Community Report | HealthyCal - Part 9
 

Community Report

  

Athletes with disabilities find Outdoor Adventures in Long Beach

Patrick Dwyer zips through the water on a modified jet ski.

By Jessica Portner

Water skiers in wet suits wait on the sun-drenched dock at the Long Beach Rowing Center. Soon, boats will pull them along the gentle water passage that spills out to the jetty. The wooden dock at Marine Stadium, built for rowing events at the 1934 Olympics, was recently turned into one of two venues for the Land Meets Sea Sports Camp in Long Beach for the annual Outdoor Adventures program.

The program is run by the Casa Colina Centers for Rehabilitation in Pomona, has provided thousands of people with a range of disabilities from quadriplegia to spina bifida the chance to experience firsthand a cornucopia of water, land, recreational, and competitive sports.

Professionals, coaches and athletes have for 26 years instructed both beginners and experienced athletes to reach their personal best at their favorite activity. Participants can take their pick from a cornucopia of adaptive sports for people with mobility challenges: basketball, water skiing, sailing, hot air balloon rides, outrigger canoeing, deep sea fishing, hand cycling, hockey, tennis, power soccer, kayaking, football, jet-skiing, scuba and softball. UCLA Recreation’s Adaptive Program helps run the camp and do informal assessments of a campers’ abilities.

The 2008 U.S. Department of Health and Human Services Physical Activity Guidelines for Adults with Disabilities recommends that people, who are able to, should get “at least 150 minutes a week of moderate-intensity, or 75 minutes a week of vigorous-intensity aerobic activity.” They also recommend muscle-strengthening activities “of moderate or high intensity” that involve all major muscle groups at least twice a week.

Exercise has tremendous benefits for everyone. Studies show that physical activity and exercise increased cardiac and pulmonary function, protect against the development of chronic diseases, foster weight control and lower cholesterol and blood pressure. For people with physical disabilities, who tend to be more sedentary, these activities can be especially therapeutic as they foster motor coordination, build strength, cardiovascular fitness.

The mental health benefits can be just as significant as toned muscles. People have decreased anxiety and depression when they stay healthier. Data collected so far by the Casa Colina Centers for Rehabilitation on the Outdoor Adventures program shows that over nine months, participants showed measurable improvements in their cognitive abilities and confidence. Their self-esteem is hugely boosted, said Johnson, so the overall long-term benefit is both physical and emotional.

“They recognize that exercise is core to staying healthy,” said Anne Johnson, Founder and Director of the Outdoor Adventures Program and a therapeutic recreation specialist. “For everybody that comes to camp, it’s not necessarily the activity itself, but the chance to be in an environment that promotes health and fitness and camaraderie.”

Some people, like Patrick Dwyer, are devoted to it. The 41-year-old with a developmental disability has been a camper since he was 21.

“He loves it and looks forward to it every year,” said Jill Dwyer, Patrick’s mother. “He has made a lot of friends and so he feels comfortable here.”

The thrill of water skiing is another draw. With the help of several experts from United States Adaptive Recreation Center (USARC), Patrick slips into a modified water ski equipped with a seat and removable outriggers that act like training wheels. USARC runs a full-time on-site adaptive ski school in Southern California at Bear Mountain Resort in addition to an adaptive water sports program. Once Patrick, wearing goggles and a wetsuit, is lowered gently into the water, several swimmers put him in position and attach him to the line. The jet ski operator revs the engine and within seconds Patrick is zipping across the water with two rescue boats in his wake. He can signal using hand gestures for the boat to slow down or stop.

Wrapped in a towel and shivering on the dock, 21-year-old Sarah Howry just finished her water skiing round and wants to head right back in. Howry was born with spastic Cerebral Palsy and her muscles are constantly cramping. She uses a walker to get around when she’s not in her wheelchair and describes her disability as “running 100 percent of the time and never being able to take a chill pill.” She says she’s the loudest screamer on the water of all her fellow campers. “This is a week of the most pain anyone will ever experience, but in the best way possible,” said the college senior and nine year veteran of Outdoor Adventures. “This is the best camp ever.”

Across the water on the “land” side of the Land and Sea Camp, there’s a parking lot with tents, a gathering spot for a range of activities from hand cycling, hockey, soccer, softball, fencing and wellness activities.

Under a white tent in the hot sun, half a dozen campers in wheelchairs pull exercise bands connected to overhead poles. Dozens of adapted hand cycles in all sizes cluster on the asphalt.

One of the hand cycling instructors is Alvin Malave, part of UCLA’s adaptive recreation program. Alvin is trying to be a Para Olympian and has been told he has a good shot. In March, he won the Los Angeles Marathon, finishing in an hour and a half in a hand cycle. He built a custom racing cycle optimized for speed and has been clocked in at 50 miles an hour. “I have breaks but I don’t really use them,” he said, smiling.

“This has helped me on so many levels… physical strength translates into independence on a daily basis, to feeling confident about myself and socially accepting my situation,” said Malave, who was struck by a car when he was walking 9 years ago.

Andrew Skinner, just returning from a hand cycling ride, agrees that exercise is the best medicine. The 30-year-old Santa Clarita man was playing in the snow at his parent’s cabin 7 years ago when he fell down, broke his neck, and become suddenly paralyzed.

A few years ago, he started the Triumph Foundation, which helps people with spinal cord injuries deal with the obstacles they face from accessibility issues at home like ramps and doorways to financial constraints. “It’s a lot of fun to pay it forward,” said Andrew. “No one ever plans ahead for something like this or dreams it could happen to them.”

 

DAs ponder and prepare for long-term effects of prison realignment

Photo by Marc Soller via Flickr.

