.\u003c/p>\n\u003cp>McCarthy was invited to speak recently at a suicide-prevention conference in San Francisco for therapists who work with vets.\u003c/p>\n\u003cp>“How many of you would say you feel really comfortable having a conversation with any of the people you work with about limiting access to all lethal means?” she asked the roomful of therapists.\u003c/p>\n\u003cp>Hardly anyone raised their hand.\u003c/p>\n\u003cp>“Okay, so that’s why we’re here today,” she said.\u003c/p>\n\u003cp>Researchers recommend starting with a field trip to a shooting range. There, therapists can learn about different kinds of firearms, as well as gun locks, and get an introduction to gun culture.\u003c/p>\n\u003cp>When counseling vets, therapists have to ask more questions and be less directive, according to McCarthy.\u003c/p>\n\u003cp>“We often conceive of ourselves as experts, as people who impart information to clients,” she said. But with vets, \"it may take time to build trust. Telling them what to do the first time you’ve met them is probably not going to be a very effective approach.”\u003c/p>\n\u003cfigure id=\"attachment_275001\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-full wp-image-275001\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/AFSP.VAConference-Audience-1-e1482453949563.jpg\" alt=\"Therapists learn how to talk to vets about guns at a conference in San Francisco.\" width=\"640\" height=\"480\">\u003cfigcaption class=\"wp-caption-text\">Therapists learn how to talk to vets about guns at a conference in San Francisco.\u003c/figcaption>\u003c/figure>\n\u003cp> \u003c/p>\n\u003cp>McCarthy presented a case study at the conference: A 28-year old army veteran who fought in Iraq told his VA psychiatrist that he had an argument with his girlfriend last week. He drove to an empty parking lot and sat with his loaded handgun in his lap, intending to kill himself.\u003c/p>\n\u003cp>He didn’t do it. A week later, the man told his psychiatrist things were still tense with his girlfriend. But he didn’t want to talk about suicide or storing his gun.\u003c/p>\n\u003cp>McCarthy asked the clinicians in the audience what they would do next, if they were this man’s psychiatrist.\u003c/p>\n\u003cp>“Why did he not do it? That would be my question,” said one therapist.\u003c/p>\n\u003cp>“I’d say, would you be willing to talk more about that?” said another.\u003c/p>\n\u003cp>“I would want to see this individual again, within the same week,” said a third. “I believe in strong intervention.”\u003c/p>\n\u003cp>Jay Zimmerman, the former army medic and peer counselor, stood up. He told them they’re all wrong.\u003c/p>\n\u003cp>“Chances are the reason he’s not talking to you is because he’s afraid he’s going to lose his gun, that he carries pretty much all the time,” he said. “My buddies are the same way, we all carry all the time.”\u003c/p>\n\u003cp>Zimmerman said the vet in the case study would rather talk to someone like him than someone in a white coat.\u003c/p>\n\u003cp>“If he’s got that good relationship with me as a peer, as a buddy, he’s probably already called me and talked to me,” he explained.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The takeaway for psychologists at the San Francisco conference, McCarthy said, is that sometimes their role is not to intervene, but to be a facilitator, someone who can connect vets with peer counselors like Zimmerman, or suggest they talk with a buddy, not always a professional.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Ralph Demicco was standing behind the counter at Riley’s Sport Shop in New Hampshire one Saturday morning when a woman walked in and came right up to the counter.\u003c/p>\n\u003cp>“Almost immediately she pointed to a firearm at the counter and said, ‘I’d like to buy that gun,’ ” Demicco remembers. “And that just sets off alarm bells.\"\u003c/p>\n\u003cp>Most customers would browse, ask to see a few different models, ask questions.\u003c/p>\n\u003cp>“I said to her, ‘Ma’am, should you really be buying this gun?’ ” Demicco recalls now.\u003c/p>\n\u003cp>The woman started crying. Demicco took her into the back office to talk.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“She had been released from a mental health facility that morning,” he said. “Didn’t feel like she was ready to go.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/299777934\" 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>Demicco has lots of stories like this from his 40 years owning the gun shop. At one point, he got a call from a public health researcher who studies suicides. She told him that three people, over the course of a week, had bought firearms from his store and killed themselves.\u003c/p>\n\u003cp>“To say I was speechless is an understatement,” he says.\u003c/p>\n\u003cp>Demicco is skeptical of public health types, and worries they have hidden agendas. But after hearing about those suicides, he decided to join forces with the researchers to form the \u003ca href=\"http://www.theconnectprogram.org/firearms-safety-coalitions-role-nh-suicide-prevention\" target=\"_blank\">New Hampshire Firearms Safety Coalition\u003c/a>. They developed a prevention campaign, but one that was rooted in gun culture.\u003c/p>\n\u003cp>Demicco traveled across New Hampshire and asked gun dealers to put up a poster in their stores. It shows two people, one of them clearly in distress, and the other lending a comforting hand. The message, Demicco says, was “Friends don’t let friends hurt themselves.”\u003c/p>\n\u003cp>It's similar to the “Friends don’t let friends drive drunk” campaigns of the '80s. The idea was to raise awareness of suicide risk factors among gun enthusiasts, so they could look out for one another.\u003c/p>\n\u003cp>“If Uncle Harry is getting a divorce and is distraught over it and he has firearms, you need to step up to the plate, you need to be the one,” Demicco says. “It’s OK to intervene.”\u003c/p>\n\u003cp>In the last several years since then, firearm clubs have partnered with health experts in 20 states to adopt the New Hampshire Firearms Safety Coalition’s campaign.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Shasta County Gun Shop Owners\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>Public health officials in \u003ca href=\"http://www.co.shasta.ca.us/index.aspx\" target=\"_blank\">Shasta County\u003c/a>, in the far northern reaches of California, were among the first to approach gun shop owners for help. They say there are similarities in Shasta County with New Hampshire, when it comes to suicide trends and a pro-gun culture.\u003c/p>\n\u003cp>\"We have a high number of firearm suicides,” says Katie Cassidy, who spearheaded the project for the county Health and Human Services Department in 2008. “We’re a very rural community, we have a lot of hunters. So taking a traditional approach, like ‘Wear your seatbelt,’ didn’t go over very well.”\u003c/p>\n\u003cp>Instead, the department took the New Hampshire approach and partnered with firearm dealers and law enforcement, asking them what kind of messaging would work, and asking them to review brochure drafts.\u003c/p>\n\u003cp>“As soon as we took the approach of curiosity, rather than coming into the discussion with an opinion,” Cassidy says, “that opened a lot of dialogue that hadn’t been at the table before.”\u003c/p>\n\u003cfigure id=\"attachment_275389\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-275389 size-medium\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/IMG_1723-800x800.jpg\" alt=\"The Olde West Gun & Loan in Redding, Calif.\" width=\"800\" height=\"800\">\u003cfigcaption class=\"wp-caption-text\">The Olde West Gun & Loan in Redding, California \u003ccite>(April Dembosky)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the Olde West Gun & Loan in Redding, some impressive stuffed deer heads and wild pigs line the walls. General manager Richard Howell demonstrates some of the merchandise responsible for these trophies.\u003c/p>\n\u003cp>“Bolt-action rifles, lever-action rifles, .22s,” he says, pointing to the rows of weapons in the case. He opens the port of a pump-action shotgun.\u003c/p>\n\u003cp>“Load it,” he says, closing the chamber, “take it out in the field, hunt.”\u003c/p>\n\u003cp>The local sheriff and health department are now asking shop owners like Howell to put some new versions of the brochures on their sales counters. Howell looks over a draft.\u003c/p>\n\u003cp>“These are the 10 commandments of gun safety,” Howell observes, chewing a piece of frost-blue gum while he scans the pamphlet. “Now 11. OK, they’ve added 11.”\u003c/p>\n\u003cfigure id=\"attachment_275390\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-275390\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/IMG_2237-800x600.jpg\" alt=\"Shasta County health officials, in collaboration with gun shop owners, developed a brochure to raise awareness around suicide prevention.\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Shasta County health officials, in collaboration with gun shop owners, developed a brochure to raise awareness around suicide prevention. \u003ccite>(April Dembosky)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Virtually all kids and new shooters learn about the 10 commandments of gun safety. The brochure boldly adds an 11th: knowing the signs of suicidal behavior and helping friends store their guns outside the home during an emotional crisis.\u003c/p>\n\u003cp>“Well ...,” Howell says uneasily. “Now we’re going to be the gun safety psychologists? I’m not trained for that.”\u003c/p>\n\u003cp>He’s not sure the “friends don’t let friends drive drunk” philosophy really works with guns. He says the difference is that driving is a privilege, while owning a gun is a right.\u003c/p>\n\u003cp>But Howell says he can understand why Shasta County is trying this. If the sheriff just wants him to leave a pile of brochures on the counter, it's no problem. And if someone were to ask him to store a firearm at the shop, he would be OK with that.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We wouldn’t be against that,” he says. “If someone takes a pamphlet home and it saves one life, then it’s done its job.”\u003c/p>\n\n",
