Archive for category: Health Care

Study Focuses on Mental Health of Gay Men Amid Pandemic Feelings of anxiety and loneliness are widespread amid the global isolation caused by COVID-19, UCLA Luskin-led survey shows

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Sixty-three percent of men who participated in a new UCLA-led study reported only leaving their home for essentials amid the COVID-19 pandemic. The research suggests being in isolation has contributed to feelings of anxiety and loneliness, and dissatisfaction with their sex life.

The study, by the Gay Sexuality and Social Policy Initiative at UCLA Luskin, was published in the Journal of Homosexuality. It focuses on a group that historically has been disproportionately affected by poor health outcomes. The results are based on responses from more than 10,000 men in 20 countries via a survey conducted in April and May 2020 on Hornet, a social networking app, which also participated in the research.

The paper’s lead author, Ian Holloway, is faculty director of UCLA’s Gay Sexuality and Social Policy Initiative, which is dedicated to understanding the complexities of gay male sexuality. Other authors are from UC San Francisco and the LGBT Foundation in San Francisco.

Participants were asked 58 questions about the impact of stay-at-home orders on their lives. Those who reported not going out or only going out for essentials were categorized as staying in. Everyone else, including essential workers and those who said they continued to go out socially amid the pandemic, were categorized as not staying in.

The study found that those who have stayed in during the pandemic were:

  • 37% more likely to feel anxious than those who haven’t stayed in.
  • 36% more likely to feel lonely.
  • 28% more likely to use text messaging to stay connected with others.
  • 54% more likely to use video calls to connect with others.

“We know that all people are affected by the isolation that can result from physical distancing,” said Holloway, a UCLA associate professor of social welfare. “Our concern is that the harm may be more severe among gay and bisexual men, who face disproportionate rates of poor mental health and sexual health outcomes. COVID-19 has exacerbated stress, anxiety and social isolation within our communities.”

Most of the survey participants were between the ages of 18 and 34 (55.5%), identified as gay (78.6%), were currently employed (67.7%) and had health care coverage (85.4%). In addition, most lived in a large urban center (69.8%) and were not in a relationship at the time of the survey (67.4%).

Social networking apps like Hornet provide an opportunity for people around the world “to connect with one another and cultivate a sense of community,” said Alex Garner, one of the study’s co-authors and senior health innovation strategist at Hornet. “We must invest in interventions that include harm reduction approaches and leverage technology where possible to increase access to necessary health services and strengthen community connections.”

Sean Howell, a co-author of the study and CEO of the LGBT Foundation, noted that many in the LGBTQ community lack the resources to effectively combat COVID-19, and it is especially critical to understand the challenges facing younger gay people.

“They face greater economic jeopardy or have increased exposure to the virus,” Howell said.

Holloway said there will be significant challenges in tracking mental health outcomes for gay men and other vulnerable communities in the coming months and years. “Our study shows us that technology can help us meet the moment.”

Holloway also directs the UCLA Hub for Health Intervention, Policy and Practice, the umbrella organization for the Gay Sexuality and Social Policy Initiative. In addition to producing research, the initiative will conduct policy analysis and participate in community mobilization seeking to empower global gay communities.

Study Finds Involuntary Psychiatric Detentions on the Rise Americans are increasingly being detained as a danger to themselves or others because of mental illness

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By Les Dunseith

The rate at which Americans are held against their will and forced to undergo mental health evaluations and even state-ordered confinement — lasting anywhere from a few days to years — has risen sharply over the past decade, according to a new study by researchers at the UCLA Luskin School of Public Affairs.

The analysis, published online today in the journal Psychiatric Services, shows that in the nearly half of U.S. states for which data was available, involuntary psychiatric detentions outpaced population growth by a rate of 3 to 1 on average in recent years.

The study is the most comprehensive compilation of data on involuntary detentions to date, the researchers say, an undertaking made more challenging by the lack of a national data set on the topic and longstanding inconsistencies in reporting across states and jurisdictions.

“This is the most controversial intervention in mental health — you’re deprived of liberty, can be traumatized and then stigmatized — yet no one could tell how often it happens in the United States,” said David Cohen, a professor of social welfare at the Luskin School, who led the research. “We saw the lack of data as a social justice issue, as an accountability issue.”

While each state has its own laws governing these detentions, nearly all specify that people who have not been accused of a crime but who may pose a danger to themselves or others or can’t take care of themselves — because of mental illness or substance abuse — can be detained in an authorized facility, usually a hospital, Cohen said. An initial evaluation can last several days, but detention can be extended at the discretion of mental health professionals.

Cohen and his co-lead author, Gi Lee, a social welfare doctoral student at the Luskin School, scoured health and court websites for all U.S. states and were able to cull usable counts on emergency and longer-term involuntary detentions from just 25 of them for the period from 2011 to 2018. In those 25 states, they found, annual detentions varied from a low of 29 per 100,000 people in Connecticut in 2015 to a high of 966 in Florida in 2018.

Twenty-two of those states had continuous data from 2012 to 2016, and the authors found that during this five-year span, the average yearly detention rate in these states increased by 13%, while their average population grew by just 4%, the authors say. Further, using data from 24 states that make up 52% of the country’s population, the researchers calculated a rate of 357 emergency involuntary detentions per 100,000 people in 2014 — a total of 591,000 detentions.

