Community Report | HealthyCal - Part 32
 

Community Report

  

Fresno doc wins award for helping Latino kids graduate

Dr. Katherine Flores of the UCSF Fresno Latino Center for Medical Education and Research has been awarded a $125,000 James Irvine Foundation Leadership Award for her work helping low-income Latino students graduate from high school and attend college. The Doctors Academy recruits students beginning in 7th grade and supports and tutors them through the end of high school. So far, every participant has graduated and been accepted to college.

Here is a video profile about Flores and the program, provided by the Irvine Foundation:

Dr. Katherine Flores, UCSF Fresno Latino Center for Medical Education and Research, Fresno from The James Irvine Foundation on Vimeo.

 

Clinic director wins leadership award

Dr. Ellen Beck has won a $125,000 Irvine Foundation Leadership Award for her work with the UCSD Student-Run Free Clinic Project in San Diego. Her clinics catch thousands of patients who fall through the safety net in a county that does not have a county hospital. The clinics also train doctors to care for the poor.

Here is the Irvine Foundation write-up on Beck’s work, and a video profile of her provided by the foundation:

Dr. Ellen Beck’s free medical clinics in San Diego serve patients and doctors alike. They catch thousands of patients who fall through the county’s safety net (San Diego, uniquely, does not have a county hospital), while training doctors to care for society’s least-privileged. The project, directed by Dr. Beck and managed mostly by medical students, began in 1997 in a church basement with three doctors and five students, holding bake sales to pay for supplies. Today, 500 students see 2,000 patients annually at two churches and a school. They provide free, comprehensive care (medical, dental, medications, mental health counseling and acupuncture) for people who do not have insurance or qualify for government aid — and even make house calls to the homeless. Through contributions and volunteers, the clinic’s average cost per patient is a mere $800 per year, and many graduates start their own practices in underserved communities.

Dr. Ellen Beck, UCSD Student-Run Free Clinic Project, San Diego from The James Irvine Foundation on Vimeo.

 

Contra Costa moves against domestic violence

By Heather Tirado Gilligan

Before Patricia left her abusive husband nineteen years ago, she struggled for years with the abuse, her fears and her reluctance to press charges. Whenever she did speak to the police, it was difficult for her to explain why she did not want to pursue prosecution.

“It was hard for a police officer to understand, if you know this is a dangerous situation for you, why would you keep calling, and why, when we come out here, won’t you press charges?” she said, speaking about her experience only on the condition that her last name be withheld. Facing judgment is one of the biggest challenges in breaking away from violent relationships, Patricia said.

“I knew the person who battered me better than anyone,” Patricia said. “I knew that if I pressed charges, when he got out of jail, there would be more harm for me.”

Combating the stigma and deep fear that follows victims of abuse is the goal of the proposed Contra Costa County Family Justice Center. The agency is a public-private partnership spearheaded by Contra Costa County’s Zero Tolerance for Domestic Violence Initiative. The Center will provide services to victims of domestic violence, sexual assault, child abuse and sexual trafficking under one roof, said Devorah Levine, executive director of Zero Tolerance.

Formal planning for the Contra Costa Family Justice Center began this year, Levine said. Working groups were created to unite the many county service providers and private non-profits, and a site to house the center was selected in Richmond. By the end of the year, Levine hopes that the Center will be ready to house representatives from key agencies across the county, including the police department, legal assistance, housing assistance and counseling assistance.

A Family Justice Center should increase prosecutions for domestic violence, said Bisa French, spokeswoman for the Richmond Police Department.

“When we work more closely with advocates and victims we get more cooperation,” French said. “Victims feel safer and are more willing to pursue prosecution.”

French is also assigned to the Family Services Unit, which responds to domestic violence calls. Family Services responds to between 25 and 35 cases of felony domestic violence per month, French said.

Increased demand amid decreasing resources

Richmond’s rates of violence against women are the highest in the county. The city accounts for only 10 percent of the county population, but 20 percent of forcible rapes and 21 percent of domestic violence incidents in the county occur in Richmond. Last year, 16 women died as a result of domestic violence in Contra Costa County.

