Newsom Celebrates Proposition 1 Victory After 'Sleepless Weeks'
Proposition 1 Update: Gavin Newsom’s Mental Health Plan Maintains Slim Lead
Newsom Sees Prop. 1 As A Chance to Finally Meet the Needs of Mentally Ill Californians
SF Close to Reaching Goal of 400 New Residential Treatment Beds, but Major Obstacles to Care Remain
Homelessness, Mental Illness and Drug Addiction: Prop. 1 Takes Aim at All 3
Bill Would Let Therapists and Social Workers Decide When to Confine Mentally Ill Californians for Treatment
Layoffs: How to Prioritize Your Mental Health After Losing Your Job, From Telling Family to Self-Care
California Leans on Larger Health System to Sustain Mental Health Services in Schools
Returning to Joy: A Personal Story from Ericka
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Sydney is a graduate of the University of California, Berkeley and lives in San Francisco.","avatar":"https://secure.gravatar.com/avatar/97855f2719b72ad6190b7c535fe642c8?s=600&d=blank&r=g","twitter":"sydneyfjohnson","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]}],"headData":{"title":"Sydney Johnson | KQED","description":"KQED Reporter","ogImgSrc":"https://secure.gravatar.com/avatar/97855f2719b72ad6190b7c535fe642c8?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/97855f2719b72ad6190b7c535fe642c8?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/sjohnson"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"news","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"news_11980415":{"type":"posts","id":"news_11980415","meta":{"index":"posts_1591205157","site":"news","id":"11980415","score":null,"sort":[1711063855000]},"guestAuthors":[],"slug":"newsom-celebrates-proposition-1-victory-after-sleepless-weeks","title":"Newsom Celebrates Proposition 1 Victory After 'Sleepless Weeks'","publishDate":1711063855,"format":"standard","headTitle":"Newsom Celebrates Proposition 1 Victory After ‘Sleepless Weeks’ | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Gov. Gavin Newsom celebrated the passage of Proposition 1 on Thursday after his ambitious proposal to reshape care for Californians grappling with behavioral health issues and homelessness won narrow approval from voters following more than two weeks of vote counting.\u003c/p>\n\u003cp>“Change has its enemies, change is tough, change is hard,” Newsom said at a press conference in Los Angeles. “These have been a few long weeks, sleepless weeks.”\u003c/p>\n\u003cp>The measure authorizes the state to borrow nearly $6.4 billion to build residential treatment facilities and affordable apartments while also earmarking a greater share of future mental health dollars for housing.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"California Gov. Gavin Newsom\"]‘Change has its enemies, change is tough, change is hard. These have been a few long weeks, sleepless weeks.’[/pullquote]After breathing a sigh of relief that Proposition 1 was able to survive an unfriendly primary electorate, Newsom aimed much of his remarks at the county governments who will be tasked with implementing many of the measure’s provisions. The governor acknowledged his legacy would hinge in part on the rollout of the measure and related programs at the intersection of behavioral health and homelessness.\u003c/p>\n\u003cp>“I’ve got three more years here, roughly, to prove that we can make a dent in this,” Newsom said.\u003c/p>\n\u003cp>The \u003cem>Associated Press\u003c/em> called Proposition 1’s victory late Wednesday. The measure currently leads by just under 30,000 votes — out of more than 7 million ballots cast.\u003c/p>\n\u003cp>A broad bipartisan coalition backed Proposition 1, and supporters vastly outspent a mostly volunteer group of opponents. However, the low turnout in the primary resulted in an electorate that skewed conservative. These voters may have looked askance at the billions in borrowing that the measure proposed, political strategist Marva Diaz said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“They had an uphill climb here with — there’s a budget deficit, prices are pretty high right now for families and we’re asking them to then say yes on a bond,” said Diaz, the owner and publisher of the California Target Book. “That perfect storm just made it very, very difficult but they ended up pulling it off and it passed.”\u003c/p>\n\u003cp>Diaz also pointed to the measure’s complexity: In addition to the bond, Proposition 1 will rework the Mental Health Services Act, in part by expanding services to Californians with substance use challenges and setting aside 30% of the act’s revenue for housing.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11980236,news_11979822,news_11977998\"]“It’s always easier to run a ballot measure that is extremely simple and clear to voters,” she said. “The more they have to research, the more they have to unpack, the more they have to figure out themselves, the harder it is to get them to vote yes.”\u003c/p>\n\u003cp>On Thursday, Newsom said voters may have been skeptical that the housing promised by Proposition 1 would be built quickly, citing the slow rollout of previous state bonds. But the governor pointed to language in the measure that will allow projects to skip environmental review.\u003c/p>\n\u003cp>“We’re going to start putting out notices for funding availability in just a matter of months, the first ones come out in October,” Newsom said. “That’s unprecedented in California history.”\u003c/p>\n\u003cp>With funding secured, Newsom turned his attention to California’s county governments, who will largely be tasked with implementing the new behavioral health law.\u003c/p>\n\u003cp>“We’ve done our job, now the cities and counties need to step up,” Newsom said.\u003c/p>\n\u003cp>Many of those same counties opposed Proposition 1, fearing that the new focus on housing would reduce funding for the counseling, screening and preventative programs that counties currently bankroll.\u003c/p>\n\u003cp>Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association, applauded the new investments in housing but said, “Such a massive shift in our behavioral health care system will take time.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Paul Simmons, 'no' campaign leader and former executive director, Depression and Bipolar Support Alliance California\"]‘We’re going to try to hold [the Newsom administration’s] feet to the fire to make sure that things aren’t cut or that they have to own up to the cuts that are made.’[/pullquote]“Adding new focus and requirements to fund housing placements and substance use disorder services from a source of funding previously dedicated to mental health services will require counties to work in partnership with the state and local communities to identify solutions for the legacy mental health programs currently funded through the MHSA,” Cabrera said in a statement.\u003c/p>\n\u003cp>Leaders of the campaign against Proposition 1 said they were now bracing for cuts to existing mental health programs, particularly support networks led by Californians with lived experience with behavioral health challenges.\u003c/p>\n\u003cp>“Anything that says ‘peer’ next to it is endangered,” said Paul Simmons, a leader of the no campaign and former executive director of Depression and Bipolar Support Alliance California.\u003c/p>\n\u003cp>“We’re going to try to hold [the Newsom administration’s] feet to the fire to make sure that things aren’t cut or that they have to own up to the cuts that are made,” Simmons said.\u003c/p>\n\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Governor challenges California counties to implement historic bond and changes to mental health funding.","status":"publish","parent":0,"modified":1711125097,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":906},"headData":{"title":"Newsom Celebrates Proposition 1 Victory After 'Sleepless Weeks' | KQED","description":"Governor challenges California counties to implement historic bond and changes to mental health funding.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Newsom Celebrates Proposition 1 Victory After 'Sleepless Weeks'","datePublished":"2024-03-21T23:30:55.000Z","dateModified":"2024-03-22T16:31:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11980415/newsom-celebrates-proposition-1-victory-after-sleepless-weeks","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Gov. Gavin Newsom celebrated the passage of Proposition 1 on Thursday after his ambitious proposal to reshape care for Californians grappling with behavioral health issues and homelessness won narrow approval from voters following more than two weeks of vote counting.\u003c/p>\n\u003cp>“Change has its enemies, change is tough, change is hard,” Newsom said at a press conference in Los Angeles. “These have been a few long weeks, sleepless weeks.”\u003c/p>\n\u003cp>The measure authorizes the state to borrow nearly $6.4 billion to build residential treatment facilities and affordable apartments while also earmarking a greater share of future mental health dollars for housing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘Change has its enemies, change is tough, change is hard. These have been a few long weeks, sleepless weeks.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"California Gov. Gavin Newsom","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>After breathing a sigh of relief that Proposition 1 was able to survive an unfriendly primary electorate, Newsom aimed much of his remarks at the county governments who will be tasked with implementing many of the measure’s provisions. The governor acknowledged his legacy would hinge in part on the rollout of the measure and related programs at the intersection of behavioral health and homelessness.\u003c/p>\n\u003cp>“I’ve got three more years here, roughly, to prove that we can make a dent in this,” Newsom said.\u003c/p>\n\u003cp>The \u003cem>Associated Press\u003c/em> called Proposition 1’s victory late Wednesday. The measure currently leads by just under 30,000 votes — out of more than 7 million ballots cast.\u003c/p>\n\u003cp>A broad bipartisan coalition backed Proposition 1, and supporters vastly outspent a mostly volunteer group of opponents. However, the low turnout in the primary resulted in an electorate that skewed conservative. These voters may have looked askance at the billions in borrowing that the measure proposed, political strategist Marva Diaz said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“They had an uphill climb here with — there’s a budget deficit, prices are pretty high right now for families and we’re asking them to then say yes on a bond,” said Diaz, the owner and publisher of the California Target Book. “That perfect storm just made it very, very difficult but they ended up pulling it off and it passed.”\u003c/p>\n\u003cp>Diaz also pointed to the measure’s complexity: In addition to the bond, Proposition 1 will rework the Mental Health Services Act, in part by expanding services to Californians with substance use challenges and setting aside 30% of the act’s revenue for housing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11980236,news_11979822,news_11977998"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“It’s always easier to run a ballot measure that is extremely simple and clear to voters,” she said. “The more they have to research, the more they have to unpack, the more they have to figure out themselves, the harder it is to get them to vote yes.”\u003c/p>\n\u003cp>On Thursday, Newsom said voters may have been skeptical that the housing promised by Proposition 1 would be built quickly, citing the slow rollout of previous state bonds. But the governor pointed to language in the measure that will allow projects to skip environmental review.\u003c/p>\n\u003cp>“We’re going to start putting out notices for funding availability in just a matter of months, the first ones come out in October,” Newsom said. “That’s unprecedented in California history.”\u003c/p>\n\u003cp>With funding secured, Newsom turned his attention to California’s county governments, who will largely be tasked with implementing the new behavioral health law.\u003c/p>\n\u003cp>“We’ve done our job, now the cities and counties need to step up,” Newsom said.\u003c/p>\n\u003cp>Many of those same counties opposed Proposition 1, fearing that the new focus on housing would reduce funding for the counseling, screening and preventative programs that counties currently bankroll.\u003c/p>\n\u003cp>Michelle Doty Cabrera, executive director of the County Behavioral Health Directors Association, applauded the new investments in housing but said, “Such a massive shift in our behavioral health care system will take time.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘We’re going to try to hold [the Newsom administration’s] feet to the fire to make sure that things aren’t cut or that they have to own up to the cuts that are made.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Paul Simmons, 'no' campaign leader and former executive director, Depression and Bipolar Support Alliance California","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“Adding new focus and requirements to fund housing placements and substance use disorder services from a source of funding previously dedicated to mental health services will require counties to work in partnership with the state and local communities to identify solutions for the legacy mental health programs currently funded through the MHSA,” Cabrera said in a statement.\u003c/p>\n\u003cp>Leaders of the campaign against Proposition 1 said they were now bracing for cuts to existing mental health programs, particularly support networks led by Californians with lived experience with behavioral health challenges.\u003c/p>\n\u003cp>“Anything that says ‘peer’ next to it is endangered,” said Paul Simmons, a leader of the no campaign and former executive director of Depression and Bipolar Support Alliance California.\u003c/p>\n\u003cp>“We’re going to try to hold [the Newsom administration’s] feet to the fire to make sure that things aren’t cut or that they have to own up to the cuts that are made,” Simmons said.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11980415/newsom-celebrates-proposition-1-victory-after-sleepless-weeks","authors":["227"],"categories":["news_8"],"tags":["news_6317","news_32839","news_16","news_4020","news_1775","news_2109","news_17968","news_17101"],"featImg":"news_11980424","label":"news"},"news_11978919":{"type":"posts","id":"news_11978919","meta":{"index":"posts_1591205157","site":"news","id":"11978919","score":null,"sort":[1710191366000]},"guestAuthors":[],"slug":"prop-1-update-gavin-newsoms-mental-health-plan-maintains-slim-lead","title":"Proposition 1 Update: Gavin Newsom’s Mental Health Plan Maintains Slim Lead","publishDate":1710191366,"format":"standard","headTitle":"Proposition 1 Update: Gavin Newsom’s Mental Health Plan Maintains Slim Lead | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>California voters, by a thin margin, are favoring Gov. Gavin Newsom’s $6.4 billion plan to build mental health treatment beds and housing through a ballot measure that he characterizes as critical to addressing the state’s homelessness crisis.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/mental-health/2023/09/gavin-newsom-mental-health-2024-election/\" target=\"_blank\" rel=\"noreferrer noopener\">Proposition 1 is a two-part ballot initiative\u003c/a>. It includes a bond to build treatment facilities and \u003ca href=\"https://calmatters.org/health/mental-health/2023/09/gavin-newsom-mental-health-2024-election/\" target=\"_blank\" rel=\"noreferrer noopener\">permanent supportive housing for people with mental health\u003c/a> and addiction challenges. It also proposes changes to a longstanding tax on personal incomes over $1 million, known as the Mental Health Services Act, by requiring counties to spend 30% of that revenue on housing instead of other services.\u003c/p>\n\u003cp>\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11978927\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM.png\" alt=\"\" width=\"1576\" height=\"382\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM.png 1576w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM-800x194.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM-1020x247.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM-160x39.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM-1536x372.png 1536w\" sizes=\"(max-width: 1576px) 100vw, 1576px\">\u003c/a>\u003cbr>\nAs of 9:15 a.m., Monday, with about 5.4 million votes counted, the measure is leading by 50.3% to 49.7%.\u003c/p>\n\u003cp>Newsom has previously said Proposition 1 will help California fulfill a decadeslong promise to get “people off the streets, out of tents and into treatment.”\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/mental-health/2024/03/proposition-1-gavin-newsom/\" target=\"_blank\" rel=\"noreferrer noopener\">The Yes on Proposition 1 campaign\u003c/a> amassed a nearly $21 million war chest for the ballot measure, drawing support from law enforcement groups, major health care organizations and the mental health advocacy group NAMI California.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[aside postID=\"news_11977998,news_11975170\" label=\"Related Stories\"]“This is exactly where we thought we’d be,” Anthony York, a spokesman for the Yes on Proposition 1 campaign, said on Wednesday. “There are 2 to 3 million ballots outstanding. I’d say we’re cautiously optimistic.”\u003c/p>\n\u003cp>In contrast, the opposition campaign raised very little money. Opponents are led by clients of mental health services and some small mental health agencies who worry their programs could lose funding if the measure passes. Others, including the Howard Jarvis Taxpayers Association, opposed the measure because of its cost.\u003c/p>\n\u003cp>Paul Simmons, executive director of the opposition campaign, struck a hopeful tone as early votes started rolling in Tuesday night.\u003c/p>\n\u003cp>“We expected to be further behind in the early voting,” Simmons said. “This being at 51% or 50% is very encouraging to me.”\u003c/p>\n\u003cp>Recent polling casts uncertainty over what many initially considered an easy win for the governor. Fifty percent of likely voters supported the measure a week ago, according to the latest poll by \u003ca href=\"https://escholarship.org/content/qt9qm0g9w3/qt9qm0g9w3.pdf?t=s9mlwp\" target=\"_blank\" rel=\"noreferrer noopener\">UC Berkeley’s Institute of Governmental Studies\u003c/a>. The poll tallied opposition at 34% and undecided at 16%.\u003c/p>\n\u003cp>Proposition 1 needs a simple majority of the vote to pass.\u003c/p>\n\u003cp>Jon Coupal, executive director of the Howard Jarvis Taxpayer Association, said the results so far show that Californians are concerned about government spending.\u003c/p>\n\u003cp>“This has two strikes. No. 1, it was a bond measure. People are sensitive right now to government debt. A lot of people had the reaction of, ‘I’m all for helping the homeless, but do we really need a bond to do this?’\u003c/p>\n\u003cp>“Then secondly, I think people are well aware of the billions of dollars we have thrown at \u003ca href=\"https://calmatters.org/housing/2023/02/california-homelessness-spending-report/\" target=\"_blank\" rel=\"noreferrer noopener\">homelessness and mental health\u003c/a> and the problem just seems to get worse, so I think people may look at that and say, you’re asking for more money, and you’re not demonstrating any results,” he said.\u003c/p>\n\u003cp>Here’s a look at what the measure would do.\u003c/p>\n\u003ch2>What does Proposition 1 promise?\u003c/h2>\n\u003cp>The dual bond measure and change to California’s so-called “millionaire’s tax” are Newsom’s attempt to increase the state’s mental health and addiction treatment capacity and get people living in encampments into stable housing.\u003c/p>\n\u003cp>The number of unhoused Californians had ballooned to 181,000 people in 2022 during the most recent point-in-time count, a 60% increase over the past decade. \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\" target=\"_blank\" rel=\"noreferrer noopener\">New research from UCSF\u003c/a> estimated that more than 21,000 homeless people currently experience hallucinations. Meanwhile, the number of \u003ca href=\"https://calmatters.org/wp-content/uploads/2019/04/CHA-Psych-Bed-Data-Report-Sept.-2018.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">acute care mental health hospital beds\u003c/a> decreased by at least 30% between 1995 and 2016, according to the California Hospital Association.\u003c/p>\n\u003cp>The bond measure is supposed to build a combined 11,150 treatment beds and housing units, with some set aside for veterans.\u003c/p>\n\u003ch2>Where will the money go?\u003c/h2>\n\u003cp>Money raised by the bond would be funneled into two existing state programs: the Behavioral Health Continuum Infrastructure Program and Project Homekey.\u003c/p>\n\u003cp>The behavioral health program would get a $4.4 billion infusion to build 6,800 in-patient mental health and substance use disorder treatment beds. The Department of Health Care Services will award grants to counties and local organizations to construct, acquire and expand treatment capacity. To date, the department has awarded more than $1.6 billion to a variety of programs, including \u003ca href=\"https://www.infrastructure.buildingcalhhs.com/\" target=\"_blank\" rel=\"noreferrer noopener\">crisis care and children’s facilities,\u003c/a> as part of a pre-existing budget investment.\u003c/p>\n\u003cp>Project Homekey would get $2 billion to build 4,350 units of supportive housing for people with mental health and addiction challenges. A little more than half of the units will be reserved for homeless veterans. Project Homekey is an \u003ca href=\"https://calmatters.org/housing/2020/11/newsom-pandemic-beat-homelessness/\" target=\"_blank\" rel=\"noreferrer noopener\">extension of Newsom’s pandemic-era efforts to house people\u003c/a> living in encampments during the height of the COVID-19 pandemic. The state budget previously gave the Department of Housing and Community Services $736 million to convert hotels, motels and other buildings into housing.\u003c/p>\n\u003ch2>How much will it cost?\u003c/h2>\n\u003cp>Bonds allow government agencies to borrow money and repay debt over time. Proposition 1 is estimated to cost $310 million annually over 30 years, totaling $9.3 billion, according to the nonpartisan \u003ca href=\"https://lao.ca.gov/BallotAnalysis/Proposition?number=1&year=2024\">Legislative Analyst’s Office\u003c/a>. Payments would be made from the state general fund.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/politics/capitol/2024/02/california-budget-deficit-balloons/\">California faces state budget cuts\u003c/a> for the second consecutive year, with some estimates projecting a $73 billion shortfall.\u003c/p>\n\u003ch2>What other changes have happened recently?\u003c/h2>\n\u003cp>Newsom has made mental health a signature issue. If Proposition 1 passes, it would represent another milestone in his \u003ca href=\"https://calmatters.org/health/mental-health/2024/02/california-mental-health-history/\" target=\"_blank\" rel=\"noreferrer noopener\">overhaul of California’s behavioral health system\u003c/a>.\u003c/p>\n\u003cp>Last year, Newsom signed a law easing restrictions on California’s decades-old conservatorship law, which limits who can be placed in \u003ca href=\"https://calmatters.org/health/2023/10/california-mental-health-involuntary-treatment-law/\" target=\"_blank\" rel=\"noreferrer noopener\">involuntary treatment programs\u003c/a>.\u003c/p>\n\u003cp>In 2022, his signature mental health push established a special \u003ca href=\"https://calmatters.org/housing/2023/08/care-court-california-start/\" target=\"_blank\" rel=\"noreferrer noopener\">court system to compel people with untreated mental health\u003c/a> and addiction challenges into treatment programs.\u003c/p>\n\u003cp>And in 2021, Newsom poured more than $4 billion in one-time funds into children’s programs to address \u003ca href=\"https://calmatters.org/health/2022/03/california-children-mental-health-crisis/\" target=\"_blank\" rel=\"noreferrer noopener\">rising suicide rates and overdoses among youth\u003c/a>.\u003c/p>\n\u003ch2>Who opposed it and why?