Kitty Zen used to sell her art on a blanket in a Boston public park. Now, her art has been displayed at the city’s Museum of Fine Arts and has sold for $1,000.
Zen, a 25-year-old self-taught artist, has been homeless for most of her life. But through ArtLifting, she’s created an income for herself.
“When I got that first check, it was amazing,” says Zen. “I didn’t want to cash it. I wanted to frame it.”
ArtLifting is an online platform where individuals impacted by homelessness or disabilities can sell artwork. There’s an application process where the artists and their work are assessed for mission alignment and curatorial standards.
Liz Powers, one of ArtLifting’s founders, started working in homeless shelters when she was 18. After graduating from Harvard, she received a grant to create art groups within shelters. But she noticed the art produced in these groups ended up in closets and trash cans.
“I realized there were already existing art groups all across the country, about a thousand of them, and that quality, salable art was being produced every day in these groups. The issue was that the art wasn’t going anywhere after. Instead, it would just collect dust or be thrown out. This is where I realized the need for something like ArtLifting,” Powers says.
So Powers and her brother Spencer pooled together $4,000 and founded the public benefit corporation in 2013. Originally, it functioned solely as an online gallery for original works of art. Now it’s expanded to a marketplace for curated art, business partnerships, prints and merchandise.
ArtLifting started in Boston with just four artists. Six years later, there’s about 150 artists and customers in 46 states. Staff curators choose the art they then represent on their website.
“After the last decade of working with homeless individuals, I’ve heard over and over, ‘Liz, I don’t want another handout. I don’t want someone to hand me another sandwich. I just want opportunity. I want an ability to change my own life.’ And that’s really gotten to me,” Powers says.
https://www.instagram.com/p/BaCi5BQH-vt/
While the income artists make is essential, empowerment is a key element of ArtLifting.
“My ultimate goal is to create a movement celebrating strengths. There are countless hidden talents out there, and our goal is to inspire people to notice them,” says Powers.
On its website, each artist has a story. Aron Washington, whose acrylic paintings are influenced by physics and designs, uses art to fight stigmas. Washington, who has synesthesia triggered by a bicycle accident, paints to bring awareness to humanity, he says.
Jackie Calabrese uses art as a release for PTSD and depression. Using colorful acrylics, she paints calming landscapes from memory that remind her of safe and happy places.
“[Painting] helps me to be more motivated in life, to feel less depressed or more peaceful. My past has been full of trauma,” she says. Art is a way to release a lot of that and find more peace within myself. It gives a place to think of that is beautiful instead of all the horror from the past.”
ArtLifting works with small businesses and Fortune 500 companies, like Staples and Microsoft, to provide artwork for offices. Prints sell for about $300 and original artwork has sold for as much as $25,000.
Eric Lewis Basher sold two artworks to Microsoft that now hang in Microsoft’s Redmond, Wash., headquarters.
Basher currently paints at Hospitality House, a shelter and art studio in San Francisco.
“I am thrilled at the potential this means for me,” Basher says. “If anyone at that level likes my work then the world opens up.”
When a piece of art is sold, each artist makes 55 percent of the profit. One percent goes towards a fund that provides support to art groups, and the remainder keeps the business afloat.
Powers stresses that this isn’t a charity. These are talented artists looking to sell their work and spread their talent to a larger audience.
“It is a very touching moment to actually meet the person who wants to have a piece of your artwork be a part of their homes,” Zen says. “Artists are always our own hardest critics. Being appreciated that way is truly uplifting.”
More: 6 Stunning Art Projects That Are Making Cities Healthier
Tag: Homeless
How Running Got 6,000 Homeless People Back on Their Feet
Hector Torres’s world was shattered when he learned his 29-year-old son had died. The former Marine and avid runner was driving home from work when he fell asleep at the wheel and crashed. The loss sent Hector into a grief spiral as he abandoned his life as a truck driver in Connecticut to wander the streets of New York City without a home.
“In the process of losing my son, I lost reality,” Torres says. “For about a month, I was wandering the city not knowing where I was at.”
Ten months later, Torres began to piece his life back together. While residing in the New York City Rescue Mission, Torres became a member of Back on My Feet, a nonprofit that combats homelessness through running programs. Founded in 2007, the organization works with shelters in 12 cities nationwide to recruit members interested in changing their lives for the better. Teams meet three times a week at 5:45 a.m., and members who maintain at least a 90 percent attendance record for the first 30 days become eligible for job training, financial aid and other life-building opportunities.
