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In just one year, he made 62 trips to the emergency room. He rattles off the names of local hospitals in Orange and Los Angeles counties like they're a handful of pills.\u003c/p>\n\u003cp>\"St. Joseph's, Laguna Hills,\" he says. \"The best one for me around here is PIH in Whittier.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'It was them relying on the ER for everything. They got a common cold, they’d run to the ER.'\u003ccite> John Simmons, lead nurse in Chronic Care Plus program\u003c/cite>\u003c/aside>\n\u003cp>At 52, Meade has chronic heart disease and other serious ailments, and he is recovering from a longtime addiction to crack cocaine. Today, he lives with his dog Scrappy in a small apartment in Fullerton.\u003c/p>\n\u003cp>As health care costs continue to rise, attention has turned to a tiny number of expensive patients like Meade, called super-utilizers. One program in Southern California has taken a different approach to treating Meade and other high-cost patients: Over the past two years, it has tracked them, healed them and saved a ton of money along the way.\u003c/p>\n\u003cp>Beyond making a trip to the ER pretty much every week of the year, Meade has had innumerable X-rays, scans, tests and hospital admissions — all of it on the taxpayers' and hospitals' dime, since he is a beneficiary of Medi-Cal, the state and federal program for the poor.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"The doctors and a few nurses knew me [by name], and I told them I should get some stock in the hospital because I was there so much,\" he muses.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/270183668\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Meade received more than $1 million in care each year in the two years before he entered the Orange County program, according to Paul León, CEO of the Illumination Foundation, which runs the Chronic Care Plus program that has stabilized Meade and found him housing.\u003c/p>\n\u003cp>\"It's crazy,\" says Maria Raven, an associate professor at UC San Francisco who specializes in frequent-user policy. \"This small group of people makes quite an impact on the health care system, and on the finances of the health care system.\"\u003c/p>\n\u003cp>Within Medi-Cal, frequent health care users make up just 1 percent of the patient population, but soak up about one-fourth of health care spending, according to Dr. Kenneth Kizer at the Institute for Population Health Improvement at UC Davis.\u003c/p>\n\u003cp>That's why health professionals across California have started targeting this problem group.\u003c/p>\n\u003cfigure id=\"attachment_201680\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-201680 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/super-utilizer-6-e1466531188307.jpg\" alt=\"Donald Meade plays with his puppy, Scrappy, at his new apartment in Fullerton, Calif.\" width=\"1920\" height=\"1281\">\u003cfigcaption class=\"wp-caption-text\">Donald Meade plays with his puppy, Scrappy, at his new apartment in Fullerton, California. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a small, busy room in a facility in Santa Fe Springs, just up Interstate 5 from Disneyland, the Chronic Care Plus program's lead nurse, John Simmons, directs care for a select group of homeless frequent users.\u003c/p>\n\u003cp>Simmons says the big secret about these health care frequent fliers is that they're not necessarily the sickest patients -- they're often just homeless, with substance abuse or mental health issues, and they routinely end up in the emergency room.\u003c/p>\n\u003cp>\"It was them relying on the ER for everything,\" Simmons says. \"They got a common cold, they’d want to run to the ER.\"\u003c/p>\n\u003cp>To break the cycle, Simmons does what is known as intensive care coordination. He helps the 37 participants, including Don Meade, find housing, get off drugs, get access to services and make an appointment with a primary care doctor.\u003c/p>\n\u003cp>The Illumination Foundation, a homeless health services group based in Orange County, started the program with the goal of breaking the vicious cycle into which these people had fallen, and then following them over a two-year period. That length of time, Simmons says, can change their lives for good.\u003c/p>\n\u003cp>\"The beauty of the program was, we took those people and got them self-sufficient,\" Simmons says, \"and you notice their health [go] on an upward trend.\"\u003c/p>\n\u003cp>The program saved $14 million in health care spending for just those 37 people over two years, compared with the two years prior to the launch of the program.\u003c/p>\n\u003cp>That doesn't count the savings of requiring fewer police and emergency transportation services, Simmons says.\u003c/p>\n\u003cp>Saving so much money with so few participants is an open invitation to expand the program, says Pat Brydges, an administrator at St. Joseph's Hospital, which helped fund the program.\u003c/p>\n\u003cp>\"There are homeless people in every city in every state,\" Brydges says. \"There's no reason why this wouldn't work across the nation.\"\u003c/p>\n\u003cp>It is consistent with St. Joseph's mission to help all people, and the cost savings is an extra perk, she says.\u003c/p>\n\u003cp>She pauses briefly to contemplate how much money would be saved if this tiny pilot program went national.\u003c/p>\n\u003cp>\"Wow, I don’t even know if I could count that much,\" Brydges says. \"But if we can do $14 million in this one area alone, it’s amazing what we could do across the nation.\"\u003c/p>\n\u003cp>Back in his Fullerton apartment, Meade says he now sees a primary care doctor instead of going to the emergency department. His weekly trips to the hospital have decreased, though he still has ongoing heart and health problems.\u003c/p>\n\u003cp>Being followed by program coordinators over such a long time has really made a difference in his life, Meade says.\u003c/p>\n\u003cp>\"A lot of the stress leaves after you’re in your own home, but if you're out in the street you’re worried so much all the time,\" he says.\u003c/p>\n\u003cp>Getting off the street is one thing, Meade says, but staying off the street is another. It's not just that he has his own doctor now, and better health. He has a new life, he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Illumination Foundation plans to release data at the end of June on its first two years.\u003c/p>\n\n","blocks":[],"excerpt":"Within Medi-Cal, 'super-utilizers' make up just 1 percent of patients, but soak up one-fourth of all health spending. ","status":"publish","parent":0,"modified":1466553408,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1008},"headData":{"title":"Targeting and Healing Medi-Cal's Most Expensive Patients -- And Saving Money | KQED","description":"Within Medi-Cal, 'super-utilizers' make up just 1 percent of patients, but soak up one-fourth of all health spending. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Targeting and Healing Medi-Cal's Most Expensive Patients -- And Saving Money","datePublished":"2016-06-21T18:03:52.000Z","dateModified":"2016-06-21T23:56:48.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"201260 http://ww2.kqed.org/stateofhealth/?p=201260","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/06/21/targeting-and-healing-medi-cals-most-expensive-patients-and-saving-money/","disqusTitle":"Targeting and Healing Medi-Cal's Most Expensive Patients -- And Saving Money","nprByline":"David Gorn\u003cbr />\u003ca href=\"http://khn.org/\">Kaiser Health News\u003c/a>","path":"/stateofhealth/201260/targeting-and-healing-medi-cals-most-expensive-patients-and-saving-money","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>SANTA FE SPRINGS -- Don Meade may not like hospitals, but he uses them. In just one year, he made 62 trips to the emergency room. He rattles off the names of local hospitals in Orange and Los Angeles counties like they're a handful of pills.\u003c/p>\n\u003cp>\"St. Joseph's, Laguna Hills,\" he says. \"The best one for me around here is PIH in Whittier.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">'It was them relying on the ER for everything. They got a common cold, they’d run to the ER.'\u003ccite> John Simmons, lead nurse in Chronic Care Plus program\u003c/cite>\u003c/aside>\n\u003cp>At 52, Meade has chronic heart disease and other serious ailments, and he is recovering from a longtime addiction to crack cocaine. Today, he lives with his dog Scrappy in a small apartment in Fullerton.\u003c/p>\n\u003cp>As health care costs continue to rise, attention has turned to a tiny number of expensive patients like Meade, called super-utilizers. One program in Southern California has taken a different approach to treating Meade and other high-cost patients: Over the past two years, it has tracked them, healed them and saved a ton of money along the way.\u003c/p>\n\u003cp>Beyond making a trip to the ER pretty much every week of the year, Meade has had innumerable X-rays, scans, tests and hospital admissions — all of it on the taxpayers' and hospitals' dime, since he is a beneficiary of Medi-Cal, the state and federal program for the poor.\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 doctors and a few nurses knew me [by name], and I told them I should get some stock in the hospital because I was there so much,\" he muses.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/270183668&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/270183668'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Meade received more than $1 million in care each year in the two years before he entered the Orange County program, according to Paul León, CEO of the Illumination Foundation, which runs the Chronic Care Plus program that has stabilized Meade and found him housing.\u003c/p>\n\u003cp>\"It's crazy,\" says Maria Raven, an associate professor at UC San Francisco who specializes in frequent-user policy. \"This small group of people makes quite an impact on the health care system, and on the finances of the health care system.\"\u003c/p>\n\u003cp>Within Medi-Cal, frequent health care users make up just 1 percent of the patient population, but soak up about one-fourth of health care spending, according to Dr. Kenneth Kizer at the Institute for Population Health Improvement at UC Davis.\u003c/p>\n\u003cp>That's why health professionals across California have started targeting this problem group.\u003c/p>\n\u003cfigure id=\"attachment_201680\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-201680 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/super-utilizer-6-e1466531188307.jpg\" alt=\"Donald Meade plays with his puppy, Scrappy, at his new apartment in Fullerton, Calif.\" width=\"1920\" height=\"1281\">\u003cfigcaption class=\"wp-caption-text\">Donald Meade plays with his puppy, Scrappy, at his new apartment in Fullerton, California. \u003ccite>(Heidi de Marco/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a small, busy room in a facility in Santa Fe Springs, just up Interstate 5 from Disneyland, the Chronic Care Plus program's lead nurse, John Simmons, directs care for a select group of homeless frequent users.\u003c/p>\n\u003cp>Simmons says the big secret about these health care frequent fliers is that they're not necessarily the sickest patients -- they're often just homeless, with substance abuse or mental health issues, and they routinely end up in the emergency room.\u003c/p>\n\u003cp>\"It was them relying on the ER for everything,\" Simmons says. \"They got a common cold, they’d want to run to the ER.\"\u003c/p>\n\u003cp>To break the cycle, Simmons does what is known as intensive care coordination. He helps the 37 participants, including Don Meade, find housing, get off drugs, get access to services and make an appointment with a primary care doctor.\u003c/p>\n\u003cp>The Illumination Foundation, a homeless health services group based in Orange County, started the program with the goal of breaking the vicious cycle into which these people had fallen, and then following them over a two-year period. That length of time, Simmons says, can change their lives for good.\u003c/p>\n\u003cp>\"The beauty of the program was, we took those people and got them self-sufficient,\" Simmons says, \"and you notice their health [go] on an upward trend.\"\u003c/p>\n\u003cp>The program saved $14 million in health care spending for just those 37 people over two years, compared with the two years prior to the launch of the program.\u003c/p>\n\u003cp>That doesn't count the savings of requiring fewer police and emergency transportation services, Simmons says.\u003c/p>\n\u003cp>Saving so much money with so few participants is an open invitation to expand the program, says Pat Brydges, an administrator at St. Joseph's Hospital, which helped fund the program.\u003c/p>\n\u003cp>\"There are homeless people in every city in every state,\" Brydges says. \"There's no reason why this wouldn't work across the nation.\"\u003c/p>\n\u003cp>It is consistent with St. Joseph's mission to help all people, and the cost savings is an extra perk, she says.\u003c/p>\n\u003cp>She pauses briefly to contemplate how much money would be saved if this tiny pilot program went national.\u003c/p>\n\u003cp>\"Wow, I don’t even know if I could count that much,\" Brydges says. \"But if we can do $14 million in this one area alone, it’s amazing what we could do across the nation.\"\u003c/p>\n\u003cp>Back in his Fullerton apartment, Meade says he now sees a primary care doctor instead of going to the emergency department. His weekly trips to the hospital have decreased, though he still has ongoing heart and health problems.\u003c/p>\n\u003cp>Being followed by program coordinators over such a long time has really made a difference in his life, Meade says.\u003c/p>\n\u003cp>\"A lot of the stress leaves after you’re in your own home, but if you're out in the street you’re worried so much all the time,\" he says.\u003c/p>\n\u003cp>Getting off the street is one thing, Meade says, but staying off the street is another. It's not just that he has his own doctor now, and better health. He has a new life, he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The Illumination Foundation plans to release data at the end of June on its first two years.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/201260/targeting-and-healing-medi-cals-most-expensive-patients-and-saving-money","authors":["byline_stateofhealth_201260"],"categories":["stateofhealth_2746"],"tags":["stateofhealth_333","stateofhealth_2519"],"featImg":"stateofhealth_201681","label":"stateofhealth"},"stateofhealth_199573":{"type":"posts","id":"stateofhealth_199573","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"199573","score":null,"sort":[1466206083000]},"guestAuthors":[],"slug":"homeless-youth-shortchanged-in-new-state-budget-deal-say-advocates","title":"Homeless Youth Shortchanged in New State Budget Deal, Say Advocates","publishDate":1466206083,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cstrong>Update, June 30, 12:17 p.m: \u003c/strong>The state legislature gave final approval today to allocate an additional $10 million specifically for homeless youth emergency services over the next five years. Assembly Republicans negotiated the budget increase for shelters, food and counseling for homeless youth -- the first one in over 15 years -- as part of the No Place Like Home bond, which provides $2 billion for supportive housing for homeless individuals with mental illness. Governor Brown is expected to sign the measure.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003cstrong>Original Story:\u003c/strong>\u003c/p>\n\u003cp>The Wind Youth Services drop-in center for homeless youth in Sacramento is busiest during lunch time. The air conditioned house in the city's Oak Park neighborhood has a couple of showers, free meals and a small staff of case managers and counselors. During the day, teens and young adults let themselves in to get cleaned up, rest on the living room couches, and see about potential housing.\u003c/p>\n\u003cp>Timon Curtis has been a frequent visitor since he ran away from home. He'd had enough of his family, he says.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/269600852\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>\"I’ve been abused, neglected, treated like mess,\" says Timon, 18. \"Been called names such as stupid, dumb retarded. Telling me I’d never make it, and that nobody will take me for who I am.\"\u003c/p>\n\u003cp>Timon slept in a random laundry room for months, and dropped out of high school. Then someone told him about the center. From there, he began staying at an overnight shelter he trusts, the only one dedicated for homeless youth in the county.\u003c/p>\n\u003cfigure id=\"attachment_199600\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-199600\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut.jpg\" alt=\"Timon Curtis, 18, at a drop in center for homeless youth in Sacramento. He is staying overnight at a local shelter for youth under age 24, the only one of its kind in the county.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Timon Curtis, 18, at a drop in center for homeless youth in Sacramento. He is staying overnight at a local shelter for youth under age 24, the only one of its kind in the county. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Timon can stay in the shelter for three months. But case managers back at the drop-in center are helping find him permanent housing.\u003c/p>\n\u003cp>\"If this wasn’t here, I’d probably be going to people on the streets asking for money, panhandling, trying to get some food,\" he says.\u003c/p>\n\u003cp>Instead, Timon is trying to get a job and go back to high school. He dreams of becoming a radio show host one day, and works diligently writing hip-hop lyrics and recording music.\u003c/p>\n\u003cp>In a way, Timon was lucky to land a bed at all. The county-funded shelter has just a total of 6 beds for 18- to 24-year-olds.\u003c/p>\n\u003cp>\u003cstrong>'Intense Need' for Homeless Youth Shelters\u003c/strong>\u003c/p>\n\u003cp>While this year's state budget deal includes \u003ca href=\"http://www.accoc.org/california-legislature-approves-2016-2017-state-budget/\" target=\"_blank\">money set aside for housing\u003c/a> and bolsters social safety net programs, advocates question how much of those dollars will actually benefit young people living on the streets. Teens and young adults face barriers to accessing services for the wider homeless population, they say.