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"excerpt": "When health experts talk suicide prevention, gun fans often feel like their Second Amendment rights are under attack. But now, some gun shop owners want to be part of the solution. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Ralph Demicco was standing behind the counter at Riley’s Sport Shop in New Hampshire one Saturday morning when a woman walked in and came right up to the counter.\u003c/p>\n\u003cp>“Almost immediately she pointed to a firearm at the counter and said, ‘I’d like to buy that gun,’ ” Demicco remembers. “And that just sets off alarm bells.\"\u003c/p>\n\u003cp>Most customers would browse, ask to see a few different models, ask questions.\u003c/p>\n\u003cp>“I said to her, ‘Ma’am, should you really be buying this gun?’ ” Demicco recalls now.\u003c/p>\n\u003cp>The woman started crying. Demicco took her into the back office to talk.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“She had been released from a mental health facility that morning,” he said. “Didn’t feel like she was ready to go.”\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/299777934&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/299777934'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Demicco has lots of stories like this from his 40 years owning the gun shop. At one point, he got a call from a public health researcher who studies suicides. She told him that three people, over the course of a week, had bought firearms from his store and killed themselves.\u003c/p>\n\u003cp>“To say I was speechless is an understatement,” he says.\u003c/p>\n\u003cp>Demicco is skeptical of public health types, and worries they have hidden agendas. But after hearing about those suicides, he decided to join forces with the researchers to form the \u003ca href=\"http://www.theconnectprogram.org/firearms-safety-coalitions-role-nh-suicide-prevention\" target=\"_blank\">New Hampshire Firearms Safety Coalition\u003c/a>. They developed a prevention campaign, but one that was rooted in gun culture.\u003c/p>\n\u003cp>Demicco traveled across New Hampshire and asked gun dealers to put up a poster in their stores. It shows two people, one of them clearly in distress, and the other lending a comforting hand. The message, Demicco says, was “Friends don’t let friends hurt themselves.”\u003c/p>\n\u003cp>It's similar to the “Friends don’t let friends drive drunk” campaigns of the '80s. The idea was to raise awareness of suicide risk factors among gun enthusiasts, so they could look out for one another.\u003c/p>\n\u003cp>“If Uncle Harry is getting a divorce and is distraught over it and he has firearms, you need to step up to the plate, you need to be the one,” Demicco says. “It’s OK to intervene.”\u003c/p>\n\u003cp>In the last several years since then, firearm clubs have partnered with health experts in 20 states to adopt the New Hampshire Firearms Safety Coalition’s campaign.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Shasta County Gun Shop Owners\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>Public health officials in \u003ca href=\"http://www.co.shasta.ca.us/index.aspx\" target=\"_blank\">Shasta County\u003c/a>, in the far northern reaches of California, were among the first to approach gun shop owners for help. They say there are similarities in Shasta County with New Hampshire, when it comes to suicide trends and a pro-gun culture.\u003c/p>\n\u003cp>\"We have a high number of firearm suicides,” says Katie Cassidy, who spearheaded the project for the county Health and Human Services Department in 2008. “We’re a very rural community, we have a lot of hunters. So taking a traditional approach, like ‘Wear your seatbelt,’ didn’t go over very well.”\u003c/p>\n\u003cp>Instead, the department took the New Hampshire approach and partnered with firearm dealers and law enforcement, asking them what kind of messaging would work, and asking them to review brochure drafts.\u003c/p>\n\u003cp>“As soon as we took the approach of curiosity, rather than coming into the discussion with an opinion,” Cassidy says, “that opened a lot of dialogue that hadn’t been at the table before.”\u003c/p>\n\u003cfigure id=\"attachment_275389\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-275389 size-medium\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/IMG_1723-800x800.jpg\" alt=\"The Olde West Gun & Loan in Redding, Calif.\" width=\"800\" height=\"800\">\u003cfigcaption class=\"wp-caption-text\">The Olde West Gun & Loan in Redding, California \u003ccite>(April Dembosky)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the Olde West Gun & Loan in Redding, some impressive stuffed deer heads and wild pigs line the walls. General manager Richard Howell demonstrates some of the merchandise responsible for these trophies.\u003c/p>\n\u003cp>“Bolt-action rifles, lever-action rifles, .22s,” he says, pointing to the rows of weapons in the case. He opens the port of a pump-action shotgun.\u003c/p>\n\u003cp>“Load it,” he says, closing the chamber, “take it out in the field, hunt.”\u003c/p>\n\u003cp>The local sheriff and health department are now asking shop owners like Howell to put some new versions of the brochures on their sales counters. Howell looks over a draft.\u003c/p>\n\u003cp>“These are the 10 commandments of gun safety,” Howell observes, chewing a piece of frost-blue gum while he scans the pamphlet. “Now 11. OK, they’ve added 11.”\u003c/p>\n\u003cfigure id=\"attachment_275390\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-275390\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/IMG_2237-800x600.jpg\" alt=\"Shasta County health officials, in collaboration with gun shop owners, developed a brochure to raise awareness around suicide prevention.\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Shasta County health officials, in collaboration with gun shop owners, developed a brochure to raise awareness around suicide prevention. \u003ccite>(April Dembosky)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Virtually all kids and new shooters learn about the 10 commandments of gun safety. The brochure boldly adds an 11th: knowing the signs of suicidal behavior and helping friends store their guns outside the home during an emotional crisis.\u003c/p>\n\u003cp>“Well ...,” Howell says uneasily. “Now we’re going to be the gun safety psychologists? I’m not trained for that.”\u003c/p>\n\u003cp>He’s not sure the “friends don’t let friends drive drunk” philosophy really works with guns. He says the difference is that driving is a privilege, while owning a gun is a right.\u003c/p>\n\u003cp>But Howell says he can understand why Shasta County is trying this. If the sheriff just wants him to leave a pile of brochures on the counter, it's no problem. And if someone were to ask him to store a firearm at the shop, he would be OK with that.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We wouldn’t be against that,” he says. “If someone takes a pamphlet home and it saves one life, then it’s done its job.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "New Data: Surprising Number of California Parents Experienced Abuse as Children",
"title": "New Data: Surprising Number of California Parents Experienced Abuse as Children",
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"content": "\u003cp>One out of five California adults with children living in their homes were beaten, kicked or physically abused when they were children, and one in ten were sexually abused, according to \u003ca href=\"http://tinyurl.com/z6drt5p\" target=\"_blank\">data \u003c/a>released recently by a children’s health foundation.\u003c/p>\n\u003cp>Experts believe that’s an undercount.\u003c/p>\n\u003cp>“I think it’s probably a low estimate,” said Cassandra Joubert, director of the Central California Children’s Institute at California State University, Fresno. “I think these kinds of events within families are hush-hush, swept under the rug, not really talked about.”\u003c/p>\n\u003cp>Focusing on the abuse that parents have experienced is essential to interrupting the cycle of trauma, Joubert said. Adults who were abused or neglected as children often end up emulating their own parents.\u003c/p>\n\u003cp>“It’s almost this mirroring effect,” Joubert said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The data were recently released by kidsdata.org, a program of the Palo Alto-based Lucile Packard Foundation for Children’s Health, to coincide with a recent \u003ca href=\"http://www.aces-ca.org/conference-info/\" target=\"_blank\">conference on adverse childhood experiences\u003c/a> in San Francisco.\u003c/p>\n\u003cp>Other notable findings: 36 percent of adults with children living in their homes experienced verbal abuse as children; 19 percent witnessed domestic violence. In some counties, including San Bernardino, Contra Costa and Riverside, a fifth of adults who have children in their homes reported experiencing at least four different adverse childhood experiences growing up. Those experiences can include physical, sexual and verbal abuse, having parents divorce, and living with someone who suffers from mental illness or abuses drugs or alcohol.\u003c/p>\n\u003cp>The findings come from data collected in a survey by the Public Health Institute. Marta Induni, research program director at the institute’s Survey Research Group, oversaw the survey of nearly 28,000 California residents. She said she has been particularly touched by the many people who have thanked her for asking them about painful and often stigmatized childhood experiences.\u003c/p>\n\u003cp>“I think that speaks to the importance of just putting this into the common vernacular: ‘Let’s talk about this,’” she said.\u003c/p>\n\u003cp>A bill to expand school-based mental health services for young children came to a halt in the state Senate Appropriations Committee this summer, because it did not include a way to fund the additional services. A spokesman for Assemblymember Rob Bonta (D-Oakland) said Bonta may propose that the state budget include additional funding for expanded services.\u003c/p>\n\u003cp>Wendy Davis, a 40-year-old resident of Clovis who works with Joubert as a training coordinator at the Children’s Institute, knows firsthand the effect childhood trauma can have on parenting.\u003c/p>\n\u003cp>At the age of five, Davis came to the United States from El Salvador with three of her siblings and her single mother. The family was “very, very poor,” Davis said. Her mother was almost always working, and was constantly stressed and frustrated, she said.