Monday, June 28, 2010
Day 26- A trip to A. House
Things looked up, when we decided to go visit Dara and have dinner at the Annunciation House or A. House, where she is currently interning. Really quickly, A. House is similar to a homeless shelter that caters to economically vulnerable individuals and families and people who are undocumented. As I entered the house, I was a little nervous simply because I knew there would be so many people with different stories and backgrounds all under one roof. And all Dara said was "Don't worry, just say hi."
But she was right. Sarah, Laura, and I walked into A. House with smiles and maintained them all throughout our visit because everything was so homey. Dara quickly showed us a couple of spots in A. House, including her room since it was time for dinner. We all gathered to the second floor where the kitchen and dining room was. We stood around in a circle and held hands and prayed. We then got into a line for fooood! I had just eaten dinner because I was starving after I came home from work. But I really wanted to take in the whole experience of being at A. House and found myself reaching for a plate and spoon. The man serving ham asked Laura something regarding me and then looked at me asked me: “Are you Indian?” Me, with my hair tied in one braid put to the side could not look any more Indian and so I replied “Yes” with the cheesiest smile ever. We sat down on tables that resembled tables I used to sit at in elementary school. As I ate dinner, I saw how everything was still moving around me. Across from where I sat, was a woman and a new born child, behind me were adolescents who had just come home from seeing the girls they liked and to the side of me was a baby in a stroller jumping up and down. It seemed like an extended family. And I was a part of it for that moment.
After dinner, Dara continued the tour of A. House and showed us the family rooms where families stay, the women’s side, and the men’s side. She showed us the volunteer space, the office, the prayer hall, and she even took us to the roof which showed a great view of El Paso and its mountains. But I think by far the coolest place she showed us was the basement. It was like a thrift shop with donated clothes all lined up neatly one after the other, with cowboys boots and sneakers, and lotions and body wash. Everything was donated because A. House relies on donation for EVERYTHING to function. As we made our way back upstairs, we decided to help one of the volunteer separate the good produce from the bad produce. All of it was once again, donated from supermarkets that would have otherwise dumped the produce. After we made the initial separation, we then divided the good produce into two piles, one for A. House and one for its sister house, Casa Vides.
The ladies and I decided to chill outside for a bit since the house was burning up (there was no AC). Ricardo and Pedro (the two adults for confidentiality purposes) and Justin (the teenager for confidentiality purposes) were already outside playing basketball. They asked if we wanted to play and we all said no shyly. Then for some reason the girls called me out and started to encourage me to play. And so I decided to play. Right before we were about to begin, Justin started to bleed from his knee and so Dara took him inside to get cleaned up. As the three of the players waited, Ricardo passed me the ball saying “Let’s practice.” I shoot the ball one, twice, three times and continued until I reached my seventh try and still did not make it in the net. At that point I handed the ball back to Ricardo and he scored. He moved to another spot to shoot and missed so he stayed there. Pedro did the same. So I figured we were playing HORSE. Fortunately Justin came back and I did not have to keep missing shots. But it honestly hadn’t struck me that the game had begun since Justin was back and we now had 2 players for each team. I was wondering why Justin was standing so close to me and like right in front of me too. I was confused as to why whenever I moved left, he moved left and so without realizing that he was trying to block me I tried to get away from him because I needed my space. Then as I looked up I saw Pedro trying to pass me the ball and all I could do was break out into laughter because I had just realized the game had started. Moments like that happen too often with me.
Now, I was all into the game running around, throwing my hands in the air trying to block Justin and Ricardo, and always trying to pass the ball to Pedro because knowing me, shooting the ball is just not the best option. All this was happening with a hair tie that was not tight enough and in pretty little chancletas. But it was a lot of fun. At some point, even Laura and Sarah joined the game. But as the intensity of it increased, I decided to take a break and watch the game with Dara.
Soon after it was time for us to leave because the bus stops running at 8:30 PM and we needed to make sure we caught it. So we said our goodbyes and I took one last look at A. House and could not help but be grateful for its existence.
Thursday, June 24, 2010
Day 25- Patients and Vitals
As I was taking the height of patients, I could not help but wonder about every doctor visit I have been to and followed the doctor’s instructions about what to do. And now, I was doing that!! I know it was simply taking down the vitals of patients but it was really a big deal for me and still is. I think what I loved the most about it was that some patients were so well in tune with what they were feeling whether it was anxiety or panic attacks or having difficulty breathing that they tried so hard to make sure I knew exactly what they were talking about. They used facial expressions, their hand movements and maintained eye contact with me so I would understand them fully. And I appreciated that so much. Meeting with patients has by far been the highlight of my week. Hands down.
Day 24- Lobby Cards
Tuesday, June 22, 2010
Day 23- Native American Poetry
However, I did meet with two veterans I have met previously and my supervisor to discuss what Mike, EPMHMR's military liaison needs for training peer-to- peer reviews. We also discussed what Mike would be presenting at the Mental Health Conference that will be held next week.
So I since was not joking about not doing much besides organizing files and stuff, I would like to share a poem with you all from a book that I have just finished reading. The book is called "We Became As Mountains: Poems of the Pueblo Conquest" by Nancy Wood. And the last poem of the book is called "Full Circle." It goes as the following:
Full Circle
Some say the world is dying,
but I don’t believe them. Indigenous
There is always something good to see.
My ancestors would not have given up.
I, in my modern house, cannot give up either.
To give up is to die.
My voice goes on
and I fight like a warrior for
creatures who cannot speak.