\u003c/p>\n\u003cp>Most California counties -- 38 out of 58 -- lack services for homeless youth, according to a 2011 \u003ca href=\"http://cahomelessyouth.library.ca.gov/docs/pdf/SUMMARY-Inventory.pdf\" target=\"_blank\">survey \u003c/a>by the California Homeless Youth Project. The programs and shelters in the remaining 20 counties are strapped, says Shahera Hyatt, director of the California Homeless Youth Project.\u003c/p>\n\u003cp>At Timon's shelter in Sacramento, demand outstrips supply, and there's a months-long waiting list, says Anne Salvatori, from Wind Youth Services, which runs the shelter.\u003c/p>\n\u003cp>\"On a bad day, ... I would say (we get) between five and 10 calls for youth seeking shelter. Some with babies and kids, some without,\" says Salvatori, 38. \"[We] have to tell them, 'Oh gosh, there’s a wait list.' \"\u003c/p>\n\u003cfigure id=\"attachment_199601\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-199601\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut.jpg\" alt=\"Daniel Quirk, 24, visits the drop-in center run by Wind Youth Services in Sacramento. Quirk says he was beaten up several times while living on the streets.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Daniel Quirk, 24, visits the drop-in center run by Wind Youth Services in Sacramento. Quirk says he was beaten up several times while living on the streets. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California has the largest share of unaccompanied homeless youth in the country -- more than 10,000 people under age 25 not accompanied by a parent, 28 percent of the national total, according \u003ca href=\"https://www.hudexchange.info/resources/documents/2015-AHAR-Part-1.pdf\" target=\"_blank\">to a federal study. \u003c/a>\u003c/p>\n\u003cp>Homeless teens are often fleeing abuse at home. But living on the streets is not safer, says Salvatori. \"From rape to being jumped. A lot of times people get their stuff stolen in the middle of the night,\" she says. \"We had a youth that was sleeping on the streets, and somebody dropped a cinder block on his head while he was sleeping in the middle of the night.\"\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/269600852\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>\u003cstrong>Advocates Worry Not Enough Funds Devoted To Homeless Youth \u003c/strong>\u003c/p>\n\u003cp>Top state legislators say they are helping these efforts by making key investments to fight homelessness in the new budget agreement, which Gov. Jerry Brown has yet to sign. Those include $45 million for sheltering the general population on the streets, and $22 million to prevent homelessness in poor families.\u003c/p>\n\u003cp>But advocates say that youth are being shortchanged since they benefit the most from programs that target their specific age group, instead of the general homeless population.\u003c/p>\n\u003cp>\"Our concern is how much of that will specifically go towards serving homeless youth,\" says Paul Curtis, with the non-profit California Coalition for Youth. \"It all depends how it’s going to be implemented.\"\u003c/p>\n\u003cp>Homeless youth on their own often fail to qualify for child welfare, and they won't go to programs for the older chronically homeless because they don't feel safe, he says.\u003c/p>\n\u003cp>\"They look at the adult homeless population, and they don’t identify with them. And we often don't want them to go into those adult programs. \u003cspan style=\"font-weight: 400\">It can be older chronic homeless adults and there's potential for exploitation and abuse\u003c/span>,\" says Curtis.\u003c/p>\n\u003cp>Curtis' coalition advocated for lawmakers to set aside more funds for the \u003ca href=\"http://www.caloes.ca.gov/GrantsManagementSite/Documents/HX%2013%20done.pdf\" target=\"_blank\">Homeless Youth and Exploitation Program\u003c/a>, the only dedicated state funding for shelters, food, counseling and other short term services aimed at youth exiting street life who might also be victims of sexual exploitation. The program has received about $1 million annually in state funding for over 15 years.\u003c/p>\n\u003cp>An Assembly budget proposal to add over $12 million to the funding fell through last week during negotiations with the governor's office and senate, says Assemblymember Phil Ting, D-San Francisco.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"We fought for it, but we just weren’t able to get it across the finish line,\" says Ting. \"We did a lot for homelessness. I personally would like to do even more, but we have financial constraints.\"\u003c/p>\n\n","blocks":[],"excerpt":"While new state funds target the adult homeless population, that money is unlikely to help homeless youth, advocates worry.","status":"publish","parent":0,"modified":1467316120,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":30,"wordCount":1166},"headData":{"title":"Homeless Youth Shortchanged in New State Budget Deal, Say Advocates | KQED","description":"While new state funds target the adult homeless population, that money is unlikely to help homeless youth, advocates worry.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Homeless Youth Shortchanged in New State Budget Deal, Say Advocates","datePublished":"2016-06-17T23:28:03.000Z","dateModified":"2016-06-30T19:48:40.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"199573 http://ww2.kqed.org/stateofhealth/?p=199573","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/06/17/homeless-youth-shortchanged-in-new-state-budget-deal-say-advocates/","disqusTitle":"Homeless Youth Shortchanged in New State Budget Deal, Say Advocates","path":"/stateofhealth/199573/homeless-youth-shortchanged-in-new-state-budget-deal-say-advocates","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Update, June 30, 12:17 p.m: \u003c/strong>The state legislature gave final approval today to allocate an additional $10 million specifically for homeless youth emergency services over the next five years. Assembly Republicans negotiated the budget increase for shelters, food and counseling for homeless youth -- the first one in over 15 years -- as part of the No Place Like Home bond, which provides $2 billion for supportive housing for homeless individuals with mental illness. Governor Brown is expected to sign the measure.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003cstrong>Original Story:\u003c/strong>\u003c/p>\n\u003cp>The Wind Youth Services drop-in center for homeless youth in Sacramento is busiest during lunch time. The air conditioned house in the city's Oak Park neighborhood has a couple of showers, free meals and a small staff of case managers and counselors. During the day, teens and young adults let themselves in to get cleaned up, rest on the living room couches, and see about potential housing.\u003c/p>\n\u003cp>Timon Curtis has been a frequent visitor since he ran away from home. He'd had enough of his family, he says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/269600852&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/269600852'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"I’ve been abused, neglected, treated like mess,\" says Timon, 18. \"Been called names such as stupid, dumb retarded. Telling me I’d never make it, and that nobody will take me for who I am.\"\u003c/p>\n\u003cp>Timon slept in a random laundry room for months, and dropped out of high school. Then someone told him about the center. From there, he began staying at an overnight shelter he trusts, the only one dedicated for homeless youth in the county.\u003c/p>\n\u003cfigure id=\"attachment_199600\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-199600\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/RS19872_IMG_0035-qut.jpg\" alt=\"Timon Curtis, 18, at a drop in center for homeless youth in Sacramento. He is staying overnight at a local shelter for youth under age 24, the only one of its kind in the county.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19872_IMG_0035-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Timon Curtis, 18, at a drop in center for homeless youth in Sacramento. He is staying overnight at a local shelter for youth under age 24, the only one of its kind in the county. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Timon can stay in the shelter for three months. But case managers back at the drop-in center are helping find him permanent housing.\u003c/p>\n\u003cp>\"If this wasn’t here, I’d probably be going to people on the streets asking for money, panhandling, trying to get some food,\" he says.\u003c/p>\n\u003cp>Instead, Timon is trying to get a job and go back to high school. He dreams of becoming a radio show host one day, and works diligently writing hip-hop lyrics and recording music.\u003c/p>\n\u003cp>In a way, Timon was lucky to land a bed at all. The county-funded shelter has just a total of 6 beds for 18- to 24-year-olds.\u003c/p>\n\u003cp>\u003cstrong>'Intense Need' for Homeless Youth Shelters\u003c/strong>\u003c/p>\n\u003cp>While this year's state budget deal includes \u003ca href=\"http://www.accoc.org/california-legislature-approves-2016-2017-state-budget/\" target=\"_blank\">money set aside for housing\u003c/a> and bolsters social safety net programs, advocates question how much of those dollars will actually benefit young people living on the streets. Teens and young adults face barriers to accessing services for the wider homeless population, they say.\u003c/p>\n\u003cp>Most California counties -- 38 out of 58 -- lack services for homeless youth, according to a 2011 \u003ca href=\"http://cahomelessyouth.library.ca.gov/docs/pdf/SUMMARY-Inventory.pdf\" target=\"_blank\">survey \u003c/a>by the California Homeless Youth Project. The programs and shelters in the remaining 20 counties are strapped, says Shahera Hyatt, director of the California Homeless Youth Project.\u003c/p>\n\u003cp>At Timon's shelter in Sacramento, demand outstrips supply, and there's a months-long waiting list, says Anne Salvatori, from Wind Youth Services, which runs the shelter.\u003c/p>\n\u003cp>\"On a bad day, ... I would say (we get) between five and 10 calls for youth seeking shelter. Some with babies and kids, some without,\" says Salvatori, 38. \"[We] have to tell them, 'Oh gosh, there’s a wait list.' \"\u003c/p>\n\u003cfigure id=\"attachment_199601\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"size-full wp-image-199601\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/06/RS19873_IMG_0039-qut.jpg\" alt=\"Daniel Quirk, 24, visits the drop-in center run by Wind Youth Services in Sacramento. Quirk says he was beaten up several times while living on the streets.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/06/RS19873_IMG_0039-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Daniel Quirk, 24, visits the drop-in center run by Wind Youth Services in Sacramento. Quirk says he was beaten up several times while living on the streets. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California has the largest share of unaccompanied homeless youth in the country -- more than 10,000 people under age 25 not accompanied by a parent, 28 percent of the national total, according \u003ca href=\"https://www.hudexchange.info/resources/documents/2015-AHAR-Part-1.pdf\" target=\"_blank\">to a federal study. \u003c/a>\u003c/p>\n\u003cp>Homeless teens are often fleeing abuse at home. But living on the streets is not safer, says Salvatori. \"From rape to being jumped. A lot of times people get their stuff stolen in the middle of the night,\" she says. \"We had a youth that was sleeping on the streets, and somebody dropped a cinder block on his head while he was sleeping in the middle of the night.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/269600852&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/269600852'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Advocates Worry Not Enough Funds Devoted To Homeless Youth \u003c/strong>\u003c/p>\n\u003cp>Top state legislators say they are helping these efforts by making key investments to fight homelessness in the new budget agreement, which Gov. Jerry Brown has yet to sign. Those include $45 million for sheltering the general population on the streets, and $22 million to prevent homelessness in poor families.\u003c/p>\n\u003cp>But advocates say that youth are being shortchanged since they benefit the most from programs that target their specific age group, instead of the general homeless population.\u003c/p>\n\u003cp>\"Our concern is how much of that will specifically go towards serving homeless youth,\" says Paul Curtis, with the non-profit California Coalition for Youth. \"It all depends how it’s going to be implemented.\"\u003c/p>\n\u003cp>Homeless youth on their own often fail to qualify for child welfare, and they won't go to programs for the older chronically homeless because they don't feel safe, he says.\u003c/p>\n\u003cp>\"They look at the adult homeless population, and they don’t identify with them. And we often don't want them to go into those adult programs. \u003cspan style=\"font-weight: 400\">It can be older chronic homeless adults and there's potential for exploitation and abuse\u003c/span>,\" says Curtis.\u003c/p>\n\u003cp>Curtis' coalition advocated for lawmakers to set aside more funds for the \u003ca href=\"http://www.caloes.ca.gov/GrantsManagementSite/Documents/HX%2013%20done.pdf\" target=\"_blank\">Homeless Youth and Exploitation Program\u003c/a>, the only dedicated state funding for shelters, food, counseling and other short term services aimed at youth exiting street life who might also be victims of sexual exploitation. The program has received about $1 million annually in state funding for over 15 years.\u003c/p>\n\u003cp>An Assembly budget proposal to add over $12 million to the funding fell through last week during negotiations with the governor's office and senate, says Assemblymember Phil Ting, D-San Francisco.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We fought for it, but we just weren’t able to get it across the finish line,\" says Ting. \"We did a lot for homelessness. I personally would like to do even more, but we have financial constraints.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/199573/homeless-youth-shortchanged-in-new-state-budget-deal-say-advocates","authors":["8659"],"categories":["stateofhealth_11","stateofhealth_14"],"tags":["stateofhealth_96","stateofhealth_333","stateofhealth_2519"],"featImg":"stateofhealth_199602","label":"stateofhealth"},"stateofhealth_146345":{"type":"posts","id":"stateofhealth_146345","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"146345","score":null,"sort":[1455548224000]},"guestAuthors":[],"slug":"as-homeless-youth-population-grows-mobile-clinics-are-key-resource","title":"Mobile Clinics Serve California's Growing Homeless Youth Population","publishDate":1455548224,"format":"standard","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cp>Dr. Seth Ammerman listens intently to his new patient. Ernesto, who does not want his last name disclosed, is homeless. Ernesto is earning a high school degree and working part time, but at night, he and his brother share a tent that they set up on San Jose streets. The daily stress of being homeless is wearing Ernesto out and making him light up too many cigarettes.\u003c/p>\n\u003caside class=\"pullquote alignright\">'These kids, because of all these access barriers — lack of insurance, lack of transportation — they’re not going to get this kind of care unless we go to them.'\u003ccite>Dr. Seth Ammerman, medical director, Stanford Teen Health Van \u003c/cite>\u003c/aside>\n\u003cp>“I just want to cut down on my smoking,” says Ernesto, 21, with a tentative, soft voice. “I’ve been on the streets all the time, you know? I just want to make sure I’m OK.”\u003c/p>\n\u003cp>That's why Ernesto walked into this mobile clinic parked just a few steps away from his classroom at the San Jose Conservation Corps & Charter School. He's sitting in a fully equipped exam room inside a shiny blue tour bus with Wi-Fi and the ability to get HIV test results in 20 minutes.\u003c/p>\n\u003cp>During the consultation with Ernesto, Ammerman nods sympathetically. In his 20 years working in this teen health van, Ammerman has treated thousands of uninsured and homeless adolescents ages 24 and under.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/247566086\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Twice a week, Ammerman and two nurses park the clinic at continuation high schools and other places frequented by at-risk adolescents in Santa Clara, San Mateo and San Francisco counties. The van is a community project of the Lucile Packard Children's Hospital Stanford and Children's Health Fund, with support from Samsung.\u003c/p>\n\u003cfigure id=\"attachment_146678\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-146678 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The teen health van parks at continuation high schools and other places frequented by adolescents in Santa Clara, San Mateo and San Francisco counties. Inside, patients are seen in two exam rooms and a nursing station. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The team provides free medical, nutrition and mental health services, including reproductive health care and treatment for chronic illnesses, substance abuse and depression. All medications are free and provided at the time of consultation. A social worker is available for counseling and connects adolescents to additional resources; a registered dietitian works with patients who are malnourished, a frequent health issue for this population.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some of the 400 patients who visit the teen health van each year have never seen a doctor, says Ammerman.\u003c/p>\n\u003cp>“Going to the patients makes all the difference, and it's not just a matter of convenience,” says Ammerman, a clinical professor of adolescent medicine at Stanford University. “It really is that these kids, because of all these access barriers -- lack of insurance, lack of transportation -- they're not going to get this kind of care unless we go to them.”\u003c/p>\n\u003cp>For many patients here, the teen health van can become a trustworthy and reliable place in an otherwise unstable world.\u003c/p>\n\u003cp>Grace Kim first set foot in the van 10 years ago when she was 17. She admits she was skeptical.\u003c/p>\n\u003cp>\"Because it was a van, and I wasn't really sure what they could really provide for me,\" says Kim, 27. \"Off the bat I don't trust people very easily and that probably comes from the territory that I grew up in.\"\u003c/p>\n\u003cp>Kim, a second-generation Korean-American, says she grew up with abusive relatives in a house \"full of conflict.