Launch of New UCLA Luskin Initiative Is True to Its Mission Event celebrating the creation of the Latino Policy and Politics Initiative brings UCLA community together with policymakers to share research and exchange information

/1 Comment/in , , , , , , , , , , , , , , /by

By Les Dunseith

The newest research center at UCLA Luskin aims to bring together scholars and policymakers to share information so that political leaders can make informed decisions on issues of interest to Latinos, and its Dec. 6, 2017, kickoff event exemplified that goal.

Students, faculty and administrative leaders from the UCLA Luskin School of Public Affairs and throughout UCLA were among a crowd of about 175 people that also included elected officials, community activists, business leaders and other stakeholders who gathered in downtown Los Angeles to celebrate the launch of the Latino Policy and Politics Initiative (LPPI).

Attendees had an opportunity to hear keynote speaker Kevin de León, current president pro tem of the California Senate and a candidate for the U.S. Senate, talk about recent legislation on issues related to such diverse topics as labor, good government, the environment and education. He was then joined by a panel of experts in a spirited discussion of the current national political climate and major issues that directly impact Californians, particularly Latinos and other communities of color.

“In the great state of California, we celebrate our diversity,” de León told the crowd. “We don’t ban it, we don’t wall it off, and we sure as hell don’t deport it.”

Keynote speaker Kevin de León talks about recent California legislative advances. Photo by Amy Tierney

In his speech, de León talked about the state’s efforts to deal with climate change, to improve education and to provide a safe haven for all residents. For example, Senate Bill 54, the California Values Act, which de León championed, creates a safe zone at “our schools, our hospitals, our churches, courthouses and other sensitive locations so our undocumented immigrant communities can live their lives and conduct their businesses without fear.”

De León declared, “If this president wants to wage a campaign of fear against innocent families, he can count us out. Because the state of California won’t lift a single finger or spend a single dime to become a cog in the Trump deportation machine.”

One of the goals of LPPI, which received its startup funding from UCLA Luskin and the Division of Social Sciences, is to provide better access to information — real data, not alternative truths — to help leaders nationwide resist attacks on immigrants and also help them to craft new policies on other issues vital to Latinos.

“It is impossible to understand America today without understanding the Latino community and the power that it wields. And this institute is going to do that,” Scott Waugh, UCLA executive vice chancellor and provost, told the crowd.

“It’s going to harness all of the intellectual capacity that UCLA has — it’s going to be truly interdisciplinary,” Waugh explained. The co-founders of LPPI — Professor of Political Science and Chicana/o Studies Matt Barreto, UCLA Luskin Dean Gary Segura and LPPI Director Sonja Diaz MPP ’10 — “have a vision that reaches not just inside the School of Public Affairs but reaches out across the campus in areas like health, education, science, the arts — wherever Latinos have made a difference and continue to affect change in a profound way.”

Darnell Hunt, dean of the Division of Social Sciences at UCLA, noted in his remarks that the founding of LPPI comes at a particularly opportune time in American politics. “It goes without saying that we live in challenging times — challenging political times — and the Latino Policy and Politics Initiative will help us make sense of this contemporary setting with an eye toward transformative solutions.”

Barreto, who served as master of ceremonies for the night, spoke about the scope of LPPI’s vision. “We’re not only going to work on immigration reform — we know that immigration reform affects our community and we will work on that — but we are dedicated to work on every policy issue.”

He added, “Whether it has to do with climate change or clean energy, transportation, housing, homelessness, criminal justice or education, we are going to work on that. And we have experts at UCLA who will join us.”

Many of the 20 scholars from across the UCLA campus who are part of LPPI’s faculty advisory council attended the launch event, which began with a networking reception at La Plaza de Cultura Y Artes near Olvera Street, the founding site of Los Angeles itself. As musicians from La Chamba Cumbia Chicha performed, attendees had an opportunity to meet and exchange ideas with the featured speakers and various former and current elected officials in attendance, such as Gil Cedillo, the former state senator and current Los Angeles city councilman. Also in attendance were former California assemblyman and senator Richard Polanco and Amanda Rentería, the former national political director for Hillary Clinton’s campaign and now a staff member in the executive office of California Attorney General Xavier Becerra.

Other panelists listen as UCLA Luskin Dean Gary Segura makes a point during the panel discussion. Photo by Amy Tierney

The event wrapped up with a panel discussion and Q&A moderated by Lucy Flores, a former assemblywoman in Nevada who now serves as vice president for public affairs for mitú, a multimedia enterprise that targets young Latinos. Panelists said that bolstering the number of Latino elected officials has been a vital step in bringing about positive change.

“In the end, votes are what count,” Segura said, noting that Latino’s political influence has not kept up with its rapid population growth. “In order for governments to enact policies that benefit Latinos, it is going to be required that Latinos be a significant share of elected officials.”

Panelist Laura E. Gómez, professor of law at UCLA and former interim dean of the Division of Social Sciences, expanded on that idea in light of a recent wave of disclosures related to sexual misconduct by men in positions of power.

“I think it’s really important … for us to realize that Latinos are a diverse community. We are not just men; we are also women. We are not just straight people; we are also gay and transgender people. And those are important numbers going forward,” she said.

Flores summed it up, “Demographics is not destiny.”

The fact that California often seems to be an outlier in the current national political climate was a recurring topic of the night, with several speakers praising Californians’ resistance to the policies of the current U.S. president. Can the state also serve as a model of progress?

“Despite all of the discord and disunity, California is standing tall for our values,” de León said during his speech. “From education to the environment, from high wages to health care, to human rights, to civil rights, to women’s rights, to immigrant rights, California is proof positive that progressive values put into action in fact improve the human condition regardless of who you are or where you come from.”

De León said California is a leader in innovation — “home to Hollywood and Silicon Valley and the best public university system in the world, the University of California. And we are on the cusp of surpassing the United Kingdom for the fifth largest economy on planet Earth.”

