The San Quentin Legionnaires' Disease Outbreak, Explained
Out of Prison -- and Hungry
Cooking Class Shows Ex-Cons How to Shop and Cook on a Budget
California Prisons Adopt Plan to Restrict Segregation for Mentally Ill Inmates
High-Priced Drug Sovaldi Coming to California Prisoners with Hepatitis C
California Prisons Begin 'Use-of-Force' Reforms for Mentally Ill Inmates
A Day in California's Psychiatric Prison Units
California Prisons to Restrict Pepper Spray, Segregation of Mentally Ill Inmates
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(AP) — California's inspector general gave a failing grade to medical care at a fourth prison Monday as the state tries to regain responsibility for health treatment after a decade of federal control.\u003c/p>\n\u003cp>Valley State Prison in Chowchilla received a failing grade in nine of the 14 benchmarks used by inspectors. Medical records often were missing, misfiled, incomplete or illegible. Medicine often was not provided as needed. Essential supplies and basic equipment were missing from many examination rooms.\u003c/p>\n\u003cp>Problems included a failure to provide inmates with follow-up care after initial appointments. Some appointments were delayed for months, while others never occurred, inspectors found. Nurses repeatedly failed to carry out doctors' orders, to identify and act on patients' medical problems, or to recognize those with urgent needs.\u003c/p>\n\u003cp>In one case, a patient who went untreated for low blood sodium for three weeks had a seizure that required life-support measures and sent him to an intensive care unit at an outside hospital.\u003c/p>\n\u003cp>\"Poor care resulted in bad or potentially really bad outcomes,\" said Steven Fama, an attorney with the Berkeley-based Prison Law Office that represents ill inmates.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The medium-security prison houses nearly 3,400 inmates about 40 miles northwest of Fresno.\u003c/p>\n\u003cp>Joyce Hayhoe, a spokeswoman for the federal receiver who runs the prison health care system, said officials are fixing the problems.\u003c/p>\n\u003cp>The inspector general previously found that prisons in Delano, Susanville and Vacaville are providing inadequate care.\u003c/p>\n\u003cp>Seven other prisons have received passing grades, and one prison, in Folsom, has been returned to state control.\u003c/p>\n\u003cp>U.S. District Judge Thelton Henderson said last year that the state must successfully operate all 34 adult prisons for a year before he considers ending a long-running class action lawsuit.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Henderson seized control a decade ago after he found that conditions were so poor that an average of an inmate a week was dying of medical malpractice or neglect.\u003c/p>\n\n","blocks":[],"excerpt":"The failing grade harms California's efforts to regain responsibility for health treatment after a decade of federal control.","status":"publish","parent":0,"modified":1456189991,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":326},"headData":{"title":"Another California Prison Fails Health Review | KQED","description":"The failing grade harms California's efforts to regain responsibility for health treatment after a decade of federal control.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Another California Prison Fails Health Review","datePublished":"2016-02-23T01:13:11.000Z","dateModified":"2016-02-23T01:13:11.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"151811 http://ww2.kqed.org/stateofhealth/?p=151811","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/02/22/chowchilla-another-california-prison-fails-health-review/","disqusTitle":"Another California Prison Fails Health Review","path":"/stateofhealth/151811/chowchilla-another-california-prison-fails-health-review","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>SACRAMENTO, Calif. (AP) — California's inspector general gave a failing grade to medical care at a fourth prison Monday as the state tries to regain responsibility for health treatment after a decade of federal control.\u003c/p>\n\u003cp>Valley State Prison in Chowchilla received a failing grade in nine of the 14 benchmarks used by inspectors. Medical records often were missing, misfiled, incomplete or illegible. Medicine often was not provided as needed. Essential supplies and basic equipment were missing from many examination rooms.\u003c/p>\n\u003cp>Problems included a failure to provide inmates with follow-up care after initial appointments. Some appointments were delayed for months, while others never occurred, inspectors found. Nurses repeatedly failed to carry out doctors' orders, to identify and act on patients' medical problems, or to recognize those with urgent needs.\u003c/p>\n\u003cp>In one case, a patient who went untreated for low blood sodium for three weeks had a seizure that required life-support measures and sent him to an intensive care unit at an outside hospital.\u003c/p>\n\u003cp>\"Poor care resulted in bad or potentially really bad outcomes,\" said Steven Fama, an attorney with the Berkeley-based Prison Law Office that represents ill inmates.\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 medium-security prison houses nearly 3,400 inmates about 40 miles northwest of Fresno.\u003c/p>\n\u003cp>Joyce Hayhoe, a spokeswoman for the federal receiver who runs the prison health care system, said officials are fixing the problems.\u003c/p>\n\u003cp>The inspector general previously found that prisons in Delano, Susanville and Vacaville are providing inadequate care.\u003c/p>\n\u003cp>Seven other prisons have received passing grades, and one prison, in Folsom, has been returned to state control.\u003c/p>\n\u003cp>U.S. District Judge Thelton Henderson said last year that the state must successfully operate all 34 adult prisons for a year before he considers ending a long-running class action lawsuit.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Henderson seized control a decade ago after he found that conditions were so poor that an average of an inmate a week was dying of medical malpractice or neglect.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/151811/chowchilla-another-california-prison-fails-health-review","authors":["8344"],"categories":["stateofhealth_14"],"tags":["stateofhealth_2519","stateofhealth_599"],"featImg":"stateofhealth_151812","label":"stateofhealth"},"stateofhealth_71311":{"type":"posts","id":"stateofhealth_71311","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"71311","score":null,"sort":[1441169826000]},"guestAuthors":[],"slug":"the-san-quentin-legionnaires-disease-outbreak-explained","title":"The San Quentin Legionnaires' Disease Outbreak, Explained","publishDate":1441169826,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>The number of confirmed cases of Legionnaires' disease at San Quentin prison is holding steady at six,\u003ca href=\"http://cdcrtoday.blogspot.com\" target=\"_blank\"> state officials said Tuesday\u003c/a>.\u003c/p>\n\u003cp>Another 85 inmates are under observation because of respiratory illness, but have not been diagnosed with Legionnaires' disease. The inmates are being treated at San Quentin's medical unit.\u003c/p>\n\u003cp>\"We've got transmission control,\" Dr. Steven Tharratt, director of health care operations for the California Department of Corrections and Rehabilitation, said on \u003ca href=\"http://www.kqed.org/a/forum/R201509010900\" target=\"_blank\">KQED \u003cem>Forum\u003c/em>\u003c/a> Tuesday morning.\u003c/p>\n\u003cp>Administrators at the Marin County prison are restoring some services that had been suspended, including preparation of hot meals. Inmates had been receiving boxed meals for the last several days. Last Friday, officials confirmed the first case of Legionnaires' at the prison. The number of cases had grown to six by Sunday.\u003c/p>\n\u003cp>Donald Specter, director of the Prison Law Office, an advocacy group, commended prison officials for their handling of the outbreak. \"They have been really transparent in this instance,\" he told \u003cem>Forum's\u003c/em> audience.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>CDCR says it will continue to update the public daily. Here's what you need to know about the outbreak:\u003c/p>\n\u003cp>\u003cstrong>What Is Legionnaires' Disease?\u003c/strong>\u003c/p>\n\u003cp>Legionnaires' disease is a type of pneumonia caused by the Legionella bacteria. It is not spread person-to-person. Instead, it is present in water, especially warm water, and is carried by steam and mist. San Quentin officials had shut down many plumbing systems, and suspended cooking -- because steam from cooking could carry the bacteria and infect people.\u003c/p>\n\u003cp>According to the \u003ca href=\"http://www.cdc.gov/healthywater/swimming/rwi/illnesses/legionella.html\" target=\"_blank\">Centers for Disease Control\u003c/a>, the bacteria are \"one of the most frequent causes of waterborne disease among humans in the United States.\"\u003c/p>\n\u003cp>\u003cstrong>Who Is At Risk?\u003c/strong>\u003c/p>\n\u003cp>The CDC says that 8,000-18,000 people are hospitalized in the U.S. every year with Legionnaires' disease. (By comparison, far more people are sickened every year by the more-common \u003ca href=\"http://www.cdc.gov/pneumococcal/about/facts.html\" target=\"_blank\">pneumococcal pneumonia;\u003c/a> it affects 900,000 people.)\u003c/p>\n\u003cp>Those most at risk of becoming seriously ill are:\u003c/p>\n\u003cul>\n\u003cli>People over age 50\u003c/li>\n\u003cli>Smokers\u003c/li>\n\u003cli>Those with chronic lung disease\u003c/li>\n\u003cli>People with weakened immune systems\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>How Is It Treated?\u003c/strong>\u003c/p>\n\u003cp>While Legionnaires' can be fatal, it is generally successfully treated with commonly available antibiotics.\u003c/p>\n\u003cp>\u003cstrong>Can It Be Prevented?\u003c/strong>\u003c/p>\n\u003cp>Since the Legionella bacteria are waterborne, everything from water storage towers to plumbing to \u003ca href=\"http://www.cdc.gov/healthywater/pdf/swimming/resources/legionella-factsheet.pdf\" target=\"_blank\">hot tubs\u003c/a> need to be properly disinfected. Samples have been collected at San Quentin, officials say, but the source of the contamination has not yet been identified. Lab tests on those samples take about two weeks to process. In the meantime, officials are hopeful that the suspension of plumbing at San Quentin has been successful.\u003c/p>\n\u003cp>\"We believe the transmission of the organism was stopped last week,\" Tharratt said.\u003c/p>\n\u003cp>\u003cstrong>Why Is It Called \"Legionnaires' \"?\u003c/strong>\u003c/p>\n\u003cp>In 1976, 2,000 members of the American Legion were gathered for a big conference in Philadelphia. Many became sick with a mysterious respiratory illness. The outbreak launched a massive public health investigation, which\u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC358030/\" target=\"_blank\"> resulted in identification \u003c/a>of a new family of bacteria.\u003c/p>\n\u003cp>(On an historical note, in the early 1980s, those fighting for a similar public health response to another mysterious disease -- one that was striking gay men -- were sorely disappointed. As early as 1982, \u003ca href=\"http://www.sfgate.com/health/article/Randy-Shilts-warned-early-about-baffling-2795293.php\" target=\"_blank\">there were already significantly more deaths\u003c/a> from what came to be called AIDS than had died in the 1976 Legionnaires' outbreak.)\u003c/p>\n\u003cp>\u003cstrong>Where Else Have Legionnaires' Outbreaks Happened Recently?\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As noted, Legionnaires' disease is a fairly common illness. The Associated Press compiled these outbreaks that have occurred around the country this summer:\u003c/p>\n\u003cul>\n\u003cli>In Illinois, an outbreak reported last week at the Illinois Veterans Home in Quincy, an assisted living and nursing home southwest of Chicago, has led to the deaths of seven elderly residents, all with underlying conditions. Another 32 residents have been sickened. Tests were pending Tuesday for other residents. The source has not been identified.\u003c/li>\n\u003cli>In New York, an outbreak in July and August that killed 12 people and sickened more than 100 was traced to bacteria found in an air-conditioning unit cooling tower at a Bronx hotel.\u003c/li>\n\u003cli>Two isolated illnesses occurred -- one at Illinois' Stateville prison last month, the other in July at West Chester University in Pennsylvania.\u003c/li>\n\u003cli>High levels of Legionella bacteria were found last week in the water system at a substance abuse treatment unit in Arizona at the Phoenix Veterans Affairs Health Care System, leading authorities to relocate 20 patients. The bacteria were discovered during routine testing and no illnesses have been reported, spokeswoman Jean Schaefer said.\u003c/li>\n\u003cli>A building at a GlaxoSmithKline drug manufacturing plant in Zebulon, N.C. ,was closed temporarily in August after Legionella bacteria were found in the external cooling towers there; no one was sickened.\u003c/li>\n\u003c/ul>\n\n","blocks":[],"excerpt":"Six San Quentin inmates have been diagnosed with Legionnaires' disease, but there have been no additional cases since Sunday.","status":"publish","parent":0,"modified":1441242458,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":772},"headData":{"title":"The San Quentin Legionnaires' Disease Outbreak, Explained | KQED","description":"Six San Quentin inmates have been diagnosed with Legionnaires' disease, but there have been no additional cases since Sunday.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"The San Quentin Legionnaires' Disease Outbreak, Explained","datePublished":"2015-09-02T04:57:06.000Z","dateModified":"2015-09-03T01:07:38.