“If you think that coercion is necessary in mental health, then a rise in detention rates may be welcome news, a sign that society is doing whatever it takes to help people in crisis and keep order,” Cohen said. “But if you think that coercion is punishment, that we need services to prevent or defuse crises in families and society before they get out of control, then a rise is a bad sign.”

One of the most common triggers for a detention is a threat of suicide, said Cohen, who noted that the detentions often involve law enforcement personnel.

“The process can involve being strip-searched, restrained, secluded, having drugs forced on you, losing your credibility,” Cohen said. “For people already scarred by traumatic events, an involuntary detention can be another trauma.”

The rate of suicide is high for people recently released from psychiatric hospitalization, but how many of these hospitalizations are involuntary is not known, nor is it clear whether such detentions may play a protective or risk-increasing role in suicide. Likewise, while former involuntary detainees interviewed in previous studies have expressed both gratitude and resentment, data on the lasting effects of being coerced into a facility for psychiatric treatment is scarce, the authors say.

“These studies have mostly focused on subjective experiences of psychiatric detention, which are important to understand,” Lee said. “However, not much is known about more objective outcomes of psychiatric detention — on employment, education, contact with the criminal and juvenile justice systems, and others.”

Still, the authors stress that their study is not about whether involuntary psychiatric detention helps or hurts but about determining precisely how often it occurs in the U.S. in the hopes of spurring a national discussion on these issues. That, say Cohen and Lee, will come with more data.

Despite the current limitations, the researchers gleaned several other important findings from the available data:

  • Among the eight states that provided data on longer-term detentions, average annual rates over time ranged from lows of 25 (Oklahoma) and 27 (Missouri) per 100,000 people to highs of 158 (Virginia) and 159 (California). These longer-term detentions were, on average, 42.2% of the eight states’ rate of all emergency detentions.
  • 24 of the states studied comprised 52% of the U.S. population in 2014. Five of them — Florida, California, Massachusetts, Texas and Colorado — accounted for 59% of the population of those 24 states but were responsible for 80% of the total detentions that year.
  • While only six states provided information on the detention of minors, the researchers believe even this partial data is the most complete glimpse yet of the involuntary detention of minors in the U.S.

“Greater transparency in data would not only lead to a better understanding of the epidemiology of psychiatric detentions in the U.S.,” Lee said, “but could help determine to what extent commitment is a last resort.”

4 Faculty Additions Join UCLA Luskin Social Welfare and Urban Planning Incoming academic experts focus on environmental, racial and health disparities in real and virtual environments — from social media to soil

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By Stan Paul

Faculty hires in UCLA Luskin Social Welfare and Urban Planning for the new academic year bring a wealth of new research and teaching, reinforcing the School’s commitment to the health and well-being of individuals and communities.

Assistant Professor Brian Keum has joined Social Welfare. His general research emphasizes the reduction of health and mental health disparities among marginalized identities and communities. In particular, Keum studies the impact of online racism – and online racial violence – on psychosocial outcomes and health disparities. Drawing on his clinical experience, he looks at mental health issues, offline attitudinal and behavioral changes, and risky health behaviors that include substance abuse. A second area of his research is Asian American mental health, as well as multicultural and social justice issues that relate to how mental health counseling is provided.

“As a scientist-practitioner, I am excited to teach both practice and research courses,” said Keum, who will be offering graduate instruction in advanced social work practice and applied statistics in social work.

Judith Perrigo, an infant and early childhood mental health specialist, is also an assistant professor of social welfare. Amid the unusual circumstances of this academic year, Perrigo looks forward to exploring innovative teaching methods while providing meaningful learning experiences in both foundational and advanced social welfare practice courses. This includes sharing some of her recent research on how parents of low socioeconomic status with children in grades 3 to 6 are coping with the unexpected educational demands during the pandemic.

“Our findings suggest that the closure of schools and stay-at-home orders initiated by the COVID-19 pandemic exacerbated pre-existing parental involvement challenges,“ Perrigo explained, noting that families of lower socioeconomic status were more negatively impacted because they “had fewer affordances to buffer the new stressors.”

Perrigo draws from her personal background as a Salvadoran immigrant and 15 years of applied clinical work with children and families to inform her scholarship. Specifically, her research focuses on the well-being of young children — birth to 5 years old — with emphasis on holistic and transdisciplinary prevention and early intervention initiatives with underserved, vulnerable and marginalized populations.

José Loya joins Urban Planning as an assistant professor after recently completing his Ph.D. in sociology at the University of Pennsylvania. At UCLA Luskin he will teach quantitative analysis in urban planning and a seminar on Latino urban issues in the spring.

“My research focuses on ethno-racial disparities in the mortgage market, before, during and after the Great Recession. More generally, I am interested in the barriers minorities face in the homeownership market,” said Loya, who is also a faculty associate at the UCLA Chicano Studies Research Center.

“I am excited to join UCLA’s Luskin School of Public Affairs and working and engaging our students in the community,” added Loya, who worked for several years in positions related to community development and affordable housing in South Florida. He then earned a master’s in statistics from the Wharton School of Business at the University of Pennsylvania. “I’ve already moved to Los Angeles, so I’ll be here locally even if courses are online,” Loya said.

Kirsten Schwarz, who holds a joint appointment as an associate professor of urban planning and environmental health sciences, started at UCLA by co-teaching policy analysis for environmental health science in the spring 2020 quarter.

