Bay Area | HealthyCal - Part 2
 

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Violence and Faith in East Oakland

By Hilary Abramson

In the past three years, two bullets shattered the front window, a teenager was shot just outside and the downstairs neighbor was mugged. Before that, a woman’s lifeless body was unearthed from a dumpster less than a block away.

But this area of East Oakland — where the neighborhoods of Fruitvale and San Antonio meet — is where Dr. Joan Jie-eun Jeung chooses to live with her husband and their six-year-old son.

“I just can’t imagine living anywhere else,” says the 39-year-old, Harvard- educated pediatrician, who pronounces her first name Jo-anne. “Once I became a mother, I struggled with it…. We know we’re putting our son in harm’s way and wonder if he’ll forgive us…Some members of our church told us they’d be out of here if they could, and they don’t understand why we choose to live here.”

Joan, Russell and Matthew at the New Hope Covenant Church in Oakland one recent Sunday.

Their home is where 25 percent of the population lives below the poverty line and barely 50 percent of the adults graduated from high school. There are people who only go outside in daylight. But with more than 40 percent of the residents foreign-born, this community has African-American, Latino and Tongen churches, Southeast Asia American shopkeepers, and Euro-Americans. Language is lush with conversational Spanish, Cambodian, Vietnamese, Cantonese, Mien, Bosnian, and more recently, Burmese.

This community is what Joan Jeung, a Korean-American doctor, and husband Russell Jeung, a 47-year-old Chinese-American college professor, crave.

“Part of what we have to give our son,” says Joan Jeung, “is an education in justice, compassion, diversity, and community.”

After graduating from Harvard University, Joan Jeung completed UCSF School of Medicine and went on for a Masters of Science degree in social medicine from UC Berkeley. Russell Jeung, an associate professor in Asian American studies at San Francisco State University, received his education at Harvard, Stanford and UC Berkeley.

But the last thing they want for their son is a sense of entitlement.

“You can tell your kid about equity, but we’re trying to model it,” says Russell Jeung. “With my education, I was brought up to be competitive, not compassionate. I value compassion more and that’s what I want for Mathew, who will go to public schools.”

In his opinion, “Suburbia, where you mostly live for yourself, is more ‘dangerous’ than living here in community. Raising families together — cooking for each other and caring for each other’s kids — is ‘safer.’ And you don’t need to hire babysitters!”

The Jeungs are joined by other educated and employed parents who helped establish New Hope Covenant Church. A storefront church, it has social justice activist roots in the neighborhood dating back to the 1980s and immortalized in the recent documentary film, “The Oak Park Story.”

“We’re all asking what it means to be a good neighbor,” says Joan Jeung. “If you want to say you care about community, you have to share in the good and the bad.”

Good happens for them every Sunday morning, where an average of 45 adults and children (and often as many as 80) come together in a large meeting room at the offices of the Youth Employment Partnership, 2300 International Boulevard. The congregation has included social workers, high school dropouts, PhDs, ex-gangsters, teachers, refugees from Southeast Asia and Latin America, and “refugees from the suburbs” who, as Joan Jeung puts it, “are looking for a more radical and meaningful life.” Unable to find an evangelical Christian service like it, many drive there from other neighborhoods.

There is Dan Schmitz, 48, lay pastor of the congregation, who remembers calling his hometown, Burlingame, “Boringame,” because “nothing happened there.” His father was an engineer at Bechtel Corp. They were Catholics, he says, “who talked about the poor when we went to church, but there weren’t any poor people around.”

There is Carlos Flores, 39, a preventive health educator at nearby La Clinica de la Raza, who grew up in “a somewhat privileged home” in San Jose and graduated from UC Berkeley with a political science major.

Among others, including two Jeung house roommates who work in public interest law and a Christian ministry, there is a live-in commitment to this neighborhood that spans 15 years. It started with Schmitz, Russell Jeung and Flores living with Cambodian and Latino families in the Fruitvale Oak Park Apartments, where the landlord ignored raw sewage floods, leaky roofs, infestations of vermin, and mold. Along with a slew of attorneys, these newer tenants organized the others to file a lawsuit. After three years – in 2000 — 45 resident families shared a $1 million settlement. The apartments were rebuilt and the church transformed the crack house facing the street in front of the apartments into a pre-school.