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"71311 http://ww2.kqed.org/stateofhealth/?p=71311","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/09/01/the-san-quentin-legionnaires-disease-outbreak-explained/","disqusTitle":"The San Quentin Legionnaires' Disease Outbreak, Explained","path":"/stateofhealth/71311/the-san-quentin-legionnaires-disease-outbreak-explained","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The number of confirmed cases of Legionnaires' disease at San Quentin prison is holding steady at six,\u003ca href=\"http://cdcrtoday.blogspot.com\" target=\"_blank\"> state officials said Tuesday\u003c/a>.\u003c/p>\n\u003cp>Another 85 inmates are under observation because of respiratory illness, but have not been diagnosed with Legionnaires' disease. The inmates are being treated at San Quentin's medical unit.\u003c/p>\n\u003cp>\"We've got transmission control,\" Dr. Steven Tharratt, director of health care operations for the California Department of Corrections and Rehabilitation, said on \u003ca href=\"http://www.kqed.org/a/forum/R201509010900\" target=\"_blank\">KQED \u003cem>Forum\u003c/em>\u003c/a> Tuesday morning.\u003c/p>\n\u003cp>Administrators at the Marin County prison are restoring some services that had been suspended, including preparation of hot meals. Inmates had been receiving boxed meals for the last several days. Last Friday, officials confirmed the first case of Legionnaires' at the prison. The number of cases had grown to six by Sunday.\u003c/p>\n\u003cp>Donald Specter, director of the Prison Law Office, an advocacy group, commended prison officials for their handling of the outbreak. \"They have been really transparent in this instance,\" he told \u003cem>Forum's\u003c/em> audience.\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>CDCR says it will continue to update the public daily. Here's what you need to know about the outbreak:\u003c/p>\n\u003cp>\u003cstrong>What Is Legionnaires' Disease?\u003c/strong>\u003c/p>\n\u003cp>Legionnaires' disease is a type of pneumonia caused by the Legionella bacteria. It is not spread person-to-person. Instead, it is present in water, especially warm water, and is carried by steam and mist. San Quentin officials had shut down many plumbing systems, and suspended cooking -- because steam from cooking could carry the bacteria and infect people.\u003c/p>\n\u003cp>According to the \u003ca href=\"http://www.cdc.gov/healthywater/swimming/rwi/illnesses/legionella.html\" target=\"_blank\">Centers for Disease Control\u003c/a>, the bacteria are \"one of the most frequent causes of waterborne disease among humans in the United States.\"\u003c/p>\n\u003cp>\u003cstrong>Who Is At Risk?\u003c/strong>\u003c/p>\n\u003cp>The CDC says that 8,000-18,000 people are hospitalized in the U.S. every year with Legionnaires' disease. (By comparison, far more people are sickened every year by the more-common \u003ca href=\"http://www.cdc.gov/pneumococcal/about/facts.html\" target=\"_blank\">pneumococcal pneumonia;\u003c/a> it affects 900,000 people.)\u003c/p>\n\u003cp>Those most at risk of becoming seriously ill are:\u003c/p>\n\u003cul>\n\u003cli>People over age 50\u003c/li>\n\u003cli>Smokers\u003c/li>\n\u003cli>Those with chronic lung disease\u003c/li>\n\u003cli>People with weakened immune systems\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>How Is It Treated?\u003c/strong>\u003c/p>\n\u003cp>While Legionnaires' can be fatal, it is generally successfully treated with commonly available antibiotics.\u003c/p>\n\u003cp>\u003cstrong>Can It Be Prevented?\u003c/strong>\u003c/p>\n\u003cp>Since the Legionella bacteria are waterborne, everything from water storage towers to plumbing to \u003ca href=\"http://www.cdc.gov/healthywater/pdf/swimming/resources/legionella-factsheet.pdf\" target=\"_blank\">hot tubs\u003c/a> need to be properly disinfected. Samples have been collected at San Quentin, officials say, but the source of the contamination has not yet been identified. Lab tests on those samples take about two weeks to process. In the meantime, officials are hopeful that the suspension of plumbing at San Quentin has been successful.\u003c/p>\n\u003cp>\"We believe the transmission of the organism was stopped last week,\" Tharratt said.\u003c/p>\n\u003cp>\u003cstrong>Why Is It Called \"Legionnaires' \"?\u003c/strong>\u003c/p>\n\u003cp>In 1976, 2,000 members of the American Legion were gathered for a big conference in Philadelphia. Many became sick with a mysterious respiratory illness. The outbreak launched a massive public health investigation, which\u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC358030/\" target=\"_blank\"> resulted in identification \u003c/a>of a new family of bacteria.\u003c/p>\n\u003cp>(On an historical note, in the early 1980s, those fighting for a similar public health response to another mysterious disease -- one that was striking gay men -- were sorely disappointed. As early as 1982, \u003ca href=\"http://www.sfgate.com/health/article/Randy-Shilts-warned-early-about-baffling-2795293.php\" target=\"_blank\">there were already significantly more deaths\u003c/a> from what came to be called AIDS than had died in the 1976 Legionnaires' outbreak.)\u003c/p>\n\u003cp>\u003cstrong>Where Else Have Legionnaires' Outbreaks Happened Recently?\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>As noted, Legionnaires' disease is a fairly common illness. The Associated Press compiled these outbreaks that have occurred around the country this summer:\u003c/p>\n\u003cul>\n\u003cli>In Illinois, an outbreak reported last week at the Illinois Veterans Home in Quincy, an assisted living and nursing home southwest of Chicago, has led to the deaths of seven elderly residents, all with underlying conditions. Another 32 residents have been sickened. Tests were pending Tuesday for other residents. The source has not been identified.\u003c/li>\n\u003cli>In New York, an outbreak in July and August that killed 12 people and sickened more than 100 was traced to bacteria found in an air-conditioning unit cooling tower at a Bronx hotel.\u003c/li>\n\u003cli>Two isolated illnesses occurred -- one at Illinois' Stateville prison last month, the other in July at West Chester University in Pennsylvania.\u003c/li>\n\u003cli>High levels of Legionella bacteria were found last week in the water system at a substance abuse treatment unit in Arizona at the Phoenix Veterans Affairs Health Care System, leading authorities to relocate 20 patients. The bacteria were discovered during routine testing and no illnesses have been reported, spokeswoman Jean Schaefer said.\u003c/li>\n\u003cli>A building at a GlaxoSmithKline drug manufacturing plant in Zebulon, N.C. ,was closed temporarily in August after Legionella bacteria were found in the external cooling towers there; no one was sickened.\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/71311/the-san-quentin-legionnaires-disease-outbreak-explained","authors":["240"],"categories":["stateofhealth_11"],"tags":["stateofhealth_599"],"featImg":"stateofhealth_71492","label":"stateofhealth"},"stateofhealth_22598":{"type":"posts","id":"stateofhealth_22598","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"22598","score":null,"sort":[1416612422000]},"guestAuthors":[],"slug":"out-of-prison-and-hungry","title":"Out of Prison -- and Hungry","publishDate":1416612422,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_22599\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/RS13044_Aus-Export-1-of-2.jpg\">\u003cimg class=\"size-large wp-image-22599\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/RS13044_Aus-Export-1-of-2-640x426.jpg\" alt=\"Aus Jarrar was released from an eleven-year prison sentence with $200. He's got an internship as a drug and alcohol counselor, but until he starts to earn a wage he's relying on charity food-- he doesn't qualify for food stamps.\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Aous Jarrar was released from prison after an 11-year sentence with $200. He has an internship as a drug and alcohol counselor, but because he doesn't qualify for food stamps, he is relying on charity food. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>\u003cem>Editor's note: For nearly two decades, people with drug-related felonies were banned for life from getting food stamps, but that’s all changing now. Starting April 15, thousands of former inmates will be eligible for food stamps and other public benefits.\u003c/em>\u003c/em>\u003c/p>\n\u003cp>\u003cem>Until then, how do you feed yourself when you get out of prison with no money and little help? As part of our health series \u003ca title=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>, we hear from Aous Jarrar. He was recently released from prison after serving an 11-year sentence for bank robbery. Now, without food stamps, he’s one charity meal away from hunger. We caught up with him as he rushed around downtown Oakland looking for food.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Aous Jarrar\u003c/strong>\u003c/p>\n\u003cp>Walking by that restaurant back there, I smelled some barbecue. Somebody’s really cooking. You know the funny thing? Since I got out, I’ve been really full maybe three times.\u003c/p>\n\u003cp>It was a shock to me the morning I woke up out here that my breakfast wasn’t ready. I was in prison for a total of 11 years. I took breakfast for granted.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>I’m Palestinian. I’m not a citizen so I don’t qualify for food stamps.\u003c/p>\n\u003cp>The prison system, they give us $200 to leave with. I had no clothes, and I have no food. So I had to make the choice: do I want look professional, so I can get a job? Or do I want to eat?\u003c!--more-->\u003c/p>\n\u003cp>I got certified as a drug and alcohol counselor in prison. This is the career I’m pursuing. So I can’t look the way my clients look. I went to Salvation Army for clothes and bought milk and eggs.\u003c/p>\n\u003cp>I eat a lot of potatoes. When I first got to [transitional housing,] one of the guys said, “There’s always potatoes and onions here, so you don’t have to go hungry.”\u003c/p>\n\u003cp>I’m wearing grey slacks, dress shoes, black V-neck, with glasses on -- I look professional, like someone who has a million bucks in the bank. Little do they know, I got $7 in my pocket to last until the end of the month.\u003c/p>\n\u003cfigure id=\"attachment_22600\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/RS13045_Aus-Export-2-of-2.jpg\">\u003cimg class=\"size-large wp-image-22600\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/RS13045_Aus-Export-2-of-2-640x426.jpg\" alt=\"Jarrar at his transitional housing in West Oakland, eating fried potatoes and eggplant from a charity food table in the neighborhood.\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jarrar at his transitional housing in West Oakland, eating fried potatoes and eggplant from a neighborhood food bank. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>I volunteer for internship hours at Options, [a service center for former inmates,] from 8:30am to 4:00pm. I’m trying to get my full accreditation as a drug and alcohol counselor. But it puts me in this situation where I can’t even make it to the food bank because I’m at work. I’m at the office, so I can’t leave for two hours to grab food.\u003c/p>\n\u003cp>I fell in love with drug and alcohol counseling in prison. I’m out here, and this is what I really want to do. So if I struggle with it a little bit right now, volunteering and doing an internship, it will pay off in the long run.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Jeremy Raff reported this story\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"\"It was a shock to me the morning I woke up out here that my breakfast wasn’t ready. I was in prison for a total of 11 years. I took breakfast for granted.\"","status":"publish","parent":0,"modified":1430780193,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":570},"headData":{"title":"Out of Prison -- and Hungry | KQED","description":""It was a shock to me the morning I woke up out here that my breakfast wasn’t ready. I was in prison for a total of 11 years. I took breakfast for granted."","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Out of Prison -- and Hungry","datePublished":"2014-11-21T23:27:02.000Z","dateModified":"2015-05-04T22:56:33.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"22598 http://blogs.kqed.org/stateofhealth/?p=22598","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/11/21/out-of-prison-and-hungry/","disqusTitle":"Out of Prison -- and Hungry","path":"/stateofhealth/22598/out-of-prison-and-hungry","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22599\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/RS13044_Aus-Export-1-of-2.jpg\">\u003cimg class=\"size-large wp-image-22599\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/RS13044_Aus-Export-1-of-2-640x426.jpg\" alt=\"Aus Jarrar was released from an eleven-year prison sentence with $200. He's got an internship as a drug and alcohol counselor, but until he starts to earn a wage he's relying on charity food-- he doesn't qualify for food stamps.\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Aous Jarrar was released from prison after an 11-year sentence with $200. He has an internship as a drug and alcohol counselor, but because he doesn't qualify for food stamps, he is relying on charity food. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>\u003cem>Editor's note: For nearly two decades, people with drug-related felonies were banned for life from getting food stamps, but that’s all changing now. Starting April 15, thousands of former inmates will be eligible for food stamps and other public benefits.\u003c/em>\u003c/em>\u003c/p>\n\u003cp>\u003cem>Until then, how do you feed yourself when you get out of prison with no money and little help? As part of our health series \u003ca title=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\" target=\"_blank\">Vital Signs\u003c/a>, we hear from Aous Jarrar. He was recently released from prison after serving an 11-year sentence for bank robbery. Now, without food stamps, he’s one charity meal away from hunger. We caught up with him as he rushed around downtown Oakland looking for food.