Tag: mental health

Asking For Help When You Have A Mental Illness

** The mental health relationship between public health and human rights is often misunderstood. Humanity can begin to see the underlying and overarching interconnections among poverty, its relation to lack of health insurance and untreated mental health issues, and individual and public safety. This blog seeks to provide insight and resources that help bridge the gap and offer solutions that remove stigma and shame. – AR

by Marie Miguel

a picture of someone reaching out to help
Help. Source: Leo Hildago, Creative Commons

It’s difficult to ask for help when you’re suffering from the symptoms of mental illness, whether that be depression, PTSD, Schizophrenia, Bipolar Disorder, or Anxiety. Sometimes, mental illness can leave you feeling hopeless and at the mercy of your symptoms. Some people have a great ability to see outside of their symptoms and ask their support system for help, but there are challenges when getting help for mental illness. We will explore what it takes to acknowledge that you have an issue and get the help that you need in this article. 

Acknowledging that you need help

It’s difficult to admit that you need help when you have a mental illness. Here’s an example of where someone with mental illness Let’s say that you’re living with Bipolar Disorder, and you’re in an episode of mania. You’re spending lots of money, engaging in risky behavior, and you find that your life is out of control. Your friends are put off by your excessive spending habits and your wild behavior that’s out of control. You know that you have a problem and you don’t know how to ask for the help that you need because you’re in the midst of a manic episode. What do you do? Well, you reach out to a loved one first, and say: “I need help.” they might not know how to help you, but at least you’re admitting that there is a problem, and trying to get the help that you need starts with talking about the issue. They might not have a solution, but it’s time to admit that there’s something that you have to address. Next, maybe you and your loved one go to your doctor and discuss the issues. That’s assuming that you have health; this is all the optimal scenario. Then, your doctor refers you to a psychiatrist, who can treat your symptoms, and you find a therapist that works together with your psychiatrist. So, this is an ideal scenario in which you have insurance, you have a support system, and you find the mental health providers that you need. Not everybody is so lucky, and we need to see how those who don’t have access to good healthcare fare in our system. 

When you don’t have resources

Let’s examine the same scenario when you don’t have appropriate resources. So, let’s say that you have Bipolar disorder, you’re going through a manic episode, and you’ve alienated your friends and family. There’s nobody to reach out to for help, and you don’t have insurance. How might you feel? Isolated. You don’t know what to do or who to turn to for help. These are the things that we have to think about in terms of getting people with mental illness help because sometimes, the symptoms of mental illness are destructive and you end up alienating those who can help you. So if you notice that a friend or family member is doing something self-destructive, it’s one thing to be angry with them and another thing to have compassion. If you can, even if they’re acting in a way that’s not kind, try to get them the help that they need because, in a way, the person may be crying out for it even if they’re cruel in the process. Now, don’t put yourself at risk or in harm’s way – there are times to draw boundaries with people if somebody is acting in a that is unsafe and they intend to harm themselves or others. If somebody is suicidal, for example, it’s time to get them to a hospital because you won’t be able to provide them with the help that they need. Many times, it’s about finding the right resources. Some people don’t know where to find the right resources for their problems. The problem is that sometimes there aren’t enough resources available.

The resources need to be there

If you have insurance, use it. One of the things that we have to remember is that even if you have a mental illness, it doesn’t make you powerless. You can, if you have insurance, look for a provider to help you with your mental illness, whether that’s PTSD, Bipolar Disorder, Schizophrenia, or Anxiety. Find a psychiatrist who’s able to talk with you about your symptoms and get you help. So, that’s one thing that you can do, and speak with your psychiatrist and find a treatment plan that works for you. Have your psychiatrist and therapist work together and understand that a treatment plan takes time to develop. You’ll be able to figure out what your treatment plan is over time and get better. 

Creating resources when there are none

There are instances where people cannot get help because there’s overcrowding in hospitals or they can’t find a provider that takes their insurance that doesn’t have a five-month-long waitlist. It can happen to people that have “good” insurance. So what do we need to do as a society to create more resources so that people can get the help that they need? Well, one thing is, we need to train more therapists. So, we need to understand that and value the jobs of mental health professionals. One resource we can use is online therapy. It is affordable, and it is accessible to many people. Some people don’t have the luxury of choosing from a plethora of therapists. 

Online therapy

One alternative to traditional face-to-face therapy is online therapy. Online therapy is an excellent space for people that have a mental illness to get the support that they need affordably from the privacy of their own home. Companies like BetterHelp are an excellent place for people to find a therapist that they can talk to and feel comfortable sharing their problems with so that they can get better. Our world is changing, and technology can be used for good. Let’s try to make space for people who have a mental illness to get the support that they need. Everyone deserves access to quality healthcare, which includes their mental health.

 

Marie Miguel has been a writing and research expert for nearly a decade, covering a variety of health-related topics. Currently, she is contributing to the expansion and growth of a free online mental health resource with BetterHelp.com. With an interest and dedication to addressing stigmas associated with mental health, she continues to specifically target subjects related to anxiety and depression.

PTSD is Not Just for Veterans; It’s A Trauma Disorder

by Marie Miguel

a photo of a man, on a train, wiping tears from his eyes
Sadness. Source: Matthias Ripp, Creative Commons

Some people believe that PTSD is only a mental health condition that affects those who have come back from war, but this isn’t the case. People who have Post Traumatic Stress Disorder aren’t just veterans. Individuals with PTSD have experienced severe trauma. It’s not only people that come back from combat, but that’s how many of us associate the disorder. PTSD can happen to anybody who experiences trauma such as a sexual assault, a natural disaster, or many things that would prompt someone to have a traumatic reaction, so let’s stop talking about PTSD as though it’s something that only war veterans experience. Anyone who has been through a traumatic experience can develop PTSD. According to the National Alliance on Mental Illness (NAMI), PTSD affects 3.5% of the U.S. adult population. That works out to eight million American people living with the condition. Approximately 37% of people diagnosed with PTSD display serious symptoms. Women have higher rates than men. Later in this article, we’ll discuss the gender divide.

What is Post Traumatic Stress Syndrome?

