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Murrow award for investigative reporting, a Society of Professional Journalists award for long-form storytelling, and a Carter Center Fellowship for Mental Health Journalism.\r\n\r\nDembosky reported and produced \u003cem>Soundtrack of Silence\u003c/em>, an audio documentary about music and memory that is currently being made into a feature film by Paramount Pictures.\r\n\r\nBefore joining KQED in 2013, Dembosky covered technology and Silicon Valley for \u003cem>The Financial Times of London,\u003c/em> and contributed business and arts stories to \u003cem>Marketplace \u003c/em>and \u003cem>The New York Times.\u003c/em> She got her undergraduate degree in philosophy from Smith College and her master's in journalism from the University of California, Berkeley. She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.","avatar":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twitter":"adembosky","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"April Dembosky | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/adembosky"},"lklivans":{"type":"authors","id":"8648","meta":{"index":"authors_1591205172","id":"8648","found":true},"name":"Laura Klivans","firstName":"Laura","lastName":"Klivans","slug":"lklivans","email":"lklivans@kqed.org","display_author_email":true,"staff_mastheads":["news","science"],"title":"Reporter and Host","bio":"Laura Klivans is a science reporter and the host of KQED's video series about tiny, amazing animals, \u003cem>Deep Look\u003c/em>. Her work can also be heard on NPR, \u003cem>Here & Now, \u003c/em>and PRI. Before working in audio, she taught, leading groups of students abroad. One of her favorite jobs was teaching on the Thai-Burmese border, working with immigrants and refugees.\r\n\r\nLaura has won three Northern California Area Emmys along with her Deep Look colleagues. She's won the North Gate Award for Excellence in Audio Reporting and the Gobind Behari Lal Award for a radio documentary about adults with imaginary friends. She's a fellowship junkie, completing the USC Center for Health Journalism's California Fellowship, UC Berkeley's Human Rights Fellowship and the Coro Fellowship in Public Affairs. Laura has a master’s in journalism from UC Berkeley and a master’s in education from Harvard.\r\n\r\nShe likes to eat chocolate for breakfast. She's also open to eating it all day long.","avatar":"https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g","twitter":"lauraklivans","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["editor"]},{"site":"stateofhealth","roles":["contributor","editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"Laura Klivans | KQED","description":"Reporter and Host","ogImgSrc":"https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/af8e757bb8ce7b7fee6160ba66e37327?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lklivans"}},"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":"home","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":"/"}},"stateofhealth_363411":{"type":"posts","id":"stateofhealth_363411","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"363411","score":null,"sort":[1525991676000]},"guestAuthors":[],"slug":"where-do-you-go-when-you-leave-the-hospital-but-are-homeless","title":"Where Do You Go When You Leave the Hospital But Are Homeless?","publishDate":1525991676,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cspan style=\"font-weight: 400\">Suzanne Adams stood outside \u003ca href=\"http://www.catsinc.org/a-woman-s-place.html\" target=\"_blank\" rel=\"noopener\">A Woman’s Place\u003c/a>, a homeless drop-in center in San Francisco. Adams, who works there as a psychologist, pointed to the curb near the front entrance. It's where taxis regularly drop off homeless patients who have just been discharged from the hospital. \u003c/span>\u003c/p>\n\u003cp>\"Generally speaking the driver is kind enough to assist some of these women in exiting the vehicle and grabbing some of their belongings,\" Adams said. \"The patient or client enters in through our door sometimes bewildered and confused as to why they’re here.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Many of the women are elderly. Some have never been to A Woman's Place before the taxi drops them off, while others are regulars. Whatever the case, the center just isn’t prepared to take in medically fragile patients straight from the hospital, according to Adams. It’s not a clinic, and it’s not even a shelter. Women and families can stop in to take showers, do laundry or get counseling. There aren’t any beds, just a television set and lots of chairs. \u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1152\" target=\"_blank\" rel=\"noopener\">A bill\u003c/a> under consideration in Sacramento aims to address this practice, which some advocates call \"patient dumping.\" They say hospitals commonly discharge homeless patients by sending them to social service agencies or other nonprofits, and they do this without contacting those locations first.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams said this “dumping” happens at least once a week at A Woman's Place. One of the cases that haunts her involves an elderly woman who has a serious mental illness. Recently, the client had deteriorated so much that she couldn’t use the toilet alone. \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"She wasn’t leaving the building under her own accord,\" Adams said. \"She wasn’t accessing food or water without the assistance of other people. She tried to pay me a dollar the other day to go buy her some ramen so that she could eat.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams sent the woman to the hospital, hoping psychiatric services would help. \u003c/span>\u003c/p>\n\u003cp>\"Unfortunately, less than 24 hours later, she returned here,\" Adams said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The same client was resting at the center on the day a KQED reporter visited, sitting in a black chair that she favors. Adams said the woman’s mental illness still wasn't well-controlled, so she couldn't speak coherently or consent to an interview. \u003c/span>\u003c/p>\n\u003cp>\"In an ideal world, she would be transferred to a 'board and care' or an assisted living facility, where they could manage her mental health as well as her medical health in a fashion that we simply don’t have the infrastructure for,\" Adams said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislation moving through the state Senate would require that patients be discharged to one of four \"safe and appropriate\" locations: their primary dwelling (as identified by the homeless patient), another health center or hospital, a nonprofit or social service agency that has given written consent to accept the patient, or an alternative spot that the patient has consented to go to, in writing. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"http://sd22.senate.ca.gov/\" target=\"_blank\" rel=\"noopener\">Sen. Ed Hernandez\u003c/a>, D-West Covina, introduced the bill. He said hospitals, as part of society, have obligations to homeless Californians. \u003c/span>\u003c/p>\n\u003cp>\"If they fall down and have a heart attack, and somebody sends them to the hospital, we’re required by law -- which is the humane thing to do -- to treat those individuals,\" said Hernandez, who is an optometrist and chair of the Senate Health Committee. He was referring to a federal law called \u003ca href=\"https://www.acep.org/news-media-top-banner/emtala/#sm.000005tj0xf3geeirxddg2ghqr9qa\" target=\"_blank\" rel=\"noopener\">EMTALA\u003c/a>, which mandates that emergency rooms accept and treat everyone, regardless of ability to pay.\u003c/p>\n\u003cp>But EMTALA doesn't address how patients are discharged from ERs. \"Once they’re treated, the humane thing is to figure out where we’re going to place them, as opposed to just leaving them out in the street immediately,\" Hernandez said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">His bill would require some additional work on the part of ER staffers at California hospitals, such as getting consent from a shelter where the hospital wants to send the patient. \u003c/span>\u003c/p>\n\u003cp>\"I can’t imagine that it’s going to be that costly to pick up the phone,\" Hernandez said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislation also lays out a checklist of things to do before discharge. For example, the patient must be hydrated, have recently eaten and be dressed in weather-appropriate clothing. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But hospitals are pushing back, saying the list is too specific, and doesn’t give hospital workers enough flexibility to decide what’s right for each patient. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://www.calhospital.org/profile/peggy-broussard-wheeler\" target=\"_blank\" rel=\"noopener\">Peggy Wheeler\u003c/a> is the vice president for rural health and governance for the \u003ca href=\"https://www.calhospital.org/\" target=\"_blank\" rel=\"noopener\">California Hospital Association\u003c/a>. She said the bill would put yet another burden on emergency care. \u003c/span>\u003c/p>\n\u003cp>\"Hospital ERs are overcrowded,\" Wheeler said. \"If we had to hold on to a patient in a bed in the ER, that’s one less bed, two less beds, three less beds that would be available for other members of the community that need to come in and use the ER.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams, the psychologist at A Woman’s Place, thinks the bill is a good step. But she said it doesn’t get at the \u003c/span>\u003cspan style=\"font-weight: 400\">root \u003c/span>\u003cspan style=\"font-weight: 400\">problem, which is that the Bay Area doesn’t have enough options for patients who still need help \u003c/span>\u003cspan style=\"font-weight: 400\">after\u003c/span>\u003cspan style=\"font-weight: 400\"> they leave the hospital. There aren’t enough nursing homes, rehabilitation units or assisted care programs for elderly, low-income or disabled patients. \u003c/span>\u003c/p>\n\u003cp>\"It’s a health insurance issue, it’s an aging issue, it’s a lack of infrastructure and funding,\" Adams said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Until that gets fixed, Adams fears many patients will continue to shuttle between hospitals, the shelter system and the street. \u003c/span>\u003c/p>\n\n","blocks":[],"excerpt":"Legislation moving through the state Senate would require patients to be released to one of four \"safe and appropriate\" locations.","status":"publish","parent":0,"modified":1525994461,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":25,"wordCount":957},"headData":{"title":"Where Do You Go When You Leave the Hospital But Are Homeless? | KQED","description":"Legislation moving through the state Senate would require patients to be released to one of four "safe and appropriate" locations.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"363411 https://ww2.kqed.org/stateofhealth/?p=363411","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/05/10/where-do-you-go-when-you-leave-the-hospital-but-are-homeless/","disqusTitle":"Where Do You Go When You Leave the Hospital But Are Homeless?","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2018/05/KlivansPatientDumping.mp3","path":"/stateofhealth/363411/where-do-you-go-when-you-leave-the-hospital-but-are-homeless","audioDuration":null,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Suzanne Adams stood outside \u003ca href=\"http://www.catsinc.org/a-woman-s-place.html\" target=\"_blank\" rel=\"noopener\">A Woman’s Place\u003c/a>, a homeless drop-in center in San Francisco. Adams, who works there as a psychologist, pointed to the curb near the front entrance. It's where taxis regularly drop off homeless patients who have just been discharged from the hospital. \u003c/span>\u003c/p>\n\u003cp>\"Generally speaking the driver is kind enough to assist some of these women in exiting the vehicle and grabbing some of their belongings,\" Adams said. \"The patient or client enters in through our door sometimes bewildered and confused as to why they’re here.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Many of the women are elderly. Some have never been to A Woman's Place before the taxi drops them off, while others are regulars. Whatever the case, the center just isn’t prepared to take in medically fragile patients straight from the hospital, according to Adams. It’s not a clinic, and it’s not even a shelter. Women and families can stop in to take showers, do laundry or get counseling. There aren’t any beds, just a television set and lots of chairs. \u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180SB1152\" target=\"_blank\" rel=\"noopener\">A bill\u003c/a> under consideration in Sacramento aims to address this practice, which some advocates call \"patient dumping.\" They say hospitals commonly discharge homeless patients by sending them to social service agencies or other nonprofits, and they do this without contacting those locations first.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams said this “dumping” happens at least once a week at A Woman's Place. One of the cases that haunts her involves an elderly woman who has a serious mental illness. Recently, the client had deteriorated so much that she couldn’t use the toilet alone. \u003c/span>\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>\"She wasn’t leaving the building under her own accord,\" Adams said. \"She wasn’t accessing food or water without the assistance of other people. She tried to pay me a dollar the other day to go buy her some ramen so that she could eat.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams sent the woman to the hospital, hoping psychiatric services would help. \u003c/span>\u003c/p>\n\u003cp>\"Unfortunately, less than 24 hours later, she returned here,\" Adams said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The same client was resting at the center on the day a KQED reporter visited, sitting in a black chair that she favors. Adams said the woman’s mental illness still wasn't well-controlled, so she couldn't speak coherently or consent to an interview. \u003c/span>\u003c/p>\n\u003cp>\"In an ideal world, she would be transferred to a 'board and care' or an assisted living facility, where they could manage her mental health as well as her medical health in a fashion that we simply don’t have the infrastructure for,\" Adams said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislation moving through the state Senate would require that patients be discharged to one of four \"safe and appropriate\" locations: their primary dwelling (as identified by the homeless patient), another health center or hospital, a nonprofit or social service agency that has given written consent to accept the patient, or an alternative spot that the patient has consented to go to, in writing. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"http://sd22.senate.ca.gov/\" target=\"_blank\" rel=\"noopener\">Sen. Ed Hernandez\u003c/a>, D-West Covina, introduced the bill. He said hospitals, as part of society, have obligations to homeless Californians. \u003c/span>\u003c/p>\n\u003cp>\"If they fall down and have a heart attack, and somebody sends them to the hospital, we’re required by law -- which is the humane thing to do -- to treat those individuals,\" said Hernandez, who is an optometrist and chair of the Senate Health Committee. He was referring to a federal law called \u003ca href=\"https://www.acep.org/news-media-top-banner/emtala/#sm.000005tj0xf3geeirxddg2ghqr9qa\" target=\"_blank\" rel=\"noopener\">EMTALA\u003c/a>, which mandates that emergency rooms accept and treat everyone, regardless of ability to pay.