\" By the time she was 14, she had already attempted suicide. With the help of a high school counselor, Kim moved out of her parents' home into a transitional living program, which required her to get medical checkups at the van initially. For the next four years, Kim was a regular patient.\u003c/p>\n\u003cfigure id=\"attachment_147012\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-147012 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut.jpg\" alt=\"Grace Kim, 27, credits the teen health van with helping her overcome depression, malnutrition and other health issues when she 17. Kim was photographed near Santa Clara University, where she is a masters student.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Grace Kim credits the teen health van with helping her overcome depression and other health issues when she was 17. Kim was photographed near Santa Clara University, where she is a master's student in counseling psychology.\u003c/figcaption>\u003c/figure>\n\u003cp>Ammerman and other staff at the van treated Kim's malnutrition, substance abuse and other health issues. They connected her with free visits to see a psychiatrist at Stanford Medical Center who treated her depression, and she thrived.\u003c/p>\n\u003cp>\"If I didn't get that help, I would probably be in a very bad place,\" says Kim, now a master's student in counseling psychology at Santa Clara University. \"The whole mental health aspect of it was probably the most beneficial, probably the most powerful.\"\u003c/p>\n\u003cp>Today, Kim facilitates a support group for suicide survivors at Santa Clara Valley Medical Center and says her passion for her work comes from those dark days in her past. She still keeps in touch with Ammerman, calling him once in a while with health-related questions.\u003c/p>\n\u003cp>\"I trust him absolutely with everything because he's seen me at my worst, and he still to this day has the most faith in me,\" says Kim, adding that Ammerman motivated her to take care of herself and do better. \"To have someone care for you and tell you that you can get better and do anything that you put you heart into. ... I mean, there are no words for that.\"\u003c/p>\n\u003cp>Kim recognizes she was lucky to have access to housing, medical and mental health resources, but that may not be true for others.\u003c/p>\n\u003cp>\u003cstrong>Health Van Patients Often Face Precarious Housing\u003c/strong>\u003c/p>\n\u003cp>Over 40 percent of Stanford's teen health van patients are homeless, says Ammerman. These are adolescents up to age 25 living on the streets, in cars and, most commonly, overcrowded apartments. While doubling up with relatives or friends may sound like housing, it's not stable because people can be asked to leave at any time.\u003c/p>\n\u003cp>Ammerman says he's seen a significant increase in this population of teens and young adults -- those living in overcrowded conditions -- since 2008. Working families unable to make rent are more likely to end up in these challenging conditions.\u003c/p>\n\u003cp>\"We are seeing, unfortunately, more homeless kids. And that's really due to the housing crisis that we are all aware of here in the Bay Area,\" says Ammerman.\u003c/p>\n\u003cp>\u003cstrong>Homeless Youth Population Growing in California\u003c/strong>\u003c/p>\n\u003cp>Most Bay Area counties and the state as a whole are seeing a greater number of homeless kids in recent years, according to figures collected by the California Department of Education and crunched by \u003ca href=\"http://www.kidsdata.org/topic/230/homeless-students/table#fmt=355&loc=2,265,59,4,127,171,341,338,339,217&tf=79,73,67,64&sortType=asc\" target=\"_blank\">Kidsdata.org\u003c/a>. The education department designates students as \"homeless\" if their primary residence at any point in the school year was a:\u003c/p>\n\u003cul>\n\u003cli>Shelter\u003c/li>\n\u003cli>Hotel or motel\u003c/li>\n\u003cli>Shared housing with others due to loss of housing or economic hardship\u003c/li>\n\u003cli>No shelter at all.\u003c/li>\n\u003c/ul>\n\u003cp>Statewide, the rate of homeless public school students in grades K-12 jumped by one-third in just three years -- from 3.6 percent in 2011 to 4.8 percent in 2014. \u003ca href=\"http://www.kidsdata.org/topic/793/homeless-students-residence/table#fmt=1211&loc=2&tf=79,73,67,64&ch=1132,1133,1134,1135&sortColumnId=0&sortType=asc\" target=\"_blank\">More than 86 percent\u003c/a> of the nearly 300,000 homeless public school students statewide are living doubled up with friends or relatives.\u003c/p>\n\u003cp>\"So it's a very unstable housing situation, and that is always problematic for your health,\" says Ammerman.\u003c/p>\n\u003cp>Children and youth facing homelessness or housing insecurity are more likely than their peers to face \u003ca href=\"http://pediatrics.aappublications.org/content/131/6/1206\" target=\"_blank\">chronic illness\u003c/a> and mental health problems, as well as\u003ca href=\"http://www.homelesschildrenamerica.org/\"> traumas\u003c/a> and safety risks, studies show.\u003c/p>\n\u003cp>\u003cstrong>Resources for Homeless Youth are Not Keeping Up\u003c/strong>\u003c/p>\n\u003cp>Shahera Hyatt directs the California Homeless Youth Project at the \u003ca href=\"https://www.library.ca.gov/crb/\" target=\"_blank\">California Research Bureau\u003c/a> in Sacramento. She supports Ammerman's experience as to why the state is seeing a lot more child, youth and family homelessness.\u003c/p>\n\u003cp>\"We know that housing affordability is in crisis proportions,\" says Hyatt. \"In many communities across the state there's rapid gentrification happening and a very low housing stock.\"\u003c/p>\n\u003cp>Homeless youth -- particularly those constantly on the streets or without any access to shelters -- risk sexual abuse, police harassment and substance addiction. Yet the state is woefully lacking in services and resources for this population, says Hyatt.\u003c/p>\n\u003cp>Sacramento has a single six-bed transitional housing center for young adults -- and a nine-month waiting list of about 100 people, says Hyatt. She added that two-thirds of the state's counties lack shelters and other basic services for homeless youth.\u003c/p>\n\u003cp>\"There’s a lot of mythology about why young people become homeless ... that they are unruly or want to live outside. But that's not true,\" says Hyatt. \"A lot of these people are really disenfranchised by the lack of services out there and become homeless.\"\u003c/p>\n\u003cp>Since 1988, California has spent $1.1 million annually on programs that serve homeless youth: the Homeless Youth and Exploitation Program and the California Youth Crisis Line, according to the California Coalition for Youth.\u003c/p>\n\u003cp>A bill introduced last month by Assemblywoman Young Kim, \u003ca href=\"https://ad65.asmrc.org/press-release/14533\" target=\"_blank\">AB1699\u003c/a>, would provide $25 million in funding for homeless youth emergency service projects. The bill's first hearing should be in the next two months, according to Bryan Shroyer in Kim's office.\u003c/p>\n\u003cp>\u003cstrong>Popularity of Mobile Clinics Increases\u003c/strong>\u003c/p>\n\u003cp>Meanwhile, mobile health clinics like Ammerman's in San Jose continue to fill a gap in access to care for uninsured youth. That model of delivering care directly to underserved populations has been gaining popularity nationwide.\u003c/p>\n\u003cp>In the last two decades, the number of mobile clinics has grown to about 2,000 throughout the country, according to the Mobile Health Clinics Association.\u003c/p>\n\u003cp>\"What we are seeing is greater acceptance that mobile care can be really high-quality care,\" says Dr. Delaney Gracy, chief medical officer with the Children's Health Fund. \"More people are realizing that mobile health is an important part of safety net care.\"\u003c/p>\n\u003cfigure id=\"attachment_146679\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-146679 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut.jpg\" alt=\"Ammerman fill a prescription for a patient. The teen health van provides medications for free.\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-1440x1080.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-960x720.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Ammerman fills a prescription for a patient. The teen health van provides medications for free. \u003ccite>(Farida Jhabvala Romero / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the teen health van's exam room, Ammerman is ending his consultation with Ernesto by handing him packages of nicotine gum, the medication Ernesto chose from several options to help him quit smoking. Before Ernesto leaves, Ammerman has one last question for first-time patients like him.\u003c/p>\n\u003cp>\"We literally ask each kid, 'What are you good at, what are your strengths?' And they're shocked at this question because no one's ever asked that before,\" says Ammerman.\u003c/p>\n\u003cp>When Ernesto's turn comes to answer, he thinks for a while before responding.\u003c/p>\n\u003cp>\"Um ... I like to work and stay busy,\" says Ernesto. \"And I motivate my brothers a lot, as much as I can.\"\u003c/p>\n\u003cp>\"Cool! That's a really cool thing,\" responds Ammerman.\u003c/p>\n\u003cp>As his patients successfully take steps to care for their health, says Ammerman, they also gain the confidence to tackle other goals, like getting steady housing.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"These kids have strengths, and by focusing on their strengths it can really make a difference. Because strength builds strength. And success builds success,\" says Ammerman.\u003c/p>\n\n","blocks":[],"excerpt":"Statewide, the rate of homeless public school students in grades K-12 jumped by one-third in just three years.","status":"publish","parent":0,"modified":1455749256,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":48,"wordCount":1899},"headData":{"title":"Mobile Clinics Serve California's Growing Homeless Youth Population | KQED","description":"Statewide, the rate of homeless public school students in grades K-12 jumped by one-third in just three years.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Mobile Clinics Serve California's Growing Homeless Youth Population","datePublished":"2016-02-15T14:57:04.000Z","dateModified":"2016-02-17T22:47:36.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"146345 http://ww2.kqed.org/stateofhealth/?p=146345","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/02/15/as-homeless-youth-population-grows-mobile-clinics-are-key-resource/","disqusTitle":"Mobile Clinics Serve California's Growing Homeless Youth Population","path":"/stateofhealth/146345/as-homeless-youth-population-grows-mobile-clinics-are-key-resource","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Seth Ammerman listens intently to his new patient. Ernesto, who does not want his last name disclosed, is homeless. Ernesto is earning a high school degree and working part time, but at night, he and his brother share a tent that they set up on San Jose streets. The daily stress of being homeless is wearing Ernesto out and making him light up too many cigarettes.\u003c/p>\n\u003caside class=\"pullquote alignright\">'These kids, because of all these access barriers — lack of insurance, lack of transportation — they’re not going to get this kind of care unless we go to them.'\u003ccite>Dr. Seth Ammerman, medical director, Stanford Teen Health Van \u003c/cite>\u003c/aside>\n\u003cp>“I just want to cut down on my smoking,” says Ernesto, 21, with a tentative, soft voice. “I’ve been on the streets all the time, you know? I just want to make sure I’m OK.”\u003c/p>\n\u003cp>That's why Ernesto walked into this mobile clinic parked just a few steps away from his classroom at the San Jose Conservation Corps & Charter School. He's sitting in a fully equipped exam room inside a shiny blue tour bus with Wi-Fi and the ability to get HIV test results in 20 minutes.\u003c/p>\n\u003cp>During the consultation with Ernesto, Ammerman nods sympathetically. In his 20 years working in this teen health van, Ammerman has treated thousands of uninsured and homeless adolescents ages 24 and under.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/247566086&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/247566086'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Twice a week, Ammerman and two nurses park the clinic at continuation high schools and other places frequented by at-risk adolescents in Santa Clara, San Mateo and San Francisco counties. The van is a community project of the Lucile Packard Children's Hospital Stanford and Children's Health Fund, with support from Samsung.\u003c/p>\n\u003cfigure id=\"attachment_146678\" class=\"wp-caption alignright\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-146678 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18410_IMG_9380.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">The teen health van parks at continuation high schools and other places frequented by adolescents in Santa Clara, San Mateo and San Francisco counties. Inside, patients are seen in two exam rooms and a nursing station. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The team provides free medical, nutrition and mental health services, including reproductive health care and treatment for chronic illnesses, substance abuse and depression. All medications are free and provided at the time of consultation. A social worker is available for counseling and connects adolescents to additional resources; a registered dietitian works with patients who are malnourished, a frequent health issue for this population.\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>Some of the 400 patients who visit the teen health van each year have never seen a doctor, says Ammerman.\u003c/p>\n\u003cp>“Going to the patients makes all the difference, and it's not just a matter of convenience,” says Ammerman, a clinical professor of adolescent medicine at Stanford University. “It really is that these kids, because of all these access barriers -- lack of insurance, lack of transportation -- they're not going to get this kind of care unless we go to them.”\u003c/p>\n\u003cp>For many patients here, the teen health van can become a trustworthy and reliable place in an otherwise unstable world.\u003c/p>\n\u003cp>Grace Kim first set foot in the van 10 years ago when she was 17. She admits she was skeptical.\u003c/p>\n\u003cp>\"Because it was a van, and I wasn't really sure what they could really provide for me,\" says Kim, 27. \"Off the bat I don't trust people very easily and that probably comes from the territory that I grew up in.\"\u003c/p>\n\u003cp>Kim, a second-generation Korean-American, says she grew up with abusive relatives in a house \"full of conflict.\" By the time she was 14, she had already attempted suicide. With the help of a high school counselor, Kim moved out of her parents' home into a transitional living program, which required her to get medical checkups at the van initially. For the next four years, Kim was a regular patient.\u003c/p>\n\u003cfigure id=\"attachment_147012\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-147012 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut.jpg\" alt=\"Grace Kim, 27, credits the teen health van with helping her overcome depression, malnutrition and other health issues when she 17. Kim was photographed near Santa Clara University, where she is a masters student.\" width=\"1920\" height=\"1280\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-1440x960.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18425_IMG_9465.JPG-qut-960x640.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Grace Kim credits the teen health van with helping her overcome depression and other health issues when she was 17. Kim was photographed near Santa Clara University, where she is a master's student in counseling psychology.\u003c/figcaption>\u003c/figure>\n\u003cp>Ammerman and other staff at the van treated Kim's malnutrition, substance abuse and other health issues. They connected her with free visits to see a psychiatrist at Stanford Medical Center who treated her depression, and she thrived.\u003c/p>\n\u003cp>\"If I didn't get that help, I would probably be in a very bad place,\" says Kim, now a master's student in counseling psychology at Santa Clara University. \"The whole mental health aspect of it was probably the most beneficial, probably the most powerful.\"\u003c/p>\n\u003cp>Today, Kim facilitates a support group for suicide survivors at Santa Clara Valley Medical Center and says her passion for her work comes from those dark days in her past. She still keeps in touch with Ammerman, calling him once in a while with health-related questions.\u003c/p>\n\u003cp>\"I trust him absolutely with everything because he's seen me at my worst, and he still to this day has the most faith in me,\" says Kim, adding that Ammerman motivated her to take care of herself and do better. \"To have someone care for you and tell you that you can get better and do anything that you put you heart into. ... I mean, there are no words for that.\"\u003c/p>\n\u003cp>Kim recognizes she was lucky to have access to housing, medical and mental health resources, but that may not be true for others.\u003c/p>\n\u003cp>\u003cstrong>Health Van Patients Often Face Precarious Housing\u003c/strong>\u003c/p>\n\u003cp>Over 40 percent of Stanford's teen health van patients are homeless, says Ammerman. These are adolescents up to age 25 living on the streets, in cars and, most commonly, overcrowded apartments. While doubling up with relatives or friends may sound like housing, it's not stable because people can be asked to leave at any time.\u003c/p>\n\u003cp>Ammerman says he's seen a significant increase in this population of teens and young adults -- those living in overcrowded conditions -- since 2008. Working families unable to make rent are more likely to end up in these challenging conditions.\u003c/p>\n\u003cp>\"We are seeing, unfortunately, more homeless kids. And that's really due to the housing crisis that we are all aware of here in the Bay Area,\" says Ammerman.\u003c/p>\n\u003cp>\u003cstrong>Homeless Youth Population Growing in California\u003c/strong>\u003c/p>\n\u003cp>Most Bay Area counties and the state as a whole are seeing a greater number of homeless kids in recent years, according to figures collected by the California Department of Education and crunched by \u003ca href=\"http://www.kidsdata.org/topic/230/homeless-students/table#fmt=355&loc=2,265,59,4,127,171,341,338,339,217&tf=79,73,67,64&sortType=asc\" target=\"_blank\">Kidsdata.org\u003c/a>. The education department designates students as \"homeless\" if their primary residence at any point in the school year was a:\u003c/p>\n\u003cul>\n\u003cli>Shelter\u003c/li>\n\u003cli>Hotel or motel\u003c/li>\n\u003cli>Shared housing with others due to loss of housing or economic hardship\u003c/li>\n\u003cli>No shelter at all.