Post Traumatic Stress Syndrome happens after a person experiences trauma, and it’s something that sticks with a person. Symptoms can include flashbacks, night sweats, insomnia, panic attacks, and isolating from friends and family. We need to understand that people with PTSD aren’t dramatic; they’re traumatized. When you experience trauma first-hand it changes your brain. According to the U.S. National Library of Medicine – National Institutes of Health, Several areas of the brain are involved when a person experiences PTSD. A stress response includes the amygdala, hippocampus, as well as the prefrontal cortex. PTSD and trauma can cause lasting changes in those areas of the brain.

What causes PTSD?

The cause of PTSD is that a person experiences trauma and never adequately deals with the issues because it sticks with them. People think that PTSD is caused by being in combat because combat can be a traumatic experience, especially if you see someone die in front of you. The cause of PTSD is when an individual has difficulty adjusting after a traumatic event; their brain changes and the memory of the traumatic event gets stuck in their brain. These intrusive memories make it difficult for an individual to function. The root cause of PTSD is a traumatic event, but the symptoms are what overwhelm people to the point where it’s diagnosable. People with PTSD often have recurring distressing and upsetting memories of the trauma, and when you continually have upsetting memories and can’t stop them, it makes you want to shut down, which is a problem that many people face when living with PTSD, and it can seriously impact your relationships.

Causes of PTSD

  • A stressful experience
  • Trauma
  • Mental Illness
  • Predisposition to mental illness or family history of mental illness

Risk factors for PTSD:

  • Long lasting trauma
  • Childhood sexual abuse
  • Other childhood trauma
  • A job where you’re exposed to trauma such as a military position
  • If you don’t have a sound support system
  • Seeing someone get hurt
  • A history of substance abuse

Types of trauma

When we think of PTSD, we might think of combat, but it’s not just that. Anyone who has experienced trauma is at risk of developing PTSD. Whether you witnessed a violent act or you were physically attacked yourself, you’re at risk for PTSD. In addition to combat, types of trauma that can induce PTSD include but aren’t limited to:

  • Childhood sexual abuse
  • Other childhood trauma
  • Sexual assault or violence
  • Physical assault
  • Natural disaster
  • Being attacked with a weapon

Symptoms of PTSD

Symptoms of PTSD can range from mood symptoms to physical symptoms. These symptoms can include but aren’t limited to nightmares, irritability, being easily startled or frightened, trouble sleeping or concentrating, or even feeling completely emotionally numb. These symptoms occur after a traumatic event and are only some of the possible signs that an individual could experience. Everyone reacts to trauma differently. And it’s understandable that someone may shut down, lash out, or break down crying. These are all responses that could happen.

How intense are your symptoms?

Depending on the person, the intensity and type of PTSD symptoms will differ. If you have suicidal thoughts or ideation, it’s incredibly crucial to reach out to a friend, loved one, or to contact the national suicide prevention hotline (1-800-273-8255 or 1-800-273-TALK in the United States.) It’s essential that you talk to your doctor if you’re experiencing difficulty functioning.

Complications of PTSD

PTSD can impair someone’s function to the point where they’re unable to engage in normal life activities. Someone might develop substance abuse issues, an eating disorder, or other comorbid mental health conditions. PTSD can be debilitating. It can lead people into a state where they can’t work. It can make it so that they’re unable to attend social functions, and it can severely impact a person’s life. If you’re diagnosed with PTSD, you need to have the following symptoms:

One avoidance symptom – Avoidance is where you’ll stay away from things that remind you of the trauma. Avoidance symptoms include avoiding places and situations that remind you of the trauma, and avoiding thinking about upsetting thoughts connected to the event

At least two arousal symptoms– Arousal symptoms of PTSD make a person extremely anxious. Arousal symptoms include:

  • Getting startled easily
  • Feeling tense
  • Having problems sleeping
  • Angry outbursts

At least two cognition/mood symptoms – Cognitive symptoms of PTSD can rob people of things they once enjoyed. Cognitive symptoms include difficulty remembering the trauma, distorted emotions including guilt, and loss of interest things you once enjoyed

One re-experiencing symptom – Re-experiencing a key marker of PTSD, and it sounds exactly like what it is; re-experiencing. Re-experiencing symptoms include flashbacks or reliving the trauma, nightmares, or scary thoughts.

a lone little boy sitting on a platform
Source: John Smith, Creative Commons

Children vs. Adults With PTSD

Children can have different responses to trauma in comparison to adults. They might wet the bed or have selective mutism, they might start acting out during play time, or they might begin experiencing separation anxiety. According to the National PTSD center, seven or eight out of every 100 people experience PTSD at some point during their life. Not every person who has PTSD has been through a dangerous incident; some people experience it after a loved one has suffered harm.

According to The U.S Department of Veteran Affairs Studies, approximately 15% to 43% of girls and 14% to 43% of boys experience significant trauma. Of the children and teens that experience trauma, 3% to 15% of girls and 1% to 6% of boys go on to develop Post Traumatic Stress Syndrome.

We can see that females seem to develop PTSD more than men do. What is the reason for this? Many women are survivors are sexual assault, try to speak up and aren’t believed. According to the National Sexual Assault Resource Center, one in five women and one in 71 men will be raped at any given point during their lives. Yet, we as a society do not believe survivors as we should. We need to start believing women when they come forward. When we do they can get treated for what happened to them appropriately.

Why do some people get PTSD and others don’t?

You may be wondering why some people develop PTSD while others do not. Part of it has to do with having the risk factors listed above, but there’s nothing wrong with you if you have PTSD and someone else in the same situation did not. There are other disorders that can go along with PTSD. An individual with PTSD can have additional mental health conditions. They may also struggle with suicidal ideation and may attempt to take their life. Here are some mental health conditions that people with PTSD also manage:

  • Generalized Anxiety Disorder
  • OCD
  • Depression
  • Borderline Personality Disorder
  • Substance Abuse

How to prevent PTSD

PTSD isn’t necessarily preventable because you can’t control when trauma happens, but you can deal with the trauma after it happens. After experiencing a traumatic event, it’s vital to seek mental health treatment in the form of therapy and, if you need to, a psychiatrist. You can reach out to people in your network and find someone to treat your symptoms. Whether you see someone online or in your local area, PTSD is treatable and even preventable if you address trauma right away. If you develop PTSD, it’s okay, and there’s no need to feel shame. It’s a treatable mental illness, and you’re not alone. Many people live with PTSD, and with support, you will get through this. It starts with getting help from a mental health professional, whether that’s working with someone in your local area or finding the help of an online counselor, like one at BetterHelp, you can find a treatment plan and get the help that you need to health from PTSD. You’re not alone, and remember that millions of Americans live with the condition. By going to therapy, you’re doing something incredibly brave, which is taking charge of your mental health. You will get better, but it’s going to take time. Be patient with yourself. Healing from trauma can be difficult, but it’s worth it.