The voices of turtles and falcons are within me,
and I must put myself in Brother Bear’s skin.
The end is the beginning. The full circle
of my life is nothing more
than one footstep going on.
I loved the fact that the author chose to place this poem at the very end because it leaves the audience with some sort of hope that somehow things will be okay for the Native Americans. Somehow, they will be able to take that step forward and live one more day, regardless of their tragic history. As Wood mentions, "To give up is to die" and so the Native Americans must keep walking ahead for the real tragedy is "when a memory dies, the purpose of a people is obliterated." In order for their presence to be remembered, they must take that footstep to fulfill the circle of life.
Monday, June 21, 2010
Day 22- MHFA, Mexican or American or Mexican- American?
Moving away from work for a second, I had lunch with my supervisor today and his coworker. We obviously went to a Mexican restaurant since I prefer to eat that over anything else here. And we got into an interesting conversation. They were explaining how certain Mexicans in El Paso shy away from the language Spanish because they were taught to be ashamed of it growing up in school. I even met a lady at my employee orientation who stated “I have lived in El Paso all my life and I do not know Spanish. It’s so annoying that people just assume I speak it.” Mind you, this woman was of Hispanic descent as well. She had tried so hard not to learn her native tongue because she did not seem it was necessary. Her words definitely caught me off guard because my Hispanic friends back home try so hard to hold onto the language and speak it every chance they get. I realized that those friends are from New York City, a place where diversity is acknowledged, wanted, and something to be proud of. Here in El Paso, right on the border of U.S. and Mexico, the perception is different, especially because El Paso was at one point a part of Mexico. It’s ironic too that so much of the population is Hispanic, yet many individuals prefer to claim their American identity and downplay their Mexican identity. But I do have to take into account that there have been divisions made into this region. People have moved towards westernization. Mexicans from El Paso are not necessarily Mexicans from Mexico. There seems to be a clear distinction between the two, many taking more pride by being from the American side of the border. This dichotomy really caught my interest because of the location the people live in and the history they have lived. I wonder if the perception will ever change and if Spanish would be something all individuals will speak proudly in El Paso.
Day 20, 21- Cumbia
Early Sunday, Laura, Sarah and I went to a science and color exhibit and got to go back in time with all the activities that were present. If you didn't know us any better, you could have mistaken us for 5 year olds getting excited over the littlest things.
During the evening, the girls and I went to a free concert that is held every Sunday night. The event is called "Music Under Stars." Yesterday, a local band from Juarez played Cumbia. Basically everyone just brings whatever they want to snack on and chairs and plates and drinks and listens to the live band perform. I honestly have not heard much Cumbia, but last night's performance was really good. The singers were all very loud, excited, and kept the energy consistent throughout the two hours. There was even a mini dancing space for those who wanted to show off their moves. I must admit, I was a little too cool at first, but then with enough peer pressure, I too joined the dancers. And it was a lot of fun just moving my hips however I saw fit.
Day 19 Pink, People, Dance
Now that we have that covered, onto my actual day. On Friday, I shadowed a woman named Ana. We went to pick up one of her consumer’s, Victoria (for confidentiality purposes) who is a 30 year old patient in need of habilitation services. She is in a wheelchair and so we had to make sure to take the van. After Ana helped Victoria get settled inside with the buckles for the wheelchair, we drove to the mall. Victoria loves to shop and the color pink. She even wore a magenta dress that day. It must say, the color does suit her.
We all toured the mall, going in and out of jewelry stores. I think I was more excited than Victoria about the low prices and the colorful accessories. When all of our bellies were making funny sounds, we decided to sit and eat. Ana and I got pizza, while Victoria got Wendy’s. As we sat down, Ana and Victoria about her Victoria's current boyfriend and Victoria's situation. She may be pregnant with a man who is also an MR patient. And I just sat there remembering what Ana explained to me before we picked up Victoria. “They’re humans too, just like the rest of us. They have the same desires, wants, just like us. If only people could get past what they see first and realize that.” It’s so true. Here I was listening to Victoria talk about her boyfriend and the problems they are going through and we ALL go through that. The only difference is that many of us take it for granted that we can walk, that we learn and pick up on information without any difficulty.
As we exited the mall, we came to the van to take Victoria back. As Victoria and I waited for Ana to get the van organized for Victoria, she told me “I wish I could go to with you to New York. I heard it’s beautiful there.” The only response I could return was a heart-felt smile. Then as I waited outside in the 107 º F weather for Victoria to get settled in, she looked at me and said “Get in because it’s hot.” This time I did more than just smile, I actually got in the van because it really was hot. I was sweating by simply standing (I know,…gross). And finally when we were ready to take off, Victoria tilted her head in my direction and asked Ana “Did Dimple buckle up?” As I answered “Yes,” I thought to myself how sweet and caring of a person Victoria is and how truly happy I was that I got to spend the day with her.
And to top off my day, I attended the monthly dance that was held every month for consumers. I saw John there and talked to him for a bit. It was cool to actually know some of the patients. As I sat through the dance, I saw how much fun the consumers were having and I thought to myself, “when’s the last time I had that much fun?”
The very idea of having a dance for consumers is excellent because “They’re humans just like the rest of us. They have the same desires, wants, just like us.” And frankly speaking, they want to party like us too and they do just that every third Friday of the month.
