Community Health Access at Street Level Health Project

Listen now to the 7/1/19 show on About Health, KPFA.org (94.1FM), on the needs of vulnerable, underinsured, uninsured, refugee, and immigrant people seeking community medical care.

https://kpfa.org/player/?audio=313587

We discussed the special needs of communities to reduce the incidence of preventable malnutrition and chronic illness. 

Since 2002, Street Level Health has responded to the needs of a community who is 93% foreign-born with almost half (43%) having resided in the U.S. for less than three years.

 

Guests

Gabriela Galicia is currently serving as the Executive Director at Street Level Health Project in Oakland, California. She grew up in Southern California the daughter of immigrant parents, in a predominantly Latino low income, low resourced, immigrant and people of color community. Gabriela is the first of her family to graduate from college, and graduated from the University of California, Berkeley in December 2009 with a Bachelor’s Degree in Political Science and a minor in Ethnic Studies with a concentration in Chicano Studies. During her time in college she continued to find her passion in community organizing and working to advocate for issues such as immigrant and workers’ rights at both the local and state level, and other issues and policies affecting the most vulnerable.

Since 2010, she has worked in different capacities and roles at Street Level Health Project. Prior to her role as Executive Director, she served as the Immigrant Rights and Empowerment Program Manager for 6 years, leading and developing the street outreach program, fostering relationships with the Oakland Day Laborers through growing and evolving community building activities. She pioneered and developed the now-established Oakland Workers’ Collective (day laborer program) that creates a safe and empowering space for day laborers and low wage workers. Gabriela strives to continue to build a safe haven for the most vulnerable, elevating their voices and developing programming which places these impacted communities in a position where they can participate with efficacy and power. Recently, she has had the honor to have been selected as one of 18 women to participate in the first cohort of the Leaderspring Women of Color 2020 fellowship program. The purpose of the Women of Color LeadStrong Fellowship is to elevate and strengthen the vision, voice, power, and leadership of women of color working for social and racial equity and justice in the social sector.

Michelle Grace Steinberg is a nutritionist, herbalist, and documentary filmmaker based in Oakland, CA. She has a B.A. in Cultural Anthropology and a Master’s of Science in Human Nutrition. She completed a 3-year clinical training program at the Ohlone Center for Herbal Studies. In 2009, she started Consultas Naturistas, a free Spanish bilingual holistic nutrition and herbal medicine program at Street Level Health Project. The program serves low income, uninsured clients with consultations on holistic nutrition and wellness, and provides free herbal teas, tinctures, and supplements. Michelle received the American Herbalist Guild 2015 award for Diversity, Equity, and Inclusion and she has contributed articles to several health care journals. She is a board member for Integrative Medicine for the Underserved. (www.im4us.org) Her latest film, BEYOND RECOGNITION was in film festivals and is currently on national public television and her current film, A PLACE TO BREATHE, explores immigrant and refugee experiences in the health care system, highlighting how communities use integrative practices to heal from trauma. www.underexposedfilms.com/a-place-to-breathe.

Responding to Emergencies

Listen here to the  6/3/19 show on KPFA.org 94.1FM on About Health

https://kpfa.org/player/?audio=311944

Emergencies require leadership and a plan, but if we are not prepared there can be chaos and precious time wasted to help the injured. Join us to discuss how to respond to emergencies and bring some order to tense situations. Call us with your questions on topics such as: CPR, water safety, wound care, traumatic falls, fire prevention, and what to do if there is a fire.

Guest:

Ken Johnson is a registered State Fire Training Instructor. His professional teaching career reaches back 35 years. He holds a Lifetime California Multiple Subjects Teaching Credential, as well as one in Fire Fighting, Fire Control and Safety. Volunteering first as a Director with Hopland Fire, Ken continued his service to Hopland as an EMT/Firefighter, then worked his way though the ranks to Chief, where he retired after 15 years with the department. With a passion for white water, Ken owned and operated North Coast Kayaking, providing white water kayak instruction and trips for over 12 years.  As an avid sailor, his “Wilderness First Aid for Sailors & other Adventurers” has become popular throughout the S.F. Bay Area. “Promoting vital emergency services, along with comfort and care to those in need within the Hopland Fire District has been the most rewarding part of my job.”