By Callie Shanafelt

District Attorney Michael Ramos worries that crime will increase in San Bernardino County as a result of AB 109, the new law requiring counties to manage non-serious, non-sexual, non-violent offenders in their jails, probation departments and courts.

“When we sentence people like that,” Ramos said, “they go into the front door of the jail – somebody’s got to come out the back door.”

San Bernardino County doesn’t have space for all the low-level offenders they need to incarcerate in their jails after October 1.

The effects of the law will remain unclear until after – perhaps months after –prison reform starts in a few weeks. For now, the only thing district attorneys around the state can be sure of is that their caseload will increase with low-level parole violators.

Instead of being processed through the state parole board, people who violate probation will now be handled in county courts.

AB 109 also reduces the maximum sentence for a parole violation from one year to six months with one day’s credit for each day served, which could mean parole violations only lead to a 90-day sentence.

This change could mean they choose to charge people with a new offense, instead of the parole violation, said Karen Meredith, Assistant District Attorney in Alameda County. Whatever DAs decide to do, they will have more people supervised under probation and “across the board this may increase new violations,” Meredith said.

DA offices and county court systems still need to clarify the issues that are up to their discretion and understand the parameters of the new law.

At a recent meeting where district attorneys tried to understand how AB 109 will affect them, Santa Clara University Assistant Law Professor David Ball realized one thing—that no one fully understands the implications of the complicated bill.

“I left that meeting pretty concerned that the law really needs to be either simpler or clearer or there needs to be more time for people to study it or understand it,” Ball said.

There are a lot of conditions within the legislation, such as a list of 60 low-level crimes that will still require incarceration in state prison. Sometimes the distinctions between non-serious and serious crimes seem arbitrary.

“You can sell three pounds of cocaine and be sent to county jail but you sell horse meat and you are sent to state prison,” Alameda County DA Meredith said.

The bill creates new possibilities for judges to use their discretion in creative and alternative sentencing. Meredith said the intent of the legislation is to try to reduce recidivism by investing in communities. “Our office is going to embrace that,” she said.

While DA Ramos supports the intent of the legislation, he has his doubts that it will work. “I hope I’m wrong, but even if we do the best in the world on rehabilitation, it’s not going to happen for months,” Ramos said.

“What concerns us most is the financial picture,” Ramos said. “Nobody says it’s ongoing. We hope the state doesn’t dump this on us then leave us.”

The current allocation of funds is a controversial aspect of the legislation. The current funding formula, developed by the State Department of Finance and agreed to by County Administrative Officers (CAO) and California State Association of Counties (CSAC) is weighted so that counties that have been sending more low-level offenders to state prison get a larger percentage of the $354 million allocated to realignment in the first year.

San Bernardino County was classified as a “high-use” county in Ball’s recent study, while Alameda County was classified as “low-use.” The two counties are nearly identical when comparing population size and crime rates. Yet, using the current formula, San Bernardino will get $25.8 million in additional funds from the state the first year, while Alameda gets $9.2 million.

Alameda County has been able to keep people out of state prisons in the past by using alternative sentencing involving probation and drug and alcohol rehabilitation programs, Meredith said.

Advocates for Alameda and other “low-use” counties want an allocation of funds based on population and crime rates instead of past state prison use.

District Attorney Ramos points out that each county has different politics. “In San Bernardino we’re a very conservative county,” Ramos said. “We are tough on crime and lead the state in state prison commitments per capita.”

Some experts don’t think a tough-on-crime stance makes for the best policy. “Prison is one policy choice among many for how to deal with crime problems,” Ball said, “It’s expensive and less effective.”

But DA Ramos thinks that putting perpetrators in prison helps crime victims heal.

“I see the faces of people who’ve been victimized and I’ve got to be their voice,” Ramos said. “If I’m going to be judged for being tough on crime, then so be it.”

San Bernardino County is considering using electronic monitoring and in-home detention to reduce the number of people in county jails. Ramos also wants to use flash incarceration, putting parole and probation violators in jail for a few days at a time.

Two-thirds of the people in county jails today are people waiting to be sentenced. One way to reduce the number of people in jail, Ball suggests, would be to release more of those people on their own recognizance based on a better risk-assessment tool.

But DA Ramos isn’t likely to take Ball’s advice. “I have concerns about that,” Ramos said. “When somebody commits a crime and sits in jail, they are more likely to plead guilty.”

Alameda County is considering many possibilities for adjusting to realignment, Meredith said. She doesn’t think it is likely they would release more people on their own recognizance. Instead, they are exploring new risk assessment tools, electronic monitoring and releasing people on work furloughs.

“In any of these uses of these instruments we have to be protective of public safety and victim rights,” Meredith said.

DA Ramos remains afraid that crime in San Bernardino County will increase with these reforms.

“When you have people that should have been in prison that are now out on the streets and they don’t have jobs and they’re hooked on drugs and they are going to commit crimes.” Ramos said. “No doubt.”

But according to Ball, studies show incarcerating low-level offenders in state prisons or high-intensity programming can turn them into more serious public safety risks.

“If you send somebody who is low-risk into a high-risk environment more is not better,” Ball said. “More can be much worse.”

Realignment is a step in the right direction, Ball said. “Ideally, counties are going to be resource constrained,” says Ball “the hope is that people are going to have to get smarter about who they do what to.”

Violent and serious offenders need the bulk of criminal justice resources, Ball said.

A recent report from the Public Policy Institute of California predicts that some district attorneys will opt for what’s called up-charging when dealing with realignment. Instead of charging someone with a crime that ensures they serve their sentence in county jail, they would charge them with a crime that would land them in state prison in order to avoid the cost of local incarceration.