\u003c/h2>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>A coalition of small mental health organizations, disability advocates and current clients of county mental health programs opposed Proposition 1. They argued that the measure would increase the amount of involuntary treatment and divert money from local organizations that serve hard-to-reach populations, such as LGBTQ people and communities of color.\u003c/p>\n\n","blocks":[],"excerpt":"Recent polls show many Californians were undecided heading into Election Day on Gov. Newsom’s Proposition 1, which would fund new mental health treatment facilities.","status":"publish","parent":0,"modified":1710191366,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":30,"wordCount":1111},"headData":{"title":"Proposition 1 Update: Gavin Newsom’s Mental Health Plan Maintains Slim Lead | KQED","description":"Recent polls show many Californians were undecided heading into Election Day on Gov. Newsom’s Proposition 1, which would fund new mental health treatment facilities.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Proposition 1 Update: Gavin Newsom’s Mental Health Plan Maintains Slim Lead","datePublished":"2024-03-11T21:09:26.000Z","dateModified":"2024-03-11T21:09:26.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"Kristen Hwang and Jeanne Kuang","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11978919/prop-1-update-gavin-newsoms-mental-health-plan-maintains-slim-lead","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>California voters, by a thin margin, are favoring Gov. Gavin Newsom’s $6.4 billion plan to build mental health treatment beds and housing through a ballot measure that he characterizes as critical to addressing the state’s homelessness crisis.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/mental-health/2023/09/gavin-newsom-mental-health-2024-election/\" target=\"_blank\" rel=\"noreferrer noopener\">Proposition 1 is a two-part ballot initiative\u003c/a>. It includes a bond to build treatment facilities and \u003ca href=\"https://calmatters.org/health/mental-health/2023/09/gavin-newsom-mental-health-2024-election/\" target=\"_blank\" rel=\"noreferrer noopener\">permanent supportive housing for people with mental health\u003c/a> and addiction challenges. It also proposes changes to a longstanding tax on personal incomes over $1 million, known as the Mental Health Services Act, by requiring counties to spend 30% of that revenue on housing instead of other services.\u003c/p>\n\u003cp>\u003ca href=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM.png\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-11978927\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM.png\" alt=\"\" width=\"1576\" height=\"382\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM.png 1576w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM-800x194.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM-1020x247.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM-160x39.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/03/Screenshot-2024-03-11-at-12.59.16-PM-1536x372.png 1536w\" sizes=\"(max-width: 1576px) 100vw, 1576px\">\u003c/a>\u003cbr>\nAs of 9:15 a.m., Monday, with about 5.4 million votes counted, the measure is leading by 50.3% to 49.7%.\u003c/p>\n\u003cp>Newsom has previously said Proposition 1 will help California fulfill a decadeslong promise to get “people off the streets, out of tents and into treatment.”\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/health/mental-health/2024/03/proposition-1-gavin-newsom/\" target=\"_blank\" rel=\"noreferrer noopener\">The Yes on Proposition 1 campaign\u003c/a> amassed a nearly $21 million war chest for the ballot measure, drawing support from law enforcement groups, major health care organizations and the mental health advocacy group NAMI California.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"news_11977998,news_11975170","label":"Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“This is exactly where we thought we’d be,” Anthony York, a spokesman for the Yes on Proposition 1 campaign, said on Wednesday. “There are 2 to 3 million ballots outstanding. I’d say we’re cautiously optimistic.”\u003c/p>\n\u003cp>In contrast, the opposition campaign raised very little money. Opponents are led by clients of mental health services and some small mental health agencies who worry their programs could lose funding if the measure passes. Others, including the Howard Jarvis Taxpayers Association, opposed the measure because of its cost.\u003c/p>\n\u003cp>Paul Simmons, executive director of the opposition campaign, struck a hopeful tone as early votes started rolling in Tuesday night.\u003c/p>\n\u003cp>“We expected to be further behind in the early voting,” Simmons said. “This being at 51% or 50% is very encouraging to me.”\u003c/p>\n\u003cp>Recent polling casts uncertainty over what many initially considered an easy win for the governor. Fifty percent of likely voters supported the measure a week ago, according to the latest poll by \u003ca href=\"https://escholarship.org/content/qt9qm0g9w3/qt9qm0g9w3.pdf?t=s9mlwp\" target=\"_blank\" rel=\"noreferrer noopener\">UC Berkeley’s Institute of Governmental Studies\u003c/a>. The poll tallied opposition at 34% and undecided at 16%.\u003c/p>\n\u003cp>Proposition 1 needs a simple majority of the vote to pass.\u003c/p>\n\u003cp>Jon Coupal, executive director of the Howard Jarvis Taxpayer Association, said the results so far show that Californians are concerned about government spending.\u003c/p>\n\u003cp>“This has two strikes. No. 1, it was a bond measure. People are sensitive right now to government debt. A lot of people had the reaction of, ‘I’m all for helping the homeless, but do we really need a bond to do this?’\u003c/p>\n\u003cp>“Then secondly, I think people are well aware of the billions of dollars we have thrown at \u003ca href=\"https://calmatters.org/housing/2023/02/california-homelessness-spending-report/\" target=\"_blank\" rel=\"noreferrer noopener\">homelessness and mental health\u003c/a> and the problem just seems to get worse, so I think people may look at that and say, you’re asking for more money, and you’re not demonstrating any results,” he said.\u003c/p>\n\u003cp>Here’s a look at what the measure would do.\u003c/p>\n\u003ch2>What does Proposition 1 promise?\u003c/h2>\n\u003cp>The dual bond measure and change to California’s so-called “millionaire’s tax” are Newsom’s attempt to increase the state’s mental health and addiction treatment capacity and get people living in encampments into stable housing.\u003c/p>\n\u003cp>The number of unhoused Californians had ballooned to 181,000 people in 2022 during the most recent point-in-time count, a 60% increase over the past decade. \u003ca href=\"https://calmatters.org/housing/2023/06/california-homeless-growth-report/\" target=\"_blank\" rel=\"noreferrer noopener\">New research from UCSF\u003c/a> estimated that more than 21,000 homeless people currently experience hallucinations. Meanwhile, the number of \u003ca href=\"https://calmatters.org/wp-content/uploads/2019/04/CHA-Psych-Bed-Data-Report-Sept.-2018.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">acute care mental health hospital beds\u003c/a> decreased by at least 30% between 1995 and 2016, according to the California Hospital Association.\u003c/p>\n\u003cp>The bond measure is supposed to build a combined 11,150 treatment beds and housing units, with some set aside for veterans.\u003c/p>\n\u003ch2>Where will the money go?\u003c/h2>\n\u003cp>Money raised by the bond would be funneled into two existing state programs: the Behavioral Health Continuum Infrastructure Program and Project Homekey.\u003c/p>\n\u003cp>The behavioral health program would get a $4.4 billion infusion to build 6,800 in-patient mental health and substance use disorder treatment beds. The Department of Health Care Services will award grants to counties and local organizations to construct, acquire and expand treatment capacity. To date, the department has awarded more than $1.6 billion to a variety of programs, including \u003ca href=\"https://www.infrastructure.buildingcalhhs.com/\" target=\"_blank\" rel=\"noreferrer noopener\">crisis care and children’s facilities,\u003c/a> as part of a pre-existing budget investment.\u003c/p>\n\u003cp>Project Homekey would get $2 billion to build 4,350 units of supportive housing for people with mental health and addiction challenges. A little more than half of the units will be reserved for homeless veterans. Project Homekey is an \u003ca href=\"https://calmatters.org/housing/2020/11/newsom-pandemic-beat-homelessness/\" target=\"_blank\" rel=\"noreferrer noopener\">extension of Newsom’s pandemic-era efforts to house people\u003c/a> living in encampments during the height of the COVID-19 pandemic. The state budget previously gave the Department of Housing and Community Services $736 million to convert hotels, motels and other buildings into housing.\u003c/p>\n\u003ch2>How much will it cost?\u003c/h2>\n\u003cp>Bonds allow government agencies to borrow money and repay debt over time. Proposition 1 is estimated to cost $310 million annually over 30 years, totaling $9.3 billion, according to the nonpartisan \u003ca href=\"https://lao.ca.gov/BallotAnalysis/Proposition?number=1&year=2024\">Legislative Analyst’s Office\u003c/a>. Payments would be made from the state general fund.\u003c/p>\n\u003cp>\u003ca href=\"https://calmatters.org/politics/capitol/2024/02/california-budget-deficit-balloons/\">California faces state budget cuts\u003c/a> for the second consecutive year, with some estimates projecting a $73 billion shortfall.\u003c/p>\n\u003ch2>What other changes have happened recently?\u003c/h2>\n\u003cp>Newsom has made mental health a signature issue. If Proposition 1 passes, it would represent another milestone in his \u003ca href=\"https://calmatters.org/health/mental-health/2024/02/california-mental-health-history/\" target=\"_blank\" rel=\"noreferrer noopener\">overhaul of California’s behavioral health system\u003c/a>.\u003c/p>\n\u003cp>Last year, Newsom signed a law easing restrictions on California’s decades-old conservatorship law, which limits who can be placed in \u003ca href=\"https://calmatters.org/health/2023/10/california-mental-health-involuntary-treatment-law/\" target=\"_blank\" rel=\"noreferrer noopener\">involuntary treatment programs\u003c/a>.\u003c/p>\n\u003cp>In 2022, his signature mental health push established a special \u003ca href=\"https://calmatters.org/housing/2023/08/care-court-california-start/\" target=\"_blank\" rel=\"noreferrer noopener\">court system to compel people with untreated mental health\u003c/a> and addiction challenges into treatment programs.\u003c/p>\n\u003cp>And in 2021, Newsom poured more than $4 billion in one-time funds into children’s programs to address \u003ca href=\"https://calmatters.org/health/2022/03/california-children-mental-health-crisis/\" target=\"_blank\" rel=\"noreferrer noopener\">rising suicide rates and overdoses among youth\u003c/a>.\u003c/p>\n\u003ch2>Who opposed it and why?\u003c/h2>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A coalition of small mental health organizations, disability advocates and current clients of county mental health programs opposed Proposition 1. They argued that the measure would increase the amount of involuntary treatment and divert money from local organizations that serve hard-to-reach populations, such as LGBTQ people and communities of color.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11978919/prop-1-update-gavin-newsoms-mental-health-plan-maintains-slim-lead","authors":["byline_news_11978919"],"categories":["news_8"],"tags":["news_25015","news_2109","news_31304"],"affiliates":["news_18481"],"featImg":"news_11978931","label":"news_18481"},"news_11977451":{"type":"posts","id":"news_11977451","meta":{"index":"posts_1591205157","site":"news","id":"11977451","score":null,"sort":[1709256614000]},"guestAuthors":[],"slug":"newsom-sees-prop-1-as-a-chance-to-finally-meet-the-needs-of-mentally-ill-californians","title":"Newsom Sees Prop. 1 As A Chance to Finally Meet the Needs of Mentally Ill Californians","publishDate":1709256614,"format":"audio","headTitle":"Newsom Sees Prop. 1 As A Chance to Finally Meet the Needs of Mentally Ill Californians | KQED","labelTerm":{},"content":"\u003cp>Days before the Super Tuesday primary, Governor Gavin Newsom joins Marisa Lagos and Scott Shafer to talk about his ballot measure to build mental health treatment facilities and how he thinks the state should be handling retail theft.\u003c/p>\n\u003cp>Read also: \u003ca href=\"https://www.kqed.org/news/11977536/newsom-vows-to-take-latest-recall-effort-very-very-seriously\">Newsom Vows to Take Latest Recall Effort ‘Very, Very Seriously’\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1709327578,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":4,"wordCount":54},"headData":{"title":"Newsom Sees Prop. 1 As A Chance to Finally Meet the Needs of Mentally Ill Californians | KQED","description":"Days before the Super Tuesday primary, Governor Gavin Newsom joins Marisa Lagos and Scott Shafer to talk about his ballot measure to build mental health treatment facilities and how he thinks the state should be handling retail theft. Read also: Newsom Vows to Take Latest Recall Effort 'Very, Very Seriously'","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Newsom Sees Prop. 1 As A Chance to Finally Meet the Needs of Mentally Ill Californians","datePublished":"2024-03-01T01:30:14.000Z","dateModified":"2024-03-01T21:12:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"Political Breakdown","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/chrt.fm/track/G6C7C3/traffic.megaphone.fm/KQINC5369497333.mp3?updated=1709247503","sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11977451/newsom-sees-prop-1-as-a-chance-to-finally-meet-the-needs-of-mentally-ill-californians","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Days before the Super Tuesday primary, Governor Gavin Newsom joins Marisa Lagos and Scott Shafer to talk about his ballot measure to build mental health treatment facilities and how he thinks the state should be handling retail theft.\u003c/p>\n\u003cp>Read also: \u003ca href=\"https://www.kqed.org/news/11977536/newsom-vows-to-take-latest-recall-effort-very-very-seriously\">Newsom Vows to Take Latest Recall Effort ‘Very, Very Seriously’\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11977451/newsom-sees-prop-1-as-a-chance-to-finally-meet-the-needs-of-mentally-ill-californians","authors":["3239","255"],"categories":["news_8"],"tags":["news_32839","news_16","news_2109","news_22235","news_17968","news_31304","news_17101"],"featImg":"news_11977666","label":"source_news_11977451"},"news_11976655":{"type":"posts","id":"news_11976655","meta":{"index":"posts_1591205157","site":"news","id":"11976655","score":null,"sort":[1708567708000]},"guestAuthors":[],"slug":"sf-close-to-goal-of-400-new-residential-treatment-beds-but-obstacles-to-care-remain","title":"SF Close to Reaching Goal of 400 New Residential Treatment Beds, but Major Obstacles to Care Remain","publishDate":1708567708,"format":"standard","headTitle":"SF Close to Reaching Goal of 400 New Residential Treatment Beds, but Major Obstacles to Care Remain | KQED","labelTerm":{"site":"news"},"content":"\u003cp>San Francisco is closing in on its goal to add 400 new residential treatment beds for people suffering from mental illness and substance-use disorders.\u003c/p>\n\u003cp>Despite ongoing staffing issues at many care facilities, the city is just 44 beds shy of reaching the\u003ca href=\"https://www.sfdph.org/dph/files/MHR/SFDPH_Behavioral_Health_Bed_Optimization_Report_FINAL.pdf\"> expansion goal that its Department of Public Health set in 2021\u003c/a>, and now has a total of nearly 2,600 beds, health officials told members of the Board of Supervisors Budget and Finance Committee on Wednesday.\u003c/p>\n\u003cp>“While there are gaps depending on staffing, overall, there is an increase in residential care,” said Hillary Kunins, San Francisco’s director of behavioral health services.\u003c/p>\n\u003cp>But some supervisors said they were fed up with what they called uneven progress in meeting the city’s dire need for more affordable live-in treatment programs, and argued the city still lacked a comprehensive data collection system for tracking how many people actually use the beds.\u003c/p>\n\u003cp>“Are we making progress? Are we falling behind? Are we running in place?” Supervisor Rafael Mandelman said at the hearing. “Based on the way we are tracking these numbers, I don’t know whether we have more San Franciscans getting that level of care today than we did five years ago.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The city has new tools, \u003ca href=\"https://www.kqed.org/news/11963122/californias-care-court-program-starts-amid-concerns-over-effectiveness\">like Care Court\u003c/a>, to place people under mandated treatment, he added, but “we have that basic problem of not having places for people to get care.”\u003c/p>\n\u003cp>The majority of the city’s treatment beds (1,861) are used in programs focused on mental health, with roughly 700 other beds reserved for substance-use disorder treatment, \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12694517&GUID=5CFC2D44-69D9-4F39-AC19-823BF447515F\">according to the city’s Department of Public Health\u003c/a>. Those entering and exiting residential care programs can now also receive support from the department’s \u003ca href=\"https://www.sfchronicle.com/sf/article/Will-new-S-F-program-catch-people-with-addiction-17154742.php\">Office of Coordinated Care\u003c/a>, which opened its doors in 2022.\u003c/p>\n\u003cp>That current total number of beds marks a 20% increase from the city’s baseline bed count in 2020. And more treatment programs are slated to come online this year, including an 18-bed facility for people with co-occurring mental health and substance-use disorders and a 10-bed center for younger adults, health officials said.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"mental-health-treatment\"]But a significant number of those beds often remain unfilled, despite high demand, due in large part to ongoing citywide staffing shortages. In the first half of the current fiscal year, staffing challenges reduced the behavioral health system’s capacity by up to 20%, said Kunins, the behavioral health services director.\u003c/p>\n\u003cp>“Behavioral health workforce retention and recruitment are significant challenges,” she told supervisors at Wednesday’s hearing.\u003c/p>\n\u003cp>The hearing comes as San Francisco continues to face a converging crisis around overdose deaths, mental illness and homelessness. At the same time, many of the city’s private home board-and-care facilities have closed down in recent years, putting more pressure on the public system to provide residential care, particularly for seniors and adults with disabilities.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11939793/were-down-to-the-wire-again-feds-to-decide-this-week-if-laguna-honda-must-resume-patient-transfers\">Laguna Honda Hospital\u003c/a>, one of the city’s largest skilled nursing facilities, has also not admitted a new patient for nearly two years after federal regulators decertified the facility in 2022. The hospital typically serves lower-income, older residents but also provides various mental and behavioral health services.\u003c/p>\n\u003cp>Supervisor Myrna Melgar, whose district includes Laguna Honda, said there needs to be greater statewide investment into residential treatment.\u003c/p>\n\u003cp>“There is a need for beds in California, not just San Francisco. Why don’t we treat this like infrastructure?” she said. “The way we are counting the need is wack.”\u003c/p>\n\u003cp>Barriers to treatment also go beyond just the number of beds available, said Tanya Mara, who works with the city’s jail health services. She told supervisors it took three weeks to get one client into treatment because of a legal backlog.\u003c/p>\n\u003cp>“She had failed to appear in court in Alameda, but because of our close relationships with county behavioral health, we got them on the phone and got that warrant lifted so we could place her,” Mara said. “It’s frustrating and requires skilled, fiery social workers who will keep pushing all of these systems.”\u003c/p>\n\u003cp>Adam Francis, senior director for policy and advocacy at San Francisco Marin Medical Society, noted that while the bed data is imperfect, it helps get the city closer to addressing its mental health and addiction crisis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“These are real human lives we are talking about. Not just beds,” he said during public comment. “These are mothers and sons and brothers. When they fall through the cracks, it’s devastating.”\u003c/p>\n\n","blocks":[],"excerpt":"San Francisco is adding an unprecedented number of behavioral treatment beds across the city, but the expansion has been uneven, and wait times have persisted amid ongoing staffing shortages.","status":"publish","parent":0,"modified":1708643393,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":791},"headData":{"title":"SF Close to Reaching Goal of 400 New Residential Treatment Beds, but Major Obstacles to Care Remain | KQED","description":"San Francisco is adding an unprecedented number of behavioral treatment beds across the city, but the expansion has been uneven, and wait times have persisted amid ongoing staffing shortages.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"SF Close to Reaching Goal of 400 New Residential Treatment Beds, but Major Obstacles to Care Remain","datePublished":"2024-02-22T02:08:28.000Z","dateModified":"2024-02-22T23:09:53.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11976655/sf-close-to-goal-of-400-new-residential-treatment-beds-but-obstacles-to-care-remain","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>San Francisco is closing in on its goal to add 400 new residential treatment beds for people suffering from mental illness and substance-use disorders.\u003c/p>\n\u003cp>Despite ongoing staffing issues at many care facilities, the city is just 44 beds shy of reaching the\u003ca href=\"https://www.sfdph.org/dph/files/MHR/SFDPH_Behavioral_Health_Bed_Optimization_Report_FINAL.pdf\"> expansion goal that its Department of Public Health set in 2021\u003c/a>, and now has a total of nearly 2,600 beds, health officials told members of the Board of Supervisors Budget and Finance Committee on Wednesday.\u003c/p>\n\u003cp>“While there are gaps depending on staffing, overall, there is an increase in residential care,” said Hillary Kunins, San Francisco’s director of behavioral health services.\u003c/p>\n\u003cp>But some supervisors said they were fed up with what they called uneven progress in meeting the city’s dire need for more affordable live-in treatment programs, and argued the city still lacked a comprehensive data collection system for tracking how many people actually use the beds.\u003c/p>\n\u003cp>“Are we making progress? Are we falling behind? Are we running in place?” Supervisor Rafael Mandelman said at the hearing. “Based on the way we are tracking these numbers, I don’t know whether we have more San Franciscans getting that level of care today than we did five years ago.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The city has new tools, \u003ca href=\"https://www.kqed.org/news/11963122/californias-care-court-program-starts-amid-concerns-over-effectiveness\">like Care Court\u003c/a>, to place people under mandated treatment, he added, but “we have that basic problem of not having places for people to get care.”\u003c/p>\n\u003cp>The majority of the city’s treatment beds (1,861) are used in programs focused on mental health, with roughly 700 other beds reserved for substance-use disorder treatment, \u003ca href=\"https://sfgov.legistar.com/View.ashx?M=F&ID=12694517&GUID=5CFC2D44-69D9-4F39-AC19-823BF447515F\">according to the city’s Department of Public Health\u003c/a>. Those entering and exiting residential care programs can now also receive support from the department’s \u003ca href=\"https://www.sfchronicle.com/sf/article/Will-new-S-F-program-catch-people-with-addiction-17154742.php\">Office of Coordinated Care\u003c/a>, which opened its doors in 2022.