\u003c/p>\n\u003cp>But EMTALA doesn't address how patients are discharged from ERs. \"Once they’re treated, the humane thing is to figure out where we’re going to place them, as opposed to just leaving them out in the street immediately,\" Hernandez said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">His bill would require some additional work on the part of ER staffers at California hospitals, such as getting consent from a shelter where the hospital wants to send the patient. \u003c/span>\u003c/p>\n\u003cp>\"I can’t imagine that it’s going to be that costly to pick up the phone,\" Hernandez said.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The legislation also lays out a checklist of things to do before discharge. For example, the patient must be hydrated, have recently eaten and be dressed in weather-appropriate clothing. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But hospitals are pushing back, saying the list is too specific, and doesn’t give hospital workers enough flexibility to decide what’s right for each patient. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003ca href=\"https://www.calhospital.org/profile/peggy-broussard-wheeler\" target=\"_blank\" rel=\"noopener\">Peggy Wheeler\u003c/a> is the vice president for rural health and governance for the \u003ca href=\"https://www.calhospital.org/\" target=\"_blank\" rel=\"noopener\">California Hospital Association\u003c/a>. She said the bill would put yet another burden on emergency care. \u003c/span>\u003c/p>\n\u003cp>\"Hospital ERs are overcrowded,\" Wheeler said. \"If we had to hold on to a patient in a bed in the ER, that’s one less bed, two less beds, three less beds that would be available for other members of the community that need to come in and use the ER.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Adams, the psychologist at A Woman’s Place, thinks the bill is a good step. But she said it doesn’t get at the \u003c/span>\u003cspan style=\"font-weight: 400\">root \u003c/span>\u003cspan style=\"font-weight: 400\">problem, which is that the Bay Area doesn’t have enough options for patients who still need help \u003c/span>\u003cspan style=\"font-weight: 400\">after\u003c/span>\u003cspan style=\"font-weight: 400\"> they leave the hospital. There aren’t enough nursing homes, rehabilitation units or assisted care programs for elderly, low-income or disabled patients. \u003c/span>\u003c/p>\n\u003cp>\"It’s a health insurance issue, it’s an aging issue, it’s a lack of infrastructure and funding,\" Adams said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Until that gets fixed, Adams fears many patients will continue to shuttle between hospitals, the shelter system and the street. \u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/363411/where-do-you-go-when-you-leave-the-hospital-but-are-homeless","authors":["8648"],"categories":["stateofhealth_11","stateofhealth_3012","stateofhealth_14","stateofhealth_2746"],"tags":["stateofhealth_3244","stateofhealth_3243","stateofhealth_2808","stateofhealth_719","stateofhealth_68","stateofhealth_2519","stateofhealth_3241","stateofhealth_3242"],"featImg":"stateofhealth_363413","label":"stateofhealth"},"stateofhealth_362850":{"type":"posts","id":"stateofhealth_362850","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"362850","score":null,"sort":[1520240430000]},"guestAuthors":[],"slug":"to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing","title":"To Screen or Not to Screen? Doctors Debate Post Partum Depression Testing","publishDate":1520240430,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Lawmakers will begin debate next month on a bill that would require doctors to screen new moms for mental health problems – once while they’re pregnant and again, after giving birth.\u003c/p>\n\u003cp>But a lot of doctors don’t like the idea. Many obstetricians and pediatricians are afraid to screen new moms for depression and anxiety.\u003c/p>\n\u003cp>“What are you going to do with those people who screen positive?” said Laura Sirott, an OB/GYN who practices in Pasadena. “Some providers have nowhere to send them.”\u003c/p>\n\u003cp>Of women who screen positive for postpartum depression, 78 percent don’t get mental health treatment, according to a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4618720/\" target=\"_blank\" rel=\"noopener\">2015 study review\u003c/a> published in the journal \u003cem>Obstetrics & Gynecology\u003c/em>. Dr. Sirott’s patients have told her the range of reasons why they don’t take her up on a referral to a psychologist.\u003c/p>\n\u003cp>“Oh, they don’t take my insurance. Or my insurance pays for three visits. I can’t take time off of work to go to those visits. It’s a three-month wait to get in to that person,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And, it’s hard to find a psychiatrist who is trained in the complexities of prescribing medications to pregnant or breastfeeding women, and who is willing to treat them, especially in rural areas.\u003c/p>\n\u003cp>“So it’s very frustrating to ask patients about a problem and then not have any way to solve that problem,” Sirott said.\u003c/p>\n\u003cp>But moms are frustrated, too. After the baby comes, no one asks about them anymore. Wendy Root Askew struggled for years to get pregnant, and when she finally did, her anxiety got worse. She couldn’t stop worrying that something would go wrong.\u003c/p>\n\u003cp>“And then after I had my son, I would have these dreams where someone would come to the door and they would say ‘Well, you know, we’re just going to wait two weeks to see if you get to keep your baby or not,’” she said. “And it really impacted my ability to bond with him.”\u003c/p>\n\u003cp>She likes the bill, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB2193\" target=\"_blank\" rel=\"noopener\">AB 2193\u003c/a>, because it goes beyond mandated screening. It requires health insurance companies to set up case management programs to help moms find a therapist, and to connect obstetricians or pediatricians with a psychiatric expert.\u003c/p>\n\u003cp>“Just like we have case management programs for patients who have diabetes or sleep issues or back pain, a case management program requires the insurance company to take some ownership of making sure their patients are getting the treatment they need to be healthy,” said Root Askew, who is now advocating for the bill on behalf of the group \u003ca href=\"https://www.2020mom.org/\" target=\"_blank\" rel=\"noopener\">2020 Mom\u003c/a>.\u003c/p>\n\u003cp>Health insurance companies haven’t taken a position on the legislation. It’s unclear how much it will cost them to comply, because some already have infrastructure in place for case management programs and some don’t. But there is consensus among insurers and health advocates that such programs save money in the long run.\u003c/p>\n\u003cp>“The sooner that you can get good treatment for a mom, the less expensive that condition will be to manage over the course of the woman’s life and over the course of that child’s life,” Root Askew said.\u003c/p>\n\u003cp>Doctors still have their objections. Under the bill, they could be disciplined for not screening. And screening takes time. Sometimes a doctor asks a mom how she’s sleeping, and she’s in tears for the next 30 minutes.\u003c/p>\n\u003cp>The health care system, and the incentives, aren’t set up for this, said Dr. Sirott.\u003c/p>\n\u003cp>“Currently, I get six dollars for screening a patient,” she said. “By the time I put it on a piece of paper and print it, it’s not worth it.”\u003c/p>\n\u003cp>And it’s not clear it’s worth it to the patients either. Four other states – Illinois, Massachusetts, New Jersey, and West Virginia – have tried mandated screening, and it made no difference in patient outcomes, according to \u003ca href=\"https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201300505?code=ps-site\" target=\"_blank\" rel=\"noopener\">a study\u003c/a> published in \u003cem>Psychiatric Services\u003c/em> in 2015.\u003c/p>\n\u003cp>Even with California’s extra requirements on insurance companies to facilitate care, women could still face high co-pays or limits on therapy sessions. Or, they’re so overwhelmed caring for a newborn, they never leave the house.\u003c/p>\n\u003cp>What does seem to work, according to the study, is when nurses or mental health providers visit new moms at home.\u003c/p>\n\u003cp>“Despite abundant good will, there is no evidence that state policies are addressing this great need,” the study authors wrote.\u003c/p>\n\u003cp>But supporters of the proposed bill say doctors need to start somewhere. Screening is the first step in recognizing the full scope of the problem, said Mountain View psychiatrist \u003ca href=\"https://www.elcaminohospital.org/doctors/nirmaljit-dhami\" target=\"_blank\" rel=\"noopener\">Nirmaljit Dhami\u003c/a>, adding that women should be screened on an ongoing basis throughout pregnancy and for a year after birth, not just once or twice as the bill requires.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I often tell doctors that if you don't know that somebody is suicidal it doesn't mean that their suicidality will go away,” she said. “If you don't ask, the risk is the same.”\u003c/p>\n\n","blocks":[],"excerpt":"A proposed bill would require doctors to screen new moms for depression, and require health insurers to help them get care.","status":"publish","parent":0,"modified":1521474114,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":891},"headData":{"title":"To Screen or Not to Screen? Doctors Debate Post Partum Depression Testing | KQED","description":"A proposed bill would require doctors to screen new moms for depression, and require health insurers to help them get care.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"362850 https://ww2.kqed.org/stateofhealth/?p=362850","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/03/05/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing/","disqusTitle":"To Screen or Not to Screen? Doctors Debate Post Partum Depression Testing","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/03/MandatedPostPartumScreeningDembosky.mp3","path":"/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Lawmakers will begin debate next month on a bill that would require doctors to screen new moms for mental health problems – once while they’re pregnant and again, after giving birth.\u003c/p>\n\u003cp>But a lot of doctors don’t like the idea. Many obstetricians and pediatricians are afraid to screen new moms for depression and anxiety.\u003c/p>\n\u003cp>“What are you going to do with those people who screen positive?” said Laura Sirott, an OB/GYN who practices in Pasadena. “Some providers have nowhere to send them.”\u003c/p>\n\u003cp>Of women who screen positive for postpartum depression, 78 percent don’t get mental health treatment, according to a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4618720/\" target=\"_blank\" rel=\"noopener\">2015 study review\u003c/a> published in the journal \u003cem>Obstetrics & Gynecology\u003c/em>. Dr. Sirott’s patients have told her the range of reasons why they don’t take her up on a referral to a psychologist.\u003c/p>\n\u003cp>“Oh, they don’t take my insurance. Or my insurance pays for three visits. I can’t take time off of work to go to those visits. It’s a three-month wait to get in to that person,” she 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>And, it’s hard to find a psychiatrist who is trained in the complexities of prescribing medications to pregnant or breastfeeding women, and who is willing to treat them, especially in rural areas.\u003c/p>\n\u003cp>“So it’s very frustrating to ask patients about a problem and then not have any way to solve that problem,” Sirott said.\u003c/p>\n\u003cp>But moms are frustrated, too. After the baby comes, no one asks about them anymore. Wendy Root Askew struggled for years to get pregnant, and when she finally did, her anxiety got worse. She couldn’t stop worrying that something would go wrong.\u003c/p>\n\u003cp>“And then after I had my son, I would have these dreams where someone would come to the door and they would say ‘Well, you know, we’re just going to wait two weeks to see if you get to keep your baby or not,’” she said. “And it really impacted my ability to bond with him.”\u003c/p>\n\u003cp>She likes the bill, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB2193\" target=\"_blank\" rel=\"noopener\">AB 2193\u003c/a>, because it goes beyond mandated screening. It requires health insurance companies to set up case management programs to help moms find a therapist, and to connect obstetricians or pediatricians with a psychiatric expert.\u003c/p>\n\u003cp>“Just like we have case management programs for patients who have diabetes or sleep issues or back pain, a case management program requires the insurance company to take some ownership of making sure their patients are getting the treatment they need to be healthy,” said Root Askew, who is now advocating for the bill on behalf of the group \u003ca href=\"https://www.2020mom.org/\" target=\"_blank\" rel=\"noopener\">2020 Mom\u003c/a>.\u003c/p>\n\u003cp>Health insurance companies haven’t taken a position on the legislation. It’s unclear how much it will cost them to comply, because some already have infrastructure in place for case management programs and some don’t. But there is consensus among insurers and health advocates that such programs save money in the long run.\u003c/p>\n\u003cp>“The sooner that you can get good treatment for a mom, the less expensive that condition will be to manage over the course of the woman’s life and over the course of that child’s life,” Root Askew said.\u003c/p>\n\u003cp>Doctors still have their objections. Under the bill, they could be disciplined for not screening. And screening takes time. Sometimes a doctor asks a mom how she’s sleeping, and she’s in tears for the next 30 minutes.\u003c/p>\n\u003cp>The health care system, and the incentives, aren’t set up for this, said Dr. Sirott.\u003c/p>\n\u003cp>“Currently, I get six dollars for screening a patient,” she said. “By the time I put it on a piece of paper and print it, it’s not worth it.”\u003c/p>\n\u003cp>And it’s not clear it’s worth it to the patients either. Four other states – Illinois, Massachusetts, New Jersey, and West Virginia – have tried mandated screening, and it made no difference in patient outcomes, according to \u003ca href=\"https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201300505?code=ps-site\" target=\"_blank\" rel=\"noopener\">a study\u003c/a> published in \u003cem>Psychiatric Services\u003c/em> in 2015.\u003c/p>\n\u003cp>Even with California’s extra requirements on insurance companies to facilitate care, women could still face high co-pays or limits on therapy sessions. Or, they’re so overwhelmed caring for a newborn, they never leave the house.\u003c/p>\n\u003cp>What does seem to work, according to the study, is when nurses or mental health providers visit new moms at home.\u003c/p>\n\u003cp>“Despite abundant good will, there is no evidence that state policies are addressing this great need,” the study authors wrote.\u003c/p>\n\u003cp>But supporters of the proposed bill say doctors need to start somewhere. Screening is the first step in recognizing the full scope of the problem, said Mountain View psychiatrist \u003ca href=\"https://www.elcaminohospital.org/doctors/nirmaljit-dhami\" target=\"_blank\" rel=\"noopener\">Nirmaljit Dhami\u003c/a>, adding that women should be screened on an ongoing basis throughout pregnancy and for a year after birth, not just once or twice as the bill requires.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I often tell doctors that if you don't know that somebody is suicidal it doesn't mean that their suicidality will go away,” she said. “If you don't ask, the risk is the same.