The state is thriving, he said, by doing exactly the opposite of what Donald J. Trump says. “We succeed because we are dreamers, not dividers. We succeed because we double down on lifting people up, not putting them down. We are not going to allow one election to erase generations of progress.”

Photo by Les Dunseith

“I want to ask for your partnership, because this is what we need to do — we need to train a new leadership pipeline that is diverse but also represents us substantively,” LPPI Founding Director Sonja Diaz told the audience.

Saying that UCLA is “arguably the finest public institution in the nation, if not the entire world,” De León spoke enthusiastically of the promise that LPPI represents for elected officials such as himself. “We need the empirical evidence, and it’s about time we have this institution established at UCLA.”

Later, when speaking about climate change during the panel discussion, he expanded on the idea that knowledge equals power.

“California has the ability — if we have access to this type of information, this data — to export our policies to other states, even to red states that may not believe in climate change per se,” de León said. “We are showing that, whether you believe in climate change or not, you can actually grow an economy by delinking and decoupling carbon from GDP.”

Access to data is important, but it takes real leadership to turn information into action. “You can have all the academics in the world, all the data, but it doesn’t make a difference if it just sits in a book on a shelf,” de León said. “You have to take that data and move it with political power to actually implement it, execute it, to improve the human condition.”

Segura said it is his goal — and the mission of LPPI — to unite scholars and policymakers for mutual benefit, helping academics turn research into actionable policy.

“Facts do matter. Facts may not be a good way to sell people who don’t want to hear them, but lots of well-meaning elected officials want information,” Segura said. “One of the jobs of the institute is going to be to take the data out of those dusty books and put them in the hands of policymakers in a useful time frame so that policymakers can respond.”

The Latino Policy & Politics Initiative is a comprehensive think tank around political, social and economic issues faced by California’s plurality population of Latinos and other people of color. Anyone interested in providing financial support may do so through the UCLA giving page for LPPI.

Additional photos from the event may be viewed in an album on the UCLA Luskin feed on Flickr. Watch the video of our speakers and panelists.

 

 

 

 

 

The Goal: Making Diversity Redundant UCLA Luskin alumni, faculty, students and staff gather for a daylong diversity recruitment fair showcasing programs and commitment to social justice

/0 Comments/in , , , , , , , , , , /by

“You need diversity because it is excellence and its absence is a sign of intellectual weakness and organizational incapacity. So what we do here today and what we do at Luskin makes the country, Los Angeles and the world a better place.”

— UCLA Luskin Dean Gary Segura

By Stan Paul

Gary Segura, dean of the UCLA Luskin School of Public Affairs, was happy to host the second all-school diversity recruitment fair at UCLA. But, in truth, he would like to see it become redundant.

“I am hoping and believing that we are getting very close to the verge of making it redundant in what Luskin does,” said Segura, who has devoted his academic life to studying issues related to the issues highlighted by the fair.

“By your arrival next fall, Luskin will indisputably be the most diverse school of public affairs in the United States,” Segura said to an audience of students who have applied, or are thinking of applying, to one or more of the School’s three professional graduate programs in public policy, social welfare and urban planning.

In addition to UCLA Luskin’s outstanding faculty, Segura cited the School’s wide array of groups, caucuses and organizations — including the D3 Initiative (Diversity, Disparities and Difference) — and new programs, new hires and ongoing searches for new faculty focused on racial inequality, multicultural planning and immigration policy, among other areas of expertise.

The many UCLA Luskin student groups, along with their classmates, alumni, faculty and staff, came together again this year to organize the Dec. 2, 2017, event.

“At some point, the study of class and racial and sexuality differences as an understanding of public policy, social well-being and urban issues is not a niche, it is the discipline,” Segura said. “It’s 70 percent of the population.”

Joining the dean in welcoming fair attendees were faculty leaders in Public Policy, Social Welfare and Urban Planning, along with a panel of Luskin alumni representing all three graduate programs.

Making her pitch to candidates for the Master of Social Welfare professor and department chair Laura Abrams focused on recent tax legislation passed by the U.S. Senate.

“What does the tax bill have to do with social welfare at the UCLA Luskin School of Public Affairs?” she asked. “Everything,” came a soft voice rising from the audience, stealing a bit of Abrams’ thunder.

“That was on my notes,” quipped Abrams, who explained that the bill would directly attack Social Security, Medicare and “all the public benefits that are the foundation of our social welfare system.”

She then asked who would deal with the costs of economic hardships on the front lines.

“Social workers!” she answered emphatically, adding, “We are going to have to be the ones who pick up the pieces of those who are displaced, who are homeless, who are pushed into the criminal justice system, who don’t have enough to eat and who don’t have housing.

“So,” Abrams added, “we need all of you, not just those entering social welfare, but the planners and the policy makers because you are the future that is going to have to fix what is happening today.”

Manisha Shah, associate professor and vice chair of Public Policy, highlighted the expertise of Luskin faculty in areas such as health policy, education, immigration, inequality, science and technology.

“We have a lot of flexibility in the department based on what your interests are and what you want to do, what type of policy arena you want to work in,” said Shah, who cited the department’s mixture of qualitative and quantitative approaches to evidence-based policymaking and analysis.

Vinit Mukhija, professor chair of Urban Planning, said that diversity and excellence are not trade-offs in outlining the holistic approach his department — which will soon celebrate 50 years at UCLA — takes in making admissions decisions. Urban Planning emphasizes not only grades but also a student’s personal statement, recommendations and the importance of relevant work experience.

First-year Social Welfare student Guillermo Gonzalez Lopez welcomes prospective UCLA Luskin students to the Diversity Recruitment Fair. Photo by Stan Paul

Mukhija, who studies informal housing and slums in the global north and south, explained his own interest as a planner in finding ways to improve living conditions in slums, and his goal to “learn about them to change our ideas about cities and about our design ideas, our rules and to have more just cities.”