 

Marie Miguel has been a writing and research expert for nearly a decade, covering a variety of health-related topics. Currently, she is contributing to the expansion and growth of a free online mental health resource with BetterHelp.com. With an interest and dedication to addressing stigmas associated with mental health, she continues to specifically target subjects related to anxiety and depression.

Mindful Learning: Adding Meditation to Education

A girl sitting outside and meditating.
Girl Meditation. Source: Best Picko, Creative Commons

If you have ever struggled to fall asleep or dealt with significant anxiety or stress, you may have tried to calm down and relax yourself by listening to a guided meditation or yoga practice.  Data from the 2017 National Health Interview Survey (NHIS) found that 14.2 percent of American adult and 54. Child participants had practiced meditation in the previous 12 months.  The survey also found that 14.3 percent of adults and 8.4% of children had practiced yoga in the past year. Some schools have now seen the positive impact that meditation and yoga can have on children’s behavior and mental health and have decided to integrate these practices into their procedural structures.  Instead of sending children to detention or the principal’s office for traditional disciplinary methods, these schools have rooms designated for mindfulness and meditation.  This results in a complete shift in how both educators and students cope with behavioral issues and emotional struggles in the classroom. 

What Is Meditation? What Are the Benefits? 

According to the National Center for Complementary and Integrative Health (NCCIH), meditation is, “Meditation is a mind and body practice that has a long history of use for increasing calmness and physical relaxation, improving psychological balance, coping with illness, and enhancing overall health and well-being.”  While there is no single method or rigid guideline for how to meditate, there are four main elements that most meditation methods include: an environment with minimal distractions, a comfortable posture (such as sitting or lying down), a focus of attention, and an “open attitude (letting distractions come and go naturally without judging them).”  In this context, yoga combines meditation with specific physical postures and breathing techniques. 

While there is still much research to be done on meditation and its impact on people, studies thus far suggest that it can help reduce blood pressure, aid in coping with anxiety and depression, improve sleep, reduce pain, improve ability to focus, and much more.  There is also research that suggests practicing meditation could lead to physical changes in the brain which support numerous aspects of mental and physical health.  For example, one study that was performed in 2012 compared brain images of 50 adults that did not regularly meditate and 50 adults who had been doing so for years.  The results suggest that the brains of those who had been practicing meditation had undergone gyrification, which means the outer layer of their brains had more folds, potentially increasing their ability to process information.  Another study from 2013 suggests that regularly practicing meditation may slow, stall, or reverse certain changes in the brain that typically result from aging.   

It should be noted that every individual’s relationship with and response to meditation can differ.  One person may work well with a certain meditation strategy, while another person might find that strategy extremely difficult or uncomfortable.  Some people who suffer from mental health issues, such as anxiety, may find that certain forms of meditation make them more anxious.  Some people may have physical limitations that prevent from sitting on the floor, which is a common posture for many meditative practices.  It is a very personal experience and should not be treated as one-size-fits-all. 

Children learning yoga outside.
Learning Yoga. Source: Amanda Hirsch, Creative Commons

How is Meditation Being Implemented in Schools? 

In 2013, Robert W. Coleman Elementary School of West Baltimore created the “Mindful Moment Room,” a space used for meditation and yoga.  This is where students are sent when they are being disruptive in class or aggressive with their classmates.  The space is warm and inviting, smelling of essential oils and decorated with pillows and yoga mats.  Here, students who are feeling angry or frustrated can have an opportunity to breathe and do activities like yoga and meditation to calm down.  The Holistic Life Foundation is the non–profit that helped the school to establish and run the Mindful Moment Room.  The staff helps students talk about why they had to leave class and guides them through mindfulness exercises.  Mindfulness in not limited to being encouraged when students are misbehaving.  Students listen to a 15-minute guided meditation over the intercom at the beginning and end of every school day and can practice yoga both during and after school. 

Not only is this beneficial in helping kids work through problems at school, but it also helps them build skills that can help them to cope with strong negative emotions in the future.  The students themselves have been able to recognize the benefits they have experienced from practicing mindfulness.  Dacari Crawford, a third-grader at Robert W. Coleman, said, “When I get mad at something or somebody, I just take some deep breaths, keep doing my work and tune everyone out.  It gives you good confidence when you need to do something important.”  Inspired by the impact mindfulness practices have made on the elementary school, Patterson High School has started its own Mindful Moments Room. 

A Mother’s Testimony 

Dana Santas, a yoga trainer to many professional sports teams, was invited write an article for CNN discussing her experience of guiding her three children (the youngest of which being on the autism spectrum) through yoga.  In her experience she has found three main reasons why mindfulness-practices like yoga and meditation should be taught in school:   

The first is “teaching breathing as fundamental to well-being.”  She points out that the impact that breathing has on us is not as simple as the fact the we cannot live without breathing.  Our breathing patterns, our postures while breathing, and the way we breathe in general impacts both our mental and physical health in ways that are hard to notice if we do not know to look for them.  This be related to things like the basic mechanisms of breathing or using breathing to calm down when one is overwhelmed.  Santas developed a breathing exercise called “peace palm exhaling” to help her son with Asperger’s syndrome when he becomes overwhelmed.   

The second reason is that yoga can help children “move with control and confidence” because it can help them gain self-control and respect for their own bodies and improve their balance and movement abilities. 

The final reason she discusses is that yoga can promote the power of mindfulness, helping children to learn skills that they can use to cope with anxiety and stress. 

How Does Mindfulness Impact Human Rights? 

One significant impact that the use of meditation and mindfulness in schools has on human rights is that it helps to improves students’ ability to access and fully utilize their right to an education.  The right to an education is recognized in Article 28 of the Convention on the Rights of the Child (CRC) and Article 26 of the Universal Declaration of Human Rights (UDHR).  Article 26 of the UDHR also recognizes the right of every person to an education that works towards the full development of their personality, and that right is also supported by meditative practices.  With fewer class disruptions, an improved ability to focus, and a calmer school-environment, students can spend more quality time learning and gaining knowledge that they can use in the future.  Practicing mindfulness also helps to create an environment that supports one’s health and well-being, which is recognized as a right in Article 25 of the UDHR and Article 24 of the CRC.  The impact that meditation and mindfulness can have on education and personal development can help a person better prepare for future experiences, helping them have better access not only to these rights, but also to their other rights as well. 