“Virtually teaching my first class during a global pandemic and social uprising was not how I expected to kick off my career at UCLA,” Schwarz said. “But I was so impressed, and encouraged by, the flexibility, compassion and integrity that the students brought to the experience. It was certainly memorable.”

Schwarz is an urban ecologist working at the interface of environment, equity and health. Her research focuses on environmental hazards and amenities in cities and how their distribution impacts minoritized communities. She recently led an interdisciplinary team through a community-engaged green infrastructure design that integrated participatory design and place-based solutions to achieve desired ecosystem services.

“I’m interested in connecting those areas right between urban planning and environmental health sciences,” said Schwarz, whose work on lead-contaminated soils has helped document how bio-geophysical and social variables relate to the spatial patterning of lead in soils.

Most recently she received a transdisciplinary research acceleration grant from UCLA’s Office of Research and Creative Activities in conjunction with Jennifer Jay, a professor in UCLA’s Department of Civil and Environmental Engineering. Their proposal, “Multimedia Assessment of Children’s Lead Exposure in Los Angeles,” will involve work with graduate students in Civil and Environmental Engineering.

Schwarz also has expertise in science communication and in engaging communities in the co-production of science. She has been recognized by the American Association for the Advancement of Science (AAAS), which named her a 2018-2019 Fellow in the Leshner Leadership Institute in the Center for Public Engagement with Science and Technology. Prior to

joining UCLA, she was an associate professor of environmental science at Northern Kentucky University, where she directed the Ecological Stewardship Institute.

Several other faculty searches have been completed, with four additional faculty members set to join Social Welfare and Urban Planning in the coming year. Those new additions include Adam Millard-Ball, who will arrive in January as an associate professor of urban planning, coming from the University of California, Santa Cruz. Millard-Ball holds a doctorate from Stanford University’s School of Earth Sciences and was selected in the urban data science search. He studies environmental economics and transportation, “adding to our strengths in those fields,” said Dean Gary Segura in a memo announcing his appointment.

Mark Vestal, also starting in January, was selected as an assistant professor by UCLA Luskin Urban Planning in a search on critical Black urbanism, Segura announced. A historian by training, Vestal’s work looks at the history of discriminatory planning and housing policy in Los Angeles and beyond.

Fall 2021 newcomers will include Margaret “Maggie” Thomas in Social Welfare and Veronica Terriquez in Urban Planning.

Thomas is a scholar of family and child well-being and is completing her Ph.D. in social work at Boston University this year. She previously earned an MSW degree from the University of Illinois. Her work focuses on young children in families facing serious economic hardship, as well as children and youth from minority communities and with LGBTQ identities.

Terriquez has been jointly appointed to Urban Planning and UCLA’s Department of Chicano Studies where she will take on the leadership of the Chicano Studies Research Center at UCLA. Terriquez, who earned a Ph.D. in sociology at UCLA, returns to the Westwood campus from UC Santa Cruz. Her work is principally focused on youth and young adult social development, leadership and intergroup relations, and how they are affected by various public policies.

Bruins Play Key Roles in Report Calling for Sweeping Reforms in L.A. Dean Gary Segura and Luskin School students are among the many UCLA contributors to ambitious effort to reimagine life in the region from a racial justice perspective

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By Les Dunseith

A new report that lays out a road map for the transformation of the Los Angeles region built on racial equity is rooted in research from the UCLA Luskin School of Public Affairs. The report’s co-authors are Gary Segura, dean of the Luskin School, and Manuel Pastor, director of the University of Southern California’s Equity Research Institute.

The paper, “No Going Back: Together for an Equitable and Inclusive Los Angeles,” was issued Sept. 9 and shared with a UCLA audience Sept. 15 at a virtual salon. At more than 250 pages, the report is a comprehensive examination of the hidden barriers to success that limited many of the city’s residents even before COVID-19, but have been exacerbated since the pandemic began.

A wide swath of the Bruin community contributed to the paper. Numerous faculty and staff members provided new research, offered historical context and analyzed existing data. UCLA alumni serve on the Committee for Greater LA, which developed the report. And a handful of current UCLA students conducted research that fed the recommendations.

Julie Aguilar 

Fred Ali

Yohualli Baldera-Medina Anaya 

Eraka Bath

Isaac Bryan

Jae Canas

Sonja Diaz

Rodrigo Domínguez-Villegas

Debra Duardo

Antonio Elizondo

Dan Flynn

Silvia R. González 

Raúl Hinojosa Ojeda

Michael Lens

Patricia Lester

Kelly Lytle Hernandez

Paavo Monkkonen

Michael Manville

Laura Martinez 

Michael Méndez

Pedro Noguera

Jonathan Ong

Paul Ong

Chhandara Pech 

Meredith Phillips

Ananya Roy

Mariesa Samba

Miguel Santana

Lucrecia Santibañez

Ellen Schwartz

Abel Valenzuela

Arturo Vargas Bustamante 

Carla Vasquez-Noriega 

Jacqueline Waggoner

 

Those students, Antonio Elizondo, Dan Flynn, Mariesa Samba and Ellen Schwartz, share a passion for building a new Los Angeles grounded in social justice and racial equity.

Flynn, a second-year graduate student, contributed to the report’s sections on health and homelessness. His experience working with nonprofit agencies has made him acutely aware of the need to think differently about the region’s homelessness crisis.

