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Student mental health challenged by COVID, recession and racism
Idle busses and empty classrooms are reminders of the scale of the education and healthcare void caused by the continued coronavirus shutdown.
Student mental health in Los Angeles is facing unprecedented challenges, according to Maryjane Puffer, executive director of The Los Angeles Trust for Children’s Health.
“Our students are under tremendous pressure,” she said. “Many were already dealing with inadequate access to mental healthcare and the impacts of poverty and racism. The isolation and economic hardships brought on by COVID-19 threaten to create a student mental health crisis in Los Angeles.
“Students miss the structure of school, their friends and their support system, including access to counseling and mental health treatment,” said Puffer. “Some students may be in stressful situations at home or even the targets of abuse. We must redouble our efforts to help them.”
New initiative
This fall The L.A. Trust will launch its Student Mental Health Initiative. The collaborative is funded by a $100,000 grant by Cedars-Sinai and a $50,000 grant by Health Net.
The initiative will train students as peer leaders through The L.A. Trust’s Student Advisory Boards, increasing awareness of symptoms like anxiety and depression, and building positive coping mechanisms and self-referrals to care. The initiative will foster student social media campaigns and conduct online trainings such as “First Aid for Mental Health,” scheduled for August.
“Student voices are critical in addressing mental health awareness and to ensure access to services,” said Pia V. Escudero, executive director of Student Health & Human Services for Los Angeles Unified. “We are grateful for this grant opportunity that will lift stigma and access to services for students and families that need it the most.”
Puffer added that “as a backbone agency for student health in Los Angeles, The L.A. Trust has a unique role and responsibility. We are committed to lead on this issue, helping support students, family members, healthcare providers and LAUSD tackle these issues.”
Racism and mental health
Puffer noted that July is BIPOC Mental Health Awareness Month and that racism must be factored into any discussion of student mental health. This is especially relevant in Los Angeles, where four out of every five LAUSD students is Latinx or Black.
A review of literature on the impact of racism on child health found that 11 out of 12 studies showed an association between racism and depression, while three studies showed an association between racism and anxiety. “We can’t ignore the impact of racism on the mental health of our students,” Puffer said. “Our programs, outreach and training must acknowledge the racism that many of our students live with every day.”
Resources available
Puffer saluted LAUSD Student Health and Human Services, the Los Angeles County Department of Public Health and other public and private organizations for adapting and expanding to serve students and family members during the COVID-19 crisis.
LAUSD Mental Health Hotline (213) 241-3840. Open weekdays 6 a.m. to 6 p.m. It is staffed by counselors and mental health professionals who can provide support in English and Spanish. Teachers can also call and get advice on how to connect their students to services. Questions can also be emailed to mentalhealth@lausd.net.
Los Angeles County Department of Mental Health (800) 854-7771. Open 24/7 for all mental health services.
2-1-1 Hotline. The central source for all health and human services support in Los Angeles County.
National Suicide Prevention Hotline English: (800) 273-8255 Español: (888) 628-9454.
Teen Line Text “TEEN” to 839863 between 6:00pm-9:00pm PT to speak to a teen.
Posted July 15, 2020 at 9:55 a.m.
Watts Healthare COVID RX: Exercise, mindfulness and relaxation
Dr. Oliver Brooks, chief medical officer of Watts Healthcare, recommends a diet of exercise, mindfulness and a bit of fun during the current stay-at-home orders
These are challenging times. We’re wondering when we will go back to school or work, see our friends and be able to get together.
Dr. Oliver Brooks, chief medical officer of Watts Healthcare Corporation, notes that regular physical activity can increase self-esteem and reduce stress, depression and anxiety. People who participate in daily physical activity have an approximate 20 to 30 percent lower risk for depression.
A good fitness goal is low-intensity aerobic exercise for 30-35 minutes, 3 to 5 days per week. If you’re feeling more energetic, you can take this fitness challenge and see how many rounds of these four exercises you can complete in 10 minutes (25 repetitions each): Squats, jumping jacks, high knees and push-ups (if you’re not in shape, take it slow).
Relax…
Brooks recommended controlled breathing exercises, mindfulness, relaxing body exercises and the practice of opposite action to counteract stress.
Watts Healthcare suggested a weekly self-care schedule, including fun activities such as:
Communicating with friends/family on video
Taking a walk/run
Journaling
Stretching
Painting and drawing
Picking up an old hobby or creating a new one
Organizing your room or house
Engaging in deep breathing activities
Eat something healthy and delicious
Drinking something healthy and delicious
Making a new recipe
Trying a new hair style
As Buddha said, “To keep the body in good health is a duty, otherwise, we shall not be able to keep our mind strong and clear.”
The impact of racism on children’s health cannot be ignored
The murder of George Floyd has shined a spotlight on racism, which affects every aspect of American life, including the health of children and adolescents. Photo by Gabe Pierce on Unsplash.
The murder of George Floyd has brought the issue of racism to the forefront once again. But racism does not affect just the justice system — it is the major determinant in the healthcare outcomes of children and adolescents.
Last August the American Academy of Pediatrics put out its first policy statement on how racism affects the development and health of adolescents and children. “Policy statements like these are welcome — and long overdue,” said Maryjane Puffer, executive director of The Los Angeles Trust for Children’s Health.
According to the AAP, racism has a profound impact on the health and status of children, adolescents, emerging adults and their families. The continued negative impact of racism on health and well-being through implicit and explicit biases, institutional structures and interpersonal relationships is clear.
Racism is a disease
“Those of us who have been doing this work are not surprised by findings like these,” Puffer said. The AAP states that racism, experienced directly or just witnessed, can lead to high levels of stress, depression and even inflammatory reactions. Race is also a factor in low birth weight, maternal mortality, heart disease and hypertension.
“If you saw these symptoms in a clinical setting you would diagnose racism as a chronic illness – one that is passed down from generation to generation,” Puffer said.
In addition to the direct physical effects of racism, there are the health effects of institutional racism and implicit bias built into every aspect of American life, including jobs, housing, policing, incarceration and our education and healthcare systems. All of these factors impact the health outcomes of Black and Brown students and families. Any one of these factors can kill.