Both San Bernardino County District Attorney Ramos and Alameda County Assistant District Attorney Meredith dispute this fear. “We would not do that,” Meredith said. “We charge now and we will always charge the appropriate charge for the offense.”

Although the long-term implications of this new legislation are still unclear, there is an unprecedented amount of collaboration within county criminal justice programs and counties statewide to figure out what to do.

Such collaboration and a holistic approach will be key to realignment’s success, Ball said. Over time, counties will track each person handled differently as a result of the legislation and hope to learn how to better deal with this low-risk population.

“It took us a long time to get us into the situation we’re in,” Ball said. “And it’s going to take a long time to get out of it.”

 

Homeless for Years, Older Women in Los Angeles Find a Good Home

Francine Andrade in her room at the Downtown Women's Center in Los Angeles.

By Jessica Portner

On Skid Row, the downtown hub of the homeless population in Los Angeles, transients ask passersby for change, slump against concrete buildings, and mumble obscenities at bus stops. The Downtown Women’s Center’s beautiful new building, sitting in the middle of the mayhem, is a standout. The DWC’s Day Center serves hundreds of homeless women in its facilities every day and 71 lucky ones live in permanent residences, or efficiency apartments.

The Center is a particular refuge for older homeless women who have lived in shelters, with family or on the streets for longer stretches of time. Of the 50,000 homeless people in LA County, 30 percent are women, and that number is increasing. About 47 percent of the women at the DWC are 51 years or older, the age that the AARP designates as senior citizen.

Women like Francine Andrade have struggled for years to find a home.

“To me, this is paradise,” said Andrade, 61, a teen runaway and abuse victim who slept on the cement sidewalk in Hollywood for two years. “Finally, at last, I don’t have to keep moving, not knowing where I am going to be.”



This article is one in an occasional series on aging with dignity, independent living and public policy that affects both. For a complete archive of the articles, click here.



Women often become vulnerable to homelessness if they have lost a spouse who was primary source of income for the family. They may not be easily employable because they have little experience in the workforce. Some older women, however, chose to be homeless and give up rent so their child could finish college or they could help support their grandchildren with their Social Security check.

“The philosophy is to create a sense of home,” said Patrick Shandrick, the Center’s Director of Communications and Public Education. “The first thing when you become homeless is you lose your dignity and sense of self worth, so we really try to provide comfort.”

The Center was the first organization in the nation to provide permanent supportive housing for women. Founder Jill Halverson started a center in 1978 following the closure of psychiatric hospitals statewide in the early 1970s, which led to a ballooning of the homeless populations. At the time, homeless women in the city had few options because shelters were only accessible to men. Halverson withdrew her life savings, bought the furniture and opened the center that served hot, healthy meals to women and offered a respite from a life on the streets.

The Center’s newly renovated facility was funded by a variety of public and private sources, including $8 million from the California Department of Community Development, $3.5 million from the city’s Community Redevelopment Agency and $7 million from foundations.

Stepping from the grimy street on Skid Row into the Center’s clean, airy space is a dramatic shift in ambiance. There’s a nicely decorated reception area, an open cafeteria, and couches in a flower-filled waiting area as quaint as a nice hotel’s. Design firms have decorated the spaces for free in the building, which is split between the quiet residential apartments and the bustling day center. There’s a Women’s Health Center that offers medical treatment, mental health and case management services for residents. Women receive gynecological health care, family planning and mammograms. The Center paired up with a clinic to provide physicians and nurse practitioners that conduct blood pressure monitoring, STD and HIV testing, cancer screenings, and diabetes tests.

There’s an impressive roster of physical and mental wellness activities that would rival some holistic health clinic. The women can take exercise stress reduction workshops and meditation. A nutritional specialist conducts cooking classes and prepares well-balanced meals for about 150 women who eat in the cheery cafeteria daily. They are introduced to healthy foods not generally served in shelters or soup kitchens, like quinoa, kale and couscous.

A team of mental health specialists at the Center offers psychological and psychiatric services for the women in the center, most of whom have experienced abuse, been victimized, or have a mental illness.

Jennifer Ma-Pham, the Director of Clinical Health Services, said the staff is attentive to how complicated diagnoses can be for older patients. Older residents go through the same issues any older person living in independently or in a nursing home might experience. They may need assistance with more intensive things like personal hygiene and dressing. Because the older residents are often less mobile, the staff always bring a plate of food at mealtime to women who can’t easily leave their room.

“People brush off that an older client forgets things and might not screen for dementia or Alzheimer’s disease,” she said. “They also might brush off the fact that they might be going though depression.”

Julia Perry, 65, a resident of the center, feels very well taken care of and keeps up with all her various annual screenings. For years, Perry supported herself and her sons by working as a maid, for All State Insurance Company, and as a nurse’s assistant. She traveled back and forth from Mississippi and California living with family, friends, and sometimes in rescue missions and hotels.

“This is wonderful,” Perry said. “I love the fact that it’s affordable and safe.” In the single room occupancy hotel, she said, “you never knew who could be entering the building while you are sleeping.” To stay at the Center, residents contribute 30 percent of the income they receive from Social Security. The average length of stay at the center is 13 years, but they can live there as long as they like.

Andrade, sitting on her cozy quilt in her own efficiency apartment, said it’s definitely worth it. “I got my kitchen and got my microwave and I got a real bed,” she said. “I never I had a place I could call home.”

 

Uninsured in the Central Valley eager for health care reform

But how many of the uninsured can strapped counties cover?