\u003c/p>\n\u003cp>“She was barely around,” Davis said. “The little that she was, wasn’t pleasant.”\u003c/p>\n\u003cp>Davis said she was abused emotionally and physically growing up, and she witnessed domestic violence against others in her home. She was sexually molested by people who floated in and out of the house, Davis said.\u003c/p>\n\u003cp>At 18, Davis gave birth to her first son, Alex. She now has four sons, ranging in age from 6 to 21. After her youngest, Tye, was born, Davis spent a month in the hospital with serious health problems. Once she returned home, she experienced severe postpartum depression and didn’t want to hold Tye, or be near him. She blamed him for the illness she’d suffered after he was born.\u003c/p>\n\u003cp>When Tye was four months old, Davis sought help. She started taking medication and going to therapy. There, she was able to recognize how profoundly her troubled childhood had impacted her. She finally began to bond with Tye. Today, she said, she and her youngest are “inseparable.”\u003c/p>\n\u003cp>“It has helped tremendously,” she said. “I wish I would have done it a lot sooner.”\u003c/p>\n\u003cp>Mark Cloutier, executive director of the Center for Youth Wellness, said the data reinforce how crucial it is for pediatricians to screen children — and even their caregivers — for exposure to past traumatic experiences. Such experiences often lead not only to mental health disorders, but also to acute chronic physical diseases, he said.\u003c/p>\n\u003cp>“It’s important for parents to understand and address their own experiences in childhood as a way of blocking the further transmission to their children,” Cloutier said.\u003c/p>\n\u003cp>Kendra Rogers, managing director for early childhood policy at the advocacy group Children Now, called the data “sad and frustrating.”\u003c/p>\n\u003cp>“We fail these kids until they turn 18 and then we just blame them and criticize them,” she said.\u003c/p>\n\u003cp>She pointed to a number of policy prescriptions, ranging from funding more parenting programs to shoring up mental health services.\u003c/p>\n\u003cp>“We have serious trauma and violence in our history,” she said. “The more we address it, the better we can be.”\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, which publishes \u003ca href=\"http://californiahealthline.org/\" target=\"_blank\">California Healthline\u003c/a>, an editorially independent service of the California Health Care Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2016 Kaiser Health News. To see more, visit\u003ca href=\"http://www.kaiserhealthnews.org/\" target=\"_blank\"> Kaiser Health News\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>One out of five California adults with children living in their homes were beaten, kicked or physically abused when they were children, and one in ten were sexually abused, according to \u003ca href=\"http://tinyurl.com/z6drt5p\" target=\"_blank\">data \u003c/a>released recently by a children’s health foundation.\u003c/p>\n\u003cp>Experts believe that’s an undercount.\u003c/p>\n\u003cp>“I think it’s probably a low estimate,” said Cassandra Joubert, director of the Central California Children’s Institute at California State University, Fresno. “I think these kinds of events within families are hush-hush, swept under the rug, not really talked about.”\u003c/p>\n\u003cp>Focusing on the abuse that parents have experienced is essential to interrupting the cycle of trauma, Joubert said. Adults who were abused or neglected as children often end up emulating their own parents.\u003c/p>\n\u003cp>“It’s almost this mirroring effect,” Joubert said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The data were recently released by kidsdata.org, a program of the Palo Alto-based Lucile Packard Foundation for Children’s Health, to coincide with a recent \u003ca href=\"http://www.aces-ca.org/conference-info/\" target=\"_blank\">conference on adverse childhood experiences\u003c/a> in San Francisco.\u003c/p>\n\u003cp>Other notable findings: 36 percent of adults with children living in their homes experienced verbal abuse as children; 19 percent witnessed domestic violence. In some counties, including San Bernardino, Contra Costa and Riverside, a fifth of adults who have children in their homes reported experiencing at least four different adverse childhood experiences growing up. Those experiences can include physical, sexual and verbal abuse, having parents divorce, and living with someone who suffers from mental illness or abuses drugs or alcohol.\u003c/p>\n\u003cp>The findings come from data collected in a survey by the Public Health Institute. Marta Induni, research program director at the institute’s Survey Research Group, oversaw the survey of nearly 28,000 California residents. She said she has been particularly touched by the many people who have thanked her for asking them about painful and often stigmatized childhood experiences.\u003c/p>\n\u003cp>“I think that speaks to the importance of just putting this into the common vernacular: ‘Let’s talk about this,’” she said.\u003c/p>\n\u003cp>A bill to expand school-based mental health services for young children came to a halt in the state Senate Appropriations Committee this summer, because it did not include a way to fund the additional services. A spokesman for Assemblymember Rob Bonta (D-Oakland) said Bonta may propose that the state budget include additional funding for expanded services.\u003c/p>\n\u003cp>Wendy Davis, a 40-year-old resident of Clovis who works with Joubert as a training coordinator at the Children’s Institute, knows firsthand the effect childhood trauma can have on parenting.\u003c/p>\n\u003cp>At the age of five, Davis came to the United States from El Salvador with three of her siblings and her single mother. The family was “very, very poor,” Davis said. Her mother was almost always working, and was constantly stressed and frustrated, she said.\u003c/p>\n\u003cp>“She was barely around,” Davis said. “The little that she was, wasn’t pleasant.”\u003c/p>\n\u003cp>Davis said she was abused emotionally and physically growing up, and she witnessed domestic violence against others in her home. She was sexually molested by people who floated in and out of the house, Davis said.\u003c/p>\n\u003cp>At 18, Davis gave birth to her first son, Alex. She now has four sons, ranging in age from 6 to 21. After her youngest, Tye, was born, Davis spent a month in the hospital with serious health problems. Once she returned home, she experienced severe postpartum depression and didn’t want to hold Tye, or be near him. She blamed him for the illness she’d suffered after he was born.\u003c/p>\n\u003cp>When Tye was four months old, Davis sought help. She started taking medication and going to therapy. There, she was able to recognize how profoundly her troubled childhood had impacted her. She finally began to bond with Tye. Today, she said, she and her youngest are “inseparable.”\u003c/p>\n\u003cp>“It has helped tremendously,” she said. “I wish I would have done it a lot sooner.”\u003c/p>\n\u003cp>Mark Cloutier, executive director of the Center for Youth Wellness, said the data reinforce how crucial it is for pediatricians to screen children — and even their caregivers — for exposure to past traumatic experiences. Such experiences often lead not only to mental health disorders, but also to acute chronic physical diseases, he said.\u003c/p>\n\u003cp>“It’s important for parents to understand and address their own experiences in childhood as a way of blocking the further transmission to their children,” Cloutier said.\u003c/p>\n\u003cp>Kendra Rogers, managing director for early childhood policy at the advocacy group Children Now, called the data “sad and frustrating.”\u003c/p>\n\u003cp>“We fail these kids until they turn 18 and then we just blame them and criticize them,” she said.\u003c/p>\n\u003cp>She pointed to a number of policy prescriptions, ranging from funding more parenting programs to shoring up mental health services.\u003c/p>\n\u003cp>“We have serious trauma and violence in our history,” she said. “The more we address it, the better we can be.”\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, which publishes \u003ca href=\"http://californiahealthline.org/\" target=\"_blank\">California Healthline\u003c/a>, an editorially independent service of the California Health Care Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2016 Kaiser Health News. To see more, visit\u003ca href=\"http://www.kaiserhealthnews.org/\" target=\"_blank\"> Kaiser Health News\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The staff of Clinica Sierra Vista, which has health centers throughout the Central Valley, screened its mostly low-income patients last year for mental health needs and determined that nearly 30 percent suffered from depression, anxiety or alcoholism.\u003c/p>\n\u003cp>Christopher Reilly, Sierra Vista’s chief of behavioral health services, said he was concerned about the high percentage of patients afflicted, but even more so about the clinic’s ability to treat them.\u003c/p>\n\u003cp>That’s in part because at health centers like Clinica Sierra Vista, a large group of mental health providers are excluded from reimbursement by Medi-Cal, the government program for low-income Californians. But that will soon change. Gov. Jerry Brown last week signed a law allowing federally funded health centers and rural clinics to bill Medi-Cal for the services of licensed marriage and family therapists.\u003c/p>\n\u003cp>“I am ecstatic that this passed,” Reilly said. “It means a lot more people are going to get attention for their behavioral health needs a lot earlier.”\u003c/p>\n\u003cp>The new law, which takes effect Jan. 1, is designed to address gaps in mental health care, particularly in rural areas where recruiting and retaining behavioral health providers is a challenge. Under the current law, clinics hire licensed clinical social workers and psychologists for their Medi-Cal patients, but they often can’t find enough to meet their needs. Many clinics don’t provide behavioral health services at all.