\u003c/li>\n\u003c/ul>\n\u003cp>Statewide, the rate of homeless public school students in grades K-12 jumped by one-third in just three years -- from 3.6 percent in 2011 to 4.8 percent in 2014. \u003ca href=\"http://www.kidsdata.org/topic/793/homeless-students-residence/table#fmt=1211&loc=2&tf=79,73,67,64&ch=1132,1133,1134,1135&sortColumnId=0&sortType=asc\" target=\"_blank\">More than 86 percent\u003c/a> of the nearly 300,000 homeless public school students statewide are living doubled up with friends or relatives.\u003c/p>\n\u003cp>\"So it's a very unstable housing situation, and that is always problematic for your health,\" says Ammerman.\u003c/p>\n\u003cp>Children and youth facing homelessness or housing insecurity are more likely than their peers to face \u003ca href=\"http://pediatrics.aappublications.org/content/131/6/1206\" target=\"_blank\">chronic illness\u003c/a> and mental health problems, as well as\u003ca href=\"http://www.homelesschildrenamerica.org/\"> traumas\u003c/a> and safety risks, studies show.\u003c/p>\n\u003cp>\u003cstrong>Resources for Homeless Youth are Not Keeping Up\u003c/strong>\u003c/p>\n\u003cp>Shahera Hyatt directs the California Homeless Youth Project at the \u003ca href=\"https://www.library.ca.gov/crb/\" target=\"_blank\">California Research Bureau\u003c/a> in Sacramento. She supports Ammerman's experience as to why the state is seeing a lot more child, youth and family homelessness.\u003c/p>\n\u003cp>\"We know that housing affordability is in crisis proportions,\" says Hyatt. \"In many communities across the state there's rapid gentrification happening and a very low housing stock.\"\u003c/p>\n\u003cp>Homeless youth -- particularly those constantly on the streets or without any access to shelters -- risk sexual abuse, police harassment and substance addiction. Yet the state is woefully lacking in services and resources for this population, says Hyatt.\u003c/p>\n\u003cp>Sacramento has a single six-bed transitional housing center for young adults -- and a nine-month waiting list of about 100 people, says Hyatt. She added that two-thirds of the state's counties lack shelters and other basic services for homeless youth.\u003c/p>\n\u003cp>\"There’s a lot of mythology about why young people become homeless ... that they are unruly or want to live outside. But that's not true,\" says Hyatt. \"A lot of these people are really disenfranchised by the lack of services out there and become homeless.\"\u003c/p>\n\u003cp>Since 1988, California has spent $1.1 million annually on programs that serve homeless youth: the Homeless Youth and Exploitation Program and the California Youth Crisis Line, according to the California Coalition for Youth.\u003c/p>\n\u003cp>A bill introduced last month by Assemblywoman Young Kim, \u003ca href=\"https://ad65.asmrc.org/press-release/14533\" target=\"_blank\">AB1699\u003c/a>, would provide $25 million in funding for homeless youth emergency service projects. The bill's first hearing should be in the next two months, according to Bryan Shroyer in Kim's office.\u003c/p>\n\u003cp>\u003cstrong>Popularity of Mobile Clinics Increases\u003c/strong>\u003c/p>\n\u003cp>Meanwhile, mobile health clinics like Ammerman's in San Jose continue to fill a gap in access to care for uninsured youth. That model of delivering care directly to underserved populations has been gaining popularity nationwide.\u003c/p>\n\u003cp>In the last two decades, the number of mobile clinics has grown to about 2,000 throughout the country, according to the Mobile Health Clinics Association.\u003c/p>\n\u003cp>\"What we are seeing is greater acceptance that mobile care can be really high-quality care,\" says Dr. Delaney Gracy, chief medical officer with the Children's Health Fund. \"More people are realizing that mobile health is an important part of safety net care.\"\u003c/p>\n\u003cfigure id=\"attachment_146679\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-146679 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut.jpg\" alt=\"Ammerman fill a prescription for a patient. The teen health van provides medications for free.\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-768x576.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-1440x1080.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-1180x885.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2016/02/RS18411_IMG_4503.JPG-qut-960x720.jpg 960w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Ammerman fills a prescription for a patient. The teen health van provides medications for free. \u003ccite>(Farida Jhabvala Romero / KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At the teen health van's exam room, Ammerman is ending his consultation with Ernesto by handing him packages of nicotine gum, the medication Ernesto chose from several options to help him quit smoking. Before Ernesto leaves, Ammerman has one last question for first-time patients like him.\u003c/p>\n\u003cp>\"We literally ask each kid, 'What are you good at, what are your strengths?' And they're shocked at this question because no one's ever asked that before,\" says Ammerman.\u003c/p>\n\u003cp>When Ernesto's turn comes to answer, he thinks for a while before responding.\u003c/p>\n\u003cp>\"Um ... I like to work and stay busy,\" says Ernesto. \"And I motivate my brothers a lot, as much as I can.\"\u003c/p>\n\u003cp>\"Cool! That's a really cool thing,\" responds Ammerman.\u003c/p>\n\u003cp>As his patients successfully take steps to care for their health, says Ammerman, they also gain the confidence to tackle other goals, like getting steady housing.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"These kids have strengths, and by focusing on their strengths it can really make a difference. Because strength builds strength. And success builds success,\" says Ammerman.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/146345/as-homeless-youth-population-grows-mobile-clinics-are-key-resource","authors":["8659"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_96","stateofhealth_333","stateofhealth_2519","stateofhealth_79"],"featImg":"stateofhealth_146677","label":"stateofhealth_2363"},"stateofhealth_59885":{"type":"posts","id":"stateofhealth_59885","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"59885","score":null,"sort":[1439328902000]},"guestAuthors":[],"slug":"homeless-in-mendocino-and-foraging-for-food","title":"Homeless in Mendocino and Foraging for Food","publishDate":1439328902,"format":"standard","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cp>Every Tuesday, the Mendocino Presbyterian Church offers free meals and showers to homeless locals. On this particular Tuesday, 30 or so visitors emerge from a church building carrying paper plates with scrambled eggs, pickles and bags of potato chips.\u003c/p>\n\u003cp>The once-a-week meal is welcome to regulars like Darion, who calls himself “Blackbird\" and declined to give his last name.\u003c/p>\n\u003cp>Unlike homeless people in urban areas with more options for meal programs and shelters, Blackbird has a very limited number of soup kitchens and other services nearby. Only the Mendocino Coast Hospitality Center in Fort Bragg, 10 miles up the road on Highway 1, offers daily breakfasts and dinners. Clients at the Fort Bragg Food Bank may pick up food bags just once per week.\u003c/p>\n\u003cp>So Blackbird turns to the wild to supplement his diet -- he forages edible plants and wild eggs in the headlands near the town of Mendocino.\u003c/p>\n\u003cp>“When I am hungry and I don’t have any money or no means of making food, I can always walk around and make a stew or a salad out of all the different plants,” he says. He has been living out of his backpack for 15 years and carries pots and pans to cook the food he gathers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/218666845\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Blackbird lists boysenberries, peaches, apples and garlic as some of the plants he relies on.\u003c/p>\n\u003cp>He wanders off a trail and stops by a plant he recognizes -- wild radish. He carefully picks a seed pod and munches on it. The radish grows underground.\u003c/p>\n\u003cp>Blackbird learned about foraging after he graduated from high school and left his family and started a nomadic life that he calls traveling -- living without a regular residence.\u003c/p>\n\u003cp>He says he wanted to get away from the people that fed his years-long methamphetamine addiction in San Luis Obispo. “I had to get away from my dealer and friends there,” he says.\u003c/p>\n\u003cp>Now 33, he says he shuns fast food and avoids anything with additives such as monosodium glutamate (MSG) if labeling is visible. He has ample time to forage, but the amount of food he can collect is still not enough to sustain himself. So, to the dismay of some local business owners, he heads to local dumpsters and digs for food on a regular basis as well.\u003c/p>\n\u003cp>\"A lot of businesses throw food [away] that's not even bad yet, and you can just jump in there and eat it,\" he says, adding that this is just part of his choice of lifestyle, just like living without a steady home or job. “I proved to myself that you don’t need money to live.”\u003c/p>\n\u003cfigure id=\"attachment_59890\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut.jpg\">\u003cimg class=\"size-medium wp-image-59890\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-800x800.jpg\" alt=\"The Mendocino Presbyterian Church has been serving meals once a week for over 25 years. \" width=\"800\" height=\"800\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-800x800.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-1440x1440.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-1180x1180.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-960x960.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-75x75.jpg 75w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Mendocino Presbyterian Church has been serving meals once a week for over 25 years. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Blackbird’s friend Evan Singer, 28, who used to be homeless, says he also learned to pick edible plants as a way to survive.\u003c/p>\n\u003cp>“I can eat three different things I’m looking at right now,” said Singer, as he gazed at the bushes by the trail leading to an ocean bluff. “Even if you are homeless this is the best place to be. Because I’ve been places where I didn’t eat for weeks, eating food off the ground in alleys, and now I’m in the redwoods looking at blooming flowers.”\u003c/p>\n\u003cp>The Northern California coast's temperate weather is a big plus for homeless people here, estimated at about \u003ca href=\"http://www.co.mendocino.ca.us/hhsa/pdf/Point-in-Time_Count_Report.pdf\" target=\"_blank\">1,000\u003c/a> by county officials. But Susan Holli, a board member of the Mendocino County Homeless Services Continuum of Care, says that estimate is low. She believes the real number is triple that -- with many living along the coast, mostly in the towns of Mendocino and Fort Bragg.\u003c/p>\n\u003cp>“The density of homelessness is very high here,” said Holli, noting that Fort Bragg and Mendocino's combined total population is about 8,200. “And we don’t have enough resources.”\u003c/p>\n\u003cp>Mendocino County has one of the highest \u003ca href=\"http://www.ppic.org/content/pubs/jtf/JTF_PovertyJTF.pdf\" target=\"_blank\">poverty rates\u003c/a> in the state, according to the Public Policy Institute of California. Finding healthy food on a regular basis can be tough for low-income residents in more remote communities such as Laytonville and Gualala. Fewer grocery stores exist there when compared to Ukiah, the county seat, or Fort Bragg.\u003c/p>\n\u003cp>Housing is even more challenging, Holli says. Along the 140 mile coastline only one 24-bed shelter is open, the Hospitality Center in Fort Bragg, and low income residents must compete for those spaces.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“(Mendocino) is a very pleasant place to live if you have enough to live on,\" said Laura Welter, executive director at Safe Passage Family Resource Center in Fort Bragg. \"If not, it’s really hard.”\u003c/p>\n\n","blocks":[],"excerpt":"Being homeless in rural California has both similar -- and distinct -- challenges than people in cities face.","status":"publish","parent":0,"modified":1439338018,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":860},"headData":{"title":"Homeless in Mendocino and Foraging for Food | KQED","description":"Being homeless in rural California has both similar -- and distinct -- challenges than people in cities face.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Homeless in Mendocino and Foraging for Food","datePublished":"2015-08-11T21:35:02.000Z","dateModified":"2015-08-12T00:06:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"59885 http://ww2.kqed.org/stateofhealth/?p=59885","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/08/11/homeless-in-mendocino-and-foraging-for-food/","disqusTitle":"Homeless in Mendocino and Foraging for Food","path":"/stateofhealth/59885/homeless-in-mendocino-and-foraging-for-food","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Every Tuesday, the Mendocino Presbyterian Church offers free meals and showers to homeless locals. On this particular Tuesday, 30 or so visitors emerge from a church building carrying paper plates with scrambled eggs, pickles and bags of potato chips.\u003c/p>\n\u003cp>The once-a-week meal is welcome to regulars like Darion, who calls himself “Blackbird\" and declined to give his last name.\u003c/p>\n\u003cp>Unlike homeless people in urban areas with more options for meal programs and shelters, Blackbird has a very limited number of soup kitchens and other services nearby. Only the Mendocino Coast Hospitality Center in Fort Bragg, 10 miles up the road on Highway 1, offers daily breakfasts and dinners. Clients at the Fort Bragg Food Bank may pick up food bags just once per week.\u003c/p>\n\u003cp>So Blackbird turns to the wild to supplement his diet -- he forages edible plants and wild eggs in the headlands near the town of Mendocino.\u003c/p>\n\u003cp>“When I am hungry and I don’t have any money or no means of making food, I can always walk around and make a stew or a salad out of all the different plants,” he says. He has been living out of his backpack for 15 years and carries pots and pans to cook the food he gathers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/218666845&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/218666845'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Blackbird lists boysenberries, peaches, apples and garlic as some of the plants he relies on.\u003c/p>\n\u003cp>He wanders off a trail and stops by a plant he recognizes -- wild radish. He carefully picks a seed pod and munches on it. The radish grows underground.\u003c/p>\n\u003cp>Blackbird learned about foraging after he graduated from high school and left his family and started a nomadic life that he calls traveling -- living without a regular residence.\u003c/p>\n\u003cp>He says he wanted to get away from the people that fed his years-long methamphetamine addiction in San Luis Obispo. “I had to get away from my dealer and friends there,” he says.\u003c/p>\n\u003cp>Now 33, he says he shuns fast food and avoids anything with additives such as monosodium glutamate (MSG) if labeling is visible. He has ample time to forage, but the amount of food he can collect is still not enough to sustain himself. So, to the dismay of some local business owners, he heads to local dumpsters and digs for food on a regular basis as well.\u003c/p>\n\u003cp>\"A lot of businesses throw food [away] that's not even bad yet, and you can just jump in there and eat it,\" he says, adding that this is just part of his choice of lifestyle, just like living without a steady home or job. “I proved to myself that you don’t need money to live.”\u003c/p>\n\u003cfigure id=\"attachment_59890\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut.jpg\">\u003cimg class=\"size-medium wp-image-59890\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-800x800.jpg\" alt=\"The Mendocino Presbyterian Church has been serving meals once a week for over 25 years. \" width=\"800\" height=\"800\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-800x800.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-400x400.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-1440x1440.jpg 1440w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-1180x1180.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-960x960.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/RS16314_IMG_3664-1.JPG-qut-75x75.jpg 75w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Mendocino Presbyterian Church has been serving meals once a week for over 25 years. \u003ccite>(Farida Jhabvala Romero/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Blackbird’s friend Evan Singer, 28, who used to be homeless, says he also learned to pick edible plants as a way to survive.\u003c/p>\n\u003cp>“I can eat three different things I’m looking at right now,” said Singer, as he gazed at the bushes by the trail leading to an ocean bluff. “Even if you are homeless this is the best place to be. Because I’ve been places where I didn’t eat for weeks, eating food off the ground in alleys, and now I’m in the redwoods looking at blooming flowers.”\u003c/p>\n\u003cp>The Northern California coast's temperate weather is a big plus for homeless people here, estimated at about \u003ca href=\"http://www.co.mendocino.ca.us/hhsa/pdf/Point-in-Time_Count_Report.pdf\" target=\"_blank\">1,000\u003c/a> by county officials. But Susan Holli, a board member of the Mendocino County Homeless Services Continuum of Care, says that estimate is low. She believes the real number is triple that -- with many living along the coast, mostly in the towns of Mendocino and Fort Bragg.\u003c/p>\n\u003cp>“The density of homelessness is very high here,” said Holli, noting that Fort Bragg and Mendocino's combined total population is about 8,200. “And we don’t have enough resources.”\u003c/p>\n\u003cp>Mendocino County has one of the highest \u003ca href=\"http://www.ppic.org/content/pubs/jtf/JTF_PovertyJTF.pdf\" target=\"_blank\">poverty rates\u003c/a> in the state, according to the Public Policy Institute of California. Finding healthy food on a regular basis can be tough for low-income residents in more remote communities such as Laytonville and Gualala. Fewer grocery stores exist there when compared to Ukiah, the county seat, or Fort Bragg.