\u003c/p>\n\u003cp>That current total number of beds marks a 20% increase from the city’s baseline bed count in 2020. And more treatment programs are slated to come online this year, including an 18-bed facility for people with co-occurring mental health and substance-use disorders and a 10-bed center for younger adults, health officials said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"related coverage ","tag":"mental-health-treatment"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>But a significant number of those beds often remain unfilled, despite high demand, due in large part to ongoing citywide staffing shortages. In the first half of the current fiscal year, staffing challenges reduced the behavioral health system’s capacity by up to 20%, said Kunins, the behavioral health services director.\u003c/p>\n\u003cp>“Behavioral health workforce retention and recruitment are significant challenges,” she told supervisors at Wednesday’s hearing.\u003c/p>\n\u003cp>The hearing comes as San Francisco continues to face a converging crisis around overdose deaths, mental illness and homelessness. At the same time, many of the city’s private home board-and-care facilities have closed down in recent years, putting more pressure on the public system to provide residential care, particularly for seniors and adults with disabilities.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11939793/were-down-to-the-wire-again-feds-to-decide-this-week-if-laguna-honda-must-resume-patient-transfers\">Laguna Honda Hospital\u003c/a>, one of the city’s largest skilled nursing facilities, has also not admitted a new patient for nearly two years after federal regulators decertified the facility in 2022. The hospital typically serves lower-income, older residents but also provides various mental and behavioral health services.\u003c/p>\n\u003cp>Supervisor Myrna Melgar, whose district includes Laguna Honda, said there needs to be greater statewide investment into residential treatment.\u003c/p>\n\u003cp>“There is a need for beds in California, not just San Francisco. Why don’t we treat this like infrastructure?” she said. “The way we are counting the need is wack.”\u003c/p>\n\u003cp>Barriers to treatment also go beyond just the number of beds available, said Tanya Mara, who works with the city’s jail health services. She told supervisors it took three weeks to get one client into treatment because of a legal backlog.\u003c/p>\n\u003cp>“She had failed to appear in court in Alameda, but because of our close relationships with county behavioral health, we got them on the phone and got that warrant lifted so we could place her,” Mara said. “It’s frustrating and requires skilled, fiery social workers who will keep pushing all of these systems.”\u003c/p>\n\u003cp>Adam Francis, senior director for policy and advocacy at San Francisco Marin Medical Society, noted that while the bed data is imperfect, it helps get the city closer to addressing its mental health and addiction crisis.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“These are real human lives we are talking about. Not just beds,” he said during public comment. “These are mothers and sons and brothers. When they fall through the cracks, it’s devastating.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11976655/sf-close-to-goal-of-400-new-residential-treatment-beds-but-obstacles-to-care-remain","authors":["11840"],"categories":["news_8"],"tags":["news_18543","news_26092","news_2109","news_26203"],"featImg":"news_11976678","label":"news"},"news_11976435":{"type":"posts","id":"news_11976435","meta":{"index":"posts_1591205157","site":"news","id":"11976435","score":null,"sort":[1708479001000]},"guestAuthors":[],"slug":"homelessness-mental-illness-and-drug-addiction-prop-1-takes-aim-at-all-3","title":"Homelessness, Mental Illness and Drug Addiction: Prop. 1 Takes Aim at All 3","publishDate":1708479001,"format":"audio","headTitle":"Homelessness, Mental Illness and Drug Addiction: Prop. 1 Takes Aim at All 3 | KQED","labelTerm":{},"content":"\u003cp>Scott and Marisa\u003c/p>\n\u003cp>Protests over the Israel-Hamas War continue dividing Democrats, with disagreement over what the Biden Administration should do. Scott and Marisa talk about what this means as President Biden visits California this week to fundraise.\u003c/p>\n\u003cp>Then, Guy Marzorati joins Olivia Allen-Price, host of Bay Curious, to break down everything you need to know about Proposition 1. It’s the only statewide ballot measure in the March primary, and it’s meant to address homelessness, drug addiction and mental illness.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11975170/bay-curious-breaks-down-prop-1\">Bay Curious Breaks Down Prop. 1\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11974991/transcript-proposition-1-behavioral-health-funding\">Transcript: Proposition 1 — Behavioral Health Funding\u003c/a>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1708474428,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":7,"wordCount":101},"headData":{"title":"Homelessness, Mental Illness and Drug Addiction: Prop. 1 Takes Aim at All 3 | KQED","description":"Scott and Marisa Protests over the Israel-Hamas War continue dividing Democrats, with disagreement over what the Biden Administration should do. Scott and Marisa talk about what this means as President Biden visits California this week to fundraise. Then, Guy Marzorati joins Olivia Allen-Price, host of Bay Curious, to break down everything you need to know","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Homelessness, Mental Illness and Drug Addiction: Prop. 1 Takes Aim at All 3","datePublished":"2024-02-21T01:30:01.000Z","dateModified":"2024-02-21T00:13:48.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"Political Breakdown","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/chrt.fm/track/G6C7C3/traffic.megaphone.fm/KQINC1611583717.mp3?updated=1708474036","sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11976435/homelessness-mental-illness-and-drug-addiction-prop-1-takes-aim-at-all-3","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Scott and Marisa\u003c/p>\n\u003cp>Protests over the Israel-Hamas War continue dividing Democrats, with disagreement over what the Biden Administration should do. Scott and Marisa talk about what this means as President Biden visits California this week to fundraise.\u003c/p>\n\u003cp>Then, Guy Marzorati joins Olivia Allen-Price, host of Bay Curious, to break down everything you need to know about Proposition 1. It’s the only statewide ballot measure in the March primary, and it’s meant to address homelessness, drug addiction and mental illness.\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11975170/bay-curious-breaks-down-prop-1\">Bay Curious Breaks Down Prop. 1\u003c/a>\u003c/p>\n\u003cp>\u003ca href=\"https://www.kqed.org/news/11974991/transcript-proposition-1-behavioral-health-funding\">Transcript: Proposition 1 — Behavioral Health Funding\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11976435/homelessness-mental-illness-and-drug-addiction-prop-1-takes-aim-at-all-3","authors":["255","3239"],"categories":["news_8"],"tags":["news_18426","news_32839","news_2109","news_22235","news_17968","news_17101"],"featImg":"news_11975014","label":"source_news_11976435"},"news_11974214":{"type":"posts","id":"news_11974214","meta":{"index":"posts_1591205157","site":"news","id":"11974214","score":null,"sort":[1706652002000]},"guestAuthors":[],"slug":"bill-would-let-therapists-and-social-workers-decide-when-to-confine-mentally-ill-californians-for-treatment","title":"Bill Would Let Therapists and Social Workers Decide When to Confine Mentally Ill Californians for Treatment","publishDate":1706652002,"format":"standard","headTitle":"Bill Would Let Therapists and Social Workers Decide When to Confine Mentally Ill Californians for Treatment | KQED","labelTerm":{"term":18481,"site":"news"},"content":"\u003cp>A mother’s hug was on California Sen. Aisha Wahab’s mind when she authored a controversial state bill that would allow social workers and therapists to decide when to confine someone against their will so they can be treated for mental illness.\u003c/p>\n\u003cp>Wahab was once a member of the Hayward City Council, and she’d \u003ca href=\"https://www.mercurynews.com/2022/02/21/hayward-explores-alternative-to-police-answering-mental-health-crisis-calls/\">just voted to create a local program\u003c/a> that would send medical and mental health professionals to certain 911 calls in an effort to reduce police officers interacting as much with mentally ill people.\u003c/p>\n\u003cp>After the vote, a woman came up and embraced her. The woman, Wahab said, was the mother of a large Black man with autism, who often wore headphones. He doesn’t speak and gets agitated in tense situations. The mother told Wahab she was terrified of her son getting hurt or killed if the police — instead of mental health professionals — were ever called to detain her son.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"California Sen. Aisha Wahab\"]‘The problem here is that the individuals that are actually trained in this science, in this profession, in this industry, are not empowered enough to make the best decision for the people they work with the most.’[/pullquote]“The problem here,” Wahab told CalMatters in an interview, “is that the individuals that are actually trained in this science, in this profession, in this industry, are not empowered enough to make the best decision for the people they work with the most.”\u003c/p>\n\u003cp>That’s the rationale behind Wahab’s \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB402\">Senate Bill 402\u003c/a>, which passed out of the 40-member Senate on Monday. Republican Sen. Janet Nguyen of Huntington Beach cast the lone “no” vote.\u003c/p>\n\u003cp>The bill would expand those who can issue 72-hour involuntary confinements to psychiatrists, psychologists, clinical social workers, licensed marriage and family therapists and clinical counselors. In each county, a behavioral health director would have the discretion to choose which professionals could initiate involuntary detentions.\u003c/p>\n\u003cp>Under current law, police officers, members of mental health crisis teams, those in charge of treatment facilities and county-designated officials are allowed to decide when someone is such a danger to themselves or others that they need to be placed against their will in a mental health facility or hospital for a 72-hour mental health evaluation.\u003c/p>\n\u003cp>In most cases, the police end up initiating what’s known as a “5150” hold, named after a section of California’s legal code. Hospital emergency rooms are often where a mentally ill person is taken for initial assessment and treatment.\u003c/p>\n\u003cp>[aside label=\"Related Stories\" postID=\"news_11970233,news_11961241,news_11971369,news_11945438\"]Wahab said community organizations that work with marginalized groups and immigrant populations increasingly have mental health professionals on staff who interact with mentally ill people and their families, so they know best when someone is starting to spiral out of control. They should be able to decide if someone needs to be placed into mandatory care — and without involving police as much in the process, said Wahab, an Afghan immigrant and a former board member of the nonprofit \u003ca href=\"https://afghancoalition.org/\">Afghan Coalition\u003c/a>.\u003c/p>\n\u003cp>In the 2020–21 fiscal year, 120,402 adult 5150 holds were issued across the state, \u003ca href=\"https://www.dhcs.ca.gov/services/MH/Documents/FY20-21-IDR.pdf\">according to a report (PDF) \u003c/a>from the California Department of Health Care Services.\u003c/p>\n\u003cp>Patients with behavioral health diagnoses accounted for one in five of all emergency room visits in 2021, according to the California Hospital Association. One Fresno hospital saw 6,100 patients last year for psychiatric holds, most of which police initiated, according to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billAnalysisClient.xhtml?bill_id=202320240SB402\">the bill’s legislative analysis\u003c/a>.\u003c/p>\n\u003cp>Each state has a law that allows a mentally ill person to be detained for a period of time, but who can issue the holds and the rights of the person being held vary widely, \u003ca href=\"https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201500205\">according to researchers\u003c/a>. For instance, at least 14 states allow social workers to issue holds.\u003c/p>\n\u003ch2 id=\"h-will-threat-of-5150-frighten-those-needing-help\" class=\"wp-block-heading\">Will threat of 5150 frighten those needing help?\u003c/h2>\n\u003cp>The California Police Chiefs Association announced Monday the organization was supporting the bill, citing the benefits of more trained professionals interacting with the mentally ill instead of relying so much on officers.\u003c/p>\n\u003cp>“In many situations where an individual presents a danger to themselves or others, there will be a need for law enforcement, but it remains important to pass legislation like SB 402 to expand mental health professionals’ role during those events,” Alex Gammelgard, the association’s president, told CalMatters in a written statement.\u003c/p>\n\u003cp>However, disability rights activists oppose expanding involuntary confinement for the mentally ill. Last year, \u003ca href=\"https://www.latimes.com/california/story/2023-10-12/gov-gavin-newsom-california-mental-illness-treatment-funding\">they objected\u003c/a> to a bill Gov. Gavin Newsom signed that expanded who could be confined against their will to those whose substance abuse disorders were so severe they couldn’t care for themselves.\u003c/p>\n\u003cfigure id=\"attachment_11974227\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974227\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/09012023_Suspense_RL_CM_31-copy.jpg\" alt=\"A woman behind a desk with her name on it and a US flag behind her.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/09012023_Suspense_RL_CM_31-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/09012023_Suspense_RL_CM_31-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/09012023_Suspense_RL_CM_31-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/09012023_Suspense_RL_CM_31-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/09012023_Suspense_RL_CM_31-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">State Sen. Aisha Wahab, a Hayward Democrat, submitted a bill to allow therapists and social workers to issue 5150 involuntary confinement holds. Here, she votes during the Senate Appropriation Committee meeting at the Capitol in Sacramento on Sept. 1, 2023. \u003ccite>(Rahul Lal for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With this latest bill, the activists argue that it would discourage people from seeking help if they know the social workers and therapists they are interacting with have the power to lock them up.\u003c/p>\n\u003cp>In testimony earlier this month before the Senate Health Committee, Debra Roth, an advocate for Disability Rights California, also brought up logistical concerns.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Alex Gammelgard, president, California Police Chiefs Association\"]‘In many situations where an individual presents a danger to themselves or others, there will be a need for law enforcement, but it remains important to pass legislation like SB 402 to expand mental health professionals’ role during those events.’[/pullquote]“We don’t see how they’re going to transport a person who does not want to go to the hospital, to the hospital,” she told the committee. “And we think law enforcement is going to get called, and that’s how it will play out in real-time.”\u003c/p>\n\u003cp>Sen. Caroline Menjivar, a Democrat who’s a former domestic violence crisis therapist and emergency medical technician from Van Nuys, had similar reservations, though she eventually voted for the bill.\u003c/p>\n\u003cp>“Some of the concerns for me are the unintended consequences in terms of what happens in real life,” Menjivar told the committee. “If a therapist then puts me on a hold, do I then wait on the sofa? Who comes in? … Does the therapist then drive this individual to their local ER?”\u003c/p>\n\u003ch2 id=\"h-california-police-free-to-use-5150\" class=\"wp-block-heading\">California police free to use 5150\u003c/h2>\n\u003cp>Wahab countered that the bill doesn’t prevent police from being called to detain someone, though the hope is they may not be needed.\u003c/p>\n\u003cp>“As for nonprofits, they can simply get a grant and retrofit a vehicle, a bus, a van, something like that,” she told the committee. “But we have also seen a lot of collaboration with the hospitals, with the ambulance service.”\u003c/p>\n\u003cp>The hope is that if a therapist, a case worker or a social worker whom a mentally ill person trusts institutes the hold, it can make the process less confrontational — and less dangerous — without needing to call police away from other duties, Wahab said.\u003c/p>\n\u003cp>And it’s not as if anyone can issue the holds, she said.\u003c/p>\n\u003cp>“We are also limiting it to people that are actually in this field,” Wahab told CalMatters. “So you could be a therapist and only work with children and never seek the ability to do a 5150 because that’s not your job. That’s not your area of interest. But there are other therapists that … work in mental-health institutions and facilities and nonprofits and so forth and their only goal is in the space. So we have been very, very narrow and focused in exactly what we are trying to do here.”\u003c/p>\n\u003cdiv class=\"wp-block-newspack-blocks-homepage-articles wpnbha show-image image-alignbehind ts-4 is-3 is-landscape has-text-align-left\">\n\u003cdiv data-posts=\"\" data-current-post-id=\"393896\">[ad fullwidth]\u003c/div>\n\u003c/div>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"It's usually police who confine mentally ill people for involuntary 72-hour holds for evaluation and treatment. A pending bill would extend the so-called 5150 confinement authority to county-designated professionals like therapists and clinical social workers.","status":"publish","parent":0,"modified":1706646709,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":1351},"headData":{"title":"Bill Would Let Therapists and Social Workers Decide When to Confine Mentally Ill Californians for Treatment | KQED","description":"It's usually police who confine mentally ill people for involuntary 72-hour holds for evaluation and treatment. A pending bill would extend the so-called 5150 confinement authority to county-designated professionals like therapists and clinical social workers.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Bill Would Let Therapists and Social Workers Decide When to Confine Mentally Ill Californians for Treatment","datePublished":"2024-01-30T22:00:02.000Z","dateModified":"2024-01-30T20:31:49.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"\u003ca href=\"https://calmatters.org/author/ryan-sabalow/\">Ryan Sabalow\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11974214/bill-would-let-therapists-and-social-workers-decide-when-to-confine-mentally-ill-californians-for-treatment","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A mother’s hug was on California Sen. Aisha Wahab’s mind when she authored a controversial state bill that would allow social workers and therapists to decide when to confine someone against their will so they can be treated for mental illness.\u003c/p>\n\u003cp>Wahab was once a member of the Hayward City Council, and she’d \u003ca href=\"https://www.mercurynews.com/2022/02/21/hayward-explores-alternative-to-police-answering-mental-health-crisis-calls/\">just voted to create a local program\u003c/a> that would send medical and mental health professionals to certain 911 calls in an effort to reduce police officers interacting as much with mentally ill people.\u003c/p>\n\u003cp>After the vote, a woman came up and embraced her. The woman, Wahab said, was the mother of a large Black man with autism, who often wore headphones. He doesn’t speak and gets agitated in tense situations. The mother told Wahab she was terrified of her son getting hurt or killed if the police — instead of mental health professionals — were ever called to detain her son.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘The problem here is that the individuals that are actually trained in this science, in this profession, in this industry, are not empowered enough to make the best decision for the people they work with the most.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"California Sen. Aisha Wahab","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“The problem here,” Wahab told CalMatters in an interview, “is that the individuals that are actually trained in this science, in this profession, in this industry, are not empowered enough to make the best decision for the people they work with the most.”\u003c/p>\n\u003cp>That’s the rationale behind Wahab’s \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB402\">Senate Bill 402\u003c/a>, which passed out of the 40-member Senate on Monday. Republican Sen. Janet Nguyen of Huntington Beach cast the lone “no” vote.\u003c/p>\n\u003cp>The bill would expand those who can issue 72-hour involuntary confinements to psychiatrists, psychologists, clinical social workers, licensed marriage and family therapists and clinical counselors. In each county, a behavioral health director would have the discretion to choose which professionals could initiate involuntary detentions.\u003c/p>\n\u003cp>Under current law, police officers, members of mental health crisis teams, those in charge of treatment facilities and county-designated officials are allowed to decide when someone is such a danger to themselves or others that they need to be placed against their will in a mental health facility or hospital for a 72-hour mental health evaluation.\u003c/p>\n\u003cp>In most cases, the police end up initiating what’s known as a “5150” hold, named after a section of California’s legal code. Hospital emergency rooms are often where a mentally ill person is taken for initial assessment and treatment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"Related Stories ","postid":"news_11970233,news_11961241,news_11971369,news_11945438"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Wahab said community organizations that work with marginalized groups and immigrant populations increasingly have mental health professionals on staff who interact with mentally ill people and their families, so they know best when someone is starting to spiral out of control. They should be able to decide if someone needs to be placed into mandatory care — and without involving police as much in the process, said Wahab, an Afghan immigrant and a former board member of the nonprofit \u003ca href=\"https://afghancoalition.org/\">Afghan Coalition\u003c/a>.\u003c/p>\n\u003cp>In the 2020–21 fiscal year, 120,402 adult 5150 holds were issued across the state, \u003ca href=\"https://www.dhcs.ca.gov/services/MH/Documents/FY20-21-IDR.pdf\">according to a report (PDF) \u003c/a>from the California Department of Health Care Services.\u003c/p>\n\u003cp>Patients with behavioral health diagnoses accounted for one in five of all emergency room visits in 2021, according to the California Hospital Association. One Fresno hospital saw 6,100 patients last year for psychiatric holds, most of which police initiated, according to \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billAnalysisClient.xhtml?bill_id=202320240SB402\">the bill’s legislative analysis\u003c/a>.\u003c/p>\n\u003cp>Each state has a law that allows a mentally ill person to be detained for a period of time, but who can issue the holds and the rights of the person being held vary widely, \u003ca href=\"https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201500205\">according to researchers\u003c/a>. For instance, at least 14 states allow social workers to issue holds.\u003c/p>\n\u003ch2 id=\"h-will-threat-of-5150-frighten-those-needing-help\" class=\"wp-block-heading\">Will threat of 5150 frighten those needing help?