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"content": "\u003cp>My nine-month investigation into California's state mental hospitals began with a simple question: \"What happens to people found 'not guilty by reason of insanity' or 'incompetent to stand trial'?\"\u003c/p>\n\u003cp>Turns out the answers -- and the issues raised -- are complicated.\u003c/p>\n\u003cp>This week marks a grim anniversary for Napa State Hospital. Five years ago Saturday, hospital psychiatric technician Donna Gross was murdered by a patient there. I focused my reporting in Napa, as opposed to the other four state mental hospitals (Atascadero, Coalinga, Metropolitan and Patton) because I wanted to know what impact Gross's murder had on the hospital and how security and policies have changed since then. I needed to talk to hospital staff, patients and their families to find out.\u003c/p>\n\u003cp>It wasn't easy.\u003c/p>\n\u003cp>In some ways Napa is a very troubled institution. And the trouble started long before Donna Gross was murdered.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In 2004, the hospital denied access to the U.S. Department of Justice (DOJ), which was investigating conditions at the hospital. The DOJ was looking at potential violations of the \u003ca href=\"http://www.justice.gov/crt/civil-rights-institutionalized-persons\" target=\"_blank\">Civil Rights of Institutionalized Persons Act\u003c/a>. Denying the U.S. Attorney General access -- that's rather astonishing. Despite this lack of access, the DOJ interviewed hospital staff and others and \u003ca href=\"http://www.justice.gov/sites/default/files/crt/legacy/2010/12/15/napa_findlet_6-27-05.pdf\" target=\"_blank\">found\u003c/a>, among other things, failure \"to protect patients from harm and abuse.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"6PLenFAZTbDgeJeArqVR3exzy3n7xR8d\"]In 2010, a few months before \u003ca href=\"http://www.sfgate.com/health/article/Napa-State-Hospital-psychiatric-worker-slain-3248688.php\" target=\"_blank\">Donna Gross \u003c/a>was murdered, the hospital's executive director Claude E. Foulk was \u003ca href=\"http://articles.latimes.com/2010/feb/25/local/la-me-hospital-director25-2010feb25\" target=\"_blank\">fired\u003c/a> after being arrested and charged with child molestation. He was later \u003ca href=\"http://www.presstelegram.com/technology/20110223/foulk-gets-248-years-for-sex-crimes\" target=\"_blank\">sentenced to 248 years in prison\u003c/a>.\u003c/p>\n\u003cp>His replacement, Dolly Matteucci, was soon confronted with Gross's brutal murder by a patient, \u003ca href=\"http://www.sfgate.com/crime/article/Napa-mental-patient-pleads-no-contest-to-murder-2336565.php\" target=\"_blank\">Jess Massey\u003c/a>, who had been allowed to walk around unattended on hospital grounds even though he had a history of violence. He later pleaded no contest to one count of murder and is now in Corcoran State Prison.\u003c/p>\n\u003cp>Less than two months later another hospital therapist was severely beaten as he escorted a different patient on the grounds.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\">I reported earlier this week \u003c/a>that since these incidents, there have been many changes at the Napa hospital:\u003c/p>\n\u003cul>\n\u003cli>Personal distress alarms with GPS replaced the old alarms, which didn't work outside where Gross was murdered\u003c/li>\n\u003cli>More hospital police have been hired\u003c/li>\n\u003cli>Policies have been changed to protect vulnerable staff, and\u003c/li>\n\u003cli>Gov. Jerry Brown signed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1340\" target=\"_blank\">AB 1340\u003c/a>, which will allow Napa and other state hospitals to segregate the most dangerous patients and give them \"enhanced treatment\" -- including risk assessment for violent behavior and concentrated clinical therapy -- in a secure setting. Construction has not yet started on this additional housing.\u003c/li>\n\u003c/ul>\n\u003cp>It was in this context that I asked to interview hospital director Matteucci. At first I was told \"maybe,\" then I was told she could only do the interview on the phone. After pushing, I was granted an in-person interview with her in the administration building \"outside the security fence.\"\u003c/p>\n\u003cp>The hospital had more than 1,800 physical assaults last year. To be fair, \"assault\" can be anything from pushing away the hand of a nurse who's giving out medication to getting punched or worse.\u003c/p>\n\u003cp>Yet it is patients, not staff, who are usually the victims of this violence from other patients. A small number of them cause most of the problems.\u003c/p>\n\u003cp>I wanted to visit the hospital and talk with a patient. The public information officer for the Department of State Hospitals told me I was free to write to any patient I knew was there (such as perpetrators of very high profile crimes, like \u003ca href=\"http://www.nytimes.com/2013/03/31/magazine/should-it-matter-that-the-shooter-at-oikos-university-was-korean.html\" target=\"_blank\">One L. Goh\u003c/a>, the shooter at Oikos University in Oakland in 2013) to ask if they would talk to me. I knew this would be a long shot, so instead I reached out to the hospital's family support group. Eventually I visited Napa with Frank and Barbara Brackin, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/23/violence-and-healing-at-napa-state-hospital-tale-of-two-families/\" target=\"_blank\">as I described in my story on Friday.\u003c/a>\u003c/p>\n\u003cp>Their son Shawn ended up in Napa after a tragic incident in a Roseville. During an attempt by Shawn of \"suicide by cop,\" he walked into a police station waving a gun. In the melee, a police officer shot and killed another policeman by mistake.\u003c/p>\n\u003cp>Shawn was found not guilty by reason of insanity and sentenced to time in a state mental hospital.\u003c/p>\n\u003cp>In the nearly 20 years he's been there, Shawn has been brutally assaulted, most recently in 2014 when another patient slammed his head into a wall so hard his hair was stuck in the wall. The Brackins are suing the hospital for failing to protect him.\u003c/p>\n\u003cp>One thing emphasized to me over and over is that people sent to state mental hospitals are patients, not prisoners. That means they have certain rights and privileges, even if they're violent.\u003c/p>\n\u003cp>I'll never forget my visit to Napa with the Brackins. It felt like I had entered a kind of \"forbidden zone\" where outsiders rarely went. And meeting Shawn after hearing so much about him from his parents was very poignant.\u003c/p>\n\u003cp>On my visit, we were met in the parking lot by a media representative from the Department of State Hospitals. We were warned not to videotape or photograph the barbed-wired security fence, the tight security at the main gate, or people coming and going (including reporters, like me).\u003c/p>\n\u003cp>We passed through multiple locked gates, doors and a metal detector before we were told to surrender cell phones and wallets.\u003c/p>\n\u003cp>I was warned not to talk to or interview any other patients. I was asked to turn over my audio recordings of Shawn Brackin so the Department of State Hospitals could review them to make sure he didn't say anything compromising the privacy of other patients. I negotiated a much more narrow accommodation.\u003c/p>\n\u003cp>I was also denied any access to record audio of music therapy classes. I was told this could jeopardize patient privacy.\u003c/p>\n\u003cp>I found all these requests to be overly strict. I've been to numerous state prisons, including San Quentin. The Department of Corrections has allowed me to freely photograph the gate, inmates, the cell blocks -- pretty much anything except Death Row. I have attended classes, religious services and therapy classes and was allowed to record, videotape and take photos.\u003c/p>\n\u003cp>To keep us away from other patients at Napa (who were meeting with family members nearby) the four of us were escorted to a tiny (perhaps 10 feet by 10 feet) room with no air conditioning and no apparent ventilation. (I was told this is where attorneys can meet privately with patients and their families.) At one point Shawn, who appears to have severe brain damage from assaults he suffered at Napa, asked to open the door to let some air in.\u003c/p>\n\u003cp>But not all families criticize Napa. Some say their loved ones are finally getting the treatment they should have gotten in the community before they committed tragic crimes.\u003c/p>\n\u003cp>And even strong critics acknowledge there’s a role for state hospitals to play in our criminal justice system, especially for violent defendants.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>But some advocates for the mentally ill say we need to make more treatment available in the community whenever possible -- rather than in locked state hospitals like Napa.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>My nine-month investigation into California's state mental hospitals began with a simple question: \"What happens to people found 'not guilty by reason of insanity' or 'incompetent to stand trial'?\"\u003c/p>\n\u003cp>Turns out the answers -- and the issues raised -- are complicated.\u003c/p>\n\u003cp>This week marks a grim anniversary for Napa State Hospital. Five years ago Saturday, hospital psychiatric technician Donna Gross was murdered by a patient there. I focused my reporting in Napa, as opposed to the other four state mental hospitals (Atascadero, Coalinga, Metropolitan and Patton) because I wanted to know what impact Gross's murder had on the hospital and how security and policies have changed since then. I needed to talk to hospital staff, patients and their families to find out.\u003c/p>\n\u003cp>It wasn't easy.\u003c/p>\n\u003cp>In some ways Napa is a very troubled institution. And the trouble started long before Donna Gross was murdered.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In 2004, the hospital denied access to the U.S. Department of Justice (DOJ), which was investigating conditions at the hospital. The DOJ was looking at potential violations of the \u003ca href=\"http://www.justice.gov/crt/civil-rights-institutionalized-persons\" target=\"_blank\">Civil Rights of Institutionalized Persons Act\u003c/a>. Denying the U.S. Attorney General access -- that's rather astonishing. Despite this lack of access, the DOJ interviewed hospital staff and others and \u003ca href=\"http://www.justice.gov/sites/default/files/crt/legacy/2010/12/15/napa_findlet_6-27-05.pdf\" target=\"_blank\">found\u003c/a>, among other things, failure \"to protect patients from harm and abuse.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>In 2010, a few months before \u003ca href=\"http://www.sfgate.com/health/article/Napa-State-Hospital-psychiatric-worker-slain-3248688.php\" target=\"_blank\">Donna Gross \u003c/a>was murdered, the hospital's executive director Claude E. Foulk was \u003ca href=\"http://articles.latimes.com/2010/feb/25/local/la-me-hospital-director25-2010feb25\" target=\"_blank\">fired\u003c/a> after being arrested and charged with child molestation. He was later \u003ca href=\"http://www.presstelegram.com/technology/20110223/foulk-gets-248-years-for-sex-crimes\" target=\"_blank\">sentenced to 248 years in prison\u003c/a>.\u003c/p>\n\u003cp>His replacement, Dolly Matteucci, was soon confronted with Gross's brutal murder by a patient, \u003ca href=\"http://www.sfgate.com/crime/article/Napa-mental-patient-pleads-no-contest-to-murder-2336565.php\" target=\"_blank\">Jess Massey\u003c/a>, who had been allowed to walk around unattended on hospital grounds even though he had a history of violence. He later pleaded no contest to one count of murder and is now in Corcoran State Prison.\u003c/p>\n\u003cp>Less than two months later another hospital therapist was severely beaten as he escorted a different patient on the grounds.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\">I reported earlier this week \u003c/a>that since these incidents, there have been many changes at the Napa hospital:\u003c/p>\n\u003cul>\n\u003cli>Personal distress alarms with GPS replaced the old alarms, which didn't work outside where Gross was murdered\u003c/li>\n\u003cli>More hospital police have been hired\u003c/li>\n\u003cli>Policies have been changed to protect vulnerable staff, and\u003c/li>\n\u003cli>Gov. Jerry Brown signed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB1340\" target=\"_blank\">AB 1340\u003c/a>, which will allow Napa and other state hospitals to segregate the most dangerous patients and give them \"enhanced treatment\" -- including risk assessment for violent behavior and concentrated clinical therapy -- in a secure setting. Construction has not yet started on this additional housing.\u003c/li>\n\u003c/ul>\n\u003cp>It was in this context that I asked to interview hospital director Matteucci. At first I was told \"maybe,\" then I was told she could only do the interview on the phone. After pushing, I was granted an in-person interview with her in the administration building \"outside the security fence.\"\u003c/p>\n\u003cp>The hospital had more than 1,800 physical assaults last year. To be fair, \"assault\" can be anything from pushing away the hand of a nurse who's giving out medication to getting punched or worse.\u003c/p>\n\u003cp>Yet it is patients, not staff, who are usually the victims of this violence from other patients. A small number of them cause most of the problems.\u003c/p>\n\u003cp>I wanted to visit the hospital and talk with a patient. The public information officer for the Department of State Hospitals told me I was free to write to any patient I knew was there (such as perpetrators of very high profile crimes, like \u003ca href=\"http://www.nytimes.com/2013/03/31/magazine/should-it-matter-that-the-shooter-at-oikos-university-was-korean.html\" target=\"_blank\">One L. Goh\u003c/a>, the shooter at Oikos University in Oakland in 2013) to ask if they would talk to me. I knew this would be a long shot, so instead I reached out to the hospital's family support group. Eventually I visited Napa with Frank and Barbara Brackin, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/23/violence-and-healing-at-napa-state-hospital-tale-of-two-families/\" target=\"_blank\">as I described in my story on Friday.\u003c/a>\u003c/p>\n\u003cp>Their son Shawn ended up in Napa after a tragic incident in a Roseville. During an attempt by Shawn of \"suicide by cop,\" he walked into a police station waving a gun. In the melee, a police officer shot and killed another policeman by mistake.\u003c/p>\n\u003cp>Shawn was found not guilty by reason of insanity and sentenced to time in a state mental hospital.\u003c/p>\n\u003cp>In the nearly 20 years he's been there, Shawn has been brutally assaulted, most recently in 2014 when another patient slammed his head into a wall so hard his hair was stuck in the wall. The Brackins are suing the hospital for failing to protect him.\u003c/p>\n\u003cp>One thing emphasized to me over and over is that people sent to state mental hospitals are patients, not prisoners. That means they have certain rights and privileges, even if they're violent.\u003c/p>\n\u003cp>I'll never forget my visit to Napa with the Brackins. It felt like I had entered a kind of \"forbidden zone\" where outsiders rarely went. And meeting Shawn after hearing so much about him from his parents was very poignant.\u003c/p>\n\u003cp>On my visit, we were met in the parking lot by a media representative from the Department of State Hospitals. We were warned not to videotape or photograph the barbed-wired security fence, the tight security at the main gate, or people coming and going (including reporters, like me).\u003c/p>\n\u003cp>We passed through multiple locked gates, doors and a metal detector before we were told to surrender cell phones and wallets.\u003c/p>\n\u003cp>I was warned not to talk to or interview any other patients. I was asked to turn over my audio recordings of Shawn Brackin so the Department of State Hospitals could review them to make sure he didn't say anything compromising the privacy of other patients. I negotiated a much more narrow accommodation.\u003c/p>\n\u003cp>I was also denied any access to record audio of music therapy classes. I was told this could jeopardize patient privacy.\u003c/p>\n\u003cp>I found all these requests to be overly strict. I've been to numerous state prisons, including San Quentin. The Department of Corrections has allowed me to freely photograph the gate, inmates, the cell blocks -- pretty much anything except Death Row. I have attended classes, religious services and therapy classes and was allowed to record, videotape and take photos.\u003c/p>\n\u003cp>To keep us away from other patients at Napa (who were meeting with family members nearby) the four of us were escorted to a tiny (perhaps 10 feet by 10 feet) room with no air conditioning and no apparent ventilation. (I was told this is where attorneys can meet privately with patients and their families.) At one point Shawn, who appears to have severe brain damage from assaults he suffered at Napa, asked to open the door to let some air in.\u003c/p>\n\u003cp>But not all families criticize Napa. Some say their loved ones are finally getting the treatment they should have gotten in the community before they committed tragic crimes.\u003c/p>\n\u003cp>And even strong critics acknowledge there’s a role for state hospitals to play in our criminal justice system, especially for violent defendants.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But some advocates for the mentally ill say we need to make more treatment available in the community whenever possible -- rather than in locked state hospitals like Napa.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Violence and Healing at Napa State Hospital: A Tale of 2 Families",