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By Aous Jarrar\u003c/strong>\u003c/p>\n\u003cp>Walking by that restaurant back there, I smelled some barbecue. Somebody’s really cooking. You know the funny thing? Since I got out, I’ve been really full maybe three times.\u003c/p>\n\u003cp>It was a shock to me the morning I woke up out here that my breakfast wasn’t ready. I was in prison for a total of 11 years. I took breakfast for granted.\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’m Palestinian. I’m not a citizen so I don’t qualify for food stamps.\u003c/p>\n\u003cp>The prison system, they give us $200 to leave with. I had no clothes, and I have no food. So I had to make the choice: do I want look professional, so I can get a job? Or do I want to eat?\u003c!--more-->\u003c/p>\n\u003cp>I got certified as a drug and alcohol counselor in prison. This is the career I’m pursuing. So I can’t look the way my clients look. I went to Salvation Army for clothes and bought milk and eggs.\u003c/p>\n\u003cp>I eat a lot of potatoes. When I first got to [transitional housing,] one of the guys said, “There’s always potatoes and onions here, so you don’t have to go hungry.”\u003c/p>\n\u003cp>I’m wearing grey slacks, dress shoes, black V-neck, with glasses on -- I look professional, like someone who has a million bucks in the bank. Little do they know, I got $7 in my pocket to last until the end of the month.\u003c/p>\n\u003cfigure id=\"attachment_22600\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/RS13045_Aus-Export-2-of-2.jpg\">\u003cimg class=\"size-large wp-image-22600\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/RS13045_Aus-Export-2-of-2-640x426.jpg\" alt=\"Jarrar at his transitional housing in West Oakland, eating fried potatoes and eggplant from a charity food table in the neighborhood.\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jarrar at his transitional housing in West Oakland, eating fried potatoes and eggplant from a neighborhood food bank. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>I volunteer for internship hours at Options, [a service center for former inmates,] from 8:30am to 4:00pm. I’m trying to get my full accreditation as a drug and alcohol counselor. But it puts me in this situation where I can’t even make it to the food bank because I’m at work. I’m at the office, so I can’t leave for two hours to grab food.\u003c/p>\n\u003cp>I fell in love with drug and alcohol counseling in prison. I’m out here, and this is what I really want to do. So if I struggle with it a little bit right now, volunteering and doing an internship, it will pay off in the long run.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Jeremy Raff reported this story\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/22598/out-of-prison-and-hungry","authors":["230"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_599"],"featImg":"stateofhealth_22599","label":"stateofhealth_2363"},"stateofhealth_22646":{"type":"posts","id":"stateofhealth_22646","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"22646","score":null,"sort":[1416590004000]},"guestAuthors":[],"slug":"cooking-class-shows-ex-cons-how-to-shop-and-cook-on-food-stamps","title":"Cooking Class Shows Ex-Cons How to Shop and Cook on a Budget","publishDate":1416590004,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_22657\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/13152-e1416549600310.png\">\u003cimg class=\"wp-image-22657 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/13152-640x360.png\" alt=\"Staff from Transitions Housing Clinic, a health center for former inmates, gathered in San Francisco to learn to cook on a budget with Chef Hollie Greene. (Jeremy Raff/KQED)\" width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Staff from the Transitions Clinic, a nationwide network of health clinics for former inmates, gathered in San Francisco to learn to cook on a budget. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The chef has thrown down the challenge. There are five teams, ten people each, that must make their own version of veggie chili. Juanita Alvarado stirs the secret ingredient into the pot for Team 1. They call themselves the SuperHots.\u003c/p>\n\u003cp>“Let’s let that caramelize,” she says, tapping the wooden spoon on the edge of the saucepan.\u003c/p>\n\u003cp>This simmering pot of fresh black beans, zucchini, and carrots is a far cry from what Alvarado ate when she was in prison. Late nights in the bunks, inmates would pool their goods from the commissary to make a prison concoction called The Spread.\u003c/p>\n\u003cp>“It’s a ramen noodle. It consists of pickle juice, tuna, Velveeta cheese. Sausages, hot chips, some hot sauce, pork rinds, mayonnaise,” she says.\u003c/p>\n\u003cp>Then they mixed it all together and cooked it – sort of.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/178056429&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>“It’s basically getting a plastic bag and asking for hot water and smashing everything and keeping it steamed for an hour, then putting it in a tortilla,” she says. “It’s actually really tasty, but it really hurts your stomach.”\u003c/p>\n\u003cp>Alvarado says she gained 70 pounds eating like this in prison.\u003c/p>\n\u003cp>“You get out and think, 'I’m okay, I’m healthy, I’m big, I’m good,'” she says. “You don’t realize your body is really damaged inside.”\u003c/p>\n\u003cp>Today, Alvarado works at the Transitions Clinic in San Francisco, helping people recently released from prison manage conditions like diabetes and hypertension. Community health workers, like Alvarado, have all done time. They call on their own experiences to mentor patients through medical treatments, as well as finding a job, housing, and food.\u003c/p>\n\u003cp>She and 50 other community health workers from Transitions clinics across the country gathered at the San Francisco Ferry Building recently for the cooking class.\u003c/p>\n\u003cfigure id=\"attachment_22658\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/13153-e1416549884653.png\">\u003cimg class=\"size-medium wp-image-22658\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/13153-300x168.png\" alt=\"Chef Hollie Greene teaches people who are low income or homeless how to cook healthy meals on a budget. (Jeremy Raff/KQED)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chef Hollie Greene teaches people who are low income or homeless how to cook healthy meals on a budget. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Alvarado said the approach was to teach these workers “to help people access food that’s healthy and low cost, and also to be able to learn how to cook,” she said. “And cook with a budget, so they’re not just going back to ramen noodles and spreads.”\u003c/p>\n\u003cp>But all this can be really hard for many former inmates in California. The state is one of 34 in the country that ban people convicted of certain drug crimes from receiving food stamps.\u003c/p>\n\u003cp>More than 90 percent of people recently released from prison skip meals or struggle to get enough food, in part because of the ban, according to a survey of Transitions Clinic clients in California, Texas, and Connecticut.\u003c/p>\n\u003cp>“We know when people don’t have access to food, they’re at risk for chronic conditions, or their chronic conditions get worse, or they’re at risk for HIV,” says Dr. Shira Shavit, director of the Transitions Clinic network.\u003c/p>\n\u003cp>One patient from the San Francisco clinic \"had to work as a sex worker to be able to buy a Happy Meal for her children to feed them,\" Shavit said.\u003c/p>\n\u003cp>Studies show that steady access to food reduces crime and recidivism. California lawmakers decided to get rid of the food stamps ban, and the new policy will take effect next April 15.\u003c/p>\n\u003cp>\u003cstrong>Teaching Cooking on a Budget\u003c/strong>\u003c/p>\n\u003cp>That’s where Chef Hollie Greene comes in to lead the chili cook-off. She’s been teaching cooking on a budget to low income and homeless populations for years, and now through her start-up, JoyFoodly.\u003c/p>\n\u003cp>“When you’re at the store and you’re trying to make a decision about what to buy,” she says to the class of community health workers. “Whole chickens are about a dollar less per pound, than when you start to buy all the different parts.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"pjhVfSHw2UjVzNMqdstbICU3eJZ5sLtv\"]\u003c/p>\n\u003cp>She also has gentle strategies for encouraging people to buy more fruits and vegetables, or brown rice instead of white rice. Or even quinoa.\u003c/p>\n\u003cp>“What is it?” asks one member of Team 5, while they sit eating their chili.\u003c/p>\n\u003cp>Chef Hollie nods. “Well when I was growing up I thought it was for people who hug trees. I used to call it “quin-oh-a,” she says. “Now I call it, ‘Keen-Whaaat?’” (It's a high protein grain.)\u003c/p>\n\u003cp>She continues making the rounds to check on each team’s final results. She dips a spoon into the bowl from Juanita Alvarado’s team, the SuperHots, which they decorated with leaves of red cabbage.\u003c/p>\n\u003cp>“It’s fantastic. I feel like I’m on a cruise ship,” Chef Hollie laughs. “This is the best chili I’ve ever had. I can taste the love.”\u003c/p>\n\u003cp>To try your hand at the veggie chili from the cooking class, follow Chef Hollie’s recipe below. Add the secret ingredient from Team SuperHots: diced carrots, caramelized in honey, with a splash of vinegar.\u003c/p>\n\u003cp>\u003cstrong>Vegetarian Chili\u003c/strong>\u003cbr>\nServes 4 - 6\u003c/p>\n\u003cp>\u003cstrong>Ingredients\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>3 cups canned black, kidney or cannellini beans, rinsed & drained\u003c/li>\n\u003cli>1 TBS olive or canola oil\u003c/li>\n\u003cli>1 onion, diced\u003c/li>\n\u003cli>1 red pepper, diced\u003c/li>\n\u003cli>1 clove garlic, minced\u003c/li>\n\u003cli>1/2 jalapeno, seeded, de-ribbed & minced (optional)\u003c/li>\n\u003cli>1 TBS ground chili powder\u003c/li>\n\u003cli>1 tsp. ground cumin\u003c/li>\n\u003cli>1 tsp. dried oregano (optional)\u003c/li>\n\u003cli>1 14.5-ounce can whole tomatoes in juice, chopped\u003c/li>\n\u003cli>1 TBS tomato paste\u003c/li>\n\u003cli>1 cup water\u003c/li>\n\u003cli>1 tsp. salt\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong> Optional Toppings\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Fresh cilantro, chopped (for garnish – optional)\u003c/li>\n\u003cli>Scallions, thinly sliced (for garnish - optional)\u003c/li>\n\u003cli>Sour cream (for garnish – optional)\u003c/li>\n\u003c/ul>\n\u003cp>Rinse and drain beans and set aside.\u003cbr>\nIn a large pot, heat oil over medium heat until warm.\u003cbr>\nAdd onion, red pepper, garlic and jalapeno and cook, stirring, until onions are translucent. Stir in spices and cook 1 minute.\u003cbr>\nAdd tomatoes, tomato paste, water, salt and drained and rinsed beans; reduce heat and simmer for 30-40 minutes, until flavors are well combined.\u003cbr>\nGarnish with cilantro, scallions or other favorite toppings.\u003c/p>\n\u003cp>\u003cstrong>Chef Hollie’s: How to Make a Day-Two Burrito\u003c/strong>\u003cbr>\n\u003cstrong> Ingredients (all are optional):\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Left-over rotisserie chicken or a scrambled egg\u003c/li>\n\u003cli>Veggie Chili\u003c/li>\n\u003cli>Whole wheat flour tortillas\u003c/li>\n\u003cli>**Other options could be any of these items in your pantry: salsa in a jar, cheese, sour cream, lettuce, or a sautéed red bell pepper.\u003c/li>\n\u003c/ul>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>For any ingredients that need heating or cooking, such as leftover chili or the scrambled egg, get these ready first. If you have a microwave, you can quickly heat the burrito wrapper before filling it to soften it up. Fill the ingredients you want to use in the center of the burrito. Fold over either side, and then roll to close. Enjoy!\u003c/p>\n\n","blocks":[],"excerpt":"Studies show that steady access to food reduces crime and recidivism.","status":"publish","parent":0,"modified":1416956240,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1189},"headData":{"title":"Cooking Class Shows Ex-Cons How to Shop and Cook on a Budget | KQED","description":"Studies show that steady access to food reduces crime and recidivism.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Cooking Class Shows Ex-Cons How to Shop and Cook on a Budget","datePublished":"2014-11-21T17:13:24.000Z","dateModified":"2014-11-25T22:57:20.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"22646 http://blogs.kqed.org/stateofhealth/?p=22646","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/11/21/cooking-class-shows-ex-cons-how-to-shop-and-cook-on-food-stamps/","disqusTitle":"Cooking Class Shows Ex-Cons How to Shop and Cook on a Budget","path":"/stateofhealth/22646/cooking-class-shows-ex-cons-how-to-shop-and-cook-on-food-stamps","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22657\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/13152-e1416549600310.png\">\u003cimg class=\"wp-image-22657 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/13152-640x360.png\" alt=\"Staff from Transitions Housing Clinic, a health center for former inmates, gathered in San Francisco to learn to cook on a budget with Chef Hollie Greene. (Jeremy Raff/KQED)\" width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Staff from the Transitions Clinic, a nationwide network of health clinics for former inmates, gathered in San Francisco to learn to cook on a budget. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The chef has thrown down the challenge. There are five teams, ten people each, that must make their own version of veggie chili. Juanita Alvarado stirs the secret ingredient into the pot for Team 1. They call themselves the SuperHots.\u003c/p>\n\u003cp>“Let’s let that caramelize,” she says, tapping the wooden spoon on the edge of the saucepan.