\u003c/h2>\n\u003cp>The California Police Chiefs Association announced Monday the organization was supporting the bill, citing the benefits of more trained professionals interacting with the mentally ill instead of relying so much on officers.\u003c/p>\n\u003cp>“In many situations where an individual presents a danger to themselves or others, there will be a need for law enforcement, but it remains important to pass legislation like SB 402 to expand mental health professionals’ role during those events,” Alex Gammelgard, the association’s president, told CalMatters in a written statement.\u003c/p>\n\u003cp>However, disability rights activists oppose expanding involuntary confinement for the mentally ill. Last year, \u003ca href=\"https://www.latimes.com/california/story/2023-10-12/gov-gavin-newsom-california-mental-illness-treatment-funding\">they objected\u003c/a> to a bill Gov. Gavin Newsom signed that expanded who could be confined against their will to those whose substance abuse disorders were so severe they couldn’t care for themselves.\u003c/p>\n\u003cfigure id=\"attachment_11974227\" class=\"wp-caption alignnone\" style=\"max-width: 1568px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11974227\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/09012023_Suspense_RL_CM_31-copy.jpg\" alt=\"A woman behind a desk with her name on it and a US flag behind her.\" width=\"1568\" height=\"1045\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/09012023_Suspense_RL_CM_31-copy.jpg 1568w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/09012023_Suspense_RL_CM_31-copy-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/09012023_Suspense_RL_CM_31-copy-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/09012023_Suspense_RL_CM_31-copy-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/09012023_Suspense_RL_CM_31-copy-1536x1024.jpg 1536w\" sizes=\"(max-width: 1568px) 100vw, 1568px\">\u003cfigcaption class=\"wp-caption-text\">State Sen. Aisha Wahab, a Hayward Democrat, submitted a bill to allow therapists and social workers to issue 5150 involuntary confinement holds. Here, she votes during the Senate Appropriation Committee meeting at the Capitol in Sacramento on Sept. 1, 2023. \u003ccite>(Rahul Lal for CalMatters)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With this latest bill, the activists argue that it would discourage people from seeking help if they know the social workers and therapists they are interacting with have the power to lock them up.\u003c/p>\n\u003cp>In testimony earlier this month before the Senate Health Committee, Debra Roth, an advocate for Disability Rights California, also brought up logistical concerns.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘In many situations where an individual presents a danger to themselves or others, there will be a need for law enforcement, but it remains important to pass legislation like SB 402 to expand mental health professionals’ role during those events.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Alex Gammelgard, president, California Police Chiefs Association","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“We don’t see how they’re going to transport a person who does not want to go to the hospital, to the hospital,” she told the committee. “And we think law enforcement is going to get called, and that’s how it will play out in real-time.”\u003c/p>\n\u003cp>Sen. Caroline Menjivar, a Democrat who’s a former domestic violence crisis therapist and emergency medical technician from Van Nuys, had similar reservations, though she eventually voted for the bill.\u003c/p>\n\u003cp>“Some of the concerns for me are the unintended consequences in terms of what happens in real life,” Menjivar told the committee. “If a therapist then puts me on a hold, do I then wait on the sofa? Who comes in? … Does the therapist then drive this individual to their local ER?”\u003c/p>\n\u003ch2 id=\"h-california-police-free-to-use-5150\" class=\"wp-block-heading\">California police free to use 5150\u003c/h2>\n\u003cp>Wahab countered that the bill doesn’t prevent police from being called to detain someone, though the hope is they may not be needed.\u003c/p>\n\u003cp>“As for nonprofits, they can simply get a grant and retrofit a vehicle, a bus, a van, something like that,” she told the committee. “But we have also seen a lot of collaboration with the hospitals, with the ambulance service.”\u003c/p>\n\u003cp>The hope is that if a therapist, a case worker or a social worker whom a mentally ill person trusts institutes the hold, it can make the process less confrontational — and less dangerous — without needing to call police away from other duties, Wahab said.\u003c/p>\n\u003cp>And it’s not as if anyone can issue the holds, she said.\u003c/p>\n\u003cp>“We are also limiting it to people that are actually in this field,” Wahab told CalMatters. “So you could be a therapist and only work with children and never seek the ability to do a 5150 because that’s not your job. That’s not your area of interest. But there are other therapists that … work in mental-health institutions and facilities and nonprofits and so forth and their only goal is in the space. So we have been very, very narrow and focused in exactly what we are trying to do here.”\u003c/p>\n\u003cdiv class=\"wp-block-newspack-blocks-homepage-articles wpnbha show-image image-alignbehind ts-4 is-3 is-landscape has-text-align-left\">\n\u003cdiv data-posts=\"\" data-current-post-id=\"393896\">\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/div>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11974214/bill-would-let-therapists-and-social-workers-decide-when-to-confine-mentally-ill-californians-for-treatment","authors":["byline_news_11974214"],"categories":["news_8"],"tags":["news_2109","news_116","news_30212"],"affiliates":["news_18481"],"featImg":"news_11974226","label":"news_18481"},"news_11949674":{"type":"posts","id":"news_11949674","meta":{"index":"posts_1591205157","site":"news","id":"11949674","score":null,"sort":[1705511122000]},"guestAuthors":[],"slug":"layoffs-mental-health-lost-job-self-care","title":"Layoffs: How to Prioritize Your Mental Health After Losing Your Job, From Telling Family to Self-Care","publishDate":1705511122,"format":"standard","headTitle":"Layoffs: How to Prioritize Your Mental Health After Losing Your Job, From Telling Family to Self-Care | KQED","labelTerm":{"site":"news"},"content":"\u003cp>\u003cem>This guide is part of the KQED News series \u003cstrong>\u003ca href=\"https://www.kqed.org/news/tag/what-to-do-after-a-layoff\">What to Do After a Layoff.\u003c/a>\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>Getting laid off can have many immediate consequences — losing your source of income, having to \u003ca href=\"https://www.kqed.org/news/11948895/layoffs-how-to-save-more-money-after-losing-your-job\">cut back on spending and dipping into your savings\u003c/a> — but it can also have emotional repercussions.\u003c/p>\n\u003cp>A job can represent security and stability, and when that is taken away, our mental health also takes a hit. So, looking after our mental health is equally critical as figuring out how to keep paying the bills. If we don’t respond to our mental health needs after losing a job, that can hamper our ability to problem-solve, says Redondo Beach-based Kelli McLean, a marriage and family therapist who works on issues relating to trauma, anxiety and depression with her clients all over California.\u003c/p>\n\u003cp>“Once one crisis happens, it’s more likely for additional crises to happen,” she said. “Mental health is like a snowball.”\u003c/p>\n\u003cp>Since the start of the pandemic, researchers have been learning more about the relationship between layoffs and mental health. A \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7904880/\">2021 study by Irish and American researchers\u003c/a> sampled 2,301 adults in the United States who had a job before the start of COVID-19. Those who were laid off reported higher symptoms of depression, anxiety and stress than those who kept their jobs.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellpeopleafterlayoff\">How can I tell my family I’ve been laid off?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#selfcarelayoff\">How can I truly make time for self-care after a job loss?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mentalhealthinsurance\">How can I access mental health care after losing my employer-based health insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“You lose your job, and then what happens is stress,” said McClean, who noted that once stressors increase, that “snowball” effect can lead to possible outcomes like tension with a partner, a breakup or overreliance on substances like alcohol. Because “these things tend to happen, one after another,” McLean said, “it’s really important for us to be proactive when we’re in a crisis, as opposed to pulling the covers over our head.”\u003c/p>\n\u003cp>KQED spoke to several mental health professionals across California, including McLean, to hear their thoughts on how you can deal with the emotional fallout of losing a job, the best ways to reassure and support those who depend on you and how to protect your mental health as you prepare for your next move.\u003c/p>\n\u003cp>Every situation is different, but here are some bigger insights that could be of use during difficult times.\u003c/p>\n\u003ch2>When you first get the bad news\u003c/h2>\n\u003cp>Why do many of us feel so \u003cem>bad\u003c/em> when we lose our jobs? Of course, part of it comes from the very real challenge of losing our source of income and not knowing how we will pay our bills.\u003c/p>\n\u003cp>But over time, our jobs can become part of our identity. When we lose our jobs, that part of who we are is taken away. “Your work persona, your work identity — it comes to you over time, but it doesn’t define you,” said Ioanna Angelakis, a marriage and family therapist based in San Francisco. She helps patients navigate career decisions and the anxieties that may be tied to them.\u003c/p>\n\u003cp>“I come from a perspective that we all have infinite capacities and we have so many strengths that are left untapped,” Angelakis said. “Look at your dreams and define who you want to become, and who you always dreamed you would become.”\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Read more layoff advice in our \u003ca href=\"https://www.kqed.org/news/tag/what-to-do-after-a-layoff\">What to Do After a Layoff \u003c/a>series\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Then, Angelakis recommends, “take the time to contrast that with your recent role. See if there is a mismatch — and whether you can pick up where you left off.”\u003c/p>\n\u003cp>It’s also important to remember that you are not alone in this experience, adds McLean. “This happens to most people at some point in their career. Most of the time it’s not your fault.”\u003c/p>\n\u003cp>“It’s simply random,” she went on. “It’s simply because of budget cuts or because the company is downsizing.” \u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\">Read more about how to make a layoff feel less personal.\u003c/a>\u003c/p>\n\u003cp>Both McLean and Angelakis stress to be kind to yourself after you get the bad news. This is just the first step in a longer journey, and granting yourself patience will help you face the coming challenges.\u003c/p>\n\u003cfigure id=\"attachment_11835622\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11835622 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png\" alt=\"An Asian woman with long dark hair and medium toned skin wearing a black tee shirt looks to the side, as if worried.\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Therapists stress that it’s important to treat yourself with kindness after a layoff. \u003ccite>(Loannes Marc/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"tellpeopleafterlayoff\">\u003c/a>How do you tell loved ones you’ve been laid off?\u003c/h2>\n\u003cp>Figuring out how we want to share the bad news with those we care about can be another source of anxiety. These people can include our friends, partners or spouses, children and parents.\u003c/p>\n\u003cp>“We begin to feel like we failed — that we failed \u003cem>them,\u003c/em> or that we were not able to fulfill our goals,” said Angelakis. But you should let yourself release those thoughts, she advises, and remind yourself that a layoff does not define your potential — as a professional, or as a person overall.\u003c/p>\n\u003cp>When you raise the news with your spouse or partner, share what you’re feeling and be clear about what type of help you need from them, Angelakis said: “You can remind them … to be your ally.”\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>And if you have both a partner and children, make a plan with your partner first on how you want to tell your kids — depending on how old they are and what you know of their emotional capacity for topics like this. But most importantly, she stressed, “Be age-appropriate.”\u003c/p>\n\u003cp>“If you’re talking to your 6-year-old child, you don’t want to say, ‘Mom got fired,’ or ‘Mom got canned.’ You might want to say something like, ‘Mom’s not going to the office for a little while,’” she said.\u003c/p>\n\u003cp>“I think a lot of people go into this talking to their kids like they’re little adults,” McLean said. Although that might be your impulse, it “can be really scary for a child if they’re being talked to like they’re a little adult,” she said. “Kids tend to worry about this kind of thing if it’s not handled age-appropriately.”\u003c/p>\n\u003cp>For younger kids more capable of handling upsetting news, as a parent or caregiver you might consider keeping it simple — that you don’t have that job anymore and are looking for an even better one, perhaps — and assure them there’s nothing to worry about.\u003c/p>\n\u003cp>You can also be honest with kids about how \u003cem>you\u003c/em> feel, McLean says — but make sure to be clear about whether some things at home will change moving forward, even temporarily. “If you’re cutting down on some extracurricular activities, make sure that you’re still doing things with the kids where they’re getting quality time with you, maybe if it’s just going to the library, or going to the park,” she said.\u003c/p>\n\u003cp>And make sure to keep checking in with your kids consistently while you’re looking for your next job. Children “tend to have tummy aches, or they tend to say, ‘I’m not feeling good’” when they’re worried about something, McLean said. “If you’re comfortable with their teachers, maybe let their teachers know, and keep to your family structure as much as possible.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch2>\u003ca id=\"selfcarelayoff\">\u003c/a>Making time for self-care\u003c/h2>\n\u003cp>If your former employer did not provide you with a severance package and you are under financial pressure, self-care may not immediately strike you as ranking high on your list of priorities. But setting aside time to catch your breath and do something that benefits you is actually critical to making sure you can be at your best when looking for a job.\u003c/p>\n\u003cp>San José-based marriage and family therapist Mariya Katrina Punay points out that a layoff is a type of separation, like a breakup or divorce. In some cases, workers have spent years working alongside people who may have become like family.\u003c/p>\n\u003cp>If we don’t take care of ourselves through this experience, like you would during another kind of separation, Punay says, it could put you at risk of longer-term consequences.\u003c/p>\n\u003cp>If the reality of the situation is “not addressed in a healthy way during the separation process,” she said, “it can be very stressful. And in the very rare case, it could be retraumatizing for those people that have not healed their job or workplace separation trauma from a previous employer … [who] jumped from one job to another without having to take time to look at how that kind of interaction has affected them.”\u003c/p>\n\u003cp>So what \u003cem>does\u003c/em> self-care look like after a job loss? If you have the option to take some time off before looking for a new role, Angelakis encourages you to fill up this time with things you always wanted to do but were prevented from doing by work. “Think about all the things that have been put on hold that are fun, inventive and creative,” she said — and seek them out.\u003c/p>\n\u003cp>Angelakis also stresses the importance of having a “gratitude practice.” This, she says, “is the time when you can fill up your time helping others,” but also an opportunity for you to make “a ritual out of being grateful for all of the things you have.”\u003c/p>\n\u003cp>“Focus on the things that you \u003cem>do\u003c/em> have in place,” Angelakis says. “The less we have, sometimes, the more grateful we become.”\u003c/p>\n\u003cp>And even if you have to go straight into the job search or you already have another job, Angelakis recommends setting aside some time each day, even for a few minutes, for your gratitude practice. “Brief with peers who also were laid off, go outside, maybe treat yourself and get your feelings out and to process what’s going on there,” she said. \u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\">Read more about finding community among other folks who’ve been laid off.\u003c/a>\u003c/p>\n\u003cp>Keeping a day-to-day structure is also part of self-care, says McLean, especially during a job search.\u003c/p>\n\u003cp>Not hearing back after multiple job applications can start to make some folks feel “depressed and hopeless,” said McLean. To combat this while you’re not working, she recommends having “some kind of structure to your day. You’ll get up at the same time. And do your résumé for two, three hours,” and then exercise.\u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\"> Read more about how to balance job applications with healthy activities.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11867225\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11867225 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/pexels-cottonbro-5054213-scaled-e1617913983516.jpg\" alt=\"Two hands type on a laptop in front of a window.\" width=\"1920\" height=\"1280\">\u003cfigcaption class=\"wp-caption-text\">How can you balance actively searching for work with taking care of your emotional needs? \u003ccite>(Cottonbro/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>When should you seek additional mental health support?\u003c/h2>\n\u003cp>McLean emphasizes just how vulnerable we are when we lose our jobs unexpectedly. “One of the biggest stressors is being let go of a job,” she said. “It’s going to make it more likely for people to start engaging in their substance use. It’s going to put you at higher risk for depression, anxiety.”\u003c/p>\n\u003cp>McLean notes that people who have “a predisposition towards depression, anxiety, any type of mental health issue or substance use issue” should be especially aware that they might need additional support after a layoff through mental health counseling — “because they’re at higher risk for a relapse in either a mental health issue or a substance use issue, because it’s such a big stressor to lose a job.”\u003c/p>\n\u003cp>But even if this is not your personal situation, talking to a mental health professional about everything that is on your plate can go a long way if you’re also juggling family responsibilities.\u003c/p>\n\u003cp>When times are tough, many parents and caregivers tend to prioritize the needs of their children and other family members, and can sometimes overlook their own emotional and physical needs, says Angelakis. “As a mother, I know how hard it is to put yourself first,” she explained. “But if you don’t put yourself first … you’re going to start to burn out.”\u003c/p>\n\u003cp>She acknowledges that for some parents, it doesn’t come easy to set time aside to talk about their feelings. But, she says, it’s in those difficult moments that you need to take care of yourself, so you can take care of those who depend on you.\u003c/p>\n\u003cp>Last year, Angelakis herself lost her job at a children’s mental health nonprofit, around the same time her son was in a serious accident. From personal experience, she says, she knows “it is so challenging to step away and take care of myself first, because my child is my first priority.”\u003c/p>\n\u003cp>“In these circumstances, you feel like you just have to be these robotic individuals who just keep going, like the Energizer Bunny. And we’re not built that way,” said Angelakis.\u003c/p>\n\u003cp>“We’re human. We have feelings. We have needs. And those basic needs left unmet are going to manifest.”\u003c/p>\n\u003ch2>\u003ca id=\"mentalhealthinsurance\">\u003c/a>How can I access mental health care if I no longer have insurance?\u003c/h2>\n\u003cp>If you received health care insurance through your employer, that coverage will stop soon after the layoff. This can make it harder to find mental health support and can potentially create a difficult situation if you are already seeing a therapist or have a prescription for a mental health issue your insurance helps cover.\u003c/p>\n\u003cp>But there are several things you can do, says Punay from San José. After you’re told about the layoff, your employer will contact you to go over some paperwork that finalizes your employment. That’s when you want to ask how long your insurance benefits will last after your last day at work and about \u003ca href=\"https://www.dmhc.ca.gov/healthcareincalifornia/typesofplans/keepyourhealthcoverage(cobra).aspx\">COBRA, a federal and state law that allows workers to continue receiving their health coverage\u003c/a> for a certain period after losing their job.\u003c/p>\n\u003cp>Also, if your employer offers you a severance agreement, this can be the time to negotiate better terms for you and your family before agreeing to sign.\u003c/p>\n\u003cp>While going through insurance paperwork may not feel like the most exciting or engaging thing to do after losing your job, Punay acknowledges, it is still important because it can help you get the tools you need to look after yourself.\u003c/p>\n\u003cp>“For some people, it’s so easy to not bother with this stuff because they’re busy looking for work,” she said. “However, it’s also important that you advocate for yourself — because advocating for yourself, especially after a job loss, can be looking at the paperwork that you don’t want to look at.”\u003c/p>\n\u003cp>It’s important to remember that COBRA coverage is not free and premiums can in fact be quite high. Individuals may be charged hundreds of dollars, and family plans can go for thousands of dollars.\u003c/p>\n\u003cp>“While someone’s employed, their employer typically pays part of the premium. So that means it’s low cost,” said Tyler Sadwith, deputy director for behavioral health at the state Department for Health Care Services. “But after someone loses their job, while they have the ability to stay enrolled with that same health plan, they actually then become typically responsible for the full premium.”\u003c/p>\n\u003cp>“At that point, they could see what other options might be available,” he explained. “If they’re married, that could include enrolling in the health plan of their spouse or their partner. And that could also mean applying for Medi-Cal or other options under Covered California.”\u003c/p>\n\u003cp>You can review discounted health care plans — and see whether you qualify for Medi-Cal — by visiting \u003ca href=\"https://www.coveredca.com/\">Covered California’s website\u003c/a>. Once you’re covered, you’ll have access to services including mental health evaluations, individual and family therapy, and support for prescriptions as well. And remember: Medi-Cal covers all children in California, regardless of immigration status, whose families meet certain income requirements.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11949192/layoffs-unemployment-benefits-health-insurance-calfresh\">\u003cstrong>Read more about your health insurance options after a layoff\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Another option California offers, Sadwith says, is \u003ca href=\"https://www.calhope.org/\">CalHOPE, a peer-based, free, counseling service\u003c/a> available through text, phone and video chat, available 24/7. When you call (833) 318-HOPE or (833) 318-4673, you’ll be connected to a member of the CalHOPE network — someone you can talk to about what you’re going through.