Paradoxical as it sounds, Levine said county budget cuts are part of what prompted her to begin a center. Concentrating resources in one location is the best way to help more women, she said.

“Over time, it certainly saves this county and the community money, that we aren’t working at odds,” said Rhonda James, executive director of Community Violence Solutions, the non-profit that serves as Contra Costa County’s rape crisis center, and one of the organizations helping Zero Tolerance in its push to open the center. Without proper communication, service providers can duplicate efforts, James said.

The biggest obstacle that remains for the center is raising funds for rehabbing of the proposed site in Richmond, Levine said. She’ is fundraising and seeking volunteer labor to get the building ready for the agencies already in line to help. The work will cost an estimated $1.1 million.

Service providers are seeing huge increases in demand combined with funding cuts and decreased donations, said Michelle Davis, director of development for STAND Against Domestic Violence, Contra Costa County’s domestic violence prevention agency.

The number of unique calls to STAND’s crisis hotline increased by 85 percent this year, Davis said. Emergency food and clothing assistance has been needed by 39 percent of clients this year.

“I can’t tell you we’ve ever seen anything like this before,” Davis said of the combined budget cuts and increased demand. “This is really off the chart for us.”

Connecting services

Abused women usually require more than one service, Levine said, and are overwhelmed with fear and feelings of worthlessness when they begin the process of leaving their relationships. Then, the process of separating from an abusive spouse requires a complicated series of bureaucratic interactions, like securing restraining orders, beginning divorce proceedings, and drawing on the resources of social agencies to find emergency shelter.

“If we are all in one place, the odds of someone falling through the cracks is just smaller,” James said.

“The reason that there are difficulties between pieces of the system aren’t usually because people are small minded or evil,” James said. “It’s because we don’t know that when someone has to move from law enforcement to medical to social services to housing that there are these pieces that fall away.”

Patricia saw that fragmentation first-hand.

“Everything was pretty disconnected,” she said of seeking help in Contra Costa County. Much has changed since she was a victim, Patricia said, but assistance remains scattered. “A lot of services were available through STAND, but a lot I had to find out on my own. It took a few years to wrap up most of the services I needed.”

The Latina Center in Richmond helps serve women who are trying to escape abusive relationships.

Leticia Mendoza, a former victim of domestic violence who is now a peer counselor in the domestic violence program at Richmond’s Latina Center, said that she had no idea how to get help when she left her abusive relationship seven years ago.

“It was hard because I didn’t know anything here,” she said. “So I represented myself in court. I didn’t know any English at all…I didn’t know what I was doing.”

Creating a culture of safety

Violence occurs more frequently in poor areas generally, but the problem of domestic abuse cuts across socioeconomic lines, James said. Women from all ethnic groups, races and income brackets draw on public and private resources for victims of abuse.

Yet poor women, and women who don’t speak English, do have a harder time finding emergency services and protection, James said.

Miriam Wong, director of Richmond's Latina Center.

Some women, like Mendoza, overcome legal and personal challenges and leave their abuser behind. Others don’t, said Miriam Wong, the executive director of the Latina Center.

Listen to Miriam Wong in her own voice.
miriam_wong

A victim seeking assistance at an emergency room, police station or clinic is unlikely to make initial contact with a service provider specifically trained to help them, according Wong. Latinas who don’t speak English and weren’t born in the U.S. are especially vulnerable, because language and cultural barriers make it more difficult to get help.

Working closely together, desk by desk, will teach providers how to help all women, James said.

“It’s not just about the services, it’s about the culture that is created when you have larger systems…really looking into the eyes of victims,” James said. “Most people don’t present and say, I’m a victim of domestic violence or sexual assault. They say, I have a broken jaw. I’m hurting. I’m homeless.”

“It truly does take many minds—and many hearts—to pay attention to when a situation becomes very dangerous for a family,” Zero Tolerance’s Levine said.