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"content": "\u003cp>At California's five state psychiatric hospitals, patients are mostly criminal defendants found not guilty by reason of insanity or incompetent to stand trial. They've been sent to these institutions for psychiatric care. But sometimes the patients can be violent.\u003c/p>\n\u003cp>Five years ago this week, a \u003ca href=\"http://napavalleyregister.com/news/local/police-employee-at-psychiatric-hospital-killed-patient-arrested/article_c6428892-dfac-11df-805a-001cc4c03286.html\" target=\"_blank\">staff member was murdered\u003c/a> by a patient at Napa State Hospital. In the time since, the hospital has tried to improve safety. While the majority of patients are not violent, sometimes those who are target not just staff, but other patients as well.\u003c/p>\n\u003cp>Although it's rare for members of the media to gain access to the hospital, I was invited by Frank and Barbara Brackin to join them in visiting their 45-year-old son, Shawn, who has been a patient at Napa State for nearly 20 years. I met up with Shawn's parents in the parking lot.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/229804825\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>\"Sometimes he says he can't sleep when he's expecting a visit because he's so excited,\" Barbara Brackin tells me as we walk to the hospital's front door.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Our main concern now is for Shawn's safety,\" her husband says. \"He was not given the death sentence, (but) he's almost had it twice in the past three years,\" Frank adds, in reference to assaults Shawn has suffered at the hospital.\u003c/p>\n\u003cfigure id=\"attachment_96504\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-96504\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/ShawnWithDog-800x643.jpg\" alt=\"Shawn Brackin during junior high school in 1983.\" width=\"800\" height=\"643\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWithDog.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWithDog-400x322.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Shawn Brackin during junior high school in 1983. \u003ccite>(Courtesy Brackin Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After passing through a number of locked gates and surrendering our driver's licenses, we pass through several locked doors and then a metal detector, where we also surrender our cellphones and wallets.\u003c/p>\n\u003cp>At last, we're ushered into a tiny room to visit with Shawn Brackin.\u003c/p>\n\u003cp>\"I'm glad to see you,\" he says, shuffling toward us with difficulty. He's wearing a blue helmet to protect his head in case he falls -- which happens somewhat frequently -- or is pushed.\u003c/p>\n\u003cp>Shawn wasn't always in this condition, his parents had explained to me earlier. His life took a bad turn at age 6, when he was struck by a car and had a severe head injury. That accident began a slow descent that ended in tragedy.\u003c/p>\n\u003cp>After graduating from high school, Shawn became increasingly depressed and withdrawn. In 1995, he took a small gun and walked into a local police station.\u003c/p>\n\u003cp>Frank Brackin says that was an attempt at \"suicide by cop.\"\u003c/p>\n\u003cp>\"He was wanting to die,\" Frank Brackin says. \"And so he put himself before the firing squad, and he had no idea the firing squad would turn on themselves.\"\u003c/p>\n\u003cp>On that day, when he was 25 years old, Shawn was shot by police but survived. In the mayhem, an officer shot and killed another cop.\u003c/p>\n\u003cp>Shawn Brackin was charged with six felonies. As part of a plea deal, he was found \"not guilty by reason of insanity.\" And that plea -- with its diagnosis of mental illness -- is what led him to Napa State Hospital.\u003c/p>\n\u003cp>\"We had no choice, really,\" Shawn's father says. \"We wanted to protect him and make sure he had a safe environment. We thought a hospital would be a safe environment.\"\u003c/p>\n\u003cfigure id=\"attachment_96499\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-96499 size-medium\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/ShawnBrackinICU-800x757.jpg\" alt=\"Napa State Hospital patient Shawn Brackin spent 17 days in the ICU at UC San Francisco Medical Center after being severely beaten by a fellow patient in 2014.\" width=\"800\" height=\"757\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-800x757.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-400x378.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-1440x1362.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-1180x1116.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-960x908.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Napa State Hospital patient Shawn Brackin spent 17 days in the ICU at UCSF Medical Center after being severely beaten by a fellow patient in 2014. \u003ccite>(Courtesy Brackin Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But over the years, Shawn Brackin has been assaulted by several patients. Last year he suffered a particularly brutal assault when a patient turned on him.\u003c/p>\n\u003cp>\"And he slammed Shawn into the wall so hard that it buried his head into the wall and left hair in the wall,\" Frank Brackin says. \"And then he hit him. And then Shawn hit that concrete floor.\"\u003c/p>\n\u003cp>Shawn needed emergency brain surgery. He was left with severe disabilities.\u003c/p>\n\u003cp>The day I visited Shawn, his hair was damp from sweat. It was a hot day in Napa, and the tiny room had no air conditioning or ventilation. I ask him if feels he's gotten well while at the hospital, if he thinks he's better off for having been sent there.\u003c/p>\n\u003cp>\"I'm better off,\" he says. \"I'm pretty good right now.\"\u003c/p>\n\u003cp>But his mother says things are not good. Before he entered the state hospital system, Shawn was able to drive and hold a job, Barbara Brackin says.\u003c/p>\n\u003cp>\"He interacted with the family, laughed and joked, played cards. And he was the Uno champ,\" she says, and laughs. \"Nobody else could usually beat him.\"\u003c/p>\n\u003cp>Toward the end of our 45-minute visit, Frank Brackin reads a Bible verse, and then they say their goodbyes.\u003c/p>\n\u003cfigure id=\"attachment_96507\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-96507\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/ShawnWFamily-800x568.jpg\" alt=\"Shawn Brackin (top middle) celebrating Christmas with his family at Napa State Hospital in December, 2011.\" width=\"800\" height=\"568\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWFamily.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWFamily-400x284.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Shawn Brackin (top middle) celebrating Christmas with his family at Napa State Hospital in December 2011. \u003ccite>(Courtesy Brackin Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"We'll visit you again on Sunday, Shawn,\" Frank says. \"We'll have time to play some cards if you want. I love you. You're my main man, you know?\u003c/p>\n\u003cp>\"Yes sir,\" Shawn says.\u003c/p>\n\u003cp>The latest assault on Shawn Brackin was just one of 1,800 at Napa State Hospital last year. To be fair, most of those assaults are very minor.\u003c/p>\n\u003cp>While the Brackins don't dismiss what their son did 20 years ago in that police station, they feel he's had to pay too high a price and have filed a lawsuit against the hospital, alleging negligence in failing to keep their son safe.\u003c/p>\n\u003cp>Napa has made many changes since psychiatric technician \u003ca href=\"http://napavalleyregister.com/news/local/police-employee-at-psychiatric-hospital-killed-patient-arrested/article_c6428892-dfac-11df-805a-001cc4c03286.html\" target=\"_blank\">Donna Gross was murdered by a patient \u003c/a>five years ago, but mostly \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\">those changes\u003c/a> are intended to protect staff. While a new law took effect in July that will allow the hospital to isolate the most dangerous patients, hospital Executive Director Dolly Matteucci says more needs to be done.\u003c/p>\n\u003cp>\"We have made tremendous progress in safety improvements and in mitigating violence at the hospital,\" she tells me. \"But sadly it continues to be a part of our environment and our shared experience as patients and employees. And it is unacceptable.\"\u003c/p>\n\u003cfigure id=\"attachment_96512\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-96512 size-medium\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/DollyM-800x573.jpg\" alt=\"Dolly Matteucci became executive director of Napa State Hospital after Donna Gross's murder. She stands in a conference room decorated with paintings created by psychiatric patients.\" width=\"800\" height=\"573\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-800x573.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-400x286.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-1440x1031.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-1180x845.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-960x688.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dolly Matteucci became executive director of Napa State Hospital after the killing of Donna Gross. She stands in a conference room decorated with paintings created by psychiatric patients. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Not all families are critical of Napa. Many say they enjoy the visits with their loved ones -- who they say are finally getting the kind of treatment they should have gotten before the tragedy that sent them there happened.\u003c/p>\n\u003cp>Candace and Hans -- they’ve asked that we just use their first names to protect their privacy -- say their son has been at Napa for 3½ years. At their request, we’re not using his name.\u003c/p>\n\u003cp>I met with them in their home in Alameda, where Hans showed me his son's high school trophies from basketball and football.\u003c/p>\n\u003cp>\"He loved fishing, so we have pictures of him catching a 32-pound salmon,\" says Hans.\u003c/p>\n\u003cp>[contextly_sidebar id=\"z3MoWy1s3a0uaqzle3WibjbVXxDDGFT2\"]\u003c/p>\n\u003cp>Candace says that when their son was in high school, he started changing.\u003c/p>\n\u003cp>\"He couldn't organize his homework. He couldn't turn in assignments,\" she says. \"And he was becoming very quiet around the house, and also talked about feeling spirits and things around him.\"\u003c/p>\n\u003cp>It was the early signs of schizophrenia. The symptoms got worse, and his behavior escalated. Hans and Candace were so worried their son would hurt himself or someone else that they had him confined against his will.\u003c/p>\n\u003cp>\"When police come into the house and handcuff your kid and take him out of the house, in the same house he grew up in sprawled across the floor, it's quite an experience,\" she says.\u003c/p>\n\u003cp>They called the police many times, but authorities could not hold him indefinitely, so he was always released. Candace and Hans tried repeatedly to get their son psychiatric help, but as an adult he had the right to refuse treatment.\u003c/p>\n\u003cp>Finally, in 2012 while suffering delusions, their son killed someone in the Berkeley Hills.\u003c/p>\n\u003cp>He was found not guilty by reason of insanity and sent to Napa State Hospital, where his mother says he is slowly getting better.\u003c/p>\n\u003cp>\"It has taken this long to see real results of recovery,\" she says, \"in little bits and pieces along the way. It was only because of the sustained treatment we had through Napa.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Despite the complaints and problems at California’s state mental hospitals, there’s\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\"> a long waiting list \u003c/a>to get into them -- and many of those waiting spend their time in jail.\u003c/p>\n\n",
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"excerpt": "For one family, a son's safety was compromised in an attack at the psychiatric facility. For another, a son has begun recovering from violent schizophrenia.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>At California's five state psychiatric hospitals, patients are mostly criminal defendants found not guilty by reason of insanity or incompetent to stand trial. They've been sent to these institutions for psychiatric care. But sometimes the patients can be violent.\u003c/p>\n\u003cp>Five years ago this week, a \u003ca href=\"http://napavalleyregister.com/news/local/police-employee-at-psychiatric-hospital-killed-patient-arrested/article_c6428892-dfac-11df-805a-001cc4c03286.html\" target=\"_blank\">staff member was murdered\u003c/a> by a patient at Napa State Hospital. In the time since, the hospital has tried to improve safety. While the majority of patients are not violent, sometimes those who are target not just staff, but other patients as well.\u003c/p>\n\u003cp>Although it's rare for members of the media to gain access to the hospital, I was invited by Frank and Barbara Brackin to join them in visiting their 45-year-old son, Shawn, who has been a patient at Napa State for nearly 20 years. I met up with Shawn's parents in the parking lot.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/229804825&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/229804825'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"Sometimes he says he can't sleep when he's expecting a visit because he's so excited,\" Barbara Brackin tells me as we walk to the hospital's front door.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Our main concern now is for Shawn's safety,\" her husband says. \"He was not given the death sentence, (but) he's almost had it twice in the past three years,\" Frank adds, in reference to assaults Shawn has suffered at the hospital.\u003c/p>\n\u003cfigure id=\"attachment_96504\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-96504\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/ShawnWithDog-800x643.jpg\" alt=\"Shawn Brackin during junior high school in 1983.\" width=\"800\" height=\"643\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWithDog.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWithDog-400x322.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Shawn Brackin during junior high school in 1983. \u003ccite>(Courtesy Brackin Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After passing through a number of locked gates and surrendering our driver's licenses, we pass through several locked doors and then a metal detector, where we also surrender our cellphones and wallets.\u003c/p>\n\u003cp>At last, we're ushered into a tiny room to visit with Shawn Brackin.\u003c/p>\n\u003cp>\"I'm glad to see you,\" he says, shuffling toward us with difficulty. He's wearing a blue helmet to protect his head in case he falls -- which happens somewhat frequently -- or is pushed.\u003c/p>\n\u003cp>Shawn wasn't always in this condition, his parents had explained to me earlier. His life took a bad turn at age 6, when he was struck by a car and had a severe head injury. That accident began a slow descent that ended in tragedy.\u003c/p>\n\u003cp>After graduating from high school, Shawn became increasingly depressed and withdrawn. In 1995, he took a small gun and walked into a local police station.\u003c/p>\n\u003cp>Frank Brackin says that was an attempt at \"suicide by cop.\"\u003c/p>\n\u003cp>\"He was wanting to die,\" Frank Brackin says. \"And so he put himself before the firing squad, and he had no idea the firing squad would turn on themselves.\"\u003c/p>\n\u003cp>On that day, when he was 25 years old, Shawn was shot by police but survived. In the mayhem, an officer shot and killed another cop.\u003c/p>\n\u003cp>Shawn Brackin was charged with six felonies. As part of a plea deal, he was found \"not guilty by reason of insanity.\" And that plea -- with its diagnosis of mental illness -- is what led him to Napa State Hospital.\u003c/p>\n\u003cp>\"We had no choice, really,\" Shawn's father says. \"We wanted to protect him and make sure he had a safe environment. We thought a hospital would be a safe environment.\"\u003c/p>\n\u003cfigure id=\"attachment_96499\" class=\"wp-caption alignleft\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-96499 size-medium\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/ShawnBrackinICU-800x757.jpg\" alt=\"Napa State Hospital patient Shawn Brackin spent 17 days in the ICU at UC San Francisco Medical Center after being severely beaten by a fellow patient in 2014.\" width=\"800\" height=\"757\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-800x757.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-400x378.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-1440x1362.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-1180x1116.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnBrackinICU-960x908.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Napa State Hospital patient Shawn Brackin spent 17 days in the ICU at UCSF Medical Center after being severely beaten by a fellow patient in 2014. \u003ccite>(Courtesy Brackin Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But over the years, Shawn Brackin has been assaulted by several patients. Last year he suffered a particularly brutal assault when a patient turned on him.\u003c/p>\n\u003cp>\"And he slammed Shawn into the wall so hard that it buried his head into the wall and left hair in the wall,\" Frank Brackin says. \"And then he hit him. And then Shawn hit that concrete floor.