The Common Sense Move That Reduced California’s Teen Pregnancy Rate by 60 Percent

In 1991, within the course of a single year, close to 16 out of every 100 teenage girls in California became pregnant — a rate that ranked among the worst in the country (the national average was 6.18 births for every 100 teens) and far exceeded those of other developed countries, sometimes by double digits.
Staggering as those statistics were, there’s been an equally stunning development in the 20 years since. By 2011, the teen pregnancy rate nationwide dropped 37 percent, and by more than half in the Golden State, a decline that’s “one of the nation’s great but unheralded success stories of the past two plus decades,” says Bill Albert, chief program officer for The National Campaign to Prevent Teen and Unplanned Pregnancy.
Despite the drastic drop in teen pregnancies, the fact remains uncelebrated — perhaps because no one can pinpoint exactly how it happened. Researchers haven’t yet explained how so many states’ divergent (and sometimes contradictory) strategies could consistently result in such steep declines.
The simple explanation? A “magic combination of less sex and more contraception,” as Albert puts it. But that only begs the question, What changed about the way teens have sex?
Studies point to a number of cultural factors. Some claim that mandatory sex education in schools after the AIDS crisis increased use of contraception. Others cite welfare reform and the strong economy. One hypothesis holds that MTV’s reality shows “16 and Pregnant” and “Teen Mom” discouraged sex with their gritty looks at the challenges of childbearing at a young age. Another theory says kids saw their parents marrying and having children later in life, so they likewise didn’t experiment until they were older and perhaps more mature.
A hard look at California’s programs, however, may reveal the best practices and a model to adopt nationwide. After all, the state is leading the way in reducing all three key areas — teen pregnancy, births and abortions. It’s “the undisputed heavyweight champion of prevention,” Albert remarks.
The Golden State, as a whole, saw teen birth rates drop by 60 percent from their peak in 1991. That number reflects improvement across all races; Hispanic teens still have the highest rate (4.27 births per 100 female teens), but it’s down 42 percent in the past 10 years.
Many public health officials point to the state’s sex education as an essential element in their multi-pronged approach. State law passed in 2003 requires the education to be “comprehensive, medically accurate and age- and culturally-appropriate.” Within the context of preventing HIV/AIDS, California teaches abstinence, but otherwise says abstinence-only education is “not permitted” in public schools. (It’s the only state in the union that didn’t accept lucrative federal dollars tied to “abstinence-only-until-marriage” programs included in a 1996 welfare reform package, after the state found its own pilot ineffective compared to one that included information on contraceptives.)
From there, the state’s approach focuses on access to healthcare, pioneering an innovative funding model that allows teen patients at hospitals or community clinics to qualify as their own household, making them eligible to receive public assistance for their medical expenses.
Additionally, California takes a more personalized approach to the social issues that surround — and lead to — teen pregnancy by helping local school districts and community healthcare providers tailor their programs to specific geographic areas. There’s vast differences, for example, in urban, affluent San Francisco and the rural farmlands of the San Joaquin Valley, where teen pregnancy rates still double those of the Bay Area.
“The problem isn’t the across-the-board teen birth rate in California, it’s the inequities that are revealed when you look at the rate,” Alison Chopel, senior program manager of the California Adolescent Health Collaborative and champion of the effort, says. “Why are black girls and Latina girls having babies younger than white girls? It’s because of the opportunity landscape that’s available to them.”
For Chopel, the need to customize the programs is very personal. As a teenager, she saw herself becoming another statistic. Raised in a poor household, she struggled with schoolwork, took drugs to cope, failed her classes and barely graduated from high school. College didn’t seem to be in her future, especially not after she had a baby boy. “I didn’t mean to get pregnant,” she says, “but I meant to have him.”
With the help of a Pell Grant, she graduated from college and went on to graduate school to study public health. She came to recognize the wide scope of factors contributing to unintended pregnancies: family structure, education, poverty, access to healthcare, race and culture.
Recently, public health advocates have questioned whether a baby is really the cause of the negative life outcomes — dropping out of school, living in poverty, depending on food stamps — for teen moms or whether they would have been just as likely to end up there because of their upbringing. (Chopel points to new research showing that young mothers from impoverished backgrounds may actually perform better than their peers because they receive family support and are motivated to succeed for their child’s sake.) Poverty, in other words, isn’t a symptom of unwanted teen pregnancies. If anything, it’s the cause.
California’s “innovative” strategies and community-based partnerships worked: they’re “helping young women and men make responsible choices,” says Dr. Ron Chapman, director of the state’s public health department, so the state is focused on continuing to make prevention programs available. “In all communities,” Chapman adds emphatically.
[ph]

