Mary White makes house calls. She’s a senior community health worker in Philadelphia in the IMPaCT program at the Penn Center for Community Health Workers. She has 25 of the University of Pennsylvania Health System’s toughest patients. It’s her job to help them set health goals and, step by step, carry them out.
One of her patients is Grover Wilson, an engaging man of 56 who weighs 515 pounds. Wilson had long been athletic and sociable, the organizer of a long-running community volleyball game. But depression and an injury led him to gain weight. Now he lives in a tiny basement apartment packed floor to ceiling with boxes of his possessions, and is trapped and isolated by his weight.
In 2010, researchers from Penn began interviewing patients who lived in high-poverty neighborhoods about what they saw as barriers that kept them from getting health care, and kept them sick. Those responses — from long interviews with 115 patients — became the basis of the Penn Center and IMPaCT, which stands for “individualized management for patient-centered targets.”
The center’s community health workers, or C.H.W.s — seven now, but there will be 30 next year — visit some of Penn Medicine’s poorest and sickest patients: people who live in high-poverty neighborhoods, are hospitalized or have two chronic diseases, and either have Medicaid or no insurance at all. Since they began seeing patients in 2011, they’ve treated 1,800 of them. They expect to work with that number every year starting in 2015.
NFL Commissioner Roger Goodell has announced new guidelines for how the league will handle incidents of domestic violence and sexual assault. The change in policy, explained an open letter to team owners, come a month after the NFL was criticized for how it handled player Ray Rice's arrest on domestic violence charges.
Goodell says that the new policies were developed after conversations with outside experts, team owners and the NFL Players Association. The open letter describes several ways in which the NFL plans to provide training, support and resources to personnel, players and their families. It also sets down guidelines for how sexual assault and domestic abuse will be punished in the future.
(Editor's Note: NPR's Michel Martin was invited by St. Louis Public Radio to moderate a community conversation on Thursday around race, police tactics and leadership following the shooting death of Michael Brown. The following story is based on what happened at the event.)
Ferguson, Mo., is a study in contrasts. It boasts spacious Victorians in its historic section, with lush green lawns, many featuring "I Heart Ferguson" signs. Just blocks away, there's a burnt-out QuikTrip. The signs here read "Hands Up, Don't Shoot." In some cases, there are boarded-up windows advertising plans to reopen, or decorated with the town's thanks for the love and support.
Not far from either: A mound of teddy bears and dried flowers marks the spot where 18-year-old Michael Brown fell after being shot by Ferguson police officer Darren Wilson. Brown's death not only put a spotlight on these contrasts, but has also encouraged people to try to address them.
Lack of sleep not only puts teens at risk for poor grades, it also puts them at increased risk for obesity, researchers warn.
The study authors analyzed data collected from more than 10,000 Americans when they were aged 16 and 21. Nearly one-fifth of them got less than six hours of sleep a night when they were age 16, and this group was 20 percent more likely to be obese at age 21 than those who got more than eight hours of sleep per night at age 16, the investigators found.
Here is a bit that I just wrote around the connections of "GTD weekly review", safety and trauma informed care. Trying to do some real cross connecting! Here is an excerpt:
At Hopeworks, we say we work in a trauma informed manner. This means, that we understand that our city and our youth have been exposed to massive amounts of toxic stress. As an organization,e daily are bombarded by the same level of stress. We are all in this together. We are all impacted together. We can all be in trying to “survive” together. In seeking to create a healing community, we need safety. We develop the bedrock for growth as we tend to increasing safety at all levels. Noticing and tending to safety allows us–encourages us–to pause, re-regulate, and choose so that we can reflect on what is happening. At Hopeworks, we are learning that we need to take time to review–to review our inboxes, to review our weekly priorities and to review what has happened to us and is happening to us. This is a fundamental exercise of care that we need to do to engage and invite a different and dynamic sense of safety. Yes, the particulars manifest in inboxes, meetings, emails, and priorities and these things all inform the choices we make. Recognizing and owning even the smallest of choices over and over again increases our power over the future–we begin to create a different world, choosing instead of being victimized by it..
GTD is just one of many tools that we are using at Hopeworks to regulate the changing world we live in. In Camden, many of those changes come about because of unjust structures–violence, poverty abuse and neglect. An overflowing inbox seems disconnected from being shot at in the street—until we connect survival patterns common to both. The patterns of behavior that help us survive bullets are the same ones we apply in the office, to our own detriment
Arguments between parents may damage their relationships with their children, a new study indicates.
Parents in more than 200 families were asked to make daily diary entries for 15 days. At the end of each day, mothers and fathers rated the quality of their marriage and their relationship with their children.
On days when parents reported conflict and tension in their marriage, their dealings with their children were also strained, according to the study recently published in the Journal of Family Psychology.
Let’s start with what we don’t know: the precise circumstances under which a white police officer in Ferguson, Mo., shot dead an unarmed black teenager named Michael Brown.
But here’s what evidence does strongly suggest: Young black men in America suffer from widespread racism and stereotyping, by all society — including African-Americans themselves.
Research in the last couple of decades suggests that the problem is not so much overt racists. Rather, the larger problem is a broad swath of people who consider themselves enlightened, who intellectually believe in racial equality, who deplore discrimination, yet who harbor unconscious attitudes that result in discriminatory policies and behavior.
A heroin crisis gripping communities across the country deepened in New York last year, with more people in the city dying in overdoses from the drug than in any year since 2003.
In all, 420 people fatally overdosed on heroin in 2013 out of a total of 782 drug overdoses, rising to a level not seen in a decade in both absolute numbers and as a population-adjusted rate, according to preliminary year-end data from the city’s health department.
The death toll from heroin has more than doubled over the last three years, presenting a growing challenge to city officials who have so far been unable to reverse the rise. By contrast, amid a concerted effort to stem prescription pill abuse, especially on Staten Island, overdoses from opioid pills leveled off during the same time period, with 215 deaths recorded in 2013.
This recording of "Beauty and the Brain," a session hosted by Guy Raz at TED 2014, brings popular speakers back to the TED stage with updates on their work and personal lives. Tierney Thys talks about how being in the natural world engages your...
Hi all- As many of you likely are aware, the influx of immigrant students from Central America will likely have a significant impact on schools. I know some of the local districts by me have hundreds of enrollments as they prepare for the new...
If an agency has all of its staff attend a trauma-informed workshop, does that mean it's trauma-informed? If an organization does training about trauma-informed care without mentioning the ACE Study, is that being trauma-informed? If a healthcare...
Posted by Tina Marie Hahn, MD, FAAP on July 26, 2014 at 2:30pm View Blog As we move towards working with state legislatures, or thinking about this, I believe it is important to devise the best screening scale. This should take into...