Angel Love and Lisa Sill sort papers in the Stanislaus County Community Services Agency, fulfilling their work requirement for general assistance.

By Tim Moran

The California Bridge to Reform promises a sea change in health care for indigent adults who are lucky enough to get into the program in the next year.

The Bridge to Reform is a $10 billion program that will transition low-income residents in California to a Medicare-like health coverage before the 2014 federal health care coverage mandate kicks in.

It is designed to help people like Lisa Sill of Oakdale, who hasn’t had health insurance for the past 18 years. Divorced and the mother of an 18-year-old son, she has held part-time jobs doing bartending and office work during those years, but none of them offered benefits.

She has also battled alcohol and drug problems, and served a stint in jail. Now recovering, she is on public assistance and looking for work.

Sill’s son has health insurance through his father. But health care for her during those years happened in emergency rooms, when Sill got ill enough that she couldn’t ignore the problem. She remembers the frustration of going in to the ER and not having access to a specialist who could diagnose her problem.

Eventually, her grandfather stepped in and paid for her to see a specialist, who recognized that she had a herniated esophagus. “Once I saw a specialist, he knew right away,” she said.

The emergency room care is frustrating, Sill said. “It’s a long wait in the emergency room, and they don’t have your charts on file, they have no records of you. I get frustrated with them, but without records, they are at a loss.”

Angel Love of Salida could also benefit from the Bridge to Reform program. She comes from a low-income family that never had health insurance. She was on MediCal until last October, when she turned 21. Now without coverage, she hasn’t had to rely on emergency room care because she hasn’t gotten sick.

Sill hopes to find a job with medical benefits, and Love wants to join the Navy, for benefits and a photography program that interests her.

Both like the idea of getting coverage promised with health care reform, either through the California Bridge to Reform in the next year or two, or the national health care reform act in 2014.

The $10 billion in federal funding through the Bridge to Reform will augment county programs that cover medically indigent residents, if counties opt into the program. Counties in the Northern San Joaquin Valley are interested in the program, but haven’t fully committed to it yet. They say they are concerned about the potential risk of treatment costs overrunning the available federal and county dollars.

County officials say they will have to limit the number of patients enrolled in order to control costs, and the program will likely cover a few thousand rather than the tens of thousands that would qualify under federal poverty level guidelines.

Statewide, the program would add coverage for 500,000 low income residents, according to the California Department of Health Care Services.

“I think that’s a great idea,” Sill said of the potential coverage. A primary care doctor “would have all your records on file. It would make a big difference in how you are treated,” she said. Love admitted that she hasn’t had much experience with health care, but she, too, likes the idea of having coverage.

Sill and Love are prime examples of the uninsured population health care reform programs are designed to reach, and the change in the way they receive health care will be huge.

Instead of waiting for a health problem to become significant enough to visit an emergency room, patients will be assigned a primary care physician. The primary care doctor would work with a team that may include a nurse practitioner or a physician’s assistant to monitor the health of the patient. The team may also include a mental health provider. Current county indigent adult health services typically don’t cover preventive care or mental health.

A primary care doctor can conduct health screenings and blood tests to identify health problems before they become severe enough to warrant an emergency room visit. The health care team can follow up to make sure the patient is getting to appointments and taking medications as instructed.

The goal is two-fold, said Tony Cava, a spokesman for the California Department of Health Care Services: to improve the lives of patients by catching health problems before they become serious; and saving money in the long run by reducing unnecessary trips to the emergency room.

Education will be critical to the success of the program, said Ken Cohen, director of health care services for San Joaquin County Health Care Services. “Making sure they keep their appointments, help if they need transportation, prescriptions… Most providers believe engaging the patient in health care leads to better compliance and better health outcomes,” Cohen said.

“They need to know how to take medications, when to call, who to call. The patients we see are fairly compliant, but care is episodic,” he said. Patients may see different doctors for different conditions, be given different medications and none of it is coordinated. “It’s not the best model,” Cohen said.

“A personal physician working with a team knows the patient, and they have the records,” Cohen said. “A medical ‘home’ is a significant enhancement for patients who haven’t had that level of care.”

In the long run, it will be less expensive for the health care system than going to the ER, Cohen said. “Especially for the indigent, that’s the biggest change they will see, if it’s done well,” he added.

Cohen hopes that as medical care moves toward a national system of digital records, physicians will have access to records even if they are not familiar with the patient. “It’s important for providers as well – we want to know if they have seen another doctor, what medications were prescribed.”

Getting patients into the habit of preventive care will require education, said Christine Applegate, director of the Community Services Agency in Stanislaus County.

“It will be a marketing thing. How do we raise people’s awareness? We will work with the Health Services Agency, a countywide effort to help people take advantage of it,” she said.

“We need to make them aware of the health and financial benefits to not waiting until a crisis and using the emergency room for primary care.”

Applegate said her department is working with the county Health Services Agency to put staff together at locations so patients don’t have to run around to different departments to access the system. “We are kind of at the beginning stages of it, but it is exciting,” she said.

As for Sill and Love, both are working for the county’s Community Services Agency as part of their general assistance requirements. Sill is looking at training to become employed, and admits that her job search has been hindered by “self-inflicted” obstacles. She doesn’t want to return to bartending because she wants to avoid the atmosphere that lead to her alcohol and drug abuse problems.

Love is working on college courses that are a requirement for getting into the Navy. Both are in the county’s medically indigent program, which provides emergency care but not the level of health care mandated by the Bridge to Reform.

And both say they would have no problem working with a primary care team on preventive measures to head off health issues.

 

After realignment, fewer women expected in prison

More women offenders expected under county supervision after AB 109

Photo by Marc Soller via Flickr.