Gun Violence Devastated This Man’s Family. He’s Determined to Not Let It Happen to Others

Since his childhood, Ian Johnstone has been unwittingly close to the issue of gun violence in America.
When Ian Johnstone was just 10 years old, his father was shot during a random robbery attempt in San Francisco. The perpetrators were a group of teenagers who had been using drugs; the 16-year-old shooter fired once into the elder Johnstone’s back, instantly paralyzing him. A week later, his dad died in the hospital from complications.
It goes without saying that Johnstone can personally attest to how the improper use of a firearm can devastate a family. He and his sister had to grow up without a father and their mother without the man “she had planned on spending the rest of her life with.”
“You can’t help but feel frustrated and jaded and powerless about the issue,” says Johnstone.
Those feelings returned to the forefront of his mind in late 2013 after the shooting at Sandy Hook Elementary in Newtown, Conn. While living in the San Francisco bay area and working in the tech industry, the idea of crowdfunding gun buyback programs came up while he was speaking with a group of friends. Instead of relying on funds from cities or grants, money raised to finance buybacks could come from private online donations — often from people in the very communities most affected by gun violence.
From this conversation, Gun By Gun was born. In less than two years, the organization has crowdsourced more than $80,000, using the money to collect more than 750 guns in four cities over the course of five campaigns.
Criticisms of gun buybacks stretch back to the 1960s when the programs first started being widely used. One of the strongest arguments against them was that they often collected inoperable firearms (certainly not the guns making America’s streets dangerous). To ensure that it only pays for working firearms, Gun By Gun, like most modern buyback programs, has a range specialist on hand at all their events.
Another criticism of these initiatives is that they only collect a small percentage of the guns out there in America (a number, which experts estimate to be anywhere between 270 million to 310 million). Johnstone acknowledges that the impact of Gun By Gun “may not be a drop in the bucket,” but cites the importance of letting communities affected by violence do something concrete together to address the problem.
Ultimately, Johnstone hopes Gun By Gun can be a catalyst for inspiring further action aimed at reducing gun violence. He points to the diversity of the people that the program has already brought together, from mothers who lost their children, to police officers and former criminals.
“Gun By Gun has been a way that I feel I can add meaning to the death of my father,” says Johnstone. “I’ve met so many people who have lost loved ones to gun violence and they want to do something which is, frankly, its part of the healing process.”