Thursday, June 17, 2010
Day 18- Burritos, Lemonade, and Soccer
Yesterday I was sent to another one of EPMHMR's clinic. As I walked into a room already filled with people, I couldn't help but smile because these were the same people I had attended the employee orientation and they all greeted me with smiles. I waited for the person I was going to shadow in a room with the new employees. Finally, a man named Andy shows up and we exit the building with another employee, Angel. (He also attended the orientation with me).
Andy's job was to check in on patients, which entails spending a total of 3.5 hours with them per month. The first person we drove and picked up was a man named John (for confidentiality purposes), who is diagnosed with schizophrenia and is also diagnosed with retardation. We rode to a mall called "Cafe Plaza." We walked around the whole mall, which wasn't too big. Angel suggested to go into Radio Shack because John had mentioned that his batteries had died. And so the quest for RECHARGEABLE batteries was on. We compared prices and saw what would be best and told John to keep this in mind for next time.
As we continued our walk throughout the mall, we also stopped into a place that sold Mexico jerseys. Yesterday, more than ever...I wanted one because I had seen my first goal when Mexico played against France. The end score was 2-0, Mexico winning. Soccer is such a big deal here and especially if Mexico is playing. Also, I never realized how hard it is to make a goal. It wasn't until the second half of the game and 10 minutes into it that a goal was made.
Anyhow, back to John. We eventually came back to where we entered the mall, also known as the food court. Since John loves a certain Mexican spot in the mall, he ordered a burrito with Andy’s help. As we sat down with the food, I couldn’t help but notice what seemed like an officer floating. Maintaining, my stare, I realized he was a MALL COP. Yes, like the one in the movies. I honestly did not know that they existed. I could not help but to stare the whole time he was circling the food court. It was the funniest thing ever.
We all returned to the car. Andy dropped John off at downtown since he likes to hang out there. We all said good-bye just like we said hello, with a firm handshake.
After lunch, we rode to pick up another patient named Tony (for confidentiality purposes) who was also diagnosed with schizophrenia. My interaction with Tony was little to none simply because he spoke only Spanish and my Spanish skills are limiting.
We took Tony to this HUGEEEE Mexican grocery store, expect when I entered, I felt like I had just entered a carnival. It was so colorful with decorations hanging from every part of the wall. The store had sections for different kinds of food, smoothie stands, statutes and an eating area. All this in a grocery store. I felt like a child in a candy store, wanting to try everything I set my eyes on.
Tony ordered lemonade and cake and we sat down for a bit. We then continued to walk around this monumental grocery store and exited. I had left the carnival. We dropped Tony off and in our way back, we passed by an Indian Reservation! It’s the only one in El Paso and the tribe is called the Tiguas. I was so excited because touring a reservation is definitely on my “to- do” list. Andy was telling me how the reservation is independent territory. This tribe has their own schools, police, church, everything. I would love to visit their churches. Maybe next weekend.
Wednesday, June 16, 2010
Day 17- Dinner with Sarah's boss and family
After consulting with four workers, I finally figured it out. When it was all said and done, the printed map of Texas was one of the most beautiful documents I had ever printed.
Later this evening, Sarah's supervisor, Ana who works for the FEMAP Foundation picked Laura and I up from UTEP to join her, Sarah and her family for dinner at their home. As we walked on every circular rock leading into the path of the entrance of their home, I could not help but wonder how the house would look like from the inside. As soon as we entered, all I could think of was the word "pueblo" to describe it. The house is full of old school furniture and room styles fused with modern tiles and windows. It was "the house" for an artist with paintings painted by Ana herself all over the home. It was colorful. It was homey. And the couple's 2 year old child, Camillo kept us laughing every moment with his craze for Toy Story.
Once we finished dinner (vegan pizza with no cheese which actually was not half bad), we all walked down to the end of the block to grab a sweet from the local bakery. I got a mango empenada and it was good. (Although I do prefer the guava flavored one). As I savored my desert, I enjoyed the coffee that was made for us and was ready to go home.
It was a great night. Spent with warm and kind people and it ended with the kiss on the cheek from an old romantic, Camillo.
Tuesday, June 15, 2010
Day 16- PMAB 2 and a little Spanish
We reviewed all the exercises we were taught yesterday with our partners and had to present them in front of the class, individually. Then we began the "getting on the floor and being kicked around activities." We needed mats for this set. We learned how to double team a consumer to the floor and keep him or her their until it was safe to release them.
All the exercises made a lot of sense, in terms of how to deal with a patient undergoing a crisis. However, I am not sure as to how many of these practices I personally will be implementing myself. But it's always good to know.
The highlight of my day:
1. Began my day with the best coffee, well the only coffee I have bought in El Paso from a local bakery.
2. There was this woman in my self- defense class who just assumed I spoke Spanish. Well also, when she asked me questions such as "Como te llama," I answered promptly and with a smile too, instead of proclaiming my lack of Spanish skills. But anyhow throughout today's session she would tell me random things in Spanish about what I am assuming how she messed up the exercise when presenting and I thought it was the coolest thing ever. I tried to not be around her only because then she may want to have a full blown conversation in Spanish and I would have to tell her the truth.Yo hablo muy poco espanol. There was a certain amount of comfort established between us simply under the pretense of me speaking Spanish and well smiling...that always makes people comfortable.
:)
Monday, June 14, 2010
Day 15- Self Defense and BSB
When it came to exercises that involved pulling your partner to the other side for protection, I did not even bother. I simply used the most common mechanism used for your own safety which was putting up your hands and arms in a rigid manner over your face, yet still allowing you to see the attacker.