By Heather Tirado Gilligan

Beatrice Smith-Dyer went to Chowchilla prison for killing her abusive husband at the age of 41. Her marriage, she said, was the last in a string of damaging relationships that started when she was a child.

“It wasn’t just him – it was all the abuse I suffered throughout my life,” Smith-Dyer said. She was physically and sexually abused as a child, she said. Smith-Dyer self-medicated, struggling with drug addiction in her late teens. She got sober in her early 20s and developed a career as an addiction counselor, but never really healed from the trauma of her childhood years, she said.

That lack of healing led her to marry a man who abused her, hit her children, killed her dog and nailed her furniture to the floor when it looked like she might leave him. Eventually, Smith-Dyer killed her husband during an argument. She went to prison for sixteen years for second-degree murder. She was released last year with assistance from the Habeas Project, a non-profit that connects imprisoned battered women who didn’t present evidence of their abuse at trial with pro-bono lawyers.

Smith-Dyer’s story is both typical and unusual for women in prison, advocates and experts say. The overwhelming majority of women in California’s prisons have suffered from abuse in their lives, like Smith-Dyer.

But unlike Smith-Dyer, most women in prison are there for less serious crimes.

Half of the women in the state’s prisons are serving terms for non-serious, non-violent and non-sexual crimes, according to the California Department of Corrections and Rehabilitation.

Most women who commit crime fall squarely, in other words, into the population that will be affected by AB 109.

After AB 109 – the historic prison realignment legislation aimed at reducing the prison population – takes effect in a few weeks, responsibility for low-level offenders shifts from the state to the counties. Each county will decide how to respond to women who were once sent to prison and who have rehabilitative needs and challenges that are often distinct from men’s.

“Approximately 85 percent of our female client population have suffered either physical or emotional abuse,” said Wendy Still, San Francisco County’s chief of probation. Like probation chiefs across the state, Still is in charge of developing plans to manage the convicts newly under county supervision.

San Francisco County submitted their plan for the approval of the Board of Supervisors weeks ago, as other counties continue to debate the best way to manage the influx of offenders that will begin arriving in October. Still is already looking ahead to revising to the plan again for 2012, with changes she said will include special help for women.

Still is uniquely qualified to oversee what experts call gender specific programming. Before leading San Francisco’s probation department, Still worked as the associate director of Female Offender Services for CDCR. Next year’s plan for San Francisco, she said, will include “gender responsive, culturally competent and trauma-informed services.”

That means that probation will administer different needs assessments to men and women clients. Probation officers will also have specialized caseloads – some will only manage women offenders.

Such services are sorely needed, according to criminologist Meda Chesney-Lind, an expert in women and crime and co-author of The Woman Offender. “Women’s reentry,” she said, “is a challenge.”

Most of the women in prison are drug involved, including drug use and some low-level sales. Before the war on drugs started in the 1960s, these women would have been on probation rather than in prison, Chesney-Lind said.

A significant number of women are in prison because they are addicts who relapsed when they went back to the community and had their parole revoked. Of the 7,000 plus women in prison in California in 2009, one in five was there for failing drug tests while on parole, Chesney-Lind notes. “That’s a huge population,” she said.

Under AB 109, non-violent offenders will no longer be sent to state prison for violations.

Other common offenses among women are property crime – they tend to commit larceny, welfare and credit card fraud, according to Chesney-Lind.

“Those are what we call survival crimes,” Chief Still said of the offenses women tend to commit. These crimes also support drug habits for women who are self-medicating after past trauma, Still added.

Women’s first priorities when they are released from prison are to be reunited with their children – half of women in prison are mothers – and to stay sober, Chesney-Lind said. What they need to meet these goals is housing and treatment, she added.

But their lives tend to be more complicated than men’s, Chesney-Lind said. A felony conviction excludes otherwise eligible people from public housing regardless of gender, but it’s not unusual for men to have a girlfriend or wife who remains eligible for public housing. The same is not true for women who have committed a felony, Chesney-Lind said.

Like men, however, women with a felony conviction struggle to find work. Once their most pressing needs are met– reuniting their families, finding drug treatment, employment and housing – they will likely still need ongoing counseling, Chesney-Lind said.

Generally, counties will differ significantly in how they use treatment as a response to low-level offenders under AB 109, said Dean Misczynski, adjunct policy fellow at the Public Policy Institute of California. “There are 58 counties,” Misczynski said. “We are going to see 58 ways of implementing this plan.”

“I do think this is an opportunity for the locals,” Still said. Like other probation chiefs, Still described the initiative as underfunded.

Failure to attend to women’s reentry needs has high costs, according to Susan Burton. Burton is executive director of A New Way of Life, a housing and reentry program for women who have been released from prison. Since A New Way of Life was established 13 years ago, 600 women have passed through their housing program. The program, Burton said, has a 78 percent success rate.

“We offer them free choice in their lives,” Burton said. The women in the housing program are given assistance with education, employment. They are also allowed to come and go as they please, without restrictions like curfews.

“It’s just a matter of treating people with dignity and respect,” said Burton, who estimates that 65 percent of her clients acknowledge past abuse and 80 percent have an addiction. “We tell them, ‘what’s happened in your life is horrible. We can’t change the past, but we can change the future.’”

Such an approach is cost-effective, Burton said. A year at A New Way of Life costs $14,000 per person and women typically leave on track to be a contributor to society.

In contrast, she said, it takes $30,000 to $40,000 to incarcerate someone in a jail, and they leave “broken and in need of repair.”

Trying to respond to the needs of women who commit crimes isn’t making excuses for their behavior, Chief Still said.