Our Rights Under Fire

by Pam Zuber

a photo of a gun store rack
and more guns. Source: Patrick Feller, Creative Commons.

The grim timeline:

  • On December 14, 2012, a gunman entered Sandy Hook Elementary School in Newtown, Connecticut. He killed twenty children, six adults, and then himself. The gunman also killed his mother earlier in the day.
  • On March 15, 2019, another gunman traveled to two mosques in Christchurch, New Zealand and opened fire. As of April 2019, he killed fifty people and wounded fifty more.
  • On March 21, 2019, New Zealand Prime Minister Jacinda Ardern announced that her country would ban sales of assault rifles beginning April 11, 2019, and reimburse people for returning rifles that they already owned. The country has also reclassified guns to make them more difficult to purchase.
  • On April 11, 2019, the United States still did not have substantial legislation against many types of weapons, even assault weapons that were once banned but were now legal.

Two countries, two tragic events, two very different approaches to gun ownership and legislation. What do the differences say about the two countries? What do the differences say about human rights? The shootings represent an egregious attack on human rights. Many victims in the Newtown attack were children. Many victims in the Christchurch attack were refugees and members of a religious minority. The attacks targeted some of the most vulnerable members of society. The shootings were also attacks on the greater society charged with protecting these vulnerable members.

Both shootings occurred in what should be safe spaces: schools and religious buildings. Advocates of gun ownership say that the Second Amendment of the U.S. Constitution supports their stance. It states: “A well-regulated militia, being necessary to the security of a free state, the right of the people to keep and bear arms, shall not be infringed.” One can argue, though, that the Christchurch and Newtown victims experienced violations of the First Amendment of the Constitution. The mosque worshippers in Christchurch were expressing their religion, a First Amendment right. The children and adults in Newtown were exercising the “right of the people peaceably to assemble,” according to the words of the First Amendment.

While the dead and wounded people in New Zealand were not obviously U.S. citizens, they definitely experienced a violation of their human rights, if not technically a Constitutional one. Could the banning of assault-type weapons in that country help protect the rights of future New Zealanders? If the United States government does not issue such bans, is it violating its own citizens’ rights? Maybe. After all, commentators often cite that the National Rifle Association (NRA) is one of the major reasons why U.S. legislators cannot or will not pass major legislation against guns. The NRA is a U.S. organization that finances the campaigns of many U.S. politicians who oppose gun control. The NRA also encourages voters to vote for such candidates, making it a well-organized effort that exerts consistent pressure in favor of gun rights.

Wouldn’t it be better to divert our resources elsewhere? Money and time that the NRA and other organizations spend on campaigns to support gun ownership would arguably be better spent on mental health screening, treatment for drug and alcohol abuse, and other forms of preventative health care. Time and money that could be better spent on law enforcement efforts that look for potential trouble instead of reacting to it after it occurs. This is not to say that all shooters struggle with their mental health and that governments should track our every move. But, “weaknesses and lapses in the educational and healthcare systems’ response and untreated mental illness” contributed to the “deterioration” of the shooter in the Newtown attack, according to the Connecticut Office of the Child Advocate. The shooter in the Christchurch attack live streamed the attacks and may have posted his intentions on social media before he carried out his plans.

a photo of a large gun
gun. Source: skyandsea876, Creative Commons

New Zealand’s new laws are in line with regulations in other countries. Well-known for not participating in armed international conflicts, Switzerland also has strict rules about gun ownership. The country requires its male citizens to serve in its military. Sometimes Swiss men keep their weapons after their service, but this number has been declining. Swiss laws do not allow people to own firearms if they are struggling with drug or alcohol abuse or have been convicted of a crime. The country has laws that require people to obtain gun permits and typically only grant concealed weapon permits for police or security officers. Authorities in Swiss regions known as cantons determine if people are fit to own guns. They may talk with psychiatrists or authorities in other cantons to make such decisions. They also keep records of who owns guns in their cantons, although some semiautomatic long guns and hunting rifles are exempt from such records.

Switzerland had a population of approximately 8.5 million people and twenty-six cantons in a country of about 16,000 square miles in March 2019. The United States had a population of approximately 329 million people and fifty states in a country of about 3.8 million square miles in March 2019. It also has a federal district and various territories. Gun laws already vary widely in the fifty U.S. states, territories, and the federal district. Given the large population and geographic size of the United States, delegating the states to create and implement new gun laws may not be possible. Federal legislation would be more feasible to regulate weapons in the United States.

Another country, New Zealand’s neighbor Australia, may be a good example of federal weapon legislation. After a gunman killed thirty-five people in the Australian island state of Tasmania in 1996, the federal and state governments of Australia implemented a number of weapons ban from 1996-98. Under the Australian laws

  • Licenses and registrations are required to own weapons.
  • Police must determine whether people have satisfactory reasons for owning weapons.
  • Private firearm sales are prohibited.
  • People may not own weapons for self-defense and very few may own handguns.
  • Semiautomatic weapons are banned. Like New Zealand, the Australian government bought such weapons from private owners.

Australia’s gun control laws have produced dramatic results. While there were thirteen mass shootings in Australia from 1979 to 1996, there were none from 1996 to 2006. In 1979 to 1996, Australia witnessed an average of 627.7 firearm deaths every year. From 1996 to about 2003, Australia witnessed 332.6 firearm deaths annually. The country also experienced declines in firearm suicides, firearm homicides, and unintentional firearm deaths after the passage of the laws.

Limiting semiautomatic and assault weapons and passing stricter gun control legislation may mean fewer deaths. Australia and Switzerland know this. New Zealand may learn this. Given the reluctance of U.S. authorities to take such measures, it doesn’t look like the United States will learn this any time soon. If it doesn’t, more senseless firearm tragedies like Newtown (and Parkland, Las Vegas, Orlando, Christchurch, and so many other places) may occur. Until the United States limits and legislates guns, its citizens’ rights to peace and safety are in peril.

 

About the author: Pamela Zuber is a writer and an editor who has written about human rights, health and wellness, business, and gender.

Getting a Mental Detox in Rwanda

This Sunday 7 April is the International Day of Remembrance of the Victims of the Rwandan Genocide. 

Photo by Carmen Lau.