“Nobody runs alone,” says executive director Terence Gerchberg. “The point of this group is not to outrun somebody; it’s to uplift somebody. It’s meeting people where they are.”
Watch the video above to see how running transformed Torres’s life.
Using AI as a Weapon Against Overfishing, A New Approach to Helping Homeless Addicts and More
How AI Can Help Keep Ocean Fisheries Sustainable, Fast Company
Overfishing is a huge threat to global ecosystems, but experts are taking a cue from Silicon Valley to find a solution. By mounting cameras on fishing boats and using the same facial recognition tech that Facebook uses to identify people in photos, scientists can classify different fish species and help root out illegal harvests.
A Sober Utopia, Pacific Standard
A new program in Colorado takes a radical approach to helping homeless addicts — giving them the freedom to rebuild their lives on their own terms. Housed in Fort Lyon (ironically, a former prison), the program is a mix of rehab, university and startup, with many residents pursuing creative interests and building businesses as they become sober.
Inside LAX’s New Anti-Terrorism Intelligence Unit, The Atlantic
With 75 million travelers passing through its terminals every year, LAX is one of the most vulnerable terrorist targets in the U.S. But the airport behemoth has built an intelligence team from the ground up with analytic capabilities that “rival the agencies of a small nation-state.” The team’s innovative approach to fighting terrorism could signal a larger shift in the way global infrastructure sites protect themselves — building their own intelligence units when “the FBI, CIA, and Homeland Security [are] simply not good enough.”
Continue reading “Using AI as a Weapon Against Overfishing, A New Approach to Helping Homeless Addicts and More”
This Nonprofit’s Goal? To Be the Yelp of Social Services
In East Palo Alto, a short drive from the headquarters of Google, Sun Microsystems and Facebook, a high school student without housing was contemplating where she’d sleep that night. The girl asked Rey Faustino, then an employee at the nonprofit BUILD, an incubator for low-income entrepreneurs, to help her find a shelter. Faustino located a dusty binder whose plastic sleeves held flyers about social services. But most of the information proved outdated or incorrect, he recalls. “It took us all night to find one shelter for a student and her family, and it took us weeks to get them into stable, affordable housing.” The support net, it became clear at that moment, had holes.
Social services, provided by charities and government, largely haven’t kept pace in today’s hyper-connected world. Most nonprofits have websites, but that doesn’t mean they’re SEO-friendly or that they’ve been updated recently. The absence of quality information online forces struggling families to rely on what they hear through word of mouth. That leaves the most disconnected individuals in the most vulnerable position.
“How do you find the best Indian restaurant in San Francisco? By using Yelp or Google,” Faustino says. “We’re doing all these amazing things to advance life for the middle class, but we weren’t using any of these technologies and assets for the most vulnerable families. I thought that was ridiculous, and I wanted to do something about it.”
Five years ago, Faustino founded One Degree. A comprehensive directory of the 20,000 social service resources in the Bay Area, the online database is searchable by location and proximity to public transit, language and entry requirements, like age, household size and income. The platform works on both computers and smartphones, making it easy for most people to connect. (Surveys by Pew Research Center have found that nearly two-thirds of Americans own smartphones, and the number is expected to keep rising; for 13 percent of low-income earners, the devices are their primary way to access the internet.) Once a user has identified a match, One Degree helps with the intake process, such as scheduling an appointment or filling out an online application. That extra info might save someone a bus trip to the charity’s doors, only to find they’re not accepting applications.
So far, One Degree has connected more than 140,000 people in the Bay Area to the right agency. After a national competition, Faustino’s work was recognized by Inherent Group in November, when they presented the organization with the $50,000 grand prize at NationSwell’s Summit on Solutions. (Jukay Hsu, the founder and executive director of Coalition for Queens, which trains a diverse and underserved population of NYC residents to be app and web developers, snagged the second-place $25,000 prize.)
Read more about the Inherent Prize and the 2016 finalists
Faustino knows firsthand about the necessity of social services — and the difficulty of finding the right ones. As new immigrants from the Philippines, his parents worked multiple jobs to afford the rent in Los Angeles: his mother as a hospital administrator and, later, a nurse; his father, a salesman at Home Depot and a handyman on the weekends. They got the extra support they needed with naturalization papers, healthcare and summer school from local charities. Faustino became his family’s connector, finding out about programs from his teachers and translating for his parents. One Degree, he says, is the program he wishes he had as a kid.