COVID-19 is a textbook case. African Americans have the highest death rate for the disease in Los Angeles County: 13 deaths per 100,000 people versus 9.5 for Latinx, 7.5 for Asians and 5.5 for whites. The factors are myriad (poor healthcare, housing and greater co-factors like diabetes, asthma and heart disease), but underlying all these is racism.
Two–front battle
“We need to advance on two fronts,” Puffer said. “We must address structural racism by investing in healthcare and preventative programs in our underserved communities.” Our communities — and the kids who live in them — are not getting the primary, oral and mental healthcare services they need and deserve.
Funding is needed, funding that is threatened by the budget cuts being actively considered in Sacramento and Washington. Community clinics, oral health providers and hospitals have been hit hard by COVID-19. “We must fight for government funding and reject false economies during this economic crisis,” Puffer said.
“We also need to look at racism and bias within our healthcare system itself,” she said. As many institutions have acknowledged, there is a long legacy of inequal treatment of Black, Brown and Indigenous peoples in the healthcare system. People of color, especially African Americans, are less likely to be heard, diagnosed and successfully treated than whites. “We need more Black and Brown healthcare providers. We must eliminate unconscious bias and serve patients in a cultural context. We’re making progress, but not enough.
“The healthcare providers I see working in our underserved communities are doing heroic work,” Puffer said. “They know their patients and they know their communities. But there are not enough of them and they do not have the resources they need,” Puffer said. “We must expand, not cut, healthcare in our communities.
“We must seize this moment and redirect our priorities to invest in the healthcare of our students and communities,” she added. “We can’t end racism overnight, but we can start dismantling healthcare disparities piece by piece, patient by patient. We must ensure the current revolution leads us to a long-term evolution of our healthcare system.”
The L.A. Trust and L.A. Unified put focus on student oral health
Program Manager Esther Yepez, Executive Director Maryjane Puffer and Associate Program Director Stella Kim distributed hundreds of free toothbrushes at Los Angeles Unified’s Grab & Go Food Center at Manual Arts Senior High School June 9.
The Los Angeles Trust for Children’s Health has joined forces with America’s Tooth Fairy, the University of Southern California and the Los Angeles Unified School District to raise oral health awareness and distribute more than 50,000 toothbrushes at Los Angeles Unified Grab & Go Food Centers.
“Healthy children are ready to learn, and The L.A. Trust has worked with us for years to promote the health and wellbeing of our students,” Superintendent Austin Beutner said. “Children may find it difficult to visit a dentist, so making sure kids practice good oral health habits like brushing their teeth is more important now than ever.”
L.A. Tooth Fairy Maryjane Puffer, executive director of The L.A. Trust, thanked Los Angeles Unified and sponsors of Operation Tooth Fairy, including America’s Tooth Fairy and USC. “We even got an anonymous donation of 1,500 wrapped toothbrushes – every little bit helps.”
Puffer noted that “children with poor oral health are nearly three times more likely to miss school and perform poorly.” Past screenings of elementary school students in Los Angeles found that 66% of children had active dental disease, 27% had visible tooth decay and 6% required emergency care.
Since 2013, The L.A. Trust has worked to improve student oral health by coordinating free Kindergarten Oral Health Assessments in Los Angeles Unified schools.
Puffer said replacing toothbrushes frequently and not sharing brushes is especially important during this pandemic. Children should floss daily and brush twice a day. They should also keep wearing their braces and dental appliances.
“Many dentists and dental clinics are re-opening, and you should always see a dentist if it’s an emergency,” Puffer said. This includes oral pain, infection, trauma or damage. Many Student Health and Wellness Centers are open for restorative care, and you can also ask if your dentist offers tele-dentistry to get a remote assessment.
Thanks from Board
School Board members thanked The L.A. Trust for supporting students while school facilities are closed.
“I am grateful to The L.A. Trust for helping us fulfill our commitment to support the whole child,” Board Vice President Jackie Goldberg said.
“I salute The L.A. Trust and their continued commitment to promoting and educating our children on the importance of oral health,” Board Member Dr. George J. McKenna III said.
“Thanks to The L.A. Trust, America’s Tooth Fairy and the University of Southern California for your partnership and support for our students and families,” Board Member Mónica García said. “The health of our students is a strong indicator of their ability to achieve academically. I am grateful for all those involved in the effort to bridge the gap between education and health.”
“As a retired teacher and principal, I know that our children’s health and wellbeing are critical for effective teaching and learning,” Board Member Scott M. Schmerelson said. “Unfortunately, due to the pandemic, many parents have lost jobs and cannot afford to buy the necessary supplies or pay for dental treatments. Now more than ever, we must continue to provide needed support so our students can remain healthy. I thank The L.A. Trust and our community partners for their generous contributions and continued support.”
“We are grateful to The L.A. Trust and all the partners working to mitigate the unfortunate side effects of our current public health crisis and the existing crises that our kids face every day by not having adequate access to basic health care,” Board Member Nick Melvoin said. “That’s why I brought, and the Board passed, a resolution earlier this year to make it easier for partners like The L.A. Trust to provide these basic health services to our students, and why it’s so important that we uphold this commitment to meet the needs of our kids and families.”
“Along with our partner, The L.A. Trust, we are dedicated to promoting our students’ health,” Board Member Kelly Gonez said. “This latest distribution of toothbrushes at our Grab & Go Food Centers will support student wellbeing and allow them to focus on their learning.”
Puffer thanked the School Board, Los Angeles Unified and Operation Tooth Fairy partners, and urged other organizations and individual to join the effort. She said Operation Tooth Fairy is seeking donations of wrapped children’s and adult toothbrushes plus items like toothpaste and dental floss. “These may seem like small things,” she said, “but they can make a big difference in the oral health of a child or adolescent in this quarantine and recession.”
A special message: Our young people are hurting
The death of George Floyd has brought the issue of racism and police brutality to the forefront once again. But our Black and Brown students do not need reminding — they live the reality of racism every day.