Ultimately, Still and other experts and advocates said, understanding why women break the law and offering rehabilitation to prevent them from committing more crimes is an effective way to improve public safety.

Gender responsive programming in San Francisco will also include services for men, Still said, including employment assistance for fathers struggling to pay child support.

 

Childhood obesity a focus in September

Local agency works on teaching children healthy habits for life

Jacob Garcia, far left, and Catherine Cota, run from Jesse Organista in a game of 'Sharks and 'Minnows' during the YMCA's after school program. The site is focusing on healthy eating and exercise as part of National Childhood Obesity Awareness month in September. Photo by Melissa Flores.

By Melissa Flores

On a Friday afternoon, about half a dozen students run back and forth in a zigzag formation on a grassy field at a Salinas elementary school. The kids giggle and laugh as half of them chase the others in a game of tag called “Sharks and Minnows.” It’s all fun for the kids, but it is one of the ways the Salinas Community YMCA staff members are trying to encourage physically activity in their after school programs, which serve seven Salinas-area schools.

During the month of September, students enrolled in the Salinas Community YMCA’s after school daycare programs will be learning about eating healthy and exercise – two goals that are always a priority for the national organization and its local affiliates.

“The Y as an organization has an overarching theme called ‘Activate America,” said Lise Belton, the associate executive director of the Salinas YMCA. “We are trying to get families – to have a resource or guidance – so that they can live active lifestyles. We try to emphasize that in a lot of our programs.”

The guidance and programs offered are especially pertinent this month. September is National Childhood Obesity Awareness month, and according to statistics, obesity is a growing problem in the United States and locally. In Monterey County, 33.8 percent of fifth, seventh and ninth graders were labeled as overweight by the California Center for Public Health Advocacy, a nonprofit that promotes healthy habits. The staff analyzed the results of the 2004 California physical fitness test to come up with the number, and local students are overweight or obese at a rate higher than the state average of 28.1 percent.

The number of children who are obese – or have a body mass index that is equal to or above the 95th percentile for their age group – has tripled since 1970. Nationally, 19.6 percent of children ages 6 to 11 were obese in 2008, compared to 6.5 percent in 1980, according to the Centers for Disease Control and Prevention. Obesity in adolescents aged 12 to 19 years increased from 5 percent to 18.1 percent over the same time frame, according to the CDC.

Christian Quintero, a Y leader at McKinnon Elementary School, said for the first lesson in the unit on healthy lifestyles the kids had carrots, celery and peanut butter for a snack. Physical activity is a regular part of the after school program.

“We exercise,” he said. “It’s not laps, but they get it from activities that aren’t exercise in their eyes.”

On the recent afternoon, the kids played a game of kickball before breaking off into free play on the school equipment. After 15 minutes of that, they organized into the tag game of “Sharks and Minnows,” getting some cardio for the day.

“It’s like circuit training,” Quintero said.

It is only the second year that Pres. Obama has signed a proclamation declaring September as National Childhood Obesity Awareness Month. In the proclamation, signed Aug. 31, he noted the health problems that can come with it such as Type-2 diabetes, heart disease, high blood pressure, cancer and asthma. The proclamation focuses on healthy eating, noting the updated dietary guidelines released this year that changed the food pyramid to a concept called “My plate” that shows how to balance a meal between proteins, vegetables and multi-grains.

Belton said the lessons at the after school sites this month will also teach about ways the kids can stay active at home, how to eat smart and how to have fun playing together as a family.

In addition to the after school program, the Salinas YMCA, which offers financial assistance to qualifying families on a sliding scale, focuses on sports programs for children ages 3 to 9.

“It’s more about learning skills and being together with family,” Belton said, of the non-competitive programs offered.

During the summer, they offered a swim program at Alisal Community School and Alisal High School.

“We teach safety, and a love of water as an exercise,” Belton said.

They don’t offer many sports for older children since the local middle schools and high schools have sports teams available, but they do offer a strength training program for youth 12 and up.

“It teaches them gym safety and a little bit of anatomy,” she said.

The Salinas Community YMCA has 2,500 members, which includes individuals and families, Belton said, and they offer programs for the entire family for what she refers to as “health seekers.”

“These are people who want to be healthy, but they don’t know how to do it or they can’t keep it up,” she said. “We’ve got those resources and provide those opportunities.”

On a national level, the YMCA of the USA worked as part of the Healthy-Out-of-School-Time Coalition to develop healthy eating and physical activity standards for after school programs. The research was funded by the Robert Wood Johnson foundation. The researchers conducted surveys of more than 700 after school programs about their guidelines. The standards are for after school programs, day camps and other programs for children that fall outside the school day.

“Energy balance and appropriate physical activity are critical to good health and preventing childhood obesity, which is reaching record numbers in this country,” said Ellen S. Gannett, the director of the National Institute on Out-Of-School Time. “Out-of-school programs provide opportunities for children to not only consume nutritious snacks but also to learn real-life strategies for evaluating food options and making healthy choices.”

The guidelines include serving fruits and vegetables (fresh, frozen or canned) instead of cake, cookies, candy or chips; offering water as the preferred drink instead of juice, punch boxes or soda; dedicating at least 20 percent or at least 30 minutes of morning or after school program time to physical activity (60 minutes for a full day program); and ensuring that daily physical activity time includes aerobic and age-appropriate muscle and bone strengthening and cardio-respiratory fitness activities.

“The Y is proud to be part of this work to ensure that any time a child spends at a Y, and particularly time spent in after school programming, is structured to shape healthy habits for a lifetime,” said Barbara Roth, the national director of youth and family programs at Y-USA and a senior advisor on the development of the standards. The Y’s out-of-school programs serve nearly two million children each year, and many of these children spend more time at their local Ys than in school throughout the year, making the significance of these standards even greater, Roth said.