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing","authors":["3205"],"categories":["stateofhealth_2442","stateofhealth_3012","stateofhealth_14"],"tags":["stateofhealth_3067","stateofhealth_2582","stateofhealth_2947","stateofhealth_2808","stateofhealth_28","stateofhealth_3229","stateofhealth_3212","stateofhealth_68","stateofhealth_3230","stateofhealth_2519","stateofhealth_3228"],"featImg":"stateofhealth_362852","label":"stateofhealth"},"stateofhealth_360720":{"type":"posts","id":"stateofhealth_360720","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"360720","score":null,"sort":[1502237507000]},"guestAuthors":[],"slug":"how-smartphones-are-making-kids-unhappy","title":"How Smartphones Are Making Kids Unhappy","publishDate":1502237507,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>For the first time, a generation of children is going through adolescence with smartphones ever-present. \u003ca href=\"http://www.psychology.sdsu.edu/people/jean-twenge/\">Jean Twenge\u003c/a>, a professor of psychology at San Diego State University, has a name for these young people born between 1995 and 2012: \"iGen.\"\u003c/p>\n\u003cp>She says members of this generation are physically safer than those who came before them. They drink less, they learn to drive later and they're holding off on having sex. But psychologically, she argues, they are far more vulnerable.\u003c/p>\n\u003cp>\"It's not an exaggeration to describe iGen as being on the brink of the worst mental health crisis in decades,\" she writes in a \u003ca href=\"https://www.theatlantic.com/magazine/archive/2017/09/has-the-smartphone-destroyed-a-generation/534198/\">story\u003c/a> in \u003cem>The Atlantic, \u003c/em>adapted from her \u003ca href=\"http://www.simonandschuster.com/books/iGen/Jean-M-Twenge/9781501151989\">forthcoming book\u003c/a>. And she says it's largely because of smartphones.\u003c/p>\n\u003cp>Twenge spoke to \u003cem>All Things Considered\u003c/em> about her research and her conclusions. This interview has been edited for length and clarity.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/542016165/542087124\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>How does teen behavior now differ from generations past?\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Today's teens are just not spending as much time with their friends in person, face-to-face, where they can really read each others' emotions and get that social support. And we know from lots and lots of research that spending time with other people in person is one of the best predictors for psychological well-being and one of the best protections against having mental health issues.\u003c/p>\n\u003cp>\u003cstrong>What is this generation facing that worries you so much?\u003c/strong>\u003c/p>\n\u003cp>iGen is showing mental health issues across a wide variety of indicators. They're more likely than young people just five or 10 years ago to say that they're anxious, that they have symptoms of depression, that they have thought about suicide or have even [attempted] suicide. So across the board, there's a really consistent trend with mental health issues increasing among teens.\u003c/p>\n\u003cp>\u003cstrong>Is it specifically the smartphone, or is it social media? Or is it the number of hours per day spent on these things?\u003c/strong>\u003c/p>\n\u003cp>So, you look at the pattern of loneliness. It suddenly begins to increase around 2012. And the majority of Americans had a cell phone by the end of 2012, according to the \u003ca href=\"http://www.pewinternet.org/2013/06/05/smartphone-ownership-2013/\">Pew Center\u003c/a>.\u003c/p>\n\u003cp>Given that using social media for more hours is linked to more loneliness, and that smartphones were used by the majority of Americans around 2012, and that's the same time loneliness increases, that's very suspicious. You can't absolutely prove causation, but by a bunch of different studies, there's this connection between spending a lot of time on social media and feeling lonely.\u003c/p>\n\u003cp>\u003cstrong>How much of a factor is parenting?\u003c/strong>\u003c/p>\n\u003cp>So I was somewhat surprised when I interviewed iGen teens how many of them are deeply aware of the negative effects of smartphones. Parenting is playing a role. I think many parents are worried about their teens driving, and going out with their friends and drinking. Yet parents are often not worrying about their teen who stays at home but is on their phone all the time. But they should be worried about that. I think parents are worried about the wrong thing.\u003c/p>\n\u003cp>\u003cstrong>Can you propose solutions that might help people?\u003c/strong>\u003c/p>\n\u003cp>The first is just awareness that spending a lot of time on the phone is not harmless and that if you're spending a lot of time on the phone, then it may take away from activities that might be more beneficial for psychological well-being, like spending time with people in person.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Then for parents, I think it is [a] good idea to put off giving your child a smartphone as long as you can. If you feel they need a phone, say, for riding a bus, you can get them a flip phone. They still sell them. And then once your teen has a smartphone, there are apps that allow parents to restrict the number of hours a day that teens are on the smartphone, and also what time of day they use it.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+Smartphones+Are+Making+Kids+Unhappy&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Psychologist Jean Twenge has seen dramatic shifts in behavior among children who go through adolescence with smartphones.","status":"publish","parent":0,"modified":1502240736,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://www.npr.org/player/embed/542016165/542087124"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":667},"headData":{"title":"How Smartphones Are Making Kids Unhappy | KQED","description":"Psychologist Jean Twenge has seen dramatic shifts in behavior among children who go through adolescence with smartphones.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"360720 https://ww2.kqed.org/stateofhealth/?p=360720","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/08/08/how-smartphones-are-making-kids-unhappy/","disqusTitle":"How Smartphones Are Making Kids Unhappy","nprByline":"\u003ca href=\"http://www.npr.org/people/4986687/audie-cornish\" target=\"_blank\">Audie Cornish\u003c/a>","nprImageAgency":"Image Source/Getty Images","nprStoryId":"542016165","nprApiLink":"http://api.npr.org/query?id=542016165&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2017/08/07/542016165/how-smartphones-are-making-kids-unhappy?ft=nprml&f=542016165","nprRetrievedStory":"1","nprPubDate":"Mon, 07 Aug 2017 18:50:00 -0400","nprStoryDate":"Mon, 07 Aug 2017 17:35:00 -0400","nprLastModifiedDate":"Tue, 08 Aug 2017 08:17:27 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2017/08/20170807_atc_smartphones_and_teens.mp3?orgId=1&topicId=1128&d=291&p=2&story=542016165&t=progseg&e=541985440&seg=16&ft=nprml&f=542016165","nprAudioM3u":"http://api.npr.org/m3u/1542087124-4cf612.m3u?orgId=1&topicId=1128&d=291&p=2&story=542016165&t=progseg&e=541985440&seg=16&ft=nprml&f=542016165","path":"/stateofhealth/360720/how-smartphones-are-making-kids-unhappy","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/atc/2017/08/20170807_atc_smartphones_and_teens.mp3?orgId=1&topicId=1128&d=291&p=2&story=542016165&t=progseg&e=541985440&seg=16&ft=nprml&f=542016165","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>For the first time, a generation of children is going through adolescence with smartphones ever-present. \u003ca href=\"http://www.psychology.sdsu.edu/people/jean-twenge/\">Jean Twenge\u003c/a>, a professor of psychology at San Diego State University, has a name for these young people born between 1995 and 2012: \"iGen.\"\u003c/p>\n\u003cp>She says members of this generation are physically safer than those who came before them. They drink less, they learn to drive later and they're holding off on having sex. But psychologically, she argues, they are far more vulnerable.\u003c/p>\n\u003cp>\"It's not an exaggeration to describe iGen as being on the brink of the worst mental health crisis in decades,\" she writes in a \u003ca href=\"https://www.theatlantic.com/magazine/archive/2017/09/has-the-smartphone-destroyed-a-generation/534198/\">story\u003c/a> in \u003cem>The Atlantic, \u003c/em>adapted from her \u003ca href=\"http://www.simonandschuster.com/books/iGen/Jean-M-Twenge/9781501151989\">forthcoming book\u003c/a>. And she says it's largely because of smartphones.\u003c/p>\n\u003cp>Twenge spoke to \u003cem>All Things Considered\u003c/em> about her research and her conclusions. This interview has been edited for length and clarity.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://www.npr.org/player/embed/542016165/542087124\" width=\"100%\" height=\"290\" frameborder=\"0\" scrolling=\"no\" title=\"NPR embedded audio player\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003chr>\n\u003cp>\u003cstrong>How does teen behavior now differ from generations past?\u003c/strong>\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>Today's teens are just not spending as much time with their friends in person, face-to-face, where they can really read each others' emotions and get that social support. And we know from lots and lots of research that spending time with other people in person is one of the best predictors for psychological well-being and one of the best protections against having mental health issues.\u003c/p>\n\u003cp>\u003cstrong>What is this generation facing that worries you so much?\u003c/strong>\u003c/p>\n\u003cp>iGen is showing mental health issues across a wide variety of indicators. They're more likely than young people just five or 10 years ago to say that they're anxious, that they have symptoms of depression, that they have thought about suicide or have even [attempted] suicide. So across the board, there's a really consistent trend with mental health issues increasing among teens.\u003c/p>\n\u003cp>\u003cstrong>Is it specifically the smartphone, or is it social media? Or is it the number of hours per day spent on these things?\u003c/strong>\u003c/p>\n\u003cp>So, you look at the pattern of loneliness. It suddenly begins to increase around 2012. And the majority of Americans had a cell phone by the end of 2012, according to the \u003ca href=\"http://www.pewinternet.org/2013/06/05/smartphone-ownership-2013/\">Pew Center\u003c/a>.\u003c/p>\n\u003cp>Given that using social media for more hours is linked to more loneliness, and that smartphones were used by the majority of Americans around 2012, and that's the same time loneliness increases, that's very suspicious. You can't absolutely prove causation, but by a bunch of different studies, there's this connection between spending a lot of time on social media and feeling lonely.\u003c/p>\n\u003cp>\u003cstrong>How much of a factor is parenting?\u003c/strong>\u003c/p>\n\u003cp>So I was somewhat surprised when I interviewed iGen teens how many of them are deeply aware of the negative effects of smartphones. Parenting is playing a role. I think many parents are worried about their teens driving, and going out with their friends and drinking. Yet parents are often not worrying about their teen who stays at home but is on their phone all the time. But they should be worried about that. I think parents are worried about the wrong thing.\u003c/p>\n\u003cp>\u003cstrong>Can you propose solutions that might help people?\u003c/strong>\u003c/p>\n\u003cp>The first is just awareness that spending a lot of time on the phone is not harmless and that if you're spending a lot of time on the phone, then it may take away from activities that might be more beneficial for psychological well-being, like spending time with people in person.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Then for parents, I think it is [a] good idea to put off giving your child a smartphone as long as you can. If you feel they need a phone, say, for riding a bus, you can get them a flip phone. They still sell them. And then once your teen has a smartphone, there are apps that allow parents to restrict the number of hours a day that teens are on the smartphone, and also what time of day they use it.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+Smartphones+Are+Making+Kids+Unhappy&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/360720/how-smartphones-are-making-kids-unhappy","authors":["byline_stateofhealth_360720"],"categories":["stateofhealth_11","stateofhealth_3012","stateofhealth_1"],"tags":["stateofhealth_3068","stateofhealth_2808","stateofhealth_68","stateofhealth_2519","stateofhealth_3147","stateofhealth_3148"],"featImg":"stateofhealth_360721","label":"stateofhealth"},"stateofhealth_349025":{"type":"posts","id":"stateofhealth_349025","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"349025","score":null,"sort":[1498928455000]},"guestAuthors":[],"slug":"kaiser-permanente-cited-again-for-mental-health-access-problems","title":"Kaiser Permanente Cited -- Again -- For Mental Health Access Problems","publishDate":1498928455,"format":"standard","headTitle":"Kaiser Health News | State of Health | KQED News","labelTerm":{"term":3007,"site":"stateofhealth"},"content":"\u003cp>Despite three warnings and a multimillion-dollar fine a few years ago, Kaiser Permanente still fails to provide members with appropriate access to mental health care, according to \u003ca href=\"https://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055_r_full%20service-behavioral%20health_061217.pdf\">a recent survey\u003c/a> of the HMO by the state of California.\u003c/p>\n\u003cp>The routine survey, released by the state Department of Managed Health Care, found that Kaiser Foundation Health Plan did not provide enrollees \u003ca href=\"http://khn.org/news/achieving-mental-health-parity-slow-going-even-in-pace-car-state/\">with “timely access” to behavioral health treatment\u003c/a>, in violation of state law. (Kaiser Health News, which produces California Healthline, is not affiliated with Kaiser Permanente.)\u003c/p>\n\u003cp>The matter has now been referred back to the state Office of Enforcement for further action, which could include an additional fine.\u003c/p>\n\u003cp>California’s timely access laws require insurers to provide patients access to a medical appointment within 48 hours for an urgent problem, or within 10 business days for a non-urgent issue. Kaiser patients, however, often have to wait longer, according to the department.\u003c/p>\n\u003cp>The survey looked at Kaiser’s behavioral health files through Jan. 1, 2015. The department found that while the HMO had “undertaken extensive and meaningful efforts” to improve access to mental health care, the problems remain.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Headquartered in Oakland, \u003ca href=\"https://share.kaiserpermanente.org/article/fast-facts-about-kaiser-permanente/\">Kaiser Permanente\u003c/a> is one of the largest not-for-profit managed health care plans in the country, with an annual operating revenue of $64.6 billion and 8.5 million members in California.\u003c/p>\n\u003cp>In a formal response to the watchdog agency, Kaiser listed more than 10 changes it has made to improve members’ access to mental health care, including contracting with providers outside of the organization and aggressively recruiting and hiring clinicians. The plan cited internal audits finding that they complied with timely access laws more than 90 percent of the time and stated “a corrective action plan is not warranted.”\u003c/p>\n\u003cp>“We have made great progress over the nearly two years since this survey was begun to improve access by hiring over 1,030 new psychiatrists and therapists, expanding our network of community practitioners, and introducing more convenient ways to access treatment,” John Nelson, vice president of government relations for Kaiser, wrote in an email to Kaiser Health News.