Schmitz was the first non-refugee resident and only Caucasian. Then came Russell Jeung, who originally moved into the apartments to study Asian youth gangs for his master’s thesis in sociology and with the others organized tenants against drug dealers. Joan Jie-eun had moved into the neighborhood in 1999 and joined them tutoring, mentoring, cooking, praying, and establishing New Hope.

At first, 33-year-old Tracy Saephan viewed them as if they were outsiders. Born in Thailand, she was raised and lived in this East Oakland neighborhood most of her life.

“I was young when I met them, but I wondered what they wanted, what their ongoing commitment was. Long-term was five years to me, and I wondered if they were in it for the short-term. A lot of us who grew up in the neighborhood were exposed to things to make money like gangs, prostitution, drugs—easy stuff. For me, it was okay to have sex before marriage, not like what we want now for our children. We were surviving, not knowing what doing ‘the right thing’ was.

“It didn’t take that long to see that this group came in full of mercy for the community. You could feel their generosity. We started meeting at homes. Maybe there were 10 or 12 of us. They had the heart to bring us together. In time, there was such a big transformation with the Oak Park Apartments that it was clear they weren’t outsiders any more. They wanted to be with us. They were gifts to the neighborhood.”

Today, Saephan lives with her husband and three children seven miles away, near Diamond Park. She sells real estate and her husband runs his company that sweeps parking lots at night. On the church board of directors, she prays with her old neighborhood friends every Sunday.

Neighbors who are neither religious nor members of New Hope Covenant Church also accepted the Jeungs and their educated friends, according to Tane Oubkeo. Born in Thailand as well, the 28-year-old unemployed auto mechanic lived in the neighborhood since he was 5.

“After people experienced the incredible change with Oak Park, they accepted them as neighbors. Before Russell and Joan, you wouldn’t see white people walking around and saying hi to neighbors. Today, it’s more of a reality. There’s a block party every year and you can tell that that the founders of New Hope are neighbors, like everyone else.”

Before he met his wife and started attending the church, Oubkeo says he was a teenager involved in “drug dealing, gang banging, robbing, stealing cars.” He could have lost his life “maybe five or six times.” Saw a friend get shot in the head.

Once incarcerated for a week for joy riding, he started listening hard to rap artist Tupac Shakur on God. Oubkeo was primed to work and pray for forgiveness and change.

“I didn’t think much about Joan and Russell when I met them,” he says. “I realized that they could live anywhere—in the house in the hills, for instance. We’d go over to their house and they’d come over to ours. We had community dinners and hang out for each other’s birthdays. We have a genuine friendship, fellowship. Only in the body of Christ could someone like me and Russell hang out. No way we’d know each other in this world any other way. Without God, Russell would probably look down on me, who’s from the ghetto. But we see each other as brothers and sisters.

“Some church goers see each other on Sunday and just say, ‘hi’ and ‘bye.’ Not us. In this congregation, we know each other, we have deep conversations, we support each other, pray with and for each other. It really helps.”

These days, Oubkeo lives near Lake Merritt with his wife, Keo Kong, who grew up in the Oak Park Apartments, and their infant son and five-year-old daughter. They visit her parents often in the neighborhood and attend the church every Sunday.

Faith and violence

These Christian activists turn the tables on the stereotype that configures an Ivy League education into a formula for fame and fortune. They see East Oakland differently from outsiders, many of whom pigeonhole it as a place where people care little about improving their lives.

The doctor in their midst explains “the real story” with one word that Americans of every class understand: Stress.

Stress from lack of resources. Stress from broken families. Stress from unemployment. Stress from having to work multiple jobs. Stress from single parenthood, domestic violence, substance abuse, bankruptcy, poverty. Depression.

“Every parent wants the best for their child and it’s no different in this neighborhood,” Joan Jeung says. “Today, parents in better neighborhoods give their own money to schools. Here, parents don’t have enough money to do that. When this neighborhood fundraises, who gives? Others in the same situation.”

The physician resides in two worlds in East Oakland. She is a hospitalist at Children’s Hospital, where she cares for children who have to be kept in the hospital. She volunteers a few days a month with homeless children. She cares fulltime for Asian immigrants and refugees at the new Lake Merritt site of Asian Health Services, which dovetails with a needs assessment her husband is doing on refugees from Burma living in Oakland. For his part, Russell Jeung partners on this project with community groups such as Burmese Refugee Families Network, Street Level Health Project and the Asian Health Clinic.