With every new exercise the instructors taught us, every pair had to duplicate that exercise in front of the whole class. I have always hated these "showing the class what you've learned activities." But I was a trooper and did not mess up too badly. Haha.
The two most important take home notes from today for me were the following:
1. When you are backing away from the consumer always keep your arms above your face.
2. And while you are backing, remember to scoot backwards as quickly and as efficiently as possible. This can be done with your body weight leaning towards the front to avoid falling on your back and breaking your skull open.
After my two hour ride home, nothing was better than a hearty dinner and lipsing-ing to Backstreet Boys for a good hour with Laura. She knows as many lines as I do. Need I say more?
Sunday, June 13, 2010
Day 14- 2 week anniversary in EL PASO
The ladies and I decided to take two buses to reach one end of the scenic drive. We began our long walk on a cool breezy day. Matter a fact if there was any day to walk on a tiny sidewalk with cars and have the sun be over you every second for over an hour, it was today. I honestly haven't seen such good weather in so long. It made me wanna be an El Pasoian (I totally made that up). As we continued our walk, we got closer and closer to downtown. We made a couple of touristy stops that allowed us to take scenic pictures. In between our travels we would occasionally stop and break out into complete horror and then uncontrollable laughter. For instance there was one point during our walk when Sarah yelled out of nowhere. Normally, mine and Laura's natural response is to scream as loud as we possibly can regardless of the fact that we have no idea about why Sarah yelled in the first place. Once the hysteria calmed down, Sarah pointed at the ground and spotted a lizard that appeared to be dead. And then the loud laughter occurred and remained there until we continued our walk.
When we first began our walk, we passed by the poorer side of town filled with not so great looking houses, but as we ended the scenic drive, we passed by huge house mansions with beautiful plants surrounding them. The disparity between the hour walk was huge. It made me think of the difference between the two cities, El Paso and Juarez. We knew how close we actually were to Juarez since we used a mountain in Juarez that had the words "Juarez, La Biblia es la verdad. Leela" (Juarez, The Bible is the Truth. Read It) imprinted on it. Its so crazy how two cities so physically close to one another are so different in so many ways. El Paso is ranked at the second safest city in the United States, whereas Juarez is ranked one of most dangerous. And here we were, in between both cities. It was surreal.
So my two week anniversary at being in El Paso marks the observation of two neighboring cities viewed from a mountain full of lizards and cactus. Hands down, it will be walk I will always remember.
Saturday, June 12, 2010
Day 13 SCB gals reunite
What I remember best about last night was the discussion all four of us were having on our tiny dinner table about Mexico's current state and how so much of it deals with corruption. Interesting points that need to be evaluated and dealt with were presented. The first point that caught my attention was the reasoning behind legalizing marijuana. 69 tons of marijuana is illegally imported into the United States from Mexico, allowing drug cartels in Mexico to have complete control over the generated income, people, and government. If marijuana was legalized then Mexico would no longer be run by the drug cartels since the United States would be able to either grow their own weed freely or import it from elsewhere for cheaper prices. It was a point I had never considered before. It makes sense that Mexico's condition would improve...a great deal. But the aftermath that it would do to citizens of the U.S. especially teens makes me a bit uneasy. Having worked with teens who were in need of psychiatric help and have undergone substance abuse makes me worried and scared about what would happen to them if weed were to be legalized. And I know that in the bigger picture, this population is fairly small, but knowing some of these students (through a past internship) by first and last name and knowing their backgrounds, forces me to make them a priority.
Another good point that we discussed was the criminalization or OVER criminalization of things such as weed. Too much resources, time and money goes into putting individuals into prison for weed related activities. All those resources, instead need to be put into actual criminals, not just a couple of college students who wanted to have a good time. This was a point that I could relate to in terms of mental health and the idea of jail diversion (a program for individuals who are in need of mental attention as opposed to prison).
The strongest and most valid point of the night was an idea that Dara brought to the table about how drug abuse is more of a social problem and needs to be dealt with through social services than to be labeled as a criminal issue.
This understanding was reiterated today in a community meeting I attended which was organized through Laura's internship site, Border Network of Human Rights. Sheriffs and Chiefs from the El Paso County and Las Cruces were asked to answer questions regarding human rights and immigration rights. Testimonies of real people were presented and the panelists were asked to respond, agree, disagree or clarify exactly how certain situations should be dealt with. For instance, if a police officer pulls an individual over for speeding, the officer does not have the right to ask the civilian for his or her immigration papers. Clarifications were made between the authority and the community members. But to a certain extent I felt as if some of the officers were simply saying what the public wanted to hear.
Nonetheless, it was a community event in El Paso, one that I am glad I attended.
Friday, June 11, 2010
Day 12- Hoarding and Tallys
Since animal hoarders accumulate large numbers of animals and fail to provide minimal standards of nutrition, sanitation, or vet care, many animals tend to die or fall sick. Out of 100 animal hoarders, 80% have dead or sick animals yet most deny any problem. In the presentation, one woman had over 300 albino RATS living in her house. We saw clips of mice all over her kitchen, living room, bathroom, and even bedroom! I distinctively remember seeing 4 white rats come out of the woman's pillow cases! She also had two dogs, one which had died. Since she did not see the need to dispose of the dog, the mice eventually ate the dog and all that was left was the dog's carcass and hair.
I learned about the profile of an animal hoarder, the mentality of an animal hoarder, and how to recognize one. We went over the environmental concerns of animal hoarders including the transfer of diseases and deterating strucutres. Lastly we discussed "How to Manage a Hoarder" and the use of various agencies to help hoarders get cleaned up and stay clean, not only for their safety, but for the safety of those around them.