Also providing information and encouragement were recent graduates of the Luskin School’s programs who participated in a series of discussions with aspiring students.

Panelists were asked what motivated them to apply to Luskin in their chosen disciplines.

“Communities of color are not always exposed to urban planning although we’re often experiencing the negative effects of what actually happens,” said Carolyn Vera MURP ’17, who was born and raised in South Central Los Angeles. Vera, who now works at a transportation consulting firm, said that when she moved back to Los Angeles following her undergraduate years, she didn’t recognize the city she grew up in, citing the effects of gentrification. Vera said urban planning is such a diverse field and, “I knew I wanted to stay in L.A. and work with my community.”

It was homelessness that brought Cornell Williams MSW ’12 to UCLA Luskin Social Welfare.

“I was homeless for a year. I had a college degree and I was sleeping in the park,” said Williams, now a psychiatric social worker for Los Angeles County Department of Mental Health and clinical director of the Jeffrey Foundation in Los Angeles. “Like a lot of our clients and people we have the passion to serve, I was stuck in that position and I had no knowledge of resources and access.”

Williams said the experience forced him to ask tough questions about himself and his future. “I came to one of these events and had an interest in all three programs,” but he said that Gerry Laviña, director of field education and associate director of D3, “was a big part of helping me conjure or stir the gifts inside of me to choose social welfare.”

Williams said UCLA Luskin’s Social Welfare gave him the flexibility to work in “every environment you can think of, and I’ve worked in a good number of them myself.”

The day’s events also included breakout sessions led by a number of the School’s sponsoring and organizing student groups: D3, Luskin Leadership Development, Social Welfare Diversity Caucus, Policy Professionals for Diversity & Equity, and Planners of Color for Social Equity.

Attending the event was recent UCLA graduate Vanessa Rodriguez, who said she hopes to enroll in the MSW program next fall. Rodriguez, who grew up in Boyle Heights and has worked with children with autism, said she has always had a passion for helping people. She said her reason for pursuing an MSW degree would be to work with women and victims of domestic abuse.

Among the staff and student volunteers who made the day a success was second-year MSW candidate Marisol Granillo Arce, who said she had attended a number of Luskin diversity related fairs before applying. Granillo Arce, who now also works as a graduate researcher for the UCLA Institute for Research on Labor and Employment, said it is exciting to meet future agents of change and tell them: “You’ve got what it takes to be a social worker, urban planner, and public policymaker.”

Granillo Arce added: “I think that individuals thinking of applying get the unique opportunity to know the staff, professors and students in the different departments. It is truly inspirational. You end up leaving the fair more confident and inspired.”

Guiding the Next Gen of Leaders UCLA Luskin welcomes new and returning Senior Fellows from the public, private and nonprofit sectors

/0 Comments/in , , , , , , /by

By Stan Paul

For more than two decades the Senior Fellows Leadership Program at the UCLA Luskin School of Public Affairs has matched the School’s students with professionals.

UCLA Luskin Public Policy, Social Welfare and Urban Planning students have enhanced their academic experience with real-world, practical applications by making direct connections with individuals working in their areas of interest.

This year is no exception. Now in its 21st run, the program has fielded an outstanding class of fellows representing a wide range of professional expertise. The 2017-18 class includes a former U.S. Congresswoman, a current U.S. Foreign Service officer, the president of a popular local news media and cultural outlet, and an advocate for children’s rights.

“We are particularly proud of this group of Senior Fellows in part because it’s one of the largest groups of new and returning fellows,” Dean Gary Segura said in his opening remarks at an Oct. 26, 2017, welcome breakfast marking the kickoff of the 2017-18 Senior Fellows. “We are overwhelmed by your generosity. More importantly, we are overwhelmed by your willingness to share some of your valuable time with the next generation of leaders in Los Angeles and beyond. And, I mean by that, the 575 young people that make up the student body of the Luskin School of Public Affairs.”

Among the returning Senior Fellows is David Carlisle, president and CEO of Charles Drew University of Medicine. Carlisle, who also is an adjunct professor at the David Geffen School of Medicine at UCLA, served as keynote speaker for the gathering at UCLA’s Faculty Center.

Returning Senior Fellow Randy Barth, founder and CEO of Think Together, meets with Luskin student mentees. Photo by Stan Paul

“This is one of the most wonderful activities that I do every year … and I look forward to coming back because of the interaction with young people that this program provides,” Carlisle said to Luskin student mentees, faculty, staff and guests.

In his presentation, Carlisle, who has served as a Senior Fellow since 2007, stressed the continued importance of the mentor program. In an economic sense California is experiencing a “golden age,” Carlisle said. But “we are still challenged by meeting demands cultivating personal capital in the state of California and the United States … human capital. And, there are too many places in our state where people are still challenged to participate fully in the economic engine that is the state of California.”

For second-year Master of Urban and Regional Planning student Sonia Suresh, an interest in affordable housing development and working with homeless populations led to her choice of Anita Nelson as a Senior Fellow mentor. Nelson is the CEO of SFO Housing Corporation, a Los Angeles-based organization committed to providing housing and support services for homeless and low-income people.

“We had a great conversation on our backgrounds and interests, as well as the type of affordable housing her organization builds,” said Suresh, who is also a member of Planners of Color for Social Equity at UCLA Luskin. “We have set up a day for me to shadow her and her development team.”

Second-year Master of Public Policy student Bei Zhao and first-year urban planning student Alexander Salgado were partnered with returning fellow Steven Nissen, senior vice president, legal and governmental Affairs, for NBC Universal.

Zhao, a native of China who has worked in investment banking in Beijing, said that the breakfast and mentor program provided the opportunity to talk about participants’ backgrounds and professional experience. She said she was amazed by Nissen’s experience bridging the private, public and nonprofit sectors, “which is also the direction I want to build for my own career.” Zhao said she hopes to apply her public policy and finance experience in the public sector of a nonprofit organization.