\u003c/p>\n\u003cp>“CalHOPE is really designed to provide support … have someone share the burden that [you’re] feeling that day and get some light-touch support,” Sadwith said, clarifying that “CalHOPE is really not intended to be professionally delivered clinical mental health care, and it’s not extensive treatment or ongoing.”\u003c/p>\n\u003cp>What if you’re already seeing a therapist when you get laid off? Make sure to quickly let them know your situation, says McLean. “Some health care professionals will see clients pro bono or will see them on a sliding scale,” she said.\u003c/p>\n\u003cp>And there are several nonprofit organizations that work to provide low-cost and sliding scale counseling and therapy services. \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">See more resources on how to find affordable therapy in the Bay Area here.\u003c/a>\u003c/p>\n\u003cp>Make sure to read the rest of our KQED guides about other steps you can take after a layoff to better support yourself and those who depend on you:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\">The Best Ways to Find a New Job, According to an Expert\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11949192/layoffs-unemployment-benefits-health-insurance-calfresh\">From Unemployment Benefits to Health Insurance, the Steps to Take ASAP\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11948895/layoffs-how-to-save-more-money-after-losing-your-job\">How to Save More Money After Losing Your Job\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This story was originally published on May 19, 2023.\u003c/em>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2024. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, helpful explainers and guides about issues like COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>[hearken id=\"10483\" src=\"https://modules.wearehearken.com/kqed/embed/10483.js\"]\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Experts weigh in on how you can deal with the emotional fallout of losing a job, the best ways to reassure and support those who depend on you and how to protect your mental health as you prepare for your next move.","status":"publish","parent":0,"modified":1705544361,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":true,"hasPolis":false,"paragraphCount":63,"wordCount":3199},"headData":{"title":"Layoffs: How to Prioritize Your Mental Health After Losing Your Job, From Telling Family to Self-Care | KQED","description":"Experts weigh in on how you can deal with the emotional fallout of losing a job, the best ways to reassure and support those who depend on you and how to protect your mental health as you prepare for your next move.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Layoffs: How to Prioritize Your Mental Health After Losing Your Job, From Telling Family to Self-Care","datePublished":"2024-01-17T17:05:22.000Z","dateModified":"2024-01-18T02:19:21.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11949674/layoffs-mental-health-lost-job-self-care","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This guide is part of the KQED News series \u003cstrong>\u003ca href=\"https://www.kqed.org/news/tag/what-to-do-after-a-layoff\">What to Do After a Layoff.\u003c/a>\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>Getting laid off can have many immediate consequences — losing your source of income, having to \u003ca href=\"https://www.kqed.org/news/11948895/layoffs-how-to-save-more-money-after-losing-your-job\">cut back on spending and dipping into your savings\u003c/a> — but it can also have emotional repercussions.\u003c/p>\n\u003cp>A job can represent security and stability, and when that is taken away, our mental health also takes a hit. So, looking after our mental health is equally critical as figuring out how to keep paying the bills. If we don’t respond to our mental health needs after losing a job, that can hamper our ability to problem-solve, says Redondo Beach-based Kelli McLean, a marriage and family therapist who works on issues relating to trauma, anxiety and depression with her clients all over California.\u003c/p>\n\u003cp>“Once one crisis happens, it’s more likely for additional crises to happen,” she said. “Mental health is like a snowball.”\u003c/p>\n\u003cp>Since the start of the pandemic, researchers have been learning more about the relationship between layoffs and mental health. A \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7904880/\">2021 study by Irish and American researchers\u003c/a> sampled 2,301 adults in the United States who had a job before the start of COVID-19. Those who were laid off reported higher symptoms of depression, anxiety and stress than those who kept their jobs.\u003c/p>\n\u003cp>\u003cstrong>Jump straight to:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellpeopleafterlayoff\">How can I tell my family I’ve been laid off?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#selfcarelayoff\">How can I truly make time for self-care after a job loss?\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"#mentalhealthinsurance\">How can I access mental health care after losing my employer-based health insurance?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>“You lose your job, and then what happens is stress,” said McClean, who noted that once stressors increase, that “snowball” effect can lead to possible outcomes like tension with a partner, a breakup or overreliance on substances like alcohol. Because “these things tend to happen, one after another,” McLean said, “it’s really important for us to be proactive when we’re in a crisis, as opposed to pulling the covers over our head.”\u003c/p>\n\u003cp>KQED spoke to several mental health professionals across California, including McLean, to hear their thoughts on how you can deal with the emotional fallout of losing a job, the best ways to reassure and support those who depend on you and how to protect your mental health as you prepare for your next move.\u003c/p>\n\u003cp>Every situation is different, but here are some bigger insights that could be of use during difficult times.\u003c/p>\n\u003ch2>When you first get the bad news\u003c/h2>\n\u003cp>Why do many of us feel so \u003cem>bad\u003c/em> when we lose our jobs? Of course, part of it comes from the very real challenge of losing our source of income and not knowing how we will pay our bills.\u003c/p>\n\u003cp>But over time, our jobs can become part of our identity. When we lose our jobs, that part of who we are is taken away. “Your work persona, your work identity — it comes to you over time, but it doesn’t define you,” said Ioanna Angelakis, a marriage and family therapist based in San Francisco. She helps patients navigate career decisions and the anxieties that may be tied to them.\u003c/p>\n\u003cp>“I come from a perspective that we all have infinite capacities and we have so many strengths that are left untapped,” Angelakis said. “Look at your dreams and define who you want to become, and who you always dreamed you would become.”\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Read more layoff advice in our \u003ca href=\"https://www.kqed.org/news/tag/what-to-do-after-a-layoff\">What to Do After a Layoff \u003c/a>series\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>Then, Angelakis recommends, “take the time to contrast that with your recent role. See if there is a mismatch — and whether you can pick up where you left off.”\u003c/p>\n\u003cp>It’s also important to remember that you are not alone in this experience, adds McLean. “This happens to most people at some point in their career. Most of the time it’s not your fault.”\u003c/p>\n\u003cp>“It’s simply random,” she went on. “It’s simply because of budget cuts or because the company is downsizing.” \u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\">Read more about how to make a layoff feel less personal.\u003c/a>\u003c/p>\n\u003cp>Both McLean and Angelakis stress to be kind to yourself after you get the bad news. This is just the first step in a longer journey, and granting yourself patience will help you face the coming challenges.\u003c/p>\n\u003cfigure id=\"attachment_11835622\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11835622 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png\" alt=\"An Asian woman with long dark hair and medium toned skin wearing a black tee shirt looks to the side, as if worried.\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Therapists stress that it’s important to treat yourself with kindness after a layoff. \u003ccite>(Loannes Marc/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>\u003ca id=\"tellpeopleafterlayoff\">\u003c/a>How do you tell loved ones you’ve been laid off?\u003c/h2>\n\u003cp>Figuring out how we want to share the bad news with those we care about can be another source of anxiety. These people can include our friends, partners or spouses, children and parents.\u003c/p>\n\u003cp>“We begin to feel like we failed — that we failed \u003cem>them,\u003c/em> or that we were not able to fulfill our goals,” said Angelakis. But you should let yourself release those thoughts, she advises, and remind yourself that a layoff does not define your potential — as a professional, or as a person overall.\u003c/p>\n\u003cp>When you raise the news with your spouse or partner, share what you’re feeling and be clear about what type of help you need from them, Angelakis said: “You can remind them … to be your ally.”\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"#tellus\">Tell us: What else do you need information about right now?\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>And if you have both a partner and children, make a plan with your partner first on how you want to tell your kids — depending on how old they are and what you know of their emotional capacity for topics like this. But most importantly, she stressed, “Be age-appropriate.”\u003c/p>\n\u003cp>“If you’re talking to your 6-year-old child, you don’t want to say, ‘Mom got fired,’ or ‘Mom got canned.’ You might want to say something like, ‘Mom’s not going to the office for a little while,’” she said.\u003c/p>\n\u003cp>“I think a lot of people go into this talking to their kids like they’re little adults,” McLean said. Although that might be your impulse, it “can be really scary for a child if they’re being talked to like they’re a little adult,” she said. “Kids tend to worry about this kind of thing if it’s not handled age-appropriately.”\u003c/p>\n\u003cp>For younger kids more capable of handling upsetting news, as a parent or caregiver you might consider keeping it simple — that you don’t have that job anymore and are looking for an even better one, perhaps — and assure them there’s nothing to worry about.\u003c/p>\n\u003cp>You can also be honest with kids about how \u003cem>you\u003c/em> feel, McLean says — but make sure to be clear about whether some things at home will change moving forward, even temporarily. “If you’re cutting down on some extracurricular activities, make sure that you’re still doing things with the kids where they’re getting quality time with you, maybe if it’s just going to the library, or going to the park,” she said.\u003c/p>\n\u003cp>And make sure to keep checking in with your kids consistently while you’re looking for your next job. Children “tend to have tummy aches, or they tend to say, ‘I’m not feeling good’” when they’re worried about something, McLean said. “If you’re comfortable with their teachers, maybe let their teachers know, and keep to your family structure as much as possible.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch2>\u003ca id=\"selfcarelayoff\">\u003c/a>Making time for self-care\u003c/h2>\n\u003cp>If your former employer did not provide you with a severance package and you are under financial pressure, self-care may not immediately strike you as ranking high on your list of priorities. But setting aside time to catch your breath and do something that benefits you is actually critical to making sure you can be at your best when looking for a job.\u003c/p>\n\u003cp>San José-based marriage and family therapist Mariya Katrina Punay points out that a layoff is a type of separation, like a breakup or divorce. In some cases, workers have spent years working alongside people who may have become like family.\u003c/p>\n\u003cp>If we don’t take care of ourselves through this experience, like you would during another kind of separation, Punay says, it could put you at risk of longer-term consequences.\u003c/p>\n\u003cp>If the reality of the situation is “not addressed in a healthy way during the separation process,” she said, “it can be very stressful. And in the very rare case, it could be retraumatizing for those people that have not healed their job or workplace separation trauma from a previous employer … [who] jumped from one job to another without having to take time to look at how that kind of interaction has affected them.”\u003c/p>\n\u003cp>So what \u003cem>does\u003c/em> self-care look like after a job loss? If you have the option to take some time off before looking for a new role, Angelakis encourages you to fill up this time with things you always wanted to do but were prevented from doing by work. “Think about all the things that have been put on hold that are fun, inventive and creative,” she said — and seek them out.\u003c/p>\n\u003cp>Angelakis also stresses the importance of having a “gratitude practice.” This, she says, “is the time when you can fill up your time helping others,” but also an opportunity for you to make “a ritual out of being grateful for all of the things you have.”\u003c/p>\n\u003cp>“Focus on the things that you \u003cem>do\u003c/em> have in place,” Angelakis says. “The less we have, sometimes, the more grateful we become.”\u003c/p>\n\u003cp>And even if you have to go straight into the job search or you already have another job, Angelakis recommends setting aside some time each day, even for a few minutes, for your gratitude practice. “Brief with peers who also were laid off, go outside, maybe treat yourself and get your feelings out and to process what’s going on there,” she said. \u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\">Read more about finding community among other folks who’ve been laid off.\u003c/a>\u003c/p>\n\u003cp>Keeping a day-to-day structure is also part of self-care, says McLean, especially during a job search.\u003c/p>\n\u003cp>Not hearing back after multiple job applications can start to make some folks feel “depressed and hopeless,” said McLean. To combat this while you’re not working, she recommends having “some kind of structure to your day. You’ll get up at the same time. And do your résumé for two, three hours,” and then exercise.\u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\"> Read more about how to balance job applications with healthy activities.\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11867225\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11867225 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/03/pexels-cottonbro-5054213-scaled-e1617913983516.jpg\" alt=\"Two hands type on a laptop in front of a window.\" width=\"1920\" height=\"1280\">\u003cfigcaption class=\"wp-caption-text\">How can you balance actively searching for work with taking care of your emotional needs? \u003ccite>(Cottonbro/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch2>When should you seek additional mental health support?\u003c/h2>\n\u003cp>McLean emphasizes just how vulnerable we are when we lose our jobs unexpectedly. “One of the biggest stressors is being let go of a job,” she said. “It’s going to make it more likely for people to start engaging in their substance use. It’s going to put you at higher risk for depression, anxiety.”\u003c/p>\n\u003cp>McLean notes that people who have “a predisposition towards depression, anxiety, any type of mental health issue or substance use issue” should be especially aware that they might need additional support after a layoff through mental health counseling — “because they’re at higher risk for a relapse in either a mental health issue or a substance use issue, because it’s such a big stressor to lose a job.”\u003c/p>\n\u003cp>But even if this is not your personal situation, talking to a mental health professional about everything that is on your plate can go a long way if you’re also juggling family responsibilities.\u003c/p>\n\u003cp>When times are tough, many parents and caregivers tend to prioritize the needs of their children and other family members, and can sometimes overlook their own emotional and physical needs, says Angelakis. “As a mother, I know how hard it is to put yourself first,” she explained. “But if you don’t put yourself first … you’re going to start to burn out.”\u003c/p>\n\u003cp>She acknowledges that for some parents, it doesn’t come easy to set time aside to talk about their feelings. But, she says, it’s in those difficult moments that you need to take care of yourself, so you can take care of those who depend on you.\u003c/p>\n\u003cp>Last year, Angelakis herself lost her job at a children’s mental health nonprofit, around the same time her son was in a serious accident. From personal experience, she says, she knows “it is so challenging to step away and take care of myself first, because my child is my first priority.”\u003c/p>\n\u003cp>“In these circumstances, you feel like you just have to be these robotic individuals who just keep going, like the Energizer Bunny. And we’re not built that way,” said Angelakis.\u003c/p>\n\u003cp>“We’re human. We have feelings. We have needs. And those basic needs left unmet are going to manifest.”\u003c/p>\n\u003ch2>\u003ca id=\"mentalhealthinsurance\">\u003c/a>How can I access mental health care if I no longer have insurance?\u003c/h2>\n\u003cp>If you received health care insurance through your employer, that coverage will stop soon after the layoff. This can make it harder to find mental health support and can potentially create a difficult situation if you are already seeing a therapist or have a prescription for a mental health issue your insurance helps cover.\u003c/p>\n\u003cp>But there are several things you can do, says Punay from San José. After you’re told about the layoff, your employer will contact you to go over some paperwork that finalizes your employment. That’s when you want to ask how long your insurance benefits will last after your last day at work and about \u003ca href=\"https://www.dmhc.ca.gov/healthcareincalifornia/typesofplans/keepyourhealthcoverage(cobra).aspx\">COBRA, a federal and state law that allows workers to continue receiving their health coverage\u003c/a> for a certain period after losing their job.\u003c/p>\n\u003cp>Also, if your employer offers you a severance agreement, this can be the time to negotiate better terms for you and your family before agreeing to sign.\u003c/p>\n\u003cp>While going through insurance paperwork may not feel like the most exciting or engaging thing to do after losing your job, Punay acknowledges, it is still important because it can help you get the tools you need to look after yourself.\u003c/p>\n\u003cp>“For some people, it’s so easy to not bother with this stuff because they’re busy looking for work,” she said. “However, it’s also important that you advocate for yourself — because advocating for yourself, especially after a job loss, can be looking at the paperwork that you don’t want to look at.”\u003c/p>\n\u003cp>It’s important to remember that COBRA coverage is not free and premiums can in fact be quite high. Individuals may be charged hundreds of dollars, and family plans can go for thousands of dollars.\u003c/p>\n\u003cp>“While someone’s employed, their employer typically pays part of the premium. So that means it’s low cost,” said Tyler Sadwith, deputy director for behavioral health at the state Department for Health Care Services. “But after someone loses their job, while they have the ability to stay enrolled with that same health plan, they actually then become typically responsible for the full premium.”\u003c/p>\n\u003cp>“At that point, they could see what other options might be available,” he explained. “If they’re married, that could include enrolling in the health plan of their spouse or their partner. And that could also mean applying for Medi-Cal or other options under Covered California.”\u003c/p>\n\u003cp>You can review discounted health care plans — and see whether you qualify for Medi-Cal — by visiting \u003ca href=\"https://www.coveredca.com/\">Covered California’s website\u003c/a>. Once you’re covered, you’ll have access to services including mental health evaluations, individual and family therapy, and support for prescriptions as well. And remember: Medi-Cal covers all children in California, regardless of immigration status, whose families meet certain income requirements.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/news/11949192/layoffs-unemployment-benefits-health-insurance-calfresh\">\u003cstrong>Read more about your health insurance options after a layoff\u003c/strong>\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Another option California offers, Sadwith says, is \u003ca href=\"https://www.calhope.org/\">CalHOPE, a peer-based, free, counseling service\u003c/a> available through text, phone and video chat, available 24/7. When you call (833) 318-HOPE or (833) 318-4673, you’ll be connected to a member of the CalHOPE network — someone you can talk to about what you’re going through.\u003c/p>\n\u003cp>“CalHOPE is really designed to provide support … have someone share the burden that [you’re] feeling that day and get some light-touch support,” Sadwith said, clarifying that “CalHOPE is really not intended to be professionally delivered clinical mental health care, and it’s not extensive treatment or ongoing.”\u003c/p>\n\u003cp>What if you’re already seeing a therapist when you get laid off? Make sure to quickly let them know your situation, says McLean. “Some health care professionals will see clients pro bono or will see them on a sliding scale,” she said.\u003c/p>\n\u003cp>And there are several nonprofit organizations that work to provide low-cost and sliding scale counseling and therapy services. \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">See more resources on how to find affordable therapy in the Bay Area here.\u003c/a>\u003c/p>\n\u003cp>Make sure to read the rest of our KQED guides about other steps you can take after a layoff to better support yourself and those who depend on you:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11949801/layoffs-how-to-find-a-new-job-jobhunting-tips\">The Best Ways to Find a New Job, According to an Expert\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11949192/layoffs-unemployment-benefits-health-insurance-calfresh\">From Unemployment Benefits to Health Insurance, the Steps to Take ASAP\u003c/a>\u003c/strong>\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.kqed.org/news/11948895/layoffs-how-to-save-more-money-after-losing-your-job\">How to Save More Money After Losing Your Job\u003c/a>\u003c/strong>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>This story was originally published on May 19, 2023.\u003c/em>\u003c/p>\n\u003ch2>\u003ca id=\"tellus\">\u003c/a>Tell us: What else do you need information about?\u003c/h2>\n\u003cp>At KQED News, we know that it can sometimes be hard to track down the answers to navigate life in the Bay Area in 2024. We’ve published \u003ca href=\"https://www.kqed.org/news/tag/coronavirus-resources-and-explainers\">clear, helpful explainers and guides about issues like COVID\u003c/a>, \u003ca href=\"https://www.kqed.org/news/11936674/how-to-prepare-for-this-weeks-atmospheric-river-storm-sandbags-emergency-kits-and-more\">how to cope with intense winter weather\u003c/a> and \u003ca href=\"https://www.kqed.org/news/11821950/how-to-safely-attend-a-protest-in-the-bay-area\">how to exercise your right to protest safely\u003c/a>.