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	<title>State of Health Blog from KQED News &#187; Disparities</title>
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	<description>A window into health in California</description>
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		<title>Is AIDS Still A Critical Concern to the Gay Community?</title>
		<link>http://blogs.kqed.org/stateofhealth/2012/09/07/is-aids-still-a-critical-concern-to-the-gay-community/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=is-aids-still-a-critical-concern-to-the-gay-community</link>
		<comments>http://blogs.kqed.org/stateofhealth/2012/09/07/is-aids-still-a-critical-concern-to-the-gay-community/#comments</comments>
		<pubDate>Fri, 07 Sep 2012 12:00:36 +0000</pubDate>
		<dc:creator>Lisa Aliferis</dc:creator>
				<category><![CDATA[Place Matters]]></category>
		<category><![CDATA[African American and AIDS]]></category>
		<category><![CDATA[Disparities]]></category>
		<category><![CDATA[HIV/AIDS]]></category>

		<guid isPermaLink="false">http://blogs.kqed.org/stateofhealth/?p=8355</guid>
		<description><![CDATA[        <media:content url="http://blogs.kqed.org/stateofhealth/files/2012/09/aidsblackmen080411.jpg" medium="image" />
Researchers, doctors, advocates and general attendees at this year's International AIDS Conference were awash in enthusiasm that a cure to the epidemic is actually within reach, largely due to advances in treatments for people with AIDS and improved prevention.

But to actually reach the cure takes money. And right at this moment, private funding is down. Dramatically. Funders Concerned About AIDS, a philanthropy dedicated to ensuring the end of the epidemic, says both the number of grants from private foundations and actual dollars given have dropped by about one-third. <a href="http://blogs.kqed.org/stateofhealth/2012/09/07/is-aids-still-a-critical-concern-to-the-gay-community/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
	        <media:content url="http://blogs.kqed.org/stateofhealth/files/2012/09/aidsblackmen080411.jpg" medium="image" />
			<content:encoded><![CDATA[<div id="attachment_8364" class="wp-caption alignleft" style="width: 310px"><a href="http://blogs.kqed.org/stateofhealth/files/2012/09/aidsblackmen080411.jpg"><img class="size-medium wp-image-8364 " title="AIDS activists carry banners." src="http://blogs.kqed.org/stateofhealth/files/2012/09/aidsblackmen080411-300x207.jpg" alt="" width="300" height="207" /></a><p class="wp-caption-text">Private AIDS funding drops, while new HIV infections among African American men rise dramatically. (Mark Ralston: AFP/Getty Images)</p></div>
<p>Researchers, doctors, advocates and general attendees at this year&#8217;s <a title="http://aids2012.org" href="http://aids2012.org" target="_blank">International AIDS Conference</a> were awash in enthusiasm that a cure to the AIDS epidemic is actually within reach, largely due to advances in treatments and improved prevention.</p>
<p>But to actually reach the cure takes money. And right at this moment, private funding is down.</p>
<p>Dramatically.</p>
<p><a title="http://www.fcaaids.org/OurWork/ResourceTracking/CurrentReport/tabid/218/Default.aspx" href="http://www.fcaaids.org/OurWork/ResourceTracking/CurrentReport/tabid/218/Default.aspx" target="_blank">Funders Concerned About AIDS</a>, a philanthropy dedicated to ensuring the end of the epidemic, says both the number of grants from private foundations and actual dollars given have dropped by about one-third.</p>
<div class="module pull-quote right half">While the new infections are among people at the intersection of race and poverty, the traditional funders of HIV/AIDS &#8230; look around at their friends and may get the sense AIDS is &#8220;solved.&#8221;</div>
<p>At first blush, it would seem that a down economy would be a big driver, but Daniel Tietz, Executive Director of the<a title="http://www.acria.org" href="http://www.acria.org" target="_blank"> AIDS Community Research Initiative of America</a> (ACRIA), sees something else at work. He spoke with KQED&#8217;s Rachael Myrow on <a title="http://www.californiareport.org/archive/R201209070850/b" href="http://www.californiareport.org/archive/R201209070850/b" target="_blank">The California Report</a> Friday morning and said that the downturn in funding predated the downturn in the economy.<span id="more-8355"></span></p>
<p>&#8220;If you look back at 2006, 2007, the economy was booming, but the drops were starting even then, both in total grant numbers and total dollars.&#8221; At the same time, funding to other lesbian, gay, bisexual and transgender giving such as marriage equality and the repeal of the military&#8217;s &#8220;Don&#8217;t Ask, Don&#8217;t Tell&#8221; policy have gone up. &#8220;It&#8217;s also worth noting,&#8221; Tietz continued, &#8220;that many foundations do three year averages in terms of their investments, in terms of what they give, so we would just be seeing some of those decreases now if it were just a matter of the economy.&#8221;</p>