Racism affects every aspect of American life, from policing and criminal justice to our healthcare and education systems. Its legacy is economic inequality, underfunded schools and inadequate healthcare.
The Los Angeles Trust for Children’s Health was founded 19 years ago to help address disparities in access to healthcare and prevention programs. With the COVID crisis and economic recession, these inequities are getting worse, not better.
Our families are hurting. Our young people are angry. Well-meaning proclamations will not do. We need real reform in criminal justice, healthcare and education. We cannot do this overnight, but we must begin.
Maryjane Puffer
Executive Director
CalFresh and The L.A. Trust help families keep it fresh during shutdown
The L.A. Trust has expanded its nutrition education to include Facebook Live workshops and healthy online cooking videos.
The Los Angeles Trust for Children’s Health has moved its CalFresh student and community outreach programs online and to the field to help families eat healthy during the coronavirus shutdown.
The L.A. Trust Nutrition team is holding weekly one-hour workshops on Facebook Live hosted by Program Manager Esther Yepez and Health Educator Lillian Orta:
English-language workshops Every Thursday at 3 p.m. until July 2
Spanish-language workshops Every Friday at 12 p.m. until July 3
The workshops feature information on healthy food options, pantry cooking and smart shopping. “We know that it can be hard to shop fresh right now,” Yepez said. “We want to demonstrate how to maintain or even improve nutritious eating during this shutdown period.” The L.A. Trust has conducted 12 nutrition workshops and hosted one informational workshop reaching 5,253 people on Facebook so far.
The Spanish-language informational workshop featured guest speaker Betzabel Estudillo of the California Food Policy Advocates and discussed expanded EBT benefits and other COVID-19 resources.
The L.A. Trust has also posted fresh and healthy cooking videos on Vimeo to help families eat fresh and stretch their food dollars, with more coming soon:
French Toast Sticks with Berry Syrup (English and Spanish)
Brussels Sprout Hash & Eggs (English and Spanish)
Mango Chicken Stirfry (English and Spanish)
The L.A. Trust has distributed free grocery bags, gloves, and 900 recipe cards to the Fremont Free Food Fair, a food distribution site The L.A. Trust has supported to address food insecurity over the past several years. The Fremont Free Food Fair is organized by the UMMA Community clinic, Community Health Councils and Food Forward.
Working with CalFresh
Through CalFresh Healthy Living, The L.A. Trust has also purchased more than 2,800 cookbooks to be given away at four food distribution sites: Peace Chapel Church; Macedonia Church in Watts; Community Health Councils; and Girls Club of Los Angeles. These cookbooks will be given away in food bags distributed during the COVID-19 pandemic.
“The L.A. Trust is proud to partner with CalFresh Healthy Living to help our students and families eat well and get access to healthy foods,” Program Manager Nina Nguyen said. “There is tremendous interest in healthy eating in our communities, and we are excited to keep this outreach going virtually during the current coronavirus closures.”
CalFresh Healthy Living is the largest nutrition education program in the United States. More than one-third of California residents are eligible for CalFresh Healthy Living, California’s Supplemental Nutrition Assistance Program-Education (SNAP-Ed), which strives to improve the health of eligible Californians through education and healthy community changes. CalFresh Healthy Living offers critical resources for Californians to lead healthier lives and provides opportunities to enjoy more fresh produce.
Wellness Centers discuss COVID challenges at virtual collaborative
Pia V. Escudero of LAUSD Student Health and Human Services addressed more than 100 participants at The L.A. Trust’s online Learning Collaborative.
Wellness Centers online meeting (recording)
Representatives from the Los Angeles student health community met online Thursday, May 7, 2020 at The L.A. Trust’s Wellness Center Learning Collaborative to discuss how to serve students and their families during the COVID-19 health emergency. More than 100 clinicians, educators and healthcare advocates attended.
The coronavirus is impacting patients — and the clinics that serve them. Nine of the sixteen on-campus Wellness Centers have suspended operations (see list). Fewer students and community members are visiting clinics, putting their long-term health at risk. It also threatens the financial health of some clinics that have been serving high-need communities for years.
Dr. Yohanna Barth-Rogers, chief medical officer of the UMMA Wellness Center at John C. Fremont High School in South Los Angeles, told the Learning Collaborative that her clinics were moving the majority of patient visits to video conferences and phone calls.
In-person visits must be approved in advance and be deemed medically essential. Two of the needs deemed essential are vaccinations and contraception.
One challenge is finding safe spaces to have sensitive conversations with students, she said. “My worry is that we’re missing things, such as violence in the home.” She said the clinic was developing ways to have confidential conversations with students during the coronavirus shut-down.
Reaching out
In addition to telehealth, clinic operators have been staying in touch with patients through community networks and social media. “Asian Pacific Healthcare Venture Inc., serving Belmont and John Marshall High Schools, cares about you,” they said in an email to The L.A. Trust. “If you have any health concerns, call us. We’ll make a telephone appointment to talk to a provider or get your medication refilled. We are also open for confidential services. Stay safe!”
North Hills Wellness Center at James Monroe High School issued a “stay at home challenge” for students: “Eat an apple instead of chips. Get outdoors (with your mask on!). Follow a workout routine on FaceTime or YouTube. Learn a TikTok dance. Be creative and remember that social distancing and face coverings save lives!”
Dr. Rosina Franco and Student Medical Services reported that while the Hollywood High Wellness Center was closed for safety reasons, “we are currently working on a re-entry plan for when schools, and our clinic, will re-open. In the meantime, please log on to the LAUSD SHHS webpage.”
Data xChange points way to better healthcare solutions
Dr. Ron Tanimura said The L.A. Trust’s Data xChange would drive new healthcare strategies to better serve students and communities.
Technologies like telehealth and initiatives like The L.A. Trust Data xChange are key to better student health outcomes, according to speakers at the online Wellness Network Learning Collaborative on May 7, 2020. Dr. Ron Tanimura, director of student health services at LAUSD, and Sang Leng Trieu, wellness program manager for The L.A. Trust, gave an update on The L.A. Trust Data xChange, which compiles and compares detailed Wellness Center patient data. They spoke to more than 100 representatives from LAUSD and the District’s Wellness Centers.