\"\u003c/p>\n\u003cp>Shawn needed emergency brain surgery. He was left with severe disabilities.\u003c/p>\n\u003cp>The day I visited Shawn, his hair was damp from sweat. It was a hot day in Napa, and the tiny room had no air conditioning or ventilation. I ask him if feels he's gotten well while at the hospital, if he thinks he's better off for having been sent there.\u003c/p>\n\u003cp>\"I'm better off,\" he says. \"I'm pretty good right now.\"\u003c/p>\n\u003cp>But his mother says things are not good. Before he entered the state hospital system, Shawn was able to drive and hold a job, Barbara Brackin says.\u003c/p>\n\u003cp>\"He interacted with the family, laughed and joked, played cards. And he was the Uno champ,\" she says, and laughs. \"Nobody else could usually beat him.\"\u003c/p>\n\u003cp>Toward the end of our 45-minute visit, Frank Brackin reads a Bible verse, and then they say their goodbyes.\u003c/p>\n\u003cfigure id=\"attachment_96507\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-96507\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/ShawnWFamily-800x568.jpg\" alt=\"Shawn Brackin (top middle) celebrating Christmas with his family at Napa State Hospital in December, 2011.\" width=\"800\" height=\"568\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWFamily.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/ShawnWFamily-400x284.jpg 400w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Shawn Brackin (top middle) celebrating Christmas with his family at Napa State Hospital in December 2011. \u003ccite>(Courtesy Brackin Family)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"We'll visit you again on Sunday, Shawn,\" Frank says. \"We'll have time to play some cards if you want. I love you. You're my main man, you know?\u003c/p>\n\u003cp>\"Yes sir,\" Shawn says.\u003c/p>\n\u003cp>The latest assault on Shawn Brackin was just one of 1,800 at Napa State Hospital last year. To be fair, most of those assaults are very minor.\u003c/p>\n\u003cp>While the Brackins don't dismiss what their son did 20 years ago in that police station, they feel he's had to pay too high a price and have filed a lawsuit against the hospital, alleging negligence in failing to keep their son safe.\u003c/p>\n\u003cp>Napa has made many changes since psychiatric technician \u003ca href=\"http://napavalleyregister.com/news/local/police-employee-at-psychiatric-hospital-killed-patient-arrested/article_c6428892-dfac-11df-805a-001cc4c03286.html\" target=\"_blank\">Donna Gross was murdered by a patient \u003c/a>five years ago, but mostly \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\">those changes\u003c/a> are intended to protect staff. While a new law took effect in July that will allow the hospital to isolate the most dangerous patients, hospital Executive Director Dolly Matteucci says more needs to be done.\u003c/p>\n\u003cp>\"We have made tremendous progress in safety improvements and in mitigating violence at the hospital,\" she tells me. \"But sadly it continues to be a part of our environment and our shared experience as patients and employees. And it is unacceptable.\"\u003c/p>\n\u003cfigure id=\"attachment_96512\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-96512 size-medium\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/DollyM-800x573.jpg\" alt=\"Dolly Matteucci became executive director of Napa State Hospital after Donna Gross's murder. She stands in a conference room decorated with paintings created by psychiatric patients.\" width=\"800\" height=\"573\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-800x573.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-400x286.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-1440x1031.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-1180x845.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DollyM-960x688.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dolly Matteucci became executive director of Napa State Hospital after the killing of Donna Gross. She stands in a conference room decorated with paintings created by psychiatric patients. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Not all families are critical of Napa. Many say they enjoy the visits with their loved ones -- who they say are finally getting the kind of treatment they should have gotten before the tragedy that sent them there happened.\u003c/p>\n\u003cp>Candace and Hans -- they’ve asked that we just use their first names to protect their privacy -- say their son has been at Napa for 3½ years. At their request, we’re not using his name.\u003c/p>\n\u003cp>I met with them in their home in Alameda, where Hans showed me his son's high school trophies from basketball and football.\u003c/p>\n\u003cp>\"He loved fishing, so we have pictures of him catching a 32-pound salmon,\" says Hans.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Candace says that when their son was in high school, he started changing.\u003c/p>\n\u003cp>\"He couldn't organize his homework. He couldn't turn in assignments,\" she says. \"And he was becoming very quiet around the house, and also talked about feeling spirits and things around him.\"\u003c/p>\n\u003cp>It was the early signs of schizophrenia. The symptoms got worse, and his behavior escalated. Hans and Candace were so worried their son would hurt himself or someone else that they had him confined against his will.\u003c/p>\n\u003cp>\"When police come into the house and handcuff your kid and take him out of the house, in the same house he grew up in sprawled across the floor, it's quite an experience,\" she says.\u003c/p>\n\u003cp>They called the police many times, but authorities could not hold him indefinitely, so he was always released. Candace and Hans tried repeatedly to get their son psychiatric help, but as an adult he had the right to refuse treatment.\u003c/p>\n\u003cp>Finally, in 2012 while suffering delusions, their son killed someone in the Berkeley Hills.\u003c/p>\n\u003cp>He was found not guilty by reason of insanity and sent to Napa State Hospital, where his mother says he is slowly getting better.\u003c/p>\n\u003cp>\"It has taken this long to see real results of recovery,\" she says, \"in little bits and pieces along the way. It was only because of the sustained treatment we had through Napa.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Despite the complaints and problems at California’s state mental hospitals, there’s\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\"> a long waiting list \u003c/a>to get into them -- and many of those waiting spend their time in jail.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "In Tracking Food Poisoning Outbreaks, Here's How Yelp Might Fit In",
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"content": "\u003cp>As dozens of people began getting sick from a Shigella outbreak at a San Jose restaurant last weekend, Yelp reviewers were on the case – right alongside public health officials.\u003c/p>\n\u003cp>“PLEASE DO NOT EAT HERE!!!!” Pauline A. wrote in her \u003ca href=\"http://webcache.googleusercontent.com/search?q=cache:http://www.yelp.com/biz/mariscos-san-juan-san-jose-3\" target=\"_blank\">review\u003c/a> on Sunday of the Mariscos San Juan #3 restaurant on 4th Street. “My sister-in-law … and brother-in-law along with his parents ate here Friday night and all four of them ended up in the hospital with food poisoning!!!”\u003c/p>\n\u003cp>That same day, the Santa Clara County Public Health Department shut down the restaurant. Two days later, officials \u003ca href=\"https://www.sccgov.org/sites/sccphd/en-us/Media/Documents/2015%20News%20Releases/Shigella-10-20-15-PM.pdf\" target=\"_blank\">announced\u003c/a> that more than 80 people who had eaten there had become acutely ill, with many requiring hospitalization. Twelve diners went to intensive care units.\u003c/p>\n\u003cfigure class=\"related\">\u003cfigcaption>\u003c/figcaption>\u003c/figure>\n\u003cp>Since then, the outbreak \u003ca href=\"https://www.sccgov.org/sites/sccphd/en-us/HealthProviders/Diseases/Shigella/Pages/Shigella.aspx\" target=\"_blank\">has grown to 110 cases \u003c/a>in Santa Clara and Santa Cruz counties.\u003c/p>\n\u003cp>Shigellosis is a contagious diarrheal disease caused by the Shigella group of bacteria and can be spread when people don’t wash their hands after using the bathroom. More than \u003ca href=\"http://www.cdc.gov/shigella/general-information.html\" target=\"_blank\">500,000 cases\u003c/a> are reported in the U.S. each year. The disease can cause severe dehydration or fainting and in rare cases may be fatal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some health researchers and public health professionals believe consumer review sites like Yelp might help them identify and investigate food poisoning outbreaks similar to this one. It’s not unlike using Google searches to track potential \u003ca href=\"http://googleresearch.blogspot.com/2015/08/the-next-chapter-for-flu-trends.html\" target=\"_blank\">flu and Dengue outbreaks\u003c/a>.\u003c/p>\n\u003cp>Santa Clara County epidemiologists currently aren’t using Yelp in their Shigella investigation, and the reviewers apparently were not out ahead of public health officials in this case.\u003c/p>\n\u003cp>But earlier research suggests that Yelp reviews may act as an early warning system or identify potential patients that public health officials might not otherwise have found in their food-borne illness investigations, especially if the reviewer did not seek medical care after falling ill.\u003c/p>\n\u003cp>[contextly_sidebar id=\"SQtkyoTa00XbSBFEDZfo5qyNX6DVoNjP\"]Public health workers in New York, aided by Columbia University researchers, \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2014/05/22/how-new-york-used-yelp-to-find-unreported-cases-of-food-poisoning/\" target=\"_blank\">scanned thousands of Yelp reviews\u003c/a> in 2012 and 2013 to find previously undetected food-borne illness, unearthing nearly 900 cases that were worthy of further investigation by epidemiologists. Ultimately, the researchers found \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/24848215\" target=\"_blank\">three previously unreported restaurant-related outbreaks\u003c/a> linked to 16 illnesses that would have merited a public health investigation if officials had known of them at the time. Follow-up inspections of the restaurants found food-handling violations.\u003c/p>\n\u003cp>Researchers also have examined Twitter and Facebook as possible food-borne illness surveillance tools, and Chicago’s public health agency automatically sends information about its \u003ca href=\"https://www.foodbornechicago.org/\" target=\"_blank\">Foodborne Chicago\u003c/a> reporting site to local Twitter users who complain of food poisoning.\u003c/p>\n\u003cp>But Yelp’s usefulness for epidemiologists is going to depend a lot on how it handles food poisoning complaints down the road.\u003c/p>\n\u003cp>The company has been \u003ca href=\"http://www.eastbayexpress.com/oakland/yelp-and-the-business-of-extortion-20/Content?oid=1176635\" target=\"_blank\">accused of\u003c/a> approaching restaurants to remove negative reviews in exchange for advertising dollars, although a class action lawsuit on those grounds \u003ca href=\"http://www.wsj.com/articles/SB10001424052970204505304577002170423750412\" target=\"_blank\">was dismissed\u003c/a>.\u003c/p>\n\u003cp>At the same time, Yelp is \u003ca href=\"http://www.eater.com/2015/5/19/8588185/yelp-social-protest-trolling-memories-pizza\" target=\"_blank\">wrestling with how to handle reviews\u003c/a> for businesses that become controversial overnight, serving as magnets for irate reviewers who have not patronized the business and just want to make a point.\u003c/p>\n\u003cp>On Tuesday, the company placed an “Active Cleanup Alert” notice on \u003ca href=\"http://www.yelp.com/biz/mariscos-san-juan-san-jose-3\" target=\"_blank\">Mariscos San Juan #3's review page\u003c/a> noting that because the business “recently made waves in the news,” Yelp would “remove both positive and negative posts that appear to be motivated more by the news coverage itself than the reviewer’s personal consumer experience with the business.”\u003c/p>\n\u003cp>While some reviews were easily visible, others were segregated into Yelp’s “not currently recommended” category, which requires readers to click to see them and do not figure in the establishment’s overall rating.\u003c/p>\n\u003cp>That’s where Andr\u003cem>é\u003c/em>s Guerra’s review was quarantined. From his hospital bed, the 27-year-old San Jose attorney \u003ca href=\"http://www.yelp.com/user_details_reviews_self?userid=G6qs3iIh6oRy9rOE1YgQHA\" target=\"_blank\">wrote\u003c/a>:\u003c/p>\n\u003cp>“On Friday Oct 16th I ate the shrimp cocktail. I will spare the details, but I started being sick Friday night, then Saturday I was admitted to the ER and then the ICU. The Santa Clara County Public Health Department has already called me for their investigation …This restaurant put at least 11 people in the hospital I am at, and I’m sure countless others elsewhere. I do not wish for a single other person to go through the hell I’ve been through.”\u003c/p>\n\u003cp>Reviews from five other people detailing how they fell ill were similarly hidden.\u003c/p>\n\u003cp>After running a 104-degree fever and enduring days of vomiting, chills and diarrhea, “I was like, what the hell?” Guerra told me while recuperating at home. “I’m not trying to slander any business … I just want no one else to go through this. I think Yelp could do a better job distinguishing between people who want to inform and those who want to attack.”\u003c/p>\n\u003cp>No one answered the phone at the restaurant when I called.\u003c/p>\n\u003cp>A Yelp spokeswoman noted that health scores for restaurants are currently provided in several selected counties or cities in California, Colorado, Kentucky, North Carolina and Illinois. In response to questions about food poisoning complaints, she referred me to a general \u003ca href=\"http://officialblog.yelp.com/2013/11/yelp-recommended-reviews.html\" target=\"_blank\">blog post\u003c/a>, which says that the company tries not to “highlight reviews written by users we don’t know much about, or reviews that may be biased because they were solicited from family, friends, or favored customers.”\u003c/p>\n\u003cp>Doug Powell, a former professor of food safety at Kansas State University who now lives in Australia and writes for the \u003ca href=\"http://barfblog.com/\" target=\"_blank\">BarfBlog\u003c/a> food safety blog, regards Yelp and social media as potentially useful tools for public health investigators.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“But it doesn’t replace boots on the street, the epidemiological work that people have to do,” he said. “All these things have to be taken with a grain of salt, because Yelp is a business.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>As dozens of people began getting sick from a Shigella outbreak at a San Jose restaurant last weekend, Yelp reviewers were on the case – right alongside public health officials.\u003c/p>\n\u003cp>“PLEASE DO NOT EAT HERE!!!!” Pauline A. wrote in her \u003ca href=\"http://webcache.googleusercontent.com/search?q=cache:http://www.yelp.com/biz/mariscos-san-juan-san-jose-3\" target=\"_blank\">review\u003c/a> on Sunday of the Mariscos San Juan #3 restaurant on 4th Street. “My sister-in-law … and brother-in-law along with his parents ate here Friday night and all four of them ended up in the hospital with food poisoning!!!”\u003c/p>\n\u003cp>That same day, the Santa Clara County Public Health Department shut down the restaurant. Two days later, officials \u003ca href=\"https://www.sccgov.org/sites/sccphd/en-us/Media/Documents/2015%20News%20Releases/Shigella-10-20-15-PM.pdf\" target=\"_blank\">announced\u003c/a> that more than 80 people who had eaten there had become acutely ill, with many requiring hospitalization. Twelve diners went to intensive care units.\u003c/p>\n\u003cfigure class=\"related\">\u003cfigcaption>\u003c/figcaption>\u003c/figure>\n\u003cp>Since then, the outbreak \u003ca href=\"https://www.sccgov.org/sites/sccphd/en-us/HealthProviders/Diseases/Shigella/Pages/Shigella.aspx\" target=\"_blank\">has grown to 110 cases \u003c/a>in Santa Clara and Santa Cruz counties.\u003c/p>\n\u003cp>Shigellosis is a contagious diarrheal disease caused by the Shigella group of bacteria and can be spread when people don’t wash their hands after using the bathroom. More than \u003ca href=\"http://www.cdc.gov/shigella/general-information.html\" target=\"_blank\">500,000 cases\u003c/a> are reported in the U.S. each year. The disease can cause severe dehydration or fainting and in rare cases may be fatal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some health researchers and public health professionals believe consumer review sites like Yelp might help them identify and investigate food poisoning outbreaks similar to this one. It’s not unlike using Google searches to track potential \u003ca href=\"http://googleresearch.blogspot.com/2015/08/the-next-chapter-for-flu-trends.html\" target=\"_blank\">flu and Dengue outbreaks\u003c/a>.\u003c/p>\n\u003cp>Santa Clara County epidemiologists currently aren’t using Yelp in their Shigella investigation, and the reviewers apparently were not out ahead of public health officials in this case.\u003c/p>\n\u003cp>But earlier research suggests that Yelp reviews may act as an early warning system or identify potential patients that public health officials might not otherwise have found in their food-borne illness investigations, especially if the reviewer did not seek medical care after falling ill.