Complexities of Suicide Risk

Listen now to the show we did on KPFA, 94.1FM, on About Health, 8/27/18 https://kpfa.org/player/?audio=292821

1-800-273-8255  National Suicide Prevention Lifeline. If you or someone you know is considering suicide, call this number. The Lifeline provides 24/7 free and confidential support for people in distress, and resources for you and your loved ones. 

My guests, Eli Merritt MD, and Esme Shaller, PhD, joined me to discuss the suffering and anguish that is associated with suicide. We addressed the grief, guilt, and shame people feel when someone they love has killed themselves, and also the pain and hopelessness that a person experiences when they are considering suicide. 

Talking about suicide is challenging, but it’s vital that we TALK ABOUT IT. 

Eli Merritt, M.D., is the founder of Merritt Mental Health, a mental health and addiction care navigation company that connects patients and family members with best-fit, individualized mental health care nationwide. He is the author of Suicide Risk in the Bay Area: A Guide for Families, Physicians, Therapists, and Other Professionals, and  is currently a Visiting Scholar at Vanderbilt University where he is investigating a Unified Theory of Depression. Dr Merritt has previously held positions as president of the San Francisco Psychiatric Society and as an Adjunct Clinical Faculty member at Stanford. He completed a B.A. in history at Yale, M.A. in ethics at Yale, medical degree at Case Western Reserve, medical internship at the Lahey Clinic, and residency in psychiatry at Stanford. He has written on diverse topics in medicine, psychiatry, and medical ethics, including diagnosis, insomnia and depression, addiction, suicide prevention, informed consent, and privacy issues in mental illness. He has taught medical students and resident physicians courses on psychiatric interviewing, ethical standards and boundary violations, the placebo effect, hyperthyroidism, and medical decision-making, among other subjects. 
 

Esme Shaller, Ph.D., is an Associate Clinical Professor in the Department of Child Psychiatry at UC San Francisco and in the Department of Psychology at UC Berkeley. She is the director of the Dialectical Behavior Therapy Program at UCSF and the Clinical Director of Outpatient Services for Child Psychiatry. Dr. Shaller’s passion lies in the teaching and dissemination of empirically supported treatments for complex psychological problems, particularly in adolescence. As such, she devotes a large percentage of her time to teaching and training, both within UCSF’s residency and fellowship programs and in the larger Bay Area community. She has worked with other members of her team to implement comprehensive DBT for low income teens in three California Counties. Dr. Shaller received her B.A. in psychology with highest honors from UC Berkeley and her Ph.D. in clinical psychology from the State University of New York, Stony Brook. Subsequently, she completed her psychology internship at the Zucker Hillside Hospital at Long Island Jewish Medical Center in Queens (where she fell in love with DBT!), followed by a postdoctoral fellowship at Kaiser Permanente in South San Francisco. She has been at UCSF since 2007. 

What is DBT: https://www.youtube.com/watch?v=Stz–d17ID4&feature=youtu.be

Healthy Planet, Healthy Bodies: The Food and Climate Connection

 

If you missed the conversation about the food and climate connection on  “About Health” on KPFA.org 94.1FM, you can hear it now at https://kpfa.org/player/?audio=219892diet_hot_planet

We were joined by ANNA LAPPÉ, author of Diet for a Hot Planet and NAVINA KHANNA, Field Director of Live Real. How does the way we eat, grow, and buy food impact our planet, and what can each of us do about it?

This is a ripe time to be talking about the climate crisis, food, and health.

“With seven principles for a climate-friendly diet and success stories from sustainable food advocates around the globe, Anna Lappé  offers a vision of a food system that can be part of healing the planet. An engaging call to action, Diet for a Hot Planet delivers a hopeful message during troubling times.”