Pia V. Escudero, executive director of LAUSD Student Health and Human Services and a member of the executive committee of The L.A. Trust, noted that the clinic network was founded almost 15 years ago “to reduce health disparities impacting the lifespans of our children in families.” She said “there’s still a lot of work to do,” and insights like the Data xChange are key to finding effective solutions.
“The data is so wonderful,” Escudero said. “It gives us a good baseline to start having future conversations and doing some hypothesis working and strategic planning in this transformational time that we’re living in.”
Tanimura said data was critical. “We have to look at every one of our divisions and departments and integrate and (utilize) some of the resources we have outside, mainly The L.A. Trust. I thank you for the work you are doing, especially on Data xChange.”
He added, “The more data we get the better. When we look at the Data xChange, this is a thousand times better than just encounter data. We look forward to integrating all the data – dental, mental health, attendance and other academic data. Imagine what we will be able to do for our kids and their communities.”
Current reports include such measures as unique patient visits, type of patient encounters, co-morbid conditions, demographics and student vs. community visits. The database also tracks services provided and benchmarks on key performance standards, including risk assessments, well-child exams, BMI screening, chlamydia tests and depression screening.
The L.A. Trust distributed report cards with clinical metrics to each clinic in February and will add new datasets on mental and oral health later this year, expanding the database insights.
Eight major grants will power The L.A. Trust’s mission
New grants will fuel objectives of The L.A. Trust, including youth engagement. Participants in this year’s Youth to Youth Summit shown above.
The Los Angeles Trust for Children’s Health is pleased to announce a series of grants that will help the organization meet its mission in the coming month and years. “During this global health crisis, the world needs these givers more than ever,” said Anna Baum, director of development and communications for The L.A. Trust. “We’re grateful they have placed their trust in us.”
Baum reported:
The Weingart Foundation is supporting our mission with a $125,000 unrestricted operating support grant which we plan to use to support organizational planning and staff development as well as the Data xChange. We’re very pleased to partner with this foundation for the first time, which has helped nonprofits reach underserved communities for over 50 years.
We’re very happy to announce another first-time partnership, with UniHealth Foundation to further work on our groundbreaking Data xChange. UniHealth has been supporting nonprofit, community-based hospitals and health organizations for over 20 years. This two-year, $200,000 grant will allow us to continue integrating Wellness Network health services data with LAUSD academic data.
Two major forces in the Los Angeles area healthcare arena have stepped up to provide relief to teens through a new initiative to be deployed next school year: The L.A. Trust’s School-Based Mental Health Education & Awareness Program. Health Net committed $50,000 and Cedars-Sinai $100,000 to this program, which is in the planning phase. By building capacity among students as peer leaders through our Student Advisory Boards, the program seeks to increase awareness of symptoms like anxiety and depression, and to increase positive coping mechanisms as well as self-referrals to care. The mental health crisis among our underserved youth can only be addressed through the prescience and generosity of funders like Cedars-Sinai and Health Net.
The Annenberg Foundation has made an unrestricted operating support grant to further our mission to improve student health and increase readiness to learn. We’re very pleased to be partnering with Annenberg, which has demonstrated its commitment to education and well-being for over 30 years.
Last fall The Ahmanson Foundation awarded us a grant for furnishings and computers at Roybal Learning Center where over half the staff is located. This has already proved extremely helpful as we transition to remote work plans, and will be even more so when we reconvene on campus.
Two recent grants have buoyed our activities: Insperity, our human resources services company, awarded a grant to support our Student Advisory Boards. The California Credit Union awarded a grant that will helps us upgrade and maintain key technical platforms like QuickBooks. These timely grants will support our student outreach during the current LAUSD closures, as well as into the coming school year.
In addition to awarding these generous grants, all the funders acknowledged here have announced flexibility in regard to dates and fund restrictions in light of the COVID-19 environment. We applaud the efforts of our funders and express our heartfelt gratitude to all those who make these grants possible, Baum said.
Mission Report from The L.A. Trust shows a year of progress
The L.A. Trust’s Mission Report sounds a hopeful note during a time of crisis.
The Los Angeles Trust for Children’s Health has released its first-ever Mission Report capturing a year of accomplishments and looking forward to “healthier days ahead.”
Executive Director Maryjane Puffer and Board President William Grice of Kaiser Permanente, observed that “the COVID-19 health crisis and economic downturn have been a dramatic reminder of how much depends on our education and healthcare systems.”
More than four in five Los Angeles Unified students live in poverty, the report notes, and there are wide disparities in healthcare access. “The COVID-19 crisis is severely worsening these dual hardships and students need our help more than ever.”
The report outlines how The L.A. Trust, working with its funders and allies, is bridging the worlds of health and education to achieve student wellness.
In last fiscal year 2018-2019, The L.A. Trust:
Launched The L.A. Trust Data xChange, which links confidential health and academic data to determine how student health affects student performance.
Partnered with the University of California San Francisco to launch a bilingual contraception awareness app for Latina teens.
Supported the growing network of Student and Family Wellness Centers on LAUSD campuses, with best practices, research and Learning Collaborative convenings.
Facilitated screenings for more than 1,700 kindergartners and third-graders at dozens of LAUSD elementary schools and provided oral health education throughout the district.
Worked with Student Advisory Board members and their Adult Allies at Wellness Center schools on issues like STD prevention, HPV vaccination and substance use.
Advocated for fresh foods and good nutrition, teaching more than 100 student and community nutrition courses, appearing at events like the Fremont Free Food Fair and promoting the benefits of drinking water.
Worked with community partners and student advocates to fight vaping, tobacco and substance use among LAUSD students.
“None of this would have been possible without the help of partners and allies,” said Anna Baum, director of development and communication. “We’re very grateful for their support, especially in times like these.”