<p>So, what <em>is </em>going on? Tietz asserts it has to do with the success of HIV/AIDS treatments and what groups are &#8212; and are not &#8212; benefiting from them. Despite the success in the battle against AIDS, 50-thousand people are infected every year and a wildly disproportionate number of those <a title="http://blogs.kqed.org/stateofhealth/2012/07/10/endgame-frontline-documentary-explores-aids-in-black-america/" href="http://blogs.kqed.org/stateofhealth/2012/07/10/endgame-frontline-documentary-explores-aids-in-black-america/" target="_blank">new infections are in African-Americans</a>.</p>
<p>As Tietz wrote in a <a title="http://www.washingtonpost.com/opinions/aids-remains-a-problem-but-is-it-still-a-priority-for-the-gay-community/2012/07/20/gJQADLvjyW_story.html" href="http://www.washingtonpost.com/opinions/aids-remains-a-problem-but-is-it-still-a-priority-for-the-gay-community/2012/07/20/gJQADLvjyW_story.html" target="_blank">Washington Post</a> opinion piece last summer as the AIDS Conference kicked off:</p>
<blockquote><p>More than six in 10 new infections in the United States are among men who have sex with men, known in this field as MSM. Within that group, the hardest-hit are African American men ages 13 to 29. From 2006 to 2009, <a href="https://docs.google.com/viewer?a=v&amp;q=cache:CSadjznKWXEJ:www.cdc.gov/nchhstp/newsroom/docs/FastFacts-MSM-FINAL508COMP.pdf+aids+African+American+men+ages+13+to+29+%2248+percent+%22&amp;hl=en&amp;gl=us&amp;pid=bl&amp;srcid=ADGEESjwMeouatuSTqcsdMbI7dvz-foi4TKmOicNIaGx926A_Og275dCLkHimjLmV9rQ97qeESZdoEAt7c12xKr_sMx4BGWqF8q-EImUyv1X22F6X9DjLEtqADR5fvE3InF4XUcish-u&amp;sig=AHIEtbTrNgQqtChvVn6Xq9O4H-CfXEdZPw">CDC data show</a>, HIV infections rose by an appalling 48 percent among these young men — one of the largest increases of any demographic. New HIV cases among black MSM are nearly equal to those for their white counterparts, despite the former’s far smaller percentage of the population.</p></blockquote>
<p>So, Tietz says, while the new infections are among people at the intersection of race and poverty, the traditional funders of HIV/AIDS &#8212; wealthy, gay, white philanthropists &#8212; look around at their friends and may get the sense AIDS is &#8220;solved.&#8221;</p>
<p>&#8220;Today, you may not even know who has HIV,&#8221; he says. &#8220;They could have HIV, they can be in treatment. You don&#8217;t see deaths, you don&#8217;t see people in rapid decline. It can feel solved. It can feel like &#8216;OK, I can move on, I can give my resources to marriage equality, I can give my resources to whatever else in the world.&#8221;</p>
<p>But obviously AIDS is far from solved. Tietz says he has gotten some &#8220;quiet thank yous&#8221; from other advocates for bringing attention to this issue, but so far, no word from funders themselves.</p>
<p>&#8220;There are lots of folks who are committed and even on my own board,&#8221; Tietz told Myrow. &#8220;I have white gay men who give and give and give. There are folks who are really doing their part. But the big picture has changed and not for the better.&#8221;</p>
<p><strong><em>Listen to Rachael Myrow&#8217;s interview with Daniel Tietz:</em></strong><br />
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			<media:title type="html">AIDS activists carry banners.</media:title>
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		<title>Mental Health Care May be Mandated in California, But Most Aren&#8217;t Getting Treated</title>
		<link>http://blogs.kqed.org/stateofhealth/2011/12/01/mental-health-care-may-be-mandated-in-california-but-most-arent-getting-treated/?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=mental-health-care-may-be-mandated-in-california-but-most-arent-getting-treated</link>
		<comments>http://blogs.kqed.org/stateofhealth/2011/12/01/mental-health-care-may-be-mandated-in-california-but-most-arent-getting-treated/#comments</comments>
		<pubDate>Thu, 01 Dec 2011 22:39:09 +0000</pubDate>
		<dc:creator>Shuka Kalantari</dc:creator>
				<category><![CDATA[Place Matters]]></category>
		<category><![CDATA[Policy]]></category>
		<category><![CDATA[Disparities]]></category>
		<category><![CDATA[Mental Health]]></category>

		<guid isPermaLink="false">http://blogs.kqed.org/stateofhealth/?p=808</guid>
		<description><![CDATA[More than two million adults in California say they need mental health care, but about half of them aren't getting it, according to a report released Wednesday by the UCLA Center for Health Policy Research.