Like Yelp, Faustino envisions that One Degree’s users will rate nonprofits and write about their experience. While that feature sounds simple enough to people who are used to streaming movies on Netflix and reading books on their tablets, it would upend the way nonprofits work. Forced to reckon with users’ commentary, a nonprofit might be more responsive to community needs, Faustino believes.
And, in a further boon to efficiency, collecting search data might give a more accurate picture of how disparate parts of the sector should fit together, he adds. Currently, many cities and counties focus only on the constituents who live within a district’s limits. But One Degree might register a fuller scope, picking up on the need for services where people work or where they hope to move. In the Bay Area, for example, you might see San Francisco residents looking for cheaper housing in nearby Contra Costa or childcare in San Mateo where their kids go to school. That could allow government agencies to better allocate services where they’re actually needed.
“In the past, nonprofit social services were transactional. You go to a place, receive a service and then go home,” explains Faustino. “Now we have the opportunity to make it more relationship-based, to see it not as a one-time change to a person’s life, but as a whole constellation or web of services” that a person has at their disposal.
In fact, these groups find that interconnectedness so valuable that one-fifth of One Degree’s revenue comes from social-service organizations that pay Faustino’s team for sophisticated referral tools. Some of these assessment tools direct users to other resources, like to a hospital for a screening of diabetes risk; other tools track where else clients go for help, enabling a caseworker to see, for instance, that her client visited a food bank, shelter and workforce development program. “No one agency can do everything for every client, so they’re always relying on other resources to help,” Faustino says. “One Degree makes it easy for them to access those other resources and stay organized.”
One Degree’s model could change the way we think about impact. Because social-service recipients get help from multiple organizations — a dozen, on average, Faustino says — the reviews could establish which programs actually helped, as described from the user’s perspective. “A lot of impact reports and messaging says that so-and-so went to a shelter, and we changed her life. Part of that is true — the shelter did help — but it wasn’t the only thing,” he says. “We take away a person’s agency when we say it’s just the organization that helped. She’s the one who made the choice, the one who went and found the shelter and other services. Funding streams are very competitive, and organizations have to paint themselves as the savior. But I fundamentally believe that holds back the nonprofit sector from seeing huge impact in our communities.”
Traditionally, social-service nonprofits have lagged behind in these high-tech times, but with One Degree, they’re finally starting to catch up.
Rose Broome of HandUp
The seed for HandUp, a crowdfunding site that solicits donations to help the homeless, was planted in early 2012 when Rose Broome passed a shivering woman huddling in the doorway of a real estate office in San Francisco. “On a cold night, I was walking down the street and saw a woman sleeping on the sidewalk,” recalls Broome. “She didn’t have a jacket, she didn’t have a sweater — just a thin blanket protecting her from the cold ground.” That night, Broome says, “I made a commitment to myself to do one thing to make a difference, and that one thing turned into HandUp.”
The platform for HandUp allows those battling homelessness to appeal directly to donors to fund their particular needs. Since 2013, more than 2,000 people have raised nearly $1.6 million. By sharing their stories on the site, those in need are able to fundraise for housing assistance — security deposits, moving costs, help paying back rent, and so on — as well as for food, education, medical care and technological access. “Having a phone, the Internet, the ability to text is extremely important for everyone, especially for the most vulnerable people,” says Broome, who, besides cofounding HandUp, acts as its CEO.
The need for funding is enormous. Nationwide, 3.5 million people struggle with homelessness every year, and 50 million people live below the poverty line. But there’s a misconception about what being homeless looks like, says Broome, pointing out that the image of a person sleeping on the street, wrestling with mental health issues or drug addictions (or both), tends to capture the public’s imagination. In reality, however, 30 percent of those who are homeless are part of families. As Broome puts it, “You could walk right past 80 percent of people experiencing homelessness and not know any different.”
HandUp works by partnering with organizations that serve homeless populations. These organizations help their clients sign up and create profiles on the site (to date, they’ve launched more than 5,800 campaigns in 29 cities). When donors give, the money goes to the organization, which will pay for the items requested. Donors get an email update when their money has been put to use. HandUp also helps homeless people create donation request cards, which they can hand out to people they meet on the street, and donors in San Francisco can buy HandUp gift cards in $25 increments and distribute them when they meet someone in need (the cards can be used for groceries, clothes and other goods at HandUp’s nonprofit partners).