\u003c/p>\n\u003cp>The department, however, responded in its report that while Kaiser Permanente has been working with Office of Enforcement to correct the problems, “the access issues remain unresolved.”\u003c/p>\n\u003cp>In 2013, Kaiser agreed to pay a $4 million fine for several deficiencies in the plan’s delivery of mental health services — one of the largest ever paid by an insurer in the state. In 2015, the department found that \u003ca href=\"http://khn.org/news/kaiser-permanente-faulted-again-for-mental-health-care-in-california/\">some Kaiser patients still had to wait\u003c/a> weeks or even months to see a psychiatrist or a therapist.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055_r_behavioral%20follow%20up_021315.pdf\">one case cited by the department\u003c/a> in a 2015 survey, a child was brought in by her father because of “aggressive behaviors, sexualized behaviors and significant behavioral problems in both the home and school environment.” The family told providers that they were “in crisis” and “pleaded for treatment.” The child, however, was not seen for therapy until seven weeks later.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"California’s HMO watchdog agency says Kaiser Permanente is making mental health patients wait too long for treatment.","status":"publish","parent":0,"modified":1498863699,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":543},"headData":{"title":"Kaiser Permanente Cited -- Again -- For Mental Health Access Problems | KQED","description":"California’s HMO watchdog agency says Kaiser Permanente is making mental health patients wait too long for treatment.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"349025 https://ww2.kqed.org/stateofhealth/?p=349025","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/07/01/kaiser-permanente-cited-again-for-mental-health-access-problems/","disqusTitle":"Kaiser Permanente Cited -- Again -- For Mental Health Access Problems","nprByline":"\u003ca href=\"http://khn.org/news/author/jenny-gold/\" target=\"_blank\">Jenny Gold\u003c/a>","path":"/stateofhealth/349025/kaiser-permanente-cited-again-for-mental-health-access-problems","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Despite three warnings and a multimillion-dollar fine a few years ago, Kaiser Permanente still fails to provide members with appropriate access to mental health care, according to \u003ca href=\"https://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055_r_full%20service-behavioral%20health_061217.pdf\">a recent survey\u003c/a> of the HMO by the state of California.\u003c/p>\n\u003cp>The routine survey, released by the state Department of Managed Health Care, found that Kaiser Foundation Health Plan did not provide enrollees \u003ca href=\"http://khn.org/news/achieving-mental-health-parity-slow-going-even-in-pace-car-state/\">with “timely access” to behavioral health treatment\u003c/a>, in violation of state law. (Kaiser Health News, which produces California Healthline, is not affiliated with Kaiser Permanente.)\u003c/p>\n\u003cp>The matter has now been referred back to the state Office of Enforcement for further action, which could include an additional fine.\u003c/p>\n\u003cp>California’s timely access laws require insurers to provide patients access to a medical appointment within 48 hours for an urgent problem, or within 10 business days for a non-urgent issue. Kaiser patients, however, often have to wait longer, according to the department.\u003c/p>\n\u003cp>The survey looked at Kaiser’s behavioral health files through Jan. 1, 2015. The department found that while the HMO had “undertaken extensive and meaningful efforts” to improve access to mental health care, the problems remain.\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>Headquartered in Oakland, \u003ca href=\"https://share.kaiserpermanente.org/article/fast-facts-about-kaiser-permanente/\">Kaiser Permanente\u003c/a> is one of the largest not-for-profit managed health care plans in the country, with an annual operating revenue of $64.6 billion and 8.5 million members in California.\u003c/p>\n\u003cp>In a formal response to the watchdog agency, Kaiser listed more than 10 changes it has made to improve members’ access to mental health care, including contracting with providers outside of the organization and aggressively recruiting and hiring clinicians. The plan cited internal audits finding that they complied with timely access laws more than 90 percent of the time and stated “a corrective action plan is not warranted.”\u003c/p>\n\u003cp>“We have made great progress over the nearly two years since this survey was begun to improve access by hiring over 1,030 new psychiatrists and therapists, expanding our network of community practitioners, and introducing more convenient ways to access treatment,” John Nelson, vice president of government relations for Kaiser, wrote in an email to Kaiser Health News.\u003c/p>\n\u003cp>The department, however, responded in its report that while Kaiser Permanente has been working with Office of Enforcement to correct the problems, “the access issues remain unresolved.”\u003c/p>\n\u003cp>In 2013, Kaiser agreed to pay a $4 million fine for several deficiencies in the plan’s delivery of mental health services — one of the largest ever paid by an insurer in the state. In 2015, the department found that \u003ca href=\"http://khn.org/news/kaiser-permanente-faulted-again-for-mental-health-care-in-california/\">some Kaiser patients still had to wait\u003c/a> weeks or even months to see a psychiatrist or a therapist.\u003c/p>\n\u003cp>In \u003ca href=\"https://www.dmhc.ca.gov/desktopmodules/dmhc/medsurveys/surveys/055_r_behavioral%20follow%20up_021315.pdf\">one case cited by the department\u003c/a> in a 2015 survey, a child was brought in by her father because of “aggressive behaviors, sexualized behaviors and significant behavioral problems in both the home and school environment.” The family told providers that they were “in crisis” and “pleaded for treatment.” The child, however, was not seen for therapy until seven weeks later.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\">Henry J. Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/349025/kaiser-permanente-cited-again-for-mental-health-access-problems","authors":["byline_stateofhealth_349025"],"categories":["stateofhealth_3012","stateofhealth_1"],"tags":["stateofhealth_2808","stateofhealth_2972","stateofhealth_2607","stateofhealth_68","stateofhealth_2519"],"affiliates":["stateofhealth_3007"],"featImg":"stateofhealth_349026","label":"stateofhealth_3007"},"stateofhealth_317652":{"type":"posts","id":"stateofhealth_317652","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"317652","score":null,"sort":[1492615781000]},"guestAuthors":[],"slug":"pediatricians-see-more-trump-related-trauma-in-kids","title":"Post-Election, Doctors See Kids Suffering Trump-Related Anxiety","publishDate":1492615781,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Sixth grade started out fine for Mohammed, an 11-year-old Muslim boy who lives in East Oakland, until Donald Trump won the presidency.\u003c/p>\n\u003cp>\"After Trump got elected, everybody started treating me differently,\" he said. His classmates started criticizing Muslims, and calling him a “terrorist,” he said.\u003c/p>\n\u003cp>The boy, whose family wanted him to be identified only as “Mohammed” rather than his real name to protect his privacy, said he started getting depressed after the harassment and name-calling started. He said he began having physical symptoms of anxiety like chest pain and headaches. He even talked about killing himself.\u003c/p>\n\u003cp>\"After he got elected I felt different than I used to be feeling,” he said, hugging his knees to his chest as he sat on the edge of the couch at his family’s studio apartment in the Oakland hills. “I changed in a bad way.\"\u003c/p>\n\u003cp>The type of chest pain he felt, along with shortness of breath and other physical symptoms of anxiety, are complaints some Bay Area pediatricians said they're seeing more of in immigrant and Muslim populations, based on rhetoric set in motion by President Trump's administration.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It felt like somebody was pushing something on me,\" Mohammed said in a quiet voice. \"It was like the bones in my chest were like going backward. It hurt a lot.\"\u003c/p>\n\u003cp>Dr. Gabriela Bronson-Castain, a pediatric psychologist in Oakland, said most of the kids she sees who are experiencing this fear have families who immigrated to the U.S. from Central America or families who are Muslim.\u003c/p>\n\u003cp>\"It is not uncommon within our assessments to hear somehow an inherent fear of the Trump administration,\" Bronson-Castain said. \"Very unsolicited -- you know and you're talking about sometimes 8, 9 and 10-year-old kids.\"\u003c/p>\n\u003cp>She said the first child she saw, the day after the election, was a boy who claimed to have a BB gun at his school because he was afraid of being deported. Really the kid was bluffing; he didn’t have a BB gun.\u003c/p>\n\u003cp>\"But he wanted everybody to know that he did in the event that somebody would try to take him away,\" Bronson-Castain said, referring to the child's fear of deportation or separation from his family.\u003c/p>\n\u003cp>Bronson-Castain said kids try to cope in one of two ways: \"They’ll act inward, which I think we see as maybe some kind of self-injury or more depressive symptoms; potential suicidality. Or we see them act outward, which is, 'I become aggressive. I bring that BB gun to school. I carry a knife in my bag just in case.' \"\u003c/p>\n\u003cp>Another pediatrician, Dr. Nooshin Razani, said she’s never seen symptoms so severe in response to politics. Discrimination is always painful, she said, but it’s worse when it comes from an authority figure.\u003c/p>\n\u003cp>\"It's one thing if you're 1 percent of the population. And everyone else is targeting you,\" the doctor said. \"It's another thing when the government of the most powerful country in the whole world is also on the side of everyone that's targeting you.\"\u003c/p>\n\u003cp>Razani herself said she feels nervous as an Iranian American. Iran is one of the countries targeted in both versions of Trump’s travel ban. She said having Iran called out like that by the administration actually helps her empathize.\u003c/p>\n\u003cp>\"There's a lot of moments where I am able to bond with my patients in a way that I've never been able to do before because we may all be on the list of seven,\" she said, referring to the list of seven countries included in Trump’s first travel ban.\u003c/p>\n\u003cp>\u003cstrong>Doctors Mobilize to Help Patients Deal With Trump-Era Anxiety\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>In response, pediatricians like Razani and Bronson-Castain are organizing. They're both part of a group of health professionals informally called #EveryoneBelongsHere. They recently gathered at a home in the Oakland hills.\u003c/p>\n\u003cfigure id=\"attachment_317718\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-317718\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-800x450.jpg\" alt=\"(From left to right) Doctors Jyothi Marbin, Abimbola Dairo, Emma Anselin, and Preeya Desai are getting politically active in response to President Trump's proposed health and immigration policies. They met with staff from U.S. Congresswoman Barbara Lee's office to discuss their concerns about how immigration is affecting the health of Bay Area children.\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-768x432.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">(From left to right) Doctors Jyothi Marbin, Abimbola Dairo, Emma Anselin, and Preeya Desai are getting politically active in response to President Trump's proposed health and immigration policies. They met with staff from U.S. congresswoman Barbara Lee's office to discuss their concerns about how immigration is affecting the health of Bay Area children. \u003ccite>(Courtesy Jyothi Marbin)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some were there to get politically active. Others came to talk about how best to help their immigrant patients. Dr. Noemi Spinazzi said she’s worried about Immigration and Customs Enforcement (ICE).\u003c/p>\n\u003cp>\"I was wondering if ICE would have any latitude to run any searches of our database using key words like 'immigrant' to kind of isolate those people who would be vulnerable,\" she asked.\u003c/p>\n\u003cp>A lawyer in the crowd explained it would be tough for ICE to force access to medical records.\u003c/p>\n\u003cp>Another doctor wondered whether putting cards with legal advice for immigrants in her waiting room would draw attention to her practice or endanger the people she sees?\u003c/p>\n\u003cp>Many in the group have been moved to action after seeing young patients -- patients like Mohammed -- who are suffering as they hear talk about potential changes to immigration and travel policies. Even if their parents try to shield them from the news, they still pick up on that tension, doctors said.\u003c/p>\n\u003cp>\u003cstrong>Parents Struggle to Help Their Kids Cope\u003cbr>\n\u003c/strong>\u003cbr>\nBack in East Oakland, Mohammed's mother said that their family left their home country of Yemen after she was attacked for working on women's rights. The family of four then fled to the U.S. and eventually got asylum.\u003c/p>\n\u003cp>\"I don't know what to do,\" she said. \"So should we leave here and go back to our country? My country is in war. So we’re rejected here and we can't go back to our country and I don't know about what the future is going to bring for us.\"\u003c/p>\n\u003cp>Mohammed said he doesn’t want to tell his teachers of his challenges with his classmates because he thinks that will make things worse, and he doesn’t want his parents to get involved because he said he wants to fix the problem by himself.\u003c/p>\n\u003cp>\"Not every Muslim is a terrorist,\" Mohammed said about being called one by classmates. \"Some are terrorists. But I’m not. … I didn’t do anything to you, so you shouldn’t call me a terrorist.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Mohammed said his chest pain has been getting better with medical treatment, and his first therapy session is scheduled this month.\u003c/p>\n\n","blocks":[],"excerpt":"Bay Area pediatricians are mobilizing to help kids from immigrant and Muslim populations with physical symptoms of anxiety.","status":"publish","parent":0,"modified":1492640848,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":29,"wordCount":1106},"headData":{"title":"Post-Election, Doctors See Kids Suffering Trump-Related Anxiety | KQED","description":"Bay Area pediatricians are mobilizing to help kids from immigrant and Muslim populations with physical symptoms of anxiety.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"317652 https://ww2.kqed.org/stateofhealth/?p=317652","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/04/19/pediatricians-see-more-trump-related-trauma-in-kids/","disqusTitle":"Post-Election, Doctors See Kids Suffering Trump-Related Anxiety","audioUrl":"http://www.kqed.org/.stream/anon/radio/RDnews/2017/04/klivans20170419.mp3","path":"/stateofhealth/317652/pediatricians-see-more-trump-related-trauma-in-kids","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Sixth grade started out fine for Mohammed, an 11-year-old Muslim boy who lives in East Oakland, until Donald Trump won the presidency.\u003c/p>\n\u003cp>\"After Trump got elected, everybody started treating me differently,\" he said. His classmates started criticizing Muslims, and calling him a “terrorist,” he said.