Nissen and his mentees have already planned on continuing their conversation. “At the end of the breakfast, he invited us to visit NBC Universal for further meetings … which shows his generosity for the future generation,” Zhao said.

The Senior Fellows Leadership Program is part of the Luskin School’s Leadership Development Program which is led and organized each year by VC Powe, director of career services and leadership development.

In addition to Nelson, new members of the Senior Fellows are:

  • Elizabeth Calvin, senior advocate, Children’s Rights Division, Human Rights Watch
  • Rick Cole, city manager, city of Santa Monica
  • Efrain Escobedo, vice president, civic engagement & policy, California Community Foundation
  • Christine Essel, president and CEO, Southern California Grantmakers
  • Jennifer Ferro, president, KCRW
  • Anne Miskey, chief executive officer, Downtown Women’s Center
  • Erica Murray, president and CEO, California Association of Public Hospitals
  • Rick Nahmias, founder/executive director, Food Forward
  • Seleta Reynolds, general manager, Los Angeles Department of Transportation
  • Michelle Rhone-Collins, executive director, LIFT-Los Angeles
  • Lynn Schenk, former Congresswoman, California 39th Congressional District
  • Dan Schnur, director, American Jewish Committee; former director, USC Unruh Institute of Politics
  • Heather Joy Thompson, diplomat-in-residence based at UCLA Luskin; Foreign Service Officer, U.S. State Department
  • David Wright, CEO, Los Angeles Department of Water and Power

More information on the Senior Fellows Leadership Program, Senior Fellow bios and a full list of returning Senior Fellows are available online.

Bringing Experience, Expertise to Problem-Solving Professions Four scholars join UCLA Luskin’s faculty in Public Policy, Social Welfare and Urban Planning

/0 Comments/in , , , , , , , , /by

By Stan Paul

Four new faculty members will add a wide range of knowledge and expertise to the world-class faculty of UCLA’s Luskin School of Public Affairs, as of the 2017-18 academic year.

The four will expand research and teaching in public policy, social welfare and urban planning at the Luskin School, with expertise in areas including housing and spatial inequality, labor and human capital impacts of climate change, health disparities for marginalized populations, and youth and urban violence.

Kenya Covington, who has experience teaching undergraduate and graduate courses at Luskin, was officially appointed to Public Policy in July. She has taught courses at Luskin on housing policy, research methods, forces of urbanization, social inequality and urban poverty. This summer, Covington completed her second online version of the school’s popular undergraduate introductory public affairs course, which she developed. The course is a requirement for the public affairs minor.

Covington, a former longtime professor of urban studies and planning — and 2015 Distinguished Teacher of the Year — at California State University, Northridge, studies social and economic inequality associated with the structural makeup of metropolitan areas. Her work suggests ways to better utilize social and urban policies that likely mitigate disparities in economic opportunity. Covington earned her Ph.D. in public policy from the University of Maryland, Baltimore County.

Latoya Small joins Luskin Social Welfare as an assistant professor from her former appointment at the University of North Carolina, Chapel Hill School of Social Work. Her research addresses health disparities and social justice issues for marginalized populations at the intersection of poverty, mental health and behavioral health. In her work related to HIV, women and children, she has looked at ways to empower HIV-infected youth in South Africa to maintain their medicine regimes and promote the avoidance of risky behaviors, while encouraging family participation in their health care.

Small earned her Ph.D. at New York University Silver School Of Social Work.

Karen Umemoto, formerly of the University of Hawai’i at Manoa, is expected to hold a joint appointment with Urban Planning at Luskin and the Asian American Studies Department. Umemoto, who holds a doctorate in urban studies from the Massachusetts Institute of Technology, focuses her teaching and research on planning and governance in multicultural societies, race and ethnic relations, youth and urban violence, and community building.

At the University of Hawai’i, Umemoto taught courses on public policy and planning theory, community planning, community-based economic development, diversity and multiculturalism in planning, and qualitative methods and evaluation.

Jisung Park will join Public Policy as an assistant professor in January 2018. Park will also be a member of the faculty of UCLA’s Fielding School of Public Health. His research agenda includes the labor and human capital impacts of climate change, the prospects for long-run climate adaptation, and environmental determinants of economic mobility.

Park, a Rhodes Scholar, earned his Ph.D. in economics from Harvard University, where he is currently a postdoctoral fellow at the Kennedy School of Government. He has taught courses at the undergraduate and graduate level on American economic policy, and environmental economics and policy.

“Such an exceptional group of new faculty will bring tremendous opportunities and expertise to the Luskin School and our students,” Dean Gary Segura said in announcing the new faculty. “All three departments will benefit from these new colleagues and their path-breaking research and pedagogy.”

Getting an Early Start on Social Welfare Lessons Master of Social Welfare graduates share advice with incoming UCLA Luskin students who will be serving vulnerable clients and populations

/0 Comments/in , , , /by

By Stan Paul

Even before the fall quarter had begun, the new class of first-year UCLA Luskin Social Welfare master’s students was already learning the lessons that will become the foundation of future careers in social work.

“Ten years ago I was sitting exactly where you are,” said Tara Chandler MSW ’09, now a social worker in mental health care, as she and a panel of recent Luskin grads shared practical advice about their roles as mandated reporters for the children, families, senior citizens, dependent adults and others they serve as professional social work practitioners.

The seminar for the incoming cohort of Social Welfare students was one of two half-day sessions designed to help students understand the role of social work and their mandated obligations when working with clients and families, said Michelle Talley, a field education faculty member at the UCLA Luskin School of Public Affairs who works with first- and second-year students.

Joining Chandler were Luskin Social Welfare alumnae Bridgette Amador ’11, Aiyanna Rios ’08, Malena French ’11 and Jolene Hui ’11, all of whom have moved up to positions as administrators and supervisors “in record time,” Talley said. In addition, Hui, who spoke on ethics and confidentiality issues, is director of membership for the California chapter of the National Association of Social Workers, which governs the School’s MSW program, Talley said.