And nearly every Wednesday night, Joan Jeung shares personal time with her women’s group.

“We talk about our families…I have learned so much hearing the ups and downs of living poor and/or undocumented, of living as a woman in what is still a largely patriarchal culture. It’s hard to remain apathetic when you see and feel the struggles of your friends and neighbors.”

Mental health issues are Joan Jeung’s focus when she speaks about what this area needs besides resources as basic as a playground. “As a physician as well as a resident, I’ve seen plenty of depressed and suicidal youth. I even remember an eight-year-old who made suicidal gestures with a kitchen knife. In clinic as well as in community, I’ve seen plenty of Post Traumatic Stress Disorder and other mental illness which clearly affects parenting. Domestic violence is common. I’ve often wished that we had mental health providers as well as regular social workers housed under the same roof so that referrals could be made immediately. That way, we could build a relationship between a counselors and parents who need to be convinced that their child is suicidal.”

Joan Jeung believes most in “wellness”—prevention before treatment becomes necessary. Clinics and schools should provide free, preventive programs such as anger and stress management, communication/conflict resolution, parenting and nutrition/fitness, she says.

“We need a system that creates preventive, inter-disciplinary care that meets the needs of the whole person and family, not just diseases in isolation. We need a system that doesn’t create long-term dependency, but cultivates the capacity of people to care for themselves and others.”

You don’t have to live in East Oakland to understand this, she says. But it helps.

Hilary Abramson is a veteran California journalist who has specialized in recent years in telling health policy stories.

 

Eating across a social divide

By Heather Tirado Gilligan

Driving across the commuter bridge that connects Marin County to the city of Richmond is not just a trip across the bay. It’s also a trip across a social divide.

On one side of the bridge, Marin’s rolling green hills and roadside bird sanctuaries are laced with trails and encourage biking, walking and running.

“You can get out to remote places really quickly out here on the road,” said Megan Acevedo, a mother of two in Marin. The bike trails that skirt the Bay by her home in Corte Madera have recently been renovated, and she often runs on trails that cut through scenic marshlands, Acevedo said.

Fresh produce abounds in Marin. Shoppers at Paradise Market, an upscale grocery store in Corte Madera, select from a bounty of healthy produce choices hand-picked by Manolo Aki, the store’s produce manager. He tastes the produce himself on midnight trips to a San Francisco wholesaler to make sure his customers have the sweet fruit they favor.

At Paradise Food in Corte Madera, shoppers are surrounded by a wealth of healthy options.

Drive over the Richmond Bridge, and you’ll find a very different environment. In poorer neighborhoods in Richmond, people are often afraid to walk outside or take their children to the park.

“If the environment isn’t safe, they don’t feel safe taking their kids to the park to participate in exercise activities,” said Rochelle Monk, a community affairs coordinator for the city of Richmond. “They don’t feel comfortable walking down the street, walking their dogs, even to participate in exercise activities.”

Low-income neighborhoods in the city also don’t have easy access to the good food abundant in neighboring Marin, which was recently ranked the healthiest county in California by the annual County Health Rankings. The lack of access to healthy food could be because fresh produce is harder to find in low-income neighborhoods in Richmond.

Quiet Nevin Park in Richmond's Iron Triangle.

“For every six outlets of unhealthy food in Richmond, there is one healthy outlet,” said Tracey Rattray, the director of the Community Wellness and Prevention Program for Contra Costa Health Service. Convenience stores and fast food restaurants are considered unhealthy outlets, while grocery stores and farmers markets are healthy. Richmond’s ratio is a sharp contrast to Marin, where healthy outlets outnumber the unhealthy nearly two to one.

Richmond residents like Tracy Reed wish there was more fresh food available in walking distance. Reed describes herself as a very healthy eater, and said that she always keeps fresh fruits and vegetables in her house, and even has a garden in her backyard. But there’s only one grocery store near her home.

“Just to go in and get a simple two to three things, you may stand in line for like thirty minutes,” Reed said.

And while Reed’s habits are healthy, the mother of six often has a hard time convincing her children to eat what she does: grilled or baked meat and lots of veggies. Despite her best efforts, two of her children are obese.