“You’re looking at 70,000 unhoused people in Los Angeles at any given point,” Flynn said. “There’s no way to look at that issue and describe it as anything other than a failure — and a catastrophic one, with immense human cost. There has been a failure to build systems of accountability and to hold people responsible and accountable.”

Setting forth a strategy to create accountability to end homelessness is among 10 guiding principles (PDF) that underlie the report, which also tackles economic justice, mental and physical health, child and family well-being and other topics.

Samba is pursuing a master’s in social welfare and is a graduate student researcher at the Black Policy Project at UCLA. She contributed to sections of the report that related to children, families, mental health and justice.

“A lot of the work that I do is within the community with folks who are directly impacted by the pandemic,” she said. “Especially with this project, my top-line goal was to uplift those voices and experiences into the research.”

The report builds on the personal insights of the researchers and the people they interviewed to identify social problems, pairing those lived experiences with data to point toward solutions. For example, research findings about the impact of the COVID-19 pandemic on education highlighted the region’s racial disparities. Under Los Angeles’ safer-at-home orders, Black and Latino schoolchildren have been far less likely to be able to engage successfully in remote learning because of a lack of computers and access to high-speed internet connections.

As Segura noted during a Sept. 9 webinar to unveil the report to the general public, public officials are expected to ensure that residents have access to electricity, trash collection and a sewer system — so why not something as vital as the internet?

“The time has come for us to think about the internet as what it has become,” he said. “It is a civil right.”

The opportunity to think about such issues in new ways appealed to the UCLA Luskin students who played a role. Plus, there were practical benefits. For example, Schwartz was happy to work on the transportation section of the report because that’s her area of concentration as an urban planning master’s student. But her biggest takeaway from the experience was the mindset of the project’s leaders.

“What I loved seeing is how the community leaders on the committee really focused on empowerment. That’s something that I want to take with me into my own career,” she said.

“… work remains to be done to prevent those long-term effects from being catastrophic.”

—Antonio Elizondo

Elizondo, a master’s student in urban planning, said during the virtual salon that the most impactful aspect of his involvement in the project came during his review of interviews with people impacted by the health crisis and thinking about the repercussions.

“At the moment, it’s an unfolding crisis, so every policy response is a short-term response,” Elizondo said. “This project helped me realize that there will be long-term effects, and how much work remains to be done to prevent those long-term effects from being catastrophic.”

The Committee for Greater LA comprises a diverse group of civic and community leaders and a joint research team from UCLA Luskin and the USC Equity Research Institute. Initially, the committee intended primarily to address the racial disparities exposed by the pandemic, but in the wake of the recent police-involved killings of Black people and the nationwide protests that followed, its focus expanded to encompass a broader understanding of systemic racism.

The UCLA students helped Segura with the policy-related aspects of the report, which cover issues like housing affordability, immigrant rights, alternatives to incarceration, transportation and equitable access to health care, among others. Because of the pandemic, the work had to be coordinated via phone, email and Zoom sessions.

Flynn, who is pursuing a master’s in public policy, said he appreciated the chance to work directly with the dean on a project of such ambition and scope.

“What makes UCLA such a special place is that you have world-class academics and practitioners who are not just interested in generating work but are interested in mentorship and teaching and in giving opportunities to the next generation of policymakers,” he said.

As gratifying as the work was, the students realize the real work is still to come. Schwartz said she’s hopeful that society is ready to adopt the meaningful change advocated in the report.

“We live in a world where people are really isolated and don’t always know what’s going on in the community,” she said. “I hope that this report will just shed some light on issues that people are facing and that it will inspire elected officials to take action and make real, lasting changes to the system.”

Samba said her participation offered a unique opportunity to process her emotions about the extraordinary impact of the COVID-19 crisis, particularly because of how it coincided with the growing racial justice movement — and she sees cause for hope.

“We’re at a point in time where we are trying new things,” Samba said. “We’re able to experiment with our justice system, with our foster care system, with what social services look like, with what community care looks like. I would like to see some of those social experiments — some of those new ideas and visions — become real, and for us not to revert to the status quo. I would love to see us really, actually reimagine what a more racially equitable future looks like for the people of Los Angeles.”

Among the other UCLA connections to the effort: The Committee for Greater LA is chaired by Miguel Santana, a member of the Luskin School’s advisory board, and the project is funded in part by philanthropists who have also supported UCLA.

The Committee for Greater LA has invited interested parties, including policymakers and candidates for elected office, to join in making the #NoGoingBackLA promise, a commitment to build a more equitable and inclusive Los Angeles. Sign up at nogoingback.la.

Black, Latino Renters Far More Likely to Be Facing Housing Displacement During Pandemic Systemic racial inequality underlies nonpayment of rent, UCLA Luskin researchers say

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By Les Dunseith

A new study of the magnitude, pattern and causes of COVID-19’s impact on California housing reveals that Black people and Latinos are more than twice as likely as whites to be experiencing rent-related hardships.

The analysis by researchers from the UCLA Center for Neighborhood Knowledge and Ong & Associates, in coordination with the UCLA Luskin Institute on Inequality and Democracy, relies on the U.S. Census Bureau’s weekly Household Pulse Survey, a multiagency effort to collect information on the social and economic effects of COVID-19 on Americans. The research findings are based on pooling a 10-week sample of more than 22,000 adults in California for the period from April 23 to July 7.