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>About 40,000 marriage and family therapists are licensed in the state, compared to about 22,000 social workers and 21,000 psychologists, according to a \u003ca href=\"http://www.legtrack.com/bill.html?bill=201520160AB1863\" target=\"_blank\">state analysis\u003c/a> of the legislation, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB1863\" target=\"_blank\">Assembly Bill 1863\u003c/a>.\u003c/p>\n\u003cp>Sierra Vista’s Reilly, who himself is a marriage and family therapist, said he expects another benefit from the law: less reliance on medication. Instead of simply being referred to doctors for prescriptions, the patients will be able to have regular counseling. Often, Reilly noted, patients’ depression or anxiety stems from family problems, domestic violence or substance use. Marriage and family therapists can help with those situations, he said.\u003c/p>\n\u003cp>Access to mental health services has long been a challenge in California, especially for low-income residents. In 2014, millions more Californians became eligible for Medi-Cal and for mental health services under the Affordable Care Act. That put even more pressure on the system.\u003c/p>\n\u003cp>The new law signed by the governor affects nearly 1,000 federally-funded and rural health clinics, according to the state analysis. The clinics accept patients regardless of their ability to pay and rely heavily on Medi-Cal reimbursements.\u003c/p>\n\u003cp>One of them, OLE Health, treats about 25,000 patients each year in Napa. CEO Tanir Ami said it’s been a challenge to find enough social workers to treat patients, many of whom have depression and anxiety, often exacerbated by poverty and inadequate housing.\u003c/p>\n\u003cp>“Now we get to recruit from a whole other pool of qualified candidates,” Ami said. “I am hoping it will make it exponentially easier to find the workforce we need.”\u003c/p>\n\u003cp>Gov. Brown vetoed a similar bill last year. The bill’s author, Assemblyman Jim Wood, (D-Healdsburg), said the governor had been concerned about its cost. But this year, Wood said he and the bill’s supporters convinced Brown that providing more mental health services could actually reduce health care costs.\u003c/p>\n\u003cp>“If you get people the behavioral health they need, you potentially keep them out of emergency rooms, which is a huge savings,” Wood said.\u003c/p>\n\u003cp>The bill was sponsored by CaliforniaHealth+ Advocates, an arm of the California Primary Care Association, and the California Association of Marriage and Family Therapists. The California chapter of the National Association of Social Workers and the California Psychological Association opposed it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"_blank\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The staff of Clinica Sierra Vista, which has health centers throughout the Central Valley, screened its mostly low-income patients last year for mental health needs and determined that nearly 30 percent suffered from depression, anxiety or alcoholism.\u003c/p>\n\u003cp>Christopher Reilly, Sierra Vista’s chief of behavioral health services, said he was concerned about the high percentage of patients afflicted, but even more so about the clinic’s ability to treat them.\u003c/p>\n\u003cp>That’s in part because at health centers like Clinica Sierra Vista, a large group of mental health providers are excluded from reimbursement by Medi-Cal, the government program for low-income Californians. But that will soon change. Gov. Jerry Brown last week signed a law allowing federally funded health centers and rural clinics to bill Medi-Cal for the services of licensed marriage and family therapists.\u003c/p>\n\u003cp>“I am ecstatic that this passed,” Reilly said. “It means a lot more people are going to get attention for their behavioral health needs a lot earlier.”\u003c/p>\n\u003cp>The new law, which takes effect Jan. 1, is designed to address gaps in mental health care, particularly in rural areas where recruiting and retaining behavioral health providers is a challenge. Under the current law, clinics hire licensed clinical social workers and psychologists for their Medi-Cal patients, but they often can’t find enough to meet their needs. Many clinics don’t provide behavioral health services at all.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>About 40,000 marriage and family therapists are licensed in the state, compared to about 22,000 social workers and 21,000 psychologists, according to a \u003ca href=\"http://www.legtrack.com/bill.html?bill=201520160AB1863\" target=\"_blank\">state analysis\u003c/a> of the legislation, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB1863\" target=\"_blank\">Assembly Bill 1863\u003c/a>.\u003c/p>\n\u003cp>Sierra Vista’s Reilly, who himself is a marriage and family therapist, said he expects another benefit from the law: less reliance on medication. Instead of simply being referred to doctors for prescriptions, the patients will be able to have regular counseling. Often, Reilly noted, patients’ depression or anxiety stems from family problems, domestic violence or substance use. Marriage and family therapists can help with those situations, he said.\u003c/p>\n\u003cp>Access to mental health services has long been a challenge in California, especially for low-income residents. In 2014, millions more Californians became eligible for Medi-Cal and for mental health services under the Affordable Care Act. That put even more pressure on the system.\u003c/p>\n\u003cp>The new law signed by the governor affects nearly 1,000 federally-funded and rural health clinics, according to the state analysis. The clinics accept patients regardless of their ability to pay and rely heavily on Medi-Cal reimbursements.\u003c/p>\n\u003cp>One of them, OLE Health, treats about 25,000 patients each year in Napa. CEO Tanir Ami said it’s been a challenge to find enough social workers to treat patients, many of whom have depression and anxiety, often exacerbated by poverty and inadequate housing.\u003c/p>\n\u003cp>“Now we get to recruit from a whole other pool of qualified candidates,” Ami said. “I am hoping it will make it exponentially easier to find the workforce we need.”\u003c/p>\n\u003cp>Gov. Brown vetoed a similar bill last year. The bill’s author, Assemblyman Jim Wood, (D-Healdsburg), said the governor had been concerned about its cost. But this year, Wood said he and the bill’s supporters convinced Brown that providing more mental health services could actually reduce health care costs.\u003c/p>\n\u003cp>“If you get people the behavioral health they need, you potentially keep them out of emergency rooms, which is a huge savings,” Wood said.\u003c/p>\n\u003cp>The bill was sponsored by CaliforniaHealth+ Advocates, an arm of the California Primary Care Association, and the California Association of Marriage and Family Therapists. The California chapter of the National Association of Social Workers and the California Psychological Association opposed it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"_blank\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Study: Black and Hispanic Children Less Likely to Receive Mental Health Care",
"title": "Study: Black and Hispanic Children Less Likely to Receive Mental Health Care",
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"content": "\u003cp>\u003ca href=\"http://www.nami.org/Learn-More/Mental-Health-By-the-Numbers\" target=\"_blank\">One in five\u003c/a> Americans is estimated to have a mental health condition at any given time. But getting treatment remains difficult — and it’s worse for children, especially those who identify as black or Hispanic.\u003c/p>\n\u003cp>That’s the major finding in \u003ca href=\"http://joh.sagepub.com/content/early/2016/08/11/0020731416662736.abstract\" target=\"_blank\">research published Friday\u003c/a> in the International Journal of Health Services. The study examines how often young adults and children were able to get needed mental health services, based on whether they were black, Hispanic or white. Using a nationally representative sample of federally collected \u003ca href=\"https://meps.ahrq.gov/mepsweb/\" target=\"_blank\">survey data\u003c/a> compiled between 2006 and 2012, researchers sought to determine how often people reported poor mental health and either saw a specialist or had a general practitioner bill for mental health services.\u003c/p>\n\u003cp>“No one is necessarily bigoted — and yet we have a system that creates the kind of discrimination we see in the paper,” said Steffie Woolhandler, a professor at City University of New York School of Public Health, and one of the study’s authors. “Kids are getting half as much mental health treatment — and they have the same level of mental health problems.”\u003c/p>\n\u003cp>Young people in general aren’t likely to see mental health specialists. But the numbers fell further when racial and ethnic backgrounds were factored in. About 5.7 percent of white children and young adults were likely to see a mental health specialist in a given year, compared with about 2.3 percent for black or Hispanic young people.\u003c/p>\n\u003cp>Put another way: Even when controlling for someone’s mental health status, insurance and income, black and Hispanic children saw someone for treatment far less often than did their white counterparts — about 130 fewer visits per thousand subjects. Black young adults visited a mental health specialist about 280 fewer visits per thousand; Hispanics had 244 fewer visits per thousand.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the data indicate that mental illness incidence rates are generally consistent across racial groups, according to the study. Of adults between the ages of 18 and 34, between 4 and 5 percent indicated having fair or poor mental health, regardless of racial background. For children, white and black subjects were reported to need care at about the same rate — between 11 percent and 12 percent — compared with about 7 percent of Hispanic children.\u003c/p>\n\u003cp>The paper outlines a few possible reasons for this disconnect. Different communities may attach greater stigma about mental health care, or they may place less trust in the doctors available. Plus, there is a shortage of child psychiatrists across the country, and black and Hispanic families often live in the most underserved areas.\u003c/p>\n\u003cp>“There are problems of access all around,” said Harold Pincus, vice chair of psychiatry at Columbia University’s College of Physicians and Surgeons. “We have to change the way we do things.”