Are there 570,000 Homeless or 1.2 Million? Depends Who You Ask

On a recent evening, Denis McDonough, President Obama’s chief of staff, walked in the dark calling out, “Male, over 25; female, 18 to 24.”
Homeless people rarely have the privilege of having an audience with the president’s right-hand man — much less, one on their own turf. But that’s exactly what happened on a recent evening when McDonough and a crew consisting of Secret Service agents, White House staffers and San Francisco’s Mayor Ed Lee took part in the point-in-time count of homeless people living across America. (Within 90 minutes, the team counted 144 people in eight square blocks around San Francisco’s city hall.) The participation of a high-ranking Cabinet official drew attention to this little-known tool that provides essential direction for governments and service providers. It also brings focus to a population that’s often hidden out of sight, forgotten on vacant doorsteps, under freeway overpasses and in emergency shelters.
“What I see here, what we just walked through, this is a problem. But this is the same sort of challenge we face all over the country,” McDonough says. “The numbers tell the story. And that’s why this count is so important.”
WHAT ARE POINT-IN-TIME SURVEYS?
Here’s the formula: Sometime during the last 10 days of January (with a few exceptions), thousands of volunteers fan out across towns and cities across the U.S. to take a census of unsheltered street people. Equipped with clipboards and flashlights, they’re often assigned a small geographic area to avoid duplicates. The counts began in 1983 in 60 municipalities, as an increasingly visible population became homeless due to poverty, drug use and the closure of state-run mental institutions. Standardized methods for the counts were firmed up in 2005 and have since been refined. Along with figures from homeless shelters and transitional housing, numbers from the point-in-time count are submitted to the federal Department of Housing and Urban Development (HUD). From there, the data gives a local and national snapshot of the homeless population that guides service providers, Congress, HUD and other agencies.
HOW OFTEN ARE THEY CONDUCTED?
HUD requires shelters to submit their data every year, but point-in-time surveys only happen biennially, usually in the odd-numbered years. Many large cities, however, choose to complete the census annually to keep abreast of the latest trends. “When we get an accurate count, the numbers tell us what to do,” Mayor Lee tells the San Francisco Chronicle. “Data drives action. That’s what this night is all about.”
[ph]
IS THERE MORE TO THE SURVEYS THAN JUST COUNTING PEOPLE ON THE STREETS?
Since the federal government introduced its long-term plan to end chronic and veteran homelessness by 2015, as well as youth and family homelessness by 2020, HUD has requested detailed data on those subpopulations. Some surveys require nothing more than approximate age and gender, but others, like Los Angeles’s survey, consists of a seven-page questionnaire asking things like, “Where have you been spending most of your nights?” “Do you have ongoing health problems or medical conditions?” and “How many times have you been housed and homeless?”
In Connecticut, for the first time, volunteers will ask the homeless about their specific housing, medical and employment needs to add to a registry. “In the past, each program kept its own waitlist for housing and other important services…Under that old system, providers and public officials had no way to gain a global view of the total needs to end homelessness in their community,” Lisa Tepper Bates, executive director of the Connecticut Coalition to End Homelessness, writes in an op-ed. A “community-wide by-name registry,” she adds, allows nonprofits “to target the right kind of assistance to the right person.”
[ph]
HOW DO VOLUNTEERS FIND THE HOMELESS?
It’s not easy. Organizers target known homeless encampments, but there’s always the chance of missing some. Because of its huge area, Los Angeles has been one of the leaders in improving its methodology. To supplement a count that takes place over multiple nights — from the posh neighborhoods along the ocean (some of which had their first count this year) to deep into the San Gabriel Valley — the city also conducts a random telephone survey of the “hidden homeless,” which added an additional 18,000 to the 36,000 people already counted on the street or in shelters.
Even if volunteers are able to locate people they suspect to be homeless, answers are not always forthcoming. (“None of your goddamn business” is how someone rebuffed two women who work for the Department of Veteran Affairs in D.C. when they asked him.) Many cities equip volunteers with gift bags and resource lists, small incentives that may prod someone to answer a few questions.
WHAT DO OFFICIALS EXPECT FROM THIS YEAR’S RESULTS?
A year ago, HUD reported that 578,434 people were homeless on a given night, a 2 percent decline from 2013. Exact figures from last month’s count won’t be known until municipalities release them later this year, but so far, experts aren’t optimistic about another decrease. (Already-released figures in Seattle show an alarming 21 percent jump from last year.) Why? Gentrification is driving up rent and decreasing the number of vacant apartments up and down the West Coast, says Katy Miller, regional coordinator for the U.S. Interagency Council on Homelessness. Add to that lingering poverty and unemployment from the recession, a dearth of affordable housing and limited mental health care infrastructure, and it’s suddenly clear why so many are losing their homes.
But it’s not all bad news. Expect some bright spots in the declining numbers of homeless veterans, which has already dropped one-third from 2010 to 2014, thanks in part to First Lady Michelle Obama. Mayors across the country responded to her call to end veteran homelessness this year — a goal that’s well within reach, as New Orleans has demonstrated. The chronically homeless population should also decrease as well, continuing the 21 percent decline from 2010 to 2014. As Salt Lake City has shown, putting the homeless into housing can bring these numbers close to zero. Look for the common-sense solution of “Housing First” to once again prove its effectiveness when totals debut.
HOW ACCURATE ARE THE FINDINGS?
Many in the field believe the counts far underestimate the actual number of people experiencing homelessness. For one, the count occurs during the bitter freeze of late January, when many homeless aren’t living on the street. The calendar assumption seems to be that the homeless will be more likely to enter the shelter when it’s cold outside and thus be counted, but they could also take refuge in a vehicle or seek protection in a church basement. The head counts are “hit or miss,” says Paul Boden, director of the Western Regional Advocacy Project, a homeless rights group. “Those whom they could see, they counted,” he writes in an op-ed in the San Francisco Chronicle. “Point-in-time counts are a minimum number, always. They undercount hidden homeless populations because homeless persons are doubling up with the housed or cannot be identified by sight as homeless.” A quick look at other studies support Boden’s claim, including data released by the U.S. Department of Education, which reports that the number of homeless students has nearly doubled since the 2006-07 school year, to 1.2 million.
[ph]
WHICH GROUPS ARE OFTEN MOST EXCLUDED FROM THE CENSUS?
Point-in-time surveys do provide a snapshot taken at roughly the same time, a HUD official notes, which can “benchmark progress” with some confidence every two years — assuming that the face of homelessness is not changing. Some advocates fear that the largest new population of homeless — families who’ve lost their homes in the recession and are bouncing between couches, cheap motels and other temporary residences— are not being identified since they don’t “look homeless” to survey volunteers.
In addition to families, youth are most often among the undercounted, Boden says. Unaccompanied homeless youth are referred to as an “invisible population” because they’re particularly difficult to count. Studies attempting to estimate the total range from 22,700 to 1.7 million, a huge disparity. To improve count accuracy, HUD has partnered with a number of other agencies for a program called “Youth Count!” Since 2013, these groups have tried to attract youth homeless into shelters for the one-night counts with free meals and activities. They also approach homeless youth earlier in the day, when they’re likely easier to find at hotspots for young people like malls or recreation centers, LGBT-focused agencies and schools.
Unfortunately, while this system counts those down-and-out on the streets, it does little to track those who are grappling with housing insecurity — the very people which may be counted among this country’s homeless during the next point-in-time survey.
[ph]