The local YMCA school sites run through the Central Coast YMCA are still working on implementing the standards, though Belton said they provide physical activity time at each site each day.

“The Y philosophy is to enjoy being healthy together,” Belton said. “Playing every day and eating – it should be an enjoyable pursuit.”

 

Prison reform legislation short on money and ideas, Kern Co says

Photo by Marc Soller via Flickr.

By Shellie Branco

Counties have no choice but to do things better than the state.

That’s what Kern County officials are saying as they prepare for an influx of low-level offenders from state prisons. They’re hoping to be more successful when it comes to helping offenders successfully integrate into society.

The U.S. Supreme Court ordered California to reduce its prison population, as overcrowding had resulted in poor medical care for inmates. In April, Gov. Jerry Brown responded by signing into law Assembly Bill 109, or The Public Safety Realignment Act. Under this law, 34,000 low-level offenders will be redirected to the counties over the next two years. Beginning Oct. 1, counties will be responsible for low-level offenders whose last committing charges were not for violent or sex-related crimes.

Kern County Chief Probation Officer David Kuge expects to get jurisdiction over 1,100 to 1,200 offenders who would otherwise have been sent to state prison. He said he understands the community’s concerns about public safety.

“Somebody could’ve committed a sex or violent offense, but went to prison this time on second-degree burglary, and they will be released back to us,” he said.

The county’s incarceration system will become a revolving door, he added, with overcrowding leading to early releases for inmates.

“I think it was a poorly written law because there are still a lot of questions unanswered,” Kuge said. “It’s going to increase the danger to the public because we just don’t have the resources to do what we need to do.”

Jim Waterman, director of Kern County Mental Health, said counties will end up just like the state — broke — if they don’t come up with appropriate support, including substance abuse programs, that will get prisoners back on their feet. The bill requires counties to use programs that have evidence to back up their effectiveness.

“We absolutely have to find rehabilitative programs that work and get people out of the criminal cycle,” he said.

The state is providing realignment funding to counties based on the number of low-level offenders they’ve sent to state prisons. Kern’s share is $10.8 million to start, then $14.7 million annually.

County leaders have been meeting to discuss how to parcel out this funding, though they’ll have to pare down their wish lists substantially to meet the limited budget. A 14-member committee with representatives from the Kern County Sheriff’s Department, probation, mental health, the district attorney’s office and more will vote on the plan Sept. 21, then send it to the county Board of Supervisors. Departments will re-evaluate their needs in the months following and alter plans accordingly.

Kuge said his department likely will need $7 million of the $14 million county allotment. The state has provided his department start-up funds to purchase vehicles and equipment. Kuge plans to increase the number of probation officers and staff, but the department’s ranks have dwindled over the past few years, and it’s uncertain whether new hires will ease the burden.

The main focus is providing programs in education, job readiness and substance abuse counseling. County departments plan to find contractors for these services where possible, and they’re open to partnering with religious organizations.

“Lots of these guys will come back to the community without a job, and we’ll try to get them prepared for that,” Kuge said. “And it’s not just finding a place, it’s getting them mentally prepared because they’re not used to getting up every day like you and I, getting to work on time, getting to work five days a week. It’s not just job placement, it’s job readiness.”

The sheriff’s department has asked for $5.2 million to roll out its plan in three phases, said Chief Deputy Kevin Zimmermann. First, the department will add 238 beds to the existing 2,400 beds at four jails, and use an electronic monitoring program, both funded with over $600,000 in startup funds from the state.

“We’re going to fill these 238 beds rather quickly, so we’re looking to move into other programs as soon as possible,” Zimmermann said.

In the second phase, which could start in late October or early November, the department will expand its work release program, where supervised offenders would report to work sites in the community. The department will create a day reporting center with assistance from community partners, where offenders would attend anger management classes and drug counseling. Officials are also interested in contracting with Cal Fire or creating a local version of fire camps to put offenders to work.

“County jails, historically, have not been in the behavior modification business beyond in-custody education programs with general education and anger management, so because of this new program, we’re going to explore all options,” Zimmermann added.

On the mental health side, Waterman said his department will start with existing substance abuse programs and other services, using its current network of contracted providers to serve Kern’s large geographic area. Care starts the moment the offender gets out of prison.

“We do a lot of practical support,” Waterman said. “When they arrive, they don’t have IDs or a place to stay. They burn their ties with family or their social support system, so we provide a lot of that up-front support so they can make it in the community.”

The department will try to gain as much funding as possible for substance abuse treatment and find ways to order individuals into such programs.

Another option is an early release program. An individual who’s getting substance abuse treatment in jail would be released with an electronic monitor, under the condition that he or she will participate in drug counseling.

The department is also trying to carve out funding for offenders with mental illnesses so severe that they can’t be kept in the prison’s general population. Those individuals are the most expensive to treat, Waterman said.

Mental health’s portion of funding has yet to be determined. Waterman’s requests exceed available dollars, and it will be difficult to decide where to cut. He doesn’t expect a flood of patients on Oct. 1, but he’s concerned about the burden on the county’s already strained mental health system.

“If you think about an additional 100 individuals coming out of prison with schizophrenia, that’s an unstable population, so I’m really thinking this is dramatically going to impact our treatment system,” he added. “We will continue to do the very best with the resources we have.”

Recidivism is especially high for offenders with mental illnesses, Waterman said.