Sarah Barnard, social welfare field instructor, discussed mandated reporting to the incoming class of social workers. Photo by George Foulsham

Session topics included mandated reporting of child abuse and elder abuse, domestic violence, suicide, and related legal responsibilities. The idea is to support students who had already begun internships a month before school begins, Talley said. “This is to help students, as they may encounter issues directly or indirectly at their placement,” she said, explaining that students participate in several modules to help them understand complex social justice issues.

The new cohort brings a broad range of experiences to the programs. On average, most of the students have one to three years of experience — either as volunteers or working in a service capacity, Talley said. This includes participation in research studies on adolescent and social anxiety, working with children and older adults, as well as working with a mental health agency providing case management services. Some of the students come from careers in teaching or law, or even as a behavior specialist, working with children with special needs and their families.

For UCLA Luskin student Tina Nguyen, who will be interning in a mental health setting in Los Angeles, the sessions served as a helpful refresher.

“For people who have worked with children or in mental health, you see that daily, so what they are talking about is very effective,” said the Orange County resident who has worked with children and adults in a nonprofit organization.

First-year student Brian Stefan said he was encouraged by the alumni presentations and plans to use his MSW to continue working in suicide prevention, outreach and education in the Los Angeles area. The L.A. native has had previous experience as a volunteer and a staff shift supervisor for a suicide prevention center. Stefan has also done volunteer work as a co-leader for a grief support agency and for the L.A. Mayor’s Office Crisis Response Team.

“The speakers sharing their passion and commitment to the social welfare field is inspiring,” Stefan said. “It’s amazing how much can be done with a Master of Social Welfare [degree] at UCLA.”

 

New Study Examines Effects of Stopping Psychiatric Medication UCLA Luskin School professor co-authors report showing that more than half succeed in discontinuing usage of drugs

/0 Comments/in , /by

Despite numerous obstacles and severe withdrawal effects, long-term users of psychiatric drugs can stop taking them if they choose, and mental health care professionals could be more helpful to such individuals, according to a new study.

A new study shows that while long-term users of psychiatric drugs can stop taking them if they choose, mental health care professionals could be more helpful to such individuals dealing with problems like severe withdrawal effects.

While 1 in 6 Americans take a psychiatric medication for serious mental illness, there is little research on people’s experiences coming off the drugs. In the first large-scale study in the United States on this subject, Live & Learn, Inc., in partnership with researchers at the UCLA Luskin School of Public Affairs, UC San Francisco and New York University, began to fill this knowledge gap. Study findings are now available online in Psychiatric Services, a journal published by the American Psychiatric Association.

Surveying 250 long-term users of psychiatric medications who had a diagnosis of serious mental illness and chose to discontinue use, the study found that more than half succeeded in discontinuing usage, despite having little professional support while experiencing severe withdrawal symptoms including insomnia, crying and diarrhea. The majority of survey respondents cited the main reason they attempted to quit centered on health risks of long-term use and side effects.

Of the study’s respondents, 54 percent managed to stay off psychiatric medication for at least one year, with few reporting relapse or re-hospitalization. Eighty-two percent of those who discontinued use reported being “satisfied” with their choice.

“People stop taking their psychiatric medications whether or not they find the drugs helpful, and they do so at all stages of the medication experience — days, weeks, months, or years after taking them,” said David Cohen, professor in Social Welfare at UCLA Luskin and a co-author of the study.  “This study is novel because it asks questions about stopping to take medications from the consumer’s point of view.”

Many industry-funded studies have asked patients why they stop taking their medications, but typically with a view to increase compliance, according to Cohen. By contrast, this study asks consumers what they experienced while coming off drugs, who helped them make and carry out their decision, and whether they were satisfied with their attempted or completed discontinuation.

“Over 70 percent of our study sample had taken medication for more than a decade; however, these individuals reported having little to rely on when discontinuing except the internet and social support in order to endure withdrawal. Limiting access to care through cuts to health and psychosocial services can only make that situation worse,” says principal investigator Laysha Ostrow, founder and CEO of Live & Learn, a California-based social enterprise that provides research, technical assistance and knowledge translation services to behavioral health systems. “Most were working with a provider at the time but did not find them helpful in the process. However, even though it was often complicated and difficult, the majority who were able to come off medication completely were satisfied with their decision to do so.”

Cohen said that there are still plenty of challenges for researchers who are examining this topic.

“There’s a lot of work to do to understand how people come off medications and how to help them do so safely, especially when they’re taking several psychiatric medications simultaneously,” he said. “This study didn’t use a probability sample. Though it very carefully selected the 250 respondents, most with over 10 years’ history of taking medications, it should be a priority to confirm or modify these findings with a probability sample.”

The study was funded through a grant by the Foundation for Excellence in Mental Health Care.

Dispensing Knowledge in Real Time UCLA Luskin Social Welfare students present the results of their rapid response research projects

/1 Comment/in , , , , /by

By Stan Paul

Research, by design, is focused, systematic, methodical. It takes time.

But when information moves at the speed of social media, and false, distracting and potentially harmful information can be spread worldwide via tapping a screen in the middle of the night, there is a pressing need for responsible research that can be produced in real time.

A dozen social welfare graduate students at the UCLA Luskin School of Public Affairs reacted to this challenge by taking on projects — above and beyond their required studies — to match their data-gathering and synthesizing skills with the ability to make useful information available quickly to communities that may need it.

The social welfare master’s and doctoral students researched topics such as hate speech and immigration.

“You are going to enter your profession, a profession built around the question of human caring, at a time where human caring is not held in particularly high esteem,” UCLA Luskin Dean Gary Segura said in introducing “Rapid Response Research in the Trump Era,” a June 1, 2017, gathering at the Luskin School to review student projects.