Puffer gave special thanks to The L.A. Trust Board of Directors “who work selflessly so every L.A. student can have equal access to healthcare and an equal shot at success.”
COVID-19 worsens L.A.’s food crisis: How to get help (or help others)
Los Angeles County residents get groceries through the Emergency Food Assistance Program, at the East Los Angeles Service Center. Photo courtesy Los Angeles County.
Los Angeles County is mobilizing a Countywide response to hunger by coordinating public agencies, nonprofits and volunteers to provide meals to anyone in need during the current pandemic-related food crisis. An estimated 2 million people in Los Angeles County already face food-insecurity issues — and this number is sure to swell as pandemic-related economic losses take their toll.
The County is also launching new digital resources to help members of the public access food at no cost — including program sign-up information, maps, and frequently asked questions — all located on the County COVID-19 website.
Individuals and families in need:
Get help with food expenses. CalFresh is a Nutrition Assistance Program that can help people in low-income households purchase food by increasing their food-buying power. Apply here and see eligibility requirements here.
Find free food near you. County agencies and partners that provide free groceries and meals are expanding their services during COVID-19. Click here to see options and find food distribution sites near you. Some programs also provide delivery. Get food delivery assistance. The County has launched a Critical Delivery Services program to deliver food and other vital items to adults aged 60+ and individuals with disabilities who are unable to leave their homes due to COVID-19. Items must be prepaid and ready for pick-up. There is no cost to the client for delivery. For more information, click here or call 1-888-863-7411.
For assistance, or if you do not have access to the Internet, please dial 2-1-1. Multilingual operators are available to help members of the public find free food resources.
Service providers and nonprofits in need
Request volunteers. L.A. Works matches community organizations with volunteer labor and other resources. More information here.
Request food to redistribute. The L.A. Regional Food Bank is accepting new applications for partner agencies. Partner agencies receive free food and re-distribute it to community members. More information here.
Join a food recovery network. There are a number of organizations that use mobile apps with matching technology to recover unused food from restaurants and other businesses and re-distribute it to communities in need. If you are interested in donating food or receiving donated food to re-distribute, look for the following in your mobile app store: Food Finders and ChowMatch
How you can help
Giving food-related offers and donations. Does your business or organization seek to sell or donate food-related resources to support COVID-19 response efforts? The County is helping to match available food resources with those in need. Fill out an online questionnaire to let us know what food resources you have to share. Our partner providers are in need of food resources, services, and equipment including:
Prepared meals ready-to-eat meals: no heating required
Prepared meals: just heat and serve
Groceries: non-perishable, shelf-stable food items and perishable food such as produce, meats, and dairy
Specialty foods: Vegan, kosher, gluten-free, and other specialty options
Food delivery: drivers and vehicles, including special vehicle types such as refrigerated trucks
Other types of donation and support. Looking for other ways to lend a hand during this crisis? Explore the County’s COVID-19 resource page to learn how you can help, from doing wellness checks on older neighbors to donating blood.
Starting a food pantry. Interested in offering free food to community members? If you already have food to re-distribute or are planning to collect food items from private sources, please follow these Guidelines for Charitable Feeding Operations. If you are interested in receiving donated food to re-distribute, consider partnering with the L.A. Regional Food Bank, which is currently accepting new applications for partner pantries. More information here.
Volunteer your time. L.A. Works matches community organizations with volunteer labor and other resources. More information here.
What The L.A. Trust’s Y2Y Conference meant to me
More than 100 Los Angeles student health advocates and their adult allies attended The L.A. Trust’s Youth to Youth Conference.
The L.A. Trust Y2Y Conference was developed by students, for students, and included youth-led workshops on STD prevention, stress, healthy eating and active living. Here’s one student’s account of how this event, for students by students, impacted her.
By Ashley Diaz
Manual Arts High School
Going to The L.A. Trust Y2Y Conference was definitely eye opening for someone like me who was going through a time when I was trying to discover myself. The stories that were shared really touched a place in my heart, telling me that there shouldn’t be such a thing as giving up.
This one presentation by a group of kids talking about teenage stress helped me discover symptoms of stress that I didn’t know I lived with. When I was hanging out with my partner Taaliyah, I was happy I got the chance to know her better, and we now consider each other friends.
Things like that Y2Y Conference really help bring people together no matter their purpose being there. As a presenter, the only thing that worried me was the possible lack of engagement from the audience. But at the end I was satisfied with the amount of responses I got. I really like to try and give a neutral vibe when talking to audiences to make them feel comfortable, that’s why I usually like to use my humor as a comforting tool.
I believe the honesty is what gets the audience’s attention, and it’s a way to help scare them away from the dangerous things we want them to avoid in life.
As for me, the Conference will always be something to be thankful for, and presenting to bigger crowds will definitely help me improve my skills as a presenter. Also, the vibes and positive energy I felt from the staff was very comforting as well as the help that came from everyone, such as the caterers, the presenters, and the teachers. They really help make a difference in the world and they make people like me want to follow in their footsteps.
California offers financial and health aid during COVID-19 crisis
The COVID-19 outbreak has hit L.A.’s most vulnerable families, including low-income single-earner households with school-age children.
The L.A. Trust participated in a statewide interagency conference call with California Superintendent of Public Instruction Tony Thurmond and other officials outlining state services available to assist families during the COVID-19 event.
Among the highlights:
If your employer has reduced your hours or shut down operations due to COVID-19, you can file for unemployment insurance. If you are expecting to return to your job after the dust settles, you do not have to be actively seeking new work during the outbreak. But you must be “able and available to work” to get these benefits, which generally range from $40 to $450 per week for up to six months.
If you are sick or have been exposed
Individuals who are unable to work due to having or being exposed to COVID-19 (certified by a medical professional) can file a Disability Insurance claim. Disability Insurance provides short-term benefit payments to eligible workers who have full or partial loss of wages due to a non-work-related illness, injury, or pregnancy. Benefit amounts are approximately 60-70 percent of wages (depending on income) and range from $50 to $1,300 a week.