Join the cause! Help those experiencing poverty or homelessness. Read their stories, then post a message or make a donation here.
Broome and her cofounder, Sammie Rayner, are passionate about using technology to solve problems and create change. “It’s surprising, but right now, only 8 percent of charitable giving happens online,” Broome says. And unfortunately, the nonprofit sector tends to lag far behind the private sector in adopting new technologies. “So often, nonprofits are the last to get some of the best technology to do their work,” adds Rayner.
For the nonprofits that work with HandUp, the platform allows them to fund needs that wouldn’t otherwise be met, filling in the gaps left by restrictive government and foundation grant funding. SF Cares, a collaborative project of several Lutheran churches working to serve low-income and homeless individuals in San Francisco, has used HandUp to raise $18,000 for the needy they work with, plus another $20,000 toward their general operating costs. “They’re funds our organization never would have gotten before,” says the Rev. Dr. Megan Rohrer, the executive director of SF Cares and pastor at Grace Evangelical Lutheran Church. And the people doing the giving through HandUp are new donors that SF Cares might not have reached on its own, she adds.
Rohrer says she loves the way HandUp lets people combatting homelessness “speak in their own voice.” And she likes that the site lets people decide for themselves what they need to improve their lives. “Plus,” she says, “any time that I don’t have to spend fundraising means I get to eat with the homeless, and I get to sing songs with them too.”
Creating human connections is as much a part of HandUp’s purpose as developing innovative technological solutions. “On HandUp, you can read the stories of thousands of people who need help with very specific goals,” Rayner says. “As soon as people read the human story and have that connection through our platform, it’s harder to have the same stereotypes, and it’s harder to judge.” When donors give on HandUp, they can also post words of encouragement. The people who receive money through the site often say those kind words mean more than the donation, adds Broome. “A lot of people who are homeless feel invisible,” she says. HandUp helps them feel seen.
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The 2016 AllStars program is produced in partnership with Comcast NBCUniversal and celebrates social entrepreneurs who are powering solutions with innovative technology. Visit NationSwell.com/AllStars from November 1 to 15 to vote for your favorite AllStar. The winner will receive the AllStar Award, a $10,000 grant to help further his or her work advocating for change.
Raj Karmani of Zero Percent
It started with a simple question. As a graduate student at the University of Illinois at Urbana-Champaign in 2012, Raj Karmani, the founder of Zero Percent, was a regular at a neighborhood bakery. The store was always fully stocked with more than a dozen different bagel flavors, and that got Karmani thinking. “I wondered, ‘When all those beautiful bagels are made fresh each day, what happens to the ones that don’t sell?’” So Karmani asked the bakery’s owner, and learned that he did his best to donate what he could to area nonprofits. Still, many of those bagels were thrown out at closing time. Karmani vowed to change that.
Then a computer science student, Karmani first built the app that would become Zero Percent during a hackathon. “Technology is going to be the core of this solution,” he says. Zero Percent’s app allows restaurants, schools and other institutions that sign on to easily note what kinds of food they have available and in what quantity, and when they would like to have it picked up. The system then notifies a local nonprofit, giving them the option to pick up the food. In Chicago, where the startup is based, Zero Percent also hires drivers to make daily, pre-scheduled pickup and drop-off runs.
That a city like Chicago would have such a need for surplus food initially surprised Karmani, who grew up in Pakistan. “Coming to the United States, I felt I came to a country that is the richest and most powerful country in the world, and that I had left poverty and hunger behind,” he says. But his conversation with the bakery owner opened his eyes to two huge problems in the U.S.: the dual issues of hunger and food waste. “Forty percent of the food produced in the United States goes to waste,” Karmani says. That translates to more than $22 billion worth of prepared and perishable food every year. “That’s why we named the company Zero Percent,” he explains. “We wanted to bring that statistic down to zero percent.”
Join the cause! Commit to reducing food waste in your community. See how to donate unspoiled food here.
Restaurants and other businesses pay a fee to participate in the program. In return, Zero Percent streamlines the process of donating excess food. “It’s just a great way to know that we’re feeding others who need it,” says Jon Naylor, a managing partner at Blackwood BBQ in Chicago. It’s a morale-booster for staff, and they mention it during interviews with new potential hires, Naylor says. Customers also like to hear that the restaurant is giving back to the community, he adds.
