December 1, 2022

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3 min read
Culturally responsive therapy is a growing trend, as therapists of color try to make counseling more inclusive.

Cambodian American Eden Teng was was born in a refugee camp on the border of Thailand and Cambodia just a few years after the Cambodian genocide. She moved to the U.S. with her mom and aunt when she was 6.

Teng attributes much of her own resilience in transitioning to the U.S. to her exuberant mom, who wore whatever she wanted and wasn’t afraid to defy social norms — even when it was embarrassing for a teenage Teng.

But when she was growing up, Teng also witnessed the negative impacts of historical, racial and intergenerational trauma on her mom’s wellbeing. Teng often felt confused by the way her mom’s emotions could spiral out of control for seemingly no reason, or why why she had so many health problems.

When Teng first encountered psychology in college, she realized that her mother’s past was directly connected to her emotional and physical health. (Scientists are learning that stress and trauma are sometimes linked to chronic illnesses, like hypertension, diabetes and kidney disease.)

It was this realization that compelled Teng to become a therapist; in 2018 she began her graduate studies in Seattle.

But when COVID-19 hit and the Black Lives Matter movement came into full force, with communities of color having a more public conversation about their struggles in the U.S., Teng says she started feeling differently about her training and the profession she’d be entering. She began to notice how dealing with certain issues, including race and immigration, were not given priority in her clinical training — even though she knew how important they are in shaping a life.

“I didn’t feel represented, and I felt that so much of my family’s history just didn’t feel like it was considered,” she says, adding that she was studying under teachers who were predominantly white. “I just felt silenced in my own history [and] my own experience in the work that I was doing.”

Teng’s graduate program isn’t the only one like this. Therapy is a predominantly white field in the U.S. — 80% of psychologists, 63% of counselors and 59% of social workers are white, according to Data USA, a website that constructs visualizations of public federal data.

Many of the founding ideas, techniques and schools of practice of therapy were developed by white scholars or practitioners. As a result, the field has marginalized the experiences of people of color, therapists and patients say. Microaggressions are also pervasive in psychological practice, researchers note, and many immigrants report not attending therapy because of language barriers, a lack of insurance and high costs.

That’s why Teng wanted to take a new approach. For her, that meant joining a growing movement of other counselors hoping to transform the practice of therapy, to make it more accessible and relevant to people of color and — ultimately — to help them find healing.

Embracing a practice of ‘decolonizing therapy’

Teng was initially inspired by people like Dr. Jennifer Mullan, who refer to this work

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2 min read

Unsure wherever to go for support, a homeless one mother named Mary produced an crucial contact right after she experienced a child in 2020. She dialed 211, a social services hotline that set her in contact with transitional housing.

However she was operating two positions, Mary, who declined to give her last title, could not afford both equally lease and little one treatment. But 211 operators in Lake County hooked her up with YWCA boy or girl treatment, economical support for a security deposit, 3 months’ rent, and a landlord who’d take both of those.

“I by no means would have regarded if I didn’t call 211,” Mary stated in a online video interview with United Way, which can help sponsor the services. She now has a solitary secure occupation and a household. “I truly feel like 211 … has helped me immensely.”

A comparable 211 support has a short while ago appear to DuPage County, and more are prepared to start early next calendar year — quite possibly on Feb. 11 — in Chicago, suburban Prepare dinner County, and Kendall County. 211, like the much better known 911 for emergencies and Chicago’s 311 for town expert services, places callers in contact with nonemergency overall health and social services.

The most typical companies are assistance shelling out hire and utilities, but they also include things like cost-free and private crisis counseling, disaster support, foods pantries, health and fitness care, insurance plan, employment, and veterans companies.

Kane, Lake, McHenry, and Will are among the the quite a few counties that present the support in Illinois. As a full, the point out lags guiding the relaxation of the country in employing the hotline, with just about 50 % of its counties nonetheless devoid of.

But after Chicago and Kendall come on line early upcoming year, approximately 90% of the state’s inhabitants will be lined.

In DuPage, the 2nd most populated county in Illinois soon after Cook, officials established apart $1.6 million in federal American Rescue Approach Act cash to fund the software for the initial a few decades.