Richmond’s overall health is poorer compared to neighboring areas. Contra Costa County, where Richmond is the biggest city, suffers from significant health inequities, including a higher mortality rate for African Americans suffering from cancer, diabetes, and heart disease and the highest mortality rates for young people aged 15-24 in the Bay Area. Richmond fares even worse than the county overall on several counts, including the highest proportion of deaths from diabetes.

“Obesity and diabetes is a huge issue in Richmond and it’s increasing,” said LaShonda Wilson, a management analyst for the city of Richmond.

In response to these problems, the city of Richmond and local organizations have launched campaigns to increase access to healthy foods and encourage better eating habits. The city is incorporating a health and wellness element as it revamps its 10-year city plan, including policies that encourage developing a variety of food shopping choices in Richmond, urban agriculture and healthier food served in restaurants.

And local organizations are working to grow healthy food in the city, and distribute the food to residents through a community supported agriculture program. Urban Tilth started and manages several community gardens in Richmond, including one at Richmond High School.

Adam Boisvert, a program manager at Urban Tilth, and Jesse Alberto, the farm manager at Richmond High, are justifiably proud of the gardens behind the high school. On a recent visit to the garden, they pointed out some of their favorite crops. Raised beds held strawberry vines and pineapple sage, and purple collard greens grew in partial shade in a corner of the garden.

At the edge of the school grounds, students and community volunteers assembled raised beds that grow more standard fare. That’s why boxes of produce from the gardens are so popular that they have to be handed out by a lottery.

“Crops like onions, cilantro, tomatoes, potatoes, those are crops that everyone around here is familiar with and loves to eat. So we don’t really try to grow arugula,” Alberto said.

Local organizations like West County HEAL are also trying to put better food choices in front of Richmond residents. HEAL is a public/private collaboration funded by Kaiser Permanente that partners with local twenty-five business and organizations to bring better health to Richmond and San Pablo.

HEAL is focusing on two districts in Richmond, the 23rd Street corridor and North Richmond. Their goals include bringing better food into local workplaces, encouraging mothers to breastfeed and improving the quality of school lunches. HEAL also worked with stores along 23rd Street to accept payments from WIC, the federal government’s food assistance program for women, infants and children.

Discolandia is one of the small mom and pop stores along the Richmond thoroughfare that now brings better emphasis to healthy food choices. The store always had a good selection of traditional and healthy Latino food, according to Jorge Lerma, the liaison between HEAL and local stores. But they now stack healthy foods, like boxes of fresh mango and summer squash, in front of the checkout counter. Their produce aisle has better, brighter lighting, and their dairy cases hold baby formula, yogurt and milk alongside their queso fresco to comply with WIC regulations.

Discolandia moved more fruits and veggies to the checkout counter to encourage better eating.

These changes help provide what local Latinos need to resume the healthy diet that’s historically defined their culinary traditions, Lerma said.

But experts caution that better access to good food won’t be enough to bring Richmond residents the good health enjoyed in Marin. Studies about the connection between access to healthy food and better health show mixed results, according to Helen Lee, a researcher at the Public Policy Institute of California. Recent studies also show that there isn’t necessarily a link between obesity and fast food and convenience stores.

“Studies do show that low-income folks do tend to shop at grocery stores,” Lee said. “So they do have access and they do go…they are not always eating at 7-11 and fast foods.”

You can even find a healthy meal at fast food restaurants if you are inclined to, Lee said. But probably it wouldn’t taste as good typical fast food fare, which points to another challenge in promoting better heating habits: Why people eat what they eat is a complicated question. Even for well-educated consumers, nutritional value isn’t the only basis for our food choices.

“They are, in a way, comforting, salty and rich and fatty foods,” Lee said. “People of all classes like, for example, potato chips.”

For low-income families, buying food that tastes good to children and won’t go to waste is a priority.

“It might be true that bananas are really pretty cheap. Cabbage is cheap and it stays a long time. We can point to produce that actually isn’t that expensive. And that can feed a low-income family,” Lee said. “You know, if your kids don’t eat it, then it’s a waste of money.”

HEAL’s approach acknowledges that good health is about more than better food choices. Their scope is wider, enabled by their collaborations with city agencies, and includes an advisory role in developing the health and wellness component of the city plan. Part of HEAL’s emphasis is on developing better parks and encouraging people to exercise during the workweek. The city’s health and wellness plan has a component for safety that relies on the work currently underway at the Office on Neighborhood Safety.