I decided to study the Rwandan genocide after attending the  Institute for Human Rights conference entitled, “Bystanders and Complicity in Nazi Germany and the Jim Crow South.”  Rwanda, viewed as a trophy of the African “mission field” by many in Western Christianity, shocked many onlookers in the period during and after the genocide as it became obvious that Christians had killed Christians.  Moreover, many estimate that most Rwandan Genocide victims were killed in churches, an assertion that stimulated my interest.  The Rwandan Genocide differs from other genocides because religion did not serve as a demarcation to target victims as “other.” Most people in Rwanda identified as Christian, and the religious affiliation did not coincide with ethnic identity.

Last summer, I tagged along with a group of teachers and professors who were passionate about using education to prevent genocide.   This was a first step in developing my thesis:  Stories from Rwandan Churches Priot to the Genocide: A Collection of Oral Histories. The travel group knew one another from collaborating with the Holocaust Museum, and they held great affection and esteem for  Carl Wilkens, our group leader. Wilkens backstory, as described on his website, is this:

As a humanitarian aid worker, Carl Wilkens moved his young family to Rwanda in the spring of 1990. When the genocide was launched in April 1994, Carl refused to leave, even when urged to do so by close friends, his church and the United States government. Thousands of expatriates evacuated, and the United Nations pulled out most of its troops. Carl was the only American to remain in the country. Venturing out each day into streets crackling with mortars and gunfire, he worked his way through roadblocks of angry, bloodstained soldiers and civilians armed with machetes and assault rifles in order to bring food, water and medicine to groups of orphans trapped around the city. His actions saved the lives of hundreds.” 

With this experience, one might not be surprised that Wilkens has chosen to position himself as a force for peace and as a catalyst to stimulate people to seek to become integrated beings with emphasis on respect, empathy, and inclusion.

I had expected to cultivate empathy and understanding and to gather context and information, but I had not considered the idea that this trip with teachers would provide space for some mental detox. I had heard Rwanda described as a country with gorillas and genocide, but I saw a place where the government exceeded expectations in the context of health care and infrastructure.  Ranking among the 20 poorest countries in the world, Rwanda is a place of paradox. When our group gathered in the small white bus outside the Kigali Airport, I first sensed that this would be different than I had expected. Carl Wilkens presided over our discussion as we rode to the hotel that would be our home for the next 11 days. Wilkens urged us to harness the power of gratitude to rewire neural circuits and reminded us that since negative thoughts stick like Velcro, one must intentionally attend to the task of noting the positive.

Photo by Carmen Lau.

Early on the first day, to fulfill Wilkens’ charge, our designated facilitator, a teacher from Nebraska, urged us to think about “The Good Life,” the motto for her home state. As the group shared visions of a good life, I noticed that already, just twelve hours in Rwanda, we had erased default notions of acquisition or competitive achievement as core building blocks in “The Good Life.” Instead, people cited nature, learning, and human connectivity as the essence of a good life.

Gratitude underpins the curriculum for Mindleaps, a thriving multinational NGO designed to empower children who come from the most impoverished homes. Mindleaps collaborates with the Gisimba Training Center, a repurposed orphanage that was featured in Wilkens’ book, I’m Not Leaving. This was our first stop on the Carl Wilkens Tour. Once a child is accepted to Mindleaps, she has the opportunity to have a noon meal, wear a special uniform, receive school supplies, learn digital literacy (as an enticement to learn English), attend academic enrichment classes, and have her mother participate in a parenting-strengthening program (fathers are often away seeking work). Oh, and the best part is the child learns to dance very well. Dancing gives the children confidence and a sense of personal achievement that will be key to developing skills to thrive.

I visited the home of a seven-year-old student who regularly walks alone to Mindleaps — a three-quarter mile jaunt down a hilly tangle of dirt roads that are jam-packed with huts. Her home has no electricity or plumbing and only a patchy tin roof. Her mom comes to the parental-enrichment class regularly. The strategies used by Mindleaps are being tested by a tracking software program to provide a nuanced evaluation of the children in the areas of memorization, language, grit, discipline, teamwork, self-esteem, and creativity. For me, the visit to the Mindleaps gated compound was a transcendent experience. I saw excellence, bright colors, simple food, and a tidy vegetable garden. A swarm of smiling students wanted to touch and thank each one in our group.

Holistic, abundant living combines heart and head. So far, this time in Rwanda has allowed me to peel off barnacles of language and worldly possessions and notice feelings of gratitude and love. Watching the children and teachers leap in grand plié’s to Leonard Cohen’s “Hallelujah” consolidated my embrace of Rwanda’s Mental Detox. Rwandans have embraced the ethos of gratitude. The security detail at the entrance to the parking lot of Hotel Des Mille Collines paused from the task of pushing mirrors on long handles under incoming Land Rovers (to check for bombs) and greeted our group of pedestrians on foot.  He said, “Thank you for visiting our hotel.” Street merchants, airport personnel, gardeners, cooks, and administrators said variations of “Thank you for visiting our country.”

As the old saying goes, “You won’t remember what they said, but you will remember how they made you feel.” In Rwanda, I feel loved and appreciated.

 

 

 

Health Care Is a Human Right

by Pam Zuber

a photo that reads "Save the ACA."
“Save the ACA”. Source: Creative Commons.

Being sick or struggling with a chronic medical condition can harm health, emotions, and finances. Sickness can hurt various aspects of a person’s life and impact society as well. It causes people to miss days of work. It creates financial costs if people have to cover medical expenses for uninsured people. Isn’t it better to help treat and prevent illness in the first place? One would think so, although some people don’t believe that health care is a fundamental right. But, restoring and maintaining health improves the quality of life and so much more. Ensuring proper health care can produce a healthier, happier, and more productive society.

What are some federal government attitudes about health care?

Attitudes about health care are different in different areas. There are many diverse opinions and proposed solutions regarding health care in just the United States alone. The Patient Protection and Affordable Care Act (also known as the Affordable Care Act, the ACA, and Obamacare) represents a microcosm of this diversity. Although it became law in 2010, the Affordable Care Act has garnered considerable controversy before its creation and continues to generate controversy after its passage. Much of this controversy has coalesced around party affiliations. Some members of the Republican Party have decried the ACA a form of socialism because it’s a federal government program that works with state government programs. In this view, the ACA is un-American because other countries sponsor their own state-funded health care programs.