“The common scenario for a mentally ill individual leaving prison is to be dropped off at a train station and given 200 bucks, and local drug dealers know when they’re getting dropped off,” Waterman said. “By the time they get to Bakersfield, they’ve already spent the money on drugs, and they’re back on the streets. It takes them a few days to recidivate and go back.”

“It’s not a pretty picture if your son is caught in this loop,” he said. “It’s pretty maddening.”

Dana Toyama, a spokesperson for the state prison system, said any convicted felons who are determined to be a Mentally Disordered Offender will still go to state prison. Counties will not be receiving this level of inmate. But Waterman said many inmates who fall short of this designation still have mental health issues that are an obstacle to their successful placement back in the community.

Note: An earlier version of this story said the state would be releasing 34,000 low-level inmates. Actually, responsibility for that many newly sentenced inmates will be transferred to the counties over the next two years.

 

Ex-offenders may soon find a home in public housing

A New Way of Life founder Susan Burton (left) and Bobbie Annette Leigh in the backyard of one of the group's re-entry homes in the South LA community of Watts

By Robin Urevich

In California, many prisoners who are released from jails and prisons can’t go home to parents or spouses because of rules that bar ex-offenders from living in public or subsidized housing.

But those zero tolerance policies may be changing – at least in Los Angeles where the city housing authority has approved what is likely the first pilot program in the state aimed at reuniting ex-offenders and their families who live in Section 8 housing.

“We don’t want to consign people to homelessness and recidivism,” said Peter Lynn, who directs the Section 8 program at the Housing Authority of the City of Los Angeles.

The pilot program is expected to take shape in the coming months just as LA and other California counties struggle with a huge shift of non-violent, non-serious, non-sex offenders from state prison to county jail, and from state parole to county probation. The move is aimed at reducing prison overcrowding.

In the first year of the transfer Los Angeles County expects to either jail or supervise on probation 9,000 people who previously would have been sentenced to state prison or released on state parole.

“We want to see what we can do to assist with the re-entry of folks,” Lynn said.

Making a new life is tough for ex-offenders. It’s even harder without stable housing, said Susan Burton, who runs A New Way of Life, a live-in program that helps women transition from prison to life on the outside.

“Usually they don’t have a safe place. If they’d had one, they wouldn’t be there [in prison] in the first place,” Burton said.

Burton knows first-hand how hard life after prison can be. She served six prison terms over 25 years before finally getting help, and later founding A New Way of Life

“My son was accidentally killed …It was at the height of the crack epidemic,” she explained. “I started drinking and I ended up using drugs. I didn’t know how to deal with my grief.”

She recalls that after being released she would stay up for nights on end because she had no place to sleep.

The California Department of Corrections and Rehabilitation estimates that some 6.5 percent of parolees are homeless, but Burton said inadequate housing is a huge issue —along with mental health, education, job training.

“Can you imagine working out of your car?” Burton asked. “You have to have rest, a sense of security, clothing, showers, meals.”

Burton calls the new housing authority initiative groundbreaking.

The federal government also backs it. Last June, HUD Secretary Shaun Donovan sent a letter to the nation’s public housing authority directors urging them to consider allowing ex-offenders to rejoin family members in subsidized housing.

The Oakland Housing Authority has set aside 12 apartments for formerly incarcerated women who’ve completed a re-entry program while in county jail.

But, most big housing authorities in California have no immediate plans to change their policies.

“We just want to keep the residents safe,” said Linda Martin, a spokeswoman for the San Francisco Housing Authority explaining why the city housing authority generally bars people with criminal convictions for five years, while exercising some discretion in individual cases.

San Diego, Riverside, Sacramento and LA County have similar rules in place.

However in Sacramento, housing authority spokeswoman Angela Jones says her agency is aware of Donovan’s letter and uses discretion on a case-by-case basis.

Housing authorities in Santa Clara County, Oakland, and Fresno note that they are permitted to bar applicants with past criminal convictions, but don’t necessarily do so.

“It’s a complicated issue for residents,” said Catherine Bishop, a San Francisco-based attorney with the National Housing Law Project, noting that residents are usually the biggest opponents of relaxing rules that bar ex-offenders, because their safety is a big concern.

She notes that nationally, public housing rules toughened 15 years ago when then-President Bill Clinton advocated a One Strike and You’re Out policy in his 1996 State of the Union address. Tenants who dealt drugs or committed crimes should be evicted after a single offense, Clinton argued.

But Bishop said some housing authorities are rethinking the tough-on-crime approach.

New Haven, New York City and Chicago are either implementing programs that allow some ex-offenders in, or are considering such initiatives.

HUD Secretary Donovan’s letter notes, “this is an Administration that believes in second chances….Part of that support means helping ex-offenders gain access to one of the fundamental building blocks of a stable life – a place to live.”

In the city of LA, the pilot program would waive a bar against a still-to-be-determined number of ex-offenders with convictions in the past three years. Ideally participants would be identified before their release and would be required to join a re-entry program, Lynn said. And no one could be forced to take in a family member who’d been to prison.

“It’s very important to us that we don’t destabilize families in the program,” Lynn said.

At one of A New Way of Life’s homes, a sunny two-story on a residential street in Watts, 51-year old Bobbie Annette Leigh said she was released from prison in Chowchilla five months ago and went to live with her boyfriend who has a Section 8 voucher. But a few months later, he asked her to move because of the ex-offender prohibition.

“He said before they find out, I had to leave,” Leigh said. “We didn’t break up. We just parted.”

At A New Way of Life, Leigh is getting help with mental health issues and job searching. Once she strikes out on her own, LA’s new program could afford her an additional option she didn’t have when she was first released from prison.

 
 
 

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