During the pandemic, workers, families, businesses and communities have experienced enormous financial difficulties, and the new study estimates that more than 1.9 million adults in California were unable to pay their rent on time in early July. The finding that Black and Latino renters are particularly vulnerable echoes previous analyses showing that minority renters are more likely to be suffering economically during the pandemic.

“These systematic racial or ethnoracial disparities are the product of systemic inequality,” UCLA Luskin research professor Paul Ong writes in the study. “People of color, low-income individuals, and those with less education and skills are most at risk.”

An analysis of the survey responses shows that people of color are disproportionately more concentrated in the lower-income and lower-education brackets, and they entered the crisis with fewer financial and human capital resources. Those people of color who lost their jobs or suffered a significant earnings loss during the pandemic were therefore far more likely to fall behind on rent.

When the researchers looked closely at who was unable to pay rent during the period of study, they found that 23% were Black and 20% were Latino — more than double the 9% for both whites and Asians.

In her foreword to the study, UCLA urban planning professor Ananya Roy, the director of the Luskin Institute on Inequality and Democracy, writes, “An especially important finding of the report is that across socioeconomic status categories, Black and Latinx households are more likely to be unable to pay rent compared to non-Hispanic whites and Asian Americans, a stark reminder of the entrenched racial disparities that are being rearticulated and amplified by the present crisis.”

The researchers delved deeper into the data to compare the experiences of various ethnic and racial groups based on demographic characteristics such as level of education. They found that Black and Latino respondents with some college education had higher rates of nonpayment of rent than whites and Asian Americans with similar educations. Racial disparities were evident even when the researchers focused on employment and earnings categories related to COVID-19.

“In other words,” Ong writes, “the pattern indicates that racial inequality is not due simply to class differences.”

Many experts believe this situation will lead to a wave of evictions in coming months unless governments take steps to protect people who have fallen behind on rent during the crisis. This includes extending the state’s eviction moratorium, continuing supplemental employment benefits and providing financial assistance to offset accumulated rent debt.

In a July 27 webinar hosted by the UCLA Asian American Studies Center, Paul Ong, Ananya Roy and others discuss the potential for mass COVID-19–related evictions in Los Angeles if current tenant protections are not extended.

The researchers did uncover some disparate patterns across ethnoracial groups. For example, the correlation between a lower income and the inability to pay rent was pronounced for both whites and Latinos, but it was minimal, and statistically insignificant, for Asians and Black people. The impact of less education was very pronounced for Black people but only minimally so for the other three groups. The effect of earnings losses was far greater for Black and Latino people than for white and Asian people.

Perhaps most surprising, the researchers said, was the effect of joblessness. While a loss of work led to an increased likelihood of nonpayment of rent among Asian and Latino people, it marginally decreased the odds of rental difficulties among white and Black people.

“One reasonable explanation is disparate access to unemployment insurance,” Ong writes in the study. He noted that Asians and Latinos may have less access to this type of financial relief — which can more than replace lost wages — because many work in informal ethnic job sectors and also face linguistic, cultural and legal barriers to applying for and collecting unemployment benefits.

The study urges elected officials to extend and expand unemployment insurance benefits. The researchers also call for the renewal of temporary tenant protections and say that financial relief should be provided to both renters and landlords.

Overall, the study’s findings show that prepandemic inequalities and pandemic labor-market hardships amplify systemic racial disparities. The economic impact on low-income and minority populations is likely to be long-lasting because so many people will have amassed a huge debt of deferred rents.

“Many will struggle to find meaningful employment in a protracted and uneven economic recovery,” Ong writes. “It is very likely that race will shape who will be most hurt.”

Ong is the director of the Center for Neighborhood Knowledge at the UCLA Luskin School of Public Affairs. He also founded Ong & Associates, an economic and policy analysis consulting firm that specializes in public interest issues and provided services pro bono for this study.

In Nation’s 2 Largest Metros, Blacks and Latinos Are More Likely to Die From COVID-19 LPPI report highlights need to protect essential workers and expand economic assistance in high-poverty areas

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By Eliza Moreno

A study by the UCLA Latino Policy and Politics Initiative based at UCLA Luskin finds that Latino and Black residents of Los Angeles County and New York City are roughly twice as likely as white residents to die from COVID-19. The research also revealed that high-poverty neighborhoods in both regions have the highest rates of COVID-19 cases and COVID-19–related deaths.

Sonja Diaz, founding director of the policy initiative, said two significant reasons for those trends are that low-income Black and Latino people in both regions tend to have a greater need to work outside of the home and a greater reliance on public transportation, both of which put them at a greater risk for exposure to the coronavirus.

“We are now seven months into the pandemic, and we are starting to have clear information about the disproportionate health and economic impacts that communities of color are facing,” Diaz said. “It’s time to address the specific ways that COVID-19 hurts Latino and Black families and to protect our most vulnerable communities as the virus surges across the nation.”

In Los Angeles County, the age-adjusted death rate was 54 per 100,000 for Latino residents and 46 per 100,000 for Black residents, compared to 23 per 100,000 for white residents; in New York City, the age-adjusted death rates were 247 per 100,000 for Latino residents, 237 per 100,000 for Black residents and 120 per 100,000 for white residents.