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Public health workers in New York, aided by Columbia University researchers, \u003ca href=\"https://www.washingtonpost.com/news/to-your-health/wp/2014/05/22/how-new-york-used-yelp-to-find-unreported-cases-of-food-poisoning/\" target=\"_blank\">scanned thousands of Yelp reviews\u003c/a> in 2012 and 2013 to find previously undetected food-borne illness, unearthing nearly 900 cases that were worthy of further investigation by epidemiologists. Ultimately, the researchers found \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/24848215\" target=\"_blank\">three previously unreported restaurant-related outbreaks\u003c/a> linked to 16 illnesses that would have merited a public health investigation if officials had known of them at the time. Follow-up inspections of the restaurants found food-handling violations.\u003c/p>\n\u003cp>Researchers also have examined Twitter and Facebook as possible food-borne illness surveillance tools, and Chicago’s public health agency automatically sends information about its \u003ca href=\"https://www.foodbornechicago.org/\" target=\"_blank\">Foodborne Chicago\u003c/a> reporting site to local Twitter users who complain of food poisoning.\u003c/p>\n\u003cp>But Yelp’s usefulness for epidemiologists is going to depend a lot on how it handles food poisoning complaints down the road.\u003c/p>\n\u003cp>The company has been \u003ca href=\"http://www.eastbayexpress.com/oakland/yelp-and-the-business-of-extortion-20/Content?oid=1176635\" target=\"_blank\">accused of\u003c/a> approaching restaurants to remove negative reviews in exchange for advertising dollars, although a class action lawsuit on those grounds \u003ca href=\"http://www.wsj.com/articles/SB10001424052970204505304577002170423750412\" target=\"_blank\">was dismissed\u003c/a>.\u003c/p>\n\u003cp>At the same time, Yelp is \u003ca href=\"http://www.eater.com/2015/5/19/8588185/yelp-social-protest-trolling-memories-pizza\" target=\"_blank\">wrestling with how to handle reviews\u003c/a> for businesses that become controversial overnight, serving as magnets for irate reviewers who have not patronized the business and just want to make a point.\u003c/p>\n\u003cp>On Tuesday, the company placed an “Active Cleanup Alert” notice on \u003ca href=\"http://www.yelp.com/biz/mariscos-san-juan-san-jose-3\" target=\"_blank\">Mariscos San Juan #3's review page\u003c/a> noting that because the business “recently made waves in the news,” Yelp would “remove both positive and negative posts that appear to be motivated more by the news coverage itself than the reviewer’s personal consumer experience with the business.”\u003c/p>\n\u003cp>While some reviews were easily visible, others were segregated into Yelp’s “not currently recommended” category, which requires readers to click to see them and do not figure in the establishment’s overall rating.\u003c/p>\n\u003cp>That’s where Andr\u003cem>é\u003c/em>s Guerra’s review was quarantined. From his hospital bed, the 27-year-old San Jose attorney \u003ca href=\"http://www.yelp.com/user_details_reviews_self?userid=G6qs3iIh6oRy9rOE1YgQHA\" target=\"_blank\">wrote\u003c/a>:\u003c/p>\n\u003cp>“On Friday Oct 16th I ate the shrimp cocktail. I will spare the details, but I started being sick Friday night, then Saturday I was admitted to the ER and then the ICU. The Santa Clara County Public Health Department has already called me for their investigation …This restaurant put at least 11 people in the hospital I am at, and I’m sure countless others elsewhere. I do not wish for a single other person to go through the hell I’ve been through.”\u003c/p>\n\u003cp>Reviews from five other people detailing how they fell ill were similarly hidden.\u003c/p>\n\u003cp>After running a 104-degree fever and enduring days of vomiting, chills and diarrhea, “I was like, what the hell?” Guerra told me while recuperating at home. “I’m not trying to slander any business … I just want no one else to go through this. I think Yelp could do a better job distinguishing between people who want to inform and those who want to attack.”\u003c/p>\n\u003cp>No one answered the phone at the restaurant when I called.\u003c/p>\n\u003cp>A Yelp spokeswoman noted that health scores for restaurants are currently provided in several selected counties or cities in California, Colorado, Kentucky, North Carolina and Illinois. In response to questions about food poisoning complaints, she referred me to a general \u003ca href=\"http://officialblog.yelp.com/2013/11/yelp-recommended-reviews.html\" target=\"_blank\">blog post\u003c/a>, which says that the company tries not to “highlight reviews written by users we don’t know much about, or reviews that may be biased because they were solicited from family, friends, or favored customers.”\u003c/p>\n\u003cp>Doug Powell, a former professor of food safety at Kansas State University who now lives in Australia and writes for the \u003ca href=\"http://barfblog.com/\" target=\"_blank\">BarfBlog\u003c/a> food safety blog, regards Yelp and social media as potentially useful tools for public health investigators.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“But it doesn’t replace boots on the street, the epidemiological work that people have to do,” he said. “All these things have to be taken with a grain of salt, because Yelp is a business.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Grocer Coming to S.F. Neighborhood Aims to Be Island in 'Food Desert'",
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"content": "\u003cp>Several patches in and around San Francisco's Bayview neighborhood are \u003ca href=\"http://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas.aspx\" target=\"_blank\">splotched green on a map \u003c/a>produced by the federal government's Department of Agriculture. These areas are labeled \"\u003ca href=\"https://apps.ams.usda.gov/fooddeserts/fooddeserts.aspx\" target=\"_blank\">food deserts\u003c/a>\" -- which the government defines as low-income neighborhoods with limited access to \"fresh healthy affordable food.\"\u003c/p>\n\u003cp>Lifelong Bayview resident Kenneth Hill says the term \"food swamp\" might be more appropriate.\u003c/p>\n\u003cp>\"It’s swamped with food,\" he says, \"but it’s not swamped with the nutritious food that we need to live.\"\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/229308998\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>The Bayview had a grocery store selling nutritious food, but the store, Fresh and Easy, closed more than 18 months ago after its corporate owner shut down many of its West Coast locations.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The closure troubled community advocates like Hill, who works for Bayview HEAL Zone. HEAL stands for \"healthy eating and active living.\" Not surprisingly, Hill is all for a grocery store selling fresh produce, especially in an area with \u003ca href=\"http://www.sfenvironment.org/sites/default/files/fliers/files/sfe_ej_sfhh_community_health_status_assessment.pdf\" target=\"_blank\">a diabetes hospitalization rate nearly triple\u003c/a> the rest of San Francisco.\u003c/p>\n\u003cp>San Francisco Supervisor Malia Cohen, who represents the area, has been working to find a grocery store to move into the Fresh and Easy space. \"Every other part of San Francisco has a grocery store,\" she says. \"Why not this community?\"\u003c/p>\n\u003cp>She says she reached out to 120 stores, hoping to find one to move into the established space, so that neighbors would have access to healthy food.\u003c/p>\n\u003cp>\"None of these grocers had the vision to see the potential and the opportunity that lies in the neighborhood,\" she says.\u003c/p>\n\u003cfigure id=\"attachment_95382\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions.jpg\">\u003cimg class=\"size-thumbnail wp-image-95382\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-400x300.jpg\" alt=\"Employee at the Duc Loi Mission District store stocking produce on shelves. \" width=\"400\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-1440x1080.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-960x720.jpg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Employee at the Duc Loi Mission District store stocking produce on shelves. \u003ccite>(Alex Emslie/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After both a grant from the city and a much larger business loan, Howard Ngo, the owner of local store Duc Loi, agreed to expand there.\u003c/p>\n\u003cp>\"They encouraged me first, then they came after with help,\" Ngo says, in reference to the grant and loan he received. \"The city offered me $250,000 to pay for equipment. That's a big help.\"\u003c/p>\n\u003cp>And to Kenneth Hill, that's meaningful, especially in an area with a large low-income population and a high crime rate.\u003c/p>\n\u003cp>\"For this company to take a risk and come into the Bayview community, I think is tremendous,\" he says.\u003c/p>\n\u003cp>Aniete Ekanem, who lives upstairs from the store's Third Street location, said having a grocery store in the neighborhood was \"not only moral and ethical\" but also an economic opportunity.\u003c/p>\n\u003cp>\"If we can make the economics work, as the city is trying to help us do, then businesses will come. It’s just not going to be the Trader Joes ... or the 'Whole Paychecks' of the world,\" she said, referring to a common nickname for Whole Foods. \"And that’s actually fine.\"\u003c/p>\n\u003cp>Some residents have reservations. Maya Rogers, who is also with the Bayview HEAL Zone, is a lifelong Bayview resident. She said she worries because Duc Loi is not a \"general\" grocery store.\u003c/p>\n\u003cp>\"It caters to the Asian community, which we have lots of Asian culture here in the Bayview, but I’m scared that will keep people from shopping there,\" she says. \"I’m hoping that they are open to a conversation with the community. ... I wish them success because that sets the precedent for the next store.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The city is fast-tracking permits, and Duc Loi's grand opening is scheduled for March.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Several patches in and around San Francisco's Bayview neighborhood are \u003ca href=\"http://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas.aspx\" target=\"_blank\">splotched green on a map \u003c/a>produced by the federal government's Department of Agriculture. These areas are labeled \"\u003ca href=\"https://apps.ams.usda.gov/fooddeserts/fooddeserts.aspx\" target=\"_blank\">food deserts\u003c/a>\" -- which the government defines as low-income neighborhoods with limited access to \"fresh healthy affordable food.\"\u003c/p>\n\u003cp>Lifelong Bayview resident Kenneth Hill says the term \"food swamp\" might be more appropriate.\u003c/p>\n\u003cp>\"It’s swamped with food,\" he says, \"but it’s not swamped with the nutritious food that we need to live.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/229308998&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/229308998'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The Bayview had a grocery store selling nutritious food, but the store, Fresh and Easy, closed more than 18 months ago after its corporate owner shut down many of its West Coast locations.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The closure troubled community advocates like Hill, who works for Bayview HEAL Zone. HEAL stands for \"healthy eating and active living.\" Not surprisingly, Hill is all for a grocery store selling fresh produce, especially in an area with \u003ca href=\"http://www.sfenvironment.org/sites/default/files/fliers/files/sfe_ej_sfhh_community_health_status_assessment.pdf\" target=\"_blank\">a diabetes hospitalization rate nearly triple\u003c/a> the rest of San Francisco.\u003c/p>\n\u003cp>San Francisco Supervisor Malia Cohen, who represents the area, has been working to find a grocery store to move into the Fresh and Easy space. \"Every other part of San Francisco has a grocery store,\" she says. \"Why not this community?\"\u003c/p>\n\u003cp>She says she reached out to 120 stores, hoping to find one to move into the established space, so that neighbors would have access to healthy food.\u003c/p>\n\u003cp>\"None of these grocers had the vision to see the potential and the opportunity that lies in the neighborhood,\" she says.\u003c/p>\n\u003cfigure id=\"attachment_95382\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions.jpg\">\u003cimg class=\"size-thumbnail wp-image-95382\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-400x300.jpg\" alt=\"Employee at the Duc Loi Mission District store stocking produce on shelves. \" width=\"400\" height=\"300\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-1440x1080.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Employee-at-Duc-Loi-current-location-in-the-Mission-District-takes-rubber-bands-off-of-green-onions-960x720.jpg 960w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Employee at the Duc Loi Mission District store stocking produce on shelves. \u003ccite>(Alex Emslie/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>After both a grant from the city and a much larger business loan, Howard Ngo, the owner of local store Duc Loi, agreed to expand there.\u003c/p>\n\u003cp>\"They encouraged me first, then they came after with help,\" Ngo says, in reference to the grant and loan he received. \"The city offered me $250,000 to pay for equipment. That's a big help.\"\u003c/p>\n\u003cp>And to Kenneth Hill, that's meaningful, especially in an area with a large low-income population and a high crime rate.\u003c/p>\n\u003cp>\"For this company to take a risk and come into the Bayview community, I think is tremendous,\" he says.\u003c/p>\n\u003cp>Aniete Ekanem, who lives upstairs from the store's Third Street location, said having a grocery store in the neighborhood was \"not only moral and ethical\" but also an economic opportunity.\u003c/p>\n\u003cp>\"If we can make the economics work, as the city is trying to help us do, then businesses will come. It’s just not going to be the Trader Joes ... or the 'Whole Paychecks' of the world,\" she said, referring to a common nickname for Whole Foods. \"And that’s actually fine.\"\u003c/p>\n\u003cp>Some residents have reservations. Maya Rogers, who is also with the Bayview HEAL Zone, is a lifelong Bayview resident. She said she worries because Duc Loi is not a \"general\" grocery store.\u003c/p>\n\u003cp>\"It caters to the Asian community, which we have lots of Asian culture here in the Bayview, but I’m scared that will keep people from shopping there,\" she says. \"I’m hoping that they are open to a conversation with the community. ... I wish them success because that sets the precedent for the next store.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The city is fast-tracking permits, and Duc Loi's grand opening is scheduled for March.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Long, Dangerous Wait for Hospital Beds for Those Incompetent to Stand Trial",
"title": "Long, Dangerous Wait for Hospital Beds for Those Incompetent to Stand Trial",
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"content": "\u003cp>In 2010, Rodney Bock was arrested for carrying a loaded gun into a restaurant in Yuba City, north of Sacramento. Bock had severe mental illness and was later found incompetent to stand trial. He was released on bail, but was rearrested after he failed to appear at a court hearing.\u003c/p>\n\u003cp>Bock, 56, was placed in the Sutter County jail, awaiting transfer to a state hospital. While there, he began suffering hallucinations. After more than two weeks in jail, Bock hanged himself.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Jail is simply too dangerous a place for these most vulnerable defendants.'\u003cbr>\n\u003ccite>Micaela Davis, ACLU attorney\u003c/cite>\u003c/aside>\n\u003cp>Mentally ill defendants declared incompetent to stand trial, as Bock was, are supposed to be transferred to state mental hospitals for treatment within two or three months. But more than 300 of them statewide are languishing in county jails because there’s simply no bed space.\u003c/p>\n\u003cp>Bock's daughters are now plaintiffs in \u003ca href=\"https://www.aclunc.org/news/aclu-sues-state-hospital-system-failing-mentally-ill-developmentally-disabled-criminal\" target=\"_blank\">a lawsuit\u003c/a> filed by the American Civil Liberties Union, charging two state agencies, including the Department of State Hospitals, with denying mentally ill inmates their right to due process -- and the treatment they need.\u003c/p>\n\u003cp>\"Jail is simply too dangerous a place for these most vulnerable defendants,\" said Micaela Davis, lead attorney in the lawsuit. \"We have inmates that are waiting eight, nine months and sometimes over a year before being transferred to a facility for treatment.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/229285297\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>California's new state budget includes more than $17 million to add beds for defendants declared incompetent to stand trial. But not everyone agrees that's the best approach.\u003c/p>\n\u003cp>Stephen Manley is a mental health court judge in Santa Clara County. His court helps defendants struggling with severe mental illnesses, including bipolar disorder or schizophrenia, find alternatives to incarceration.\u003c/p>\n\u003cp>Manley doesn't want more psychiatric hospital beds; he wants to reserve state hospitals for the most violent defendants.\u003c/p>\n\u003cp>\u003ci>\"\u003c/i>We send far too many people to state hospitals who do not pose a risk to public safety,\" he says. \"Because we don’t work with them to figure out if there isn’t a local alternative.\"\u003c/p>\n\u003cp>Manley believes the psychiatric hospitals are already overcrowded -- and understaffed. \"As long as we keep overcrowding the hospitals, all we do is feed the fire,\" he says, referring to violence within the hospitals.\u003c/p>\n\u003cp>There were more than 1,800 physical assaults at Napa State Hospital last year alone. Hospital officials say patients who are there to have their sanity restored for trial inflict the most serious injuries.\u003c/p>\n\u003cp>[contextly_sidebar id=\"666xBwWJElI4zsw4g0a4Y9yXz6yonNLT\"]Ryan Navarre, with the organization representing Napa Hospital police, says that even officers are at risk. He recalled one patient specifically who put rocks into his socks and then spun them around \"violently,\" he said.\u003c/p>\n\u003cp>State psychiatric hospitals continue \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\">working to find a balance \u003c/a>between treatment and security for patients and staff.\u003c/p>\n\u003cp>Meanwhile, Manley thinks the best solution for nonviolent offenders is to create more community-based treatment facilities.\u003c/p>\n\u003cp>\"If we add another 500 beds people to a state hospital, all we do is make the problem worse,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But funding is already inadequate for mental health treatment. And creating more community-based programs raises new challenges -- including resistance from neighbors who don’t really want to live near facilities whose clients are mentally ill criminal defendants.\u003c/p>\n\n",
