Mental health care workers are in high demand across California, especially in the rural pockets of the state. In the Eastern Sierra, providers are working to expand their in-person services while fighting insurance companies to be included in their networks. But the challenges are immense, especially when it comes to psychiatric care. Here’s what some providers are doing to increase access.
Access
Into the void left by a health care system that doesn’t offer sufficient translation services and an economy that demands grueling labor from low-wage workers, Punjabi residents in Fresno have created an organization to help each other.
A team of five community health workers visit Sikh temples and Punjabi-populated neighborhoods to assist in accessing health care.
California is the first state in the country to expand Medicaid to all qualifying adults regardless of immigration status.
But many undocumented immigrants, especially those who live in parts of California where the cost of living is much higher, earn slightly too much money to qualify for Medi-Cal.
In California, over 98 percent of newborns are screened for hearing loss. But when it comes to intervention, there is little action to ensure these children are supported.
A bill pending in the California Senate aims to rectify problems with the state’s current Hearing Aid Coverage program and expand hearing aid access to thousands of families across the state.
California’s rural north has significantly worse health care access than the rest of the state.
The barriers to treatment are even higher when residents try to access care from specialist physicians. When patients or families experience difficulties accessing needed medical care, it multiplies existing social needs, increasing patients’ risk of things like substance use, housing uncertainty and domestic violence.
Bonnie Burns was shocked into action the first time she learned that seniors were being coerced into Medicare Advantage plans that either didn’t suit their needs, misled them about costs, or lured them with benefits they wouldn’t actually receive.
A health care advocate for 40 years, Burns was outraged that a health insurance option intended to broaden coverage choices for California elders was instead being misused by unscrupulous marketers to seek profits.
In many Asian Americans communities, reluctance to seek mental health care is common. A 2007 study found that less than 9 percent of Asian-Americans sought any type of mental health services compared to nearly 18 percent of the general population nationwide.
According to experts familiar with the Asian American experience, stigma, pressure to live up to the myth of Asian American success, and culturally inappropriate services prevent people from getting the mental health care they need.
Although California has set high standards for controlling some chemicals in water, actual enforcement and removal of contaminants is generally slow, and frequently stymied by high treatment costs and antiquated water infrastructure.
Meanwhile, polluters rarely have to answer for the health impacts their actions may have caused. Low-income communities of color are particularly hard hit, due to decades of environmental racism.
California’s San Joaquin Valley is one of the richest agricultural regions in the world, but unfettered groundwater pumping has caused the land to sink and the regional canal system to break.
If the agencies in charge of the canals don’t fix them, water deliveries will continue to be affected, impacting everyone from farm owners to low-wage farmworkers.
For young adults with serious disabilities, the transition to adulthood is filled with challenges. In interviews with the California Health Report, young people and their families described the difficulties and triumphs they’ve experienced during this phase of life.
Overall, young adults with disabilities, their parents and advocates said too many families don’t know what to expect, or how to get the services they need. Health officials, regional centers, and school districts need to foster more awareness about what it’s like for these youth to transition to adulthood, they said.