While not a socialist state, Canada is one such country. According to a Canadian federal government website, “Canada’s publicly funded health care system is best described as an interlocking set of ten provincial and three territorial health systems. Known to Canadians as ‘medicare,’ the system provides access to a broad range of health services.” Canada’s federal government funds, administers and sets policies for this system under legislation known as the Canada Health Act (CHA). The goal of the CHA is “to protect, promote and restore the physical and mental well-being of residents of Canada and to facilitate reasonable access to health services without financial or other barriers,” according to the Government of Canada. The CHA thus features complex interactions between federal and provincial governments and the Canadian health care system. This is reminiscent of how the U.S. federal government administers and funds government programs in U.S. states as part of the Affordable Care Act.

How is New York approaching health care?

Federal governments aren’t the only government bodies that feel strongly about health care. In January 2019, the administration of New York, New York mayor Bill de Blasio announced that the city would offer health care for uninsured residents. City residents would pay for health services on a sliding scale. Known as NYC Care, the initiative would provide mental health care and substance abuse care. “We recognized that obviously health care is not just in theory a right,” de Blasio said. “We have to make it in practice a right.” “Health care is a right, not a privilege reserved for those who can afford it,” stated the mayor. “While the federal government works to gut health care for millions of Americans, New York City is leading the way by guaranteeing that every New Yorker has access to quality, comprehensive access to care, regardless of immigration status or their ability to pay.”

Stories about the de Blasio proposal highlighted that this health care would be available to all New Yorkers, even undocumented immigrants. This proposal occurred at a time when immigration was a hotly contested topic. In fact, immigration was so contested that the topic helped spark a partial shutdown of the U.S. federal government in December 2018 and January 2019 because of debate over funding for a wall between the United States and Mexico to prevent illegal immigration. The de Blasio administration’s decision to fund health care for undocumented immigrants reflected the view that health care should be universally accessible to all, regardless of financial cost or political repercussions. In this view, health care is a human right and the right thing to do.

Why is healthcare a right?

Health care is a human right in part because health – or more accurately, bad health – can permeate every area of a person’s life. It can even have repercussions far beyond a single individual. Say a person is struggling with depression. Depression is a mental illness. It’s also physical one since depression can cause pain, other physical symptoms, or conditions such as substance abuse. (Pain and other conditions can cause depression as well, which underscores the importance of treating mental and physical illnesses so they don’t influence each other.) Depression is more than mental and physical pain. It can wreak havoc on other areas of people’s lives. For example, conditions such as depression may prevent people from going to work. If people take frequent absences, their coworkers may have to perform work extra work to compensate for their absent coworkers. Or, taking frequent absences could lead depressed people to lose their jobs. Losing their livelihoods means people may have trouble paying for food and shelter. People without jobs may not be able to support their families. People who are depressed may lack the physical and mental energy to attend parent-teacher organization meetings, to vote, to run for office, to manage their lives, or to contribute to the lives of others. They can’t fully exercise their human rights because they’re struggling to meet their basic needs. Basic access to mental health care could prevent these struggles and ensure basic rights.

What is the status of current health care initiatives?

It’s clear that spending a little money early may prevent future health problems (and possibly save money) in the long run. But, it appears that some entities don’t want to spend money on such purposes. Others have reluctantly, grudgingly accepted health care initiatives. In 2017, the U.S. Congress passed the American Health Care Act (AHCA). This legislation would have prevented Medicare expansion and other aspects of Medicare funding and would have reduced taxes for some insurers and higher income people. The legislation never took effect, so the ACA remained intact. Commentators have noted that despite efforts to reverse the Affordable Care Act, the ACA is “gaining in popularity – despite the repeal-and-replace rhetoric Trump and fellow Republicans have voiced for years.” The commentators note that politicians realize this and are using the increasing acceptance of the program to bolster their own political fortunes. They recognize that gutting a popular program could hurt their own popularity. The administration of U.S. president Donald Trump issued rules regarding the implementation of health care programs in U.S. states in 2018, for example. This acknowledged that the programs exist, serve many people, and are well-liked and well-used by voters who could determine the political future of the administration and its members. The administration’s rules vividly illustrated the old adage, “If you can’t beat ‘em, join ‘em.”

What is the future of health care?

The future of universal health care is uncertain. On one hand, the Affordable Care Act continues. Conservative administrations and everyday voters have acknowledged the ACA and support it to various degrees. There is still considerable pushback to the ACA and similar initiatives, however. Not surprisingly, some of this pushback is from entities that could be affected by universal health care plans or other health care reforms. Private insurance companies often oppose universal health care reforms because they could affect their profits. The companies and other free-market supporters say that universal health care and other reforms are a direct rebuke to capitalism and the practice of small government. The Partnership for America’s Health Care Future is one such opponent. This organization includes a number of private insurance companies and health-related entities. Interestingly, though, it also includes a number of politicians from the Democratic Party and people affiliated with the party, such as workers from the presidential administrations of Bill Clinton and Barack Obama.

On the other hand, this organization is operating at a time when other Democrats are criticizing their fellow party members for not being progressive enough. A number of Democratic candidates running for the U.S. Congress in 2018 supported a single-payer health care system known popularly as Medicare for All to replace private health insurance. A Reuters poll in that same year reported that growing numbers of voters affiliated with both the Democratic and Republican parties also favored Medicare for All-type policies. A growing number of people and some politicians support universal health care. Other politicians and private corporations don’t. Given the increasingly divided political climate, it’s uncertain whether we’ll reach workable decisions about health care any time soon. But, given the far-reaching impact that good health can provide, aren’t they worth a try?

 

Pamela Zuber is a writer and an editor who has written about human rights, health and wellness, business, and gender.

 

The Impact of Child Abuse

A sad boy sitting outside and staring into the camera.
Sad. Source: tamckile, Creative Commons

Childhood is a time in life that should be filled with joy and imagination, and free of fear and any serious responsibility.  However, for many people, this not their reality, as abuse and trauma have warped their experience of it.  In 2014, about 702,000 children were found to be victims of some form of abuse in the United States – this number does not take into account situations of abuse that went unreported.  It is estimated that 1,580 children died “as a result of abuse and neglect” in that same year, though it is possible that this number is actually much higher due to “undercounting of child fatalities by state agencies.”  The general impact and potential trauma caused by abuse can have a significant harmful influence throughout childhood development and adulthood.

What is Child Abuse?