The authors recommend that six measures be implemented immediately in cities with large populations of vulnerable communities:

  • Increase testing for low-income communities of color.
  • Provide access to health services and healthy food in low-income communities.
  • Add protections on public transportation, including providing hand sanitizing stations and free masks.
  • Expand access to health care and paid sick leave for essential workers.
  • Increase access to telehealth for low-income residents and the uninsured to bridge the lack of medical care.
  • Ensure that accurate race and ethnicity information is being collected so that elected officials and public health experts can understand the impact of COVID-19 in communities of color.

The researchers analyzed data from Los Angeles County and New York City, two areas that have been hard-hit during the pandemic and are home to large Latino and Black populations. They found that residents who didn’t have health insurance, lived in overcrowded housing conditions and had limited access to the internet will encounter inequitable access to health care during the pandemic.

In addition, the authors found that people between the ages of 18 and 40 have the highest rate of infection in Los Angeles County; in New York, people over age 45 are most affected. Men in both regions have higher rates of infection than women.

“Essential workers are putting their lives at risk every day to keep the economy running and our families fed, and it’s making them sick,” said Laura Martínez, the lead author of the report and a UCLA postdoctoral fellow in obstetrics and gynecology. “The data clearly shows that the brunt of the pandemic is being felt by our most vulnerable communities, and our government leaders must take into account the specific needs of Black and Latino residents.”

Study Aims to Bolster California’s Safe-Water Efforts at Child Care Facilities Luskin Center for Innovation analysis offers wide-ranging guidance on state mandate to test drinking water for lead

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By Michelle Einstein

Efforts to ensure safe drinking water for children need further support to reach their intended audience, according to an analysis of California’s mandate requiring child care facilities to test their water for lead, known as AB 2370.

The finding from the UCLA Luskin Center for Innovation is part of a new report and policy brief that examine strategies for developing and implementing the state’s testing and remediation program for those sites. Among its recommendations, the report stresses the need for a dedicated funding stream to ensure the program’s success.

“We’ve learned from a similar program in California’s schools that if robust monitoring and funding doesn’t exist, much of the needed testing and remediation won’t be implemented,” said Gregory Pierce, associate director of the center and lead author of the study.

In order to be successful, Pierce predicts, the program will require five to 10 times more funding than the $5 million currently budgeted by the state.

To determine how to best implement the program, the researchers synthesized feedback from a variety of stakeholders, including child care providers, environmental justice advocates and water utilities. They found several current shortcomings, including the fact that many child care providers have not received directives to test their water and that the program’s messaging is only available in English and Spanish.

The study recommends that stakeholders at all levels have a voice in helping to design the program to correct problems. A co-design process that includes parents, day care centers, utilities and state agencies will result in higher compliance rates and confirm that all centers have their facilities tested in a timely manner, the researchers say.

It is also important that the program not increase mistrust of tap water in settings where such concern is unmerited, according to the report. For instance, after hearing about the lead testing program, some day care centers and parents began using bottled beverages, even though their drinking water was clean. Bottled water can be expensive and has a negative environmental impact.

Lead exposure poses an acute threat to young children and their families. Even low-level exposure has been connected to loss in IQ, hearing impairments and learning disabilities. Recognizing this threat, California passed Assembly Bill 2370 in 2018, which mandates the testing of drinking water for lead at licensed child care facilities built before 2010. These sites must complete the tests before 2023 and, if elevated levels are found, remedy the problem or find alternative sources of water.

AB 2370 represents a meaningful step toward further protecting children’s health, the researchers say, but implementing the law remains a huge feat. Thousands of day care centers must test and clean up their plumbing systems, and many of these facilities are experiencing funding and staffing shortages, especially during the coronavirus pandemic.

Overall, the researchers view the program as an important step toward ensuring the human right to clean water for all Californians. A more streamlined and supported implementation process, they say, would help officials better deliver on-the-ground results statewide.

The study was funded by First 5 LA, an independent public agency working to strengthen systems, parents and communities so that by 2028, all children in Los Angeles County will enter kindergarten ready to succeed in school and life.

Students Provide a Direct Line to Help Struggling County Workers UCLA volunteers, L.A. County team up on Partnership for Wellbeing call-in service

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By Mary Braswell

A team of UCLA Luskin Social Welfare students is answering the call to provide support, resources and a compassionate ear to Los Angeles County employees feeling the strain of life during the coronavirus pandemic.

Seven days a week, the volunteers staff a call-in line for those needing help navigating the array of mental health services offered by the county. They offer referrals for professional counseling, help understanding health insurance benefits and, occasionally, advice on relieving COVID-19-related stress through breathing, meditation and mindfulness exercises.

Launched by the county’s Department of Mental Health in partnership with UCLA, the Public Partnership for Wellbeing line is remarkable for the speed with which it was created and the commitment of the 20 or so students and recent graduates who stepped up to staff it, its organizers say.

Jeff Capps, who earned his master’s degree in social welfare from the Luskin School this month, remembers when the call for volunteers went out in April.

“I replied immediately,” said Capps, who knows several front-line workers battling COVID-19. “I just felt an overwhelming obligation to do what I could to help. This seemed like a very easy way for a student to do something, to maybe make a difference in someone’s life, even if it’s small.”

Volunteer Hanako Justice, who is pursuing a dual master’s in social welfare and public health, spent the first part of the academic year working with the county’s psychiatric mobile response team, which assesses mental health needs and risks in the community. Just as the pandemic was putting limits on that on-site internship, the opportunity to staff the well-being line — which, for health and safety reasons, volunteers do from their own homes — surfaced.