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"excerpt": "Hundreds of mentally ill defendants statewide are housed in county jails, because there's no room for them at state hospitals.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In 2010, Rodney Bock was arrested for carrying a loaded gun into a restaurant in Yuba City, north of Sacramento. Bock had severe mental illness and was later found incompetent to stand trial. He was released on bail, but was rearrested after he failed to appear at a court hearing.\u003c/p>\n\u003cp>Bock, 56, was placed in the Sutter County jail, awaiting transfer to a state hospital. While there, he began suffering hallucinations. After more than two weeks in jail, Bock hanged himself.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Jail is simply too dangerous a place for these most vulnerable defendants.'\u003cbr>\n\u003ccite>Micaela Davis, ACLU attorney\u003c/cite>\u003c/aside>\n\u003cp>Mentally ill defendants declared incompetent to stand trial, as Bock was, are supposed to be transferred to state mental hospitals for treatment within two or three months. But more than 300 of them statewide are languishing in county jails because there’s simply no bed space.\u003c/p>\n\u003cp>Bock's daughters are now plaintiffs in \u003ca href=\"https://www.aclunc.org/news/aclu-sues-state-hospital-system-failing-mentally-ill-developmentally-disabled-criminal\" target=\"_blank\">a lawsuit\u003c/a> filed by the American Civil Liberties Union, charging two state agencies, including the Department of State Hospitals, with denying mentally ill inmates their right to due process -- and the treatment they need.\u003c/p>\n\u003cp>\"Jail is simply too dangerous a place for these most vulnerable defendants,\" said Micaela Davis, lead attorney in the lawsuit. \"We have inmates that are waiting eight, nine months and sometimes over a year before being transferred to a facility for treatment.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/229285297&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/229285297'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>California's new state budget includes more than $17 million to add beds for defendants declared incompetent to stand trial. But not everyone agrees that's the best approach.\u003c/p>\n\u003cp>Stephen Manley is a mental health court judge in Santa Clara County. His court helps defendants struggling with severe mental illnesses, including bipolar disorder or schizophrenia, find alternatives to incarceration.\u003c/p>\n\u003cp>Manley doesn't want more psychiatric hospital beds; he wants to reserve state hospitals for the most violent defendants.\u003c/p>\n\u003cp>\u003ci>\"\u003c/i>We send far too many people to state hospitals who do not pose a risk to public safety,\" he says. \"Because we don’t work with them to figure out if there isn’t a local alternative.\"\u003c/p>\n\u003cp>Manley believes the psychiatric hospitals are already overcrowded -- and understaffed. \"As long as we keep overcrowding the hospitals, all we do is feed the fire,\" he says, referring to violence within the hospitals.\u003c/p>\n\u003cp>There were more than 1,800 physical assaults at Napa State Hospital last year alone. Hospital officials say patients who are there to have their sanity restored for trial inflict the most serious injuries.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Ryan Navarre, with the organization representing Napa Hospital police, says that even officers are at risk. He recalled one patient specifically who put rocks into his socks and then spun them around \"violently,\" he said.\u003c/p>\n\u003cp>State psychiatric hospitals continue \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/19/five-years-after-brutal-murder-napa-hospital-seeks-to-balance-treatment-with-security/\" target=\"_blank\">working to find a balance \u003c/a>between treatment and security for patients and staff.\u003c/p>\n\u003cp>Meanwhile, Manley thinks the best solution for nonviolent offenders is to create more community-based treatment facilities.\u003c/p>\n\u003cp>\"If we add another 500 beds people to a state hospital, all we do is make the problem worse,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But funding is already inadequate for mental health treatment. And creating more community-based programs raises new challenges -- including resistance from neighbors who don’t really want to live near facilities whose clients are mentally ill criminal defendants.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "5 Years After Brutal Murder, Napa Hospital Seeks to Balance Treatment With Security",
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"content": "\u003cp>From a distance, the campus looks like a small suburban office park. Buildings are fringed by a wide lawn, but on the perimeter is a tall metal fence, topped by barbed wire. This is Napa State Hospital, a psychiatric hospital managed by California's Department of State Hospitals.\u003c/p>\n\u003cp>Here, anyone who enters the secure area, workers and visitors alike, passes through multiple doors, metal detectors and locked gates.\u003c/p>\n\u003cp>While most people with mental illness are not violent, more than 80 percent of Napa’s patients are referred here by the criminal justice system. Some of them committed horrific crimes but were found not guilty by reason of insanity or incompetent to stand trial but ordered to a psychiatric hospital.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/229093529\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Many of these patients can still be dangerous. Last year alone, the hospital says they committed more than 1,800 physical assaults.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For staff here, this week marks a somber anniversary. It was here, on October 23, 2010, that psychiatric technician\u003ca href=\"http://napavalleyregister.com/news/local/police-employee-at-psychiatric-hospital-killed-patient-arrested/article_c6428892-dfac-11df-805a-001cc4c03286.html\" target=\"_blank\"> Donna Gross was murdered by a patient\u003c/a> -- grabbed, dragged and strangled to death.\u003c/p>\n\u003cp>\"Everyone who was here the day that Donna died on these grounds has PTSD, and we will never be able to address it. We just carry it. It's there,\" says Michael Jarschke. He has worked as a psychiatric technician at Napa State Hospital for 32 years.\u003c/p>\n\u003cfigure id=\"attachment_93418\" class=\"wp-caption alignright\" style=\"max-width: 428px\">\u003cimg class=\" wp-image-93418\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/DonnaFlyer-800x1002.jpg\" alt=\"A poster in the union hall at Napa State Hospital invites workers to a memorial service for their murdered co-worker Donna Gross.\" width=\"428\" height=\"536\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-800x1002.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-400x501.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-1440x1803.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-1180x1477.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-960x1202.jpg 960w\" sizes=\"(max-width: 428px) 100vw, 428px\">\u003cfigcaption class=\"wp-caption-text\">A poster in the union hall at Napa State Hospital invites workers to a memorial service for their murdered co-worker, Donna Gross. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the time of Donna Gross’s murder, staff members all carried alarms to call for help. But Jarschke says that back then the alarm worked only inside the buildings -- not outside, where Gross was murdered.\u003c/p>\n\u003cp>\"When you think about it today, that's almost ludicrous that we would do this,\" Jarschke said. \"We always look back five years [later] and say, 'Wow, we were really dumb back then.' ''\u003c/p>\n\u003cp>As president of the union representing psychiatric technicians, Jarschke helped form the “Safety Now Coalition,\" employees who organized -- and demanded -- change.\u003c/p>\n\u003cp>Hospital Executive Director Dolly Matteucci says there have been changes, like limiting the ability of potentially dangerous patients to walk around freely.\u003c/p>\n\u003cp>\"At this point in time, we have a much more stringent and informed and comprehensive grounds access policy,\" Matteucci said.\u003c/p>\n\u003cp>Matteucci describes the most important change at Napa -- a new personal alarm system with GPS to help hospital police respond more quickly to emergencies anywhere on the grounds. She has one hanging around her neck and explains that by pulling it, it sends an \"immediate notification to dispatch and to all hospital police.\"\u003c/p>\n\u003caside class=\"pullquote alignleft\">'Violence is part of the daily life at Napa.'\u003ccite>Psychiatrist Steve Seager\u003c/cite>\u003c/aside>\n\u003cp>When I asked how frequently staff members are pulling the alarm, I was astonished by her response.\u003c/p>\n\u003cp>\"The tag gets pulled from 11 to 17 times in a day,\" she told me. \"Staff might see a patient escalating and say, 'That’s looking a little precarious. I want a little help before I engage that patient.' \"\u003c/p>\n\u003cp>She says that the heavy use of the alarm system illustrates how difficult it can be to serve such a challenging population \"in a very complex, active environment that was not built for a forensic patient population.\"\u003c/p>\n\u003cp>Napa State Hospital opened in 1875. Until 20 years ago, most of its patients were civil commitments. Today, the vast majority have criminal backgrounds, including gangs. In fact Napa patients include members of the Crips, Bloods, Aryan Brotherhood -- they're all there.\u003c/p>\n\u003cfigure id=\"attachment_93421\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-93421\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/MichaelJarschke-800x979.jpg\" alt=\"Michael Jarschke leads the Napa Chapter of the California Association of Psychiatric Technicians. He pushed to create a new alarm system with GPS to protect staff members.\" width=\"800\" height=\"979\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-800x979.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-400x490.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-1440x1763.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-1180x1444.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-960x1175.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Michael Jarschke leads the Napa Chapter of the California Association of Psychiatric Technicians. He pushed to create a new alarm system with GPS to protect staff members. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To address that, Matteucci says, Napa has added more hospital police. But the hospital remains a dangerous place for staff.\u003c/p>\n\u003cp>At a hearing of the state Senate Health Committee last year, psychiatric technician Stephanie Diaz gave tearful, halting testimony, recounting her recent experience with one patient. As she was escorting him up a stairwell, she said he tripped her, pinned her to the floor and attempted to rape her.\u003c/p>\n\u003cp>\"I started screaming at the top of my lungs,\" she told the committee, \"praying that someone would hear me. I wasn’t sure if I (had) pulled my alarm completely, and after a slight delay I heard the alarm sound and help arrived. It felt like an eternity. And I feared for my life.\"\u003c/p>\n\u003cp>Diaz was testifying on behalf of legislation that would allow California's five state mental hospitals to isolate the most dangerous patients and give them more intensive treatment. The bill, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=201320140AB1340\" target=\"_blank\">AB 1340\u003c/a>, passed and was signed by Gov. Jerry Brown last year, but it will take time to implement.\u003c/p>\n\u003cp>Napa psychiatrist Steve Seager is a vocal critic of hospital administration. He says much more needs to be done to protect both patients and staff.\u003c/p>\n\u003cp>\"Violence is part of our life every day,\" he said. \"It’s just a constant thing. It’s not like violence happens now and again. Violence is part of the daily life at Napa.\"\u003c/p>\n\u003cp>It begs the question: Why would anyone want to work here?\u003c/p>\n\u003cp>[contextly_sidebar id=\"Ph3dhrjoXhqHDhZk6y2mkbAQ02y0zDED\"]\"One of my nurses said, 'This is a Jesus job.' The patients need treatment. They’re criminals.They've committed crimes. I never forget that. But they deserve to be treated with dignity, which we try and do,\" Seager said.\u003c/p>\n\u003cp>Despite the violence, despite their criminal records, the clients at Napa are patients, not prisoners. Hospital director Matteucci reminds us that as patients, they have certain rights.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"They have the right and ability to be out and about in their treatment environment, treatment in groups. Exercising as a group. So it's just a demonstration of the complexity of our system,\" she said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>From a distance, the campus looks like a small suburban office park. Buildings are fringed by a wide lawn, but on the perimeter is a tall metal fence, topped by barbed wire. This is Napa State Hospital, a psychiatric hospital managed by California's Department of State Hospitals.\u003c/p>\n\u003cp>Here, anyone who enters the secure area, workers and visitors alike, passes through multiple doors, metal detectors and locked gates.\u003c/p>\n\u003cp>While most people with mental illness are not violent, more than 80 percent of Napa’s patients are referred here by the criminal justice system. Some of them committed horrific crimes but were found not guilty by reason of insanity or incompetent to stand trial but ordered to a psychiatric hospital.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/229093529&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/229093529'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Many of these patients can still be dangerous. Last year alone, the hospital says they committed more than 1,800 physical assaults.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For staff here, this week marks a somber anniversary. It was here, on October 23, 2010, that psychiatric technician\u003ca href=\"http://napavalleyregister.com/news/local/police-employee-at-psychiatric-hospital-killed-patient-arrested/article_c6428892-dfac-11df-805a-001cc4c03286.html\" target=\"_blank\"> Donna Gross was murdered by a patient\u003c/a> -- grabbed, dragged and strangled to death.\u003c/p>\n\u003cp>\"Everyone who was here the day that Donna died on these grounds has PTSD, and we will never be able to address it. We just carry it. It's there,\" says Michael Jarschke. He has worked as a psychiatric technician at Napa State Hospital for 32 years.\u003c/p>\n\u003cfigure id=\"attachment_93418\" class=\"wp-caption alignright\" style=\"max-width: 428px\">\u003cimg class=\" wp-image-93418\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/DonnaFlyer-800x1002.jpg\" alt=\"A poster in the union hall at Napa State Hospital invites workers to a memorial service for their murdered co-worker Donna Gross.\" width=\"428\" height=\"536\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-800x1002.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-400x501.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-1440x1803.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-1180x1477.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/DonnaFlyer-960x1202.jpg 960w\" sizes=\"(max-width: 428px) 100vw, 428px\">\u003cfigcaption class=\"wp-caption-text\">A poster in the union hall at Napa State Hospital invites workers to a memorial service for their murdered co-worker, Donna Gross. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the time of Donna Gross’s murder, staff members all carried alarms to call for help. But Jarschke says that back then the alarm worked only inside the buildings -- not outside, where Gross was murdered.