If you are caring for someone sick
Californians who are unable to work because they are caring for an ill or quarantined family member with COVID-19 (certified by a medical professional) can file a Paid Family Leave claim. Paid Family Leave provides up to six weeks of benefit payments to eligible workers who have a full or partial loss of wages because they need time off work to care for a seriously ill family member or to bond with a new child. Benefit amounts are approximately 60 to 70 percent of wages (depending on income) and range from $50-$1,300 a week.
Health resources
The Department of Health Care Services (DHCS) has published additional and updated guidance for providers, beneficiaries and the public related to COVID-19:
Fee-For-Service Prior Authorization – Section 1135 Waiver Flexibilities
Fee-For-Service Pharmacy – Section 1135 Waiver Flexibilities
Provision of Care in Alternative Settings, Hospital Capacity, and Blanket 1135 Waiver Flexibilities
FFS and Managed Care Telehealth and Virtual Communication Guidance
APL 20-004 Emergency Guidance for Medi-Cal Managed Care Health Plans
Guidance Relating to Non-Urgent, Non-Essential or Elective Procedures
Guidance for Family PACT Providers, including Telephonic Client Enrollment and Re-certification
Additional updates will be posted to the DHCS COVID-19 resource page.
This story was updated March 28, 2020 at 10:44 am.
The L.A. Trust OHAB meeting opens with good news on dental screenings
Dr. Maritza Cabezas, dental director of the Los Angeles County Department of Public Health, discussed “dental deserts” at The L.A. Trust’s oral health convene.
Representatives from private and public oral health organizations discussed the state of children’s oral health at The L.A. Trust’s Oral Health Advisory Board Meeting, March 11, 2020 in at the California Community Foundation in downtown Los Angeles.
The meeting was convened by Associate Program Director Stella Kim, The L.A. Trust’s oral health lead. She introduced Executive Director Maryjane Puffer, who opened the meeting with good news: The Los Angeles Unified School Board approved a resolution the day before expanding dental and vision screenings for K-12 students. The resolution permits no-cost dental health screenings for every LAUSD student whose parents do not opt out, and requires a plan to be developed for the 2020-21 school year. Previously, prior parental approval was required for the non-invasive assessments.
The L.A. Trust’s Oral Health Advisory Board is a prime convener in the Los Angeles Country’s dental care community for school-based oral health. Its quarterly OHAB meetings attract dozens of participants from the public and private sectors. Puffer provided an update on The L.A. Trust’s Oral Health Initiative, including The L.A. Trust Tooth Fairy Event, which provided free dental screenings for 205 students and community members and attracted a record number of attendees February 22.
She announced The L.A. Trust is working with UCLA’s More LA Smiles on a Local District Pilot Project funded by the California
Dental Transformation Initiative (DTI). The pilot project will expand The L.A Trust’s Oral Health Initiative to 85 schools in LAUSD Local District South. The L.A. Trust will also participate in a 2020 Universal Kindergarten Screening pilot program with 141 potential school sites this year.
California gets C-minus
Fatima Clark of Children Now gave a statewide update on children’s oral health from the 2020 California Children’s Report Card. The report card gave the state’s oral health policies and resources a C-minus.
“Too few children enrolled in Medi-Cal receive preventative services,” Clark said. Nearly 4 in 10 California kindergartners (39%) did not complete oral health assessments due to financial burden or lack of funds; of those who did, 20% had untreated dental decay. But the report was cautiously optimistic about the improvements in student oral health, stating that “recent efforts to improve utilization look promising.”
Read more on the California Dental Association website
Dr. Maritza Cabezas, dental director of the Los Angeles County Department of Public Health, outlined a recent survey of “dental deserts” in the county. Dental deserts were mapped using three criteria: high population density; low income (Medi-Cal income cut-off); and one dental provider or less for every 4,000 patients.
The map identified numerous high-need, low-resource areas, many along the CA-110 corridor in Central and South Los Angeles. The survey identified 15 publicly funded medical clinics where dental services could be added and six dental clinics where oral healthcare could be expanded.
The morning session ended with a briefing from the UCLA-led More LA Smiles Consortium on a new pilot program designed to help Medi-Cal beneficiaries age 0 to 20. Associate Director Bonnie Shook and Technical Product Manager Joshua Norton introduced the LA Dental Registry and Referral System (LADRRS), which will allow medical and dental providers to “close the referral loop” and help thousands of patients get the oral healthcare they need. The presentations were followed by a working lunch and four breakout discussions on top systems change drivers: policy, financing, care and community.
Education and healthcare meet COVID-19 head on
Los Angeles Unified has opened more than 60 Grab and Go food distribution sites to ensure students receive nutritious breakfast and lunch meals during the COVID-19 school closures. Superintendent Austin Beutner pictured center.
An unprecedented health crisis has been met with an unprecedented response from the Los Angeles healthcare and education communities.
“While the coronavirus mostly strikes adults, our kids are isolated and vulnerable right now,” said Maryjane Puffer, executive director of The Los Angeles Trust for Children’s Health. “They are not in class. They miss their friends. And they are not getting the structure and services schools provide. We must support our students and families as they face this dual health and economic crisis.
“I applaud the students, teachers and leaders of L.A. Unified for adapting so quickly,” she said. “The resources the District has brought to bear — including nutrition, distance learning, and primary and mental health support, have been impressive.
“I also want to salute the response of our healthcare partners. They are the first responders in this crisis, and they are working hard under difficult circumstances,” she said.
How to give
Private donations are helping families with the greatest need. LAUSD has launched Students Most in Need to provide food, learning materials and digital devices to students.
Twenty area nonprofits are supporting We’re One Family, Los Angeles, a fund to help families meet basic needs, including food, rent, gas, childcare and healthcare. As of March 23, the fund had raised $100,000 in just 72 hours.
Get COVD-19 resources for California kids and families from Children Now.
Shutting down, ramping up
The Los Angeles Unified School District was one of the first in the nation to cancel classes to stop the spread of the COVID-19 coronavirus — and it moved quickly to fill the void. Within days of the shutdown LAUSD:
Opened more than 60 food “grab and go” sites distributing nearly 250,000 meals daily.