The participating institutions can also gain financial benefits. Zero Percent’s functionality includes a dashboard that shows them exactly what they’ve donated and where their donations have gone. This makes it easy for them to document donations for tax purposes. It also helps them track how much excess food they’re ordering and making, so they can make their operations more efficient. “We had a lot of lettuce leftover at the beginning,” says Timothy Muellemann, a manager at Sopraffina in Chicago. “Since we began using Zero Percent, we’ve been able to see the items that we had been ordering too much of, and it’s helped us keep that in check,” he says.
The benefits for local nonprofits are obvious — fresh, healthy, prepared food they can serve to those who need it most. Besides going to soup kitchens and food pantries, Zero Percent provides surplus food to after-school programs and organizations that serve underprivileged populations. “What’s amazing is that we get so much fresh, nutritious food from Zero Percent,” says Kylon Hooks, a program manager at Chicago’s Broadway Youth Center, which primarily serves homeless LGBTQ youth. Hooks says that getting healthy food from a high-quality source has an emotional benefit too. “It gets young people to think, ‘I’m worth eating this way,’” he says. “Zero Percent is an invaluable resource.”
Since its launch in 2013, Zero Percent has distributed more than 1 million meals to almost 150 nonprofits in the Chicago area. But Karmani has his sights set on bigger goals. “I firmly believe that food waste can be entirely eliminated,” he says. “I’m still striving to reach that utopia of zero food waste. I’m not going to congratulate myself until we have, step by step, shown that we can move the needle on food waste, first in Chicago, and then elsewhere.”
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The 2016 AllStars program is produced in partnership with Comcast NBCUniversal and celebrates social entrepreneurs who are powering solutions with innovative technology. Visit NationSwell.com/AllStars from November 1 to 15 to vote for your favorite AllStar. The winner will receive the AllStar Award, a $10,000 grant to help further his or her work advocating for change.
Can This Data-Driven Organization Help Those Most Desperate Escape Life on the Streets?
Rosanne Haggerty grew up going to church in downtown Hartford, Conn. Her parents, both schoolteachers, never outright explained why they took their kids to church in a poor neighborhood full of single-room occupancy hotels and boarding houses. Haggerty, however, learned the lesson her folks were trying to instill. “My parents were both very devout Catholics in the social justice wing of the church,” Haggerty says, describing how the family visited fellow church members when they were sick and invited them over for holiday meals. Haggerty grew up with a sense that “we all can be doing more to provide that kind of support system for others.”
Today, Haggerty is a social change agent in her community, serving as the president of Community Solutions, a national organization that aims to end homelessness. Taking an entrepreneurial approach to address the problem, Community Solutions uses technology to capture data and tailor interventions to meet the needs of a region in the most effective way possible. At its heart, Community Solutions’s mission is the same as Haggerty’s parents’: helping people, one person at a time.
Community Solutions works in neighborhoods around the country to provide practical, data-driven solutions to the complicated problems involved in homelessness. The organization has already achieved great success: its 100,000 Homes campaign, which ran from 2010 to 2014, helped 186 participating communities house more than 105,000 homeless Americans across the country.” (Chronically homeless individuals make up 15 percent of the total homeless population, yet they utilize the majority of social services devoted towards helping them, including drop-in shelters.) To do this, it challenged the traditional approach of ending homelessness: requiring those living on the streets to demonstrate sobriety, steady income or mental health treatment, for example. Instead, it housed people first, an approach that has demonstrated overwhelming success: research finds that more than 85 percent of chronically homeless people housed through “Housing First” programs are still in homes two years later and unlikely to become homeless again.
“Technology played a critical role in the success of the 100,000 Homes campaign because it enabled multiple agencies to share and use the same data,” says Erin Connor, portfolio manager with the Cisco Foundation, which has supported Community Solutions’ technology-based initiatives. “By rigorously tracking, reporting and making decisions based on shared data, participating communities could track and monitor their progress against targets and contribute to achieving the collective goal.” As a result of this campaign, the estimated taxpayer savings was an astonishing $1.3 billion. Building on this achievement, its current Zero 2016 campaign works in 75 communities to sustainably end chronic and veteran homelessness altogether.