\u003c/p>\n\u003cp>Housing is even more challenging, Holli says. Along the 140 mile coastline only one 24-bed shelter is open, the Hospitality Center in Fort Bragg, and low income residents must compete for those spaces.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“(Mendocino) is a very pleasant place to live if you have enough to live on,\" said Laura Welter, executive director at Safe Passage Family Resource Center in Fort Bragg. \"If not, it’s really hard.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/59885/homeless-in-mendocino-and-foraging-for-food","authors":["8659"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_333"],"featImg":"stateofhealth_59887","label":"stateofhealth_2363"},"stateofhealth_23135":{"type":"posts","id":"stateofhealth_23135","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"23135","score":null,"sort":[1419270343000]},"guestAuthors":[],"slug":"video-san-francisco-homeless-veterans-get-permanent-place-to-live-250-kearney","title":"Video: San Francisco Homeless Veterans Get Permanent Place to Live","publishDate":1419270343,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cp>[vimeo 114609694 w=640 h=360]\u003c/p>\n\u003cp>\u003cstrong>By Katie Brigham\u003c/strong>\u003c/p>\n\u003cp>At 58 years old, Clarence Cook finally has a place of his own to call home.\u003c/p>\n\u003cp>Living on the streets of San Francisco since 1997, the Army veteran has been in and out of jail for more than three decades while battling a heroin addiction.\u003c/p>\n\u003cp>Today, Cook has been clean for six months. Earlier this month, he become one of the first 30 residents to move into 250 Kearny — a single-room-occupancy property on the edge of San Francisco's Financial District that has been newly renovated to house 130 homeless veterans.\u003c!--more-->\u003c/p>\n\u003cfigure id=\"attachment_23136\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/clarence1.jpg\">\u003cimg class=\"wp-image-23136 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/clarence1-640x360.jpg\" alt=\"Clarence Cook moves into his brand new apartment at 250 Kearny, with the help of his girlfriend Lynette Baldwin. (Adam Grossberg/KQED)\" width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Clarence Cook moves into his brand-new apartment at 250 Kearny, with the help of his girlfriend, Lynette Baldwin. (Adam Grossberg/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>“I feel more of a sense of independence by having my own key,” Cook said. “Now I will have the opportunity to get me some employment … and give back to society, for giving me a second chance.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The former Stanford Hotel has been under construction since 2010 after a notorious past as one of the worst SROs in the city. It was mostly vacant, and filled with debris left by squatters, before it was bought and renovated by real estate developer Sam Patel.\u003c/p>\n\u003cp>Persuaded by San Francisco’s goal of ending veteran homelessness, Patel chose to rent the building to the city even though there were eight other bidders, some of whom were willing to pay 25 percent more than what the city offered. He and partner Sam Devdhara invested $10 million in improving the property. They have\u003ca title=\"http://www.beyondchron.org/transformed-horror-show-sro/\" href=\"http://www.beyondchron.org/transformed-horror-show-sro/\" target=\"_blank\"> a history of supporting housing for homeless people\u003c/a>.\u003c/p>\n\u003cp>It was a major triumph for the city, the U.S. Department of Veterans Affairs, related veterans service organizations and community partners, all of whom worked together to secure funding for the lease.\u003c/p>\n\u003cp>Eager for a new beginning, Cook is the type of chronically homeless veteran that the city and the VA targeted for residency at 250 Kearny.\u003c/p>\n\u003cp>“Once someone who is highly vulnerable moves into independent housing, they are significantly more likely to be successful in all other areas of their life,” said Miriam Beyer, a social work supervisor for the Department of Housing and Urban Development Veterans Affairs Supportive Housing program.\u003c/p>\n\u003cp>Beyer explains that research within the last 20 years supports “housing-first principles.” This is the idea that the most effective solution for chronic homelessness is moving individuals straight from the streets into stable housing, as opposed to a \"housing-readiness\" philosophy, which moves people through different levels of transitional housing.\u003c/p>\n\u003cp>“Once somebody has a home that’s consistent, that’s stable, they’re able to work on all of those other tasks that are not immediately related to survival on the streets,” Beyer said.\u003c/p>\n\u003cfigure id=\"attachment_23137\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/clarence2.jpg\">\u003cimg class=\"size-large wp-image-23137\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/clarence2-640x359.jpg\" alt=\"After living on the streets for seventeen years, Clarence Cook moved into a 250 Kearny on December 4th. (Adam Grossberg/KQED)\" width=\"640\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">After living on the streets for 17 years, Clarence Cook moved into permanent housing earlier this month. (Adam Grossberg/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Bevan Dufty, director of Housing Opportunity, Partnerships and Engagement for the City and County of San Francisco, estimated that there are 700 homeless veterans in San Francisco. About 375 of them applied for the 130 slots available at 250 Kearny.\u003c/p>\n\u003cp>Those selected had been homeless the longest and have the highest need for the comprehensive services and on-site social workers that 250 Kearny provides.\u003c/p>\n\u003cp>Cook said it’s also important that 250 Kearny is located outside the Tenderloin, where drugs and violence are rampant. “A lot of veterans, including myself, we may have problems with different chemicals. By being outside, it gives you a better chance at staying clean.”\u003c/p>\n\u003cp>At last, Cook seems on track to achieve this goal. He is engaged to his girlfriend of 14 months, Lynette Baldwin, who helped him through a relapse and inspired him to stay sober.\u003c/p>\n\u003cp>Now that Cook has a stable address, he is eager to find employment. He says he could see himself as a truck driver, but he’s not picky. “As long as it’s work that’s honest,” he says.\u003c/p>\n\u003cp>As veterans like Cook search for new jobs, they need not fear getting behind on rent. Though rooms at 250 Kearny go for $1,190 per month, residents are required to pay only 30 percent of their income in rent. If they are still searching for work, their rent will be covered in the meantime.\u003c/p>\n\u003cp>The remainder is covered with housing vouchers from Veterans Affairs Supportive Housing, a partnership between the VA and U.S. Department of Housing and Urban Development.\u003c/p>\n\u003cp>Cook says he wishes every veteran were afforded this opportunity to get back on their feet, and hopes those who are struggling can find hope in his story.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It just might save someone young, it just might save them to hear an old veteran, convict, dope user, stopped and turned his life around. It’s never too late.”\u003c/p>\n\n","blocks":[],"excerpt":"Newly renovated building at 250 Kearny in San Francisco now houses 130 veterans.","status":"publish","parent":0,"modified":1419611567,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":831},"headData":{"title":"Video: San Francisco Homeless Veterans Get Permanent Place to Live | KQED","description":"Newly renovated building at 250 Kearny in San Francisco now houses 130 veterans.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Video: San Francisco Homeless Veterans Get Permanent Place to Live","datePublished":"2014-12-22T17:45:43.000Z","dateModified":"2014-12-26T16:32:47.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"23135 http://blogs.kqed.org/stateofhealth/?p=23135","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/12/22/video-san-francisco-homeless-veterans-get-permanent-place-to-live-250-kearney/","disqusTitle":"Video: San Francisco Homeless Veterans Get Permanent Place to Live","path":"/stateofhealth/23135/video-san-francisco-homeless-veterans-get-permanent-place-to-live-250-kearney","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"vimeo","attributes":{"named":{"w":"640","h":"360","label":"114609694"},"numeric":["114609694"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>By Katie Brigham\u003c/strong>\u003c/p>\n\u003cp>At 58 years old, Clarence Cook finally has a place of his own to call home.\u003c/p>\n\u003cp>Living on the streets of San Francisco since 1997, the Army veteran has been in and out of jail for more than three decades while battling a heroin addiction.\u003c/p>\n\u003cp>Today, Cook has been clean for six months. Earlier this month, he become one of the first 30 residents to move into 250 Kearny — a single-room-occupancy property on the edge of San Francisco's Financial District that has been newly renovated to house 130 homeless veterans.\u003c!--more-->\u003c/p>\n\u003cfigure id=\"attachment_23136\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/clarence1.jpg\">\u003cimg class=\"wp-image-23136 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/clarence1-640x360.jpg\" alt=\"Clarence Cook moves into his brand new apartment at 250 Kearny, with the help of his girlfriend Lynette Baldwin. (Adam Grossberg/KQED)\" width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Clarence Cook moves into his brand-new apartment at 250 Kearny, with the help of his girlfriend, Lynette Baldwin. (Adam Grossberg/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>“I feel more of a sense of independence by having my own key,” Cook said. “Now I will have the opportunity to get me some employment … and give back to society, for giving me a second chance.”\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 former Stanford Hotel has been under construction since 2010 after a notorious past as one of the worst SROs in the city. It was mostly vacant, and filled with debris left by squatters, before it was bought and renovated by real estate developer Sam Patel.\u003c/p>\n\u003cp>Persuaded by San Francisco’s goal of ending veteran homelessness, Patel chose to rent the building to the city even though there were eight other bidders, some of whom were willing to pay 25 percent more than what the city offered. He and partner Sam Devdhara invested $10 million in improving the property. They have\u003ca title=\"http://www.beyondchron.org/transformed-horror-show-sro/\" href=\"http://www.beyondchron.org/transformed-horror-show-sro/\" target=\"_blank\"> a history of supporting housing for homeless people\u003c/a>.\u003c/p>\n\u003cp>It was a major triumph for the city, the U.S. Department of Veterans Affairs, related veterans service organizations and community partners, all of whom worked together to secure funding for the lease.\u003c/p>\n\u003cp>Eager for a new beginning, Cook is the type of chronically homeless veteran that the city and the VA targeted for residency at 250 Kearny.\u003c/p>\n\u003cp>“Once someone who is highly vulnerable moves into independent housing, they are significantly more likely to be successful in all other areas of their life,” said Miriam Beyer, a social work supervisor for the Department of Housing and Urban Development Veterans Affairs Supportive Housing program.\u003c/p>\n\u003cp>Beyer explains that research within the last 20 years supports “housing-first principles.” This is the idea that the most effective solution for chronic homelessness is moving individuals straight from the streets into stable housing, as opposed to a \"housing-readiness\" philosophy, which moves people through different levels of transitional housing.\u003c/p>\n\u003cp>“Once somebody has a home that’s consistent, that’s stable, they’re able to work on all of those other tasks that are not immediately related to survival on the streets,” Beyer said.\u003c/p>\n\u003cfigure id=\"attachment_23137\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/clarence2.jpg\">\u003cimg class=\"size-large wp-image-23137\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/clarence2-640x359.jpg\" alt=\"After living on the streets for seventeen years, Clarence Cook moved into a 250 Kearny on December 4th. (Adam Grossberg/KQED)\" width=\"640\" height=\"359\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">After living on the streets for 17 years, Clarence Cook moved into permanent housing earlier this month. (Adam Grossberg/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Bevan Dufty, director of Housing Opportunity, Partnerships and Engagement for the City and County of San Francisco, estimated that there are 700 homeless veterans in San Francisco. About 375 of them applied for the 130 slots available at 250 Kearny.\u003c/p>\n\u003cp>Those selected had been homeless the longest and have the highest need for the comprehensive services and on-site social workers that 250 Kearny provides.\u003c/p>\n\u003cp>Cook said it’s also important that 250 Kearny is located outside the Tenderloin, where drugs and violence are rampant. “A lot of veterans, including myself, we may have problems with different chemicals. By being outside, it gives you a better chance at staying clean.”\u003c/p>\n\u003cp>At last, Cook seems on track to achieve this goal. He is engaged to his girlfriend of 14 months, Lynette Baldwin, who helped him through a relapse and inspired him to stay sober.\u003c/p>\n\u003cp>Now that Cook has a stable address, he is eager to find employment. He says he could see himself as a truck driver, but he’s not picky. “As long as it’s work that’s honest,” he says.\u003c/p>\n\u003cp>As veterans like Cook search for new jobs, they need not fear getting behind on rent. Though rooms at 250 Kearny go for $1,190 per month, residents are required to pay only 30 percent of their income in rent. If they are still searching for work, their rent will be covered in the meantime.\u003c/p>\n\u003cp>The remainder is covered with housing vouchers from Veterans Affairs Supportive Housing, a partnership between the VA and U.S. Department of Housing and Urban Development.\u003c/p>\n\u003cp>Cook says he wishes every veteran were afforded this opportunity to get back on their feet, and hopes those who are struggling can find hope in his story.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It just might save someone young, it just might save them to hear an old veteran, convict, dope user, stopped and turned his life around. It’s never too late.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/23135/video-san-francisco-homeless-veterans-get-permanent-place-to-live-250-kearney","authors":["8344"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_333"],"featImg":"stateofhealth_23152","label":"stateofhealth_2363"},"stateofhealth_20600":{"type":"posts","id":"stateofhealth_20600","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"20600","score":null,"sort":[1408111243000]},"guestAuthors":[],"slug":"old-muni-buses-reborn-as-mobile-showers-for-homeless","title":"Old Muni Buses Are Reborn as Mobile Showers for the Homeless","publishDate":1408111243,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_20652\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/LavaMae-e1407548749650.jpg\">\u003cimg class=\"size-large wp-image-20652\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/LavaMae-640x426.jpg\" alt=\"Doniece Sandoval is the founder of Lava Mae, a mobile shower service for homeless people.\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Doniece Sandoval is the founder of Lava Mae, a mobile shower service for homeless people. (Lynne Shallcross/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lynne Shallcross\u003c/strong>\u003c/p>\n\u003cp>Showering is a daily routine that most of us probably take for granted. But for people living on the streets or in shelters in San Francisco, finding a shower can be one of the biggest daily challenges.\u003c/p>\n\u003caside class=\"pullquote alignleft\">'Then no one has to know you’re homeless unless you tell them.'\u003c/aside>\n\u003cp>For the more than 3,000 unsheltered homeless people in San Francisco, there are only roughly 20 showers available — fewer if any are out of service. Then there are the logistics of sign-up lists, limited hours, waiting lines and figuring out how to get there.\u003c/p>\n\u003cp>Doniece Sandoval, a marketing and communications professional and South Texas native, had seen plenty of shower-less homeless in her two decades in San Francisco. But when she passed a young homeless woman on the street who was crying that she’d never be clean, Sandoval decided to do something about it.\u003c/p>\n\u003cp>So she hatched the idea for \u003ca href=\"http://www.lavamae.org\" target=\"_blank\">Lava Mae\u003c/a>, a new service that provides showers in a retrofitted, retired Muni bus. Lava Mae, a play on the Spanish word for “wash me,” is in the pilot phase of its service.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lava Mae’s first day in the Bayview District was last week, and 52-year-old Demetri, who declined to give his last name, was among the first to shower. Demetri said he has been homeless on and off for a decade.\u003c/p>\n\u003cp>“I think a lot of times, homeless people get depressed because those things that people take for granted — having a place to lay down, having a place to wash your clothes, having a place to shower — if they’re not available, it can really bring your spirits down,” he said.\u003c/p>\n\u003cp>After 20 minutes inside the retrofitted 1993 N-Judah bus — which now has two separate shower-and-bathroom stations — Demetri stepped out refreshed. “It was like showering in a nice hotel,” he said. “On a scale of 1 to 10, it’s 11.”\u003c/p>\n\u003cfigure id=\"attachment_20818\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/IMG_2032.jpeg\">\u003cimg class=\"size-medium wp-image-20818\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/IMG_2032-300x200.jpeg\" alt=\"San Francisco donated four retired Muni buses to Lava Mae. (Lynne Shallcross/KQED)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco donated four retired Muni buses to Lava Mae. (Lynne Shallcross/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>While showers are “extremely important,” Demetri said, they can be a logistical challenge. And when you go days without showering or washing your clothes, it wears on you mentally, he said.