My supervisor and I left the meeting early so that I could be dropped off to Sunset Clinic, which is also a part of MHMR. My help was needed to tally up the 1,300 patients and their diagnosis. These were the same patients that starting October 1st will have no treatment, medication or any sort of service because no extra funding will be given to MHMR. As a result patients with bipolar, major depressive disorder, schizophrenia, and other mental disorders will not be seen or treated. 1,300 people. Suicide rates are going to go up. There will be an increase in imprisonment. More space will be taken up in ER rooms. All health related agenices will be affected. Family members of these untreated patients will be affected. The result will be a sad domino effect.
As I was tallying up the diagnosis of every patient, the scary truth was so evident. Every tally represented a person in need of mental healthcare who will be left on the streets...untreated...unmedicated.
Thursday, June 10, 2010
Night 11 Vigil
Last night I attended a vigil for this child. We met with Laura's coworker, Zelene who is a hard core activist on human rights. From there we drove to the place where individuals gathered and began to light our candles. Then the walk began. In the breezy, calm, sad evening the whole group began the walk towards the border to get as close as we possibly could to Adrian Hernandez Huereka's death. As we approached what seemed to be just open space in front of an apartment, two cop cars awaited our arrival. But the drummer kept drumming on. Bhum- bhum, bhum bhum, BHUM- BHUM....We all gathered around in a circle and listened to various speakers, holding our candles in the dark night. Flashes kept going off since tons of media coverage was being taken. As I listened to the woman talk about Adrian Hernandez Huereka, it was so surreal for me to even be present at the place, at that moment. She clearly said that "WE have lost OUR son." We need to do something about it. We need to end this battle of violence that has been going on for over 150 years. It is not Mexico versus the United States. How can it be? How can it be seen as two separate nations with people displaced into various locations? "WE have lost OUR son. WE must celebrate his life. WE must celebrate his relationship to his family members. WE must celebrate how he went to school." WE. It was so real. Being there around people who have lost loved ones and coming together yet with some kind of hope, some kind of courage, and some kind of faith, real faith that this will not continue. This will end. Violence on the border is not the answer. It can not be the answer.
Wednesday, June 9, 2010
Day 11- Jail Diversion
1. Jail Diversion Memorandum of Understanding
2. Jail Diversion Bylaws
3. Nueva Esperanza Clinic Update
4. Other new businesses
We mostly ended up talking about how to implement these jail diversion programs and the person who led the meeting emphasized the fact that it was crucial for agencies to work together in order for jail diversion to be successful.
First and foremost, jail diversion is a "humane solution to the criminalization and inappropirate criminal detention of individuals with mental disorders." In other words, individuals who commit crimes such as urinating in a public place openly may have some sort of mental illness and it is not fair to send them straight to prison because their mental needs will not be addressed. I think the idea is great because you can't just send mentally ill individuals to prison because of the crimes they have committed without taking into account the root of the problem.
Like all meetings, with various groups represented such as the Sheriff County, the Police Department, the University of Behavioral Health, and the Opportunity Center, there was a difference in opinions. But the main point was for all these agencies to begin working together. Since an individual in need of mental help and who is imprisoned is not only involved with the Police Department, but also the psychiatric center and the mental health court and other agenices, working together is crucial. Then once a history of collaboration is shown and successful results are presented, then more money can be provided to mental health in general since there's some sort of solidarty. If I can summarize this meeting in one word that needs more attention and action is TEAMWORK. And it's crazy because I'm beginning to realize how territorial some of these agencies actually are. It's as if ego seeps into organizations when working for the general public, which is quite sad because if by collaborating and sharing ideas and information is going to provide for better services then what's the hold up about?
I know I'm just an intern who very recently started to work for this agency, but by making the calls to various organizations and attending meetings with different representatives, it surprises me how many agencies want to work alone and deal with their consumers by themselves when there is so much room for collaboration to provide for stronger, better results.
Tuesday, June 8, 2010
Day 10- Good Idea
I began my day in a meeting with my supervisor, and two veterans. We were discussing the project that I have been assgined and the improvements it could use. My job is to collect information about the services various community partners of EP MHMR offer to veterans and family members of veterans. The meeting was very informative and I really felt like I was helping out the agency in a huge way. After all, the information that I collect and organize will be sent of to the state of Texas and hopefully through that data, EP MHMR will receive more funding since that is always an issue.
Anyhow, since I am the person who is in charge of having this data ready by June 14the latest, the veteran Mike, who is also EP MHMR's military liasion was very efficeint in explaining what various agencies do or do NOT do for veterans and what they "say" they do, when they REALLY do. It was interesting and a bit shocking to see how many gaps actually existed for veterans and the family of veterans, especially since there is such a huge population of them here in El Paso. And that is why it is so important to receive this funding from the government because many veterans still are not getting the services they should be given.
At one point in the meeting when the two veterans were discussing a place to hold their "Peer-to- Peer" sessions for veterans with PTSD and other psychiatric disorders, I proposed a place and they discussed that place for a minute or two. Mike concluded, "That's a very good idea. We should hold it there." I felt so honored that he said that especially because I suck at directions and I just presented a place that I had never been to, only researched and it "was a very good idea."
I'm beginning to realize the amount of time and effort is needed for health to actually be provided to people. It's not as easy as "whoever wants to help can help." Obstacles such as laws and funding and even people at times all need to be dealt with. But its worth the fight. Big time.
one more thing....