\u003c/p>\n\u003cp>This simmering pot of fresh black beans, zucchini, and carrots is a far cry from what Alvarado ate when she was in prison. Late nights in the bunks, inmates would pool their goods from the commissary to make a prison concoction called The Spread.\u003c/p>\n\u003cp>“It’s a ramen noodle. It consists of pickle juice, tuna, Velveeta cheese. Sausages, hot chips, some hot sauce, pork rinds, mayonnaise,” she says.\u003c/p>\n\u003cp>Then they mixed it all together and cooked it – sort of.\u003c!--more-->\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>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/178056429&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>“It’s basically getting a plastic bag and asking for hot water and smashing everything and keeping it steamed for an hour, then putting it in a tortilla,” she says. “It’s actually really tasty, but it really hurts your stomach.”\u003c/p>\n\u003cp>Alvarado says she gained 70 pounds eating like this in prison.\u003c/p>\n\u003cp>“You get out and think, 'I’m okay, I’m healthy, I’m big, I’m good,'” she says. “You don’t realize your body is really damaged inside.”\u003c/p>\n\u003cp>Today, Alvarado works at the Transitions Clinic in San Francisco, helping people recently released from prison manage conditions like diabetes and hypertension. Community health workers, like Alvarado, have all done time. They call on their own experiences to mentor patients through medical treatments, as well as finding a job, housing, and food.\u003c/p>\n\u003cp>She and 50 other community health workers from Transitions clinics across the country gathered at the San Francisco Ferry Building recently for the cooking class.\u003c/p>\n\u003cfigure id=\"attachment_22658\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/13153-e1416549884653.png\">\u003cimg class=\"size-medium wp-image-22658\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/13153-300x168.png\" alt=\"Chef Hollie Greene teaches people who are low income or homeless how to cook healthy meals on a budget. (Jeremy Raff/KQED)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chef Hollie Greene teaches people who are low income or homeless how to cook healthy meals on a budget. (Jeremy Raff/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Alvarado said the approach was to teach these workers “to help people access food that’s healthy and low cost, and also to be able to learn how to cook,” she said. “And cook with a budget, so they’re not just going back to ramen noodles and spreads.”\u003c/p>\n\u003cp>But all this can be really hard for many former inmates in California. The state is one of 34 in the country that ban people convicted of certain drug crimes from receiving food stamps.\u003c/p>\n\u003cp>More than 90 percent of people recently released from prison skip meals or struggle to get enough food, in part because of the ban, according to a survey of Transitions Clinic clients in California, Texas, and Connecticut.\u003c/p>\n\u003cp>“We know when people don’t have access to food, they’re at risk for chronic conditions, or their chronic conditions get worse, or they’re at risk for HIV,” says Dr. Shira Shavit, director of the Transitions Clinic network.\u003c/p>\n\u003cp>One patient from the San Francisco clinic \"had to work as a sex worker to be able to buy a Happy Meal for her children to feed them,\" Shavit said.\u003c/p>\n\u003cp>Studies show that steady access to food reduces crime and recidivism. California lawmakers decided to get rid of the food stamps ban, and the new policy will take effect next April 15.\u003c/p>\n\u003cp>\u003cstrong>Teaching Cooking on a Budget\u003c/strong>\u003c/p>\n\u003cp>That’s where Chef Hollie Greene comes in to lead the chili cook-off. She’s been teaching cooking on a budget to low income and homeless populations for years, and now through her start-up, JoyFoodly.\u003c/p>\n\u003cp>“When you’re at the store and you’re trying to make a decision about what to buy,” she says to the class of community health workers. “Whole chickens are about a dollar less per pound, than when you start to buy all the different parts.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>She also has gentle strategies for encouraging people to buy more fruits and vegetables, or brown rice instead of white rice. Or even quinoa.\u003c/p>\n\u003cp>“What is it?” asks one member of Team 5, while they sit eating their chili.\u003c/p>\n\u003cp>Chef Hollie nods. “Well when I was growing up I thought it was for people who hug trees. I used to call it “quin-oh-a,” she says. “Now I call it, ‘Keen-Whaaat?’” (It's a high protein grain.)\u003c/p>\n\u003cp>She continues making the rounds to check on each team’s final results. She dips a spoon into the bowl from Juanita Alvarado’s team, the SuperHots, which they decorated with leaves of red cabbage.\u003c/p>\n\u003cp>“It’s fantastic. I feel like I’m on a cruise ship,” Chef Hollie laughs. “This is the best chili I’ve ever had. I can taste the love.”\u003c/p>\n\u003cp>To try your hand at the veggie chili from the cooking class, follow Chef Hollie’s recipe below. Add the secret ingredient from Team SuperHots: diced carrots, caramelized in honey, with a splash of vinegar.\u003c/p>\n\u003cp>\u003cstrong>Vegetarian Chili\u003c/strong>\u003cbr>\nServes 4 - 6\u003c/p>\n\u003cp>\u003cstrong>Ingredients\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>3 cups canned black, kidney or cannellini beans, rinsed & drained\u003c/li>\n\u003cli>1 TBS olive or canola oil\u003c/li>\n\u003cli>1 onion, diced\u003c/li>\n\u003cli>1 red pepper, diced\u003c/li>\n\u003cli>1 clove garlic, minced\u003c/li>\n\u003cli>1/2 jalapeno, seeded, de-ribbed & minced (optional)\u003c/li>\n\u003cli>1 TBS ground chili powder\u003c/li>\n\u003cli>1 tsp. ground cumin\u003c/li>\n\u003cli>1 tsp. dried oregano (optional)\u003c/li>\n\u003cli>1 14.5-ounce can whole tomatoes in juice, chopped\u003c/li>\n\u003cli>1 TBS tomato paste\u003c/li>\n\u003cli>1 cup water\u003c/li>\n\u003cli>1 tsp. salt\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong> Optional Toppings\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Fresh cilantro, chopped (for garnish – optional)\u003c/li>\n\u003cli>Scallions, thinly sliced (for garnish - optional)\u003c/li>\n\u003cli>Sour cream (for garnish – optional)\u003c/li>\n\u003c/ul>\n\u003cp>Rinse and drain beans and set aside.\u003cbr>\nIn a large pot, heat oil over medium heat until warm.\u003cbr>\nAdd onion, red pepper, garlic and jalapeno and cook, stirring, until onions are translucent. Stir in spices and cook 1 minute.\u003cbr>\nAdd tomatoes, tomato paste, water, salt and drained and rinsed beans; reduce heat and simmer for 30-40 minutes, until flavors are well combined.\u003cbr>\nGarnish with cilantro, scallions or other favorite toppings.\u003c/p>\n\u003cp>\u003cstrong>Chef Hollie’s: How to Make a Day-Two Burrito\u003c/strong>\u003cbr>\n\u003cstrong> Ingredients (all are optional):\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>Left-over rotisserie chicken or a scrambled egg\u003c/li>\n\u003cli>Veggie Chili\u003c/li>\n\u003cli>Whole wheat flour tortillas\u003c/li>\n\u003cli>**Other options could be any of these items in your pantry: salsa in a jar, cheese, sour cream, lettuce, or a sautéed red bell pepper.\u003c/li>\n\u003c/ul>\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>For any ingredients that need heating or cooking, such as leftover chili or the scrambled egg, get these ready first. If you have a microwave, you can quickly heat the burrito wrapper before filling it to soften it up. Fill the ingredients you want to use in the center of the burrito. Fold over either side, and then roll to close. Enjoy!\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/22646/cooking-class-shows-ex-cons-how-to-shop-and-cook-on-food-stamps","authors":["3205"],"categories":["stateofhealth_11","stateofhealth_12"],"tags":["stateofhealth_599"],"featImg":"stateofhealth_22657","label":"stateofhealth"},"stateofhealth_21092":{"type":"posts","id":"stateofhealth_21092","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"21092","score":null,"sort":[1409356928000]},"guestAuthors":[],"slug":"california-prisons-adopts-plan-to-restrict-segregation-for-mentally-ill-inmates","title":"California Prisons Adopt Plan to Restrict Segregation for Mentally Ill Inmates","publishDate":1409356928,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_20865\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf.jpg\">\u003cimg class=\"size-full wp-image-20865\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf.jpg\" alt=\"A psychiatric segregation cell at Sacramento Prison. (Julie Small/KQED)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A psychiatric segregation cell at Sacramento Prison. (Julie Small/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Small\u003c/strong>\u003c/p>\n\u003cp>In response to a court order, California prison officials proposed a new approach Friday to how they treat mentally ill inmates who break rules or commit new crimes. The judge who ordered the change immediately approved the plan.\u003c/p>\n\u003cp>Right now, if a mentally ill inmate refuses to follow orders or attacks another inmate or guards, the prison sends him to a segregation unit. In segregation, prisoners spend more time confined to their cells and must submit to routine strip searches for weapons and drugs. Advocates for inmates have long insisted the conditions only worsen mental illness. Earlier this year, U.S. District Judge Lawrence Karlton unequivocally backed them up.\u003c/p>\n\u003cp>In an April ruling, \u003ca href=\"http://ww2.kqed.org/news/2014/04/11/california-mistreating-mentally-ill-inmates/\" target=\"_blank\">the judge wrote\u003c/a>, “placement of seriously mentally ill inmates in California’s segregation housing unit can and does cause serious psychological harm” by worsening symptoms, inducing psychosis and increasing suicidal urges.\u003c!--more-->\u003c/p>\n\u003cp>In a statement, Dana Simas, spokesperson with the California Department of Corrections and Rehabilitation said that \u003cspan style=\"color: #000000\">CDCR was continuing to make \"lasting cultural changes to how the Department responds to and treats mentally ill inmates.\" Simas also said that CDCR would \"continue to work with all parties to improve mental health care for inmates and to ensure that there is strong collaboration between custody and mental health staff.\" \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"color: #000000\">In\u003c/span> the response sent to Judge Karlton, CDCR said it would no longer send mentally ill inmates to segregation units.\u003c/p>\n\u003cp>Instead, they’ll create new housing designed for them that offers twice as much out-of-cell time and more psychiatric care. Corrections staff on those units will take “a collaborative approach” with mental health staff “to ensure the well-being of the inmates housed in these new units,” they wrote.\u003c/p>\n\u003cp>“This is a big, big change,” said Michael Bien, an attorney for inmates who asked the judge to intervene. Bien said the state’s plan steers these prisoners away from the harshest conditions of punishment and into treatment that could help.\u003c/p>\n\u003cp>“They’ll be in one of the new units,” Bien said, “where they’ll get much more treatment, much more out-of-cell time, and hopefully experience less stress.”\u003c/p>\n\u003cp>More than 3,000 inmates in segregation have been diagnosed with serious mental disorders.\u003c/p>\n\u003cp>Corrections will conduct a case-by-case review of those prisoners -- starting with those who have the longest segregation terms -- to decide whether to keep them in the new units or release them back into the general prison population, if they are stable.\u003c/p>\n\u003cp>Friday’s plan is the final piece of a massive overhaul of California’s treatment of mentally ill prisoners. Corrections official have also agreed to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/01/california-prisons-to-restrict-pepper-spray-segregation-of-mentally-ill-inmates/\" target=\"_blank\">new restrictions on pepper-spraying \u003c/a>and strip-searching the inmates, and to more training and oversight of prison staff who interact with them.\u003c/p>\n\u003cp style=\"margin: 12px auto 6px auto;font-family: Helvetica,Arial,Sans-serif;font-style: normal;font-variant: normal;font-weight: normal;font-size: 14px;line-height: normal\">\u003ca style=\"text-decoration: underline\" title=\"View California Prisons Adopts Plan to Restrict Segregation for Mentally-Ill Inmates on Scribd\" href=\"http://www.scribd.com/doc/238135295/California-Prisons-Adopts-Plan-to-Restrict-Segregation-for-Mentally-Ill-Inmates\">California Prisons Adopts Plan to Restrict Segregation for Mentally-Ill Inmates\u003c/a> by \u003ca style=\"text-decoration: underline\" title=\"View KQED News's profile on Scribd\" href=\"http://www.scribd.com/KQED_News\">KQED News\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe id=\"doc_27145\" class=\"scribd_iframe_embed\" src=\"//www.scribd.com/embeds/238135295/content?start_page=1&view_mode=scroll&access_key=key-SukfPfzdeMdOF3YkzxWp&show_recommendations=false\" width=\"640\" height=\"853\" frameborder=\"0\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\n","blocks":[],"excerpt":"The judge who ordered the changes immediately accepted the plan.","status":"publish","parent":0,"modified":1409698643,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["//www.scribd.com/embeds/238135295/content"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":508},"headData":{"title":"California Prisons Adopt Plan to Restrict Segregation for Mentally Ill Inmates | KQED","description":"The judge who ordered the changes immediately accepted the plan.