\u003c/p>\n\u003cp>“You start to avoid people subconsciously. You don’t go to the library or you don’t go for the job interviews or you don’t go for the resources. So what happens is that you just start to pull away. But you know, if you can wash your clothes and take a shower and brush your teeth, then no one has to know you’re homeless unless you tell them. So it’s a huge thing. Huge.”\u003c/p>\n\u003cp>Demetri’s comment points straight to Lava Mae’s mission, which is to bring dignity through hygiene — and opportunity through dignity. “We’re doing this because we think people have the right to be clean,” Sandoval said. “But at the end of the day, if what that does is remove barriers for people to interview for jobs, to apply for housing, then that is amazing.”\u003c/p>\n\u003cp>In October, soon after she launched a fundraising campaign to raise the $75,000 needed to retrofit the first Muni bus, Sandoval challenged herself \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/10/empathizing-with-the-homeless-san-francisco-woman-goes-a-week-without-a-shower/\" target=\"_blank\">to go a week without a shower\u003c/a>. “You’re supposed to think about these publicity stunts to raise visibility, but it was also a chance for me to kind of step in, in a very small way, to the shoes of the people that we would be serving.”\u003c/p>\n\u003cp>A self-described “clean freak,” Sandoval said she was already feeling “unsettled” by Day Two. When Day Seven arrived and she was able to take a shower, she cried.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/162166256\"]\u003c/p>\n\u003cp>“In a small way, I really understood what it was like. I kept thinking, what if I was sleeping on the sidewalks, what if I had to put on the same clothes? All of these things occurred to me, and it was just so powerful. And so, when we’re out here with our guests and making it possible for them to have a shower, it drives it home for me every single time.”\u003c/p>\n\u003cp>The idea for Lava Mae came together as Sandoval thought about the popularity of food trucks, wondering why gourmet food could travel on wheels but not showers. As she researched the idea, she found other communities in the country that had transformed horse trailers and mobile homes into mobile showers.\u003c/p>\n\u003cp>At the same time, Sandoval read in the news that San Francisco was planning to replace its old Muni diesel buses. “That’s when everything went, ‘Ding, ding, ding, ding, ding!’ We’ve got to get a Muni bus.”\u003c/p>\n\u003cp>The city donated four retired buses to Lava Mae, and Sandoval is hoping to do more fundraising this fall, with the goal of retrofitting at least one more bus.\u003c/p>\n\u003cfigure id=\"attachment_20813\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/shower.jpeg\">\u003cimg class=\"wp-image-20813 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/shower-640x426.jpeg\" alt=\"The bus is equipped with two shower suites. This one is accessible for the disabled. (Lynne Shallcross/KQED)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The bus is equipped with two shower suites. This one is accessible for the disabled. (Lynne Shallcross/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Retrofitting the buses means adding two shower “suites,” one of which is accessible for the disabled. Each has a shower, toilet, sink and hair dryer. Dr. Bronner’s is donating the soap, and Kohler donated and installed the bathroom fixtures. For water, Lava Mae hooks up to city fire hydrants at each location and uses an on-board water heater.\u003c/p>\n\u003cp>Lava Mae is now serving the Tenderloin, Bayview and Mission districts and is operating three days a week. After the pilot phase wraps up at the end of the year, Sandoval hopes to increase service to five days a week.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In addition to planning the expansion of Lava Mae within San Francisco, Sandoval is also spending time replying to people from all over the country and the world who have heard about Lava Mae and want to bring it to their cities. More than 50 cities have reached out to Sandoval so far -- everywhere from Sao Paolo and Sydney to Washington, D.C., and Orlando, Florida.\u003c/p>\n\n","blocks":[],"excerpt":"When Doniece Sandoval passed a homeless woman who was crying that she’d never be clean, she took action.","status":"publish","parent":0,"modified":1427736063,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":1071},"headData":{"title":"Old Muni Buses Are Reborn as Mobile Showers for the Homeless | KQED","description":"When Doniece Sandoval passed a homeless woman who was crying that she’d never be clean, she took action.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Old Muni Buses Are Reborn as Mobile Showers for the Homeless","datePublished":"2014-08-15T14:00:43.000Z","dateModified":"2015-03-30T17:21:03.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"20600 http://blogs.kqed.org/stateofhealth/?p=20600","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/08/15/old-muni-buses-reborn-as-mobile-showers-for-homeless/","disqusTitle":"Old Muni Buses Are Reborn as Mobile Showers for the Homeless","path":"/stateofhealth/20600/old-muni-buses-reborn-as-mobile-showers-for-homeless","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20652\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/LavaMae-e1407548749650.jpg\">\u003cimg class=\"size-large wp-image-20652\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/LavaMae-640x426.jpg\" alt=\"Doniece Sandoval is the founder of Lava Mae, a mobile shower service for homeless people.\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Doniece Sandoval is the founder of Lava Mae, a mobile shower service for homeless people. (Lynne Shallcross/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lynne Shallcross\u003c/strong>\u003c/p>\n\u003cp>Showering is a daily routine that most of us probably take for granted. But for people living on the streets or in shelters in San Francisco, finding a shower can be one of the biggest daily challenges.\u003c/p>\n\u003caside class=\"pullquote alignleft\">'Then no one has to know you’re homeless unless you tell them.'\u003c/aside>\n\u003cp>For the more than 3,000 unsheltered homeless people in San Francisco, there are only roughly 20 showers available — fewer if any are out of service. Then there are the logistics of sign-up lists, limited hours, waiting lines and figuring out how to get there.\u003c/p>\n\u003cp>Doniece Sandoval, a marketing and communications professional and South Texas native, had seen plenty of shower-less homeless in her two decades in San Francisco. But when she passed a young homeless woman on the street who was crying that she’d never be clean, Sandoval decided to do something about it.\u003c/p>\n\u003cp>So she hatched the idea for \u003ca href=\"http://www.lavamae.org\" target=\"_blank\">Lava Mae\u003c/a>, a new service that provides showers in a retrofitted, retired Muni bus. Lava Mae, a play on the Spanish word for “wash me,” is in the pilot phase of its service.\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>Lava Mae’s first day in the Bayview District was last week, and 52-year-old Demetri, who declined to give his last name, was among the first to shower. Demetri said he has been homeless on and off for a decade.\u003c/p>\n\u003cp>“I think a lot of times, homeless people get depressed because those things that people take for granted — having a place to lay down, having a place to wash your clothes, having a place to shower — if they’re not available, it can really bring your spirits down,” he said.\u003c/p>\n\u003cp>After 20 minutes inside the retrofitted 1993 N-Judah bus — which now has two separate shower-and-bathroom stations — Demetri stepped out refreshed. “It was like showering in a nice hotel,” he said. “On a scale of 1 to 10, it’s 11.”\u003c/p>\n\u003cfigure id=\"attachment_20818\" class=\"wp-caption alignright\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/IMG_2032.jpeg\">\u003cimg class=\"size-medium wp-image-20818\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/IMG_2032-300x200.jpeg\" alt=\"San Francisco donated four retired Muni buses to Lava Mae. (Lynne Shallcross/KQED)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">San Francisco donated four retired Muni buses to Lava Mae. (Lynne Shallcross/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>While showers are “extremely important,” Demetri said, they can be a logistical challenge. And when you go days without showering or washing your clothes, it wears on you mentally, he said.\u003c/p>\n\u003cp>“You start to avoid people subconsciously. You don’t go to the library or you don’t go for the job interviews or you don’t go for the resources. So what happens is that you just start to pull away. But you know, if you can wash your clothes and take a shower and brush your teeth, then no one has to know you’re homeless unless you tell them. So it’s a huge thing. Huge.”\u003c/p>\n\u003cp>Demetri’s comment points straight to Lava Mae’s mission, which is to bring dignity through hygiene — and opportunity through dignity. “We’re doing this because we think people have the right to be clean,” Sandoval said. “But at the end of the day, if what that does is remove barriers for people to interview for jobs, to apply for housing, then that is amazing.”\u003c/p>\n\u003cp>In October, soon after she launched a fundraising campaign to raise the $75,000 needed to retrofit the first Muni bus, Sandoval challenged herself \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/10/empathizing-with-the-homeless-san-francisco-woman-goes-a-week-without-a-shower/\" target=\"_blank\">to go a week without a shower\u003c/a>. “You’re supposed to think about these publicity stunts to raise visibility, but it was also a chance for me to kind of step in, in a very small way, to the shoes of the people that we would be serving.”\u003c/p>\n\u003cp>A self-described “clean freak,” Sandoval said she was already feeling “unsettled” by Day Two. When Day Seven arrived and she was able to take a shower, she cried.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='undefined' height='undefined'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/162166256&visual=true&undefined'\n title='https://api.soundcloud.com/tracks/162166256'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“In a small way, I really understood what it was like. I kept thinking, what if I was sleeping on the sidewalks, what if I had to put on the same clothes? All of these things occurred to me, and it was just so powerful. And so, when we’re out here with our guests and making it possible for them to have a shower, it drives it home for me every single time.”\u003c/p>\n\u003cp>The idea for Lava Mae came together as Sandoval thought about the popularity of food trucks, wondering why gourmet food could travel on wheels but not showers. As she researched the idea, she found other communities in the country that had transformed horse trailers and mobile homes into mobile showers.\u003c/p>\n\u003cp>At the same time, Sandoval read in the news that San Francisco was planning to replace its old Muni diesel buses. “That’s when everything went, ‘Ding, ding, ding, ding, ding!’ We’ve got to get a Muni bus.”\u003c/p>\n\u003cp>The city donated four retired buses to Lava Mae, and Sandoval is hoping to do more fundraising this fall, with the goal of retrofitting at least one more bus.\u003c/p>\n\u003cfigure id=\"attachment_20813\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/shower.jpeg\">\u003cimg class=\"wp-image-20813 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/shower-640x426.jpeg\" alt=\"The bus is equipped with two shower suites. This one is accessible for the disabled. (Lynne Shallcross/KQED)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The bus is equipped with two shower suites. This one is accessible for the disabled. (Lynne Shallcross/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Retrofitting the buses means adding two shower “suites,” one of which is accessible for the disabled. Each has a shower, toilet, sink and hair dryer. Dr. Bronner’s is donating the soap, and Kohler donated and installed the bathroom fixtures. For water, Lava Mae hooks up to city fire hydrants at each location and uses an on-board water heater.\u003c/p>\n\u003cp>Lava Mae is now serving the Tenderloin, Bayview and Mission districts and is operating three days a week. After the pilot phase wraps up at the end of the year, Sandoval hopes to increase service to five days a week.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>In addition to planning the expansion of Lava Mae within San Francisco, Sandoval is also spending time replying to people from all over the country and the world who have heard about Lava Mae and want to bring it to their cities. More than 50 cities have reached out to Sandoval so far -- everywhere from Sao Paolo and Sydney to Washington, D.C., and Orlando, Florida.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/20600/old-muni-buses-reborn-as-mobile-showers-for-homeless","authors":["8344"],"categories":["stateofhealth_11"],"tags":["stateofhealth_333"],"featImg":"stateofhealth_20652","label":"stateofhealth"},"stateofhealth_17878":{"type":"posts","id":"stateofhealth_17878","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"17878","score":null,"sort":[1393608711000]},"guestAuthors":[],"slug":"homeless-veteran-battles-cancer","title":"Life on the Street: Homeless Vietnam Veteran Fights Cancer","publishDate":1393608711,"format":"aside","headTitle":"Vital Signs | State of Health | KQED News","labelTerm":{"term":2363,"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_17879\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/IMG_5746-e1393375323447.jpg\">\u003cimg class=\"size-large wp-image-17879 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/IMG_5746-640x426.jpg\" alt=\"IMG_5746\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">John Buckingham, 62, a homeless Vietnam veteran, stands outside of a San Francisco grocery store. He lives on the streets and is fighting cancer. (Nick Arce/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s Note: For the nearly three million Americans who served in Vietnam, more likely than death in combat was a post-war life on the street. On a single night in 2013, more than 15,000 homeless Californians were veterans, many of whom served in Vietnam. As part of our ongoing health series called \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Vital Signs\u003c/a>, we’re spending the month hearing from homeless Californians. John Buckingham is a 62-year-old homeless Vietnam vet living with cancer on the streets of San Francisco. He talks to us about his battle with illness. \u003cstrong>Reporter: Nick Arce\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By John Buckingham\u003c/strong>\u003c/p>\n\u003cp>You know, I can be walking and all of a sudden I’ll get this real heavy pain in my body. I mean, like an earthquake hitting the ground and my whole body shakes. And then, all of sudden, I won’t feel so hot. I’ll feel like these cold and hot flashes. And I’ll see things.\u003c/p>\n\u003cp>It’s all because of the war. Because of Agent Orange.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\"> There are roughly 1,845,000 veterans living in the state, according to the California Department of Veterans Affairs.\n\u003cp>\"Veterans are far more likely to experience homelessness than other Americans,\" states the US Department of Housing and Urban Development website.\u003c/p>\u003c/aside>\n\u003cp>I’m a Vietnam vet. I don’t look my age. I don’t act my age. And I left that war behind me. There’s too many skeletons I do not like talking about because it brings up nightmares that I react to. You know, they got me on medications for that.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>My illness is pancreatic cancer and bone marrow cancer.\u003c/p>\n\u003cp>I told my doctor I said, there ain’t nothing you can do. I already know it. But there’s also a hope that they can find a cure to help the young ones that are battling the same disease.\u003c/p>\n\u003cp>The hardest thing is: not knowing what’s going to happen to you. That’s the hardest thing. What happens after you’re gone? Whose heart did you touch? Did you get it done right? Is there anything that you could have done better?\u003c/p>\n\u003cfigure id=\"attachment_17885\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/em_summer12_1_3.jpg\">\u003cimg class=\"size-medium wp-image-17885 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/em_summer12_1_3-300x189.jpg\" alt=\"em_summer12_1_3\" width=\"300\" height=\"189\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">This graphic shows data for veterans who spent at least one night in an emergency shelter or transitional housing facility between October 1, 2009 and September 30, 2010. (Source: U.S. Department of Housing and Urban Development)\u003c/figcaption>\u003c/figure>\n\u003cp>They give me these dang gone pills. And I tell you, they make you tired at times, but they amp you up. I don’t feel the pain as much. It numbs my whole system.\u003c/p>\n\u003cp>People think I’m drunk or high. Yeah, I’m high; I’m high on pills that the medical world give ya.\u003c/p>\n\u003cp>[A few weeks ago,] I was asleep. I woke up. My medicine, my bag was gone. The medicine for my cancer itself. Who the hell took it? Some other white guy--who’s on speed.\u003c/p>\n\u003cp>I’m the poor guy you don’t hear about. You don’t want to know about. Yes, you need to know about. Because you walk across my path all the day. Every day. You will see me; but will you know me?\u003c/p>\n\u003cp>\u003cstrong>Listen to Buckingham's story:\u003c/strong>\u003cbr>\n\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/137220535&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Listen to more Vital Signs stories and see your own story online by contributing to the series.\u003c/a>\u003c/p>\n\n","blocks":[],"excerpt":"You know, I can be walking and all of a sudden I’ll get this real heavy pain in my body. I mean, like an earthquake hitting the ground and my whole body shakes. And then, all of sudden, I won’t feel so hot. I’ll feel like these cold and hot flashes. And I’ll see things.\r\n\r\nIt’s all because of the war. ","status":"publish","parent":0,"modified":1398723658,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":603},"headData":{"title":"Life on the Street: Homeless Vietnam Veteran Fights Cancer | KQED","description":"You know, I can be walking and all of a sudden I’ll get this real heavy pain in my body. I mean, like an earthquake hitting the ground and my whole body shakes. And then, all of sudden, I won’t feel so hot. I’ll feel like these cold and hot flashes. And I’ll see things.\r\n\r\nIt’s all because of the war. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Life on the Street: Homeless Vietnam Veteran Fights Cancer","datePublished":"2014-02-28T17:31:51.000Z","dateModified":"2014-04-28T22:20:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"17878 http://blogs.kqed.org/stateofhealth/?p=17878","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/02/28/homeless-veteran-battles-cancer/","disqusTitle":"Life on the Street: Homeless Vietnam Veteran Fights Cancer","path":"/stateofhealth/17878/homeless-veteran-battles-cancer","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17879\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/IMG_5746-e1393375323447.jpg\">\u003cimg class=\"size-large wp-image-17879 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/IMG_5746-640x426.jpg\" alt=\"IMG_5746\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">John Buckingham, 62, a homeless Vietnam veteran, stands outside of a San Francisco grocery store. He lives on the streets and is fighting cancer. (Nick Arce/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor’s Note: For the nearly three million Americans who served in Vietnam, more likely than death in combat was a post-war life on the street. On a single night in 2013, more than 15,000 homeless Californians were veterans, many of whom served in Vietnam. As part of our ongoing health series called \u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Vital Signs\u003c/a>, we’re spending the month hearing from homeless Californians. John Buckingham is a 62-year-old homeless Vietnam vet living with cancer on the streets of San Francisco. He talks to us about his battle with illness. \u003cstrong>Reporter: Nick Arce\u003c/strong>\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>By John Buckingham\u003c/strong>\u003c/p>\n\u003cp>You know, I can be walking and all of a sudden I’ll get this real heavy pain in my body. I mean, like an earthquake hitting the ground and my whole body shakes. And then, all of sudden, I won’t feel so hot. I’ll feel like these cold and hot flashes. And I’ll see things.\u003c/p>\n\u003cp>It’s all because of the war. Because of Agent Orange.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003caside class=\"pullquote alignleft\"> There are roughly 1,845,000 veterans living in the state, according to the California Department of Veterans Affairs.\n\u003cp>\"Veterans are far more likely to experience homelessness than other Americans,\" states the US Department of Housing and Urban Development website.\u003c/p>\u003c/aside>\n\u003cp>I’m a Vietnam vet. I don’t look my age. I don’t act my age. And I left that war behind me. There’s too many skeletons I do not like talking about because it brings up nightmares that I react to. You know, they got me on medications for that.\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>My illness is pancreatic cancer and bone marrow cancer.\u003c/p>\n\u003cp>I told my doctor I said, there ain’t nothing you can do. I already know it. But there’s also a hope that they can find a cure to help the young ones that are battling the same disease.\u003c/p>\n\u003cp>The hardest thing is: not knowing what’s going to happen to you. That’s the hardest thing. What happens after you’re gone? Whose heart did you touch? Did you get it done right? Is there anything that you could have done better?\u003c/p>\n\u003cfigure id=\"attachment_17885\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/em_summer12_1_3.jpg\">\u003cimg class=\"size-medium wp-image-17885 \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/em_summer12_1_3-300x189.jpg\" alt=\"em_summer12_1_3\" width=\"300\" height=\"189\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">This graphic shows data for veterans who spent at least one night in an emergency shelter or transitional housing facility between October 1, 2009 and September 30, 2010. (Source: U.S. Department of Housing and Urban Development)\u003c/figcaption>\u003c/figure>\n\u003cp>They give me these dang gone pills. And I tell you, they make you tired at times, but they amp you up. I don’t feel the pain as much. It numbs my whole system.\u003c/p>\n\u003cp>People think I’m drunk or high. Yeah, I’m high; I’m high on pills that the medical world give ya.\u003c/p>\n\u003cp>[A few weeks ago,] I was asleep. I woke up. My medicine, my bag was gone. The medicine for my cancer itself. Who the hell took it? Some other white guy--who’s on speed.\u003c/p>\n\u003cp>I’m the poor guy you don’t hear about. You don’t want to know about. Yes, you need to know about. Because you walk across my path all the day. Every day. You will see me; but will you know me?\u003c/p>\n\u003cp>\u003cstrong>Listen to Buckingham's story:\u003c/strong>\u003cbr>\n\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/137220535&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/series/vital-signs/\">Listen to more Vital Signs stories and see your own story online by contributing to the series.\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/17878/homeless-veteran-battles-cancer","authors":["1462"],"series":["stateofhealth_2363"],"categories":["stateofhealth_11"],"tags":["stateofhealth_16","stateofhealth_333","stateofhealth_2373"],"featImg":"stateofhealth_17879","label":"stateofhealth_2363"},"stateofhealth_17290":{"type":"posts","id":"stateofhealth_17290","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"17290","score":null,"sort":[1390435995000]},"guestAuthors":[],"slug":"signing-up-the-homeless-one-at-a-time","title":"Signing up the Homeless, One at a Time","publishDate":1390435995,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_17295\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/162869267-e1390435540180.jpg\">\u003cimg class=\"size-large wp-image-17295\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/162869267-640x397.jpg\" alt=\"Man sits in Skid Row area of Los Angeles. Advocates say homeless people tend to have complex health problems. (Kevork Djansezian/Getty Images)\" width=\"640\" height=\"397\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Man sits in Skid Row area of Los Angeles. Advocates say homeless people tend to have complex health problems. (Kevork Djansezian/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Anna Gorman\u003c/strong>,\u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/January/07/signing-up-the-homeless-for-health-coverage-in-Los-Angeles.aspx\" target=\"_blank\"> Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>On a recent winter morning, health outreach worker Christopher Mack walked through the streets and alleys of the city’s Skid Row, passing a man pulling a rusty shopping cart and a woman asleep on a crumpled blue tarp. The smell of marijuana wafted through the cold air.\u003c/p>\n\u003cp>\"Do you have health insurance?\" Mack, a towering man with long dreadlocks, asked one woman. \"Do you go to the doctor?\" he asked another.\u003c/p>\n\u003cp>Homeless men and women who didn’t qualify for insurance in the past now have the chance to sign up, and Mack -- who was once homeless himself -- is there to help.\u003c/p>\n\u003cp>The Affordable Care Act allows states to expand Medicaid to include poor people without children or disabilities who haven’t been able to get the free insurance in the past. Experts say determining how many homeless people are eligible for Medicaid is difficult but estimates range from about 500,000 to as many as 1.2 million. California is one of the 25 states (plus Washington, D.C.) that is expanding its Medicaid program, called Medi-Cal here.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The National Health Care for the Homeless Council, based in Tennessee, has held training sessions and webinars for outreach workers nationwide on how best to reach homeless people, many of whom have complex medical conditions and little knowledge of health insurance. The federal government also has given outreach grants to community health centers, which treat more than one million homeless patients each year.\u003c/p>\n\u003cp>Advocates said most of the work will occur at a grassroots level. Across the country, advocates and outreach workers are visiting shelters, churches, encampments and soup kitchens to tell homeless residents about their new insurance options and to help them get enrolled.\u003c/p>\n\u003cp>Insuring homeless people and connecting them to doctors could lead to more routine medical care and less reliance on costly emergency rooms, doctors and health care advocates say. The effort also may help them get them off the streets by addressing unmet health needs and connecting them to housing and other necessary services.\u003c/p>\n\u003cp>\"They are very complicated patients,\" said Michael Cousineau, a health policy expert at University of Southern California's Keck School of Medicine. Engaging homeless people and bringing them into medical care, Cousineau said, \"is a very important first step to helping stabilize this population.\"\u003c/p>\n\u003cp>Outreach and enrollment among the homeless is challenging, however, in large part because many are addicted to drugs or are mentally ill, and they distrust government and public programs. Homeless people are transient and usually lack permanent mailing addresses. And while many live in plain sight, others are harder to find, hidden beneath bridges or under freeway overpasses.\u003c/p>\n\u003cp>Mack knows the barriers well. A former addict himself, he spent decades on the streets before getting clean. Now, he is a lead outreach worker for the John Wesley Community Health or JWCH Institute in Los Angeles, which has several clinics that provide health care and other services to the homeless and underserved.\u003c/p>\n\u003cp>\u003cstrong>No I.D. Needed\u003c/strong>\u003c/p>\n\u003cp>On this morning, he stepped out of one clinic and soon saw Martha Castro, a 64-year-old woman hunched over, a scarf wrapped around her face to ward off the cold.\u003c/p>\n\u003cp>Slurring her words, she said that she had been homeless for four years and had been to the doctor just once, to be treated for a lung infection.\u003c/p>\n\u003cp>\"If anything else happens to you, you can come now again,\" Mack said, explaining that she may qualify for insurance.\u003c/p>\n\u003cp>She shook her head emphatically. \"No, I don’t want to apply for nothing else right now.\"\u003c/p>\n\u003cp>Castro said she didn’t have any identification or money. \"We are here from Skid Row,\" she said. \"How we gonna have insurance for the clinic?\"\u003c/p>\n\u003cp>The coverage is free and she only needs a Social Security number to apply, but Mack knows now isn’t the time to explain further. He can’t push anyone to enroll or go to the doctor. He has to gain their trust over time, helping them see the upside to coverage. \"You let the person decide for themselves,\" Mack said. \"You never know when it might be the day.\"\u003c/p>\n\u003cp>The sooner the better, said Dr. Dennis Bleakley of the JWCH Institute. Many homeless people suffer from chronic diseases such as diabetes, high blood pressure and asthma, and they often wait until they are in dire shape to seek medical treatment.\u003c/p>\n\u003cp>From their perspective, they have much more important and urgent things to worry about, Bleakley said. \"They are literally sleeping on a doorstep.\"\u003c/p>\n\u003cp>\u003cstrong>'God Bless You'\u003c/strong>\u003c/p>\n\u003cp>At the busy JWCH clinic the morning after Mack’s Skid Row visit, enrollment workers were signing up patients for Medi-Cal, California’s Medicaid program, and making sure they knew where to go for care.\u003c/p>\n\u003cp>George Farag, 56, who sleeps at a local mission each night, said he lost his job as a security guard when he fell asleep on duty. He ended up on the streets and got hit by a car, resulting in a leg injury that causes him to limp.\u003c/p>\n\u003cp>Farag, an Egyptian immigrant who speaks with a thick accent, also has asthma, diabetes, depression and insomnia.\u003c/p>\n\u003cp>\"This is the final step before your transition into Medi-Cal,\" enrollment worker Alberto Moreno told him. \"Your doctor will be assigned here.\"\u003c/p>\n\u003cp>\"God bless you,\" responded Farag, carrying a black plastic bag filled with papers.\u003c/p>\n\u003cp>Mack tries to put the patients at ease.\u003c/p>\n\u003cp>On Skid Row, he stopped to talk to Sakeenah Borscha, an overweight woman sitting on a motorized scooter overflowing with bags of belongings.\u003c/p>\n\u003cp>Recently arrived from Arizona, Borsha said she was diabetic and had an injured knee. She needed medication for both, she told Mack. She’d had coverage in the past but didn’t know if she was still insured.\u003c/p>\n\u003cp>Mack patted her knee and smiled.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"Come see me in the morning,\" he said before heading back through the maze of shopping carts, tarps and tents.\u003c/p>\n\n","blocks":[],"excerpt":"On a recent winter morning, health outreach worker Christopher Mack walked through the streets and alleys of the city’s Skid Row, passing a man pulling a rusty shopping cart and a woman asleep on a crumpled blue tarp. The smell of marijuana wafted through the cold air.\r\n\r\n\"Do you have health insurance?\" Mack, a towering man with long dreadlocks, asked one woman. \"Do you go to the doctor?\" he asked another.\r\n\r\nHomeless men and women who didn’t qualify for insurance in the past now have the chance to sign up, and Mack -- who was once homeless himself -- is there to help.","status":"publish","parent":0,"modified":1390524367,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1034},"headData":{"title":"Signing up the Homeless, One at a Time | KQED","description":"On a recent winter morning, health outreach worker Christopher Mack walked through the streets and alleys of the city’s Skid Row, passing a man pulling a rusty shopping cart and a woman asleep on a crumpled blue tarp. The smell of marijuana wafted through the cold air.\r\n\r\n"Do you have health insurance?" Mack, a towering man with long dreadlocks, asked one woman. "Do you go to the doctor?" he asked another.\r\n\r\nHomeless men and women who didn’t qualify for insurance in the past now have the chance to sign up, and Mack -- who was once homeless himself -- is there to help.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Signing up the Homeless, One at a Time","datePublished":"2014-01-23T00:13:15.000Z","dateModified":"2014-01-24T00:46:07.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"17290 http://blogs.kqed.org/stateofhealth/?p=17290","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/01/22/signing-up-the-homeless-one-at-a-time/","disqusTitle":"Signing up the Homeless, One at a Time","path":"/stateofhealth/17290/signing-up-the-homeless-one-at-a-time","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17295\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/162869267-e1390435540180.jpg\">\u003cimg class=\"size-large wp-image-17295\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/162869267-640x397.jpg\" alt=\"Man sits in Skid Row area of Los Angeles. Advocates say homeless people tend to have complex health problems. (Kevork Djansezian/Getty Images)\" width=\"640\" height=\"397\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Man sits in Skid Row area of Los Angeles. Advocates say homeless people tend to have complex health problems. (Kevork Djansezian/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Anna Gorman\u003c/strong>,\u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/January/07/signing-up-the-homeless-for-health-coverage-in-Los-Angeles.aspx\" target=\"_blank\"> Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>On a recent winter morning, health outreach worker Christopher Mack walked through the streets and alleys of the city’s Skid Row, passing a man pulling a rusty shopping cart and a woman asleep on a crumpled blue tarp. The smell of marijuana wafted through the cold air.\u003c/p>\n\u003cp>\"Do you have health insurance?\" Mack, a towering man with long dreadlocks, asked one woman. \"Do you go to the doctor?\" he asked another.\u003c/p>\n\u003cp>Homeless men and women who didn’t qualify for insurance in the past now have the chance to sign up, and Mack -- who was once homeless himself -- is there to help.\u003c/p>\n\u003cp>The Affordable Care Act allows states to expand Medicaid to include poor people without children or disabilities who haven’t been able to get the free insurance in the past. Experts say determining how many homeless people are eligible for Medicaid is difficult but estimates range from about 500,000 to as many as 1.2 million. California is one of the 25 states (plus Washington, D.C.) that is expanding its Medicaid program, called Medi-Cal here.\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 National Health Care for the Homeless Council, based in Tennessee, has held training sessions and webinars for outreach workers nationwide on how best to reach homeless people, many of whom have complex medical conditions and little knowledge of health insurance. The federal government also has given outreach grants to community health centers, which treat more than one million homeless patients each year.\u003c/p>\n\u003cp>Advocates said most of the work will occur at a grassroots level. Across the country, advocates and outreach workers are visiting shelters, churches, encampments and soup kitchens to tell homeless residents about their new insurance options and to help them get enrolled.\u003c/p>\n\u003cp>Insuring homeless people and connecting them to doctors could lead to more routine medical care and less reliance on costly emergency rooms, doctors and health care advocates say. The effort also may help them get them off the streets by addressing unmet health needs and connecting them to housing and other necessary services.\u003c/p>\n\u003cp>\"They are very complicated patients,\" said Michael Cousineau, a health policy expert at University of Southern California's Keck School of Medicine. Engaging homeless people and bringing them into medical care, Cousineau said, \"is a very important first step to helping stabilize this population.\"\u003c/p>\n\u003cp>Outreach and enrollment among the homeless is challenging, however, in large part because many are addicted to drugs or are mentally ill, and they distrust government and public programs. Homeless people are transient and usually lack permanent mailing addresses. And while many live in plain sight, others are harder to find, hidden beneath bridges or under freeway overpasses.\u003c/p>\n\u003cp>Mack knows the barriers well. A former addict himself, he spent decades on the streets before getting clean. Now, he is a lead outreach worker for the John Wesley Community Health or JWCH Institute in Los Angeles, which has several clinics that provide health care and other services to the homeless and underserved.