\u003c/p>\n\u003cp>The boy, whose family wanted him to be identified only as “Mohammed” rather than his real name to protect his privacy, said he started getting depressed after the harassment and name-calling started. He said he began having physical symptoms of anxiety like chest pain and headaches. He even talked about killing himself.\u003c/p>\n\u003cp>\"After he got elected I felt different than I used to be feeling,” he said, hugging his knees to his chest as he sat on the edge of the couch at his family’s studio apartment in the Oakland hills. “I changed in a bad way.\"\u003c/p>\n\u003cp>The type of chest pain he felt, along with shortness of breath and other physical symptoms of anxiety, are complaints some Bay Area pediatricians said they're seeing more of in immigrant and Muslim populations, based on rhetoric set in motion by President Trump's administration.\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 felt like somebody was pushing something on me,\" Mohammed said in a quiet voice. \"It was like the bones in my chest were like going backward. It hurt a lot.\"\u003c/p>\n\u003cp>Dr. Gabriela Bronson-Castain, a pediatric psychologist in Oakland, said most of the kids she sees who are experiencing this fear have families who immigrated to the U.S. from Central America or families who are Muslim.\u003c/p>\n\u003cp>\"It is not uncommon within our assessments to hear somehow an inherent fear of the Trump administration,\" Bronson-Castain said. \"Very unsolicited -- you know and you're talking about sometimes 8, 9 and 10-year-old kids.\"\u003c/p>\n\u003cp>She said the first child she saw, the day after the election, was a boy who claimed to have a BB gun at his school because he was afraid of being deported. Really the kid was bluffing; he didn’t have a BB gun.\u003c/p>\n\u003cp>\"But he wanted everybody to know that he did in the event that somebody would try to take him away,\" Bronson-Castain said, referring to the child's fear of deportation or separation from his family.\u003c/p>\n\u003cp>Bronson-Castain said kids try to cope in one of two ways: \"They’ll act inward, which I think we see as maybe some kind of self-injury or more depressive symptoms; potential suicidality. Or we see them act outward, which is, 'I become aggressive. I bring that BB gun to school. I carry a knife in my bag just in case.' \"\u003c/p>\n\u003cp>Another pediatrician, Dr. Nooshin Razani, said she’s never seen symptoms so severe in response to politics. Discrimination is always painful, she said, but it’s worse when it comes from an authority figure.\u003c/p>\n\u003cp>\"It's one thing if you're 1 percent of the population. And everyone else is targeting you,\" the doctor said. \"It's another thing when the government of the most powerful country in the whole world is also on the side of everyone that's targeting you.\"\u003c/p>\n\u003cp>Razani herself said she feels nervous as an Iranian American. Iran is one of the countries targeted in both versions of Trump’s travel ban. She said having Iran called out like that by the administration actually helps her empathize.\u003c/p>\n\u003cp>\"There's a lot of moments where I am able to bond with my patients in a way that I've never been able to do before because we may all be on the list of seven,\" she said, referring to the list of seven countries included in Trump’s first travel ban.\u003c/p>\n\u003cp>\u003cstrong>Doctors Mobilize to Help Patients Deal With Trump-Era Anxiety\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>In response, pediatricians like Razani and Bronson-Castain are organizing. They're both part of a group of health professionals informally called #EveryoneBelongsHere. They recently gathered at a home in the Oakland hills.\u003c/p>\n\u003cfigure id=\"attachment_317718\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-317718\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-800x450.jpg\" alt=\"(From left to right) Doctors Jyothi Marbin, Abimbola Dairo, Emma Anselin, and Preeya Desai are getting politically active in response to President Trump's proposed health and immigration policies. They met with staff from U.S. Congresswoman Barbara Lee's office to discuss their concerns about how immigration is affecting the health of Bay Area children.\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-768x432.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">(From left to right) Doctors Jyothi Marbin, Abimbola Dairo, Emma Anselin, and Preeya Desai are getting politically active in response to President Trump's proposed health and immigration policies. They met with staff from U.S. congresswoman Barbara Lee's office to discuss their concerns about how immigration is affecting the health of Bay Area children. \u003ccite>(Courtesy Jyothi Marbin)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some were there to get politically active. Others came to talk about how best to help their immigrant patients. Dr. Noemi Spinazzi said she’s worried about Immigration and Customs Enforcement (ICE).\u003c/p>\n\u003cp>\"I was wondering if ICE would have any latitude to run any searches of our database using key words like 'immigrant' to kind of isolate those people who would be vulnerable,\" she asked.\u003c/p>\n\u003cp>A lawyer in the crowd explained it would be tough for ICE to force access to medical records.\u003c/p>\n\u003cp>Another doctor wondered whether putting cards with legal advice for immigrants in her waiting room would draw attention to her practice or endanger the people she sees?\u003c/p>\n\u003cp>Many in the group have been moved to action after seeing young patients -- patients like Mohammed -- who are suffering as they hear talk about potential changes to immigration and travel policies. Even if their parents try to shield them from the news, they still pick up on that tension, doctors said.\u003c/p>\n\u003cp>\u003cstrong>Parents Struggle to Help Their Kids Cope\u003cbr>\n\u003c/strong>\u003cbr>\nBack in East Oakland, Mohammed's mother said that their family left their home country of Yemen after she was attacked for working on women's rights. The family of four then fled to the U.S. and eventually got asylum.\u003c/p>\n\u003cp>\"I don't know what to do,\" she said. \"So should we leave here and go back to our country? My country is in war. So we’re rejected here and we can't go back to our country and I don't know about what the future is going to bring for us.\"\u003c/p>\n\u003cp>Mohammed said he doesn’t want to tell his teachers of his challenges with his classmates because he thinks that will make things worse, and he doesn’t want his parents to get involved because he said he wants to fix the problem by himself.\u003c/p>\n\u003cp>\"Not every Muslim is a terrorist,\" Mohammed said about being called one by classmates. \"Some are terrorists. But I’m not. … I didn’t do anything to you, so you shouldn’t call me a terrorist.\"\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>Mohammed said his chest pain has been getting better with medical treatment, and his first therapy session is scheduled this month.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/317652/pediatricians-see-more-trump-related-trauma-in-kids","authors":["8648"],"categories":["stateofhealth_3012"],"tags":["stateofhealth_3067","stateofhealth_3068","stateofhealth_2808","stateofhealth_68","stateofhealth_2519"],"featImg":"stateofhealth_319709","label":"stateofhealth"},"stateofhealth_274976":{"type":"posts","id":"stateofhealth_274976","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"274976","score":null,"sort":[1485939616000]},"guestAuthors":[],"slug":"talking-is-easy-for-therapists-except-when-its-about-guns-veterans-want-to-teach-them-how","title":"Talking is Easy for Therapists, Except When It's About Guns. Veterans Want to Teach Them How.","publishDate":1485939616,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Jay Zimmerman got his first BB gun when he was seven, and his first shotgun when he was ten.\u003c/p>\n\u003cp>“Growing up in Appalachia, you look forward to getting your first firearm probably more so than your first car,” he says.\u003c/p>\n\u003cp>His grandfather taught him to hunt squirrel and quail. Zimmerman, who lives in Tennessee, says pretty much everyone he knows has a gun. It’s just part of the culture.\u003c/p>\n\u003cp>“When I went into the military, that culture was reinforced,” he says. “Your weapon is almost another appendage. It’s part of who you are.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/305633357\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Zimmerman was a medic in the army in the late 1990s and early 2000s. He served in Bosnia, Africa, and the Middle East. Since he came home, he’s struggled with PTSD and depression. It reached a crisis point a few years ago, when his best friend -- the guy who had saved his life in a combat zone -- killed himself. Zimmerman decided his time was up too.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I decided that I would have one more birthday with my daughter, one more Christmas with my daughter,” he says. “I had devised my own exit strategy for sixteen February, 2013.”\u003c/p>\n\u003cp>But then he bumped into a woman who used to ride the same school bus when they were kids. His exit date came and went. They’re married now.\u003c/p>\n\u003cp>Zimmerman is a peer counselor at the \u003ca href=\"http://Mountain%20Home%20VA%20Medical%20Center\" target=\"_blank\">Mountain Home VA Medical Center\u003c/a> in Johnson City, Tennessee. He also travels to conferences all over the country, sharing his story with therapists and with other vets. He tries to set an example that it’s okay to ask for help. Even today, if he’s not doing well, he disassembles his guns and stores them separately from ammunition, so he can’t make any rash decisions. If things get really bad, Zimmerman has a special arrangement with a few friends.\u003c/p>\n\u003cp>“I call them and say, 'Look, I’m feeling like it’s not safe for me to have firearms in my home. Can you store them for me for a couple days till I feel like I’m OK to have them back?'\"\u003c/p>\n\u003cfigure id=\"attachment_274997\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-274997\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/Jay-Zimmerman-in-uniform-and-dad-800x600.jpg\" alt=\"Jay Zimmerman (right) was an army medic. He poses with his dad before he deployed to Bosnia in 1998.\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Jay Zimmerman (right) was an army medic. He poses with his dad before he deployed to Bosnia in 1998. \u003ccite>(Photo Courtesy of Jay Zimmerman)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Suicide is an impulsive act. Nearly half the people who survive an attempt say the time between their first thought of suicide and the attempt itself was less than 10 minutes. But the method can mean the difference between life and death: people who take pills have time to change their minds. Not with guns.\u003c/p>\n\u003cp>About 70 percent of veterans who commit suicide do so with a gun, which prompted President Barack Obama to order the VA to talk to vets about gun safety and storage options like the ones Zimmerman uses.\u003c/p>\n\u003cp>But here’s the trouble: Most therapists aren’t gun people. They don’t know how to talk about guns. And so they don’t.\u003c/p>\n\u003cp>“One obvious reason for that is that no one has taught them how,” explained Megan McCarthy, National Deputy Director in the Office for Suicide Prevention at the Department of Veterans Affairs.\u003c/p>\n\u003cp>McCarthy was invited to speak recently at a suicide-prevention conference in San Francisco for therapists who work with vets.\u003c/p>\n\u003cp>“How many of you would say you feel really comfortable having a conversation with any of the people you work with about limiting access to all lethal means?” she asked the roomful of therapists.\u003c/p>\n\u003cp>Hardly anyone raised their hand.\u003c/p>\n\u003cp>“Okay, so that’s why we’re here today,” she said.\u003c/p>\n\u003cp>Researchers recommend starting with a field trip to a shooting range. There, therapists can learn about different kinds of firearms, as well as gun locks, and get an introduction to gun culture.\u003c/p>\n\u003cp>When counseling vets, therapists have to ask more questions and be less directive, according to McCarthy.\u003c/p>\n\u003cp>“We often conceive of ourselves as experts, as people who impart information to clients,” she said. But with vets, \"it may take time to build trust. Telling them what to do the first time you’ve met them is probably not going to be a very effective approach.”\u003c/p>\n\u003cfigure id=\"attachment_275001\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-full wp-image-275001\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/AFSP.VAConference-Audience-1-e1482453949563.jpg\" alt=\"Therapists learn how to talk to vets about guns at a conference in San Francisco.\" width=\"640\" height=\"480\">\u003cfigcaption class=\"wp-caption-text\">Therapists learn how to talk to vets about guns at a conference in San Francisco.\u003c/figcaption>\u003c/figure>\n\u003cp> \u003c/p>\n\u003cp>McCarthy presented a case study at the conference: A 28-year old army veteran who fought in Iraq told his VA psychiatrist that he had an argument with his girlfriend last week. He drove to an empty parking lot and sat with his loaded handgun in his lap, intending to kill himself.\u003c/p>\n\u003cp>He didn’t do it. A week later, the man told his psychiatrist things were still tense with his girlfriend. But he didn’t want to talk about suicide or storing his gun.\u003c/p>\n\u003cp>McCarthy asked the clinicians in the audience what they would do next, if they were this man’s psychiatrist.\u003c/p>\n\u003cp>“Why did he not do it? That would be my question,” said one therapist.\u003c/p>\n\u003cp>“I’d say, would you be willing to talk more about that?” said another.\u003c/p>\n\u003cp>“I would want to see this individual again, within the same week,” said a third. “I believe in strong intervention.”\u003c/p>\n\u003cp>Jay Zimmerman, the former army medic and peer counselor, stood up. He told them they’re all wrong.\u003c/p>\n\u003cp>“Chances are the reason he’s not talking to you is because he’s afraid he’s going to lose his gun, that he carries pretty much all the time,” he said. “My buddies are the same way, we all carry all the time.”\u003c/p>\n\u003cp>Zimmerman said the vet in the case study would rather talk to someone like him than someone in a white coat.\u003c/p>\n\u003cp>“If he’s got that good relationship with me as a peer, as a buddy, he’s probably already called me and talked to me,” he explained.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The takeaway for psychologists at the San Francisco conference, McCarthy said, is that sometimes their role is not to intervene, but to be a facilitator, someone who can connect vets with peer counselors like Zimmerman, or suggest they talk with a buddy, not always a professional.\u003c/p>\n\n","blocks":[],"excerpt":"Therapists are often asked to counsel vets about guns and suicide risk, but many therapists don't know anything about guns. ","status":"publish","parent":0,"modified":1486599814,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1112},"headData":{"title":"Talking is Easy for Therapists, Except When It's About Guns. Veterans Want to Teach Them How. | KQED","description":"Therapists are often asked to counsel vets about guns and suicide risk, but many therapists don't know anything about guns. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"274976 http://ww2.kqed.org/stateofhealth/?p=274976","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/02/01/talking-is-easy-for-therapists-except-when-its-about-guns-veterans-want-to-teach-them-how/","disqusTitle":"Talking is Easy for Therapists, Except When It's About Guns. Veterans Want to Teach Them How.","path":"/stateofhealth/274976/talking-is-easy-for-therapists-except-when-its-about-guns-veterans-want-to-teach-them-how","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Jay Zimmerman got his first BB gun when he was seven, and his first shotgun when he was ten.