Segura, whose research has centered on representation and empowerment, said: “You know the challenges that all of us face … across all racial and ethnic, socioeconomic subpopulations in the United States: access to affordable health care, dealing realistically and honestly with challenges that individuals and families face, providing quality education and job opportunities for people. The list is unbelievably long.

Social Welfare student researchers, from left, Evelyn Larios, Zee Graef, Skye Allmang, Sandra Delgado, Jackie Diaz with Laura Wray-Lake, assistant professor of social welfare, at the rapid research presentation. Photo by Stan Paul

“The first piece of advice I’m going to give you for resistance is to call things by their name,” Segura said. “We must begin our resistance by calling things what they are: Racism is racism, sexism is sexism, anti-Semitism and Islamophobia are what they are.” He urged students not to pass these things off as merely rants not worthy of comment or notice.

Laura Abrams, the incoming chair of UCLA Luskin Social Welfare, said that a list of potential research ideas was presented to social welfare students early in the academic year, and a number of groups responded. The criteria for the projects included working with real-time data from social media platforms such as Twitter.

Abrams said the research topics “were going to be more immediately applicable to what communities might need in order to resist and they had to be social justice oriented.” Social welfare faculty such as assistant professors Ian Holloway and Laura Wray-Lake served as advisers for the students.

One project examined Twitter data based on the motivations of those who participated in the Women’s March, and how that motivation connects — or doesn’t — with broader issues of racial justice.

One immigration issue tackled by the students was part of a nationwide project asking how young people have been affected by the policies and rhetoric of the Trump administration. That project relied on responses from Latino high school students. The information gathered is intended to inform educators and others working with adolescents.

First-year MSW student Alexandra Rhodes said she studied anti-LGBT hate speech and the incidence of particular words used on Twitter.

“I was interested in seeing if anti-LGBT hate speech on Twitter increased after Donald Trump’s election,” said Rhodes, who gathered information from more than 40,000 users who had tweeted anti-LGBT search terms. From that group, just over 10,000 users were randomly selected for comparison of the number of such tweets before and after the election.

“I was most interested in how Donald Trump’s election was affecting the LGBT population given his seemingly anti-LGBT rhetoric and policies,” said Rhodes, who is primarily interested in working with the LGBT population and is considering pursing a Ph.D. in social welfare.

“It is very important to me to do ethical and essential research in my community and build evidence to support how we have been affected by various social changes and policies,” Rhodes said. “For now, I’m focusing on getting involved with research in whatever way I can as an MSW student. It is important to do research and look at the data and respond to what is happening right now.”

Abrams said she hopes that this becomes a tradition that can continue to be built into the curriculum in a meaningful way.

“As a Social Welfare Department, the rapid response research projects are a prime example of what we can accomplish when we have an idea, put our heads together, and work hard as team,” Abrams said. “I am proud of the students for carrying out their projects in such a timely and rigorous manner.”

More Than 45,000 Californians Living With HIV Would Be Impacted by Medicaid Cuts in Senate Health Plan According to a fact sheet from the California HIV/AIDS Policy Research Centers, the cuts would be felt by patients covered by Medi-Cal

/0 Comments/in , , , , , , , , /by

Tens of thousands of Californians living with HIV would be impacted by Medicaid cuts under the Better Care Reconciliation Act (BCRA), according to a fact sheet released by the California HIV/AIDS Policy Research Centers in collaboration with the UCLA Luskin School of Public Affairs.

The fact sheet highlights new data from the California Department of Public Health, Office of AIDS, which indicates that 45,033 people living with HIV received health coverage through Medi-Cal in 2014. These data also indicate that approximately 11,500 people living with HIV enrolled in Medi-Cal because of the Affordable Care Act (ACA). Medi-Cal, California’s Medicaid program, covers the cost of medications that help low-income people living with HIV achieve viral suppression, which both improves their health and prevents new infections.

Last week, the U.S. Senate released the BCRA, which would make dramatic cuts to Medicaid. A similar bill passed by the U.S. House of Representatives, the American Health Care Act (AHCA), would have cut Medicaid nationwide by $834 billion over 10 years.

View resources and an FAQ from testing.com about at-home STD testing

The BCRA would radically restructure the Medicaid program by converting it to a per capita cap or block grant and effectively end the ACA’s Medicaid expansion. Together, these changes would result in a massive fiscal shift from the federal government to the states and add billions in additional costs to the state of California.

“People living with HIV have complex health-care needs that require high-quality, consistent and affordable health care,” said Ian Holloway, director of the Southern California HIV/AIDS Policy Research Center and an assistant professor in the Department of Social Welfare at the UCLA Luskin School of Public Affairs.

The CHPRC fact sheet emphasizes that limits on Medicaid financing and coverage would have a detrimental impact on California’s efforts to provide care and treatment for people living with HIV and to reduce new HIV infections.

“It is important for policymakers to understand the threats the BCRA poses to people living with HIV and other vulnerable communities in California,” Holloway said.

 

Putting Activism Into Context UCLA’s first two Activists in Residence use the past to help frame the future of activism

/0 Comments/in , , , /by

By George Foulsham

Soon after the November 2016 presidential election, UCLA welcomed two Activist Fellows for the winter quarter. Funmilola Fagbamila and Lisa Hasegawa were the first of what the Institute on Inequality and Democracy at UCLA Luskin hopes will be a continuing series of fellows.

Fagbamila, a founding member of Black Lives Matter L.A. and an adjunct professor at Cal State Los Angeles, served as the fellow for the Institute. Hasegawa, who worked in the Bill Clinton administration before serving as executive director of the National Coalition for Asian Pacific American Development, was the UCLA Asian American Studies Center’s fellow. Hasegawa is also a Luskin Senior Fellow.

How did the November election and the reaction to it influence your approach to the activist-in-residence fellowships?