“It really came full circle for me,” Justice said. “I’m really grateful that I get to use my experience and continue to provide some sort of resources and service.”

Initially launched to support the county’s first responders, the call line’s mission has expanded. Any county employee dealing with pandemic-related anxiety, grief or other stresses may now use the free, confidential service as a first line of help.

“It’s not a crisis intervention line, it’s not therapy,” noted Social Welfare Professor Todd Franke, who led the effort to launch the call-in line at the request of the county. “It’s to provide people with support and give them resources if this is touching their lives in some way.”

Franke recalled the first conversation about the project, when he was told, “We have this opportunity, we have this need. Is there any chance someone can get this up and running in the blink of an eye?”

Franke quickly brought on Ashleigh Herrera, who earned her doctorate in social welfare at UCLA Luskin in 2019, to train volunteers and manage the project. Thanks to the longstanding collaborative relationship between the county and UCLA, bureaucratic hurdles were quickly cleared. Within two weeks, the call line was operational.

In the first phase, as students were still being recruited and trained, the line was staffed by faculty, clinicians and professionals from across UCLA, including the David Geffen School of Medicine, the Prevention Center for Excellence, the department of psychology and UCLA Luskin, Herrera said. Now, the students and recent graduates are fully trained to staff the line, which is open every day from 10 a.m. to 6 p.m.

“We were excited to see such an overwhelming response from people interested in just supporting L.A. County workers during this time,” Herrera said. “Even as we’re having to practice social distancing, seeing everyone come together to be of service is tremendous.”

Many of the students selected to staff the line aspire to work in the mental health field, she said, and all will benefit from the opportunity to deliver care to those suffering through the COVID-19 pandemic.

“This is going to continue to be something that affects us as a society,” Herrera said. “No matter what setting they go into next, these students will have experience providing direct relief, focusing through this lens.”

Herrera, who is also a licensed clinical social worker, supervises the volunteers, who use a call-in system developed by Department of Mental Health fellow John Drebinger. Franke, Herrera and Drebinger meet weekly to fine-tune the call line, factoring in feedback from student volunteers and priorities set by the county.

After the academic year wrapped up, students were able to devote more hours to staffing the line, and some graduates moved on. The summer staff of nine will be paid for their time, then return to volunteer status once the fall term begins.

Plans to further publicize the well-being line are expected to increase the volume of calls, which averaged 200 to 300 per month in the early days, team members say. They are working on expanding the service to provide text and chat support in the future.

Chloe Horowitz, a call-line volunteer who just completed her master’s in social welfare, said the value of providing a confidential sounding board for people who are struggling should not be underestimated.

“I think a lot of people hesitate to speak with the people in their personal lives that way, whether it’s a discomfort in being that vulnerable or not wanting to burden their family members or their friends, who are probably also suffering right now,” she said. “That’s what I think is so cool about the objectivity that we can bring as volunteers operating the line.

“There’s an anonymity there, but it’s also about knowing that we are trained to field calls of this kind, we’re interested in making that connection and hearing what’s going on with that caller. I hope that it will prove to be useful to people who need it.”

State’s Black, Latino Workers Less Likely to Be Covered by Unemployment Insurance UCLA report recommends that California extend COVID-19 economic recovery funding to all workers

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By Eliza Moreno

An analysis of unemployment in California at the height of the COVID-19 crisis shows that as many as 22% of Blacks and 26% of Latinos were jobless, compared to 17% of both white and Asian workers.

The new report, by the UCLA Latino Policy and Politics Initiative and the UCLA Center for Neighborhood Knowledge, is based not only on data from the filing of unemployment insurance claims, but also on labor statistics and U.S. Census data.

The paper examines the totality of the pandemic’s effect through mid-April on the California labor market by including estimates of the numbers of undocumented workers and so-called discouraged workers — people who want to be employed but are not actively engaged due to factors like job shortages, discrimination or a lack of requisite skills.

With state officials discussing a recovery package that will include adjustments to unemployment support, the UCLA report highlights the importance of including assistance for all types of workers, not just those who have filed unemployment claims. According to the study, roughly 1 million additional workers need assistance, and between 350,000 to 500,000 of them are undocumented.

“Many of the people facing devastating economic losses are in the shadows, and this report puts a figure to that loss so that policymakers understand where to focus their support as we move toward recovery,” said Sonja Diaz, founding director of the Latino Policy and Politics Initiative.

The report’s other key findings include:

  • More than 3 million workers in California have lost their jobs as a result of the COVID-19 pandemic, more than any other state.
  • More than 900,000 Californians have lost their jobs due to layoffs and have stopped looking for work as a result of the pandemic.
  • Over a quarter of Californians experiencing job loss were ineligible for unemployment insurance.
  • One-third of Californians who are receiving unemployment insurance are Latino.
  • Latinos are 59% of Californians who are ineligible for unemployment insurance.

“Economic recovery can only be achieved by understanding who is hurting the most from the pandemic-induced recession,” said Chhandara Pech, a researcher at the Center for Neighborhood Knowledge and co-author of the paper. “Our report underscores that in the nation’s richest state, those at the bottom of the economic ladder need help the most.”

The report recommends that state policymakers expand the eligibility requirements for unemployment insurance, including for workers who may need to take time off to care for sick relatives. It also urges expansion of support to include health care and rental assistance, including for undocumented Californians.