“We’re looking to change the built environment,” said Coire Reilly, HEAL’s director. “If the environment is healthier then the people themselves will become healthier. That’s kind of our philosophy, our theory of change.”

Such a holistic approach may be what’s needed to eliminate the kind of gaping health disparities that exist between places like Marin and Richmond. Lee favors the Harlem Children’s zone model for improving health in historically impoverished areas.

“He addressed everything,” Lee said of Harlem Children’s Zone founder Geoffrey Canada. “Education. Health care. Crime. Safe streets. All things we know affect daily life, from the time you wake up till the time you go to bed.”

It’s unlikely to we’ll see such sweeping policy changes in this budget cycle, Lee said, but a unified policy approach that looks at all aspects of a healthy life if is ultimately what’s needed to improve the health of low-income neighborhoods.

Next: The connection between health and wealth.

 

Second Harvest fills Santa Clara County food gap

By Pam Marino

San Jose pediatrician Daniel Delgado has a big problem. His young patients – all from low-income families – are overweight or obese and in danger of developing diabetes. Many don’t have access to the fresh fruits and vegetables vital for better nutrition. How to connect his patients with the foods they so desperately need?

Dr. Daniel Delgado loads produce for low-income families at a Santa Clara County health center.

Delgado is hoping that some of that need will be met through monthly visits from Second Harvest Food Bank’s Produce Mobile to the East Valley Clinic of the Santa Clara County Valley Medical Center. The refrigerated truck is full of free, fresh produce reserved for qualified low-income families. It made its first-ever appearance at the clinic on Saturday, June 12 and will return the second Saturday morning of each month.

“It’s the very first county clinic site where this type of collaboration is happening,” Delgado said. “It’s groundbreaking.” He said he is very pleased that the clinic can now connect healthy food to patients at the same place they receive health care.

An estimated 200 families lined up to take advantage of the truck’s bounty on the first visit, including Beatrice Romero and her 10-year-old son, Sanny. Romero came at the invitation of a doctor at the clinic.

“I think it’s very good for my children and my money,” Romero said. “It’s a help.”

As Director of the Pediatric Healthy Lifestyles Center, Delgado spent two years working with officials from Second Harvest and Santa Clara County to make his vision of providing the fruits and vegetables to the clinic’s patients. Several obstacles had to be overcome, including the untangling of some bureaucratic red tape.

Two girls wait patiently for donated produce at a Santa Clara County health center.

Cindy McCown, Second Harvest senior director of programs and services, called their joint effort a “wonderful example of public and private partnership,” bringing together a county agency, a non-profit organization, and local churches.

The produce is donated to Second Harvest by local farmers, the California Association of Food Banks and Feeding America. In some cases the food bank pays for shipping of the produce, or they may pay farmers pennies per pound.

“This is food that would have been dumped,” McCown said at the event, pointing to dozens of boxes of various produce. As an example, she showed off nearly perfect hot house tomatoes that were blemished on their tops, making them unmarketable in stores.

Selection of produce varies by season; on the first clinic visit the selection included oranges, carrots, potatoes, bananas, nectarines and cherries. Simple to prepare recipes are provided in different languages, to give clients ideas about how to use the food.

Second Harvest has two donated trucks in the program, which was started in 2006. An estimated 32,000 people in Santa Clara and San Mateo counties benefit, McCown said. The trucks – brightly decorated with enticing photos of fresh food on the sides – visit a total of 49 sites, including schools, a dental clinic, a soup kitchen and churches.

Usually the agencies and organizations Second Harvest partner with have volunteers who can help oversee the produce distribution at each of the sites. But the East Valley Clinic does not have the people power, McCown said, which became a hurdle for bringing a truck there.

To overcome that issue, McCown turned to Second Harvest board member Pat Plant, who is also the Hunger Action Enabler for the Presbyterian Church (USA) and The Presbytery of San Jose. Plant found five churches willing to provide 22 volunteers to work at the clinic every month.

The partnership between the clinic and Second Harvest sprouted from a severe need that Delgado and fellow doctors see daily at the clinic. More than 30 percent of the children served by the East Valley Clinic are overweight. Most have developed insulin resistance or pre-diabetes and need fresh produce for the fiber and nutrients that will prevent them from developing diabetes in the future.

“People look at an overweight person and they think they are a glutton and are eating too much,” Delgado told me. “That’s not true. There’s a huge disparity in what people eat and how they eat.”