Fagbamila: I came into the fellowship with a desire to have conversations about how to contextualize the current political moment. When we think about the election and how people were attempting to understand how Trump could have won, it’s important for us to look at the numbers, to look at the history and the patterns of how electoral politics functions at a federal level in the country.

A lot of talk is about how the country is just inherently racist, and that’s why somebody who has this kind of sentiment around race, policing and immigration could win. But when we look at the numbers closely, we understand that around 40 percent of the population did not vote at all — because they are so disillusioned with the system as it exists, feeling as though they didn’t have any option in terms of a candidate who could truly represent where they are ideologically.

Then you have about 20-25 percent of the people who did vote for Donald Trump, not actually liking him, but feeling that they didn’t have another option. So what does that say about the current political moment and what has been the history and trajectory of federal electoral politics in this country?

The reason it was so important for me to be here at this moment, and Lisa as well, is to have conversations and contextualize what’s happening, why it’s happening, how we can resist it, what our resistance has looked like in the past, and figuring out what it is that actually sparks urgency with folks.

Hasegawa: With all the talk during and after the presidential election about executive orders, and the Muslim ban, I just felt that I needed to think critically about where I positioned myself after having been in Washington, D.C., for the past 20 years.

I was encouraged to apply by some colleagues because I was very vocal about my frustration, even thinking about a new Democratic administration. Returning to the Asian American Studies Center seemed to be the ideal place for me to reflect upon the strategies we employed to move the policy agenda for underserved, low-income Asian Americans and Pacific Islanders.

I feel like core democratic institutions are being questioned and strategies to influence policy are being considered in completely new ways that have not been examined in the public dialogue, in the public mind.

You have managed to connect a lot of dots when it comes to dissent, arts and scholarship. What has been your inspiration?

Fagbamila: It’s a desire to make it known that we can absolutely engage in activism and advocate for those who are most vulnerable within a society while also maintaining health and stable lives for ourselves. There’s a sentiment that exists in the popular imagination, about being a person who advocates for justice meaning that you live an unhappy life, void of joy and fun. Always serious. The idea being that in order to do this type of advocacy work, that one must sacrifice their well-being. This is a false narrative; one that scares many people away from engaging in resistance work that could be potentially transformative.

I am inspired to have conversations, through my art and through my scholarship, about the various forms that activism takes, about what it means to both advocate for and work toward a more just society while also taking care of yourself and making your mental, emotional, physical wellness a priority. Specifically within activist communities, we need to emphasize that self-care is not selfish. Self-care done collectively and strategically is what will be the force that enables us to make our resistance efforts sustainable, as opposed to fleeting. Creating movements, as opposed to moments.

Hasegawa: There is this desire to reconnect with the languages of politics and policy and with theory and academia. We’re just trying to figure out what this means for Asian Americans and Pacific Islanders in this moment. There has been this fight to gain basic visibility in a lot of spaces, places, reports — just to kind of penetrate into the mainstream psyche and understanding that Asians and Pacific Islanders are American, belong in this country and have helped build this country.

I’m so tired of inaccurate stereotypes and data about our communities being used to criticize and punish other communities of color. AAPI artists, cultural workers and organizers are disrupting the narrative and this framing that the Right uses, claiming, ‘Look at Asian Americans, they have overcome barriers despite their race and despite all of these very difficult histories as refugees and immigrants.’ We need to fight against the anti-blackness in our communities, lift up our shared histories of struggle and resistance.

What have you been hearing from students?

Fagbamila: What I’ve been hearing are questions about how to be a scholar activist, questions about how one can actually consistently engage in what is perceived as time-consuming resistance work while also remaining serious about their scholarship and doing their research. The question has been how to do both and have both of the endeavors allocated the proper amount of time and energy, and I think that’s a conversation around balancing time and also knowing that, for many scholars and academics, their research is part of their resistance.

Hasegawa: I have really felt some of the disconnects between the students and the institutions that had been laboring to represent Asian Americans and Pacific Islanders and policy issues. For the most part many students have not even heard of community-based and national advocacy organizations, or they have heard of them but don’t really know the histories of them or don’t really feel connected to the work or the people who are in them. They are hungry for these stories and connections. Also, I have heard their interest in my perspective on what it was like to be at UCLA when the Rodney King verdict came down, and what was it like to be a young person at that time. Figuring out how to encapsulate that experience and share these stories with this generation of students has been a joy — actually, a gift — to me, because it has helped me to realize how influential those times were for me and my understanding of race, advocacy and coalition building.

What advice do you have for students in a very uncertain time for Americans?

Fagbamila: There are number of ways that people can be of service, but I think oftentimes activism gets conflated into this one thing, this one specific process of choosing an organization, becoming a member, and helping in that particular capacity. But if we think historically about the various ways that people have advocated for societal change, we consider the scholar activists — people who, as I mentioned earlier, engage in transformative work within their scholarship — writing about necessary issues within your area of study, specifically issues that have not been written about or have been silenced within the academy. We need those tools; we need this research in order to push forward. You have many students who also might engage in some amount of activism with their art. Part of my work as a member of Black Lives Matter, an original member, has been to develop the arts and culture component of the organization. Along the same train of thought, my work as an artist and playwright is something that has been absolutely fundamental to what I believe has been my mission. Through the lens of art, through the stage, through theater, through this type of writing to cast light on stories, about blackness, about the black experience, about the complexity of the black political identity — these narratives are most often not captured in mainstream dialogues and images of black people. So my work, in this moment, is to tell stories, as honestly as possible, about black people — about our glory and our pain, our thoughts and our experiences.

Social Workers and Medical Students: ‘The Ideal Team’ UCLA Luskin’s Department of Social Welfare provides lessons in social work to first-year students from the David Geffen School of Medicine at UCLA

/0 Comments/in , , /by

By George Foulsham

Matthew Hing is a first-year medical student at UCLA, but on this April morning he’s a visitor in a nondescript building on Lincoln Boulevard in Venice — the St. Joseph Center, home of the Chronically Homeless Intervention Program.