Technology and data gathering is critical for local and nationwide campaigns since homelessness is intimately connected to other social problems, like unemployment and poverty. One example of the local impact Community Solutions has had is in Brownsville (a neighborhood in Brooklyn, N.Y., that’s dominated by multiple public housing projects) via the Brownsville Partnership, which is demonstrating that these problems can be solved — to create “the endgame of homelessness,” as Haggerty puts it.
In Brownsville, the official unemployment rate is 16 percent, “about double that of Brooklyn” as a whole, Haggerty says, noting that the statistic excludes those not currently looking for work. In response, the organization works with existing job training programs, digging into their data and analyzing it to improve effectiveness and achieve success.
“Data is at the heart of everything we do, as far as understanding where to focus our efforts and how to improve our collective performance,” Haggerty explains. Analyzing usage data, Community Solutions works with health care providers, nonprofits, and city and state governments to figure out where the most vulnerable populations live, what systems they interact with and what help they need.
Because of this emphasis on data, Community Solutions increasingly thinks of itself as a tech company, Haggerty says. Since 2010, it’s partnered with Cisco to help bring practical, data-driven solutions to communities around the country, opening doors to innovation and progress. When the collaboration began, Community Solutions was a local New York City-based organization. Today, it works with communities throughout the United States. By looking at the problem more nationally and taking an entrepreneurial approach when it comes to applying technology, Community Solutions is now solving homelessness on a much larger scale and having greater impact — producing real social change.
One person benefitting from this tech-driven approach is Toni Diaz. In and out of homeless shelters since the age of 17, Diaz had three children and a fourth on the way by the time she was 23 years old. Escaping from an abusive partner, Diaz took her kids to a homeless shelter. “I didn’t have anywhere to go,” she says. Right when Diaz realized that she needed to make a change in her life, opportunity arrived in the form of a caseworker from the Brownsville Partnership.
Diaz’s journey out of homelessness took years, but Brownsville Partnership walked with her every step of the way. Today, she’s part of an innovative solution that helps people like her connect to the services and training programs that will help them break that same cycle. Stories like Diaz’s are one of the things Haggerty loves most about her work. “It’s especially satisfying when people we initially encountered in a time of crisis end up in a position where they are paying it forward,” she says. Diaz, Haggerty says, shows “what kind of resilience exists in people in this neighborhood” and communities like Brownsville around the country.
This was produced in partnership with Cisco, which believes everyone has the potential to become a global problem solver – to innovate as a technologist, think as an entrepreneur, and act as a social change agent.
Editors’ note: The original version of this story misspelled Rosanne Haggerty’s name. It also erroneously stated that Community Solutions’s 100,000 Homes campaign housed more than 105,000 chronically homeless people in 186 communities across the country. NationSwell apologizes for these errors.
Upstanders: Homes For Everyone
Faced with a growing homeless population, Utah changed the way it provides shelter to those on the streets. Under Lloyd Pendleton’s leadership, the state has reduced its chronic homeless population by 91 percent.
Upstanders is a collection of short stories celebrating ordinary people doing extraordinary things to create positive change in their communities produced by Howard Schultz and Rajiv Chandrasekaran. These stories of humanity remind us that we all have the power to make a difference.
The Newspaper That Tells Tales of Homelessness, How to Help the Poor Build Credit and More
On the Streets with a Newspaper Vendor Trying to Sell His Story, CityLab
It can be uncomfortable shelling out change to a beggar living on the street, but would you be willing to pay $2 for a newspaper about homelessness and poverty? Robert Williams, a Marine Corps veteran who writes for Street Sense, a biweekly broadsheet in Washington, D.C., hopes so. For every copy he sells, he keeps 75 percent, his only source of income.
Banking on Justice, YES! Magazine
In the impoverished Mississippi Delta region, most locals can’t borrow from large banks such as Citibank, Wells Fargo and JPMorgan Chase because small loans don’t make enough interest to be worthwhile. Instead, residents are increasingly turning to Community Development Financial Institutions, known as CDFIs, which receive federal assistance in exchange for making capital available in low-income areas.
When Teachers Take A Breath, Students Can Bloom, NPR
Educators have it rough. If keeping up with children’s energy levels for six hours isn’t enough, they also need to help students cope with difficulties outside the classroom and meet the rigors of state testing and federal standards. That can lead to a lot of stress, which is why CARE for Teachers trains educators in meditation techniques proven to reduce anxiety and burnout.