America’s 10 Best Bike Lanes

It was just seven short years ago that that New York City created the United States’s first protected bike lane. Since them, as part of an effort to get more cyclists on the road, more communities across the country have embraced safer bike lanes.
Currently,  there are 183 projects throughout the U.S., according to PeopleForBikes, an advocacy group based in Colorado. The organization recently mapped out the best projects and designs cropping up; as protected bike lanes become the norm, smaller cities should take note of these standout designs.
“Last year there were only a handful of cities building protected bike lanes. It was really the cool cities — the innovative, creative leaders,”says Martha Roskowski, head of the Green Lane Project program. “Now, we’re seeing a lot of other cities are getting on-board and implementing them.”
Among the top is San Francisco’s Polk Street, which is distinguished by its separation from cars and opposite flow of traffic, according to Martha Roskowski, who heads PeopleForBike’s Green Lane Project program.
Here are the top 10 projects, according to PeopleForBikes:

  1. Polk Street, San Francisco
  2. 2nd Avenue, Seattle
  3. Riverside Drive, Memphis, Tenn.
  4. Rosemead Boulevard, Temple City, Calif.
  5. Furness Drive, Austin, Texas
  6. Broadway, Seattle
  7. SW Multnomah Boulevard, Portland, Ore.
  8. Penn Avenue, Pittsburgh
  9. King Street, Honolulu
  10. Broadway, Chicago

While many Dutch and European bike lanes are uniform design, Roskowski notes that American projects have taken on distinct characteristics based on each city. Chicago and Seattle have prioritized low-cost strategies, while San Francisco bike lanes are focused more on aesthetic. But each design has its benefits. For example, the cheaper model, she adds, helps cities get more residents to adapt the model.

“As you get more people riding, it builds support to go back and do more robust facilities,” Roskowski tells Fast Company. “The big jump in ridership happens when you really make those connections — point A to point B — and people can get where they want to go.”