Some of the issues facing Delgado’s patients include things like “food insecurity,” which means being insecure about access to food due to lack of money. This can lead to things like hoarding food or overeating when there is access, and buying lower cost and lower quality food. Second Harvest officials also point to “food deserts” or entire low-income sections of cities where there is little or no access to large supermarkets that carry fresh, high quality produce at lower prices.

Delgado said there are grocery stores in East San Jose, but he called the produce available “suboptimal.” He also said that families already strapped for cash will hesitate to buy fresh vegetables out of a fear that their kids won’t eat them, meaning the money will be wasted. He hopes that the access to free produce will take away that worry, “and that will improve habits,” he said.

It’s also very common that at certain times of the month, families might not have the money to purchase food. The clinic’s doctors often refer patients to Second Harvest, which provides free food to families that qualify.

For the first mobile visit, Delgado said clinic doctors invited patients from the healthy lifestyles center, the pediatric and obstetrics departments and a department that cares for diabetic pregnant women, called PEP Services, or Perinatal Evaluation and Procedures. Delgado called targeting kids and moms-to-be first a “no brainer.” He said they will invite more of the clinic’s patients as the program continues.

Despite overcoming obstacles to bringing the truck to the clinic, one more obstacle still exists. Delgado said some patients may be embarrassed or ashamed to take free food. To overcome that fear, the clinic is trying to make the event more about health than handouts.

“By tying it to the health of their children or unborn child, we’re trying to help overcome that stigma,” Delgado said.

McCown is optimistic that patients will take advantage of the free produce. She called trust a huge issue for low-income clients and thinks they will trust the doctors who are urging them to participate. She also lauded Delgado for working to make the Produce Mobile a reality at the clinic.

“Without Dr. Delgado’s vision it would not be happening.”

 

Oakland high schools showcase student work on big issues

Photo by Debi Mason.

From OaklandLocal.com

Oakland Unified School District’s Excel and Mandela high schools have found the right formula to keep students engaged and invested in educations – and they are sharing it with the public.

With a focus on public service, Excel High School’s senior class recently stood before the student community and the public and discussed, presented the facts and defended their dissertations on varied topics. Some of these included teen pregnancy, homelessness, the affects of drugs and alcohol on families, single-parent households, literacy and even police violence.

As the students nervously waited their turns during the May 14 event, they all said that the reason they chose a particular topic was because they are presently living in the situation, they know a family member that has been through it and/or the topic is deeply personal.

Laryonda Ward, a 17-year-old St. Mary’s college-bound senior, addressed the issue of teen pregnancy.

“The media is still glamorizing teen pregnancy through shows like 16 and Pregnant and Juno,” she said. “When kids see these shows they don’t see the truth about how your life, your education, everything stops because you have a baby that you have to take care of.”

When asked why he chose the subject of police brutality, Asjonti Kirk, 18, told a harrowing story of how his grandmother and uncle were stopped by the police and physically pulled from a car when they were mistakenly identified as carjackers. Because of this, Kirk said, “I will probably attend a two-year college before going on to university to major in criminal justice.”

Senior Advisor, Rachel Hereford said that the students were expected to volunteer at a variety of nonprofit organizations to learn first-hand how these organizations are addressing the need within the community for support services and information on their chosen area of study. Principal Yetunde Reeves said the knowledge gained through the study of many of these issues has strengthened each of the students so that becoming a statistic is less of an option.

No one epitomizes this more than Robert Brigham, 18, who will attend Chabot College next year. He chose as his topic single-parent households. He said he was raised by his mother and through some difficult struggles, he became more and more determined to stay in school and has used sports to battle his own periods of depression and to stay motivated to do the right thing.

More than 80 percent of this year’s graduates are going on to two- or four-year colleges, which speaks loudly of the tireless efforts of dedicated teachers, principals and staff to give each student an extra push toward pursuing a higher education.

If you would like to sit in on the presentations, it is not too late. Students will hold another round of presentations from 1:30 to 3:30 p.m. Friday, May 21. Excel High School is located at 2617 Myrtle St. in West Oakland. For details, email Tess Lantos at tesslantos@gmail.com.

Mandela High will conduct its senior project evaluations at 3:20 p.m. Tuesday, May 25, and at 1:35 p.m. Wednesday, May 26. The emphasis this year has been on the study of law and public service and students will use argument along with hands-on demonstrations to bring home the point of one of Nelson Mandela’s more famous quotes, “Education is the most powerful weapon which you can use to change the world.”