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"California Prisons Adopt Plan to Restrict Segregation for Mentally Ill Inmates","datePublished":"2014-08-30T00:02:08.000Z","dateModified":"2014-09-02T22:57:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"21092 http://blogs.kqed.org/stateofhealth/?p=21092","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/08/29/california-prisons-adopts-plan-to-restrict-segregation-for-mentally-ill-inmates/","disqusTitle":"California Prisons Adopt Plan to Restrict Segregation for Mentally Ill Inmates","path":"/stateofhealth/21092/california-prisons-adopts-plan-to-restrict-segregation-for-mentally-ill-inmates","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20865\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf.jpg\">\u003cimg class=\"size-full wp-image-20865\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf.jpg\" alt=\"A psychiatric segregation cell at Sacramento Prison. (Julie Small/KQED)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A psychiatric segregation cell at Sacramento Prison. (Julie Small/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Small\u003c/strong>\u003c/p>\n\u003cp>In response to a court order, California prison officials proposed a new approach Friday to how they treat mentally ill inmates who break rules or commit new crimes. The judge who ordered the change immediately approved the plan.\u003c/p>\n\u003cp>Right now, if a mentally ill inmate refuses to follow orders or attacks another inmate or guards, the prison sends him to a segregation unit. In segregation, prisoners spend more time confined to their cells and must submit to routine strip searches for weapons and drugs. Advocates for inmates have long insisted the conditions only worsen mental illness. Earlier this year, U.S. District Judge Lawrence Karlton unequivocally backed them up.\u003c/p>\n\u003cp>In an April ruling, \u003ca href=\"http://ww2.kqed.org/news/2014/04/11/california-mistreating-mentally-ill-inmates/\" target=\"_blank\">the judge wrote\u003c/a>, “placement of seriously mentally ill inmates in California’s segregation housing unit can and does cause serious psychological harm” by worsening symptoms, inducing psychosis and increasing suicidal urges.\u003c!--more-->\u003c/p>\n\u003cp>In a statement, Dana Simas, spokesperson with the California Department of Corrections and Rehabilitation said that \u003cspan style=\"color: #000000\">CDCR was continuing to make \"lasting cultural changes to how the Department responds to and treats mentally ill inmates.\" Simas also said that CDCR would \"continue to work with all parties to improve mental health care for inmates and to ensure that there is strong collaboration between custody and mental health staff.\" \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>\u003cspan style=\"color: #000000\">In\u003c/span> the response sent to Judge Karlton, CDCR said it would no longer send mentally ill inmates to segregation units.\u003c/p>\n\u003cp>Instead, they’ll create new housing designed for them that offers twice as much out-of-cell time and more psychiatric care. Corrections staff on those units will take “a collaborative approach” with mental health staff “to ensure the well-being of the inmates housed in these new units,” they wrote.\u003c/p>\n\u003cp>“This is a big, big change,” said Michael Bien, an attorney for inmates who asked the judge to intervene. Bien said the state’s plan steers these prisoners away from the harshest conditions of punishment and into treatment that could help.\u003c/p>\n\u003cp>“They’ll be in one of the new units,” Bien said, “where they’ll get much more treatment, much more out-of-cell time, and hopefully experience less stress.”\u003c/p>\n\u003cp>More than 3,000 inmates in segregation have been diagnosed with serious mental disorders.\u003c/p>\n\u003cp>Corrections will conduct a case-by-case review of those prisoners -- starting with those who have the longest segregation terms -- to decide whether to keep them in the new units or release them back into the general prison population, if they are stable.\u003c/p>\n\u003cp>Friday’s plan is the final piece of a massive overhaul of California’s treatment of mentally ill prisoners. Corrections official have also agreed to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/01/california-prisons-to-restrict-pepper-spray-segregation-of-mentally-ill-inmates/\" target=\"_blank\">new restrictions on pepper-spraying \u003c/a>and strip-searching the inmates, and to more training and oversight of prison staff who interact with them.\u003c/p>\n\u003cp style=\"margin: 12px auto 6px auto;font-family: Helvetica,Arial,Sans-serif;font-style: normal;font-variant: normal;font-weight: normal;font-size: 14px;line-height: normal\">\u003ca style=\"text-decoration: underline\" title=\"View California Prisons Adopts Plan to Restrict Segregation for Mentally-Ill Inmates on Scribd\" href=\"http://www.scribd.com/doc/238135295/California-Prisons-Adopts-Plan-to-Restrict-Segregation-for-Mentally-Ill-Inmates\">California Prisons Adopts Plan to Restrict Segregation for Mentally-Ill Inmates\u003c/a> by \u003ca style=\"text-decoration: underline\" title=\"View KQED News's profile on Scribd\" href=\"http://www.scribd.com/KQED_News\">KQED News\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe id=\"doc_27145\" class=\"scribd_iframe_embed\" src=\"//www.scribd.com/embeds/238135295/content?start_page=1&view_mode=scroll&access_key=key-SukfPfzdeMdOF3YkzxWp&show_recommendations=false\" width=\"640\" height=\"853\" frameborder=\"0\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/21092/california-prisons-adopts-plan-to-restrict-segregation-for-mentally-ill-inmates","authors":["8344"],"categories":["stateofhealth_14"],"tags":["stateofhealth_68","stateofhealth_599"],"featImg":"stateofhealth_20865","label":"stateofhealth"},"stateofhealth_21018":{"type":"posts","id":"stateofhealth_21018","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"21018","score":null,"sort":[1409068708000]},"guestAuthors":[],"slug":"high-priced-drug-sovaldi-coming-to-california-prisoners-with-hepatitis-c","title":"High-Priced Drug Sovaldi Coming to California Prisoners with Hepatitis C","publishDate":1409068708,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_21025\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/RS8531_107520204-hpf.jpg\">\u003cimg class=\"size-full wp-image-21025\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/RS8531_107520204-hpf.jpg\" alt=\"Chino State Prison. (Kevork Djansezian/Getty Images)\" width=\"640\" height=\"432\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS8531_107520204-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS8531_107520204-hpf-400x270.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS8531_107520204-hpf-320x216.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chino State Prison. (Kevork Djansezian/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By George Lauer\u003c/strong>, \u003ca href=\"http://www.californiahealthline.org/insight/2014/highpriced-drug-makes-its-way-into-california-prisons\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>It's the drug that can cure most people with hepatitis C in 12 weeks -- but comes at a high cost: $1,000 a pill. Now, California Correctional Health Care Services, which oversees clinical care and drug prescriptions for 125,000 inmates at 34 prisons across the state, began using Sovaldi last month.\u003c/p>\n\u003cp>Made by Gilead Sciences of Foster City, Sovaldi has become part of the \"community standard\" for medical professionals treating patients with hepatitis C, according to prison officials. A full course of treatment runs about $84,000.\u003c/p>\n\u003cp>Hepatitis C, a viral infection that can lead to liver failure, cancer or other health problems, is often associated with intravenous drug use. Many of the estimated 3.2 million Americans living with hepatitis C in the U.S. are poor, imprisoned, elderly or all of the above, giving public systems a disproportionate share of hepatitis C patients.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>'A Tax on All Americans'\u003c/strong>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A \u003ca style=\"color: #6d1618\" href=\"http://lab.express-scripts.com/insights/specialty-medications/state-governments-may-spend-%2455-billion-on-hepatitis-c-medications\" target=\"_blank\">study released last month\u003c/a> by Express Scripts Lab predicted state governments could spend more than $55 billion on hepatitis C medications.\u003c/p>\n\u003cp>\"There is no doubt that Sovaldi is a breakthrough therapy,\" the authors of the study wrote, \"but unfortunately, it is also likely to break state budgets. Since health care for so many hepatitis C patients is funded by state programs, each citizen will be shouldering the unprecedented cost burden. The unsustainable pricing of this medication has essentially become a tax on all Americans.\"\u003c/p>\n\u003cp>About 93,000 Californians in Medi-Cal and in the state prison system have chronic hepatitis C. If the state covers Sovaldi treatments for all of them, the bill would be about $6.6 billion, according to the study.\u003c/p>\n\u003cp>\u003cstrong>Impact Especially Felt in Prisons\u003c/strong>\u003c/p>\n\u003cp>While the high cost of Sovaldi could significantly increase spending in Medicare and Medicaid -- as well as by private insurers -- the impact could be especially felt in prison systems.\u003c/p>\n\u003cp>State Medicaid programs -- Medi-Cal in California -- are entitled by federal law to negotiate drug discounts, but state prison systems usually pay full retail prices. And because prisons typically have a larger percentage of hepatitis C patients than the general population, Sovaldi's high price could have a significant influence on prison system budgets.\u003c/p>\n\u003cp>The use of expensive -- but effective -- treatments takes on added significance in California where the state prison medical system is operated by a federal receiver. A federal judge in 2006 determined the state's prisoners were not getting adequate care and named a federal receiver to oversee and improve medical care.\u003c/p>\n\u003cp>An important tool in the measuring of effective health care in prisons is comparing care behind bars to the care received in the general population. If a treatment becomes a community standard on the outside, it will probably eventually become a standard in prisons. That process may be happening especially quickly in California where prison medical care is under so much scrutiny.\u003c/p>\n\u003cp>\"It's a pretty extensive process and it does take some time,\" said Liz Gransee, public information officer for the California Department of Corrections. Sovaldi went through that process and emerged as a \"community standard\" last month, Gransee said.\u003c/p>\n\u003cp>Treating hepatitis C is not inexpensive, no matter what drugs clinicians try. The cost of one course of hepatitis C treatment in the California prison system last year ranged from $13,500 to $88,800, according to California Correctional Health Care Services officials.\u003c/p>\n\u003cp>Depending on the patient's situation, expensive treatments such as Sovaldi can end up saving money in the long run, state officials said.\u003c/p>\n\u003cp>\"Even though treatment using this drug is expensive, it is more cost effective than caring for a patient with end-stage liver disease who is dying, treating a patient who develops liver cancer, or providing a liver transplant for a patient. For these reasons, the judicious and carefully monitored use of the newly available drug makes sense, both from a medical and cost effective standpoint,\" California Correctional Health Care Services wrote in an email response to questions about Sovaldi.\u003c/p>\n\u003cp>The overall cost to treat hepatitis C patients in California prisons was about $12.4 million last year, up from $9 million in 2012.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The prevalence of hepatitis C infection among prisoners is \"substantially higher than that of the general U.S. population,\" according to CDC. In the general population, 1 to 1.5 percent of people are infected, compared with 16 to 41 percent among prisoners.\u003c/p>\n\n","blocks":[],"excerpt":"Each pill costs $1,000, but officials say it could be more cost effective than caring for very sick patients.","status":"publish","parent":0,"modified":1409096781,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":746},"headData":{"title":"High-Priced Drug Sovaldi Coming to California Prisoners with Hepatitis C | KQED","description":"Each pill costs $1,000, but officials say it could be more cost effective than caring for very sick patients.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"High-Priced Drug Sovaldi Coming to California Prisoners with Hepatitis C","datePublished":"2014-08-26T15:58:28.000Z","dateModified":"2014-08-26T23:46:21.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"21018 http://blogs.kqed.org/stateofhealth/?p=21018","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/08/26/high-priced-drug-sovaldi-coming-to-california-prisoners-with-hepatitis-c/","disqusTitle":"High-Priced Drug Sovaldi Coming to California Prisoners with Hepatitis C","path":"/stateofhealth/21018/high-priced-drug-sovaldi-coming-to-california-prisoners-with-hepatitis-c","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21025\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/RS8531_107520204-hpf.jpg\">\u003cimg class=\"size-full wp-image-21025\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/RS8531_107520204-hpf.jpg\" alt=\"Chino State Prison. (Kevork Djansezian/Getty Images)\" width=\"640\" height=\"432\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS8531_107520204-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS8531_107520204-hpf-400x270.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS8531_107520204-hpf-320x216.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Chino State Prison. (Kevork Djansezian/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By George Lauer\u003c/strong>, \u003ca href=\"http://www.californiahealthline.org/insight/2014/highpriced-drug-makes-its-way-into-california-prisons\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>It's the drug that can cure most people with hepatitis C in 12 weeks -- but comes at a high cost: $1,000 a pill. Now, California Correctional Health Care Services, which oversees clinical care and drug prescriptions for 125,000 inmates at 34 prisons across the state, began using Sovaldi last month.