\u003c/p>\n\u003cp>The findings suggest that lawmakers have focused on trying to improve access to mental health care, but “we can’t rest on our laurels,” said Pincus, who wasn’t affiliated with the study. He also noted that treating white children’s level of access as the golden standard is probably unwise, since research suggests they also receive inadequate care.\u003c/p>\n\u003cp>One of the study’s clear messages, argued Woolhandler, is that racial minorities received markedly less care — regardless of socioeconomic or health status. The gap suggests a targeted intervention is needed.\u003c/p>\n\u003cp>The study highlights a need to ensure doctors know how to counsel patients of different racial backgrounds and will do so, said Benjamin Le Cook, an assistant professor of psychiatry at Harvard Medical School, who was also not affiliated with the study. Ending racial and cultural disparities in access to care is a more pressing concern than erasing the stigmas about mental illness in minority communities, he said.\u003c/p>\n\u003cp>That’s especially relevant given minorities are \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/24178249\" target=\"_blank\">less likely to be treated\u003c/a> by doctors of their ethnicity. In addition, research suggests that mental health specialists sometimes discriminate based on race when seeing patients.\u003c/p>\n\u003cp>“It has to do with experiences people in the community have had that haven’t matched their expectations or aligned with problems they’re having,” LeCook said. “Cultural stigma is a factor, but not the main one.”\u003c/p>\n\u003cp>Beyond better training, more funds are needed for resources like community health centers, which often serve black and Hispanic patients, Woolhandler said.\u003c/p>\n\u003cp>“I see these great people trying to work in community mental health, but they need more resources to do their job,” she said.\u003c/p>\n\u003cp>But, the research doesn’t account for other areas where minorities may access mental health services, Pincus noted. Churches and social service agencies, for instance, may be filling some of the void and wouldn’t be accounted for by the survey data.\u003c/p>\n\u003cp>Researchers and policymakers should explore those sectors, he said, to see if they could be better leveraged to help people get connected to care they’ll actually trust. As experts try to bolster the mental health system — both to improve access across the board and also to close race-based gaps — they need to use a multipronged approach, pulling in different kinds of caregivers than those who might normally treat mental illness.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“There’s all kinds of ways by which the mental health system doesn’t play a role in helping people,” he said. “Family and community supports, social services — they’re all part of the picture.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://www.nami.org/Learn-More/Mental-Health-By-the-Numbers\" target=\"_blank\">One in five\u003c/a> Americans is estimated to have a mental health condition at any given time. But getting treatment remains difficult — and it’s worse for children, especially those who identify as black or Hispanic.\u003c/p>\n\u003cp>That’s the major finding in \u003ca href=\"http://joh.sagepub.com/content/early/2016/08/11/0020731416662736.abstract\" target=\"_blank\">research published Friday\u003c/a> in the International Journal of Health Services. The study examines how often young adults and children were able to get needed mental health services, based on whether they were black, Hispanic or white. Using a nationally representative sample of federally collected \u003ca href=\"https://meps.ahrq.gov/mepsweb/\" target=\"_blank\">survey data\u003c/a> compiled between 2006 and 2012, researchers sought to determine how often people reported poor mental health and either saw a specialist or had a general practitioner bill for mental health services.\u003c/p>\n\u003cp>“No one is necessarily bigoted — and yet we have a system that creates the kind of discrimination we see in the paper,” said Steffie Woolhandler, a professor at City University of New York School of Public Health, and one of the study’s authors. “Kids are getting half as much mental health treatment — and they have the same level of mental health problems.”\u003c/p>\n\u003cp>Young people in general aren’t likely to see mental health specialists. But the numbers fell further when racial and ethnic backgrounds were factored in. About 5.7 percent of white children and young adults were likely to see a mental health specialist in a given year, compared with about 2.3 percent for black or Hispanic young people.\u003c/p>\n\u003cp>Put another way: Even when controlling for someone’s mental health status, insurance and income, black and Hispanic children saw someone for treatment far less often than did their white counterparts — about 130 fewer visits per thousand subjects. Black young adults visited a mental health specialist about 280 fewer visits per thousand; Hispanics had 244 fewer visits per thousand.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the data indicate that mental illness incidence rates are generally consistent across racial groups, according to the study. Of adults between the ages of 18 and 34, between 4 and 5 percent indicated having fair or poor mental health, regardless of racial background. For children, white and black subjects were reported to need care at about the same rate — between 11 percent and 12 percent — compared with about 7 percent of Hispanic children.\u003c/p>\n\u003cp>The paper outlines a few possible reasons for this disconnect. Different communities may attach greater stigma about mental health care, or they may place less trust in the doctors available. Plus, there is a shortage of child psychiatrists across the country, and black and Hispanic families often live in the most underserved areas.\u003c/p>\n\u003cp>“There are problems of access all around,” said Harold Pincus, vice chair of psychiatry at Columbia University’s College of Physicians and Surgeons. “We have to change the way we do things.”\u003c/p>\n\u003cp>The findings suggest that lawmakers have focused on trying to improve access to mental health care, but “we can’t rest on our laurels,” said Pincus, who wasn’t affiliated with the study. He also noted that treating white children’s level of access as the golden standard is probably unwise, since research suggests they also receive inadequate care.\u003c/p>\n\u003cp>One of the study’s clear messages, argued Woolhandler, is that racial minorities received markedly less care — regardless of socioeconomic or health status. The gap suggests a targeted intervention is needed.\u003c/p>\n\u003cp>The study highlights a need to ensure doctors know how to counsel patients of different racial backgrounds and will do so, said Benjamin Le Cook, an assistant professor of psychiatry at Harvard Medical School, who was also not affiliated with the study. Ending racial and cultural disparities in access to care is a more pressing concern than erasing the stigmas about mental illness in minority communities, he said.\u003c/p>\n\u003cp>That’s especially relevant given minorities are \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/24178249\" target=\"_blank\">less likely to be treated\u003c/a> by doctors of their ethnicity. In addition, research suggests that mental health specialists sometimes discriminate based on race when seeing patients.\u003c/p>\n\u003cp>“It has to do with experiences people in the community have had that haven’t matched their expectations or aligned with problems they’re having,” LeCook said. “Cultural stigma is a factor, but not the main one.”\u003c/p>\n\u003cp>Beyond better training, more funds are needed for resources like community health centers, which often serve black and Hispanic patients, Woolhandler said.\u003c/p>\n\u003cp>“I see these great people trying to work in community mental health, but they need more resources to do their job,” she said.\u003c/p>\n\u003cp>But, the research doesn’t account for other areas where minorities may access mental health services, Pincus noted. Churches and social service agencies, for instance, may be filling some of the void and wouldn’t be accounted for by the survey data.\u003c/p>\n\u003cp>Researchers and policymakers should explore those sectors, he said, to see if they could be better leveraged to help people get connected to care they’ll actually trust. As experts try to bolster the mental health system — both to improve access across the board and also to close race-based gaps — they need to use a multipronged approach, pulling in different kinds of caregivers than those who might normally treat mental illness.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“There’s all kinds of ways by which the mental health system doesn’t play a role in helping people,” he said. “Family and community supports, social services — they’re all part of the picture.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>For a group of mental health professionals in California, watching the Syrian refugee crisis unfold on television was not an option.\u003c/p>\n\u003cp>“We were very, very concerned that there (was) a lot of need, and little available for professional services -- particularly mental health services,” says psychiatrist Dr. Saad Shakir.\u003c/p>\n\u003caside class=\"pullquote alignright\">Seeing all the devastation going on, I want to have an impact in a positive way. \u003ccite> Dr. Saad Shakir, Alalusi Foundation \u003c/cite>\u003c/aside>\n\u003cp>Shakir yearned to do more, and he zeroed in on Jordan. Amman, the country’s capital, is on the front lines of the Syrian refugee crisis, with nearly 1.5 million refugees now living in the country. Many are suffering deeply, but there aren’t nearly enough mental health professionals to serve them. A study from the \u003ca href=\"http://www.who.int/mental_health/evidence/mh_aims_report_jordan_jan_2011_en.pdf\" target=\"_blank\">World Health Organization\u003c/a> says fewer than 100 psychiatrists live in Jordan.\u003c/p>\n\u003cp>In the face of overwhelming need came a creative response from the Alalusi Foundation, a Hayward-based nonprofit focusing on refugee relief and humanitarian projects around the world. The foundation developed the Care Program for Refugees -- or CPR -- to train professionals who work with refugees to provide mental health care.