Child abuse is “when a parent or caregiver, whether through action or failing to act, causes injury, death, emotional harm, or risk of serious harm to a child.”  This includes many different forms of abuse, such as physical abuse, emotional abuse, sexual abuse, and neglect:

  • Physical abuse is “when a parent or caregiver causes any non-accidental physical injury to a child.”
  • Emotional abuse, which is recognized less often, is “when a parent or caregiver harms a child’s mental and social development or causes severe emotional harm,” and can include (but is not limited to) isolating a child, terrorizing, ignoring, and humiliating them.
  • Sexual abuse is “when an adult uses a child for sexual purposes or involves a child in sexual acts,” but it does not have to involve physical contact with a child. In addition to “contact abuse,” it can also include inappropriate sexual language, “making a child view or show sex organs,” and forcing a child to watch a sexual act.
  • Neglect is “when a parent or caregiver does not give the care, supervision, affection, and support needed for a child’s health, safety, and well-being,” and it occurs when an adult fails to meet even the most basic requirements for taking care of a child that they are responsible for. Neglect can physical, emotional, medical, or educational.
    • Physical neglect relates to reception of “care and supervision.”
    • Emotional neglect relates to reception of “affection and attention.”
    • Medical neglect relates to “treatment for injuries and illnesses.”
    • Educational neglect relates to a child’s “access to opportunities for academic success.”

Effects of Child Abuse

Experiencing abuse as a child can have serious, long-term effects on an individual.  Those who have experienced child abuse are at an increased risk for intimate partner violence, substance abuse issues, and mental illnesses.  Experiences of abuse also lead to children having an increased risk of exhibiting criminal behavior.  In the United States, “14% of all men in prison and 36% of women in prison” experienced child abuse.  Children who are survivors of child abuse are about “9 times more likely to become involved in criminal activity” than those who are not.  Many survivors must deal with intense negative effects of their trauma for the rest of their lives.

Trauma and Child Abuse

Trauma is “an emotional response to a terrible event, like an accident, rape or natural disaster.”  When considering the issue of trauma, people often think of veterans who suffer from Post-Traumatic Stress Disorder (PTSD).  Both PTSD and Complex Post-Traumatic Stress Disorder (CPTSD) are common in survivors of child abuse, but they differ in exactly what circumstances causes them.  PTSD results from a specific event, while CPTSD results from repetitive experiences of trauma.  In terms of child abuse, PTSD is caused by a specific incident of abuse, while CPTSD is caused by experiencing numerous incidences of abuse over a period of time.

The three main categories of PTSD symptoms are “re-experiencing trauma through intrusive distressing recollections of the event,” “emotional numbness and avoidance of places, people, and activities that are reminders of the trauma,” and “increased arousal such as difficulty sleeping and concentrating, feeling jumpy, and being easily irritated or angered.”  In addition to the symptoms of PTSD, people with CPTSD also experience problems with forming and maintaining relationships, negative views of themselves, and problems with regulating their emotions.  These symptoms negatively affect the ability of individuals with PTSD and CPTSD, including child abuse survivors, to live their lives in normal, healthy ways.

Treatments for coping with PTSD and CPTSD include individual and group therapy, medications (such as antidepressants) that help with some symptoms, and the establishment of a reliable support system.  Dealing with trauma is a life-long process.  Healing is possible for survivors of child abuse, but the impacts of their experiences will never fully disappear.

A sad boy sitting next to a dog on a couch.
Nathaniel. Source: Tony Alter, Creative Commons

The Cyclical Nature of Child Abuse

The presence of abuse can be seen as a cycle with the potential to perpetuate itself throughout the generations of a family.  According to the Child Welfare Information Gateway, around one in three of all survivors of child abuse will “subject their children to maltreatment”.  This is because many survivors who become parents believe that the way they were treated as a child is the correct way to parent.  In other cases, parents believe that if they simply treat their children better than their parents treated them, then they are not being abusive.  This way of thinking is incorrect, because abuse is abuse, even if one example of abuse is not as overtly severe as another.  By spreading information and reporting incidences of child abuse we can help to interrupt the cycle.

Child Abuse is a Human Rights Issue

There are numerous ways in which child abuse can be clearly seen as a violation of human rights.  Article 18 of the Universal Declaration of Human Rights states that “everyone has the right to freedom of thought, conscience and religion,” and Article 25 states that “everyone has the right to a standard of living adequate for the health and well-being of himself and of his family.”  How can someone utilize these rights while living in fear (whether it be as an adult or as a child)?

The Convention on the Rights of the Child also deals with child abuse as a violation of human rights.  Article 19 calls for States Parties to “take all appropriate legislative, administrative, social and educational measures to protect the child from all forms of physical or mental violence, injury or abuse, neglect or negligent treatment, maltreatment or exploitation…”  Article 24 states that children have the right to “the highest attainable standard of health,” which is a right that cannot be fully enjoyed in an abusive situation.  Article 27 describes the right “to a standard of living adequate for the child’s physical, mental, spiritual, moral, and social development,” and abuse is a known hindrance to childhood development.  Article 34 relates specifically to sexual abuse, stating that States Parties should do everything they can to “protect the child from all forms of sexual exploitation and sexual abuse.”

It is important that we remember that children are limited in what they can do to help themselves in any given situation.  It is the responsibility of the adults around them to protect and nurture them.  Adults should be attentive toward the well-being of the children they contact.  Adults need to be able to recognize and report abusive situations when they witness them and/or are aware of them.

Resources

Sexual Assault on College Campuses

A woman who is talking to someone.
Beautiful woman. Source: Henry Söderlund, Creative Commons

According to the Centers for Disease Control and Prevention, one in three women and one in six men have experienced sexual violence .  The term sexual assault refers to “any type of sexual activity or contact that happens without your consent.”  Though, the most obvious examples of sexual assault are physical, such as rape and unwanted touching, it can also be found in verbal and visual forms, such as sexual harassment or exposing oneself.

Sexual assault is a particularly significant concern on colleges campuses.  It is experienced by one in five college women, and the majority of survivors are women between the ages of eighteen and twenty-four.  For men between 18 and 24 years old, being a student increases the likelihood that they will be assaulted by 78%  in comparison to those of the same age who are not students.  Due to the breadth of its impact, sexual assault on college campuses is an issue that urgently needs to be addressed.