\u003c/p>\n\u003cp>Made by Gilead Sciences of Foster City, Sovaldi has become part of the \"community standard\" for medical professionals treating patients with hepatitis C, according to prison officials. A full course of treatment runs about $84,000.\u003c/p>\n\u003cp>Hepatitis C, a viral infection that can lead to liver failure, cancer or other health problems, is often associated with intravenous drug use. Many of the estimated 3.2 million Americans living with hepatitis C in the U.S. are poor, imprisoned, elderly or all of the above, giving public systems a disproportionate share of hepatitis C patients.\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>'A Tax on All Americans'\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>A \u003ca style=\"color: #6d1618\" href=\"http://lab.express-scripts.com/insights/specialty-medications/state-governments-may-spend-%2455-billion-on-hepatitis-c-medications\" target=\"_blank\">study released last month\u003c/a> by Express Scripts Lab predicted state governments could spend more than $55 billion on hepatitis C medications.\u003c/p>\n\u003cp>\"There is no doubt that Sovaldi is a breakthrough therapy,\" the authors of the study wrote, \"but unfortunately, it is also likely to break state budgets. Since health care for so many hepatitis C patients is funded by state programs, each citizen will be shouldering the unprecedented cost burden. The unsustainable pricing of this medication has essentially become a tax on all Americans.\"\u003c/p>\n\u003cp>About 93,000 Californians in Medi-Cal and in the state prison system have chronic hepatitis C. If the state covers Sovaldi treatments for all of them, the bill would be about $6.6 billion, according to the study.\u003c/p>\n\u003cp>\u003cstrong>Impact Especially Felt in Prisons\u003c/strong>\u003c/p>\n\u003cp>While the high cost of Sovaldi could significantly increase spending in Medicare and Medicaid -- as well as by private insurers -- the impact could be especially felt in prison systems.\u003c/p>\n\u003cp>State Medicaid programs -- Medi-Cal in California -- are entitled by federal law to negotiate drug discounts, but state prison systems usually pay full retail prices. And because prisons typically have a larger percentage of hepatitis C patients than the general population, Sovaldi's high price could have a significant influence on prison system budgets.\u003c/p>\n\u003cp>The use of expensive -- but effective -- treatments takes on added significance in California where the state prison medical system is operated by a federal receiver. A federal judge in 2006 determined the state's prisoners were not getting adequate care and named a federal receiver to oversee and improve medical care.\u003c/p>\n\u003cp>An important tool in the measuring of effective health care in prisons is comparing care behind bars to the care received in the general population. If a treatment becomes a community standard on the outside, it will probably eventually become a standard in prisons. That process may be happening especially quickly in California where prison medical care is under so much scrutiny.\u003c/p>\n\u003cp>\"It's a pretty extensive process and it does take some time,\" said Liz Gransee, public information officer for the California Department of Corrections. Sovaldi went through that process and emerged as a \"community standard\" last month, Gransee said.\u003c/p>\n\u003cp>Treating hepatitis C is not inexpensive, no matter what drugs clinicians try. The cost of one course of hepatitis C treatment in the California prison system last year ranged from $13,500 to $88,800, according to California Correctional Health Care Services officials.\u003c/p>\n\u003cp>Depending on the patient's situation, expensive treatments such as Sovaldi can end up saving money in the long run, state officials said.\u003c/p>\n\u003cp>\"Even though treatment using this drug is expensive, it is more cost effective than caring for a patient with end-stage liver disease who is dying, treating a patient who develops liver cancer, or providing a liver transplant for a patient. For these reasons, the judicious and carefully monitored use of the newly available drug makes sense, both from a medical and cost effective standpoint,\" California Correctional Health Care Services wrote in an email response to questions about Sovaldi.\u003c/p>\n\u003cp>The overall cost to treat hepatitis C patients in California prisons was about $12.4 million last year, up from $9 million in 2012.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The prevalence of hepatitis C infection among prisoners is \"substantially higher than that of the general U.S. population,\" according to CDC. In the general population, 1 to 1.5 percent of people are infected, compared with 16 to 41 percent among prisoners.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/21018/high-priced-drug-sovaldi-coming-to-california-prisoners-with-hepatitis-c","authors":["8344"],"categories":["stateofhealth_14"],"tags":["stateofhealth_599"],"featImg":"stateofhealth_21025","label":"stateofhealth"},"stateofhealth_20862":{"type":"posts","id":"stateofhealth_20862","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"20862","score":null,"sort":[1408373081000]},"guestAuthors":[],"slug":"california-prisons-begin-use-of-force-reforms-for-mentally-ill-inmates","title":"California Prisons Begin 'Use-of-Force' Reforms for Mentally Ill Inmates","publishDate":1408373081,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_20865\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf.jpg\">\u003cimg class=\"size-full wp-image-20865\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf.jpg\" alt=\"A psychiatric segregation cell at Sacramento Prison. (Julie Small/KQED)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A psychiatric segregation cell at Sacramento Prison. (Julie Small/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Small\u003c/strong>\u003c/p>\n\u003cp>The number of inmates with mild to severe mental illness has grown to 37,000 in California, about a quarter of the prison population.\u003c/p>\n\u003cp>A series of lawsuits brought by inmates against the state over the last two decades has exposed a correctional system poorly equipped to handle their extraordinary needs.\u003c/p>\n\u003cp>Now California is trying to comply with a federal court order to change when and how correctional officers use pepper spray to force uncooperative inmates to leave their cells or follow orders.\u003c/p>\n\u003cp>Pepper spray may have contributed to three inmate deaths and an unknown number of injuries -- unknown because the California Department of Corrections and Rehabilitations doesn’t consider the effects of pepper spray an injury.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The issue was brought to light last year through graphic videos shown in court in a lawsuit that was begun in 1990, a lawsuit brought by inmates to improve psychiatric care.\u003c/p>\n\u003cp>Prisons record some use of force incidents, according to department policy.\u003c/p>\n\u003cp style=\"text-align: center\">[\u003cstrong>Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/18/a-day-in-californias-psychiatric-prison-units/\" target=\"_blank\">A Day in California's Psychiatric Prison Units\u003c/a>]\u003c/p>\n\u003cp>One video showed custody staff at Corcoran State Prison struggling to remove an inmate who was hallucinating and refusing to leave his cell in order to receive medication.\u003c/p>\n\u003cp>The inmate had taken off his clothes and smeared feces on himself. When he refused to submit to handcuffs, guards in gas masks sprayed a potent pepper spray into the cell, causing the inmate to gasp for air.\u003c/p>\n\u003cp>The video showed that as the inmate screamed for help, an officer ordered him to “turn around and cuff up.”\u003c/p>\n\u003cp>The inmate screamed back, “Open the door!”\u003c/p>\n\u003cp>When the inmate still wouldn't “cuff up” the officers sprayed him again, repeatedly.\u003c/p>\n\u003cp>Later, the video showed guards rushing in and wrestling the inmate to the floor and into restraints.\u003c/p>\n\u003cp>“He has described this as making him feel like less than an animal,” said Lori Rifkin, an attorney for inmate Jermaine Padilla, who is suing the Department of Corrections.\u003c/p>\n\u003cp>Rifkin says two years on, her client still has flashbacks and nightmares from the process prison officials refer to as a “cell extraction.”\u003c/p>\n\u003cp>Padilla believes the experience at Corcoran worsened his schizophrenia and bi-polar disorder and has permanently damaged him.\u003c/p>\n\u003cp>“It changed something in him,” Rifkin says. “He’d never been treated that badly, and it broke something in him.”\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/163303802&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>The Padilla video, and five others shown last fall, were the latest revelation in a long history of problems with mental health care in California prisons that have prompted federal court intervention.\u003c/p>\n\u003cp>U.S. District Judge Lawrence Karlton called the video evidence “horrific.” In April, he ordered new restrictions on the use of force. He banned the use of pepper spray on mentally ill inmates in cells and psychiatric holding facilities with few exceptions. He instructed prison officials whenever possible to defer to clinicians about whether to use force.\u003c/p>\n\u003cp>On August 1st, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/01/california-prisons-to-restrict-pepper-spray-segregation-of-mentally-ill-inmates/\" target=\"_blank\">the judge signed of\u003c/a>f on the Department of Corrections’ reform plan.\u003c/p>\n\u003cp>Among the changes: prison staff will be trained to collaborate and to exhaust every reasonable alternative to force.\u003c/p>\n\u003cp>Craig Brown, a lobbyist for the California Correctional Peace Officers Association agrees with this approach. “The critical element is to appropriately train our members to recognize what they’re dealing with,” Brown said.\u003c/p>\n\u003cp>Brown says the union has been pushing for better training for years. He says additional training will help them interact with the growing percentage of mentally ill inmates.\u003c/p>\n\u003cp>“They’ll recognize what’s going on,\" Brown said. \"They’ll know when they need to talk to a mental health professional. They know when they don’t.\"\u003c/p>\n\u003cp>The state department of corrections declined to be interviewed for this story. They referred KQED to their plan filed with the court.\u003c/p>\n\u003cp>Under that plan a mental health clinician must be called in to evaluate an inmate’s mental status to determine whether they’re able to understand directions. This evaluation now must happen before officers can proceed with use of force. If a clinician decides force shouldn’t be used, correctional officers can no longer override that decision. Instead, the conflict will be referred to senior management to resolve.\u003c/p>\n\u003cp>Dr. Alan Abrams says the state’s plan reinforces the values and strategies he used when he was the chief psychiatrist at the California Medical Facility in Vacaville. Abrams, who left the post a couple years ago, says staff at most prisons already collaborate well.\u003c/p>\n\u003cp>Abrams believes the problem is that there have been a limited number of ways to handle violent inmates.\u003c/p>\n\u003cp>“One (inmate) is brutalizing another,\" he explained. \"Yes, they’re labeled mentally ill, but you need to stop the violence very quickly. It’s not a discussion.”\u003c/p>\n\u003cp>In his 12 years working in prisons Abrams says he ordered force numerous times to keep inmates from killing each other or themselves.\u003c/p>\n\u003cp>“What do you do about the inmate who’s in their cell with a t-shirt, in a noose, saying they’re going to kill themselves unless you release them from prison?” says Abrams, “You’re not going to watch him hang himself. You’re not going to release him from prison, and so you say to your custody co-workers ‘You better get them down!’”\u003c/p>\n\u003cp>But Terry Kupers, a national expert on correctional mental health believes the pepper-spraying incidents indicate inadequate mental health care in the prisons. He says prisons can and should mitigate conditions that exacerbate mental illness.\u003c/p>\n\u003cp>“The pepper spray, the cell extractions, the beatings, the violence among prisoners--all those constitute reenactments of trauma in people who were previously traumatized and make them more emotionally disabled,” Kupers said.\u003c/p>\n\u003cp>California prison officials believe they will have fully implemented the reforms by the end of this year. But they’re still negotiating another critical change to how mentally ill inmates are managed.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Judge Karlton wants a proposal by next week that will restrict how often and for how long prisons can house inmates with mental disorders in segregation units -- where their illnesses can and do worsen.