Guests:

Anna LappeAnna Lappé is a widely respected author and educator, known for her work as an expert on food systems and as a sustainable food advocate. Anna is a founding principal of the Small Planet Institute. She is currently the head of the Real Food Media Project, a new initiative to spread the story of the power of sustainable food using creative movies, an online action center, and grassroots events. – http://smallplanet.org/about/anna/bio#sthash.5TEVN3ma.dpuf

Navina Khanna is an organizer based in Oakland, CA and a Fellow 2136_navinakhannagenwebpic_thumbat Movement Strategy Center. She has dedicated over 15 years to creating a more just and sustainable world through transforming food systems. With a background in sustainable agriculture and food justice, she’s worked as an educator, community organizer, and policy advocate, and is currently building a national cross-sector food and farm justice coalition called HEAL Food Alliance (Health, Environment, Agriculture, Labor).  Navina serves on the Boards of Food Policy Action and Richmond’s Urban Tilth.  A first-generation South Asian American, Navina’s worldview is shaped by growing up – and growing food – in India and the U.S. Also check out http://www.plateoftheunion.com/

 


Mental Health: Preventing and Treating Emotional Challenges and Mental Illness

A key goal for people who suffer from a mental illness, or who have emotional challenges, is to achieve and maintain psychological wellbeingMental health. There are many ways to reduce emotional suffering and treat the ills that millions of people face each year. 

On August 17th on “About Health” on KPFA.org I was joined by Dr Keith Sutton. If you missed the show you can listen here: https://kpfa.org/player/?audio=212273

Dr. Keith Sutton is a psychologist in the San Francisco Bay Area. He is the director of the Institute for the Advancement of Psychotherapy, where he provides therapy as well as trains therapists in effective approaches for working with individuals, couples, and families. Dr. Sutton is the past president of the Association of Family Therapists of Northern California, and is the co-founder of the Bay Area Therapists Specializing in Adolescents. He is one of the 14 certified Emotionally Focused Couples Therapy supervisors in the Bay Area. Learn more about him at his website: http://www.drkeithsutton.com

 

Can Family Secrets Make You Sick?

“In the 1980s, Dr. Vincent Felitti, now director of the California Institute of Preventive Medicine in San Diego, discovered something revolutionary about the ripple effects of child sexual abuse. He discovered it while trying to solve a very different health problem: helping severely obese people lose weight.” Please listen to this NPR story, and don’t forget to talk to someone you trust if it reminds you of some of the things you faced as a child.

http://www.npr.org/blogs/health/2015/03/02/377569413/can-family-secrets-make-you-sick 

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We know that Adverse Childhood Experiences (ACEs) have life-long consequences. ACEs (such as child sexual abuse, neglect, and domestic violence) cause suffering and emotional pain, and many physical ailments throughout a person’s life span.

Finally, the profound study done by Dr. Vincent Felitti, is now making the news and getting attention. One of the reasons it got ignored by many for so long is that his results pointed to the consequences of sexual abuse in children—not a subject many people want to talk about. This is something he said to me when I interviewed him on Childhood Matters, over 10 years ago. https://www.nurserona.com/the-relationship-between-adverse-childhood-experiences-and-adult-health/ Also on this radio show is Rhonda James when she was at Community Violence Solutions.

Imagine a time when all doctors asked their patients about their ACEs score, and tailored their health care to their real needs.

Now, thanks to many organizations, people are talking about ACEs and implementing policies that are trauma informed. Below are some links that report on work that is being done.

Each of us can spend time reflecting on our own ACE score, and notice how we have healed, and where we still need support in order to live a full and healthy life.

And as parents, we can help to repair some of the trauma that our children suffered. It’s never to late to reach out to others with compassion and love, and to practice self-compassion as well.

I’m deeply grateful to the people in my life who have helped me heal.

Nurse Rona

Watch this passionate TED talk done by Dr. Nadine Burke Harris, a Pediatrician in the Bayview in S.F. and a national spokesperson for ACEs.

http://www.ted.com/talks/nadine_burke_harris_how_childhood_trauma_affects_health_across_a_lifetime

Centers for Disease Control and Prevention:

http://www.cdc.gov/violenceprevention/acestudy/about.html

http://vetoviolence.cdc.gov/apps/phl/resource_center_infographic.html

http://www.npr.org/blogs/health/2015/03/02/387007941/take-the-ace-quiz-and-learn-what-it-does-and-doesnt-mean

Join ACEs Connection for daily stories from around the country. You will be inspired by what people are doing. http://www.acesconnection.com/home