\u003c/p>\n\u003cp>“Growing up in Appalachia, you look forward to getting your first firearm probably more so than your first car,” he says.\u003c/p>\n\u003cp>His grandfather taught him to hunt squirrel and quail. Zimmerman, who lives in Tennessee, says pretty much everyone he knows has a gun. It’s just part of the culture.\u003c/p>\n\u003cp>“When I went into the military, that culture was reinforced,” he says. “Your weapon is almost another appendage. It’s part of who you are.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/305633357&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/305633357'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Zimmerman was a medic in the army in the late 1990s and early 2000s. He served in Bosnia, Africa, and the Middle East. Since he came home, he’s struggled with PTSD and depression. It reached a crisis point a few years ago, when his best friend -- the guy who had saved his life in a combat zone -- killed himself. Zimmerman decided his time was up too.\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>“I decided that I would have one more birthday with my daughter, one more Christmas with my daughter,” he says. “I had devised my own exit strategy for sixteen February, 2013.”\u003c/p>\n\u003cp>But then he bumped into a woman who used to ride the same school bus when they were kids. His exit date came and went. They’re married now.\u003c/p>\n\u003cp>Zimmerman is a peer counselor at the \u003ca href=\"http://Mountain%20Home%20VA%20Medical%20Center\" target=\"_blank\">Mountain Home VA Medical Center\u003c/a> in Johnson City, Tennessee. He also travels to conferences all over the country, sharing his story with therapists and with other vets. He tries to set an example that it’s okay to ask for help. Even today, if he’s not doing well, he disassembles his guns and stores them separately from ammunition, so he can’t make any rash decisions. If things get really bad, Zimmerman has a special arrangement with a few friends.\u003c/p>\n\u003cp>“I call them and say, 'Look, I’m feeling like it’s not safe for me to have firearms in my home. Can you store them for me for a couple days till I feel like I’m OK to have them back?'\"\u003c/p>\n\u003cfigure id=\"attachment_274997\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-274997\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/Jay-Zimmerman-in-uniform-and-dad-800x600.jpg\" alt=\"Jay Zimmerman (right) was an army medic. He poses with his dad before he deployed to Bosnia in 1998.\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Jay Zimmerman (right) was an army medic. He poses with his dad before he deployed to Bosnia in 1998. \u003ccite>(Photo Courtesy of Jay Zimmerman)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Suicide is an impulsive act. Nearly half the people who survive an attempt say the time between their first thought of suicide and the attempt itself was less than 10 minutes. But the method can mean the difference between life and death: people who take pills have time to change their minds. Not with guns.\u003c/p>\n\u003cp>About 70 percent of veterans who commit suicide do so with a gun, which prompted President Barack Obama to order the VA to talk to vets about gun safety and storage options like the ones Zimmerman uses.\u003c/p>\n\u003cp>But here’s the trouble: Most therapists aren’t gun people. They don’t know how to talk about guns. And so they don’t.\u003c/p>\n\u003cp>“One obvious reason for that is that no one has taught them how,” explained Megan McCarthy, National Deputy Director in the Office for Suicide Prevention at the Department of Veterans Affairs.\u003c/p>\n\u003cp>McCarthy was invited to speak recently at a suicide-prevention conference in San Francisco for therapists who work with vets.\u003c/p>\n\u003cp>“How many of you would say you feel really comfortable having a conversation with any of the people you work with about limiting access to all lethal means?” she asked the roomful of therapists.\u003c/p>\n\u003cp>Hardly anyone raised their hand.\u003c/p>\n\u003cp>“Okay, so that’s why we’re here today,” she said.\u003c/p>\n\u003cp>Researchers recommend starting with a field trip to a shooting range. There, therapists can learn about different kinds of firearms, as well as gun locks, and get an introduction to gun culture.\u003c/p>\n\u003cp>When counseling vets, therapists have to ask more questions and be less directive, according to McCarthy.\u003c/p>\n\u003cp>“We often conceive of ourselves as experts, as people who impart information to clients,” she said. But with vets, \"it may take time to build trust. Telling them what to do the first time you’ve met them is probably not going to be a very effective approach.”\u003c/p>\n\u003cfigure id=\"attachment_275001\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-full wp-image-275001\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/AFSP.VAConference-Audience-1-e1482453949563.jpg\" alt=\"Therapists learn how to talk to vets about guns at a conference in San Francisco.\" width=\"640\" height=\"480\">\u003cfigcaption class=\"wp-caption-text\">Therapists learn how to talk to vets about guns at a conference in San Francisco.\u003c/figcaption>\u003c/figure>\n\u003cp> \u003c/p>\n\u003cp>McCarthy presented a case study at the conference: A 28-year old army veteran who fought in Iraq told his VA psychiatrist that he had an argument with his girlfriend last week. He drove to an empty parking lot and sat with his loaded handgun in his lap, intending to kill himself.\u003c/p>\n\u003cp>He didn’t do it. A week later, the man told his psychiatrist things were still tense with his girlfriend. But he didn’t want to talk about suicide or storing his gun.\u003c/p>\n\u003cp>McCarthy asked the clinicians in the audience what they would do next, if they were this man’s psychiatrist.\u003c/p>\n\u003cp>“Why did he not do it? That would be my question,” said one therapist.\u003c/p>\n\u003cp>“I’d say, would you be willing to talk more about that?” said another.\u003c/p>\n\u003cp>“I would want to see this individual again, within the same week,” said a third. “I believe in strong intervention.”\u003c/p>\n\u003cp>Jay Zimmerman, the former army medic and peer counselor, stood up. He told them they’re all wrong.\u003c/p>\n\u003cp>“Chances are the reason he’s not talking to you is because he’s afraid he’s going to lose his gun, that he carries pretty much all the time,” he said. “My buddies are the same way, we all carry all the time.”\u003c/p>\n\u003cp>Zimmerman said the vet in the case study would rather talk to someone like him than someone in a white coat.\u003c/p>\n\u003cp>“If he’s got that good relationship with me as a peer, as a buddy, he’s probably already called me and talked to me,” he explained.\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>The takeaway for psychologists at the San Francisco conference, McCarthy said, is that sometimes their role is not to intervene, but to be a facilitator, someone who can connect vets with peer counselors like Zimmerman, or suggest they talk with a buddy, not always a professional.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/274976/talking-is-easy-for-therapists-except-when-its-about-guns-veterans-want-to-teach-them-how","authors":["3205"],"categories":["stateofhealth_11","stateofhealth_14","stateofhealth_13"],"tags":["stateofhealth_2808","stateofhealth_3011","stateofhealth_68","stateofhealth_2846","stateofhealth_112","stateofhealth_137"],"featImg":"stateofhealth_274996","label":"stateofhealth"},"stateofhealth_275384":{"type":"posts","id":"stateofhealth_275384","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"275384","score":null,"sort":[1482868024000]},"guestAuthors":[],"slug":"stopping-suicide-with-help-from-the-local-gun-shop","title":"Stopping Suicide, With Help From the Local Gun Shop","publishDate":1482868024,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Ralph Demicco was standing behind the counter at Riley’s Sport Shop in New Hampshire one Saturday morning when a woman walked in and came right up to the counter.\u003c/p>\n\u003cp>“Almost immediately she pointed to a firearm at the counter and said, ‘I’d like to buy that gun,’ ” Demicco remembers. “And that just sets off alarm bells.\"\u003c/p>\n\u003cp>Most customers would browse, ask to see a few different models, ask questions.\u003c/p>\n\u003cp>“I said to her, ‘Ma’am, should you really be buying this gun?’ ” Demicco recalls now.\u003c/p>\n\u003cp>The woman started crying. Demicco took her into the back office to talk.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“She had been released from a mental health facility that morning,” he said. “Didn’t feel like she was ready to go.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/299777934\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Demicco has lots of stories like this from his 40 years owning the gun shop. At one point, he got a call from a public health researcher who studies suicides. She told him that three people, over the course of a week, had bought firearms from his store and killed themselves.\u003c/p>\n\u003cp>“To say I was speechless is an understatement,” he says.\u003c/p>\n\u003cp>Demicco is skeptical of public health types, and worries they have hidden agendas. But after hearing about those suicides, he decided to join forces with the researchers to form the \u003ca href=\"http://www.theconnectprogram.org/firearms-safety-coalitions-role-nh-suicide-prevention\" target=\"_blank\">New Hampshire Firearms Safety Coalition\u003c/a>. They developed a prevention campaign, but one that was rooted in gun culture.\u003c/p>\n\u003cp>Demicco traveled across New Hampshire and asked gun dealers to put up a poster in their stores. It shows two people, one of them clearly in distress, and the other lending a comforting hand. The message, Demicco says, was “Friends don’t let friends hurt themselves.”\u003c/p>\n\u003cp>It's similar to the “Friends don’t let friends drive drunk” campaigns of the '80s. The idea was to raise awareness of suicide risk factors among gun enthusiasts, so they could look out for one another.\u003c/p>\n\u003cp>“If Uncle Harry is getting a divorce and is distraught over it and he has firearms, you need to step up to the plate, you need to be the one,” Demicco says. “It’s OK to intervene.”\u003c/p>\n\u003cp>In the last several years since then, firearm clubs have partnered with health experts in 20 states to adopt the New Hampshire Firearms Safety Coalition’s campaign.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Shasta County Gun Shop Owners\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>Public health officials in \u003ca href=\"http://www.co.shasta.ca.us/index.aspx\" target=\"_blank\">Shasta County\u003c/a>, in the far northern reaches of California, were among the first to approach gun shop owners for help. They say there are similarities in Shasta County with New Hampshire, when it comes to suicide trends and a pro-gun culture.\u003c/p>\n\u003cp>\"We have a high number of firearm suicides,” says Katie Cassidy, who spearheaded the project for the county Health and Human Services Department in 2008. “We’re a very rural community, we have a lot of hunters. So taking a traditional approach, like ‘Wear your seatbelt,’ didn’t go over very well.”\u003c/p>\n\u003cp>Instead, the department took the New Hampshire approach and partnered with firearm dealers and law enforcement, asking them what kind of messaging would work, and asking them to review brochure drafts.\u003c/p>\n\u003cp>“As soon as we took the approach of curiosity, rather than coming into the discussion with an opinion,” Cassidy says, “that opened a lot of dialogue that hadn’t been at the table before.”\u003c/p>\n\u003cfigure id=\"attachment_275389\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-275389 size-medium\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/IMG_1723-800x800.jpg\" alt=\"The Olde West Gun & Loan in Redding, Calif.\" width=\"800\" height=\"800\">\u003cfigcaption class=\"wp-caption-text\">The Olde West Gun & Loan in Redding, California \u003ccite>(April Dembosky)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the Olde West Gun & Loan in Redding, some impressive stuffed deer heads and wild pigs line the walls. General manager Richard Howell demonstrates some of the merchandise responsible for these trophies.\u003c/p>\n\u003cp>“Bolt-action rifles, lever-action rifles, .22s,” he says, pointing to the rows of weapons in the case. He opens the port of a pump-action shotgun.\u003c/p>\n\u003cp>“Load it,” he says, closing the chamber, “take it out in the field, hunt.”\u003c/p>\n\u003cp>The local sheriff and health department are now asking shop owners like Howell to put some new versions of the brochures on their sales counters. Howell looks over a draft.\u003c/p>\n\u003cp>“These are the 10 commandments of gun safety,” Howell observes, chewing a piece of frost-blue gum while he scans the pamphlet. “Now 11. OK, they’ve added 11.”\u003c/p>\n\u003cfigure id=\"attachment_275390\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-275390\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/IMG_2237-800x600.jpg\" alt=\"Shasta County health officials, in collaboration with gun shop owners, developed a brochure to raise awareness around suicide prevention.\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Shasta County health officials, in collaboration with gun shop owners, developed a brochure to raise awareness around suicide prevention. \u003ccite>(April Dembosky)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Virtually all kids and new shooters learn about the 10 commandments of gun safety. The brochure boldly adds an 11th: knowing the signs of suicidal behavior and helping friends store their guns outside the home during an emotional crisis.\u003c/p>\n\u003cp>“Well ...,” Howell says uneasily. “Now we’re going to be the gun safety psychologists? I’m not trained for that.”\u003c/p>\n\u003cp>He’s not sure the “friends don’t let friends drive drunk” philosophy really works with guns. He says the difference is that driving is a privilege, while owning a gun is a right.\u003c/p>\n\u003cp>But Howell says he can understand why Shasta County is trying this. If the sheriff just wants him to leave a pile of brochures on the counter, it's no problem. And if someone were to ask him to store a firearm at the shop, he would be OK with that.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We wouldn’t be against that,” he says. “If someone takes a pamphlet home and it saves one life, then it’s done its job.”\u003c/p>\n\n","blocks":[],"excerpt":"When health experts talk suicide prevention, gun fans often feel like their Second Amendment rights are under attack. But now, some gun shop owners want to be part of the solution. ","status":"publish","parent":0,"modified":1482881149,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":984},"headData":{"title":"Stopping Suicide, With Help From the Local Gun Shop | KQED","description":"When health experts talk suicide prevention, gun fans often feel like their Second Amendment rights are under attack. But now, some gun shop owners want to be part of the solution. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"275384 http://ww2.kqed.org/stateofhealth/?p=275384","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/12/27/stopping-suicide-with-help-from-the-local-gun-shop/","disqusTitle":"Stopping Suicide, With Help From the Local Gun Shop","path":"/stateofhealth/275384/stopping-suicide-with-help-from-the-local-gun-shop","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Ralph Demicco was standing behind the counter at Riley’s Sport Shop in New Hampshire one Saturday morning when a woman walked in and came right up to the counter.