\u003c/p>\n\u003cp>“Being a physician, I'm a humanitarian,” says Shakir. “So seeing all the devastation going on, it's like I want to have an impact in a positive way. We decided the best way we can help is by training the individuals here who provide care for refugees.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Earlier this summer, the group traveled to Amman to hold a weeklong training for Middle Eastern professionals who work with refugees.\u003c/p>\n\u003cp>Shakir and his colleagues prepared intensive trainings on a range of subjects including post-traumatic stress disorder, therapeutic interventions, ethics, and self-care for therapists.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/276000214\" 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>Saadia Hameed is a school psychologist from Sunnyvale who first heard about CPR after a meeting of the Bay Area Muslim Mental Health Professionals. The group was looking for someone with a background working with children, and she jumped at the chance to get involved.\u003c/p>\n\u003cp>“It’s really important for someone who does want to help to look within themselves to see what skills they have to offer,” says Hameed, while on a break from leading a workshop for 30 people on caring for children who have experienced trauma. The room buzzes with energy, and the discussion alternates between English and Arabic.\u003c/p>\n\u003cp>The workshop is intended for medical professionals, as well as social workers, volunteers, and educators. One of the attendees, Nisreen Katbi is a displaced refugee herself. Now she runs a residential rehabilitation center in Amman called\u003ca href=\"http://souriyat-across-borders.org/\" target=\"_blank\"> Souriyat Across Borders\u003c/a> that cares for Syrian refugees who were injured in the war.\u003c/p>\n\u003cp>“We found ourselves, all of a sudden, in the middle of this crisis,\" she says. \"Those people around us need help, they need help very quickly.\" Because of limited resources, people like Katbi sometimes find themselves given large responsibilities. She is grateful for today’s training.\u003c/p>\n\u003cp>“It’s a critical situation when they came from a war zone,” Katbi says. “So I have to be qualified to deal with them.”\u003c/p>\n\u003cp>The problem is vast. Care Program for Refugees hopes to expand its efforts by holding more trainings and offering webinars to reach other people who work with refugees. And Hameed, the school psychologist, says working with professionals like Katbi has in turn inspired her to dig deeper into treating trauma.\u003c/p>\n\u003cp>“One thing I feel is very motivated,\" she says. \"I want to learn more about how to support children who’ve not just faced trauma but war trauma, and torture and grief and loss.\"\u003c/p>\n\u003cp>Hameed plans to return to Amman for next spring’s training.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Luisa Conlon and Hanna Miller contributed to this story.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>For a group of mental health professionals in California, watching the Syrian refugee crisis unfold on television was not an option.\u003c/p>\n\u003cp>“We were very, very concerned that there (was) a lot of need, and little available for professional services -- particularly mental health services,” says psychiatrist Dr. Saad Shakir.\u003c/p>\n\u003caside class=\"pullquote alignright\">Seeing all the devastation going on, I want to have an impact in a positive way. \u003ccite> Dr. Saad Shakir, Alalusi Foundation \u003c/cite>\u003c/aside>\n\u003cp>Shakir yearned to do more, and he zeroed in on Jordan. Amman, the country’s capital, is on the front lines of the Syrian refugee crisis, with nearly 1.5 million refugees now living in the country. Many are suffering deeply, but there aren’t nearly enough mental health professionals to serve them. A study from the \u003ca href=\"http://www.who.int/mental_health/evidence/mh_aims_report_jordan_jan_2011_en.pdf\" target=\"_blank\">World Health Organization\u003c/a> says fewer than 100 psychiatrists live in Jordan.\u003c/p>\n\u003cp>In the face of overwhelming need came a creative response from the Alalusi Foundation, a Hayward-based nonprofit focusing on refugee relief and humanitarian projects around the world. The foundation developed the Care Program for Refugees -- or CPR -- to train professionals who work with refugees to provide mental health care.\u003c/p>\n\u003cp>“Being a physician, I'm a humanitarian,” says Shakir. “So seeing all the devastation going on, it's like I want to have an impact in a positive way. We decided the best way we can help is by training the individuals here who provide care for refugees.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Earlier this summer, the group traveled to Amman to hold a weeklong training for Middle Eastern professionals who work with refugees.\u003c/p>\n\u003cp>Shakir and his colleagues prepared intensive trainings on a range of subjects including post-traumatic stress disorder, therapeutic interventions, ethics, and self-care for therapists.\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/276000214&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/276000214'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Saadia Hameed is a school psychologist from Sunnyvale who first heard about CPR after a meeting of the Bay Area Muslim Mental Health Professionals. The group was looking for someone with a background working with children, and she jumped at the chance to get involved.\u003c/p>\n\u003cp>“It’s really important for someone who does want to help to look within themselves to see what skills they have to offer,” says Hameed, while on a break from leading a workshop for 30 people on caring for children who have experienced trauma. The room buzzes with energy, and the discussion alternates between English and Arabic.\u003c/p>\n\u003cp>The workshop is intended for medical professionals, as well as social workers, volunteers, and educators. One of the attendees, Nisreen Katbi is a displaced refugee herself. Now she runs a residential rehabilitation center in Amman called\u003ca href=\"http://souriyat-across-borders.org/\" target=\"_blank\"> Souriyat Across Borders\u003c/a> that cares for Syrian refugees who were injured in the war.\u003c/p>\n\u003cp>“We found ourselves, all of a sudden, in the middle of this crisis,\" she says. \"Those people around us need help, they need help very quickly.\" Because of limited resources, people like Katbi sometimes find themselves given large responsibilities. She is grateful for today’s training.\u003c/p>\n\u003cp>“It’s a critical situation when they came from a war zone,” Katbi says. “So I have to be qualified to deal with them.”\u003c/p>\n\u003cp>The problem is vast. Care Program for Refugees hopes to expand its efforts by holding more trainings and offering webinars to reach other people who work with refugees. And Hameed, the school psychologist, says working with professionals like Katbi has in turn inspired her to dig deeper into treating trauma.\u003c/p>\n\u003cp>“One thing I feel is very motivated,\" she says. \"I want to learn more about how to support children who’ve not just faced trauma but war trauma, and torture and grief and loss.\"\u003c/p>\n\u003cp>Hameed plans to return to Amman for next spring’s training.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Luisa Conlon and Hanna Miller contributed to this story.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cspan style=\"font-size: 4.6875em;float: left;line-height: 0.733em;padding: 0.05em 0.1em 0 0;font-family: times, serif, georgia\">A\u003c/span> 12-year-old boy named Strazh hangs from the monkey bars, staring at the ground. The other kids in the park aren’t interested in him. And he’s not interested in them.\u003c/p>\n\u003cp>“I just like to play by myself,” he says.\u003c/p>\n\u003cp>Strazh has autism. Today is a good day. But on most others, Strazh has meltdowns. Something frustrates him and he can’t control his emotions.\u003c/p>\n\u003cp>“I sometimes end up screaming,” he says. “And I end up yelling and screaming.”\u003c/p>\n\u003cp>And hitting and banging things, throwing things, adds Strazh’s mom, Natalie Dunnege. As a single parent, she says she bears the brunt of it.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“He told me that I disgusted him,” she says softly. “He tells me he hates me.”\u003c/p>\n\u003cp>Dunnege puts all her spare money into therapy for Strazh. She says it helps a lot. But Dunnege herself is struggling, feeling depressed and overwhelmed. She decided to look for her own therapist.\u003c/p>\n\u003cp>“One of the things that I’ve really had to wrap my head around is that I can’t change him. I can only change how I handle the situation,” she explains. “And not that I would want to change who he is. He’s a really good kid, but it’s a lot to handle, especially as a single parent.”\u003c/p>\n\u003cp>But when she logged onto her insurance website to find a therapist, she realized her copay for a mental health visit was going to be upwards of $75 – more than double her copay for other doctors’ appointments. Under a 2008 federal mental health law, those copays are supposed to be the same.\u003c/p>\n\u003cp>“There’s no way,” Dunnege says. “It’s out of my budget right now.”\u003c/p>\n\u003cfigure id=\"attachment_186111\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-186111\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/1010622-e1463762466497.jpg\" alt=\"Natalie Dunnege and her son, Strazh.\" width=\"1920\" height=\"1280\">\u003cfigcaption class=\"wp-caption-text\">Natalie Dunnege and her son, Strazh. \u003ccite>(Sheraz Sadiq/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dunnege lives in a one-bedroom apartment with her son and her father in San Francisco's Haight district. Grandfather and grandson sleep in twin beds side by side. It’s an awkward walk past those beds to the only bathroom. Dunnege says $75 a week for therapy is impossible.\u003c/p>\n\u003cp>“My income, I just made lower middle income. Just by the skin of my teeth,” she says. “So I just have to hold off until I’m actually middle class.”