\u003c/p>\n\u003cp>So tell us: What do you need to know more about? Tell us, and you could see your question answered online or on social media. What you submit will make our reporting stronger, and help us decide what to cover here on our site, and on KQED Public Radio, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"hearken","attributes":{"named":{"id":"10483","src":"https://modules.wearehearken.com/kqed/embed/10483.js","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11949674/layoffs-mental-health-lost-job-self-care","authors":["11708"],"categories":["news_8"],"tags":["news_32707","news_352","news_2109","news_20782","news_631","news_32735"],"featImg":"news_11949736","label":"news"},"news_11970486":{"type":"posts","id":"news_11970486","meta":{"index":"posts_1591205157","site":"news","id":"11970486","score":null,"sort":[1703086255000]},"guestAuthors":[],"slug":"california-leans-on-larger-health-system-to-sustain-mental-health-services-in-schools","title":"California Leans on Larger Health System to Sustain Mental Health Services in Schools","publishDate":1703086255,"format":"standard","headTitle":"California Leans on Larger Health System to Sustain Mental Health Services in Schools | KQED","labelTerm":{"term":33681,"site":"news"},"content":"\u003cp>To create an education system with stable mental health funds, California educators and leaders are turning to the health system and launching a statewide behavioral health initiative to fill funding gaps in fluctuating, sometimes unpredictable, school budgets.\u003c/p>\n\u003cp>“The health systems and the education systems are not bound together successfully enough to make sure we engage in both prevention and treatment,” said David Gordon, a commissioner at the \u003ca class=\"external\" href=\"https://mhsoac.ca.gov/about/\" target=\"_blank\" rel=\"noreferrer noopener\">Mental Health Services Oversight and Accountability Commission\u003c/a>. “That’s particularly true for the most underserved communities.”\u003c/p>\n\u003cp>Funding for mental health in California public schools typically comes from general education budgets, which is why funds have never been stable. As demand for school-based mental health services and specialists skyrockets, administrators and experts are increasingly turning to the health system to better serve needs that existing education budgets often can’t cover.\u003c/p>\n\u003cp>Schools bridge some gaps by placing nurses, social workers, school counselors, and psychologists on campuses, but there’s never enough money to meet students’ mental health needs fully. Without a built-in, statewide system to fund mental health in schools, districts are left to figure it out themselves.\u003c/p>\n\u003cp>“We’re so used to trying to provide external funding to fund us to some sort of equitable level for every student,” said Loretta Whitson, executive director of the California Association of School Counselors. “It’s never been the general fund will cover us — it’s just sort of baked into the cake.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It’s been that way since at least the late 1980s when Whitson began her education career, she said.\u003c/p>\n\u003cp>\u003ca class=\"external\" href=\"https://www.cde.ca.gov/fg/aa/lc/#:~:text=LCFF%20Overview,succeed%20to%20their%20greatest%20potential.\" target=\"_blank\" rel=\"noreferrer noopener\">The Local Control Funding Formula\u003c/a>, legislation that changed how education was funded in California, created more funds for mental health and “a more holistic view and review of schools,” Whitson said. “But if there’s not enough money to go around, then school district administrators need to make very hard decisions.”\u003c/p>\n\u003cp>If districts have to rely on general fund money for mental health providers, it creates competition with funding for teachers and education programs, Whitson said. If budgets had more funds specifically for mental health, it would mean more money for education.\u003c/p>\n\u003cp>California encourages but does not mandate districts to provide school counselors, social workers, nurses or psychologists. Some experts say mandates could ensure there would be mental health specialists at every school. But that goes against the idea of local control, Whitson said, which allows districts to make decisions based on their community’s needs and resources.\u003c/p>\n\u003cp>Grants for mental health have helped, but they’re not sustainable, Gordon said. School districts will receive grants for a few years or even less, and when those dollars run out, the services or mental health specialists do as well if districts don’t have money to keep them going.\u003c/p>\n\u003cp>Similarly, districts turned to pandemic relief dollars to boost staffing for school counselors, social workers, psychologists and nurses, but those funds expired in September.\u003c/p>\n\u003cp>Nonprofits and community organizations have stepped in to help fill needs at lower costs, put therapists on school campuses, and complete some of the burdensome paperwork involved. But if the services aren’t free to school districts, then most money for mental health must come from the education budget.\u003c/p>\n\u003ch2 class=\"wp-block-heading\">Blending two systems\u003c/h2>\n\u003cp>Gordon credits Gov. Gavin Newsom’s \u003ca class=\"external\" href=\"https://cybhi.chhs.ca.gov/about/\" target=\"_blank\" rel=\"noreferrer noopener\">Children Youth and Behavioral Health Initiative\u003c/a> for beginning to merge the health and education system. Gordon said the goal for two major systems to come together is reachable, “but it will take a lot of coordination and collaboration.”\u003c/p>\n\u003cp>A key component of the behavioral health initiative is supporting partnerships between Medi-Cal managed care plans and schools to increase access for children receiving Medi-Cal —\u003ca class=\"external\" href=\"https://www.dhcs.ca.gov/services/Documents/Childrens-Health-Dashboard-March2023.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"> nearly 5.7 million in 202\u003c/a>2. Another goal is to increase access to early interventions and preventative mental and behavioral health care.[aside label=\"more education coverage\" tag=\"education\"]The behavioral health initiative was part of the Budget Act of 2021 and the governor’s \u003ca class=\"external\" href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/KidsMentalHealthMasterPlan_8.18.22.pdf?emrc=6d3847\" target=\"_blank\" rel=\"noreferrer noopener\">Master Plan for Kids’ Mental Health\u003c/a>. The California Department of Health Care Services will \u003ca class=\"external\" href=\"https://www.dhcs.ca.gov/cybhi#:~:text=Established%20as%20part%20of%20the,%2C%20youth%2C%20and%20their%20families.\" target=\"_blank\" rel=\"noreferrer noopener\">invest $4.7 billion\u003c/a> over multiple years in youth behavioral services.\u003c/p>\n\u003cp>According to the master plan, more than 240,000 children cope with depression, and 66% don’t receive treatment. Suicide rates among children 10-to-18 years of age increased by 20% in 2019-2020.\u003c/p>\n\u003cp>\u003ca class=\"external\" href=\"https://cybhi.chhs.ca.gov/recent-progress-of-the-children-and-youth-behavioral-health-initiative/\" target=\"_blank\" rel=\"noreferrer noopener\">Efforts to implement the behavioral health initiative\u003c/a> started in January 2022. So far, hundreds of millions of dollars in funding have been disbursed to dozens of organizations for training and retention of providers, loan repayments and scholarships to increase providers in underserved areas.\u003c/p>\n\u003cp>But some of the funding is distributed as grants and won’t last long, Whitson said.\u003c/p>\n\u003cp>“I think it’s important to consider: How do we sustain this? A lot of programs come in as temporary programs, so seed money,” Whitson said. “We look at sustainable money as Medi-Cal a lot of times.”\u003c/p>\n\u003cp>The amount of money school districts can bill to Medi-Cal recently increased, thanks to new legislation. The California Education Code was updated in January after \u003ca class=\"external\" href=\"https://aedn.assembly.ca.gov/sites/aedn.assembly.ca.gov/files/AB%202508%20%28Quirk-Silva%29.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">AB-2058\u003c/a> passed, allowing districts to bill Medi-Cal for mental health services provided by school counselors.\u003c/p>\n\u003cp>A 2018 statewide count of school counselors tallied about 11,000, Whitson said. She estimates there are about 14,000 now.\u003c/p>\n\u003cp>“School counselors are one of the biggest billing forces in the state. It should be bringing in quite a bit of money,” Whitson said. “It could be used to lower the caseloads on all levels — social workers, psychologists, school counselors.”\u003c/p>\n\u003cp>However, the process for school districts to bill Medi-Cal can be long and cumbersome.\u003c/p>\n\u003cp>Sometimes districts won’t get a full refund, and it could take a few years before the money is returned, said Marlon Morgan, founder and CEO of \u003ca class=\"external\" href=\"https://www.wellnesstogether.org/story\" target=\"_blank\" rel=\"noreferrer noopener\">Wellness Together\u003c/a>, a nonprofit that brings mental health providers to school campuses in California and New York.\u003c/p>\n\u003cp>“Schools are pretty reticent to use that billing option because they could end up spending $1 million but only get $500,000 back,” Morgan said. “If you’re on a school board and looking at ways to stabilize your budget and to know what to expect, that’s a huge wild card, and frankly, one that doesn’t get used very often.”\u003c/p>\n\u003cp>In Sacramento County, schools are partnering with the Sacramento County Health Department to have one mental health provider at every school, Gordon said, who is also the superintendent of the Sacramento County Office of Education. The partnership works well because the county health departments already manage Medi-Cal and Medicaid plans — which insure more than 60% of people in the county, he added.\u003c/p>\n\u003cp>The purpose isn’t only to provide direct services at schools but to have someone from the health system stationed at schools interacting with staff, students, and families every day, Gordon said. The goal is to have “centers of wellness and prevention, rather than a center of let’s go out and seek treatment for a problem that should’ve been caught many years ago,” he said.\u003c/p>\n\u003cp>Some organizations combine billing insurance and grant funding to bring providers to schools. \u003ca class=\"external\" href=\"https://campusclinic.org/\" target=\"_blank\" rel=\"noreferrer noopener\">Campus Clinic\u003c/a>, which aims to remove barriers to health care access by putting providers at schools, has brought mental health providers and other physicians to 14 districts and more than 600 schools in California, said Thomas Shaffer, the organization’s founder and president.\u003c/p>\n\u003cp>Most districts haven’t had to foot the bill. Campus Clinic started paying for all the costs, Shaffer said and was able to sustain its offerings through billing insurance, including Medi-Cal, and applying for grants. One burden Campus Clinic and other similar organizations lift from districts is handling the paperwork and billing.\u003c/p>\n\u003cp>“We aim to complete, not compete, with existing resources,” Shaffer said.\u003c/p>\n\u003cp>Still, the need for mental health services and providers is too great to catch up with demand. Campus Clinic is contracted with 28 more districts that are still in the planning stages, Shaffer said.\u003c/p>\n\u003cp>Campus Clinic also offers universal health screenings that allow schools to quickly identify which students are showing signs of anxiety, depression and risk of self-harm, Shaffer said. Schools can see responses through a dashboard that includes real-time notifications for students who are at risk of self-harm. Campus Clinic has teams that start reaching out to families to offer services.\u003c/p>\n\u003cp>But it doesn’t come without challenges. Building trusting relationships with families so they feel comfortable accepting services can be an uphill battle.\u003c/p>\n\u003ch2 class=\"wp-block-heading\">‘The cultural and trust piece’\u003c/h2>\n\u003cp>Officials at Feaster Charter School in Chula Vista saw immediate results after Campus Clinic gave universal mental health screenings to students in grades six through eight in May.\u003c/p>\n\u003cp>Out of the 350 students, roughly 40% were identified as having some level of anxiety and depression, said Karena Haro-Esparza, a school counselor.\u003c/p>\n\u003cp>Teams at Campus Clinic started contacting families right away, she said. Although it’s been a huge help, she added, it’s also created challenges — “the cultural and trust piece.”\u003c/p>\n\u003cp>“Because they are not a regular part of our staff when Campus Clinic communicates with families, they have a lot of questions,” Haro-Esparza said. “Our challenge has been, ‘How do we educate families further to destigmatize and normalize the partnerships?’”\u003c/p>\n\u003cp>The stigma around mental health — especially among people of color and different cultures — is one reason families or guardians don’t seek or access resources for students. Something most mental health experts working in education can agree on is the importance of maintaining trust among schools, providers and families.\u003c/p>\n\u003cp>“It’s not just putting money out to buy services. It’s working to try to put the systems together so that they’re relating and families will come to know and trust the medical system even though they aren’t located in their community,” Gordon said.\u003c/p>\n\u003cp>One strategy Campus Clinic providers use is to rotate through different classrooms to speak with students about health and wellness for 15 minutes to become more familiar and create connections.\u003c/p>\n\u003cp>Wellness Together is investing in interns to diversify the workforce and build trusting relationships between communities and mental health providers, Morgan, its CEO, said.\u003c/p>\n\u003cp>Morgan, who started his career as a school counselor, said he’s seen dozens of people never get their licenses because they can’t afford to work for free. He said it contributes to the lack of diversity in the behavioral health workforce. Now, the nonprofit has more than 30 partnerships with universities in California to ensure interns are paid liveable wages and receive benefits. Meanwhile, Campus Clinic pays interns working toward their licenses to be social workers, clinical and mental health counselors and licensed marriage and family therapists.\u003c/p>\n\u003cp>“The biggest challenge is finding staff and making sure the staff reflects the communities they’re serving,” Morgan said. “By paying interns and paying associates, we now have an option and an opportunity to really hire the best person for the job and often hire a person who is local and from the community.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://edsource.org/2023/california-looks-to-the-health-system-to-sustain-mental-health-funds-in-schools/702583\">This article was first published by EdSource.\u003c/a>\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"As demand for more school mental health services and specialists skyrockets, administrators and experts are increasingly turning to the state health system to cover services that education budgets often can’t.","status":"publish","parent":0,"modified":1703094139,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":45,"wordCount":1932},"headData":{"title":"California Leans on Larger Health System to Sustain Mental Health Services in Schools | KQED","description":"As demand for more school mental health services and specialists skyrockets, administrators and experts are increasingly turning to the state health system to cover services that education budgets often can’t.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Leans on Larger Health System to Sustain Mental Health Services in Schools","datePublished":"2023-12-20T15:30:55.000Z","dateModified":"2023-12-20T17:42:19.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"\u003ca href=\"https://edsource.org/author/mvelez\">Monica Velez\u003c/a>","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11970486/california-leans-on-larger-health-system-to-sustain-mental-health-services-in-schools","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>To create an education system with stable mental health funds, California educators and leaders are turning to the health system and launching a statewide behavioral health initiative to fill funding gaps in fluctuating, sometimes unpredictable, school budgets.\u003c/p>\n\u003cp>“The health systems and the education systems are not bound together successfully enough to make sure we engage in both prevention and treatment,” said David Gordon, a commissioner at the \u003ca class=\"external\" href=\"https://mhsoac.ca.gov/about/\" target=\"_blank\" rel=\"noreferrer noopener\">Mental Health Services Oversight and Accountability Commission\u003c/a>. “That’s particularly true for the most underserved communities.”\u003c/p>\n\u003cp>Funding for mental health in California public schools typically comes from general education budgets, which is why funds have never been stable. As demand for school-based mental health services and specialists skyrockets, administrators and experts are increasingly turning to the health system to better serve needs that existing education budgets often can’t cover.\u003c/p>\n\u003cp>Schools bridge some gaps by placing nurses, social workers, school counselors, and psychologists on campuses, but there’s never enough money to meet students’ mental health needs fully. Without a built-in, statewide system to fund mental health in schools, districts are left to figure it out themselves.\u003c/p>\n\u003cp>“We’re so used to trying to provide external funding to fund us to some sort of equitable level for every student,” said Loretta Whitson, executive director of the California Association of School Counselors. “It’s never been the general fund will cover us — it’s just sort of baked into the cake.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It’s been that way since at least the late 1980s when Whitson began her education career, she said.\u003c/p>\n\u003cp>\u003ca class=\"external\" href=\"https://www.cde.ca.gov/fg/aa/lc/#:~:text=LCFF%20Overview,succeed%20to%20their%20greatest%20potential.\" target=\"_blank\" rel=\"noreferrer noopener\">The Local Control Funding Formula\u003c/a>, legislation that changed how education was funded in California, created more funds for mental health and “a more holistic view and review of schools,” Whitson said. “But if there’s not enough money to go around, then school district administrators need to make very hard decisions.”\u003c/p>\n\u003cp>If districts have to rely on general fund money for mental health providers, it creates competition with funding for teachers and education programs, Whitson said. If budgets had more funds specifically for mental health, it would mean more money for education.\u003c/p>\n\u003cp>California encourages but does not mandate districts to provide school counselors, social workers, nurses or psychologists. Some experts say mandates could ensure there would be mental health specialists at every school. But that goes against the idea of local control, Whitson said, which allows districts to make decisions based on their community’s needs and resources.\u003c/p>\n\u003cp>Grants for mental health have helped, but they’re not sustainable, Gordon said. School districts will receive grants for a few years or even less, and when those dollars run out, the services or mental health specialists do as well if districts don’t have money to keep them going.\u003c/p>\n\u003cp>Similarly, districts turned to pandemic relief dollars to boost staffing for school counselors, social workers, psychologists and nurses, but those funds expired in September.\u003c/p>\n\u003cp>Nonprofits and community organizations have stepped in to help fill needs at lower costs, put therapists on school campuses, and complete some of the burdensome paperwork involved. But if the services aren’t free to school districts, then most money for mental health must come from the education budget.\u003c/p>\n\u003ch2 class=\"wp-block-heading\">Blending two systems\u003c/h2>\n\u003cp>Gordon credits Gov. Gavin Newsom’s \u003ca class=\"external\" href=\"https://cybhi.chhs.ca.gov/about/\" target=\"_blank\" rel=\"noreferrer noopener\">Children Youth and Behavioral Health Initiative\u003c/a> for beginning to merge the health and education system. Gordon said the goal for two major systems to come together is reachable, “but it will take a lot of coordination and collaboration.”\u003c/p>\n\u003cp>A key component of the behavioral health initiative is supporting partnerships between Medi-Cal managed care plans and schools to increase access for children receiving Medi-Cal —\u003ca class=\"external\" href=\"https://www.dhcs.ca.gov/services/Documents/Childrens-Health-Dashboard-March2023.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"> nearly 5.7 million in 202\u003c/a>2. Another goal is to increase access to early interventions and preventative mental and behavioral health care.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"label":"more education coverage ","tag":"education"},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>The behavioral health initiative was part of the Budget Act of 2021 and the governor’s \u003ca class=\"external\" href=\"https://www.gov.ca.gov/wp-content/uploads/2022/08/KidsMentalHealthMasterPlan_8.18.22.pdf?emrc=6d3847\" target=\"_blank\" rel=\"noreferrer noopener\">Master Plan for Kids’ Mental Health\u003c/a>. The California Department of Health Care Services will \u003ca class=\"external\" href=\"https://www.dhcs.ca.gov/cybhi#:~:text=Established%20as%20part%20of%20the,%2C%20youth%2C%20and%20their%20families.\" target=\"_blank\" rel=\"noreferrer noopener\">invest $4.7 billion\u003c/a> over multiple years in youth behavioral services.\u003c/p>\n\u003cp>According to the master plan, more than 240,000 children cope with depression, and 66% don’t receive treatment. Suicide rates among children 10-to-18 years of age increased by 20% in 2019-2020.\u003c/p>\n\u003cp>\u003ca class=\"external\" href=\"https://cybhi.chhs.ca.gov/recent-progress-of-the-children-and-youth-behavioral-health-initiative/\" target=\"_blank\" rel=\"noreferrer noopener\">Efforts to implement the behavioral health initiative\u003c/a> started in January 2022. So far, hundreds of millions of dollars in funding have been disbursed to dozens of organizations for training and retention of providers, loan repayments and scholarships to increase providers in underserved areas.\u003c/p>\n\u003cp>But some of the funding is distributed as grants and won’t last long, Whitson said.\u003c/p>\n\u003cp>“I think it’s important to consider: How do we sustain this? A lot of programs come in as temporary programs, so seed money,” Whitson said. “We look at sustainable money as Medi-Cal a lot of times.”\u003c/p>\n\u003cp>The amount of money school districts can bill to Medi-Cal recently increased, thanks to new legislation. The California Education Code was updated in January after \u003ca class=\"external\" href=\"https://aedn.assembly.ca.gov/sites/aedn.assembly.ca.gov/files/AB%202508%20%28Quirk-Silva%29.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">AB-2058\u003c/a> passed, allowing districts to bill Medi-Cal for mental health services provided by school counselors.\u003c/p>\n\u003cp>A 2018 statewide count of school counselors tallied about 11,000, Whitson said. She estimates there are about 14,000 now.\u003c/p>\n\u003cp>“School counselors are one of the biggest billing forces in the state. It should be bringing in quite a bit of money,” Whitson said. “It could be used to lower the caseloads on all levels — social workers, psychologists, school counselors.”\u003c/p>\n\u003cp>However, the process for school districts to bill Medi-Cal can be long and cumbersome.\u003c/p>\n\u003cp>Sometimes districts won’t get a full refund, and it could take a few years before the money is returned, said Marlon Morgan, founder and CEO of \u003ca class=\"external\" href=\"https://www.wellnesstogether.org/story\" target=\"_blank\" rel=\"noreferrer noopener\">Wellness Together\u003c/a>, a nonprofit that brings mental health providers to school campuses in California and New York.