\u003c/p>\n\u003cp>\u003cstrong>No I.D. Needed\u003c/strong>\u003c/p>\n\u003cp>On this morning, he stepped out of one clinic and soon saw Martha Castro, a 64-year-old woman hunched over, a scarf wrapped around her face to ward off the cold.\u003c/p>\n\u003cp>Slurring her words, she said that she had been homeless for four years and had been to the doctor just once, to be treated for a lung infection.\u003c/p>\n\u003cp>\"If anything else happens to you, you can come now again,\" Mack said, explaining that she may qualify for insurance.\u003c/p>\n\u003cp>She shook her head emphatically. \"No, I don’t want to apply for nothing else right now.\"\u003c/p>\n\u003cp>Castro said she didn’t have any identification or money. \"We are here from Skid Row,\" she said. \"How we gonna have insurance for the clinic?\"\u003c/p>\n\u003cp>The coverage is free and she only needs a Social Security number to apply, but Mack knows now isn’t the time to explain further. He can’t push anyone to enroll or go to the doctor. He has to gain their trust over time, helping them see the upside to coverage. \"You let the person decide for themselves,\" Mack said. \"You never know when it might be the day.\"\u003c/p>\n\u003cp>The sooner the better, said Dr. Dennis Bleakley of the JWCH Institute. Many homeless people suffer from chronic diseases such as diabetes, high blood pressure and asthma, and they often wait until they are in dire shape to seek medical treatment.\u003c/p>\n\u003cp>From their perspective, they have much more important and urgent things to worry about, Bleakley said. \"They are literally sleeping on a doorstep.\"\u003c/p>\n\u003cp>\u003cstrong>'God Bless You'\u003c/strong>\u003c/p>\n\u003cp>At the busy JWCH clinic the morning after Mack’s Skid Row visit, enrollment workers were signing up patients for Medi-Cal, California’s Medicaid program, and making sure they knew where to go for care.\u003c/p>\n\u003cp>George Farag, 56, who sleeps at a local mission each night, said he lost his job as a security guard when he fell asleep on duty. He ended up on the streets and got hit by a car, resulting in a leg injury that causes him to limp.\u003c/p>\n\u003cp>Farag, an Egyptian immigrant who speaks with a thick accent, also has asthma, diabetes, depression and insomnia.\u003c/p>\n\u003cp>\"This is the final step before your transition into Medi-Cal,\" enrollment worker Alberto Moreno told him. \"Your doctor will be assigned here.\"\u003c/p>\n\u003cp>\"God bless you,\" responded Farag, carrying a black plastic bag filled with papers.\u003c/p>\n\u003cp>Mack tries to put the patients at ease.\u003c/p>\n\u003cp>On Skid Row, he stopped to talk to Sakeenah Borscha, an overweight woman sitting on a motorized scooter overflowing with bags of belongings.\u003c/p>\n\u003cp>Recently arrived from Arizona, Borsha said she was diabetic and had an injured knee. She needed medication for both, she told Mack. She’d had coverage in the past but didn’t know if she was still insured.\u003c/p>\n\u003cp>Mack patted her knee and smiled.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Come see me in the morning,\" he said before heading back through the maze of shopping carts, tarps and tents.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/17290/signing-up-the-homeless-one-at-a-time","authors":["8344"],"categories":["stateofhealth_15"],"tags":["stateofhealth_38","stateofhealth_333","stateofhealth_99"],"featImg":"stateofhealth_17298","label":"stateofhealth"},"stateofhealth_15609":{"type":"posts","id":"stateofhealth_15609","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"15609","score":null,"sort":[1381437875000]},"guestAuthors":[],"slug":"empathizing-with-the-homeless-san-francisco-woman-goes-a-week-without-a-shower","title":"Empathizing with the Homeless: San Francisco Woman Goes a Week Without A Shower","publishDate":1381437875,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_15614\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/RS718_homeless-20120221-scr.jpg\">\u003cimg class=\"size-large wp-image-15614\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/RS718_homeless-20120221-scr-640x480.jpg\" alt=\"A man roots through the garbage at the 16th street BART stop in San Francisco. (Keith Menconi/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A man roots through the garbage at the 16th street BART stop in San Francisco. (Keith Menconi/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Polly Stryker\u003c/strong>\u003c/p>\n\u003cp>You know how you feel when you've been camping and haven't showered? After a couple days, your body feels sweaty and ripe; your hair feels greasy. As you start to head home, you begin craving a shower -- the soap, the hot water, the clean towel. It's likely the first thing you do when you get home.\u003c/p>\n\u003cp>But homeless people live a different reality every day. For them, cleaning up depends on making it to a public shower somewhere across town, with a long line, only open during certain hours. Keeping clean is a nearly impossible challenge.\u003c/p>\n\u003cp>San Franciscan Doniece Sandoval started thinking deeply about this question one day two years ago when she was walking near the Design Center in San Francisco. She saw a homeless woman under the 101 overpass crying, terribly upset that she would never be clean. Sandoval had always felt moved and saddened when she saw people who were homeless. Seeing the woman gave her an idea. Since clean bathrooms and showers are so hard for homeless people to get to, why not bring showers to them?\u003c/p>\n\u003cp>And so Sandoval created a nonprofit \u003ca href=\"http://www.lavamae.org/\" target=\"_blank\">Lava Mae\u003c/a>, a play on the Spanish word for \"wash me,\" to help the homeless.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/news/2013/09/09/san-francisco-homeless-showers\" target=\"_blank\">Sandoval recently described her mission to KQED's Joshua Johnson\u003c/a>. San Francisco's 3,400 homeless people have access to just 16 shower stalls, at different places around the city. Just getting to them can be tough. Also, not all homeless shelters have showers. Surprisingly, some emergency family and winter shelters don't have showers.\u003c!--more-->\u003c/p>\n\u003cp>But how to go about it? Sandoval knew church groups had converted mobile homes or horse trailers into mobile showers. Sandoval had a different idea -- what about old Muni busses?\u003c/p>\n\u003cp>In early 2012, Sandoval began working with various city departments which ultimately donated four decommissioned Muni busses. She plans to retrofit the busses with two showers and two toilets each. The idea is that the busses will pull up to homeless service agencies, hook up to water via fire hydrants, and start \"delivering dignity, one shower at a time,\" as Sandoval puts it. The first bus should be ready to roll in early 2014.\u003c/p>\n\u003cp>That's her project's blueprint, but Sandoval wanted to take things one step further. She felt she needed to get some sense of what it's like to go without bathing for an extended period. She issued herself a \"No Shower Challenge\" -- a week without a shower. Sure, it was a way to draw attention to her cause. But it was also a way to try and walk the walk, even if Sandoval isn't homeless.\u003c/p>\n\u003cp>Sandoval has been a neat-freak ever since her childhood in Texas. \"When I was a little girl, I would go out and play, and if I got dirty, my mother would bring me back in the house, and I might get tossed in the bathtub.” Sandoval's mother sometimes changed her daughter's clothes three times a day. In other words, going without a shower for an extended period of time was going to be tough.\u003c/p>\n\u003cp>I stayed in touch with her throughout the week. Her ground rules? No showers. No rinsing off in her sink. “I'm using wipes as best I can. I'm using a lot of deodorant and body lotion,\" she told me. Day one was no problem.\u003c/p>\n\u003cp>On day two, she began to feel sticky. She brushed her teeth at home and in public places, but otherwise she only cleaned up in public restrooms -- for example patting her hair down with water to try and give it a bit of shape. On day three, Sandoval started sleeping in a sleep sack, \"to spare my husband my dirty sheets.\" Her six-year-old daughter told her she smelled. On day five, Sandoval thought about wearing a hat, because her hair felt so nasty. By day six, she began obsessing about sweat glands and germs.\u003c/p>\n\u003cp>While she used a lot of wipes, they weren't much help. \"Everybody talks about how great wipes are. I have friends who go camping. And I think that compared to being out in the wilderness and having nothing else, it's really satisfactory. But when you're around people who are cleaning themselves up in a shower or bath, and you're using wipes, it's just not the same. It's like a layer of something that stays on you.\"\u003c/p>\n\u003cp>Later in the week, she said she felt like the wipes were just smearing dirt around her body. She felt increasingly itchy and oily. By day six, Sandoval couldn't wait to wash her hair and told me that she felt like she was walking around with \"a shelacked thing of grime on my scalp.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Doniece took a shower at midnight on the seventh day. She washed her hair four times. She says she would do it again, if it helped her to raise funds. But, \"from an empathy perspective, I think this one experience gave me a sole sense of how hard and demoralizing it is to be dirty.\"\u003c/p>\n\u003cfigure id=\"attachment_15617\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/donice.jpg\">\u003cimg class=\"size-large wp-image-15617\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/donice-640x530.jpg\" alt='A clean and happy Doniece Sandoval after completing her \"No Shower Challenge.\" (Photo: Sadik Huseny)' width=\"640\" height=\"530\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A clean and happy Doniece Sandoval after completing her \"No Shower Challenge.\" (Photo: Sadik Huseny)\u003c/figcaption>\u003c/figure>\n\u003cdiv>\u003c/div>\n\n","blocks":[],"excerpt":"You know how you feel when you've been camping and haven't showered? After a couple days, your body feels sweaty and ripe, and your hair feels greasy. As you start to head home, you start craving a shower -- the soap, the hot water, the clean towel. \r\n\r\nBut what if cleaning up depended on making it to a public shower somewhere across town, with a long line, only open during certain hours, and you had no car? In other words, what if you were homeless? How do you keep clean then?","status":"publish","parent":0,"modified":1427735911,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":896},"headData":{"title":"Empathizing with the Homeless: San Francisco Woman Goes a Week Without A Shower | KQED","description":"You know how you feel when you've been camping and haven't showered? After a couple days, your body feels sweaty and ripe, and your hair feels greasy. As you start to head home, you start craving a shower -- the soap, the hot water, the clean towel. \r\n\r\nBut what if cleaning up depended on making it to a public shower somewhere across town, with a long line, only open during certain hours, and you had no car? In other words, what if you were homeless? How do you keep clean then?","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Empathizing with the Homeless: San Francisco Woman Goes a Week Without A Shower","datePublished":"2013-10-10T20:44:35.000Z","dateModified":"2015-03-30T17:18:31.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"15609 http://blogs.kqed.org/stateofhealth/?p=15609","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/10/10/empathizing-with-the-homeless-san-francisco-woman-goes-a-week-without-a-shower/","disqusTitle":"Empathizing with the Homeless: San Francisco Woman Goes a Week Without A Shower","path":"/stateofhealth/15609/empathizing-with-the-homeless-san-francisco-woman-goes-a-week-without-a-shower","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15614\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/RS718_homeless-20120221-scr.jpg\">\u003cimg class=\"size-large wp-image-15614\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/RS718_homeless-20120221-scr-640x480.jpg\" alt=\"A man roots through the garbage at the 16th street BART stop in San Francisco. (Keith Menconi/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A man roots through the garbage at the 16th street BART stop in San Francisco. (Keith Menconi/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Polly Stryker\u003c/strong>\u003c/p>\n\u003cp>You know how you feel when you've been camping and haven't showered? After a couple days, your body feels sweaty and ripe; your hair feels greasy. As you start to head home, you begin craving a shower -- the soap, the hot water, the clean towel. It's likely the first thing you do when you get home.\u003c/p>\n\u003cp>But homeless people live a different reality every day. For them, cleaning up depends on making it to a public shower somewhere across town, with a long line, only open during certain hours. Keeping clean is a nearly impossible challenge.\u003c/p>\n\u003cp>San Franciscan Doniece Sandoval started thinking deeply about this question one day two years ago when she was walking near the Design Center in San Francisco. She saw a homeless woman under the 101 overpass crying, terribly upset that she would never be clean. Sandoval had always felt moved and saddened when she saw people who were homeless. Seeing the woman gave her an idea. Since clean bathrooms and showers are so hard for homeless people to get to, why not bring showers to them?\u003c/p>\n\u003cp>And so Sandoval created a nonprofit \u003ca href=\"http://www.lavamae.org/\" target=\"_blank\">Lava Mae\u003c/a>, a play on the Spanish word for \"wash me,\" to help the homeless.\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>\u003ca href=\"http://ww2.kqed.org/news/2013/09/09/san-francisco-homeless-showers\" target=\"_blank\">Sandoval recently described her mission to KQED's Joshua Johnson\u003c/a>. San Francisco's 3,400 homeless people have access to just 16 shower stalls, at different places around the city. Just getting to them can be tough. Also, not all homeless shelters have showers. Surprisingly, some emergency family and winter shelters don't have showers.\u003c!--more-->\u003c/p>\n\u003cp>But how to go about it? Sandoval knew church groups had converted mobile homes or horse trailers into mobile showers. Sandoval had a different idea -- what about old Muni busses?\u003c/p>\n\u003cp>In early 2012, Sandoval began working with various city departments which ultimately donated four decommissioned Muni busses. She plans to retrofit the busses with two showers and two toilets each. The idea is that the busses will pull up to homeless service agencies, hook up to water via fire hydrants, and start \"delivering dignity, one shower at a time,\" as Sandoval puts it. The first bus should be ready to roll in early 2014.\u003c/p>\n\u003cp>That's her project's blueprint, but Sandoval wanted to take things one step further. She felt she needed to get some sense of what it's like to go without bathing for an extended period. She issued herself a \"No Shower Challenge\" -- a week without a shower. Sure, it was a way to draw attention to her cause. But it was also a way to try and walk the walk, even if Sandoval isn't homeless.\u003c/p>\n\u003cp>Sandoval has been a neat-freak ever since her childhood in Texas. \"When I was a little girl, I would go out and play, and if I got dirty, my mother would bring me back in the house, and I might get tossed in the bathtub.” Sandoval's mother sometimes changed her daughter's clothes three times a day. In other words, going without a shower for an extended period of time was going to be tough.\u003c/p>\n\u003cp>I stayed in touch with her throughout the week. Her ground rules? No showers. No rinsing off in her sink. “I'm using wipes as best I can. I'm using a lot of deodorant and body lotion,\" she told me. Day one was no problem.\u003c/p>\n\u003cp>On day two, she began to feel sticky. She brushed her teeth at home and in public places, but otherwise she only cleaned up in public restrooms -- for example patting her hair down with water to try and give it a bit of shape. On day three, Sandoval started sleeping in a sleep sack, \"to spare my husband my dirty sheets.\" Her six-year-old daughter told her she smelled. On day five, Sandoval thought about wearing a hat, because her hair felt so nasty. By day six, she began obsessing about sweat glands and germs.\u003c/p>\n\u003cp>While she used a lot of wipes, they weren't much help. \"Everybody talks about how great wipes are. I have friends who go camping. And I think that compared to being out in the wilderness and having nothing else, it's really satisfactory. But when you're around people who are cleaning themselves up in a shower or bath, and you're using wipes, it's just not the same. It's like a layer of something that stays on you.\"\u003c/p>\n\u003cp>Later in the week, she said she felt like the wipes were just smearing dirt around her body. She felt increasingly itchy and oily. By day six, Sandoval couldn't wait to wash her hair and told me that she felt like she was walking around with \"a shelacked thing of grime on my scalp.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Doniece took a shower at midnight on the seventh day. She washed her hair four times. She says she would do it again, if it helped her to raise funds. But, \"from an empathy perspective, I think this one experience gave me a sole sense of how hard and demoralizing it is to be dirty.\"\u003c/p>\n\u003cfigure id=\"attachment_15617\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/donice.jpg\">\u003cimg class=\"size-large wp-image-15617\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/donice-640x530.jpg\" alt='A clean and happy Doniece Sandoval after completing her \"No Shower Challenge.\" (Photo: Sadik Huseny)' width=\"640\" height=\"530\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A clean and happy Doniece Sandoval after completing her \"No Shower Challenge.\" (Photo: Sadik Huseny)\u003c/figcaption>\u003c/figure>\n\u003cdiv>\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/15609/empathizing-with-the-homeless-san-francisco-woman-goes-a-week-without-a-shower","authors":["8344"],"categories":["stateofhealth_11"],"tags":["stateofhealth_333"],"featImg":"stateofhealth_15614","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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