Deployed educational programming for hundreds of thousands of pre-K-12 students on the air. (Three PBS affiliates, — KCET, PBS SoCal and LAUSD station KCLS — will broadcast educational programming for all grade levels.)
Launched instructional continuity classes and announced an agreement with Verizon to provide Internet connectivity for students who need it. The agreement is a key component in the district’s plan for students to continue learning as campuses remain closed in response to COVID-19.
While LAUSD Student Health and Human Services has closed its LAUSD school-based clinics, many of the Student and Family Wellness Centers remain open to students and community members during the school closures. Visit our website for a complete list. They are also offering a wide range of services from its main hotline, (213) 443-1300 and website.
“The L.A. Trust is conducting day-to-day operations remotely and developing new curriculum and communications to support students and communities virtually while our schools are closed,” Puffer said. “We are laser-focused on the needs of our students and their families.”
Many Wellness Centers (and The L.A. Trust) will stay open
Many LAUSD Wellness Centers will remain open during the COVID-19 health crisis, according to a survey of the Wellness Network by The Los Angeles Trust for Children’s Health.
OPEN WELLNESS CENTERS*
Belmont
Carson
Fremont
Gage Middle School
Jefferson (Wednesdays only)
Manual Arts
Monroe
Washington Prep
CLOSED WELLNESS CENTERS
Crenshaw
Elizabeth Learning Center
Garfield
Hollywood High
Jordan
Locke Early Education Center
MaCES
Santee Education Complex
*Some Wellness Centers have modified schedules. Call for details.
The County of Los Angeles advises anyone with flu-like symptoms to call their doctor or 2-1-1 to see if they need testing — they should not visit any healthcare facility without checking that it is safe for them to do so.
The L.A. Trust open
In a letter to stakeholders, The L.A. Trust announced it would remain open during the coronavirus emergency.
“This is an unprecedented time in our city, nation and world,” Executive Director Maryjane Puffer said. “As we all take steps to stop the spread of the COVID-19 coronavirus, we want you to know what The Los Angeles Trust for Children’s Health is doing in response:
The L.A. Trust is open for business during regular business hours, with staff working remotely. We will continue our day-to-day operations and reschedule on-campus and community outreach when we can safely resume these services.
We have postponed our Spring Wellness Network Learning Collaborative and cancelled our Summer Solstice 2020 fundraiser.
We will closely monitor the situation and provide updates from The L.A. Trust, the Los Angeles Unified School District and our Wellness Center and healthcare partners.
We will share fact-based content on how to mitigate the effects of the coronavirus crisis that is impacting our students, communities, clinics and healthcare providers.
“Nothing is more important to The L.A. Trust than the health of our children — or the well-being of the educators and healthcare professionals who care for them,” Puffer said. “I want to thank them for all they’re doing to help our students and protect the health of our community in this difficult time.”
This story was updated March 27 at 9:30 am PDT.
Student advisory members train each other at Y2Y event
More than 100 student health advocates and their adult allies learned from each other March 2, 2020, at The Los Angeles Trust for Children’s Health annual Youth to Youth Conference, held at the California Endowment in downtown L.A.
Members of The L.A. Trust’s Student Advisory Boards from the Belmont, Carson, Crenshaw, Elizabeth Learning Center, Fremont, Gage, Jefferson, Jordan, Locke, MaCES, Manual Arts and Washington Prep campuses attended. The next Y2Y Conference will be held in November.
“Y2Y is for students, by students,” said Robert Renteria, The L.A. Trust’s program manager who helped facilitate the gathering. “Students think of questions and answers adults don’t think of,” he said. “They also have great credibility with their peers. We saw in our workshops that these young people have tremendous insights on student health.”
The Summit included an impassioned keynote by former Hollywood High Student Advisory Board member Wendy Siguenza, who talked about the real-life challenges facing many LAUSD students, from immigration to social injustice. LAUSD Student Health and Human Services psychologist Dr. Kimani Norrington-Sands addressed the hidden trauma some students have suffered and outlined services, counseling and referrals available through the District’s Wellness Center network.
The L.A. Trust’s partner F*ck Cancer hosted an information booth and an online petition to the California State Assembly to expand access to the life-saving human papilloma virus (HPV) vaccine.
Youth-to-youth workshops
In the morning, students from Locke presented a one-hour workshop on how to promote HPV vaccinations; Crenshaw students gave a breakout session on STDs and birth control; and Carson students outlined how to relieve stress and improve the mental health of teenagers. In the afternoon, students from Jordan High gave a workshop on how to run a student health campaign on campus.
Students also participated in workshops on:
Wellness & Adolescent Substance Use Prevention project (WASUP)
Tobacco Use Prevention Education (TUPE), focused on vaping cessation
The L.A. Trust’s Healthy Eating, Active Living (HEAL) outreach
A presentation on LAUSD water quality by the District’s Chief Facilities Executive Mark Hovatter
A separate track provided information for the Student Advisory Boards’ Adult Allies.
The conference an exercise that asked students to consider the most important parts of their identities, including ethnicity, sexual orientation and personal passions, a social media challenge, a photo booth and a TikTok-inspired “Renegade” dance competition.
“The Y2Y event is always an ‘all hands on deck’ event for The L.A. Trust, and our entire staff was proud to support our student advocates once again,” said Maryjane Puffer, executive director. “The enthusiasm of the young people is not just inspiring, it’s essential to the success of our programs and outreach,” she said. “It’s why we build student engagement into everything we do at The L.A. Trust.”
LAUSD and health officials plan for coronavirus
The COVID-19 outbreak is serious and the situation is changing fast. Experts say don’t panic, stay informed — and wash your hands thoroughly for 20 seconds.
The Los Angeles Unified School Angeles District and public health agencies are addressing the rapidly changing global coronavirus outbreak with contingency plans and public information.