\u003c/p>\n\u003cp>“Schools are pretty reticent to use that billing option because they could end up spending $1 million but only get $500,000 back,” Morgan said. “If you’re on a school board and looking at ways to stabilize your budget and to know what to expect, that’s a huge wild card, and frankly, one that doesn’t get used very often.”\u003c/p>\n\u003cp>In Sacramento County, schools are partnering with the Sacramento County Health Department to have one mental health provider at every school, Gordon said, who is also the superintendent of the Sacramento County Office of Education. The partnership works well because the county health departments already manage Medi-Cal and Medicaid plans — which insure more than 60% of people in the county, he added.\u003c/p>\n\u003cp>The purpose isn’t only to provide direct services at schools but to have someone from the health system stationed at schools interacting with staff, students, and families every day, Gordon said. The goal is to have “centers of wellness and prevention, rather than a center of let’s go out and seek treatment for a problem that should’ve been caught many years ago,” he said.\u003c/p>\n\u003cp>Some organizations combine billing insurance and grant funding to bring providers to schools. \u003ca class=\"external\" href=\"https://campusclinic.org/\" target=\"_blank\" rel=\"noreferrer noopener\">Campus Clinic\u003c/a>, which aims to remove barriers to health care access by putting providers at schools, has brought mental health providers and other physicians to 14 districts and more than 600 schools in California, said Thomas Shaffer, the organization’s founder and president.\u003c/p>\n\u003cp>Most districts haven’t had to foot the bill. Campus Clinic started paying for all the costs, Shaffer said and was able to sustain its offerings through billing insurance, including Medi-Cal, and applying for grants. One burden Campus Clinic and other similar organizations lift from districts is handling the paperwork and billing.\u003c/p>\n\u003cp>“We aim to complete, not compete, with existing resources,” Shaffer said.\u003c/p>\n\u003cp>Still, the need for mental health services and providers is too great to catch up with demand. Campus Clinic is contracted with 28 more districts that are still in the planning stages, Shaffer said.\u003c/p>\n\u003cp>Campus Clinic also offers universal health screenings that allow schools to quickly identify which students are showing signs of anxiety, depression and risk of self-harm, Shaffer said. Schools can see responses through a dashboard that includes real-time notifications for students who are at risk of self-harm. Campus Clinic has teams that start reaching out to families to offer services.\u003c/p>\n\u003cp>But it doesn’t come without challenges. Building trusting relationships with families so they feel comfortable accepting services can be an uphill battle.\u003c/p>\n\u003ch2 class=\"wp-block-heading\">‘The cultural and trust piece’\u003c/h2>\n\u003cp>Officials at Feaster Charter School in Chula Vista saw immediate results after Campus Clinic gave universal mental health screenings to students in grades six through eight in May.\u003c/p>\n\u003cp>Out of the 350 students, roughly 40% were identified as having some level of anxiety and depression, said Karena Haro-Esparza, a school counselor.\u003c/p>\n\u003cp>Teams at Campus Clinic started contacting families right away, she said. Although it’s been a huge help, she added, it’s also created challenges — “the cultural and trust piece.”\u003c/p>\n\u003cp>“Because they are not a regular part of our staff when Campus Clinic communicates with families, they have a lot of questions,” Haro-Esparza said. “Our challenge has been, ‘How do we educate families further to destigmatize and normalize the partnerships?’”\u003c/p>\n\u003cp>The stigma around mental health — especially among people of color and different cultures — is one reason families or guardians don’t seek or access resources for students. Something most mental health experts working in education can agree on is the importance of maintaining trust among schools, providers and families.\u003c/p>\n\u003cp>“It’s not just putting money out to buy services. It’s working to try to put the systems together so that they’re relating and families will come to know and trust the medical system even though they aren’t located in their community,” Gordon said.\u003c/p>\n\u003cp>One strategy Campus Clinic providers use is to rotate through different classrooms to speak with students about health and wellness for 15 minutes to become more familiar and create connections.\u003c/p>\n\u003cp>Wellness Together is investing in interns to diversify the workforce and build trusting relationships between communities and mental health providers, Morgan, its CEO, said.\u003c/p>\n\u003cp>Morgan, who started his career as a school counselor, said he’s seen dozens of people never get their licenses because they can’t afford to work for free. He said it contributes to the lack of diversity in the behavioral health workforce. Now, the nonprofit has more than 30 partnerships with universities in California to ensure interns are paid liveable wages and receive benefits. Meanwhile, Campus Clinic pays interns working toward their licenses to be social workers, clinical and mental health counselors and licensed marriage and family therapists.\u003c/p>\n\u003cp>“The biggest challenge is finding staff and making sure the staff reflects the communities they’re serving,” Morgan said. “By paying interns and paying associates, we now have an option and an opportunity to really hire the best person for the job and often hire a person who is local and from the community.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://edsource.org/2023/california-looks-to-the-health-system-to-sustain-mental-health-funds-in-schools/702583\">This article was first published by EdSource.\u003c/a>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11970486/california-leans-on-larger-health-system-to-sustain-mental-health-services-in-schools","authors":["byline_news_11970486"],"categories":["news_8"],"tags":["news_20013","news_27626","news_2109","news_33682","news_2998"],"affiliates":["news_33681"],"featImg":"news_11970490","label":"news_33681"},"news_11967782":{"type":"posts","id":"news_11967782","meta":{"index":"posts_1591205157","site":"news","id":"11967782","score":null,"sort":[1700478017000]},"guestAuthors":[],"slug":"returning-to-joy-a-personal-story-from-ericka","title":"Returning to Joy: A Personal Story from Ericka","publishDate":1700478017,"format":"audio","headTitle":"Returning to Joy: A Personal Story from Ericka | KQED","labelTerm":{},"content":"\u003cp>\u003ca href=\"#episode-transcript\">\u003ci>\u003cspan style=\"font-weight: 400\">View the full episode transcript.\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Last summer, Ericka told a story live on stage at KQED, at an event hosted by the San Francisco chapter of the Asian American Journalists’ Association called “Hella Asian.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">It’s a story about a camping trip she went on with her best friend during the pandemic. It’s also a story about the mental impact of the news, and her sense of safety as attacks on Asians were in the headlines. Today, we’re sharing that story again.\u003c/span>\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC8746648822&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This episode originally aired on Aug. 8, 2022.\u003c/span>\u003c/i>\u003c/p>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra and welcome to the bay. Local news to keep you rooted. So did you know that our show has made over 800 episodes? I know it’s kind of a wild number, but there are so many gems in there. And this week we’re actually going to share some of those gems from our archives. Most of our episodes are, of course, about local news here in the Bay Area, but we wanted to start off with a very different kind of episode that we made back in 2020 to that summer.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>The San Francisco chapter of the Asian-American Journalists Association held this live community storytelling event at KQED called Hella Asian. And what you’re going to hear today is actually the story that I told before that live audience. It’s a story about a camping trip that I went on with my best friend during the pandemic. It’s also about the mental impact of journalism and the news, especially on journalists of color like myself. And it’s also a story about joy. So we’re going to share that with you today. Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>So back in the Myspace days, I was really into cameras and taking pictures of things. Taking pictures was a very casual hobby of mine in middle school. I would bring a digital camera to family events and just document them. And my best friend, Rochelle, she’s always been into cameras and taking pictures of things, too.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>In eighth grade or freshman year, you got a canon? I got a Nikon.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Here’s Rochelle.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>And we would just take pictures of everything and anything of each other, of our families of, you know, the car across the street. You know, just random things all the time.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Now, a little bit about Rochelle. Rochelle and I have this matching tattoo on our arms of our childhood homes. We grew up on the same street in Sassoon City, California, in one of those suburbs where every other fourth home is the same model. Our childhood homes were identical inside and out. My favorite addendum to this fact is that we even had the same couch as kids twice. We’re also both Filipina American, so we’ve always had a lot to relate on. And photography is just another one of those things.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>We rarely had pictures with each other because one was always taking pictures of the other person.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Me and Rochelle have been friends for more than 20 years, and when the pandemic hit in 2020, we really didn’t see each other at all. So when the vaccine finally arrived and promised to change life in the pandemic, we got vaccine up as soon as we could and planned a camping trip. It was March of 2021. By this point, I forgot what it was like to plan things and this trip was happening all kind of last minute. But we landed on a place that we’d both never been to before. Kirby Cove in the Marin headlands. We pulled up their reservation page, and there was one available evening for late March at Campsite number one. So we booked it.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>I remember we both were just talking about how stressful work was and how working from home was getting. It was getting old. I know we didn’t really see each other, so we just needed that break from. Our everyday lives.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Now, this was my first big trip out of the house since the start of the pandemic. As a journalist, I needed a break from the news, and Rochelle needed a break from her job as a coordinator for an after school program, which she’d been running via Zoom. We hadn’t had quality time with each other in months. We both needed this. And then Atlanta happened.\u003c/p>\n\u003cp>*audio from news clips*\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>By this point, I’d seen dozens of stories and photos and videos of Asian elders being beaten and attacked. Oakland and San Francisco were the epicenters of some of the most high profile incidents.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>I remember during that time, like it was heavy for you. I know. For I know that like work was really stressful because of what’s because of what you just have to cover for your job. All the stories you have to do.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>As a producer working in local daily news, it was my job to pay attention to those things, to let them swirl in my mind and figure out how to cover them. And no matter how much I wanted to, I couldn’t look away. I always felt it was my responsibility and my job to bear witness.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>A lot of elderly Asian people were, you know, being targeted for, you know, blaming us for, you know, Covid and the whole pandemic. And at that time, I was like living on edge, not for me, but like, for my parents. For your parents.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When I told my dad about me and Rochelle’s camping trip, I remember him telling me If you don’t go out, nothing bad will ever happen to you. If the six Asian women and two customers killed in Atlanta never left their homes and sure, they might not have been killed by an armed white gunman who targeted Asian businesses because of his, quote, sex addiction. Sometimes when I go out, I worry my dad will prove me right.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>But as journalists, we’re not really supposed to have big feelings about the stories that we work on to cover the pain of the pandemic, the failures of our institutions, police violence, attacks on the Asian community and meet our deadlines. Compartmentalizing is a necessary skill. So I spent the week of the Atlanta shooting, shoving my feelings to the back of my mind just to get through work. And by the end of the week, I was just happy to be getting away. I parked my car for one night of camping with my best friend.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>When we finally got to our campsite. Man, it was very I was I was speechless.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Kirby Cove is this amazing grove of cypress and eucalyptus and pine with its own private little beach.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>One spot that always pops up in my head was this little, like, field of calla lilies. I don’t know if you remember that. And like, the sun was just, like, hitting them from behind and like, yeah, that was just so beautiful. It was like a movie. Yeah.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>One of the descriptions of Kirby Cove on the official Golden Gate National Parks Conservancy website says, quote, No other beach in the world has a view like this.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>It just felt really nice to just be outdoors and enjoy the vitamin D and like also getting to do that with you. Cause I haven’t like, we haven’t seen each other for so long.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Now to get to our campsite, you have to walk from one end of the cove to the other. Campsite number one was the furthest from the entrance. Perched on a cliff overlooking the Pacific Ocean and the Golden Gate Bridge with San Francisco on the other side. It was the best campsite on the cove. And we felt lucky because for most of the day that we arrived, we were the only ones there. Me and Rochelle pitched our tent and began exploring the cove.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Around the corner from our campsite was Battery Kirby. It’s this large slab of concrete built into the hillside and used to defend the coasts during wartime before the end of World War Two. Batteries like these contained 16 inch guns that fired 2,000 pound projectiles. When we got to battery, Kirby visitors had covered these abandoned structures in chalk drawings and messages.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>I remember at first we we saw the chalk and we didn’t know. Like we were like, oh, what should we write on this? Because, you know, people were like the other drawings on there were like smiley faces, rainbows or like profanity or whatever. But we had this whole wall empty wall of. Like. Like a canvas. Like what could we write? You started writing. Stop AAPI hate. Because ours is the week leading to our camping trip. That was. It was. It was everywhere. Because maybe it was us also like, Hey, there are Asians here at this campground. Like, we don’t want any harm or whatever.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Rochelle wrote, Love us like you love our food under my message on the battery wall and even think about it at the time. But there was so much irony in that act. Yet another example of gun violence in America commemorated on a slab of concrete that once housed weapons of war and domination. After we finished exploring the rest of the cove, we made our way down to the beach and touched the water.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I marveled at the cliffs walls.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>There were these amazing indents in the earth that looked like stairs. The roots of the trees that shaded our tent above were poking out. And it was such a beautiful day. As the sun began to set, we walked back through the cove to the entrance where our car was and brought the remainder of our things to our campsite. More campers had begun showing up and pitching their own tents around the cove, and I started to take stock of who else was camping at the cove that night.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>One campsite was a group of white high school boys with their one Asian friend. At another site was a group of men drinking beers who gave off a bachelor party in the wilderness vibes. I couldn’t help but notice that there weren’t any other women around or any people of color for that matter.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>With the exception of the one Asian kid. And I started to become painfully aware of my body. To get anywhere. To and from our campsite. We have to pass by Battery Kirby and our chalk messages written in huge letters. But every time we passed it, there was this dread that I could not shake. I just couldn’t bear to look at it. Something inside of me was deeply paranoid.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I worried we’d find our messages defaced with either some hateful message or maybe even a Nazi symbol. Something to tell me that someone who doesn’t agree with stopping Asian hate would be here. Something to prove that maybe my dad was right, that I should have just stayed home. And whether these were legitimate fears or not. I started to regret what we wrote on the battery walls.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Writing those messages had woken something up in me. They were reminders of the thoughts and feelings I had spent the week shoving to the back of my mind in the wilderness. Your sense of safety is warped when you’re a woman and when you’re out of the house, period. In March of 2021, your sense of safety as an Asian person is warped to. I kept these thoughts to myself, though. I tried over and over again to ignore them. By this point the sun had set and the city was glowing. The other side of our campsite was pitch black. I didn’t want any of these feelings to ruin the trip, so I stuck to the itinerary.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’d printed out the New York Times’s 36 Questions that lead to Love before the trip. Me and Rochelle had planned to do this activity together after dinner. According to the preamble to the questions, the idea is that mutual vulnerability fosters closeness. And I learned things about Rochelle that I didn’t know before. I learned that she has a secret hunch about how shall die, that she thinks I am a generous person.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>We talked about facts about our lives that we forgot were actually wild coincidences like the fact that our dads are from the same town in the Philippines, that they both had three daughters and that we were both the boon souls or the youngest. And how wild it was that the universe had brought their daughters together on this cliff. At that moment, we talked about her mom’s death when we were just freshman in high school, how I didn’t always know how to be helpful after that.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>You apologized for like not knowing what to say during that at the time that my mom passed. But it was also like I didn’t expect anything from it when we were 14 because we were so young. And like, it’s something about, like, I never want you to experience. So it was okay. You know, I just appreciated you being here. And I think I like thanked you for that.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It was the kind of conversation with your best friend that grounds you and brings you back to Earth. The kind of conversation that feels like yet another chapter for two friends just growing up and figuring out how to do life together.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>It just felt like our own little, like, therapy session. And just talking about those things with you as my best friend, it just it felt good. It just felt like I got a lot off my chest, my shoulders.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I only mentioned my fear and paranoia to Rochelle once. That night she asked me if it was because of the people that we pass by on our way back to the campsite. She knew. She sounded so sure when she said that we were going to be okay, and that comforted me. But I didn’t sleep at all that night. Instead, I gamed out an escape from our spot on the cliff in case someone tried to enter our tent. I even imagined waking up to a group of white men lounging in our chairs and helping themselves to all of our food.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Every rustle in the leaves made my heart stop. Rosen’s brother in law slipped a knife in her bag just in case. But we accidentally left it inside of the lockbox that secures our food from wild animals. And it was dozens of feet away from our tent. I tried to focus on the sound of the ocean, but I probably slept a total of three hours that night.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>We woke up pretty early. I felt like 7 a.m. and I remember, like, waking up, hearing the waves from the beach. You are already awake, I think. Mm hmm. I asked if you’re okay. And you were telling me you barely slept because you were scared from the night before. But I think just like getting out of our tent and, like, seeing that, like, everything. All our stuff was still there, you know? Mm hmm. Getting that morning sun felt really nice.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When we went to the bathroom down the hill from our campsite. The group of high school boys and the bachelor party in the wilderness were all gone. We were alone again.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>Like, no, no cars, nothing. Like not even a tent was there? Yeah, it was also just like a relief. Like, I guess that we were safe. Mm hmm. That was, like, the main thing.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Me and Rochelle ate ramen for breakfast and took in the final hours of the most amazing view of the Golden Gate Bridge before it was time to pack up and go home. A week later, I processed our camping trip in therapy. I told my therapist I’d never felt so out of control of my own mind and body. She told me that what I’d experienced was a trauma response, a direct result of my job as a journalist, and a likely culmination of all the information I was consuming about the shooting in Atlanta and the attacks on Asian people leading up to it.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It was the first time I really cried about what happened to Atlanta. In journalism school, you don’t really learn about the psychological impact of this work or how to mitigate it. And when it’s your community under attack, how do you stop yourself from having big feelings about the story? How do you compartmentalize that? For black, native, Latin, X and Asian journalists. We’re expected to do this every day under the guise of objectivity, when what we really mean to say is the guise of whiteness.