\u003c/p>\n\u003cp>“Almost immediately she pointed to a firearm at the counter and said, ‘I’d like to buy that gun,’ ” Demicco remembers. “And that just sets off alarm bells.\"\u003c/p>\n\u003cp>Most customers would browse, ask to see a few different models, ask questions.\u003c/p>\n\u003cp>“I said to her, ‘Ma’am, should you really be buying this gun?’ ” Demicco recalls now.\u003c/p>\n\u003cp>The woman started crying. Demicco took her into the back office to talk.\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>“She had been released from a mental health facility that morning,” he said. “Didn’t feel like she was ready to go.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/299777934&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/299777934'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Demicco has lots of stories like this from his 40 years owning the gun shop. At one point, he got a call from a public health researcher who studies suicides. She told him that three people, over the course of a week, had bought firearms from his store and killed themselves.\u003c/p>\n\u003cp>“To say I was speechless is an understatement,” he says.\u003c/p>\n\u003cp>Demicco is skeptical of public health types, and worries they have hidden agendas. But after hearing about those suicides, he decided to join forces with the researchers to form the \u003ca href=\"http://www.theconnectprogram.org/firearms-safety-coalitions-role-nh-suicide-prevention\" target=\"_blank\">New Hampshire Firearms Safety Coalition\u003c/a>. They developed a prevention campaign, but one that was rooted in gun culture.\u003c/p>\n\u003cp>Demicco traveled across New Hampshire and asked gun dealers to put up a poster in their stores. It shows two people, one of them clearly in distress, and the other lending a comforting hand. The message, Demicco says, was “Friends don’t let friends hurt themselves.”\u003c/p>\n\u003cp>It's similar to the “Friends don’t let friends drive drunk” campaigns of the '80s. The idea was to raise awareness of suicide risk factors among gun enthusiasts, so they could look out for one another.\u003c/p>\n\u003cp>“If Uncle Harry is getting a divorce and is distraught over it and he has firearms, you need to step up to the plate, you need to be the one,” Demicco says. “It’s OK to intervene.”\u003c/p>\n\u003cp>In the last several years since then, firearm clubs have partnered with health experts in 20 states to adopt the New Hampshire Firearms Safety Coalition’s campaign.\u003c/p>\n\u003cp>\u003cstrong>\u003cem>Shasta County Gun Shop Owners\u003c/em>\u003c/strong>\u003c/p>\n\u003cp>Public health officials in \u003ca href=\"http://www.co.shasta.ca.us/index.aspx\" target=\"_blank\">Shasta County\u003c/a>, in the far northern reaches of California, were among the first to approach gun shop owners for help. They say there are similarities in Shasta County with New Hampshire, when it comes to suicide trends and a pro-gun culture.\u003c/p>\n\u003cp>\"We have a high number of firearm suicides,” says Katie Cassidy, who spearheaded the project for the county Health and Human Services Department in 2008. “We’re a very rural community, we have a lot of hunters. So taking a traditional approach, like ‘Wear your seatbelt,’ didn’t go over very well.”\u003c/p>\n\u003cp>Instead, the department took the New Hampshire approach and partnered with firearm dealers and law enforcement, asking them what kind of messaging would work, and asking them to review brochure drafts.\u003c/p>\n\u003cp>“As soon as we took the approach of curiosity, rather than coming into the discussion with an opinion,” Cassidy says, “that opened a lot of dialogue that hadn’t been at the table before.”\u003c/p>\n\u003cfigure id=\"attachment_275389\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"wp-image-275389 size-medium\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/IMG_1723-800x800.jpg\" alt=\"The Olde West Gun & Loan in Redding, Calif.\" width=\"800\" height=\"800\">\u003cfigcaption class=\"wp-caption-text\">The Olde West Gun & Loan in Redding, California \u003ccite>(April Dembosky)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the Olde West Gun & Loan in Redding, some impressive stuffed deer heads and wild pigs line the walls. General manager Richard Howell demonstrates some of the merchandise responsible for these trophies.\u003c/p>\n\u003cp>“Bolt-action rifles, lever-action rifles, .22s,” he says, pointing to the rows of weapons in the case. He opens the port of a pump-action shotgun.\u003c/p>\n\u003cp>“Load it,” he says, closing the chamber, “take it out in the field, hunt.”\u003c/p>\n\u003cp>The local sheriff and health department are now asking shop owners like Howell to put some new versions of the brochures on their sales counters. Howell looks over a draft.\u003c/p>\n\u003cp>“These are the 10 commandments of gun safety,” Howell observes, chewing a piece of frost-blue gum while he scans the pamphlet. “Now 11. OK, they’ve added 11.”\u003c/p>\n\u003cfigure id=\"attachment_275390\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-275390\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/12/IMG_2237-800x600.jpg\" alt=\"Shasta County health officials, in collaboration with gun shop owners, developed a brochure to raise awareness around suicide prevention.\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Shasta County health officials, in collaboration with gun shop owners, developed a brochure to raise awareness around suicide prevention. \u003ccite>(April Dembosky)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Virtually all kids and new shooters learn about the 10 commandments of gun safety. The brochure boldly adds an 11th: knowing the signs of suicidal behavior and helping friends store their guns outside the home during an emotional crisis.\u003c/p>\n\u003cp>“Well ...,” Howell says uneasily. “Now we’re going to be the gun safety psychologists? I’m not trained for that.”\u003c/p>\n\u003cp>He’s not sure the “friends don’t let friends drive drunk” philosophy really works with guns. He says the difference is that driving is a privilege, while owning a gun is a right.\u003c/p>\n\u003cp>But Howell says he can understand why Shasta County is trying this. If the sheriff just wants him to leave a pile of brochures on the counter, it's no problem. And if someone were to ask him to store a firearm at the shop, he would be OK with that.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We wouldn’t be against that,” he says. “If someone takes a pamphlet home and it saves one life, then it’s done its job.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/275384/stopping-suicide-with-help-from-the-local-gun-shop","authors":["3205"],"categories":["stateofhealth_11","stateofhealth_3012","stateofhealth_2746"],"tags":["stateofhealth_2808","stateofhealth_3016","stateofhealth_68","stateofhealth_2519","stateofhealth_3015","stateofhealth_112"],"featImg":"stateofhealth_277009","label":"stateofhealth"},"stateofhealth_256797":{"type":"posts","id":"stateofhealth_256797","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"256797","score":null,"sort":[1478563357000]},"guestAuthors":[],"slug":"new-data-surprising-number-of-california-parents-experienced-abuse-as-children","title":"New Data: Surprising Number of California Parents Experienced Abuse as Children","publishDate":1478563357,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>One out of five California adults with children living in their homes were beaten, kicked or physically abused when they were children, and one in ten were sexually abused, according to \u003ca href=\"http://tinyurl.com/z6drt5p\" target=\"_blank\">data \u003c/a>released recently by a children’s health foundation.\u003c/p>\n\u003cp>Experts believe that’s an undercount.\u003c/p>\n\u003cp>“I think it’s probably a low estimate,” said Cassandra Joubert, director of the Central California Children’s Institute at California State University, Fresno. “I think these kinds of events within families are hush-hush, swept under the rug, not really talked about.”\u003c/p>\n\u003cp>Focusing on the abuse that parents have experienced is essential to interrupting the cycle of trauma, Joubert said. Adults who were abused or neglected as children often end up emulating their own parents.\u003c/p>\n\u003cp>“It’s almost this mirroring effect,” Joubert said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The data were recently released by kidsdata.org, a program of the Palo Alto-based Lucile Packard Foundation for Children’s Health, to coincide with a recent \u003ca href=\"http://www.aces-ca.org/conference-info/\" target=\"_blank\">conference on adverse childhood experiences\u003c/a> in San Francisco.\u003c/p>\n\u003cp>Other notable findings: 36 percent of adults with children living in their homes experienced verbal abuse as children; 19 percent witnessed domestic violence. In some counties, including San Bernardino, Contra Costa and Riverside, a fifth of adults who have children in their homes reported experiencing at least four different adverse childhood experiences growing up. Those experiences can include physical, sexual and verbal abuse, having parents divorce, and living with someone who suffers from mental illness or abuses drugs or alcohol.\u003c/p>\n\u003cp>The findings come from data collected in a survey by the Public Health Institute. Marta Induni, research program director at the institute’s Survey Research Group, oversaw the survey of nearly 28,000 California residents. She said she has been particularly touched by the many people who have thanked her for asking them about painful and often stigmatized childhood experiences.\u003c/p>\n\u003cp>“I think that speaks to the importance of just putting this into the common vernacular: ‘Let’s talk about this,’” she said.\u003c/p>\n\u003cp>A bill to expand school-based mental health services for young children came to a halt in the state Senate Appropriations Committee this summer, because it did not include a way to fund the additional services. A spokesman for Assemblymember Rob Bonta (D-Oakland) said Bonta may propose that the state budget include additional funding for expanded services.\u003c/p>\n\u003cp>Wendy Davis, a 40-year-old resident of Clovis who works with Joubert as a training coordinator at the Children’s Institute, knows firsthand the effect childhood trauma can have on parenting.\u003c/p>\n\u003cp>At the age of five, Davis came to the United States from El Salvador with three of her siblings and her single mother. The family was “very, very poor,” Davis said. Her mother was almost always working, and was constantly stressed and frustrated, she said.\u003c/p>\n\u003cp>“She was barely around,” Davis said. “The little that she was, wasn’t pleasant.”\u003c/p>\n\u003cp>Davis said she was abused emotionally and physically growing up, and she witnessed domestic violence against others in her home. She was sexually molested by people who floated in and out of the house, Davis said.\u003c/p>\n\u003cp>At 18, Davis gave birth to her first son, Alex. She now has four sons, ranging in age from 6 to 21. After her youngest, Tye, was born, Davis spent a month in the hospital with serious health problems. Once she returned home, she experienced severe postpartum depression and didn’t want to hold Tye, or be near him. She blamed him for the illness she’d suffered after he was born.\u003c/p>\n\u003cp>When Tye was four months old, Davis sought help. She started taking medication and going to therapy. There, she was able to recognize how profoundly her troubled childhood had impacted her. She finally began to bond with Tye. Today, she said, she and her youngest are “inseparable.”\u003c/p>\n\u003cp>“It has helped tremendously,” she said. “I wish I would have done it a lot sooner.”\u003c/p>\n\u003cp>Mark Cloutier, executive director of the Center for Youth Wellness, said the data reinforce how crucial it is for pediatricians to screen children — and even their caregivers — for exposure to past traumatic experiences. Such experiences often lead not only to mental health disorders, but also to acute chronic physical diseases, he said.\u003c/p>\n\u003cp>“It’s important for parents to understand and address their own experiences in childhood as a way of blocking the further transmission to their children,” Cloutier said.\u003c/p>\n\u003cp>Kendra Rogers, managing director for early childhood policy at the advocacy group Children Now, called the data “sad and frustrating.”\u003c/p>\n\u003cp>“We fail these kids until they turn 18 and then we just blame them and criticize them,” she said.\u003c/p>\n\u003cp>She pointed to a number of policy prescriptions, ranging from funding more parenting programs to shoring up mental health services.\u003c/p>\n\u003cp>“We have serious trauma and violence in our history,” she said. “The more we address it, the better we can be.”\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, which publishes \u003ca href=\"http://californiahealthline.org/\" target=\"_blank\">California Healthline\u003c/a>, an editorially independent service of the California Health Care Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2016 Kaiser Health News. To see more, visit\u003ca href=\"http://www.kaiserhealthnews.org/\" target=\"_blank\"> Kaiser Health News\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"Focusing on parents can help end cycle of trauma for kids, experts say.","status":"publish","parent":0,"modified":1478569368,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":892},"headData":{"title":"New Data: Surprising Number of California Parents Experienced Abuse as Children | KQED","description":"Focusing on parents can help end cycle of trauma for kids, experts say.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"256797 http://ww2.kqed.org/stateofhealth/?p=256797","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/11/07/new-data-surprising-number-of-california-parents-experienced-abuse-as-children/","disqusTitle":"New Data: Surprising Number of California Parents Experienced Abuse as Children","nprByline":"Jocelyn Wiener, Kaiser Health News","path":"/stateofhealth/256797/new-data-surprising-number-of-california-parents-experienced-abuse-as-children","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>One out of five California adults with children living in their homes were beaten, kicked or physically abused when they were children, and one in ten were sexually abused, according to \u003ca href=\"http://tinyurl.com/z6drt5p\" target=\"_blank\">data \u003c/a>released recently by a children’s health foundation.\u003c/p>\n\u003cp>Experts believe that’s an undercount.\u003c/p>\n\u003cp>“I think it’s probably a low estimate,” said Cassandra Joubert, director of the Central California Children’s Institute at California State University, Fresno. “I think these kinds of events within families are hush-hush, swept under the rug, not really talked about.”\u003c/p>\n\u003cp>Focusing on the abuse that parents have experienced is essential to interrupting the cycle of trauma, Joubert said. Adults who were abused or neglected as children often end up emulating their own parents.\u003c/p>\n\u003cp>“It’s almost this mirroring effect,” Joubert 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>The data were recently released by kidsdata.org, a program of the Palo Alto-based Lucile Packard Foundation for Children’s Health, to coincide with a recent \u003ca href=\"http://www.aces-ca.org/conference-info/\" target=\"_blank\">conference on adverse childhood experiences\u003c/a> in San Francisco.\u003c/p>\n\u003cp>Other notable findings: 36 percent of adults with children living in their homes experienced verbal abuse as children; 19 percent witnessed domestic violence. In some counties, including San Bernardino, Contra Costa and Riverside, a fifth of adults who have children in their homes reported experiencing at least four different adverse childhood experiences growing up. Those experiences can include physical, sexual and verbal abuse, having parents divorce, and living with someone who suffers from mental illness or abuses drugs or alcohol.