MORE: Mindfulness at Work: 7 Places Where Employees Benefit from Meditation
Baltimore Explores a Bold Solution to Fight Heroin Addiction
In the emergency room at George Washington University (GW) Hospital, in D.C., Dr. Leana S. Wen administered anti-inflammatory meds to kids choking with asthma, rescued middle-aged dads from heart attacks and sewed up shooting victims. Unlike a primary care doctor, she knew almost nothing about the strangers wheeled into the frenzied space: their medical history, financial situation and neighborhood all mysteries.
The usual anonymity made it all the more surprising when she recognized a 24-year-old mother of two. Homeless and addicted to opioids, the woman would show up nearly every week, begging for treatment. Without fail, Wen delivered the disappointing news that the next available appointment was three weeks away. Inevitably, the young mom relapsed during that window. The last time Wen saw the young woman, she wasn’t breathing. Her family had discovered her unresponsive, killed by an overdose.
“I always think back to my patient now: she had come to us requesting help, not once, not twice, but over and over again, dozens of times,” says Wen. “Because we do not have the treatment capacity, the people looking to us for help fall through the cracks, overdose and die. Why has our system failed her, just as it is failing so many others who wish to get help for their addictions?”
Last January, at age 32, Wen took a new job as the city’s health commissioner. As the leader of the country’s oldest public health department (established in 1793), Wen devotes much of her attention to an urgent problem: addiction to opioids (a class of drugs that includes heroin, morphine and oxycodone) and prescription painkillers. In the seaside port city of 622,000 residents, two-thirds of them black, heroin addiction grips 20,000 people. Many more pop prescription drugs before turning to heroin, a drug that’s cheaper than ever and more socially acceptable since it can be snorted and not just injected.
Baltimore’s drug addiction is lethal: Last year, 393 residents died of overdoses, a staggering number that surpassed the city’s 344 murders in a year of record gun violence. Long past a criminal “war on drugs,” Wen is implementing a public health response to this medical crisis. Her three-part plan involves preventing overdoses, treating addiction and ending stigma against drug users. By treating addiction as a sickness, not a scourge, she’s now saving lives on a broader scale than any emergency room physician.
“It ties into every aspect of the city. I’ve spoken to kids who question why they have to go to school every morning when everyone in their family is addicted to drugs and doesn’t get up. If we have employees that are addicted or have criminal histories because of their addiction, then what does that mean for a healthy workforce?” asks Wen, a fast talker who regularly works 14-hour days. “This is absolutely something we need to address as a critical public health emergency.”
Tenacious even in childhood, Wen spent the first eight years of her life in post-Mao China, until the 1989 Tiananmen Square massacre forced her politically dissident parents to flee the country. They moved to Los Angeles’s gang-infested neighborhoods like Compton and East Los Angeles, scraping money together from jobs as a dishwasher and hotel maid. With money tight, Wen remembers her aunts choosing between prescription medications, food or bus passes. Never one to wait, Wen enrolled in classes at California State University, Los Angeles, when she was just 13 years old. By age 18, she finished her degree, graduating with the highest honors, and went on to earn her M.D. from Washington University School of Medicine in St. Louis.
Working as a public health professor at GW, Wen spearheaded campaigns to cut healthcare costs, remove lead from homes and design walkable neighborhoods with access to reasonably priced, nutritious food, which caught the attention of Baltimore Mayor Stephanie Rawlings-Blake and landed her a new job.
A key to Wen’s plan for fighting opioid addiction is the distribution of an antidote to reverse a life-threatening opioid overdose. Inhaled through a nasal spray or injected into the upper arm or thigh like an EpiPen, Naloxone instantly revives a person from an overdose with few, if any, serious side effects. During a heroin high, chemicals block pain and induce euphoria — dulling the body to such an extent that the lungs forget to breathe while sleeping or the heart fails to pump adequately. Essentially shaking the brain out of its high, Naloxone creates a 30 to 90 minute window in which medical treatment can be sought. “It truly is a miracle drug,” Baltimore County Fire Chief John Hohman tells the Baltimore Sun. “It takes someone from near-death to consciousness in a matter of seconds.”
There’s only one catch: “You can’t give yourself this medication,” Wen explains. A person in the midst of an overdose often doesn’t have the wherewithal to inject the antidote. “That’s why we need every single person in our city to have access to it,” she adds, explaining that friends, family and community members have the ability to save a life.