The round-the-clock, multilingual cell phone bank will be operated by Addison Consolidated Dispatch Centre, which also presents 911 dispatch products and services, County Board Chairman Dan Cronin explained.

“We are thrilled to introduce still yet another component of DuPage County’s strategy of strengthening our social service safety web,” Cronin mentioned.

Anticipating elevated wants for the duration of and pursuing the COVID pandemic, DuPage officials also have offered tens of millions of dollars in funding to beef up the county’s social services. That integrated shopping for and remodeling a former Purple Roof Inn in Downers Grove for PADS to use as a homeless shelter.

Expenditures differ by county. Kane County, whose services is

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3 min read


Jackson, Mississippi
CNN
 — 

When her firstborn exhibited extreme sensitivity to smell, sound and touch, along with some obsessive-compulsive tendencies, Sarah Howard wondered if it was her fault, if she’d done something to harm her baby boy during her pregnancy. She just didn’t know.

She and her husband, Andrew, had only recently moved to Jackson in 2006, and he was their first child, the 40-year-old mother of two told CNN.

As he got older, he wouldn’t use public restrooms. The noise of the flushing was overbearing, so he’d just hold it until he couldn’t. He wanted his bathtub filled to a specific level before he’d get in. He demanded pancakes cut a certain way, and his parents kept extra syrup on hand because he always wanted the bottle full. When Jackson’s muggy heat gave way to fleeting winter, the boy struggled wearing pants instead of shorts.

It didn’t compute. Sarah Howard felt she’d done everything right during her pregnancy, she thought, even giving up her beloved coffee.

“I used to wonder if I did something wrong. Did I take the wrong vitamin or something?” she said.

Today, she and Andrew suspect another culprit: Lead in their hometown’s water. It’s a suspicion shared by parents of about 2,000 kids – and quite likely, many more – now suing the city and state. Compounding matters in the capital city of roughly 150,000, residents are accustomed to boiling water, so they can bathe or cook with it, but with lead, boiling water increases the concentration of the known neurotoxin and probable carcinogen.

Several concerned mothers and fathers shared with CNN stories of their youngsters suffering from an array of ailments, and there was remarkable overlap in the symptoms and conditions: forgetfulness, lack of focus, hyperactivity, learning and behavioral disorders, sensory issues and skin problems. Lead exposure, the parents are learning, could cause all of these.

But they just don’t know.

Corey Stern is leading a team of lawyers – some local, some from his New York-based firm, which specializes in lead poisoning and recently secured a settlement of more than $600 million for children in Flint, Michigan – seeking accountability for Jackson families.

The legal team met with hundreds of parents this month at The Mississippi Children’s Museum. As their children practiced puppetry, raced boats on a miniature river, clambered about a jungle gym and spelled words on a Scrabble board the size of a living room, parents quizzed the attorneys about Jackson’s water crisis and the legal remedies to which they might be entitled.

Stern explained the tricky nature of lead poisoning. While the state has blood lead levels at which it takes action, experts concur there is no safe exposure level for humans and children are susceptible to brain damage, especially without medical intervention.

Mom and son share videos of daily life with no clean water in Jackson, Mississippi


01:56

– Source:
CNN

“It’s not the kind of brain damage where if you walk down the street and you saw

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3 min read

David Confer, a bicyclist and an audio technician, advised his health care provider he “used to be Ph.D. level” for the duration of a 2019 appointment in Washington, D.C. Confer, then 50, was talking figuratively: He was enduring mind fog — a symptom of his liver troubles. But did his doctor consider him seriously? Now, soon after his loss of life, Confer’s associate, Cate Cohen, does not assume so.

Confer, who was Black, had been diagnosed with non-Hodgkin lymphoma two decades just before. His prognosis was constructive. But during chemotherapy, his signs or symptoms — brain fog, vomiting, back pain — proposed problems with his liver, and he was later on diagnosed with cirrhosis. He died in 2020, unable to safe a transplant. During, Cohen, now 45, felt her partner’s clinicians didn’t hear intently to him and had created him off.