Given the ever-rising need for help, Patricia said, the center cannot open soon enough. “To me,” she said, “it’s just amazing to think about all the possibilities.”

Listen to Patricia in her own words.

patricia_final

 

Anaheim program teaches music production to at-risk youth

By Joy Hepp

In the music industry it’s all about who you know. And contrary to popular belief, not every kid in Orange County has Mickey Mouse on speed dial.

Despite a recent drop in violent crime, the county is not immune to gang activity. In 2008, a 15-year-old was shot to death by a suspected west side Anaheim gang member at a Fullerton bus stop. The city is also fighting a battle with taggers, whose graffiti is a sore spot with those in the local tourism industry.

Anaheim’s Project RYTMO (Reaching Youth Through Music Opportunities) seeks to be a positive alternative for youth in need of a creative outlet and support system.

The nonprofit organization provides at-risk 14-to-24-year-olds with occupational music technology skills and introduces them to industry insiders in the process. Since the program’s inception in 2003, several graduates have gone on to work in music or to study at local universities.

“A lot of [young people] are searching for some form of expression for their anger and for their frustration… and many of them are really struggling,” RYTMO Co-founder Joey Arreguin says. “Add a recession, add no jobs, no education, high school drop outs, youth who already have a history of incarceration, foster youth and homeless youth, and you start to understand that there’s a real void in our communities and our ability to connect with young people.”

Arreguin added that one of the biggest challenges for community organizations working with at-risk youth is finding activities that will consistently keep them focused and engaged.

“If a young person is not into sports, then its really down to either music or technology,” he says.

With a curriculum that integrates music theory, performance, business techniques and editing software programs, RYTMO’s administrators believe they have found a winning combination.

“We know that after school between 3 pm and 6 pm is a time when a lot of the crime goes up,” says RYTMO Vice President Michael Anderson. “Bringing them into a music program where they have to concentrate on writing words or coming up with their beats takes them off the streets and into their homes where they are practicing and working on their craft of music.”

Arreguin and Anderson say they have seen evidence of RYTMO’s effect on the community in their own backyard. According to Arreguin, the fence behind RYTMO headquarters cuts across the dividing line between two rival Anaheim gangs and was covered in their graffiti.

After two members of the opposing gangs met and befriended each other in one of RYTMO’s programs, they agreed to convince their respective organizations that the fence was off limits. It’s been tag-free ever since.

Watch a video report on the youth in RYTMO:

Anaheim music program caters to at-risk youth from Joy Hepp on Vimeo.

 

Federal reform won’t mean end of Healthy SF program

By Richard C. Paddock

The federal health care overhaul signed last month by President Obama will not prompt significant changes in the short term for Healthy San Francisco, the city program that provides medical care for more than 51,000 low-income residents.

And even when most major provisions of the federal law take effect in 2014, city officials say, there will still be a need for Healthy San Francisco to serve an estimated 20,000 patients who will not have health insurance under the federal law, including many who are in the country illegally.

Healthy San Francisco Director Tangerine Brigham said a preliminary analysis of the changes in federal law indicate that about 60 percent of the patients now receiving care under the innovative city program will be able to obtain health insurance and leave Healthy San Francisco once the federal law fully takes effect.

But precisely how the federal overhaul will affect the city’s universal health care program will remain uncertain until the federal government drafts regulations for the state to follow in implementing the law, she said.

“As you can imagine we are still in the process of going through the legislation,” Brigham said in an interview Tuesday. “There is much more to come once we have the federal regulations and the state has its regulations.”

The city program, which was approved in 2006 and began enrolling patients in 2007, goes farther than the federal legislation in several ways. It is designed to ensure that every San Francisco resident receives health care; it has a public option and does not exclude anyone with a prior medical condition.

Employers with 20 or more employees are expected to provide health care for their workers or pay into a fund that finances Healthy San Francisco. The poorest patients pay no monthly fee; others pay up to $150 a month, depending on their income.