LAUSD officials are getting updates daily at 5 a.m. and 5 p.m. from The Los Angeles County Department of Public Health, and Superintendent Austin Beutner is posting Twitter updates twice a day. The LAUSD has also opened a hotline (213 443-1300) Monday through Friday from 6 a.m. to 5 p.m., and is updating its website daily with news on the virus. The California Department of Public Health and the Centers for Disease Control are also providing real-time updates.
“It’s too soon to know where this epidemic is headed,” said Maryjane Puffer, executive director of The L.A. Trust and a former pediatric nurse with a master’s degree in public health. “There are a relatively small number of cases in the County today, but that could change rapidly. The most important thing is to stay informed and use the same hygiene precautions you use for the flu.”
Hygiene is key
LAUSD has released a video on the outbreak emphasizing the importance of frequent and thorough handwashing. The Los Angeles County of Department Health recommends these precautions to prevent the spread of coronavirus and flu:
Have provisions that will last a few days (water, food, essential hygiene, etc.)
Get immunized against the flu. This will relieve what could be a highly impacted healthcare system
Stay home when you’re sick (don’t wait until you are very sick)
Make sure you are using a robust, regular cleaning schedule for frequently touched surfaces
Wash your hands frequently (for at least 20 seconds)
Check out their website for the most accurate information at publichealth.lacounty.gov
What to tell students
“Be informed and honest about the virus, but avoid anything that might stress your students or family members,” Puffer said. “And remember, kids are good at reading emotions.”
“You can be frank with adolescents — they may know more than you. With younger kids, it’s important to listen and hear what their concerns are,” Puffer said. “Emphasize that the risk of getting sick is low and you will take them to the doctor should the need arise.”
“On behalf of The L.A. Trust I want to thank the healthcare professionals who are working locally and worldwide — often at risk to their own health — to address this outbreak,” she added.
Threatening weather doesn’t dampen The L.A. Trust Tooth Fairy Event
The L.A. Trust Tooth Fairy Event February 22 included fun, prizes, education and free dental screenings from The L.A. Trust’s allies and partners.
A record number of Angelenos ignored impending rain to attend The L.A. Trust Tooth Fairy Event, February 22, 2020, part of the Los Angeles Unified School District’s annual Health and Wellness Festival & 5K at Dodger Stadium.
The L.A. Trust event was presented with the UCLA-led consortium More LA Smiles and supported by silver sponsors Big Smiles Dental, Delta Dental, Liberty Dental Plan Companies and the office of L.A. County Supervisor Mark Ridley-Thomas. Also sponsoring the event were Access Dental, America’s ToothFairy (NCOHF), Cedars-Sinai COACH for Kids Dental, East West Bank and Patterson Dental.
Hundreds of Festival attendees participated in The L.A. Trust Tooth Fairy Event, which included fun, prizes, free dental screenings and information booths hosted by L.A.’s leading oral healthcare organizations. In partnership with Sesame Street in Communities, the event also included a special appearance by Cookie Monster from Sesame Street. “Potter the Otter” (Nina Nguyen and Lillian Orta of The L.A. Trust) entertained dozens of small children by reading a storybook about the benefits of drinking water.
On the main stage
Executive Director Maryjane Puffer of The L.A. Trust reprised her role as L.A.’s unofficial Tooth Fairy, appearing on the Health and Wellness Festival main stage along with Program Manager Esther Yepez, who helped organize the Tooth Fairy Event.
“The sun really shone on this event,” said Yepez . “Not only did we have a record number of partners and visitors, we helped provide dental screenings to LAUSD students and parents and spread the word about the importance of early oral healthcare,” she said. “Even the weather cooperated.”
The L.A. Trust Tooth Fairy event, now in its fifth year, is one of the biggest public oral health awareness events in Los Angeles, noted Stella Kim, associate program director. “The L.A. Trust is committed to improving the dental health of our kids and proud to stage this event bringing the public and the dental healthcare community together.”
Student Advisory Board allies share best practices to engage students
Program Manager Robert Renteria and other staff members from The L.A. Trust led the spring 2020 meeting of Student Advisory Board Adult Allies on January 29.
Adult allies who work with the Student Advisory Boards of the LAUSD’s Wellness Center network met at The L.A. Trust January 29, 2020 to discuss outreach programs to improve student health.
More than a dozen Adult Allies and healthcare advocates from across the Wellness Center Network attended, including Norma Ahumada, Cassie Angu, Hanna Christianson, Kristie Garrison, Karina Gonzalez, Annette Hernandez, Deannie Moreira, Marina Quintanilla, Adam Renuet, Miriam Villaseñor, Stephan Salazar, Miguel Topete, Michelle Torres and Brenda Villatoro.
Strategies and tactics
The half-day meeting, facilitated by Program Director Robert Renteria, included tactics to engage students, best practices sharing and a review of resources available from The L.A. Trust and other sources.
The meeting focused on five student health campaigns prioritized by The L.A. Trust:
Healthy Eating and Active Living, designed to reduce childhood obesity and promote healthier eating habits and more active lifestyles.
Essential Access Health, designed to increase awareness of sexually transmitted disease, increase chlamydia screenings at school-based Wellness Centers and reduce teen pregnancy rates.
Not Us, designed to encourage vaccination for the human papillomavirus (HPV) and reduce related cancers.
TUPE (Tobacco-Use Prevention Education), designed to educate students about the health risks of vaping and using drugs, including cannabis and tobacco.
SBIRT, a Screening, Brief Intervention and Referral-to-Treatment practice used to identify, reduce and prevent the use and abuse of alcohol, tobacco and drugs.
Peer education key
“Our Student Advisory Boards are key to helping students make the right choices, and our adult allies ensure they get the resources they need,” Robert Renteria said. “The L.A. Trusts works directly with these student health leaders and we are looking forward to hearing their ideas March 2 at our annual Y2Y (youth-to-youth) Summit.”
“Every student, like every adult, has the power to improve their health,” Rosario Rico added. “It is up to those of us in the student health community to make sure students have the education and healthcare access they need.
“I am amazed at the passion of our adult allies and the passion of our student health advocates. They are making a real difference in the health outcomes of LAUSD students.”