That emotion crystallized after she examine Confer’s records. The doctor described Confer’s fuzziness and then quoted his Ph.D. analogy. To Cohen, the language was dismissive, as if the doctor didn’t acquire Confer at his term. It mirrored, she assumed, a belief that he was very likely to be noncompliant with his care — that he was a poor candidate for a liver transplant and would waste the donated organ.

For its section, MedStar Georgetown, the place Confer received treatment, declined to remark on specific instances. But spokesperson Lisa Clough claimed the health-related centre considers a wide variety of things for transplantation, which include “compliance with healthcare remedy, wellbeing of both equally people, blood sort, comorbidities, means to care for them selves and be stable, and article-transplant social assistance process.” Not all prospective recipients and donors satisfy individuals criteria, Clough stated.

Medical professionals usually deliver signals of their appraisals of patients’ personas. Researchers are progressively obtaining that doctors can transmit prejudice less than the guise of goal descriptions. Clinicians who later on go through those people purportedly goal descriptions can be misled and supply substandard care.

Discrimination in health and fitness care is “the key, or silent, poison that taints interactions concerning suppliers and patients in advance of, through, just after the professional medical face,” mentioned Dayna Bowen Matthew, dean of George Washington University’s legislation faculty and an expert in civil legal rights regulation and disparities in health and fitness care.

Bias can be seen in the way health professionals talk for the duration of rounds. Some clients, Matthew reported, are described basically by their disorders. Other individuals are characterised by conditions that connect much more about their social standing or character than their well being and what is desired to address their signs. For illustration, a affected individual could be described as an “80-yr-outdated awesome Black gentleman.” Doctors mention that people search effectively-dressed or that someone is a laborer or homeless.

The stereotypes that can obtain their way into patients’ documents at times assistance determine the degree of treatment patients acquire. Are they spoken to as equals? Will they get the very best, or merely the least expensive, procedure?

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3 min read

The Centers for Condition Regulate and Prevention no for a longer period endorses universal masking in wellbeing treatment options, unless the services are in locations of significant COVID-19 transmission.

The company quietly issued the updates as component of an overhaul to its infection regulate direction for health employees posted late Friday afternoon. It marks a important departure from the agency’s earlier advice for universal masking.

“Updates ended up manufactured to mirror the large stages of vaccine-and infection-induced immunity and the availability of efficient remedies and avoidance resources,” the CDC’s new steering states.

Now, the CDC says facilities in areas without having high transmission can “choose not to require” all doctors, sufferers, and website visitors to mask. Transmission is distinct from the neighborhood concentrations CDC makes use of to information non-health and fitness care options.

Neighborhood transmission refers to measures of the presence and spread of SARS-CoV-2, CDC mentioned. 

“It is the metric at present advised to information find tactics in health care options to allow for for earlier intervention, prior to there is pressure on the healthcare technique and to superior shield the people today seeking care in these settings,” CDC reported.

Right now, about 73 per cent of the US is suffering from “high”rates of transmission. 

Community ranges “place an emphasis on actions of the effect of COVID-19 in conditions of hospitalizations and health care program pressure, while accounting for transmission in the group,” the CDC reported. 

Only 7 per cent of counties are viewed as large chance, when practically 62 p.c of counties are considered minimal.

In addition, the new assistance contains a list of exceptions when men and women may possibly pick to mask, as opposed to the earlier direction that bundled a listing of exceptions when masking was not proposed. 

Even if masking is not universally required, if a company performs in a part of the facility enduring a COVID-19 outbreak, or if they care for immunocompromised clients, they ought to use a mask. 

When transmission degrees are higher, masking is suggested for everybody in a health care location when they are in parts of the health care facility exactly where they could encounter sufferers. 

Vendors can decide on not to have on masks when they are in “well-described areas” that are limited from client entry, like employees conference rooms.

General public overall health industry experts stated the updates will make it so fewer individuals in hospitals and nursing residences put on masks, placing people and vendors at danger.

Megan Ranney, dean of the Brown University University of General public Health and fitness, tweeted that the new steerage could end result in areas with significant transmission unmasking ill individuals who have not still been tested for COVID-19, suitable next to the elderly, chemo individuals, men and women with pulmonary problems, and susceptible pregnant girls.

“This nuanced have

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