Day 8 and 9
But it's fine. I ended my weekend with three Law and Order episodes with the gals. I'm telling you that is like my official lullaby. After a long day at work, watching detectives uncover greusome crimes in New York City is all I need to fall asleep.
Moving onto yesterday...I actually wrote this yesterday as well, but couldn't post it cuz of my HOT MESS of a laptop.
So the following occurred on June 7th:
3 buses and 2 hours later I had arrived at CHAMPS, the new children's unit within EP MHMR. By car, the ride would have taken me 20 minutes. But considering I had to take the SMART 101 to the Downtown Transfer Terminal for the #50 bus which only runs every half an hour and then transfer once again to the #57 bus which runs every 2 hours, I was just happy I was on time. :)
The new employee orientation was split into the three following workshops that I was asked to attend:
1. Consumer Rights/Abuse and Neglect/ Strategies to effective advocacy for individuals
2. Cultural Awareness
3. Welcome/Vision/Mission
I felt as if most of what was mentioned in the workshops was pretty obvious, but since situations such as consumer- provider relationships occur or since certain individuals are unaware of what it means to be culturally competent, it's good to review.
The highlight of the oreintation and the part that I did not have to force myself to stay awake was learning about S.T.A.P, which is the Specialized Telecommunications Assitance Program. The two presentors showed us how people who are deaf and/ or have hard of hearing services can contact health agencies for assitance. The specialized telephone equipment is basically a huge texting phone that enables individuals with a hearing disability to communicate to others through the telephone by writing whatever it is they need. They brought in visuals and actual specialized telephone equipment,which I thought was pretty cool. The main message the director of the program wanted to get across was to advocate. Advocate for people with learning disabilites. I remember her saying "Put yourself in the shoes of an individual with a disability" and determine if they have the same experience or even close to the same experience as a person without any disabilities depending on the resources provided for both groups. For instance, if there is a televsion in a waiting room, people who can hear perfectly well are able to listen, hear and enjoy what is being shown on T.V. However, individuals with a hard of hearing disability, can not and so having captions on televisions in public areas is a must. Simiarly, individuals who depend on wheelchairs, should be able to ride up on a ramp in any public area as well. We all need to advocate for these services, even if we do not have any sort of disability. The incentive to take a stand for individuals with disabilites should be far greater for those without any sort of disability for one can only imagine how different our lives would be if we had some sort of disability.
Sunday, June 6, 2010
Day 7 weekend
The cab driver that took us to the theater was Indian, specifically Punjabi, which caught me a bit off guard because there aren't many South Asians in El Paso. But he was a very happy man, telling us jokes about different ethnicities and describing his experiences living in Paraguay which he loved the most because he noted that people there are just so stress- free. "They take 3 hours lunch break and over here we get anxious if we take a 20 minute lunch." This man had lived all over the world and was going to teach a law course at UTEP, the place I am staying.
I wondered if I would ever be able to do that. Travel the world and then have the opportunity to evaluate what place best suited me. It's seems almost too surreal to do that and still be on the track towards your career. But this is me getting off to a tanget. The moral of this post: Go watch Sex and the City 2 if you haven't already.
Saturday, June 5, 2010
Day 6 June 4th Partying with Pitbull
So moving onto what SCB really sent me here for…my internship. Well yesterday was a pretty slow day simply because I was waiting for someone to take me to the clinic I got my TB test and receive my drug results. I passed, just in case any of you were wondering. But then since my supervisor was in and out of meetings I wasn’t really sure what I needed to be doing. Then towards the end of the day, when I thought I was going to leave early, my supervisor assigns me a task…to call up 30 community partners and ask them about the services they provide for veterans and the family members of veterans. I am proud to say that I accomplished this within 43 minutes. I had to because the bus that takes me home (well one of them) runs every 30 minutes and I honestly had no intention in waiting in 104 ºF for a bus. Nope, that just wasn’t happening. Lucky for me it was Friday evening and a lot of the organizations were closed. As soon as I made my last call, I jetted.
As I got on one of the buses, I saw no seats so I stood. Two seconds later, I felt a tap on my right shoulder. I turned and an elderly lady told me "Siéntate" and pointed towards the seat next to her. I’m assuming all her bags were placed there before because she was now holding all of them in her lap. I smiled my chessy smile because I thought that was very sweet of her. It was a nice bus ride home, regardless of the scorching weather.
When I got home the ladies and I decided to attend the concert, 4 hours before it began.
We took a cab to the County Coliseum. Seeing how Sarah and I didn’t have dinner, Laura and I decided to get some food while Sarah waited in line. If I only knew how far the closet food stop was I would have definitely postponed dinner till after the concert. We literally walked a mile on a crosswalk that kept disappearing since we were walking so close to the highway with speeding cars. Luckily a staff member gave us a ride to the end of the parking lot (which was huge) to the main road in a golf car. OMG. Laura and I could not stop laughing. As soon as our butts touched the golf car seat, we burst out in laughter because the very thought of us riding around in it was simply too much to keep in. We came back with 5 minutes to eat our food since the doors were about to open soon. As soon as everyone showed their tickets, running seemed to be the next automatic response for all the girls and even some of the guys. So I decided to do the same. I mean, I was gonna do everything that you’re suppose to do at a concert. Like scream for the whole two hours until you no longer have voice, and since everyone else is doing the same, be deaf at the end of the night. Also, jump up and down for no reason at all with your arms in the air all night long. And in between all of this, get used to the fact that your sweat is touching the next person’s sweat and as soon as I get home a shower is an absolute must.