\u003c/p>\n\u003cp>\"When you think about it today, that's almost ludicrous that we would do this,\" Jarschke said. \"We always look back five years [later] and say, 'Wow, we were really dumb back then.' ''\u003c/p>\n\u003cp>As president of the union representing psychiatric technicians, Jarschke helped form the “Safety Now Coalition,\" employees who organized -- and demanded -- change.\u003c/p>\n\u003cp>Hospital Executive Director Dolly Matteucci says there have been changes, like limiting the ability of potentially dangerous patients to walk around freely.\u003c/p>\n\u003cp>\"At this point in time, we have a much more stringent and informed and comprehensive grounds access policy,\" Matteucci said.\u003c/p>\n\u003cp>Matteucci describes the most important change at Napa -- a new personal alarm system with GPS to help hospital police respond more quickly to emergencies anywhere on the grounds. She has one hanging around her neck and explains that by pulling it, it sends an \"immediate notification to dispatch and to all hospital police.\"\u003c/p>\n\u003caside class=\"pullquote alignleft\">'Violence is part of the daily life at Napa.'\u003ccite>Psychiatrist Steve Seager\u003c/cite>\u003c/aside>\n\u003cp>When I asked how frequently staff members are pulling the alarm, I was astonished by her response.\u003c/p>\n\u003cp>\"The tag gets pulled from 11 to 17 times in a day,\" she told me. \"Staff might see a patient escalating and say, 'That’s looking a little precarious. I want a little help before I engage that patient.' \"\u003c/p>\n\u003cp>She says that the heavy use of the alarm system illustrates how difficult it can be to serve such a challenging population \"in a very complex, active environment that was not built for a forensic patient population.\"\u003c/p>\n\u003cp>Napa State Hospital opened in 1875. Until 20 years ago, most of its patients were civil commitments. Today, the vast majority have criminal backgrounds, including gangs. In fact Napa patients include members of the Crips, Bloods, Aryan Brotherhood -- they're all there.\u003c/p>\n\u003cfigure id=\"attachment_93421\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-93421\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/MichaelJarschke-800x979.jpg\" alt=\"Michael Jarschke leads the Napa Chapter of the California Association of Psychiatric Technicians. He pushed to create a new alarm system with GPS to protect staff members.\" width=\"800\" height=\"979\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-800x979.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-400x490.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-1440x1763.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-1180x1444.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/MichaelJarschke-960x1175.jpg 960w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Michael Jarschke leads the Napa Chapter of the California Association of Psychiatric Technicians. He pushed to create a new alarm system with GPS to protect staff members. \u003ccite>(Scott Shafer/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To address that, Matteucci says, Napa has added more hospital police. But the hospital remains a dangerous place for staff.\u003c/p>\n\u003cp>At a hearing of the state Senate Health Committee last year, psychiatric technician Stephanie Diaz gave tearful, halting testimony, recounting her recent experience with one patient. As she was escorting him up a stairwell, she said he tripped her, pinned her to the floor and attempted to rape her.\u003c/p>\n\u003cp>\"I started screaming at the top of my lungs,\" she told the committee, \"praying that someone would hear me. I wasn’t sure if I (had) pulled my alarm completely, and after a slight delay I heard the alarm sound and help arrived. It felt like an eternity. And I feared for my life.\"\u003c/p>\n\u003cp>Diaz was testifying on behalf of legislation that would allow California's five state mental hospitals to isolate the most dangerous patients and give them more intensive treatment. The bill, \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=201320140AB1340\" target=\"_blank\">AB 1340\u003c/a>, passed and was signed by Gov. Jerry Brown last year, but it will take time to implement.\u003c/p>\n\u003cp>Napa psychiatrist Steve Seager is a vocal critic of hospital administration. He says much more needs to be done to protect both patients and staff.\u003c/p>\n\u003cp>\"Violence is part of our life every day,\" he said. \"It’s just a constant thing. It’s not like violence happens now and again. Violence is part of the daily life at Napa.\"\u003c/p>\n\u003cp>It begs the question: Why would anyone want to work here?\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\"One of my nurses said, 'This is a Jesus job.' The patients need treatment. They’re criminals.They've committed crimes. I never forget that. But they deserve to be treated with dignity, which we try and do,\" Seager said.\u003c/p>\n\u003cp>Despite the violence, despite their criminal records, the clients at Napa are patients, not prisoners. Hospital director Matteucci reminds us that as patients, they have certain rights.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"They have the right and ability to be out and about in their treatment environment, treatment in groups. Exercising as a group. So it's just a demonstration of the complexity of our system,\" she said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "For Former Foster Kids, Moving Out of State Can Mean Losing Medicaid",
"title": "For Former Foster Kids, Moving Out of State Can Mean Losing Medicaid",
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"content": "\u003cp>Soon after moving to Utah this summer, Rainbow Sky Buck ended up at the hospital with a painful ear infection. There, Buck learned she no longer had access to the free health coverage she had in California as a former foster youth.\u003c/p>\n\u003cp>To pay for the care, Buck emptied out her bank account and borrowed money. “Luckily, I got my antibiotics and I am okay now,” she said. “But what is going to happen next time?”\u003c/p>\n\u003cp>Under the health law, young adults who age of out of the foster care system are eligible for free Medicaid coverage \u003ca href=\"http://khn.org/news/foster-children-california-adults-medicaid/\" target=\"_blank\">until they turn 26.\u003c/a> The provision was an attempt to give them the same opportunity as other young people who can stay on their parents’ insurance until their 26\u003csup>th\u003c/sup> birthday.\u003c/p>\n\u003cp>But these young adults are encountering a major barrier: They are only guaranteed coverage in the state where they were in foster care. States have the option of extending the benefit to all former foster youths, but only about a dozen have done so.\u003c/p>\n\u003cp>Now, advocates and policymakers are trying to change the law at the federal level, so former foster youths don’t lose access to Medicaid coverage no matter where they move.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[contextly_sidebar id=\"quDmgipf5B7js5fILKqbBJCNiiZBBixc\"]Reps. Karen Bass, D-Calif., and Jim McDermott, D-Wash., have proposed \u003ca href=\"http://bass.house.gov/press-release/reps-bass-mcdermott-introduce-legislation-ensure-former-foster-youth-can-keep-health\" target=\"_blank\">legislation\u003c/a> that would allow them to qualify for Medicaid, the government health program for low-income Americans, in any state. Sen. Bob Casey, D-Pa., has introduced a similar \u003ca href=\"http://www.casey.senate.gov/newsroom/releases/casey-introduces-bill-to-fix-glitch-that-could-kick-former-foster-youth-off-of-medicaid\" target=\"_blank\">bill\u003c/a> that he said would be a simple clarification of what Congress intended. Meanwhile, advocates are pushing the Centers for Medicare & Medicaid Services to change its interpretation of the original provision.\u003c/p>\n\u003cp>\u003ca href=\"http://firstfocus.org/\" target=\"_blank\">First Focus\u003c/a>, which advocates for foster youths, has been receiving calls from young people who had no idea that they would lose health insurance when they moved.\u003c/p>\n\u003cp>“We really do feel an urgency about this,” said Shadi Houshyar, vice president of child welfare policy at the organization. “So many people who have aged out have significant health needs and coverage is so important. There shouldn’t be an additional barrier.”\u003c/p>\n\u003cp>Former foster youths are more likely than their peers to have physical and mental health needs, experts say. Ongoing \u003ca href=\"http://www.chapinhall.org/research/report/midwest-evaluation-adult-functioning-former-foster-youth\" target=\"_blank\">research\u003c/a> in Illinois, Wisconsin and Iowa shows that 22 percent of former foster youths had been hospitalized at least once in the previous year and one-third had two or more emergency room visits.\u003c/p>\n\u003cp>Just like other young people, former foster youths move to different states for school, jobs or family, said Fatima Morales, policy and outreach associate for the advocacy group \u003ca href=\"http://www.childrennow.org/\" target=\"_blank\">Children Now\u003c/a>. Morales said they shouldn’t be penalized for doing so.\u003c/p>\n\u003cfigure id=\"attachment_94773\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/Screen-Shot-2015-10-19-at-9.27.56-AM.png\">\u003cimg class=\"size-thumbnail wp-image-94773\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/Screen-Shot-2015-10-19-at-9.27.56-AM-400x367.png\" alt=\"Lezlie Martinez, 19, holds her two-year-old son. She would like to move from California to Colorado where she says it would be cheaper to live, but she worries about losing her health coverage. \" width=\"400\" height=\"367\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/Screen-Shot-2015-10-19-at-9.27.56-AM-400x367.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Screen-Shot-2015-10-19-at-9.27.56-AM.png 594w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Lezlie Martinez, 19, holds her two-year-old son. She would like to move from California to Colorado where she says it would be cheaper to live, but she worries about losing her health coverage. \u003ccite>(Courtesy: Jordan Verdin )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Morales said her organization is trying to inform youths what they might face if they move. “They need to know how their health coverage might be impacted,” she said. “It’s just something that they need to weigh.”\u003c/p>\n\u003cp>Lezlie Martinez, 19, is weighing her options now. She is hoping to move from California to Colorado because she wants to live in a place with a lower cost of living. Her boyfriend is already there and she is looking for hospitality jobs to support herself and her 2-year-old son.\u003c/p>\n\u003cp>But she worries that she may be left uninsured and unable to pay for medical treatment for eczema, allergies and fibromyalgia. “It is causing foster youth to be stuck in the same state they were raised in,” said Martinez, who lives in Oceanside, Calif. “It is really stressing me out.”\u003c/p>\n\u003cp>Buck said she decided to move to Sandy City, Utah, because of the limited job prospects in the small northern California town of Crescent City. Before moving, she asked social workers about whether she would still qualify for free health coverage and was told that she would. Buck said she was shocked to learn otherwise.\u003c/p>\n\u003cp>She is no longer seeing a therapist for depression and said she is weaning herself off antidepressants because she can’t afford them. Buck said she also worries about getting another ear infection and not being able to afford treatment.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It is just scary to think I am completely on my own,” said Buck, who recently got a job at an automotive shop but doesn’t get insurance from her employer. “I don’t want to leave, but this is almost forcing me to move back to California.”\u003c/p>\n\n",
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"excerpt": "Advocates and some members of Congress want to fix the loophole.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Soon after moving to Utah this summer, Rainbow Sky Buck ended up at the hospital with a painful ear infection. There, Buck learned she no longer had access to the free health coverage she had in California as a former foster youth.\u003c/p>\n\u003cp>To pay for the care, Buck emptied out her bank account and borrowed money. “Luckily, I got my antibiotics and I am okay now,” she said. “But what is going to happen next time?”\u003c/p>\n\u003cp>Under the health law, young adults who age of out of the foster care system are eligible for free Medicaid coverage \u003ca href=\"http://khn.org/news/foster-children-california-adults-medicaid/\" target=\"_blank\">until they turn 26.\u003c/a> The provision was an attempt to give them the same opportunity as other young people who can stay on their parents’ insurance until their 26\u003csup>th\u003c/sup> birthday.\u003c/p>\n\u003cp>But these young adults are encountering a major barrier: They are only guaranteed coverage in the state where they were in foster care. States have the option of extending the benefit to all former foster youths, but only about a dozen have done so.\u003c/p>\n\u003cp>Now, advocates and policymakers are trying to change the law at the federal level, so former foster youths don’t lose access to Medicaid coverage no matter where they move.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Reps. Karen Bass, D-Calif., and Jim McDermott, D-Wash., have proposed \u003ca href=\"http://bass.house.gov/press-release/reps-bass-mcdermott-introduce-legislation-ensure-former-foster-youth-can-keep-health\" target=\"_blank\">legislation\u003c/a> that would allow them to qualify for Medicaid, the government health program for low-income Americans, in any state. Sen. Bob Casey, D-Pa., has introduced a similar \u003ca href=\"http://www.casey.senate.gov/newsroom/releases/casey-introduces-bill-to-fix-glitch-that-could-kick-former-foster-youth-off-of-medicaid\" target=\"_blank\">bill\u003c/a> that he said would be a simple clarification of what Congress intended. Meanwhile, advocates are pushing the Centers for Medicare & Medicaid Services to change its interpretation of the original provision.\u003c/p>\n\u003cp>\u003ca href=\"http://firstfocus.org/\" target=\"_blank\">First Focus\u003c/a>, which advocates for foster youths, has been receiving calls from young people who had no idea that they would lose health insurance when they moved.\u003c/p>\n\u003cp>“We really do feel an urgency about this,” said Shadi Houshyar, vice president of child welfare policy at the organization. “So many people who have aged out have significant health needs and coverage is so important. There shouldn’t be an additional barrier.”\u003c/p>\n\u003cp>Former foster youths are more likely than their peers to have physical and mental health needs, experts say. Ongoing \u003ca href=\"http://www.chapinhall.org/research/report/midwest-evaluation-adult-functioning-former-foster-youth\" target=\"_blank\">research\u003c/a> in Illinois, Wisconsin and Iowa shows that 22 percent of former foster youths had been hospitalized at least once in the previous year and one-third had two or more emergency room visits.\u003c/p>\n\u003cp>Just like other young people, former foster youths move to different states for school, jobs or family, said Fatima Morales, policy and outreach associate for the advocacy group \u003ca href=\"http://www.childrennow.org/\" target=\"_blank\">Children Now\u003c/a>. Morales said they shouldn’t be penalized for doing so.\u003c/p>\n\u003cfigure id=\"attachment_94773\" class=\"wp-caption alignright\" style=\"max-width: 400px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/Screen-Shot-2015-10-19-at-9.27.56-AM.png\">\u003cimg class=\"size-thumbnail wp-image-94773\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/Screen-Shot-2015-10-19-at-9.27.56-AM-400x367.png\" alt=\"Lezlie Martinez, 19, holds her two-year-old son. She would like to move from California to Colorado where she says it would be cheaper to live, but she worries about losing her health coverage. \" width=\"400\" height=\"367\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/10/Screen-Shot-2015-10-19-at-9.27.56-AM-400x367.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/10/Screen-Shot-2015-10-19-at-9.27.56-AM.png 594w\" sizes=\"(max-width: 400px) 100vw, 400px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Lezlie Martinez, 19, holds her two-year-old son. She would like to move from California to Colorado where she says it would be cheaper to live, but she worries about losing her health coverage. \u003ccite>(Courtesy: Jordan Verdin )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Morales said her organization is trying to inform youths what they might face if they move. “They need to know how their health coverage might be impacted,” she said. “It’s just something that they need to weigh.”\u003c/p>\n\u003cp>Lezlie Martinez, 19, is weighing her options now. She is hoping to move from California to Colorado because she wants to live in a place with a lower cost of living. Her boyfriend is already there and she is looking for hospitality jobs to support herself and her 2-year-old son.\u003c/p>\n\u003cp>But she worries that she may be left uninsured and unable to pay for medical treatment for eczema, allergies and fibromyalgia. “It is causing foster youth to be stuck in the same state they were raised in,” said Martinez, who lives in Oceanside, Calif. “It is really stressing me out.”\u003c/p>\n\u003cp>Buck said she decided to move to Sandy City, Utah, because of the limited job prospects in the small northern California town of Crescent City. Before moving, she asked social workers about whether she would still qualify for free health coverage and was told that she would. Buck said she was shocked to learn otherwise.\u003c/p>\n\u003cp>She is no longer seeing a therapist for depression and said she is weaning herself off antidepressants because she can’t afford them. Buck said she also worries about getting another ear infection and not being able to afford treatment.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It is just scary to think I am completely on my own,” said Buck, who recently got a job at an automotive shop but doesn’t get insurance from her employer. “I don’t want to leave, but this is almost forcing me to move back to California.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Native American Teenagers Promote Sports to Tackle Substance Abuse",