In a controversial move, Wen issued a blanket prescription to the entire city last October — meaning anyone can buy the drug from a pharmacist. (For recipients of Medicaid, the price was reduced to $1 at a time when the drug’s price spiked drastically.) Wen sent training videos to jails and hospitals. Health department staffers visited areas notorious for open-air drug markets. Last year, the agency distributed 10,000 units of Naloxone and trained 12,500 residents how to administer it. That’s a big number for a program’s first year, but it’s still only half the number of active heroin users in Baltimore.
Outside of the roughly 30 recorded uses of Naloxone by police officers, there’s little hard evidence whether the drug has saved lives inside the city’s crack houses, parks and underpasses. Using data from Poison Control and other sources, Baltimore estimates Naloxone saved hundreds since 2015. “This remains a vastly underreported statistic,” says Sean Naron, a city spokesperson.
Critics claim that Naloxone encourages risky behavior and perpetuates the cycle of addiction because it removes the risk of death. “Naloxone does not truly save lives; it merely extends them until the next overdose,” Maine’s Gov. Paul LePage, wrote in April when he vetoed a bill that would have expanded access to Naloxone without a prescription. Suggestions like that make Wen balk. She calls them “specious,” “inhumane” and “ill-informed.” “That argument is based on stigma and not on science,” she responds. “You would never say to someone who is dying from a peanut allergy that you’re withholding their EpiPen to make them not eat peanuts.” Similarly for drug addiction, Wen believes there’s no use in talking about recovery tomorrow, if we don’t have the ability to stop a fatal overdose today.
Most in the medical community agree on the dire need for Naloxone. Experts caution, however, that it can’t be the sole response to this health crisis. Like most other cities, Baltimore is still trying to figure out how to effectively direct users whose lives were saved by Naloxone into long-term treatment programs, says Dr. Marc Fishman, medical director at Maryland Treatment Centers, a regional clinic. After reversing an overdose, an addict may “get dusted off and given a piece of paper with some phone numbers. They’re told to call this number today, tomorrow, next week. Maybe somebody will answer. Maybe they’ll take your insurance. Maybe they’ll see you next week or next month,” explains Fishman, who is also an addiction psychiatrist and faculty member at the Johns Hopkins School of Medicine.
Instead, Fishman suggests the medical system needs a “full continuum” from Naloxone administration to addiction treatment. It’s not unprecedented: just look to patients with heart issues, he says. They, too, receive lifesaving drugs to stabilize their ticker, but rather than being discharged immediately, a cardiac clinic assigns a care plan and prescribes maintenance medicines to patients.
Wen fully embraces the idea: she wants to see medication-assisted treatment that fools the brain into thinking it’s getting opioids without getting high or blocks an opioid high after shooting up, alongside housing and supportive social services. In the meantime, she’s set up a 24-hour hotline for users to get treatment option referrals. (Since October, it’s received 1,000 calls every month.) By next year, Wen wants to open a stabilization center where a person can drop in for several days to get sober.
It’s far from the perfect solution, Wen acknowledges. But at the moment, she’s constantly iterating new approaches. Last year, at a meeting of the Mayor’s Task Force on Heroin, Wen asked her colleagues to think of what they could do immediately that wouldn’t need further funding or manpower. That type of thinking fits with the approach she learned from life-or-death decisions in the emergency room: it’s better to act quickly now with what’s available than to wait for an instrument that might never come.
“Everybody is working hard and trying stuff. Some things are succeeding, and some are failing,” Fishman says. “I get a sense of dynamic enthusiasm. People are rolling up their shirtsleeves. I’m sorry that white kids from the suburbs had to start dying before anybody started paying attention, but it’s better late than never.”
Despite Wen’s tireless efforts, overdoses continue to rise in Baltimore. Last year, 260 heroin users overdosed, tripling the 76 intoxication deaths in 2011. Why are people still dying? Wen returns to the idea that a heroin user, on the brink of an overdose, can’t save himself; the rest of the city needs to be on the lookout, which isn’t always the case.
Baltimore’s response to this crisis has the ability to end an epidemic and to unite an ailing community. Wen, who says she’s an optimist by nature, might just find a way to cure a hurting American city after all.
Homepage photo by Spencer Platt/Getty Images
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