California mandates health insurance companies provide equal care for mental and physical health problems. But mental health services are often inadequate--or they don't exist at all, says lead author David Grant. <a href="http://blogs.kqed.org/stateofhealth/2011/12/01/mental-health-care-may-be-mandated-in-california-but-most-arent-getting-treated/">Continue reading <span class="meta-nav">&#8594;</span></a>]]></description>
				<content:encoded><![CDATA[<div id="attachment_831" class="wp-caption alignright" style="width: 310px"><a href="http://blogs.kqed.org/stateofhealth/files/2011/12/stressed-woman.jpg"><img class="size-medium wp-image-831" title="Stressed woman" src="http://blogs.kqed.org/stateofhealth/files/2011/12/stressed-woman-300x226.jpg" alt="17 percent of unmarried women with children report having mental health problems, according to a recent UCLA study. ((Photo: Getty Images)" width="300" height="226" /></a><p class="wp-caption-text">17 percent of unmarried women with children report having mental health problems, according to a recent UCLA study. ((Photo: Getty Images)</p></div>
<p>More than two million adults in California say they need mental health care, but about half of them aren&#8217;t getting it, according to a report released Wednesday by the <a href="http://healthpolicy.ucla.edu/NewsReleaseDetails.aspx?id=95" target="_blank">UCLA Center for Health Policy Research</a>.</p>
<p>California <a href="http://www.dmhc.ca.gov/dmhc_consumer/br/br_mentalhlth.aspx" target="_blank">mandates health insurance</a> companies provide equal care for mental and physical health problems. But mental health services are often inadequate&#8211;or they don&#8217;t exist at all, says lead author David Grant.</p>
<p>One reason is when hospitals want to cut costs, mental health care is often the first to go. Grant notes that, just this morning, LA&#8217;s Cedars-Sinai Medical Center announced it is cutting most of its psychiatric services.</p>
<p>&#8220;It&#8217;s a disaster,&#8221; Grant said about Cedars-Sinai&#8217;s closing. &#8220;Health care is undergoing so much change and it&#8217;s under so much financial stress right now. Providers are really looking for ways to reduce health care costs.&#8221;<br />
<span id="more-808"></span></p>
<p>As <a href="http://www.latimes.com/health/la-me-cedars-mental-20111201,0,7075456.story" target="_blank">The Los Angeles Times</a> reports, these cuts are a part of a larger, statewide trend:</p>
<blockquote><p>California has roughly 6,500 acute in-patient psychiatric beds, down from 8,500 in 1996, according to the California Hospital Assn. There have also been significant cutbacks in Medi-Cal funding for mental health services statewide.</p></blockquote>
<p>But closing mental health facilities might not save money in the long run. Grant says that&#8217;s because people with mental health needs are more likely to have chronic diseases like high blood pressure, heart disease and diabetes.</p>
<p>&#8220;These are folks that are going to have higher smoking rates, drinking rates, higher rates of disability,&#8221; Grant said. &#8220;And these are factors that will cost the state more and more financial resources.&#8221;</p>
<p>The study also shows there are huge disparities in who actually <em>needs </em>mental health services. Statewide, eight percent of Californians report a mental health issue. But within the LGBT community 20 percent, more than double the state average, report a problem; 17 percent of unmarried women with children, and 12 percent of US-born Latinos also have mental health needs.</p>
<p>Grant says he hopes the report will increase awareness that these groups need to be screened more frequently &#8230; assuming their hospital still has a psychiatric program.</p>
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