MORE: The Verdict on Protected Bike Lanes
 

The Bay City’s Latest Plan to Combat Homelessness

San Francisco is a city of paradoxes. Walking around, you can see evidence of the booming tech scene and expensively-clad citizens, yet it also has a chronic homelessness problem. But the City by the Bay finally thinks it may have a solution by combining the needs of both the homeless and corporations: tax breaks for community projects.
With 6,436 homeless people and 3,401 living on its streets, according to the Human Services Agency, San Francisco has to be inventive. And that’s where this new initiative comes in. As more and more tech companies, (like Twitter) move to the area, San Francisco is hoping that its new “community benefit agreement” will encourage these businesses to stay and improve the city.
Through the initiative, tech companies will receive multi-million dollar tax breaks if they set up residence in a troubled neighborhood and invest a portion of those tax breaks into improving it.
While some remain skeptical about the amount of money that a company will actually put towards a neighborhood, this program offers unique possibilities for great change. For instance, many tech companies will set up micro-apartment communities for their employees; if created for homeless people, there’s the potential to drastically reduce the problem.
Salt Lake City is a model for this type of project. Ten years ago, the Utah city started a program to combat homelessness through these micro-apartments communities. Apartments were set up outside of troubled neighborhoods, and residents were quickly placed into them, removing them from the negative influences.
In each housing complex, on-site counseling was available. These counselors helped residents beat drug addictions, find jobs and diagnose and treat mental diseases. The result? Salt Lake City now only has about 400 homeless persons.
Although there are differences in cost of living and other factors between Salt Lake City and San Francisco, there is possibility for replication and improvement.
For Matt Minkevitch, who runs Road Home, the main nonprofit homeless agency in Utah, these houses serve as a stepping stone.
“The idea is, we don’t want people to just live in this shelter,” Minkevitch tells San Francisco Gate. “We want to make it as comfortable as possible, but we want them to move on to housing — on to better lives.”
DON’T MISS: Ever Wondered What To Say To A Homeless Person? Here Are 5 Things to Say And 5 Things Not to Say

How Tablets Are Helping San Francisco Inmates Get Back on Track

It’s no secret that education programs in prison may help reduce recidivism and better transition inmates back into society, which is why California is launching a pilot program to supply tablets to prisoners.

The two year, $275,000 pilot program is directed toward helping inmates tap into the technology that’s now available in most elementary schools. The state is distributing 125 tablets, enabling access to only four websites but allowing prisoners to read books, do homework or prepare for their criminal cases through the use of a law library, MSNBC reports.

The tablets also feature an education application and curriculum developed by Five Keys Charter School, which donated $125,000 to the initiative. The California Wellness Foundation has also bestowed a $75,000 grant for the project, while San Francisco’s Adult Probation Department gave $75,000, according to Steve Good, the executive director for the Five Keys Charter School.

“We hope this will help bridge the digital divide and provide inmates access to technology that every elementary, middle and high school student already has, but has been out of reach for those forgotten by society,” Good says.

The majority of the 125 tablets will be given to men and women who are already part of the Five Keys programs. The tablets, developed by New York-based American Prison Data Systems, can be remotely monitored or disabled and will be available to prisoners most hours of the day. American Prison Data Systems also provides similar devices to juvenile jails in Indiana, Kansas and an adult prison system in Maryland.

“This is really cutting edge,” says San Francisco Sheriff Ross Mirkarimi. “Historically, there’s been resistance, if not prohibitions, on allowing technology into the living quarters of inmates.”

Inmate and former army veteran Dennis Jones hope the use of a tablet will help him earn a high school diploma and keep him off the streets the next time he’s released.

“I’m five credits shy of getting my diploma,” Jones says. “I’m willing to work toward that goal — and hopefully this will help me.”

 MORE: How A New York Program is Reframing Prison Education

For Immigrants Waiting on Paper Bureaucracy, This Online System Could Be the Answer

One of the problems stemming from the recent surge of child refugees into the U.S. from Central America? Each applicant could wait years before their immigration cases are processed, thanks to our backlogged system (the United States Citizenship and Immigration Service, or USCIS, receives millions of paper applications each year).
The people behind a San Francisco-based company, FileRight, think they have the solution: an online system for filing immigrant claims, which will allow individuals to fill out their own forms without hiring expensive lawyers — similar to the way that the software TurboTax enables citizens to complete their own taxes online. These forms can then be digitally processed, potentially speeding up the process.
Now, FileRight just has to convince the government to allow online applications.
According to Megan R. Wilson of The Hill, FileRight hired lobbyists in January and has been meeting with Obama administration officials.
Cesare Alessandrini, founder and chief executive of FileRight, is the son of Italian immigrants who got the idea for the program when he was trying to help his soon-to-be Argentinian wife apply for citizenship. “I had two options: I could have hired a lawyer for $5,000 — which I didn’t have — or I could do it myself,” he tells Wilson. “How hard could it be?”
Alessandrini found the application process confusing and complicated — even for a native English speaker. So he began designing FileRight, a system that could help some applicants avoid denials for small errors such as spelling mistakes or writing on the wrong line, which are routine with the current, paper-based system.
FileRight isn’t the first company to attempt to digitize the immigration process. As we reported in February, Clearpath Inc. is also developing software to streamline the visa application process.
Regardless of which company’s software proves the most effective, it seems likely that digitizing the process will certainly help relieve some of the immigration backlog.
MORE: Meet the Entrepreneur Creating a ‘TurboTax for Immigration’