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>After the Atlanta shooting, Asian journalists reported being told by their superiors that they weren’t allowed to cover the story for fear that Asian reporters couldn’t cover it fairly. By telling journalists of color to remove ourselves from stories. It’s asking us to whitewash them. When in reality our experiences, our hurt, our pain and our fear only illuminate the truth. It wasn’t until weeks later that mean Rochelle developed our film from the trip. When I got the photos back, I was floored. How is it that all I see? Is joy.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>One of my favorite pictures from the. It was a picture of you. You’re just facing the ocean. And in front of you was the Golden Gate Bridge. You can see faintly the Bay Bridge. I feel like we both captured, like, not just like the beauty of like, curvy cool, but like the beauty of, of us and like each other. Just like looking at those pictures. I was just like a very. Happy time in my life, even though we were both going through our own things. It didn’t. It didn’t show. That’s for sure. And those pictures.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I wondered if my smiles were evidence of a sort of dissonance of how good I had gotten at compartmentalizing. But I think many things can be true at once. I’m glad that this is what I have to remember of our trip. Because they also show me that we can make art out of tragedy and pain. That when I’m afraid, fear insists that I return home to my body. That maybe this is what it looks like to return to my own body. If even for a photo, these photos remind me that it’s our friends, our family, our community who will beckon us home. That it’s them will remind us to smile for the camera. And to remember joy.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>This story was originally written and produced for Hella Asian, a live community event hosted at KQED by the San Francisco chapter of the Asian-American Journalists Association. Thanks so much to the folks behind this live event, especially Ryan Davis, Cecilia Lei and Kristin Huang, who edited the live version of this story. This version was edited by Alan Montecillo. It was produced by me. Shout out also to producer Maria Esquinca for gathering some of the sound that you heard in this episode. I’m Ericka Cruz Guevarra. Thank you so much for listening. Take care. I’ll talk to you Wednesday.\u003c/p>\n\n","blocks":[],"excerpt":"Last summer, Ericka told a story live on stage at KQED, at an event hosted by the San Francisco chapter of the Asian American Journalists’ Association called “Hella Asian.” Today, we’re sharing that story again.\r\n\r\n","status":"publish","parent":0,"modified":1700688937,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":56,"wordCount":3506},"headData":{"title":"Returning to Joy: A Personal Story from Ericka | KQED","description":"Last summer, Ericka told a story live on stage at KQED, at an event hosted by the San Francisco chapter of the Asian American Journalists’ Association called “Hella Asian.” Today, we’re sharing that story again.\r\n\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Returning to Joy: A Personal Story from Ericka","datePublished":"2023-11-20T11:00:17.000Z","dateModified":"2023-11-22T21:35:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"source":"The Bay","sourceUrl":"https://www.kqed.org/podcasts/thebay","audioUrl":"https://www.podtrac.com/pts/redirect.mp3/chrt.fm/track/G6C7C3/traffic.megaphone.fm/KQINC8746648822.mp3?updated=1700258838","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/11967782/returning-to-joy-a-personal-story-from-ericka","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"#episode-transcript\">\u003ci>\u003cspan style=\"font-weight: 400\">View the full episode transcript.\u003c/span>\u003c/i>\u003c/a>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Last summer, Ericka told a story live on stage at KQED, at an event hosted by the San Francisco chapter of the Asian American Journalists’ Association called “Hella Asian.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">It’s a story about a camping trip she went on with her best friend during the pandemic. It’s also a story about the mental impact of the news, and her sense of safety as attacks on Asians were in the headlines. Today, we’re sharing that story again.\u003c/span>\u003c/p>\n\u003cp id=\"embed-code\" class=\"inconsolata\">\n\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe loading=\"lazy\" frameborder=\"0\" height=\"200\" scrolling=\"no\" src=\"https://playlist.megaphone.fm/?e=KQINC8746648822&light=true\" width=\"100%\" class=\"iframe-class\">\u003c/iframe>\n\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This episode originally aired on Aug. 8, 2022.\u003c/span>\u003c/i>\u003c/p>\n\u003ch2 id=\"episode-transcript\">Episode Transcript\u003c/h2>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">This is a computer-generated transcript. While our team has reviewed it, there may be errors.\u003c/span>\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’m Ericka Cruz Guevarra and welcome to the bay. Local news to keep you rooted. So did you know that our show has made over 800 episodes? I know it’s kind of a wild number, but there are so many gems in there. And this week we’re actually going to share some of those gems from our archives. Most of our episodes are, of course, about local news here in the Bay Area, but we wanted to start off with a very different kind of episode that we made back in 2020 to that summer.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>The San Francisco chapter of the Asian-American Journalists Association held this live community storytelling event at KQED called Hella Asian. And what you’re going to hear today is actually the story that I told before that live audience. It’s a story about a camping trip that I went on with my best friend during the pandemic. It’s also about the mental impact of journalism and the news, especially on journalists of color like myself. And it’s also a story about joy. So we’re going to share that with you today. Stay with us.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>So back in the Myspace days, I was really into cameras and taking pictures of things. Taking pictures was a very casual hobby of mine in middle school. I would bring a digital camera to family events and just document them. And my best friend, Rochelle, she’s always been into cameras and taking pictures of things, too.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>In eighth grade or freshman year, you got a canon? I got a Nikon.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Here’s Rochelle.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>And we would just take pictures of everything and anything of each other, of our families of, you know, the car across the street. You know, just random things all the time.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Now, a little bit about Rochelle. Rochelle and I have this matching tattoo on our arms of our childhood homes. We grew up on the same street in Sassoon City, California, in one of those suburbs where every other fourth home is the same model. Our childhood homes were identical inside and out. My favorite addendum to this fact is that we even had the same couch as kids twice. We’re also both Filipina American, so we’ve always had a lot to relate on. And photography is just another one of those things.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>We rarely had pictures with each other because one was always taking pictures of the other person.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Me and Rochelle have been friends for more than 20 years, and when the pandemic hit in 2020, we really didn’t see each other at all. So when the vaccine finally arrived and promised to change life in the pandemic, we got vaccine up as soon as we could and planned a camping trip. It was March of 2021. By this point, I forgot what it was like to plan things and this trip was happening all kind of last minute. But we landed on a place that we’d both never been to before. Kirby Cove in the Marin headlands. We pulled up their reservation page, and there was one available evening for late March at Campsite number one. So we booked it.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>I remember we both were just talking about how stressful work was and how working from home was getting. It was getting old. I know we didn’t really see each other, so we just needed that break from. Our everyday lives.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Now, this was my first big trip out of the house since the start of the pandemic. As a journalist, I needed a break from the news, and Rochelle needed a break from her job as a coordinator for an after school program, which she’d been running via Zoom. We hadn’t had quality time with each other in months. We both needed this. And then Atlanta happened.\u003c/p>\n\u003cp>*audio from news clips*\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>By this point, I’d seen dozens of stories and photos and videos of Asian elders being beaten and attacked. Oakland and San Francisco were the epicenters of some of the most high profile incidents.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>I remember during that time, like it was heavy for you. I know. For I know that like work was really stressful because of what’s because of what you just have to cover for your job. All the stories you have to do.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>As a producer working in local daily news, it was my job to pay attention to those things, to let them swirl in my mind and figure out how to cover them. And no matter how much I wanted to, I couldn’t look away. I always felt it was my responsibility and my job to bear witness.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>A lot of elderly Asian people were, you know, being targeted for, you know, blaming us for, you know, Covid and the whole pandemic. And at that time, I was like living on edge, not for me, but like, for my parents. For your parents.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When I told my dad about me and Rochelle’s camping trip, I remember him telling me If you don’t go out, nothing bad will ever happen to you. If the six Asian women and two customers killed in Atlanta never left their homes and sure, they might not have been killed by an armed white gunman who targeted Asian businesses because of his, quote, sex addiction. Sometimes when I go out, I worry my dad will prove me right.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>But as journalists, we’re not really supposed to have big feelings about the stories that we work on to cover the pain of the pandemic, the failures of our institutions, police violence, attacks on the Asian community and meet our deadlines. Compartmentalizing is a necessary skill. So I spent the week of the Atlanta shooting, shoving my feelings to the back of my mind just to get through work. And by the end of the week, I was just happy to be getting away. I parked my car for one night of camping with my best friend.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>When we finally got to our campsite. Man, it was very I was I was speechless.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Kirby Cove is this amazing grove of cypress and eucalyptus and pine with its own private little beach.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>One spot that always pops up in my head was this little, like, field of calla lilies. I don’t know if you remember that. And like, the sun was just, like, hitting them from behind and like, yeah, that was just so beautiful. It was like a movie. Yeah.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>One of the descriptions of Kirby Cove on the official Golden Gate National Parks Conservancy website says, quote, No other beach in the world has a view like this.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>It just felt really nice to just be outdoors and enjoy the vitamin D and like also getting to do that with you. Cause I haven’t like, we haven’t seen each other for so long.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Now to get to our campsite, you have to walk from one end of the cove to the other. Campsite number one was the furthest from the entrance. Perched on a cliff overlooking the Pacific Ocean and the Golden Gate Bridge with San Francisco on the other side. It was the best campsite on the cove. And we felt lucky because for most of the day that we arrived, we were the only ones there. Me and Rochelle pitched our tent and began exploring the cove.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Around the corner from our campsite was Battery Kirby. It’s this large slab of concrete built into the hillside and used to defend the coasts during wartime before the end of World War Two. Batteries like these contained 16 inch guns that fired 2,000 pound projectiles. When we got to battery, Kirby visitors had covered these abandoned structures in chalk drawings and messages.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>I remember at first we we saw the chalk and we didn’t know. Like we were like, oh, what should we write on this? Because, you know, people were like the other drawings on there were like smiley faces, rainbows or like profanity or whatever. But we had this whole wall empty wall of. Like. Like a canvas. Like what could we write? You started writing. Stop AAPI hate. Because ours is the week leading to our camping trip. That was. It was. It was everywhere. Because maybe it was us also like, Hey, there are Asians here at this campground. Like, we don’t want any harm or whatever.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Rochelle wrote, Love us like you love our food under my message on the battery wall and even think about it at the time. But there was so much irony in that act. Yet another example of gun violence in America commemorated on a slab of concrete that once housed weapons of war and domination. After we finished exploring the rest of the cove, we made our way down to the beach and touched the water.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I marveled at the cliffs walls.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>There were these amazing indents in the earth that looked like stairs. The roots of the trees that shaded our tent above were poking out. And it was such a beautiful day. As the sun began to set, we walked back through the cove to the entrance where our car was and brought the remainder of our things to our campsite. More campers had begun showing up and pitching their own tents around the cove, and I started to take stock of who else was camping at the cove that night.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>One campsite was a group of white high school boys with their one Asian friend. At another site was a group of men drinking beers who gave off a bachelor party in the wilderness vibes. I couldn’t help but notice that there weren’t any other women around or any people of color for that matter.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>With the exception of the one Asian kid. And I started to become painfully aware of my body. To get anywhere. To and from our campsite. We have to pass by Battery Kirby and our chalk messages written in huge letters. But every time we passed it, there was this dread that I could not shake. I just couldn’t bear to look at it. Something inside of me was deeply paranoid.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I worried we’d find our messages defaced with either some hateful message or maybe even a Nazi symbol. Something to tell me that someone who doesn’t agree with stopping Asian hate would be here. Something to prove that maybe my dad was right, that I should have just stayed home. And whether these were legitimate fears or not. I started to regret what we wrote on the battery walls.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Writing those messages had woken something up in me. They were reminders of the thoughts and feelings I had spent the week shoving to the back of my mind in the wilderness. Your sense of safety is warped when you’re a woman and when you’re out of the house, period. In March of 2021, your sense of safety as an Asian person is warped to. I kept these thoughts to myself, though. I tried over and over again to ignore them. By this point the sun had set and the city was glowing. The other side of our campsite was pitch black. I didn’t want any of these feelings to ruin the trip, so I stuck to the itinerary.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I’d printed out the New York Times’s 36 Questions that lead to Love before the trip. Me and Rochelle had planned to do this activity together after dinner. According to the preamble to the questions, the idea is that mutual vulnerability fosters closeness. And I learned things about Rochelle that I didn’t know before. I learned that she has a secret hunch about how shall die, that she thinks I am a generous person.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>We talked about facts about our lives that we forgot were actually wild coincidences like the fact that our dads are from the same town in the Philippines, that they both had three daughters and that we were both the boon souls or the youngest. And how wild it was that the universe had brought their daughters together on this cliff. At that moment, we talked about her mom’s death when we were just freshman in high school, how I didn’t always know how to be helpful after that.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>You apologized for like not knowing what to say during that at the time that my mom passed. But it was also like I didn’t expect anything from it when we were 14 because we were so young. And like, it’s something about, like, I never want you to experience. So it was okay. You know, I just appreciated you being here. And I think I like thanked you for that.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It was the kind of conversation with your best friend that grounds you and brings you back to Earth. The kind of conversation that feels like yet another chapter for two friends just growing up and figuring out how to do life together.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>It just felt like our own little, like, therapy session. And just talking about those things with you as my best friend, it just it felt good. It just felt like I got a lot off my chest, my shoulders.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I only mentioned my fear and paranoia to Rochelle once. That night she asked me if it was because of the people that we pass by on our way back to the campsite. She knew. She sounded so sure when she said that we were going to be okay, and that comforted me. But I didn’t sleep at all that night. Instead, I gamed out an escape from our spot on the cliff in case someone tried to enter our tent. I even imagined waking up to a group of white men lounging in our chairs and helping themselves to all of our food.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Every rustle in the leaves made my heart stop. Rosen’s brother in law slipped a knife in her bag just in case. But we accidentally left it inside of the lockbox that secures our food from wild animals. And it was dozens of feet away from our tent. I tried to focus on the sound of the ocean, but I probably slept a total of three hours that night.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>We woke up pretty early. I felt like 7 a.m. and I remember, like, waking up, hearing the waves from the beach. You are already awake, I think. Mm hmm. I asked if you’re okay. And you were telling me you barely slept because you were scared from the night before. But I think just like getting out of our tent and, like, seeing that, like, everything. All our stuff was still there, you know? Mm hmm. Getting that morning sun felt really nice.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>When we went to the bathroom down the hill from our campsite. The group of high school boys and the bachelor party in the wilderness were all gone. We were alone again.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>Like, no, no cars, nothing. Like not even a tent was there? Yeah, it was also just like a relief. Like, I guess that we were safe. Mm hmm. That was, like, the main thing.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>Me and Rochelle ate ramen for breakfast and took in the final hours of the most amazing view of the Golden Gate Bridge before it was time to pack up and go home. A week later, I processed our camping trip in therapy. I told my therapist I’d never felt so out of control of my own mind and body. She told me that what I’d experienced was a trauma response, a direct result of my job as a journalist, and a likely culmination of all the information I was consuming about the shooting in Atlanta and the attacks on Asian people leading up to it.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>It was the first time I really cried about what happened to Atlanta. In journalism school, you don’t really learn about the psychological impact of this work or how to mitigate it. And when it’s your community under attack, how do you stop yourself from having big feelings about the story? How do you compartmentalize that? For black, native, Latin, X and Asian journalists. We’re expected to do this every day under the guise of objectivity, when what we really mean to say is the guise of whiteness.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>After the Atlanta shooting, Asian journalists reported being told by their superiors that they weren’t allowed to cover the story for fear that Asian reporters couldn’t cover it fairly. By telling journalists of color to remove ourselves from stories. It’s asking us to whitewash them. When in reality our experiences, our hurt, our pain and our fear only illuminate the truth. It wasn’t until weeks later that mean Rochelle developed our film from the trip. When I got the photos back, I was floored. How is it that all I see? Is joy.\u003c/p>\n\u003cp>\u003cstrong>Rochelle: \u003c/strong>One of my favorite pictures from the. It was a picture of you. You’re just facing the ocean. And in front of you was the Golden Gate Bridge. You can see faintly the Bay Bridge. I feel like we both captured, like, not just like the beauty of like, curvy cool, but like the beauty of, of us and like each other. Just like looking at those pictures. I was just like a very. Happy time in my life, even though we were both going through our own things. It didn’t. It didn’t show. That’s for sure. And those pictures.\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>I wondered if my smiles were evidence of a sort of dissonance of how good I had gotten at compartmentalizing. But I think many things can be true at once. I’m glad that this is what I have to remember of our trip. Because they also show me that we can make art out of tragedy and pain. That when I’m afraid, fear insists that I return home to my body. That maybe this is what it looks like to return to my own body. If even for a photo, these photos remind me that it’s our friends, our family, our community who will beckon us home. That it’s them will remind us to smile for the camera. And to remember joy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Ericka Cruz Guevarra: \u003c/strong>This story was originally written and produced for Hella Asian, a live community event hosted at KQED by the San Francisco chapter of the Asian-American Journalists Association. Thanks so much to the folks behind this live event, especially Ryan Davis, Cecilia Lei and Kristin Huang, who edited the live version of this story. This version was edited by Alan Montecillo. It was produced by me. Shout out also to producer Maria Esquinca for gathering some of the sound that you heard in this episode. I’m Ericka Cruz Guevarra. Thank you so much for listening. Take care. I’ll talk to you Wednesday.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11967782/returning-to-joy-a-personal-story-from-ericka","authors":["8654","11649","11802"],"programs":["news_28779"],"categories":["news_8","news_33520"],"tags":["news_2670","news_2109","news_22598"],"featImg":"news_11967786","label":"source_news_11967782"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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