\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1408470538,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":38,"wordCount":1058},"headData":{"title":"California Prisons Begin 'Use-of-Force' Reforms for Mentally Ill Inmates | KQED","description":"By Julie Small The number of inmates with mild to severe mental illness has grown to 37,000 in California, about a quarter of the prison population. A series of lawsuits brought by inmates against the state over the last two decades has exposed a correctional system poorly equipped to handle their extraordinary needs. Now California","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"California Prisons Begin 'Use-of-Force' Reforms for Mentally Ill Inmates","datePublished":"2014-08-18T14:44:41.000Z","dateModified":"2014-08-19T17:48:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"20862 http://blogs.kqed.org/stateofhealth/?p=20862","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/08/18/california-prisons-begin-use-of-force-reforms-for-mentally-ill-inmates/","disqusTitle":"California Prisons Begin 'Use-of-Force' Reforms for Mentally Ill Inmates","path":"/stateofhealth/20862/california-prisons-begin-use-of-force-reforms-for-mentally-ill-inmates","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20865\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf.jpg\">\u003cimg class=\"size-full wp-image-20865\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf.jpg\" alt=\"A psychiatric segregation cell at Sacramento Prison. (Julie Small/KQED)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/RS11514_IMG_0176-hpf-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A psychiatric segregation cell at Sacramento Prison. (Julie Small/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Small\u003c/strong>\u003c/p>\n\u003cp>The number of inmates with mild to severe mental illness has grown to 37,000 in California, about a quarter of the prison population.\u003c/p>\n\u003cp>A series of lawsuits brought by inmates against the state over the last two decades has exposed a correctional system poorly equipped to handle their extraordinary needs.\u003c/p>\n\u003cp>Now California is trying to comply with a federal court order to change when and how correctional officers use pepper spray to force uncooperative inmates to leave their cells or follow orders.\u003c/p>\n\u003cp>Pepper spray may have contributed to three inmate deaths and an unknown number of injuries -- unknown because the California Department of Corrections and Rehabilitations doesn’t consider the effects of pepper spray an injury.\u003c!--more-->\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 issue was brought to light last year through graphic videos shown in court in a lawsuit that was begun in 1990, a lawsuit brought by inmates to improve psychiatric care.\u003c/p>\n\u003cp>Prisons record some use of force incidents, according to department policy.\u003c/p>\n\u003cp style=\"text-align: center\">[\u003cstrong>Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/18/a-day-in-californias-psychiatric-prison-units/\" target=\"_blank\">A Day in California's Psychiatric Prison Units\u003c/a>]\u003c/p>\n\u003cp>One video showed custody staff at Corcoran State Prison struggling to remove an inmate who was hallucinating and refusing to leave his cell in order to receive medication.\u003c/p>\n\u003cp>The inmate had taken off his clothes and smeared feces on himself. When he refused to submit to handcuffs, guards in gas masks sprayed a potent pepper spray into the cell, causing the inmate to gasp for air.\u003c/p>\n\u003cp>The video showed that as the inmate screamed for help, an officer ordered him to “turn around and cuff up.”\u003c/p>\n\u003cp>The inmate screamed back, “Open the door!”\u003c/p>\n\u003cp>When the inmate still wouldn't “cuff up” the officers sprayed him again, repeatedly.\u003c/p>\n\u003cp>Later, the video showed guards rushing in and wrestling the inmate to the floor and into restraints.\u003c/p>\n\u003cp>“He has described this as making him feel like less than an animal,” said Lori Rifkin, an attorney for inmate Jermaine Padilla, who is suing the Department of Corrections.\u003c/p>\n\u003cp>Rifkin says two years on, her client still has flashbacks and nightmares from the process prison officials refer to as a “cell extraction.”\u003c/p>\n\u003cp>Padilla believes the experience at Corcoran worsened his schizophrenia and bi-polar disorder and has permanently damaged him.\u003c/p>\n\u003cp>“It changed something in him,” Rifkin says. “He’d never been treated that badly, and it broke something in him.”\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/163303802&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>The Padilla video, and five others shown last fall, were the latest revelation in a long history of problems with mental health care in California prisons that have prompted federal court intervention.\u003c/p>\n\u003cp>U.S. District Judge Lawrence Karlton called the video evidence “horrific.” In April, he ordered new restrictions on the use of force. He banned the use of pepper spray on mentally ill inmates in cells and psychiatric holding facilities with few exceptions. He instructed prison officials whenever possible to defer to clinicians about whether to use force.\u003c/p>\n\u003cp>On August 1st, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/08/01/california-prisons-to-restrict-pepper-spray-segregation-of-mentally-ill-inmates/\" target=\"_blank\">the judge signed of\u003c/a>f on the Department of Corrections’ reform plan.\u003c/p>\n\u003cp>Among the changes: prison staff will be trained to collaborate and to exhaust every reasonable alternative to force.\u003c/p>\n\u003cp>Craig Brown, a lobbyist for the California Correctional Peace Officers Association agrees with this approach. “The critical element is to appropriately train our members to recognize what they’re dealing with,” Brown said.\u003c/p>\n\u003cp>Brown says the union has been pushing for better training for years. He says additional training will help them interact with the growing percentage of mentally ill inmates.\u003c/p>\n\u003cp>“They’ll recognize what’s going on,\" Brown said. \"They’ll know when they need to talk to a mental health professional. They know when they don’t.\"\u003c/p>\n\u003cp>The state department of corrections declined to be interviewed for this story. They referred KQED to their plan filed with the court.\u003c/p>\n\u003cp>Under that plan a mental health clinician must be called in to evaluate an inmate’s mental status to determine whether they’re able to understand directions. This evaluation now must happen before officers can proceed with use of force. If a clinician decides force shouldn’t be used, correctional officers can no longer override that decision. Instead, the conflict will be referred to senior management to resolve.\u003c/p>\n\u003cp>Dr. Alan Abrams says the state’s plan reinforces the values and strategies he used when he was the chief psychiatrist at the California Medical Facility in Vacaville. Abrams, who left the post a couple years ago, says staff at most prisons already collaborate well.\u003c/p>\n\u003cp>Abrams believes the problem is that there have been a limited number of ways to handle violent inmates.\u003c/p>\n\u003cp>“One (inmate) is brutalizing another,\" he explained. \"Yes, they’re labeled mentally ill, but you need to stop the violence very quickly. It’s not a discussion.”\u003c/p>\n\u003cp>In his 12 years working in prisons Abrams says he ordered force numerous times to keep inmates from killing each other or themselves.\u003c/p>\n\u003cp>“What do you do about the inmate who’s in their cell with a t-shirt, in a noose, saying they’re going to kill themselves unless you release them from prison?” says Abrams, “You’re not going to watch him hang himself. You’re not going to release him from prison, and so you say to your custody co-workers ‘You better get them down!’”\u003c/p>\n\u003cp>But Terry Kupers, a national expert on correctional mental health believes the pepper-spraying incidents indicate inadequate mental health care in the prisons. He says prisons can and should mitigate conditions that exacerbate mental illness.\u003c/p>\n\u003cp>“The pepper spray, the cell extractions, the beatings, the violence among prisoners--all those constitute reenactments of trauma in people who were previously traumatized and make them more emotionally disabled,” Kupers said.\u003c/p>\n\u003cp>California prison officials believe they will have fully implemented the reforms by the end of this year. But they’re still negotiating another critical change to how mentally ill inmates are managed.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Judge Karlton wants a proposal by next week that will restrict how often and for how long prisons can house inmates with mental disorders in segregation units -- where their illnesses can and do worsen.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/20862/california-prisons-begin-use-of-force-reforms-for-mentally-ill-inmates","authors":["8344"],"categories":["stateofhealth_14"],"tags":["stateofhealth_68","stateofhealth_599"],"featImg":"stateofhealth_20865","label":"stateofhealth"},"stateofhealth_20841":{"type":"posts","id":"stateofhealth_20841","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"20841","score":null,"sort":[1408365055000]},"guestAuthors":[],"slug":"a-day-in-californias-psychiatric-prison-units","title":"A Day in California's Psychiatric Prison Units","publishDate":1408365055,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003c!--more-->\u003cbr>\n\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/163042061%3Fsecret_token%3Ds-z9Urx&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false&visual=true\" width=\"100%\" height=\"400\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>In California, prisoners who repeatedly violate rules or commit new crimes end up in segregation units. These are like prisons within the prison. A federal judge recently ruled that this kind of punishment might pose too great a risk for inmates with serious mental illness -- who often worsen in segregation and become suicidal.\u003c/p>\n\u003cp>Inmates in segregation spend more time in their cells; they’re often in handcuffs and leg chains, and they have to submit to frequent strip searches for weapons and drugs.\u003c/p>\n\u003cp>The California State Prison in Sacramento runs one segregation unit for inmates who committed a serious crime but also have a severe mental illness. KQED News got a rare tour of the facility.\u003c/p>\n\u003cp>\u003cem>Photos and audio by Julie Small, photos of weapons courtesy the California Department of Corrections and Rehabilitation, production by Lisa Pickoff-White\u003c/em>\u003c/p>\n\u003cstyle>\n.single-post #content {width: 100%; }\n.single-post #sidebar {display: none;}\n\u003c/style>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n","blocks":[],"excerpt":"Inmates who repeatedly violate rules or commit new crimes end up being segregated.","status":"publish","parent":0,"modified":1408390436,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":7,"wordCount":151},"headData":{"title":"A Day in California's Psychiatric Prison Units | KQED","description":"Inmates who repeatedly violate rules or commit new crimes end up being segregated.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"A Day in California's Psychiatric Prison Units","datePublished":"2014-08-18T12:30:55.000Z","dateModified":"2014-08-18T19:33:56.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"20841 http://blogs.kqed.org/stateofhealth/?p=20841","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/08/18/a-day-in-californias-psychiatric-prison-units/","disqusTitle":"A Day in California's Psychiatric Prison Units","path":"/stateofhealth/20841/a-day-in-californias-psychiatric-prison-units","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c!--more-->\u003cbr>\n\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/163042061%3Fsecret_token%3Ds-z9Urx&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false&visual=true\" width=\"100%\" height=\"400\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>In California, prisoners who repeatedly violate rules or commit new crimes end up in segregation units. These are like prisons within the prison. A federal judge recently ruled that this kind of punishment might pose too great a risk for inmates with serious mental illness -- who often worsen in segregation and become suicidal.\u003c/p>\n\u003cp>Inmates in segregation spend more time in their cells; they’re often in handcuffs and leg chains, and they have to submit to frequent strip searches for weapons and drugs.\u003c/p>\n\u003cp>The California State Prison in Sacramento runs one segregation unit for inmates who committed a serious crime but also have a severe mental illness. KQED News got a rare tour of the facility.\u003c/p>\n\u003cp>\u003cem>Photos and audio by Julie Small, photos of weapons courtesy the California Department of Corrections and Rehabilitation, production by Lisa Pickoff-White\u003c/em>\u003c/p>\n\u003cstyle>\n.single-post #content {width: 100%; }\n.single-post #sidebar {display: none;}\n\u003c/style>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/20841/a-day-in-californias-psychiatric-prison-units","authors":["8344"],"categories":["stateofhealth_14"],"tags":["stateofhealth_274","stateofhealth_599"],"featImg":"stateofhealth_20848","label":"stateofhealth"},"stateofhealth_20490":{"type":"posts","id":"stateofhealth_20490","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"20490","score":null,"sort":[1406952237000]},"guestAuthors":[],"slug":"california-prisons-to-restrict-pepper-spray-segregation-of-mentally-ill-inmates","title":"California Prisons to Restrict Pepper Spray, Segregation of Mentally Ill Inmates","publishDate":1406952237,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_20494\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/IMG_0203.jpg\">\u003cimg class=\"size-large wp-image-20494\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/IMG_0203-640x480.jpg\" alt=\" Bunk of an empty segregation cell at California State Prison-Sacramento. (Julie Small/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bunk of an empty segregation cell at California State Prison-Sacramento. (Julie Small/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Small\u003c/strong>\u003c/p>\n\u003cp>California prison officials proposed major policy changes Friday to curtail when and how correctional staff use pepper spray on mentally ill inmates or segregate them from the general prison population.\u003c/p>\n\u003cp>The California Department of Corrections and Rehabilitation (CDCR) planned to vest mental health clinicians with greater say in whether correctional staff may use force or segregate inmate patients. The agency also set strict time limits on the segregation of mentally ill inmates who had committed no serious violations or crimes in prison.