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"content": "\u003cp>Tj Keeya Talamoni-Marcks walks off the field with sweat dripping from his forehead, as more than 20 other Clear Lake High School students finish their grueling football practice in temperatures that reached over 90 degrees.\u003c/p>\n\u003cp>Clear Lake's Cardinals are getting ready to play against Colusa High in a few days, and Talamoni-Marcks, a tackle and guard, holds his helmet with one hand and makes a beeline for the water fountain while limping. He recently recovered from a toe injury, and complains about pain in his foot. Still, he shrugs it off, saying pain and visible bruises on his arms are “part of the game.”\u003c/p>\n\u003cp>Sports are a source of pride for Talamoni-Marks and his family, of Pomo Indian and Samoan descent. The 15-year-old wants to follow in his parents’ footsteps -- his mom was a basketball star and his dad \"running back of the year\" at Clear Lake High, the only high school in Lakeport, about 120 miles north of San Francisco.\u003c/p>\n\u003cp>\"Sports keep me away from drugs and alcohol. They keep me healthy,\" he says. \"I want to get other Natives healthier too, and I think sports could be the way.\"\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/228392878\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>His teammate and childhood friend, Rodrigo Lupercio, agrees heartily.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For both teenagers, sports have become an inspiration to tackle a bigger challenge than any football match: substance abuse among Pomo Indian communities in Lake County.\u003c/p>\n\u003cp>Nationwide, Native Americans are more likely to die of alcohol-related causes such as \u003ca href=\"http://www.cdc.gov/nchs/data/dvs/LCWK1_2013.pdf\" target=\"_blank\">chronic liver disease\u003c/a> and fatal motor \u003ca href=\"http://www.cdc.gov/motorvehiclesafety/native/factsheet.html\" target=\"_blank\">crashes involving alcohol\u003c/a> than any other ethnic group in the U.S., according to the Centers for Disease Control. Native Americans also have very high rates of \u003ca href=\"http://www.cdc.gov/tobacco/campaign/tips/resources/data/cigarette-smoking-in-united-states.html\" target=\"_blank\">cigarette smoking\u003c/a> compared to whites, blacks, Hispanics or Asians.\u003c/p>\n\u003cp>Lupercio, from the Big Valley Band of Pomo Indians, has witnessed the toll of alcohol and tobacco use on his grandfather. The two are very close. They used to play baseball and \"always have a good time\" together, he says. But now, Lupercio, just 14, fears the worst.\u003c/p>\n\u003cp>\"He shakes a lot and has a hard time walking. Because he drank so much throughout all of his life, it became part of his system. He needs it,\" said Lupercio. \"It makes me sad because I know I won't be seeing him in a couple of years.\"\u003c/p>\n\u003cfigure id=\"attachment_90209\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/IMG_9368-e1444259274261.jpg\">\u003cimg class=\"size-full wp-image-90209\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/IMG_9368-e1444259274261.jpg\" alt=\"Rodrigo Lupercio plays football, basketball and baseball at Clear Lake High. He says more physical activity through sports at Indian reservations could decrease substance abuse.\" width=\"1920\" height=\"1280\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rodrigo Lupercio plays football, basketball and baseball at Clear Lake High. He says more physical activity through sports at Indian reservations could decrease substance abuse. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Talamoni-Marcks tries to convince his mother to quit smoking after seeing another smoker, his former karate teacher, have to breathe through a hole in his throat. The lesson?\u003c/p>\n\u003cp>\"I don't think I would ever,\" he says of smoking. \"I hate it. (My mother) is addicted to it, and I hate to see her like that.\"\u003c/p>\n\u003cp>Last summer, the two teenagers took their views on addiction a step further. As part of their applications to a native youth health summit in Washington, D.C., they wrote essays on ways to improve the health of their communities.\u003c/p>\n\u003cp>The National Indian Health Board, a non-profit representing tribal governments organizing the summit, selected them along with 28 others to meet with staff members for the U.S. Senate Committee on Indian Affairs and discuss their ideas.\u003c/p>\n\u003cp>Lupercio spoke of seeking greater participation in sports at the Big Valley Rancheria, the reservation where he's spent most of his life.\u003c/p>\n\u003cp>\"Down in the reservation, I’d say all Indians should have their own sports teams. I think that would get them active, and they wouldn’t want to do drugs. They’d just want to just do sports,\" he said.\u003c/p>\n\u003cp>Talamoni-Marcks wants to keep sporting events with Native participants alcohol and smoke-free.\u003c/p>\n\u003cp>\"Give them water rather than beer, don't let them smoke there. And just have a fun game, while keeping healthy,\" said Talamoni-Marcks.\u003c/p>\n\u003cp>The teenagers also want a rehab and wellness center for youth and adults within their tribal communities, and greater educational opportunities that will lead to better jobs. The unemployment rate for Native Americans was almost double the national rate in 2013, according to \u003ca href=\"http://www.bls.gov/cps/cpsrace2013.pdf\" target=\"_blank\">figures\u003c/a> from the Bureau of Labor Statistics.\u003c/p>\n\u003cp>Talamoni-Marcks and Lupercio hope their meeting in Washington with the Senate staffers will eventually bring much needed resources to change the health outcomes in their communities. They believe that advocacy can make a difference. But if that takes too long, they dream of another path that does not involve the federal budget.\u003c/p>\n\u003cp>\"I want to play professional sports to help my family, to help my community, to come back and donate money while doing stuff I love to do,\" said Talamoni-Marcks.\u003c/p>\n\u003cp>For Lupercio, who wants to become a professional football player, the most important thing now is emotional support for his grandfather.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I just want to say, 'I love you grandpa, and you’ll always be in my heart,' \" he said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Tj Keeya Talamoni-Marcks walks off the field with sweat dripping from his forehead, as more than 20 other Clear Lake High School students finish their grueling football practice in temperatures that reached over 90 degrees.\u003c/p>\n\u003cp>Clear Lake's Cardinals are getting ready to play against Colusa High in a few days, and Talamoni-Marcks, a tackle and guard, holds his helmet with one hand and makes a beeline for the water fountain while limping. He recently recovered from a toe injury, and complains about pain in his foot. Still, he shrugs it off, saying pain and visible bruises on his arms are “part of the game.”\u003c/p>\n\u003cp>Sports are a source of pride for Talamoni-Marks and his family, of Pomo Indian and Samoan descent. The 15-year-old wants to follow in his parents’ footsteps -- his mom was a basketball star and his dad \"running back of the year\" at Clear Lake High, the only high school in Lakeport, about 120 miles north of San Francisco.\u003c/p>\n\u003cp>\"Sports keep me away from drugs and alcohol. They keep me healthy,\" he says. \"I want to get other Natives healthier too, and I think sports could be the way.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/228392878&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/228392878'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>His teammate and childhood friend, Rodrigo Lupercio, agrees heartily.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For both teenagers, sports have become an inspiration to tackle a bigger challenge than any football match: substance abuse among Pomo Indian communities in Lake County.\u003c/p>\n\u003cp>Nationwide, Native Americans are more likely to die of alcohol-related causes such as \u003ca href=\"http://www.cdc.gov/nchs/data/dvs/LCWK1_2013.pdf\" target=\"_blank\">chronic liver disease\u003c/a> and fatal motor \u003ca href=\"http://www.cdc.gov/motorvehiclesafety/native/factsheet.html\" target=\"_blank\">crashes involving alcohol\u003c/a> than any other ethnic group in the U.S., according to the Centers for Disease Control. Native Americans also have very high rates of \u003ca href=\"http://www.cdc.gov/tobacco/campaign/tips/resources/data/cigarette-smoking-in-united-states.html\" target=\"_blank\">cigarette smoking\u003c/a> compared to whites, blacks, Hispanics or Asians.\u003c/p>\n\u003cp>Lupercio, from the Big Valley Band of Pomo Indians, has witnessed the toll of alcohol and tobacco use on his grandfather. The two are very close. They used to play baseball and \"always have a good time\" together, he says. But now, Lupercio, just 14, fears the worst.\u003c/p>\n\u003cp>\"He shakes a lot and has a hard time walking. Because he drank so much throughout all of his life, it became part of his system. He needs it,\" said Lupercio. \"It makes me sad because I know I won't be seeing him in a couple of years.\"\u003c/p>\n\u003cfigure id=\"attachment_90209\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/IMG_9368-e1444259274261.jpg\">\u003cimg class=\"size-full wp-image-90209\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/10/IMG_9368-e1444259274261.jpg\" alt=\"Rodrigo Lupercio plays football, basketball and baseball at Clear Lake High. He says more physical activity through sports at Indian reservations could decrease substance abuse.\" width=\"1920\" height=\"1280\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Rodrigo Lupercio plays football, basketball and baseball at Clear Lake High. He says more physical activity through sports at Indian reservations could decrease substance abuse. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Talamoni-Marcks tries to convince his mother to quit smoking after seeing another smoker, his former karate teacher, have to breathe through a hole in his throat. The lesson?\u003c/p>\n\u003cp>\"I don't think I would ever,\" he says of smoking. \"I hate it. (My mother) is addicted to it, and I hate to see her like that.\"\u003c/p>\n\u003cp>Last summer, the two teenagers took their views on addiction a step further. As part of their applications to a native youth health summit in Washington, D.C., they wrote essays on ways to improve the health of their communities.\u003c/p>\n\u003cp>The National Indian Health Board, a non-profit representing tribal governments organizing the summit, selected them along with 28 others to meet with staff members for the U.S. Senate Committee on Indian Affairs and discuss their ideas.\u003c/p>\n\u003cp>Lupercio spoke of seeking greater participation in sports at the Big Valley Rancheria, the reservation where he's spent most of his life.\u003c/p>\n\u003cp>\"Down in the reservation, I’d say all Indians should have their own sports teams. I think that would get them active, and they wouldn’t want to do drugs. They’d just want to just do sports,\" he said.\u003c/p>\n\u003cp>Talamoni-Marcks wants to keep sporting events with Native participants alcohol and smoke-free.\u003c/p>\n\u003cp>\"Give them water rather than beer, don't let them smoke there. And just have a fun game, while keeping healthy,\" said Talamoni-Marcks.\u003c/p>\n\u003cp>The teenagers also want a rehab and wellness center for youth and adults within their tribal communities, and greater educational opportunities that will lead to better jobs. The unemployment rate for Native Americans was almost double the national rate in 2013, according to \u003ca href=\"http://www.bls.gov/cps/cpsrace2013.pdf\" target=\"_blank\">figures\u003c/a> from the Bureau of Labor Statistics.\u003c/p>\n\u003cp>Talamoni-Marcks and Lupercio hope their meeting in Washington with the Senate staffers will eventually bring much needed resources to change the health outcomes in their communities. They believe that advocacy can make a difference. But if that takes too long, they dream of another path that does not involve the federal budget.\u003c/p>\n\u003cp>\"I want to play professional sports to help my family, to help my community, to come back and donate money while doing stuff I love to do,\" said Talamoni-Marcks.\u003c/p>\n\u003cp>For Lupercio, who wants to become a professional football player, the most important thing now is emotional support for his grandfather.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I just want to say, 'I love you grandpa, and you’ll always be in my heart,' \" he said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>In advance of the Nov. 1 start of open enrollment for Covered California, new numbers show that just over half of the state's remaining uninsured are eligible for health insurance coverage under the Affordable Care Act.\u003c/p>\n\u003cp>The estimate was part of a \u003ca href=\"http://kff.org/uninsured/issue-brief/new-estimates-of-eligibility-for-aca-coverage-among-the-uninsured/\" target=\"_blank\">state-by-state analysis\u003c/a> compiled by the Kaiser Family Foundation.\u003c/p>\n\u003cp>Researchers found that California has 3.845 million people still uninsured. Of those:\u003c/p>\n\u003cul>\n\u003cli>37 percent are eligible for Medi-Cal, the state's version of Medicaid (1.428 million people)\u003c/li>\n\u003cli>16 percent are eligible for subsidies to purchase insurance on Covered California, the state's health insurance marketplace (623,000 people)\u003c/li>\n\u003c/ul>\n\u003cp>Nationally, 58 percent of the remaining uninsured qualify for coverage under the ACA.\u003c/p>\n\u003cp>The nation's 50 states as a whole break into two groups -- those that opted to participate in the expansion of the Medicaid program and those that didn't. Under the Medicaid expansion, people under 65 with an income at or below 138 percent of the federal poverty level ($16,242 for an individual or $33,365 for a family of four in 2015) are eligible for coverage.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California, the most populous state in the country, has the highest number of remaining uninsured of the states that expanded Medicaid. Of the states that have not expanded the program, Texas has the most people still uninsured -- 4.425 million.\u003c/p>\n\u003cp>Of those Californians still uninsured but not eligible for benefits under the ACA, about half (922,000 people) are undocumented immigrants and by law cannot qualify for benefits. The rest either have an income too high for a subsidy or they have an offer of health insurance from their employer.\u003c/p>\n\u003cp>These estimates are compiled from the 2015 Current Population Survey of the U.S. Census Bureau. They are similar to another estimate from researchers at UCLA and UC Berkeley, known as \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/uninsuredbrief-jan2015.pdf\" target=\"_blank\">CalSIM\u003c/a> (California Simulation of Insurance Markets).\u003c/p>\n\u003cp>Prof. Gerald Kominski, an author of that estimate, said the CalSIM modeling showed about 500,000 fewer people eligible for Medi-Cal and 500,000 more people in the undocumented group, but overall the two estimates \"are in the same ballpark.\"\u003c/p>\n\u003cp>The challenge will be reaching those still without insurance, Kominski said. The remaining uninsured who are eligible for Obamacare benefits are people who have sat out during the two open enrollments since the Affordable Care Act went into effect in 2014.\u003c/p>\n\u003cp>Kominski said that for families with mixed immigration status, where some members are lawfully present and others are not, there's \"ongoing concern ... that trusting the process will not result in information being shared\" with immigration authorities. Some other people, he said, may have a distrust of government.\u003c/p>\n\u003cp>James Scullary, a spokesperson for Covered California, said that \"there's no question\" the remaining uninsured will be a more challenging population to reach, but he also pointed to Covered California's success so far in signing up those eligible.\u003c/p>\n\u003cp>As noted above, 16 percent of the remaining uninsured are eligible for Covered California subsidies. Only five states have a better enrollment rate than California (Arizona, Illinois, Maryland, New Jersey, New Mexico).\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Scullary said Covered California is \"right in the middle of taking a look at the various models. ... We have not settled yet on an official number of our own.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In advance of the Nov. 1 start of open enrollment for Covered California, new numbers show that just over half of the state's remaining uninsured are eligible for health insurance coverage under the Affordable Care Act.