Hing enters through a back door, weaving through a crowd of homeless people who gather each morning to take advantage of St. Joseph’s services. This isn’t your typical med school classroom, but Hing believes the experience will be a vital part of his training — adding more educational insight to his medical school curriculum.

Thanks to a partnership between the UCLA Luskin School of Public Affairs’ Department of Social Welfare and the David Geffen School of Medicine at UCLA, Hing and 19 other medical students are receiving a lesson in social work.

A month earlier, the students gathered in a classroom in the Public Affairs building for an orientation session arranged by Todd Franke, the chair of the Department of Social Welfare; Gerry Laviña MSW ’88, director of field education at UCLA Luskin; and Michelle Talley MSW ’98, a member of UCLA Luskin’s field education faculty and a licensed clinical social worker (LCSW).

“I think this is a fantastic opportunity,” Franke said as he greeted the students. “We hope this is a marvelous success.”

Laviña talked about how much he learned from similar experiences earlier in his career. “I learned so much from the doctors and nurses and social workers,” he said. “Literally, I would not be here today if I hadn’t had that experience.”

Talley told the students about having worked in child welfare, and how she spent time working with public health nurses on adoption cases. “It was very helpful and useful in my role as a social worker, understanding some of the medical issues that a child could be faced with,” she said.

Michelle Talley, left, a member of UCLA Luskin’s field education faculty and a licensed clinical social worker, speaks to medical students during the orientation session held at the UCLA Luskin School of Public Affairs. Photo by George Foulsham

Hing’s day at the homeless center was the “shadowing” piece of the social work lesson. He spent a day observing and debriefing social workers and a psychiatrist, all of whom specialize in tending to the needs of the homeless.

“The psychiatrist, he saw three clients — all very different cases,” Hing said. “One was an intake case, the second time he had seen the client, so he was really getting a sense of what was going on — what had led to this individual becoming homeless, and how they were doing now.

“The second was much more stable — he’s been seen for several months — but there were new stresses in his life,” Hing said. “It was just a lot of things that a psychiatrist knew to ask that I never knew about.”

The third case involved a patient who was struggling with the anti-psychotic medication that she was taking, and how it was making her fall asleep. “So she was worried about her safety on the street,” he said. “This was something for me in a patient interaction that I would never think about, but you can learn from a social worker. Seeing those unique insights at work in this population — that’s what I got from shadowing.”

Hing shadowed those working with the homeless, and his fellow students had a variety of other experiences. One participated in a forensic interview on a child-abuse case — “an intense experience,” Hing said he heard later.

Hing’s trip to St. Joseph Center was arranged by Laviña, and the two have been the driving forces behind making the partnership a reality. After attending a conference about social medicine in October, Hing emailed a proposal for the program to members of the curriculum committee at the Geffen School. He and his colleagues, fellow medical students Amrita Ayer, Brian Dang, Lyolya Hovhannisyan and Samantha Mohammad, produced a potential syllabus, which led to a formal presentation to UCLA Luskin.

After emailing Laviña and Franke, Hing received an overwhelmingly positive response.

“Todd thought it was an excellent idea,” Hing said. “He wondered why it hadn’t already happened, and was excited about the possibilities.”

The concept resonated with Laviña, who sees it as a logical extension of what social welfare experts provide to Luskin’s master’s students.

“Social workers have always worked in multidisciplinary settings, so we strive for collaboration with physicians and all other disciplines,” Laviña said. “We were happy to work with Matt and his peers, along with our faculty and panelists, to bring very direct feedback as to how they can become doctors who work with their patients and families using cultural humility and truly seeking a holistic approach.”

The orientation session was the first part of the program. In addition to the introductions by Laviña, Franke and Talley, the session included a panel of seven social welfare experts: Rosella Youse, a manager with the Los Angeles County Department of Children and Family Services (DCFS); Kim Tran MSW ’11, a forensic interviewer with DCFS who is stationed at Harbor UCLA Medical Center; Deborah Tuckman MSW ’99, a social worker in the emergency department at Cedars-Sinai; Thomas Pier, LCSW at Simms/Mann UCLA Center for Integrative Oncology; Brian C. Wren, LCSW at Providence Health & Services; James Coomes MSW ’96, LCSW at the county department of mental health; and Kim Griffin-Esperon MSW ’98, LCSW with the Los Angeles Unified School District.

The experts shared stories about dealing with child abuse, testifying in court for child welfare and neglect cases, helping assist children with spina bifida and cancer, providing guidance on home health care and about coping with many other social issues doctors might encounter during their careers.

“You won’t know child welfare social work like we do,” Youse told the medical students. “But I don’t know the medical field like you do. So together we are really the ideal team.”

The program is also supported by those who work with the students in the Geffen School.

“Caring for patients takes a diverse team of experts,” said Sheila Naghshineh, chair of the doctoring program for first-year medical students. “Having a social worker on the team is often vital to providing high-quality, customized care for patients in both the outpatient and inpatient setting.”

It is important for health care providers to understand the role of social workers so that they can learn to work together as a team, Naghshineh said. “The social worker shadowing pilot program helps medical students experience first-hand how to effectively work with social workers, and understand how and when to utilize their services, resources and expertise to benefit patients,” she said.

Asked if he thinks social work should be a part of the medical students’ curriculum, Hing’s response was definitive: “Yes, yes, yes.”

“Ideally, this should be part of our curriculum,” said Hing, who was raised in a medical family — his mother is a social worker and his father is a physician. “I think it is important for us to witness the empathy that social workers bring forth for their patients, who are often from the most vulnerable, marginalized parts of our society. I’d love to make sure that all of my classmates have this opportunity to see the incredible work that is going on around this.”

Laviña said he was inspired to witness and experience the students’ openness to the feedback. “I am heartened to think about the type of doctors they will become — and how they will better serve our communities,” he said.