So it was an experience. Seeing Pitbull perform and be “the freaky man” that he is was an experience. Being pushed back and forth, side to side was an experience. Pretending to know the lyrics to some of his songs, especially the ones in Spanish was an experience. My first Friday in El Paso...well was an experience.
Day 5- June 3rd Crisis Unit
The most intense part of the day was visiting the ER room. I shadowed one of the workers at MHMR to evaluate a patient and assess whether or not he was in need of psychiatric help. This patient had broken the window with his bare hands late last night when he was drunk and so the police brought him to the ER. Once his BAC was lower, we arrived to see him. He did not mention any thoughts of suicide or any thoughts of hurting others. He claimed he was under a lot of stress and things just went out of hand. Past records show that he gets out of control when he drinks.
We then met with the mom and sister. Sister, brother and sister’s boyfriend all live in an apartment together. Mom lives with her new husband separately. The siblings just recently moved to El Paso due to issues back at home. But family issues were far from over. Mom mentioned the brother touched his sister when they were younger. As soon as those words came out, sister began to cry after trying so hard to keep it in. She didn’t want us to know. She was obviously still not over it. And yet, the mother claimed “They have it good. I found an apartment for them.” I could not comprehend what the mother was thinking when she said that. She seemed very selfish. What the sister was and is going through is separate from the purpose of the original visit. The brother was referred to a couple of substance abuse organizations and was not identified as in need of psychiatric help. 45 minutes later, once all the paper work was filled out, the brother will be discharged and will continue to live with his sister.
When I returned to MHMR, I sat in on three evaluations that would determine whether or not the individual is in need of psychiatric help. I felt like I was intruding in on their lives by sitting in, but the individuals were very open. One of them even thanked me and I simply sat in the assessment without saying a word.
Day 4: Work Day 2, June 2nd Drug Test
The main thing I did today was compile all the community partners that MHMR has and look up their contact information. In between I did a bit of youtubing seeing as I still do not have internet in my room.
And once I was done with work, I walked 10 unnecessary blocks to a bus stop that was literally behind the building I come out of. This is what I meant about being directionally challenged. It’s serious stuff.
Day 3: June 1st, Official Work Day 1
Paranoid about getting lost (a thing that I am very familiar with), and since I’m still not very confident about the buses in El Paso, I left for work at 7:57 am. It takes me 30 minutes to get to work and I start work at 9am. Yes, I know. I will be 30 minutes early and that’s exactly what happened to me yesterday. I remember this quote I read in high school: “The key to success is to always be 15 minutes early” or something like that. I especially like that quote because I think it has some sort of truth to it. Being early to a new place definitely takes the stress off of being late because honestly that is the worst kind of stress to be under your first day. So being 15 minutes early, good. Being 30 minutes early, a bit too much.
After I killed some time talking to my poppa outside, I finally decided to enter the MHMR building for the first time as an intern. I waited for me boss in the reception area. Two seats down me was what appeared to be a homeless guy with his head down. He was obviously a patient at MHMR and I secretly thought about him spasming out right in front of me. But just as quickly as that thought crossed my mind, it left because that’s exactly what happens in New York City everyday.
My supervisor finally walked in and after three months of emailing and calling I met the man that will be my go to person around the agency. At the end of the day, I had concluded he was just one of those people. The kind of people that really wanna make good things happen regardless of the negativity and hopelessness out there. Matter a fact, everyone there had a little bit of that. But I then I figured you had to if you worked for an organization as MHMR. Mental health and mental retardation barely get any funding. Specifically in El Paso, 1,300 patients will be shown the other cheek after September 1st because the of the countless obstacles the agency has to go through in order to use the quarter of a million dollars they have been given. So individuals with psychiatric disorders will not receive proper treatment or medication and will be basically on their own to diagnose and treat themselves. Hearing facts and situations like this, makes mental health such an issue. It is an issue that needs more attention, both medically and financially. One can not happen with out the other.
I also listened in on a National Conference call regarding suicide prevention hotlines. The call addressed issues such as: the current status of the hotline and what can be improved, what needs to be added, etc. I learned that if you were to google up ways to commit suicide, only when the words “suicide” and “kill” are typed into the search engine, does the suicide prevention hotline show up. All other terms take the individual to steps to their death without showing any warning or option to change their minds. This is one issue that needs to be dealt with. Moreover, I learned that the majority of the suicides committed are at the middle of the day. Why? Well there are theories such as in the morning it’s just too early, while in the middle of the day, a person has more energy. I’m not sure I follow that very well. But like I said, there are theories out there. Oh! So what was really cool about the conference call was that Jesus' (the director of crisis management) secretary took down everyone’s lunch including mine. And I continued to listen to the conference call while I ate my veggie subway sandwich with the big boys. I felt really cool. I must say.
Lastly, along with meeting the CEO of MHMR and a lot of other cool people, I was assigned my first project. Since 4,000 troops have come back to their homes in El Paso and since by the end of October 10,000 more will come back, services for these veterans need to be solidified especially because a lot of these men are coming back with PTSD and other psychiatric disorders. Going away to war for so long and then coming back is not the easiest thing. Coming back is actually quite difficult because some of these men have children and do not really know how to be fathers because they left for war before they had the opportunity to be with their children. Some have road rage because it provides them that adrenaline that they had every second at war. Factors such as these seep into the soldiers’ loved ones and family members affecting them in a negative manner as well. So my project is to meet the deadline MHMR has, June 14th. It entails me to contact all the community partners and verify the services they are and are not provided for these veterans. Through this information, MHMR will be able to either receive more funding or not. The more “No’s” I receive the better. That way more funding will hopefully be provided.