Name the Most Pedestrian-Friendly City in America

Pedestrian life is picking up speed across the country, with an estimated five percent more Americans walking to work now compared to 2000, Bloomberg reports. But with more than 4,700 pedestrian deaths in 2012, city planners are recognizing the importance of improving pathways and policies to protect citizens on their feet.
In a study of the safest cities for pedestrians by insurer Liberty Mutual Holding Co., Seattle topped the list. The Pacific Northwest city had fewer than 10 annual pedestrian deaths in 2012 and was noted for its investment in infrastructure to improve the walking safety of more than 108,000 commuters each day. That same year, the city ordered more than 500 crosswalks and also improved walking routes for students.
Boston and Washington, D.C. came in second and third, respectively. San Francisco notched fourth and New York City grabbed the fifth spot on the list of of 25 cities analyzed for pedestrians. The most dangerous for walkers? Detroit. The report ranks cities by traffic data, infrastructure and local attitude on public safety among 2,500 residents across the observed cities.
Dave Melton, Liberty Mutual’s managing director of global safety, attributes well-planned pedestrian safety to countdown lights and flashers at crosswalks that help drivers focus on the road and direct attention from pedestrians. But pesky cellphone usage still remains an issue. 

“The human brain doesn’t multitask,” Melton says. “It switches back and forth.”

It’s tricky to try to control phone distraction, but ensuring every other component of protecting pedestrians is a step in the right direction.

MORE: These Kids Are Powering Their School Just By Walking

It May Sound Like a Potty Humor, But This Campaign to Conserve Water is Serious Business

California’s drought has marked one of the worst on record, with 100 percent of the state affected. But while some parts of the state are completely tapped out, other areas continue to use water with little regard. Which is why a group of San Francisco entrepreneurs got the bright idea to turn an old money-saving trick into one that could help California save 6 billion gallons of water in just three months.
The Drop-A-Brick project began as a joke among the group about the double meaning of “dropping a brick,” but became an actual solution once the group recognized just how much Californians were flushing away.
Placing a brick in your toilet’s tank can save around a half of gallon of water per flush (a family of four save around 50 gallons a week). For a state under such dire conditions as California, it’s a method worth trying.

“We realized that toilets are the number one user of water in the home,” says Greg Hadden, one of the founders of the project. The Environmental Protection Agency estimates about 26.7 percent of municipal water is flushed away at residential households and California, in particular, wastes around 203 million gallons each day.

“All of us felt that while we were in this huge drought, there’s a massive lack of awareness of it. Nobody really seemed to understand how serious the situation is,” Hadden tells Fast Company

After researching the practice, Hadden said they realized that actual bricks can dissolve, cause clogging and lead to a pricey visit from the plumber. Instead, the group decided to design their own lightweight, environmentally-friendly rubber brick. Their unique version contains a dye tablet to help identify leaks as another means of water conservation and also ships flat in the mail, plus it doesn’t expand until added to water thanks to a hydrogel technology. The brick is also adaptable and can be formed into different shapes based on toilet design.

“While we’d like to get a lot of bricks out there — we think it’s a great icon for a public awareness campaign — really what we’d like to do is just get people thinking about urban water conservation and how to save water at home,” Hadden says.

The Drop-A-Bricks project is crowdfunding via Indiegogo and is also accepting additional donations to send extra bricks to some of the state’s worst areas that are relying on outsourced water. While the campaign is taking a lighthearted approach to raising awareness about the “big bowl movement,” the drop-a-brick project is a real solution to helping Californians conserve their valuable H2O.

[ph]

MORE: The Silver Lining to California’s Terrible Drought