Outside observers are encouraged to attend. Mandela High is located at 4610 Foothill Blvd. in Oakland. Contact Randall Bustamante at bustamor@yahoo.com for more information.

This story was originally published at oaklandlocal.com

 

A different kind of Youth Uprising

By Daniel Weintraub

The numbers are all too familiar in East Oakland. Nearly one quarter of the community’s residents live in poverty. Unemployment is 27 percent. The teen birth rate is three times the Alameda County average. And all of this in the context of greater Oakland, where the high school drop out rate is 44 percent and homicide is the leading cause of death for young people age 15 to 24.

Amid this crisis, the Youth Uprising center on MacArthur Boulevard, spotlighted by US Attorney General Eric Holder Tuesday, stands like an oasis of hope.

Created five years ago with funding from the Alameda County Health Services Department in a building that was once a health center, Youth Uprising now serves about 5,000 registered members and 250 to 350 daily visitors.

A mural at the Youth Uprising Center in East Oakland depicts a community torn by youth violence.

The center has a dizzying array of services. Counseling. Health care. Job training and readiness, including a closet full of clothes for member to borrow for job interviews. A computer lab with 20 Internet-linked machines. A music production center, dance hall and, soon, a skateboard park and basketball court. The youth at Youth Uprising even run two businesses — a cafe and a data processing service for technology firms.

All of this is centered around a theme of violence prevention. This is done overtly through counseling, mediation and restorative justice programs, but it is also woven into everything the center does. The violence prevention team, for example, sits at cubicles in the middle of the music production center.

“We’re a center that believes in community and community transformation and the power of young people to do that,” said Omana Imani, Youth Uprising’s deputy director.

The center trains youth to think and talk about what is happening in the world and in their neighborhood, and leads them to think about how they can make change. It gives them opportunities to personally transform their own lives, and it gives them job skills that can carry them into a productive future.

Clarence Thomas, music production coordinator at Youth Uprising, works with two youths on a new number.

“They can see that they can make decisions that change their lives, and that gives them hope and a vision for the future,” Imani said. “Getting people to invest in a vision for themselves can be tricky when they come in with so little hope.”

Antoinette Wilson was in that position. Now 21, Wilson first came to Youth Uprising when she was 16 to compete in the center’s “Dance Battles.” The child of an alcoholic mother and a father who has been in jail for most of her life, Wilson left her adoptive mother and was living on the streets. She had been repeatedly suspended from school for fighting. Her life was going nowhere, in other words.

“I used to be very angry,” she said. “I was rebellious. After I came here everything started to come way easier.”

After getting hooked on the center through the dance program, Wilson got counseling, she says, “without really knowing it.” Later, she attended a women’s retreat.

Antoinette Wilson, dance choreographer at the Youth Uprising Center

“I learned how to talk about what was bothering me,” she said.

“In talking to people who had been through far worse situations than me I could see there was a hope,” she said. “They showed me, your problems are because of you, not nobody else.”

Wilson got a job as a janitor at the center, and has since become a dance choreographer.

“A lot of kids in Oakland are hurting,” Wilson said. “They don’t know how to show it. You can do that here. Here I feel protected. I’ve never felt so protected in my life. When we come to the center we feel like a family. This is a really safe place.”

Marcus Churchwell, who works for the center’s cafe, had a similar experience. He first came to Youth Uprising because the football coach at neighboring Castlemont High wanted his players occupied in the hour between the end of classes and the start of practice.

He later returned on his own and went through leadership training.

“This place helps people stay out of trouble,” Churchwell said. “People who see each other on the streets and might give each other trouble, they come here and don’t even pay attention to each other. It’s like a big family here.”

Marcus Churchwell, cafe worker at the Youth Uprising Center in East Oakland.

Nicole Lee, director of Urban Peace Movement, a local nonprofit that works with high-risk youth on violence prevention, said Youth Uprising is part of a broader effort to transform the “culture of violence” in Oakland.

The idea, she said, is to work from the ground up to rebuild community ties so that people see there is an alternative to violence. And that starts with youth.

“We’re training young people to be ambassadors, to spread a culture of peace,” she said. “We’re trying to get people out of their houses and talking to each other. We need to provide young people with opportunities and prevention instead of only dealing with the crises on the back end.”