The major drawback, however, is that Healthy San Francisco is not health insurance. Members who become ill outside the city have no health coverage. For that reason, Brigham said, the city will encourage patients who qualify under the federal law to obtain health insurance

“We have been very clear that health insurance is preferable to Healthy San Francisco,” Brigham said. “For one, it’s portable.”

As features of the federal law begin kicking in this year, some Healthy San Francisco members will be able to get health insurance and leave the city program.

For example, patients who had been denied health insurance because of pre-existing conditions will have access to high-risk insurance pools beginning in July. And young adults under 26 will be eligible for dependent coverage under their parents’ insurance starting in October.

But city officials say the decrease in Healthy San Francisco patients will be relatively small until 2014, when key features of the law take effect, such as the creation of subsidized health insurance exchanges for the uninsured to purchase insurance and the expansion of public health insurance programs.

But even when the federal health care overhaul is complete, Brigham pointed out, not everyone will have health insurance.

While most Americans will be required to purchase insurance under the law, there are some exceptions, she said, including Native Americans and those whose religious beliefs prohibit buying health insurance. In addition, the federal law denies health coverage to undocumented residents, who have a considerable presence in San Francisco.

Based on today’s numbers, Brigham estimates that there could be about 20,000 San Franciscans who come under these exceptions and will still need health care through Healthy San Francisco in 2014. One city clinic already is dedicated to serving Native Americans, she said.

“The provisions don’t apply to those who are undocumented,” she said, noting that San Francisco is a sanctuary city. “We would certainly still have a program for that population.”

 

Sacramento’s Oak Park to get first farmer’s market

By Paul Towers

The Sacramento neighborhood of Oak Park is getting its first farmer’s market, highlighting the need for healthy food in one of the region’s most underserved neighborhoods.

“Healthy food produces healthy communities,” said Joany Titherington, coordinator of the Oak Park Farmer’s Market. “We honor the spirit of Earth Day by ensuring that Sacramento residents nourish themselves and the planet through local and healthy food.”

The statistics in Sacramento County are overwhelming. Less than half of the County’s children eat the appropriate amount of fruit and vegetables each day and more than 30 percent of the county’s children are considered overweight. These problems are magnified in Oak Park by the lack of access to fresh and healthy food, and the preponderance of access to unhealthy food.

As a result of these concerns, community leaders are launching the Oak Park Farmer’s Market to provide weekly local access to fresh fruits and vegetables. The Farmers Market will be held on Saturday mornings, beginning May 15, at 34th and Broadway, across from Old Soul Coffeehouse. The Farmers Market is a project of NeighborWorks® Sacramento, developed in partnership with community residents.

In addition, in the past few months, community garden advocates, backyard growers, and fresh produce sellers have loosely formed the Oak Park Food Collaborative. The group intends to make Oak Park, often characterized as a dangerous neighborhood, the sustainable food center of the Sacramento Region.

 

From tagging crew to video crew

Growing up in Boyle Heights, Fernando Almanzar dabbled in tagging and considered joining a crew or a gang before turning away from that lifestyle. Today he is an intern at the Boyle Heights Technology Youth Center, where he is learning the skill of video production. He is a success story for the Los Angeles Youth Opportunity Movement, which offers grant-funded academic programs and job training for residents age 14 to 21 who meet poverty guidelines and are authorized to work. Almanzar is also the co-vice chair of the Opportunity Movement’s Boyle Heights Youth Council. HealthyCal contributor Patrick Burke offers this video profile.

Positive Feedback from Patrick Burke on Vimeo.

 

Stockton’s rise and fall

Forbes Magazine recently ranked Stockton as the second most miserable city in America. HealthyCal contributor Tony Wilson files this video report taking a look at how the city fell so far so fast. A big reason: Stockton rode the housing boom to the top, then fell badly when the market collapsed.

Main Street, SBA from Tony Wilson on Vimeo.

 
 
 

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