\u003c/p>\n\u003cp>The estimate was part of a \u003ca href=\"http://kff.org/uninsured/issue-brief/new-estimates-of-eligibility-for-aca-coverage-among-the-uninsured/\" target=\"_blank\">state-by-state analysis\u003c/a> compiled by the Kaiser Family Foundation.\u003c/p>\n\u003cp>Researchers found that California has 3.845 million people still uninsured. Of those:\u003c/p>\n\u003cul>\n\u003cli>37 percent are eligible for Medi-Cal, the state's version of Medicaid (1.428 million people)\u003c/li>\n\u003cli>16 percent are eligible for subsidies to purchase insurance on Covered California, the state's health insurance marketplace (623,000 people)\u003c/li>\n\u003c/ul>\n\u003cp>Nationally, 58 percent of the remaining uninsured qualify for coverage under the ACA.\u003c/p>\n\u003cp>The nation's 50 states as a whole break into two groups -- those that opted to participate in the expansion of the Medicaid program and those that didn't. Under the Medicaid expansion, people under 65 with an income at or below 138 percent of the federal poverty level ($16,242 for an individual or $33,365 for a family of four in 2015) are eligible for coverage.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California, the most populous state in the country, has the highest number of remaining uninsured of the states that expanded Medicaid. Of the states that have not expanded the program, Texas has the most people still uninsured -- 4.425 million.\u003c/p>\n\u003cp>Of those Californians still uninsured but not eligible for benefits under the ACA, about half (922,000 people) are undocumented immigrants and by law cannot qualify for benefits. The rest either have an income too high for a subsidy or they have an offer of health insurance from their employer.\u003c/p>\n\u003cp>These estimates are compiled from the 2015 Current Population Survey of the U.S. Census Bureau. They are similar to another estimate from researchers at UCLA and UC Berkeley, known as \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/uninsuredbrief-jan2015.pdf\" target=\"_blank\">CalSIM\u003c/a> (California Simulation of Insurance Markets).\u003c/p>\n\u003cp>Prof. Gerald Kominski, an author of that estimate, said the CalSIM modeling showed about 500,000 fewer people eligible for Medi-Cal and 500,000 more people in the undocumented group, but overall the two estimates \"are in the same ballpark.\"\u003c/p>\n\u003cp>The challenge will be reaching those still without insurance, Kominski said. The remaining uninsured who are eligible for Obamacare benefits are people who have sat out during the two open enrollments since the Affordable Care Act went into effect in 2014.\u003c/p>\n\u003cp>Kominski said that for families with mixed immigration status, where some members are lawfully present and others are not, there's \"ongoing concern ... that trusting the process will not result in information being shared\" with immigration authorities. Some other people, he said, may have a distrust of government.\u003c/p>\n\u003cp>James Scullary, a spokesperson for Covered California, said that \"there's no question\" the remaining uninsured will be a more challenging population to reach, but he also pointed to Covered California's success so far in signing up those eligible.\u003c/p>\n\u003cp>As noted above, 16 percent of the remaining uninsured are eligible for Covered California subsidies. Only five states have a better enrollment rate than California (Arizona, Illinois, Maryland, New Jersey, New Mexico).\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Scullary said Covered California is \"right in the middle of taking a look at the various models. ... We have not settled yet on an official number of our own.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Now that California has legalized physician-assisted suicide, advocacy groups are planning statewide education campaigns so doctors know what to do when patients ask for lethal medication to end their lives.\u003c/p>\n\u003cp>One of the first stops for doctors new to the practice is a doctor-to-doctor toll-free helpline. It's staffed by physicians from states where the practice is legal, who have experience writing prescriptions for lethal medication.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/228081940\" 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>“We try to answer any doctor’s phone call within 24 hours,” says David Grube, a retired family doctor in Oregon who accepts calls. “I might answer questions about the dose of medicine, the timing of the giving of the medicine, things to avoid, certain kinds of foods.”\u003c/p>\n\u003cp>Grube recommends prescribing a specific dose of sleeping pills, along with anti-nausea medication. People usually fall asleep within five minutes after taking the drug, and usually pass away within an hour.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>This kind of information will also be shared in training sessions, online, and at hospitals and medical schools throughout the state before and after the law takes effect in 2016. (The precise date is not set; it will take effect 90 days after the end of the ongoing special legislative session.)\u003c/p>\n\u003cp>“Health care systems should start preparing now for their patients who are going to be requesting, and demanding, information about the End of Life Option Act,” says Kat West, policy director for Compassion & Choices, the advocacy group that led the charge for legalization in California and is spearheading the education campaign.\u003c/p>\n\u003cp>She says a few health care systems in California have called their counterparts in Oregon, where the practice has been legal since 1997, to find out how they have implemented the law there. For example, Kaiser Permanente in Oregon and Seattle Cancer Care in Washington hired patient advocates specifically to respond to requests for aid-in-dying medication and to guide patients and doctors through the process.\u003c/p>\n\u003cp>Medically-assisted suicide is also legal in Vermont and Montana. But West says California has some key differences that will influence implementation here.\u003c/p>\n\u003cp>“The challenge, of course, is California is so big,” West says. But, “in some ways, California is in a better position to start implementing aid-in-dying, because the infrastructure is already good and in place.”\u003c/p>\n\u003cp>Opponents have vowed to try to block the law from taking effect. A group calling itself Seniors Against Suicide filed paperwork this week to put a referendum before voters in November 2016, asking them to overturn the new law. The group needs to collect 365,880 signatures by January to qualify for the ballot, though it’s unclear if they have enough money to run a statewide campaign.\u003c/p>\n\u003cp>In Oregon, the law was delayed from taking effect for three years because of a lawsuit filed by the federal government. But West says that was 20 years ago, and is unlikely to happen in California.\u003c/p>\n\u003cp>Californians Against Assisted Suicide, a coalition of religious groups and disability rights advocates who fought the law through the legislative process, says it has not yet decided whether it will sue to stop the new law from going into effect.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California’s department of public health will be required to collect and store data about who requests the lethal drugs, and who takes them.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Now that California has legalized physician-assisted suicide, advocacy groups are planning statewide education campaigns so doctors know what to do when patients ask for lethal medication to end their lives.\u003c/p>\n\u003cp>One of the first stops for doctors new to the practice is a doctor-to-doctor toll-free helpline. It's staffed by physicians from states where the practice is legal, who have experience writing prescriptions for lethal medication.\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/228081940&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/228081940'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“We try to answer any doctor’s phone call within 24 hours,” says David Grube, a retired family doctor in Oregon who accepts calls. “I might answer questions about the dose of medicine, the timing of the giving of the medicine, things to avoid, certain kinds of foods.”\u003c/p>\n\u003cp>Grube recommends prescribing a specific dose of sleeping pills, along with anti-nausea medication. People usually fall asleep within five minutes after taking the drug, and usually pass away within an hour.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>This kind of information will also be shared in training sessions, online, and at hospitals and medical schools throughout the state before and after the law takes effect in 2016. (The precise date is not set; it will take effect 90 days after the end of the ongoing special legislative session.)\u003c/p>\n\u003cp>“Health care systems should start preparing now for their patients who are going to be requesting, and demanding, information about the End of Life Option Act,” says Kat West, policy director for Compassion & Choices, the advocacy group that led the charge for legalization in California and is spearheading the education campaign.\u003c/p>\n\u003cp>She says a few health care systems in California have called their counterparts in Oregon, where the practice has been legal since 1997, to find out how they have implemented the law there. For example, Kaiser Permanente in Oregon and Seattle Cancer Care in Washington hired patient advocates specifically to respond to requests for aid-in-dying medication and to guide patients and doctors through the process.\u003c/p>\n\u003cp>Medically-assisted suicide is also legal in Vermont and Montana. But West says California has some key differences that will influence implementation here.\u003c/p>\n\u003cp>“The challenge, of course, is California is so big,” West says. But, “in some ways, California is in a better position to start implementing aid-in-dying, because the infrastructure is already good and in place.”\u003c/p>\n\u003cp>Opponents have vowed to try to block the law from taking effect. A group calling itself Seniors Against Suicide filed paperwork this week to put a referendum before voters in November 2016, asking them to overturn the new law. The group needs to collect 365,880 signatures by January to qualify for the ballot, though it’s unclear if they have enough money to run a statewide campaign.\u003c/p>\n\u003cp>In Oregon, the law was delayed from taking effect for three years because of a lawsuit filed by the federal government. But West says that was 20 years ago, and is unlikely to happen in California.\u003c/p>\n\u003cp>Californians Against Assisted Suicide, a coalition of religious groups and disability rights advocates who fought the law through the legislative process, says it has not yet decided whether it will sue to stop the new law from going into effect.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California’s department of public health will be required to collect and store data about who requests the lethal drugs, and who takes them.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Supporters of the legislation by Sen. Jerry Hill, D-San Mateo, say the antibiotics are fed to mostly healthy animals such as cows, pigs and chickens to make them grow faster and prevent disease in crowded industrial farms.\u003c/p>\n\u003cp>Widespread use of antibiotics by humans and animals reduce their effectiveness in treating illnesses because the diseases adapt by mutating, creating superbugs. Once-treatable illnesses can become dangerous infections when antibiotics are no longer effective.\u003c/p>\n\u003cp>“The lifesaving potential of antibiotics is quickly diminishing, and people are dying because the drugs are less effective,” Hill said in a statement.\u003c/p>\n\u003cp>Opponents argued that the California legislation does not go far enough to restrict preventive or routine use of antimicrobial drugs. Groups such as the California Cattlemen’s Association remained neutral on the bill.\u003c/p>\n\u003cp>Michael Hansen, a senior scientist at Consumers Union, the policy division of Consumer Reports, said many companies have voluntarily agreed to stop using antibiotics to promote growth after guidance from the Food and Drug Administration.\u003c/p>\n\u003cp>“No state yet has been able to pass a bill that is stronger than the one in California, and the fact that California is an important ag state, that makes this an important action,” Hansen said.\u003c/p>\n\u003cp>The antibiotics are different from the growth hormones used by many food producers that have drawn criticism and that some grocery stores and food chains have phased out. Companies including McDonald’s, Chipotle and Panera also have begun promoting their chicken as raised without antibiotics.\u003c/p>\n\u003cp>Brown, a Democrat, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/10/02/why-advocates-say-browns-veto-of-livestock-antibiotics-bill-is-a-good-thing/\" target=\"_blank\" rel=\"noopener\">vetoed a weaker version\u003c/a> of the bill last year, urging the state Department of Food and Agriculture to work with lawmakers on the issue. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/09/16/bill-making-california-toughest-in-u-s-on-livestock-antibiotics-now-up-to-governor/\" target=\"_blank\" rel=\"noopener\">His office helped make changes\u003c/a> to this year’s measure to strengthen protections against using antibiotics to prevent disease.\u003c/p>\n\u003cp>The bill allows exemptions when a licensed veterinarian determines antimicrobial drugs are needed to treat a disease or infection, to control the spread of a disease, or in relation to surgery or a medical procedure, according to an analysis prepared for the Legislature.\u003c/p>\n\u003cp>The California Veterinary Medical Association expressed concern that veterinarians might not be able to prescribe the drugs preventively to treat diseases for which there is no test available to determine which animals are carriers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The law, which takes effect in 2018, also eliminates the availability of livestock antibiotics for over-the-counter sales.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
"airtime": "SUN 9pm-10pm",
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"meta": {
"site": "radio",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.commonwealthclub.org/podcasts",
"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
}
},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"id": "here-and-now",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/hiddenbrain.jpg",
"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
"site": "news",
"source": "NPR"
},
"link": "/radio/program/hidden-brain",
"subscribe": {
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"tuneIn": "https://tunein.com/podcasts/Science-Podcasts/Hidden-Brain-p787503/",
"rss": "https://feeds.npr.org/510308/podcast.xml"
}
},
"how-i-built-this": {
"id": "how-i-built-this",
"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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"rss": "https://feeds.npr.org/510313/podcast.xml"
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
"imageAlt": "KQED Hyphenación",
"officialWebsiteLink": "/podcasts/hyphenacion",
"meta": {
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"amazon": "https://music.amazon.com/podcasts/6c3dd23c-93fb-4aab-97ba-1725fa6315f1/hyphenaci%C3%B3n",
"rss": "https://feeds.megaphone.fm/KQINC2275451163"
}
},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED The Political Mind of Jerry Brown",
"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/xtTd",
"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
"site": "news",
"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
"meta": {
"site": "news",
"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
"imageAlt": "KQED Perspectives",
"officialWebsiteLink": "/perspectives/",
"meta": {
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"source": "kqed",
"order": 14
},
"link": "/perspectives",
"subscribe": {
"apple": "https://podcasts.apple.com/us/podcast/id73801135",
"npr": "https://www.npr.org/podcasts/432309616/perspectives",
"rss": "https://ww2.kqed.org/perspectives/category/perspectives/feed/",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"
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},
"planet-money": {
"id": "planet-money",
"title": "Planet Money",
"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
"airtime": "SUN 3pm-4pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/planetmoney.jpg",
"officialWebsiteLink": "https://www.npr.org/sections/money/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/planet-money",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/M4f5",
"apple": "https://itunes.apple.com/us/podcast/planet-money/id290783428?mt=2",
"tuneIn": "https://tunein.com/podcasts/Business--Economics-Podcasts/Planet-Money-p164680/",
"rss": "https://feeds.npr.org/510289/podcast.xml"
}
},
"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Political-Breakdown-2024-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Political Breakdown",
"officialWebsiteLink": "/podcasts/politicalbreakdown",
"meta": {
"site": "radio",
"source": "kqed",
"order": 5
},
"link": "/podcasts/politicalbreakdown",
"subscribe": {
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"amazon": "https://music.amazon.com/podcasts/e0c2d153-ad36-4c8d-901d-f1da6a724824/political-breakdown",
"npr": "https://www.npr.org/podcasts/572155894/political-breakdown",
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