\u003c/p>\n\u003cp>More than 43 million Americans suffer from depression, anxiety and other mental health conditions, according to the most recent \u003ca href=\"http://www.samhsa.gov/data/sites/default/files/NSDUH-DR-FRR3-2014/NSDUH-DR-FRR3-2014/NSDUH-DR-FRR3-2014.htm\" target=\"_blank\" rel=\"noopener noreferrer\">federal data\u003c/a>. But more than half the people who felt like they needed help last year, never got it. Even people who had insurance complained of barriers to care. Some said they still couldn't afford it; some were embarrassed to ask for help. Others just couldn't get through \u003ca href=\"http://www.nap.edu/catalog/23442/ending-discrimination-against-people-with-mental-and-substance-use-disorders\" target=\"_blank\" rel=\"noopener noreferrer\">the red tape\u003c/a>.\u003c/p>\n\u003cp>Recent health laws, the 2008 Mental Health Parity Act and the Affordable Care Act, were supposed to fix this. They require health plans to provide benefits for mental health conditions on par with physical health conditions. Under the law, insurance companies can’t charge higher copays or set up separate deductibles for mental health care compared to other medical or surgical care. They can’t limit hospital stays or require preauthorization for mental health treatment if the same limits are not applied to treatment for physical health conditions.\u003c/p>\n\u003cp>But advocates say insurance companies are still finding ways to keep people who need care from getting it. Some are still not complying with the law. And some have found subtle, technically legally, ways to limit treatment.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/265497893\" 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>\u003cstrong>Problems with Mental Health Provider Directories\u003c/strong>\u003c/p>\n\u003cp>Natalie Dunnege encountered some of these barriers when she tried again to find a therapist. In the last year, she got a promotion at work and moved into a larger apartment. Her employer switched to a better health plan, too. Now she has Blue Shield coverage, and her copay for mental health appointments is only $20.\u003c/p>\n\u003cp>\"Which I was really excited about,\" Dunnege says.\u003c/p>\n\u003cp>But when she looked for a therapist who took her insurance, she struck out.\u003c/p>\n\u003cp>“I contacted six or seven,” she says.\u003c/p>\n\u003cp>Only three called her back.\u003c/p>\n\u003cp>“One of them, they were completely booked,” she says. “And then the other two just didn’t accept the insurance anymore.”\u003c/p>\n\u003cp>Zero hits out of seven. Had to be a bad draw, right?\u003c/p>\n\u003cp>To find out, we decided to conduct our own survey and called all the psychologists -- 100 in total -- that were listed on the Blue Shield website for Natalie’s plan in San Francisco.\u003c/p>\n\u003cp>Here's what happened:\u003c/p>\n\u003cfigure id=\"attachment_186898\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/mentalHealthTreatmentPost.jpg\">\u003cimg class=\"wp-image-186898 size-full\" title=\"Blue Shield In-Network Psychologists\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/mentalHealthTreatmentPost.jpg\" alt=\"mentalHealthTreatmentPost\" width=\"1920\" height=\"2055\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost-400x428.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost-800x856.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost-768x822.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost-1440x1541.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost-1180x1263.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost-960x1028.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Lisa Pickoff-White/KQED \u003ccite>(Lisa Pickoff-White/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The end result: 28 psychologists actually had appointments. And only eight of them had slots available outside regular work hours. Eight out of 100.\u003c/p>\n\u003cp>“Sorry, I wish you the best of luck,” was a common refrain in therapists’ voicemail messages.\u003c/p>\n\u003cp>For Natalie Dunnege, after seven rejections, she gave up looking.\u003c/p>\n\u003cp>\"It's hard when you're feeling sad and you feel like you can barely keep things together,” she says. “It just seemed like way too much at the time.”\u003c/p>\n\u003cp>Mental health advocates say this is exactly what insurance companies are hoping.\u003c/p>\n\u003cp>“It’s a way to control cost,” says Keith Humphreys, a Stanford psychiatry professor who served as an advisor to Congress when it was developing the 2008 Mental Health Parity Act. He says while insurers are now required to keep an adequate number of clinicians listed in their directories, they still find ways to sidestep the rules.\u003c/p>\n\u003cp>[contextly_sidebar id=\"KbISjuBjk7yP8P3jc2UosQlAqr1b85dD\"]“You know the law doesn't say you can't put people on there who are dead, or you can't put people on there who are not taking new patients,” he says. “What that translates into, then, is people have to wait longer for care, which then cuts expenditures for the insurer and reduces access.”\u003c/p>\n\u003cp>California passed a law last year, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB137\" target=\"_blank\" rel=\"noopener noreferrer\">SB 137\u003c/a>, raising the standards for physician directories. Insurers will have to police their lists for providers who are booked or retired. But a lot of questions remain about how the law will be enforced, especially when it comes to mental health providers, who are largely self-employed, solo practitioners.\u003c/p>\n\u003cp>The insurance industry says it will be a challenge.\u003c/p>\n\u003cp>“When you have networks as large as ours and you have as many enrollees as we have here in California, you're not going to be able to just have everything accurate every single second of every single day,” says Charles Bacchi, CEO of the California Association of Health Plans.\u003c/p>\n\u003cp>He said the industry is working to make it better.\u003c/p>\n\u003cp>“But we also need to be realistic,” he says. “We don't run a mental health provider's office. They do. And how they handle people calling their offices is their job.”\u003c/p>\n\u003cp>In a statement, Blue Shield said it tries to make it easy for providers to update changes in their contact information and schedule.\u003c/p>\n\u003cp>“We understand that there are a number of issues that impact a provider's availability to take new patients, such as administrative limitations and fluctuating numbers of patients based on their individual needs. When those instances arise, the provider is required to notify us so that patients have access to the most up-to-date information about who is available in their area.\"\u003c/p>\n\u003cp>The industry also says it’s facing another challenge: a nationwide shortage of mental health providers, further exacerbated by the millions of people who signed up for insurance under the Affordable Care Act.\u003c/p>\n\u003cp>In California, there are \"around 4 to 5 million more people with coverage, just in the last two years,” Bacchi says. “And that’s creating a strain for everybody, plans and mental health providers.”\u003c/p>\n\u003cp>But is it really just a supply and demand problem? Is it that there aren’t enough therapists, or is it that there aren’t enough therapists who are willing to work under the terms and rates set by the insurance companies?\u003c/p>\n\u003cp>\u003cem>This story was originally published on May 23, 2016. The video will be broadcast on KQED Newsroom July 15, 2016. \u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-size: 4.6875em;float: left;line-height: 0.733em;padding: 0.05em 0.1em 0 0;font-family: times, serif, georgia\">A\u003c/span> 12-year-old boy named Strazh hangs from the monkey bars, staring at the ground. The other kids in the park aren’t interested in him. And he’s not interested in them.\u003c/p>\n\u003cp>“I just like to play by myself,” he says.\u003c/p>\n\u003cp>Strazh has autism. Today is a good day. But on most others, Strazh has meltdowns. Something frustrates him and he can’t control his emotions.\u003c/p>\n\u003cp>“I sometimes end up screaming,” he says. “And I end up yelling and screaming.”\u003c/p>\n\u003cp>And hitting and banging things, throwing things, adds Strazh’s mom, Natalie Dunnege. As a single parent, she says she bears the brunt of it.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“He told me that I disgusted him,” she says softly. “He tells me he hates me.”\u003c/p>\n\u003cp>Dunnege puts all her spare money into therapy for Strazh. She says it helps a lot. But Dunnege herself is struggling, feeling depressed and overwhelmed. She decided to look for her own therapist.\u003c/p>\n\u003cp>“One of the things that I’ve really had to wrap my head around is that I can’t change him. I can only change how I handle the situation,” she explains. “And not that I would want to change who he is. He’s a really good kid, but it’s a lot to handle, especially as a single parent.”\u003c/p>\n\u003cp>But when she logged onto her insurance website to find a therapist, she realized her copay for a mental health visit was going to be upwards of $75 – more than double her copay for other doctors’ appointments. Under a 2008 federal mental health law, those copays are supposed to be the same.\u003c/p>\n\u003cp>“There’s no way,” Dunnege says. “It’s out of my budget right now.”\u003c/p>\n\u003cfigure id=\"attachment_186111\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-186111\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/1010622-e1463762466497.jpg\" alt=\"Natalie Dunnege and her son, Strazh.\" width=\"1920\" height=\"1280\">\u003cfigcaption class=\"wp-caption-text\">Natalie Dunnege and her son, Strazh. \u003ccite>(Sheraz Sadiq/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Dunnege lives in a one-bedroom apartment with her son and her father in San Francisco's Haight district. Grandfather and grandson sleep in twin beds side by side. It’s an awkward walk past those beds to the only bathroom. Dunnege says $75 a week for therapy is impossible.\u003c/p>\n\u003cp>“My income, I just made lower middle income. Just by the skin of my teeth,” she says. “So I just have to hold off until I’m actually middle class.”