\u003c/p>\n\u003cp>CDCR proposed these changes to comply with a court order issued by U.S. District Judge Lawrence Karlton. Judge Karlton \u003ca href=\"http://ww2.kqed.org/news/2014/04/11/california-mistreating-mentally-ill-inmates/\" target=\"_blank\">ordered the changes \u003c/a>to California’s policies in April, after a lengthy evidentiary hearing.\u003c!--more-->\u003c/p>\n\u003cp>In court the judge viewed videotapes of custody staff repeatedly pepper spraying mentally ill inmates to force them from their cells. Judge Karlton \u003ca href=\"http://ww2.kqed.org/news/2014/04/11/california-mistreating-mentally-ill-inmates/\" target=\"_blank\">called such use of force on mentally ill inmates “horrific” \u003c/a>and said the state’s policies “demonstrate deliberate indifference to their mental illness and the harms caused by the weapons.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In papers filed Friday in the U.S. Eastern District Court, CDCR agreed to limit the amount of pepper spray that custody officers can use and to ban completely the practice in certain types of housing, unless the prison’s warden authorizes it.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2011/11/22/health-effects-of-pepper-spray-and-tips-to-treat-it/\" target=\"_blank\">How Does Pepper Spray Cause Harm?\u003c/a>]\u003c/p>\n\u003cp>CDCR also proposed changes that would allow mental health clinicians to block the use of force if they believed it would harm their inmate patients. Correctional officers could no longer override such objections. Instead, senior managers would resolve any disputes.\u003c/p>\n\u003cp>Michael Bien, an attorney who represents mentally ill prisoners, called the proposed changes “meaningful reforms that go a long way to addressing some of the critical issues we raised during the trial last fall.”\u003c/p>\n\u003cp>Bien is the lead attorney in a 1990 case -- yet to be resolved -- to improve psychiatric care in prisons.\u003c/p>\n\u003cp>Gov. Jerry Brown \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/26/state-seeks-return-to-full-control-over-prison-system-mental-health-care/\" target=\"_blank\">tried to get the case dismissed last year\u003c/a>, saying that the state had met its constitutional obligation to provide prisoners with mental health care.\u003c/p>\n\u003cp>The move back-fired, however, when attorneys for inmates presented fresh evidence of problems, prompting the judge to order new improvements.\u003c/p>\n\u003cp>Bien said that one of the most significant changes CDCR agreed to would reduce the number of strip searches of mentally ill inmates in segregated housing units.\u003c/p>\n\u003cp>Corrections officials also agreed to transfer some inmates out within 72 hours, if they were placed in segregated housing only because there was no other housing available.\u003c/p>\n\u003cp>California prisons isolate prisoners who violate rules or commit new crimes in prison. But they’ve also placed mentally ill inmates in those same segregation units when they couldn’t find space for them in a psychiatric treatment unit.\u003c/p>\n\u003cp>Inmates in segregation spend more time each day inside their cells than inmates in the general population and must submit to strip searches each time they leave and return to those cells.\u003c/p>\n\u003cp>Prison officials testified last year that mentally ill inmates suffered no harm from those conditions because the department still met their needs for mental health care.\u003c/p>\n\u003cp>Judge Karlton rejected that claim. In his ruling he asserted segregated housing “can and does cause serious psychological harm, including decompensation, exacerbation of mental illness, inducement of psychosis, and increased risk of suicide.”\u003c/p>\n\u003cp>Karlton wants prisons to develop a more rigorous process for deciding whether inmates with mental illness who violate the rules, or commit new crimes should be segregated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Prisons officials are still negotiating those changes with the federal court’s special master. The parties must reach agreement and file those plans by August 15.\u003c/p>\n\n","blocks":[],"excerpt":"The new policy is to comply with a federal court order to stop \"horrific\" use of force.","status":"publish","parent":0,"modified":1407192434,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":630},"headData":{"title":"California Prisons to Restrict Pepper Spray, Segregation of Mentally Ill Inmates | KQED","description":"The new policy is to comply with a federal court order to stop "horrific" use of force.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"California Prisons to Restrict Pepper Spray, Segregation of Mentally Ill Inmates","datePublished":"2014-08-02T04:03:57.000Z","dateModified":"2014-08-04T22:47:14.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"20490 http://blogs.kqed.org/stateofhealth/?p=20490","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/08/01/california-prisons-to-restrict-pepper-spray-segregation-of-mentally-ill-inmates/","disqusTitle":"California Prisons to Restrict Pepper Spray, Segregation of Mentally Ill Inmates","path":"/stateofhealth/20490/california-prisons-to-restrict-pepper-spray-segregation-of-mentally-ill-inmates","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20494\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/IMG_0203.jpg\">\u003cimg class=\"size-large wp-image-20494\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/IMG_0203-640x480.jpg\" alt=\" Bunk of an empty segregation cell at California State Prison-Sacramento. (Julie Small/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Bunk of an empty segregation cell at California State Prison-Sacramento. (Julie Small/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Small\u003c/strong>\u003c/p>\n\u003cp>California prison officials proposed major policy changes Friday to curtail when and how correctional staff use pepper spray on mentally ill inmates or segregate them from the general prison population.\u003c/p>\n\u003cp>The California Department of Corrections and Rehabilitation (CDCR) planned to vest mental health clinicians with greater say in whether correctional staff may use force or segregate inmate patients. The agency also set strict time limits on the segregation of mentally ill inmates who had committed no serious violations or crimes in prison.\u003c/p>\n\u003cp>CDCR proposed these changes to comply with a court order issued by U.S. District Judge Lawrence Karlton. Judge Karlton \u003ca href=\"http://ww2.kqed.org/news/2014/04/11/california-mistreating-mentally-ill-inmates/\" target=\"_blank\">ordered the changes \u003c/a>to California’s policies in April, after a lengthy evidentiary hearing.\u003c!--more-->\u003c/p>\n\u003cp>In court the judge viewed videotapes of custody staff repeatedly pepper spraying mentally ill inmates to force them from their cells. Judge Karlton \u003ca href=\"http://ww2.kqed.org/news/2014/04/11/california-mistreating-mentally-ill-inmates/\" target=\"_blank\">called such use of force on mentally ill inmates “horrific” \u003c/a>and said the state’s policies “demonstrate deliberate indifference to their mental illness and the harms caused by the weapons.”\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>In papers filed Friday in the U.S. Eastern District Court, CDCR agreed to limit the amount of pepper spray that custody officers can use and to ban completely the practice in certain types of housing, unless the prison’s warden authorizes it.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>[Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2011/11/22/health-effects-of-pepper-spray-and-tips-to-treat-it/\" target=\"_blank\">How Does Pepper Spray Cause Harm?\u003c/a>]\u003c/p>\n\u003cp>CDCR also proposed changes that would allow mental health clinicians to block the use of force if they believed it would harm their inmate patients. Correctional officers could no longer override such objections. Instead, senior managers would resolve any disputes.\u003c/p>\n\u003cp>Michael Bien, an attorney who represents mentally ill prisoners, called the proposed changes “meaningful reforms that go a long way to addressing some of the critical issues we raised during the trial last fall.”\u003c/p>\n\u003cp>Bien is the lead attorney in a 1990 case -- yet to be resolved -- to improve psychiatric care in prisons.\u003c/p>\n\u003cp>Gov. Jerry Brown \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/26/state-seeks-return-to-full-control-over-prison-system-mental-health-care/\" target=\"_blank\">tried to get the case dismissed last year\u003c/a>, saying that the state had met its constitutional obligation to provide prisoners with mental health care.\u003c/p>\n\u003cp>The move back-fired, however, when attorneys for inmates presented fresh evidence of problems, prompting the judge to order new improvements.\u003c/p>\n\u003cp>Bien said that one of the most significant changes CDCR agreed to would reduce the number of strip searches of mentally ill inmates in segregated housing units.\u003c/p>\n\u003cp>Corrections officials also agreed to transfer some inmates out within 72 hours, if they were placed in segregated housing only because there was no other housing available.\u003c/p>\n\u003cp>California prisons isolate prisoners who violate rules or commit new crimes in prison. But they’ve also placed mentally ill inmates in those same segregation units when they couldn’t find space for them in a psychiatric treatment unit.\u003c/p>\n\u003cp>Inmates in segregation spend more time each day inside their cells than inmates in the general population and must submit to strip searches each time they leave and return to those cells.\u003c/p>\n\u003cp>Prison officials testified last year that mentally ill inmates suffered no harm from those conditions because the department still met their needs for mental health care.\u003c/p>\n\u003cp>Judge Karlton rejected that claim. In his ruling he asserted segregated housing “can and does cause serious psychological harm, including decompensation, exacerbation of mental illness, inducement of psychosis, and increased risk of suicide.”\u003c/p>\n\u003cp>Karlton wants prisons to develop a more rigorous process for deciding whether inmates with mental illness who violate the rules, or commit new crimes should be segregated.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Prisons officials are still negotiating those changes with the federal court’s special master. The parties must reach agreement and file those plans by August 15.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/20490/california-prisons-to-restrict-pepper-spray-segregation-of-mentally-ill-inmates","authors":["8344"],"categories":["stateofhealth_14"],"tags":["stateofhealth_68","stateofhealth_599"],"featImg":"stateofhealth_20494","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/2024/04/Possible-Podcast-Tile-360x360-1.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. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","info":"For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg","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. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us","airtime":"SUN 2pm-3pm, MON 12am-1am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png","officialWebsiteLink":"https://www.wnycstudios.org/shows/otm","meta":{"site":"news","source":"wnyc"},"link":"/radio/program/on-the-media","subscribe":{"apple":"https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2","tuneIn":"https://tunein.com/radio/On-the-Media-p69/","rss":"http://feeds.wnyc.org/onthemedia"}},"our-body-politic":{"id":"our-body-politic","title":"Our Body Politic","info":"Presented by KQED, KCRW and KPCC, and created and hosted by award-winning journalist Farai Chideya, Our Body Politic is unapologetically centered on reporting on not just how women of color experience the major political events of today, but how they’re impacting those very issues.","airtime":"SAT 6pm-7pm, SUN 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Our-Body-Politic-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://our-body-politic.simplecast.com/","meta":{"site":"news","source":"kcrw"},"link":"/radio/program/our-body-politic","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/our-body-politic/id1533069868","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS9feGFQaHMxcw","spotify":"https://open.spotify.com/show/4ApAiLT1kV153TttWAmqmc","rss":"https://feeds.simplecast.com/_xaPhs1s","tuneIn":"https://tunein.com/podcasts/News--Politics-Podcasts/Our-Body-Politic-p1369211/"}},"pbs-newshour":{"id":"pbs-newshour","title":"PBS NewsHour","info":"Analysis, background reports and updates from the PBS NewsHour putting today's news in context.","airtime":"MON-FRI 3pm-4pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.pbs.org/newshour/","meta":{"site":"news","source":"pbs"},"link":"/radio/program/pbs-newshour","subscribe":{"apple":"https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2","tuneIn":"https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/","rss":"https://www.pbs.org/newshour/feeds/rss/podcasts/show"}},"perspectives":{"id":"perspectives","title":"Perspectives","tagline":"KQED's series of of daily listener commentaries since 1991","info":"KQED's series of of daily listener commentaries since 1991.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Perspectives-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/perspectives/","meta":{"site":"radio","source":"kqed","order":"15"},"link":"/perspectives","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/id73801135","npr":"https://www.npr.org/podcasts/432309616/perspectives","rss":"https://ww2.kqed.org/perspectives/category/perspectives/feed/","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvcGVyc3BlY3RpdmVzL2NhdGVnb3J5L3BlcnNwZWN0aXZlcy9mZWVkLw"}},"planet-money":{"id":"planet-money","title":"Planet Money","info":"The economy explained. 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