\u003c/p>\n\u003cp>The findings come from data collected in a survey by the Public Health Institute. Marta Induni, research program director at the institute’s Survey Research Group, oversaw the survey of nearly 28,000 California residents. She said she has been particularly touched by the many people who have thanked her for asking them about painful and often stigmatized childhood experiences.\u003c/p>\n\u003cp>“I think that speaks to the importance of just putting this into the common vernacular: ‘Let’s talk about this,’” she said.\u003c/p>\n\u003cp>A bill to expand school-based mental health services for young children came to a halt in the state Senate Appropriations Committee this summer, because it did not include a way to fund the additional services. A spokesman for Assemblymember Rob Bonta (D-Oakland) said Bonta may propose that the state budget include additional funding for expanded services.\u003c/p>\n\u003cp>Wendy Davis, a 40-year-old resident of Clovis who works with Joubert as a training coordinator at the Children’s Institute, knows firsthand the effect childhood trauma can have on parenting.\u003c/p>\n\u003cp>At the age of five, Davis came to the United States from El Salvador with three of her siblings and her single mother. The family was “very, very poor,” Davis said. Her mother was almost always working, and was constantly stressed and frustrated, she said.\u003c/p>\n\u003cp>“She was barely around,” Davis said. “The little that she was, wasn’t pleasant.”\u003c/p>\n\u003cp>Davis said she was abused emotionally and physically growing up, and she witnessed domestic violence against others in her home. She was sexually molested by people who floated in and out of the house, Davis said.\u003c/p>\n\u003cp>At 18, Davis gave birth to her first son, Alex. She now has four sons, ranging in age from 6 to 21. After her youngest, Tye, was born, Davis spent a month in the hospital with serious health problems. Once she returned home, she experienced severe postpartum depression and didn’t want to hold Tye, or be near him. She blamed him for the illness she’d suffered after he was born.\u003c/p>\n\u003cp>When Tye was four months old, Davis sought help. She started taking medication and going to therapy. There, she was able to recognize how profoundly her troubled childhood had impacted her. She finally began to bond with Tye. Today, she said, she and her youngest are “inseparable.”\u003c/p>\n\u003cp>“It has helped tremendously,” she said. “I wish I would have done it a lot sooner.”\u003c/p>\n\u003cp>Mark Cloutier, executive director of the Center for Youth Wellness, said the data reinforce how crucial it is for pediatricians to screen children — and even their caregivers — for exposure to past traumatic experiences. Such experiences often lead not only to mental health disorders, but also to acute chronic physical diseases, he said.\u003c/p>\n\u003cp>“It’s important for parents to understand and address their own experiences in childhood as a way of blocking the further transmission to their children,” Cloutier said.\u003c/p>\n\u003cp>Kendra Rogers, managing director for early childhood policy at the advocacy group Children Now, called the data “sad and frustrating.”\u003c/p>\n\u003cp>“We fail these kids until they turn 18 and then we just blame them and criticize them,” she said.\u003c/p>\n\u003cp>She pointed to a number of policy prescriptions, ranging from funding more parenting programs to shoring up mental health services.\u003c/p>\n\u003cp>“We have serious trauma and violence in our history,” she said. “The more we address it, the better we can be.”\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org/\" target=\"_blank\">Kaiser Health News\u003c/a>, which publishes \u003ca href=\"http://californiahealthline.org/\" target=\"_blank\">California Healthline\u003c/a>, an editorially independent service of the California Health Care Foundation.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2016 Kaiser Health News. To see more, visit\u003ca href=\"http://www.kaiserhealthnews.org/\" target=\"_blank\"> Kaiser Health News\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/256797/new-data-surprising-number-of-california-parents-experienced-abuse-as-children","authors":["byline_stateofhealth_256797"],"categories":["stateofhealth_11","stateofhealth_12","stateofhealth_2746"],"tags":["stateofhealth_2987","stateofhealth_2986","stateofhealth_2985","stateofhealth_96","stateofhealth_2808","stateofhealth_68","stateofhealth_2589"],"featImg":"stateofhealth_256811","label":"stateofhealth"},"stateofhealth_247333":{"type":"posts","id":"stateofhealth_247333","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"247333","score":null,"sort":[1476315918000]},"guestAuthors":[],"slug":"new-law-will-expand-mental-health-services-for-low-income-californians","title":"New Law Will Expand Mental Health Services for Low-Income Californians","publishDate":1476315918,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>The staff of Clinica Sierra Vista, which has health centers throughout the Central Valley, screened its mostly low-income patients last year for mental health needs and determined that nearly 30 percent suffered from depression, anxiety or alcoholism.\u003c/p>\n\u003cp>Christopher Reilly, Sierra Vista’s chief of behavioral health services, said he was concerned about the high percentage of patients afflicted, but even more so about the clinic’s ability to treat them.\u003c/p>\n\u003cp>That’s in part because at health centers like Clinica Sierra Vista, a large group of mental health providers are excluded from reimbursement by Medi-Cal, the government program for low-income Californians. But that will soon change. Gov. Jerry Brown last week signed a law allowing federally funded health centers and rural clinics to bill Medi-Cal for the services of licensed marriage and family therapists.\u003c/p>\n\u003cp>“I am ecstatic that this passed,” Reilly said. “It means a lot more people are going to get attention for their behavioral health needs a lot earlier.”\u003c/p>\n\u003cp>The new law, which takes effect Jan. 1, is designed to address gaps in mental health care, particularly in rural areas where recruiting and retaining behavioral health providers is a challenge. Under the current law, clinics hire licensed clinical social workers and psychologists for their Medi-Cal patients, but they often can’t find enough to meet their needs. Many clinics don’t provide behavioral health services at all.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>About 40,000 marriage and family therapists are licensed in the state, compared to about 22,000 social workers and 21,000 psychologists, according to a \u003ca href=\"http://www.legtrack.com/bill.html?bill=201520160AB1863\" target=\"_blank\">state analysis\u003c/a> of the legislation, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB1863\" target=\"_blank\">Assembly Bill 1863\u003c/a>.\u003c/p>\n\u003cp>Sierra Vista’s Reilly, who himself is a marriage and family therapist, said he expects another benefit from the law: less reliance on medication. Instead of simply being referred to doctors for prescriptions, the patients will be able to have regular counseling. Often, Reilly noted, patients’ depression or anxiety stems from family problems, domestic violence or substance use. Marriage and family therapists can help with those situations, he said.\u003c/p>\n\u003cp>Access to mental health services has long been a challenge in California, especially for low-income residents. In 2014, millions more Californians became eligible for Medi-Cal and for mental health services under the Affordable Care Act. That put even more pressure on the system.\u003c/p>\n\u003cp>The new law signed by the governor affects nearly 1,000 federally-funded and rural health clinics, according to the state analysis. The clinics accept patients regardless of their ability to pay and rely heavily on Medi-Cal reimbursements.\u003c/p>\n\u003cp>One of them, OLE Health, treats about 25,000 patients each year in Napa. CEO Tanir Ami said it’s been a challenge to find enough social workers to treat patients, many of whom have depression and anxiety, often exacerbated by poverty and inadequate housing.\u003c/p>\n\u003cp>“Now we get to recruit from a whole other pool of qualified candidates,” Ami said. “I am hoping it will make it exponentially easier to find the workforce we need.”\u003c/p>\n\u003cp>Gov. Brown vetoed a similar bill last year. The bill’s author, Assemblyman Jim Wood, (D-Healdsburg), said the governor had been concerned about its cost. But this year, Wood said he and the bill’s supporters convinced Brown that providing more mental health services could actually reduce health care costs.\u003c/p>\n\u003cp>“If you get people the behavioral health they need, you potentially keep them out of emergency rooms, which is a huge savings,” Wood said.\u003c/p>\n\u003cp>The bill was sponsored by CaliforniaHealth+ Advocates, an arm of the California Primary Care Association, and the California Association of Marriage and Family Therapists. The California chapter of the National Association of Social Workers and the California Psychological Association opposed it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"_blank\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"New legislation will allow clinics statewide to bill Medi-Cal for treatment by mental health counselors.","status":"publish","parent":0,"modified":1476315995,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":654},"headData":{"title":"New Law Will Expand Mental Health Services for Low-Income Californians | KQED","description":"New legislation will allow clinics statewide to bill Medi-Cal for treatment by mental health counselors.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"247333 http://ww2.kqed.org/stateofhealth/?p=247333","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/10/12/new-law-will-expand-mental-health-services-for-low-income-californians/","disqusTitle":"New Law Will Expand Mental Health Services for Low-Income Californians","nprByline":"Anna Gorman\u003cbr>Kaiser Health News","path":"/stateofhealth/247333/new-law-will-expand-mental-health-services-for-low-income-californians","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The staff of Clinica Sierra Vista, which has health centers throughout the Central Valley, screened its mostly low-income patients last year for mental health needs and determined that nearly 30 percent suffered from depression, anxiety or alcoholism.\u003c/p>\n\u003cp>Christopher Reilly, Sierra Vista’s chief of behavioral health services, said he was concerned about the high percentage of patients afflicted, but even more so about the clinic’s ability to treat them.\u003c/p>\n\u003cp>That’s in part because at health centers like Clinica Sierra Vista, a large group of mental health providers are excluded from reimbursement by Medi-Cal, the government program for low-income Californians. But that will soon change. Gov. Jerry Brown last week signed a law allowing federally funded health centers and rural clinics to bill Medi-Cal for the services of licensed marriage and family therapists.\u003c/p>\n\u003cp>“I am ecstatic that this passed,” Reilly said. “It means a lot more people are going to get attention for their behavioral health needs a lot earlier.”\u003c/p>\n\u003cp>The new law, which takes effect Jan. 1, is designed to address gaps in mental health care, particularly in rural areas where recruiting and retaining behavioral health providers is a challenge. Under the current law, clinics hire licensed clinical social workers and psychologists for their Medi-Cal patients, but they often can’t find enough to meet their needs. Many clinics don’t provide behavioral health services at all.\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>About 40,000 marriage and family therapists are licensed in the state, compared to about 22,000 social workers and 21,000 psychologists, according to a \u003ca href=\"http://www.legtrack.com/bill.html?bill=201520160AB1863\" target=\"_blank\">state analysis\u003c/a> of the legislation, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB1863\" target=\"_blank\">Assembly Bill 1863\u003c/a>.\u003c/p>\n\u003cp>Sierra Vista’s Reilly, who himself is a marriage and family therapist, said he expects another benefit from the law: less reliance on medication. Instead of simply being referred to doctors for prescriptions, the patients will be able to have regular counseling. Often, Reilly noted, patients’ depression or anxiety stems from family problems, domestic violence or substance use. Marriage and family therapists can help with those situations, he said.\u003c/p>\n\u003cp>Access to mental health services has long been a challenge in California, especially for low-income residents. In 2014, millions more Californians became eligible for Medi-Cal and for mental health services under the Affordable Care Act. That put even more pressure on the system.\u003c/p>\n\u003cp>The new law signed by the governor affects nearly 1,000 federally-funded and rural health clinics, according to the state analysis. The clinics accept patients regardless of their ability to pay and rely heavily on Medi-Cal reimbursements.\u003c/p>\n\u003cp>One of them, OLE Health, treats about 25,000 patients each year in Napa. CEO Tanir Ami said it’s been a challenge to find enough social workers to treat patients, many of whom have depression and anxiety, often exacerbated by poverty and inadequate housing.\u003c/p>\n\u003cp>“Now we get to recruit from a whole other pool of qualified candidates,” Ami said. “I am hoping it will make it exponentially easier to find the workforce we need.”\u003c/p>\n\u003cp>Gov. Brown vetoed a similar bill last year. The bill’s author, Assemblyman Jim Wood, (D-Healdsburg), said the governor had been concerned about its cost. But this year, Wood said he and the bill’s supporters convinced Brown that providing more mental health services could actually reduce health care costs.\u003c/p>\n\u003cp>“If you get people the behavioral health they need, you potentially keep them out of emergency rooms, which is a huge savings,” Wood said.\u003c/p>\n\u003cp>The bill was sponsored by CaliforniaHealth+ Advocates, an arm of the California Primary Care Association, and the California Association of Marriage and Family Therapists. The California chapter of the National Association of Social Workers and the California Psychological Association opposed it.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story was produced by \u003ca href=\"http://khn.org\" target=\"_blank\">Kaiser Health News\u003c/a>, an editorially independent program of the \u003ca href=\"http://kff.org/\" target=\"_blank\">Kaiser Family Foundation\u003c/a>.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/247333/new-law-will-expand-mental-health-services-for-low-income-californians","authors":["byline_stateofhealth_247333"],"categories":["stateofhealth_11","stateofhealth_14"],"tags":["stateofhealth_2979","stateofhealth_2808","stateofhealth_2980","stateofhealth_99","stateofhealth_68","stateofhealth_2519","stateofhealth_2981"],"featImg":"stateofhealth_247354","label":"stateofhealth"}},"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? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2023/08/possible-5gxfizEbKOJ-pbF5ASgxrs_.1400x1400.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. 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Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/01/OOW_Tile_Final.png","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. 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