\u003c/p>\n\u003cp>More than 43 million Americans suffer from depression, anxiety and other mental health conditions, according to the most recent \u003ca href=\"http://www.samhsa.gov/data/sites/default/files/NSDUH-DR-FRR3-2014/NSDUH-DR-FRR3-2014/NSDUH-DR-FRR3-2014.htm\" target=\"_blank\" rel=\"noopener noreferrer\">federal data\u003c/a>. But more than half the people who felt like they needed help last year, never got it. Even people who had insurance complained of barriers to care. Some said they still couldn't afford it; some were embarrassed to ask for help. Others just couldn't get through \u003ca href=\"http://www.nap.edu/catalog/23442/ending-discrimination-against-people-with-mental-and-substance-use-disorders\" target=\"_blank\" rel=\"noopener noreferrer\">the red tape\u003c/a>.\u003c/p>\n\u003cp>Recent health laws, the 2008 Mental Health Parity Act and the Affordable Care Act, were supposed to fix this. They require health plans to provide benefits for mental health conditions on par with physical health conditions. Under the law, insurance companies can’t charge higher copays or set up separate deductibles for mental health care compared to other medical or surgical care. They can’t limit hospital stays or require preauthorization for mental health treatment if the same limits are not applied to treatment for physical health conditions.\u003c/p>\n\u003cp>But advocates say insurance companies are still finding ways to keep people who need care from getting it. Some are still not complying with the law. And some have found subtle, technically legally, ways to limit treatment.\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/265497893&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/265497893'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Problems with Mental Health Provider Directories\u003c/strong>\u003c/p>\n\u003cp>Natalie Dunnege encountered some of these barriers when she tried again to find a therapist. In the last year, she got a promotion at work and moved into a larger apartment. Her employer switched to a better health plan, too. Now she has Blue Shield coverage, and her copay for mental health appointments is only $20.\u003c/p>\n\u003cp>\"Which I was really excited about,\" Dunnege says.\u003c/p>\n\u003cp>But when she looked for a therapist who took her insurance, she struck out.\u003c/p>\n\u003cp>“I contacted six or seven,” she says.\u003c/p>\n\u003cp>Only three called her back.\u003c/p>\n\u003cp>“One of them, they were completely booked,” she says. “And then the other two just didn’t accept the insurance anymore.”\u003c/p>\n\u003cp>Zero hits out of seven. Had to be a bad draw, right?\u003c/p>\n\u003cp>To find out, we decided to conduct our own survey and called all the psychologists -- 100 in total -- that were listed on the Blue Shield website for Natalie’s plan in San Francisco.\u003c/p>\n\u003cp>Here's what happened:\u003c/p>\n\u003cfigure id=\"attachment_186898\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/mentalHealthTreatmentPost.jpg\">\u003cimg class=\"wp-image-186898 size-full\" title=\"Blue Shield In-Network Psychologists\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/05/mentalHealthTreatmentPost.jpg\" alt=\"mentalHealthTreatmentPost\" width=\"1920\" height=\"2055\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost-400x428.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost-800x856.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost-768x822.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost-1440x1541.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost-1180x1263.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/05/mentalHealthTreatmentPost-960x1028.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Lisa Pickoff-White/KQED \u003ccite>(Lisa Pickoff-White/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The end result: 28 psychologists actually had appointments. And only eight of them had slots available outside regular work hours. Eight out of 100.\u003c/p>\n\u003cp>“Sorry, I wish you the best of luck,” was a common refrain in therapists’ voicemail messages.\u003c/p>\n\u003cp>For Natalie Dunnege, after seven rejections, she gave up looking.\u003c/p>\n\u003cp>\"It's hard when you're feeling sad and you feel like you can barely keep things together,” she says. “It just seemed like way too much at the time.”\u003c/p>\n\u003cp>Mental health advocates say this is exactly what insurance companies are hoping.\u003c/p>\n\u003cp>“It’s a way to control cost,” says Keith Humphreys, a Stanford psychiatry professor who served as an advisor to Congress when it was developing the 2008 Mental Health Parity Act. He says while insurers are now required to keep an adequate number of clinicians listed in their directories, they still find ways to sidestep the rules.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>“You know the law doesn't say you can't put people on there who are dead, or you can't put people on there who are not taking new patients,” he says. “What that translates into, then, is people have to wait longer for care, which then cuts expenditures for the insurer and reduces access.”\u003c/p>\n\u003cp>California passed a law last year, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB137\" target=\"_blank\" rel=\"noopener noreferrer\">SB 137\u003c/a>, raising the standards for physician directories. Insurers will have to police their lists for providers who are booked or retired. But a lot of questions remain about how the law will be enforced, especially when it comes to mental health providers, who are largely self-employed, solo practitioners.\u003c/p>\n\u003cp>The insurance industry says it will be a challenge.\u003c/p>\n\u003cp>“When you have networks as large as ours and you have as many enrollees as we have here in California, you're not going to be able to just have everything accurate every single second of every single day,” says Charles Bacchi, CEO of the California Association of Health Plans.\u003c/p>\n\u003cp>He said the industry is working to make it better.\u003c/p>\n\u003cp>“But we also need to be realistic,” he says. “We don't run a mental health provider's office. They do. And how they handle people calling their offices is their job.”\u003c/p>\n\u003cp>In a statement, Blue Shield said it tries to make it easy for providers to update changes in their contact information and schedule.\u003c/p>\n\u003cp>“We understand that there are a number of issues that impact a provider's availability to take new patients, such as administrative limitations and fluctuating numbers of patients based on their individual needs. When those instances arise, the provider is required to notify us so that patients have access to the most up-to-date information about who is available in their area.\"\u003c/p>\n\u003cp>The industry also says it’s facing another challenge: a nationwide shortage of mental health providers, further exacerbated by the millions of people who signed up for insurance under the Affordable Care Act.\u003c/p>\n\u003cp>In California, there are \"around 4 to 5 million more people with coverage, just in the last two years,” Bacchi says. “And that’s creating a strain for everybody, plans and mental health providers.”\u003c/p>\n\u003cp>But is it really just a supply and demand problem? Is it that there aren’t enough therapists, or is it that there aren’t enough therapists who are willing to work under the terms and rates set by the insurance companies?\u003c/p>\n\u003cp>\u003cem>This story was originally published on May 23, 2016. The video will be broadcast on KQED Newsroom July 15, 2016. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Bay Curious",
"officialWebsiteLink": "/news/series/baycurious",
"meta": {
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"source": "kqed",
"order": 3
},
"link": "/podcasts/baycurious",
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"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
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}
},
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"id": "bbc-world-service",
"title": "BBC World Service",
"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.bbc.co.uk/sounds/play/live:bbc_world_service",
"meta": {
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"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
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"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The California Report",
"officialWebsiteLink": "/californiareport",
"meta": {
"site": "news",
"source": "kqed",
"order": 8
},
"link": "/californiareport",
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"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
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"rss": "https://ww2.kqed.org/news/tag/tcram/feed/podcast"
}
},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
"meta": {
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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"rss": "https://ww2.kqed.org/news/tag/tcrmag/feed/podcast"
}
},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "closealltabs",
"title": "Close All Tabs",
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/02/CAT_2_Tile-scaled.jpg",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
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"code-switch-life-kit": {
"id": "code-switch-life-kit",
"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg",
"meta": {
"site": "radio",
"source": "npr"
},
"link": "/radio/program/code-switch-life-kit",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"rss": "https://feeds.npr.org/510312/podcast.xml"
}
},
"commonwealth-club": {
"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
"officialWebsiteLink": "/forum",
"meta": {
"site": "news",
"source": "kqed",
"order": 9
},
"link": "/forum",
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"apple": "https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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}
},
"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/4s8b",
"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
"airtime": "MON-FRI 7pm-8pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "npr"
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
}
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"here-and-now": {
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"title": "Here & Now",
"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
"site": "news",
"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
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