The research brief is the fourth in a series of research papers examining the economic impact of the COVID-19 pandemic on neighborhoods in Los Angeles County. Previous papers in the series found that Asian-American and Latino neighborhoods in Los Angeles County were most vulnerable due to the pandemic’s impact on the retail and service sectors, Latino neighborhoods were less likely to receive the individual rebate under the CARES Act, and many Blacks and Latinos live in neighborhoods that lack basic necessities during the county’s safer-at-home order.

The research is being conducted with assistance from Ong & Associates, an economic and policy analysis consulting firm specializing in public interest issues. Ong & Associates provided services pro bono for the study. Its founder is Paul Ong, director of the Center for Neighborhood Knowledge, which is housed in the UCLA Luskin School of Public Affairs.

Jerry Brown Speaks Out on Curbing Coronavirus and Building a Strong Future Former governor's conversation with biographer Jim Newton draws virtual audience of more than 1,300

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By Mary Braswell

Former Gov. Jerry Brown shared his views on stepping up the fight against COVID-19 and repairing the rifts that divide Americans during an expansive conversation with Jim Newton, editor of UCLA’s Blueprint magazine and author of a new book on the California statesman’s life.

More than 1,300 viewers tuned in to the May 12 webinar to hear insights from Brown, who built a reputation as both pragmatist and visionary in his half-century of public service, including four terms at the state’s helm.

The virtual audience had the opportunity to pose questions during the hour-long session, organized by the Los Angeles World Affairs Council & Town Hall and the nonprofit Writers Bloc, in partnership with the 2020 UCLA Luskin Summit.

The webinar took place amid a nationwide debate about how best to contain the novel coronavirus. Newton, author of the new biography “Man of Tomorrow: The Relentless Life of Jerry Brown,” asked the former governor how he would balance the dueling imperatives of protecting the nation’s health and reviving its economy.

Singling out Taiwan as a nation that acted swiftly and effectively to curb the virus’ spread, Brown urged that anyone infected be quarantined away from their families. The urgency of widespread coronavirus testing cannot be underestimated, he said, faulting the federal government for failing to mobilize the nation’s resources to fight the virus.

“This is a great manufacturing powerhouse, we’re a great biotech innovative powerhouse as well,” he said. “So the fact that we don’t have the tests we need, not by the hundreds of thousands but by the tens of millions every day, is leading to the problem we’re now at.

“The longer you wait, the harder it is, the more people get sick, suffer and die,” Brown said.

To rebuild the economy, the former governor invoked the words of Franklin Delano Roosevelt, who called for “bold, persistent experimentation” in his New Deal package of relief and reforms following the Great Depression.

“We need that. Not partisan rancor, not petty politics, not halfway measures. To get this economy going with so many people sequestered at home requires massive federal spending and investment,” Brown said.

He called for the immediate launch of ambitious infrastructure projects to reopen hospitals, bring internet access to rural areas, and build roads, highways and high-speed rail. The projects, he said, would be staffed through a jobs program that would provide a livelihood for millions of Americans now facing prolonged unemployment.

“I would call this really a Rooseveltian moment. And it ought to take into account all the problems that we have. Whether it’s the maldistribution of income and opportunity, whether it’s the pending challenge of climate disruption, all these things are on the table,” he said. “Unfortunately, if we can’t do them right in calmer days, it’s going to be very difficult.”

Known for sprinkling his comments with historical references, Brown cited Roosevelt numerous times and also namechecked economists John Maynard Keynes and Friedrich August Hayek, inventor and architect Buckminster Fuller, and Supreme Court Justice Edward Douglass White, who served in the early 20th Century.

But the names most cited were Donald Trump and Mitch McConnell, the president and Senate majority leader whom Brown held accountable for both an inadequate COVID-19 response and a fractured populace.

“If the choice is Trump for another four years … all these problems, from my vantage point, are going to get much, much worse, dangerously so,” Brown said, looking ahead to the November election.

“We have a lot of challenges and probably the biggest is building trust in our leadership, which is now being done better by our governors than by those occupying a power pole position in Washington,” he said.

Brown, a longtime Democrat whose own presidential aspirations fell short, predicted that an era of greater national unity lies ahead — but it requires abandoning far-reaching proposals from both the political left and right.

“I think we do need a unifier. I know we need polarization to activate the electorate, but in governing we need someone who reaches beyond the particular issues that are currently the stuff of campaigning,” Brown said.

“And that’s why politics is not all that satisfying and why politicians are not enduringly popular.”

Fielding audience questions, Brown weighed in on a range of topics.

On the future of financing higher education in California, he said, “We need to change the university from being an arms race of amenities to one that will be more limited but also fully creative. … The current course is not sustainable without a rising burden put on students, and I think that would be very wrong.”

On his signature issue, combating climate change, he called for an era of “planetary realism” and noted that the coronavirus emergency offers a sober lesson: “If you delay, if you don’t seize the moment when you can, you pay a much bigger price.”

And on maintaining hope amid an array of global threats, Brown took a poetic turn:

“I look out the window here and the wind is blowing on the walnut tree in front of me, the oak trees, the leaves, they’re flourishing” even amid drought, he said. “The rabbits are running around, the dogs are chasing the squirrels, the coyotes are howling at night. …

“Life — just to be here and be part of it — is quite a lot. So to worry, to think about down the road how it’s going to turn out? That’s fortune telling. That’s ouija board stuff.

“Do what you can do in the moment that you have. And God will take care of the rest.”