Later this year, the center will host a special program through which 400 Oakland police officers will meet in groups of 12 weekly with 18 area youths. Called “Code 33″ — the police code for “Emergency, Clear the Air” — the program aims to bridge what can be a huge divide between the police and the community, especially young people.

“They will begin to talk about how they perceive each other, what they think of each other,” said Jacky Johnson, who came to the center as a youth and is now its manager of outreach and events. “We’re hoping the police will be able to take that back to their work and approach young people with the new knowledge that they have.”

Police Chief Anthony Batts said he hopes the program helps “build relationships” with young people so “we are not just dealing with suppression.”

Holder, the nation’s top law enforcement officer, agrees. He came to Youth Uprising Tuesday for a closed-door round table discussion with local officials, community leaders and youth. Afterward, he said he is a big supporter of programs that seek to help create conditions that can reduce violence or stop it before it starts.

“The Justice Department is not only about enforcement,” he said. “Prevention has to be a part of effective justice programs.”

 

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

 

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.”

 

Flood of new patients forces SF General to innovate

Editor’s Note: This is the sixth part of a series on the Healthy San Francisco program, which provides nearly universal health care for the city’s residents. Each part of the series will examine the program through the eyes of different people in the community, including a patient, a doctor who runs a clinic, two employers with different views of the program, and a hospital administrator. To see the entire series, go here.

By Richard C. Paddock

Ronald Pickens, chief operating officer at SF General Hospital. Photo by Richard C. Paddock.

For hospital administrator Roland Pickens, Healthy San Francisco offers more than universal health care and coverage for the city’s uninsured. The three-year-old city program also is inspiring new approaches to streamlining medical care.

Pickens, chief operating officer of San Francisco General Hospital, said the city health care program has led to innovations that include evening and weekend clinics, better care of patients with chronic conditions, electronic referrals that speed up the appointment process and a teleconferencing system that has doubled the availability of interpreters.

“That’s the beauty of Healthy San Francisco,” he said. “It has done so much in enlisting ideas of what we can do better in serving our patient population.”

The hospital has come up with new ideas out of necessity. Its caseload has mushroomed with Healthy San Francisco; more than 8,000 patients have chosen the public hospital as their medical home. At the same time, the creation of Healthy San Francisco made the hospital eligible for a state grant of $20 million for innovation in medical care over three years.

“It requires that you not do business as usual,” Pickens said. “Everyone recognizes that our health care system is broken, it’s inefficient, and we need to look at new ways of delivering care.”

Pickens, 47, took over as chief operating officer in October. He says it is the job he has wanted ever since he was a boy and watched his elder brother undergo treatment for cancer. Pickens attended a specialized high school in Houston for medical professionals. His first job was as a nurse’s assistant while he was a high school junior.

“Some people grow up going, ‘I want to be a doctor,’” he said. “I grew up going, ‘I want to be a hospital administrator.’”

Pickens came to California from Texas in 1989 and quickly embraced the philosophy of providing adequate public assistance to those who need it – the approach embodied in Healthy San Francisco.

The challenge now at San Francisco General -– an overcrowded public facility in the midst of a major rebuilding project -– is to make the best use of the hospital’s limited resources.

“It’s so crowded here we have people in offices that used to be bathrooms,” Pickens said.

To maximize space and accommodate its growing caseload, the hospital expanded clinic hours to weekday evenings. Clinics will eventually open on Saturdays too.

The hospital also has implemented several strategies to reduce patient waiting time.

It has redesigned the way it provides care to patients with chronic conditions. Rather than sending all patients with chronic conditions to specialists around the hospital, some specialists are now stationed in primary care clinics, including orthopedists, endocrinologists, and cardiologists. Nurse practitioners trained in various specialties are also on hand to see patients.

Electronic referrals speed up the process of scheduling appointments. And teleconferencing makes more effective use of the hospital’s interpreters, who speak 20 languages.

Previously, interpreters would roam around the sprawling hospital to meet patients for appointments. Getting a doctor and interpreter together at the same time could mean waits of up to two hours for patients.

Now the interpreters remain in their offices two blocks away and join in by video. The system has reduced waits dramatically and increased the number of sessions interpreters can work from two to four an hour.

“By using technology, we take out the inefficiency of the old system,” Pickens said. “The response has been overwhelmingly positive.”

 
 
 

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