The highlight of my day: I was in a meeting and after it was over, the workers were talking about the closing down of a site and rejecting 1,300 patients. Everyone was getting quite rowled up. And even F bombs were being dropped, but in a funny way, not directed towards anyone in the meeting. As this was happening, one of the workers said “Guys, behave, we have a guest in the room,” and looked at me. The Crisis Director simply looked at me and said “Oh, I already met her. She’s not a guest.” Another worker, a veteran, added “She’s part of the team.” And so, on my first day at MHMR and I was part of the team.
Day 2: May 31st Being responsible
It’s 9:24 PM. And the girls and I have returned to our home. This heat thing, 99 º F weather is still an adjustment especially since the past two days I feel like I have walked more than I have ever walked in my whole life. I’ve concluded that the heat makes a 5 minute walk seem like a 15 minute walk and not in a good way either.
Anyhow, since I plan on becoming best friends with these weather conditions by the end of my summer here in El Paso, I am not concerned about the heat. So today’s accomplishments: we figured out who’s going where to work tomorrow. Ahhh! Tomorrow! Ahh! Crazy stuff. We first visited my work site on the fabulous SunMetro transportation here and I must say, I am very pleased with where I will be for the next eight weeks. MHMR is a state organization that caters to individuals in need of mental treatment. Since we just walked into the place unannounced and since it was Memorial Day, the office was quiet and a bit isolated, but not closed since it is open 24/7. As I raced into the bathroom, Laura and Sarah found a man to question about the place. It turned out that the guy was super nice and gave us a whole tour of the first floor, which was more than enough. We visited the colorful room full of various toys that the children were placed in when they had to wait for assistance. We also visited the more dull, less colorful room where the adults who waited for assessment. Our tour guide, an actual employee at MHMR, pointed out the difference between the presence of a television in the adults’ waiting room and the absence of one in the children’s room since it can cause a strong reaction, based on what is being shown.
What I loved the most about these two rooms was the wall that looked like a mirror but is actually a glass that employees at MHMR can see though and use to monitor the actions of patients and make sure that things are under control. It was just like in the movies when the cop is asking a potential criminal about his whereabouts. It was so cool. We all took turns to stand in the in patient room so that the other one could see them through the employee room. It was very exciting. David, the really nice man/ tour guide/ employee then showed us the office where all the paperwork gets done and the padded room. Yup, it’s the room in which patients are kept to prevent them from hurting themselves. And as someone who has knocked on the walls, the padded room is most definitely padded, once again, just like in the movies. We ended our tour by visiting the office with many phones that are used to receive calls from individuals in need of assistance. As I left the building, I couldn’t help but wonder how my first day of work will be. No, not exactly. I thought to myself how great and wonderful tomorrow will be.
Now it is 9:53 PM and I have ironed my red pencil skirt and have picked out the black H&M cardigan I will be wearing with my cute black flats (that are a bit too big on me). I know how my hair will look and smell and I know what’s for breakfast. I am set. I am ready. Good night.
Day 1: May 30th Arrival
It is 9:45 PM El Paso time and I am exhausted. Been up since 3 am and have kept going. For the first time, I traveled on a plane all by myself with nothing but my heavy ass luggage to keep me company. Sitting here on this wannabe rocking chair my legs feel the tiredness that’s been building up all day.
As a claimed my luggage (the kind of bag my parents would take to India- heavy duty stuff), I got on a cab to take me to UTEP, my home for the next two months. As we were on the highway, me along with my other two roommates could not help but to hope and pray that the driver was not a kidnapper, especially when signs of Ciudad Juarez appeared. Once the exit for that city passed, all was well with the world once again. We were still alive, we were still in the cab, we were still driving towards UTEP, a safe environment.
I met my lovely two roommates and exchanged flight stories and the similar fear of being kidnapped with the snap of a finger. We wasted no time. As I unpacked Laura and Sarah began the vegan grocery list. I could not help but smile as the excitement Sarah has towards creating special recipes such as eggless milkless peanut butter cookies or Laura’s expertise on spinach puree used for pasta as a vegan dinner plate. The more recipes we thought of, the greater the shopping list became. Before we knew it, we were on our way to the Albertsons grocery store, which is a mere 10- 15 minute walk from our suite. However, add the bright sun and scarce wind and that walk seems a lot longer.
We shopped. We walked past every aisle once, twice, three times searching for the cheapest of all goods. For pasta sauce, we considered Prego or Ragu? Well the real question was which gave you more for your buck? That was the question for every grocery item on our list. We continued to pile items into our shopping cart as if we were on a shopping spree and we just couldn’t stop. There reached a point where I refused to let anyone put anything else in the cart for it was time to pay and time to take a step back and wonder about how we would take nearly 10-15 bags full of heavy grocery back to campus.
Then we fought with a talking machine. Who invented these self- check out things anyway? It’s meant to simplify lives, but in reality they just take up more time and you end up giving into a machine that is wrong. It took us nearly 15 minutes to check out groceries! I mean, come on, three grown ass ladies checking out grocery. It was a stressful experience, I must say. But like all battles that will be won in this city, we won and the machine gave us our long receipt in return and we kept it moving.