Intersectionality and Sexual Assault

When discussing this problem, it is important that we recognize that not all groups experience sexual assault at the same rates.  The people who are most at risk are those from minority communities that typically have less social and political power than majority communities.

This is an intersectional issue.  Women of color, for example, experience sexual assault at higher rates than white women.  According to the Rape, Abuse, and Incest National Network, Native American women are twice as likely to experience sexual assault when compared to people of all other races.  People with disabilities are twice as likely to experience sexual assault  in comparison with people who do not have a disability.  Members of the LGBTQ+ community are also at a greater risk.  According to the 2015 U.S. Transgender Survey, 47% of transgender individuals are sexually assaulted at some point in their lives .

Title IX

Title IX is part of the Education Amendments of 1972 and prohibits discrimination based on sex in federally funded schools.  Colleges must have systems in place to deal with sexual assault, since it can have a serious impact on an individual’s educational experience.  They should investigate every reported incident and make any necessary accommodations to make sure that the education of assault survivors is negatively impacted as little as is possible.

Secretary of Education Betsy DeVos has proposed some changes for exactly how colleges are to handle reports of sexual assault, but, at the moment, students still have the rights set forth by Title IX and the Clery Act, which include the Campus Sexual Assault Victim’s Bill of Rights.  Under the Clery Act , survivors have “the right to receive written explanation of their rights and options,” and colleges must have “a policy on campus disciplinary proceedings” for sexual assault.  In these proceedings, both the survivor and the accused have the rights to equal opportunity to have each other present as witnesses, the accompaniment of an advisor of their choosing, and “simultaneous written notification” of any updates.

If you have experienced sexual assault on a college campus, you can report it to your school, get to know your Title IX coordinator  and school’s policies, and file a police report.

College students walking across campus.
College student. Source: Yuya Tamai, Creative Commons

Rape Culture

Exacerbating the problem of sexual assault on college campuses is the prevalence of rape culture.  Rape culture consists of the behaviors, language, and beliefs through which sexual violence is “normalized and excused.”  This can range from victim blaming, to the use of phrases like “boys will be boys,” to sexual assault itself.  This is especially impactful on the relationship between women/girls and sexual assault.  Rape culture leads to people asking female sexual assault survivors questions about what they were wearing and whether or not they were drinking, as if those factors are the reasons why people are attacked.  As girls grow up, they are taught what steps to take to help them stay safe.  The responsibility to prevent rape and assault is primarily placed on the people at risk of experiencing these things rather than being focused on teaching people not to be perpetrators.  Rape culture is a huge part of why many survivors do not report their assault .  Among survivors on college campuses, more than 90% do not report.

Rape culture is also perpetuated by phenomena such as toxic masculinity, which emphasizes the gender expectation for men to be aggressive and dominant.  Many people use this traditional view of what it means to be a man to minimize the significance of sexual assault to simply “men being men.”  This idea, as well as rape culture as a whole, frames sexual assault as something that is inevitable or a normal part of life rather than a serious problem that needs to be stopped.  This also leads to the assumption that men are always the perpetrators and survivors are always women, which is completely untrue.  Men and non-binary individuals can be assault survivors. Women and non-binary individuals can be assaulters.  People can be assaulted by someone of the same or a different gender.  Sexual assault does not always fit the stereotypes we have been taught.

Safety Precautions

If you are one of the many people who worries about their safety and about assault on a regular basis, here are some things you can do that will hopefully help you feel a bit more comfortable.  If you are not someone who feels the need to think about these kinds of things, this may be an opportunity to broaden your perspective and learn more about the things many of us have do to in order to feel even slightly safe.

  • Try to avoid walking out alone at night.
  • If you have to walk alone at night, consider calling someone and staying on the phone until you reach your destination.
  • Do your best to walk in and park your car in well-lit areas.
  • Carry pepper spray with you.
  • If you are out at night, try to make sure that someone knows where you are going to be and at what times.
  • Check the back seat of your car before getting in.
  • Make sure you have a reliable form of transportation if you are out at night.
  • Avoid jogging alone at night.
  • Always be aware of your surroundings, especially if you are alone.
  • Consider taking some classes in self-defense.
  • If you get a drink at a party or bar, watch them make the drink and do not leave it alone.
  • Consider downloading an app like Noonlight, which can make it easier to contact emergency services if you feel unsafe or if you are unsure if you should call 911.

Sexual Assault Is A Human Rights Issue

It is vital that throughout the conversation about sexual assault we recognize it is a human rights issue.  It is an issue of equality for people of all genders, sexualities, races, and abilities.  Article 26 of the Universal Declaration of Human Rights (UDHR) states, “higher education shall be equally accessible to all on the basis of merit,” but many college classes do not end until it is already dark outside.  Safety concerns prevent some people from taking these classes, while other people are able to take any of the available classes they want. According to Article 27 of the UDHR, “…everyone has the right to freely participate in the cultural life of the community,” but many cultural events, such as concerts and educational events, happen at night.  If someone fears going out that late and/or has no safe mode of transportation, how can they enjoy this right?  How can they use their right to freedom of expression if they are afraid (Article 19)?  How can someone live in an environment that supports their mental health and wellbeing if they are afraid (Article 25)?  How can they enjoy the equality that all people share if they are afraid?

Resources for Sexual Assault Survivors

The Effects of Low-Income Housing on Health

by Emily Walsh

Old Chicago, Southside
Black Community Older Housing On Chicago’s West Side. This Area In 1973 Had Not Quite Recovered From The Riots And Fires During The Mid And Late 1960’s, 06/1973. Source: The US National Archives, Creative Commons

Low Income Housing (LIH) and Public Housing can have serious negative health impacts on those who need these programs the most. Unsafe living environments can be detrimental to residents’ mental and physical health. The people who utilize LIH have often exhausted all other options available to them, and only have risky situations available to them, in the form of LIH. This blog briefly highlights a few of the negative impacts resulting from the interconnection of low income and public housing.

Mobility out of these housing situations is difficult, since the average annual household income for residents of public housing is $14,511, which is well below the federal poverty line. Citizens who live in public housing disproportionately have a disability, of minority ethnicity, and/or receive social security. Whether taken as singular symptoms of a larger problem or in combination, the possibility of relocation decreases tremendously for individuals/families living below the poverty line.

The topic of the efficacy of public and LIH is not a new one. The first federal housing program was created under The U.S. Shipping Act of 1917, which aimed to provide housing for workers needed in industrial positions during World War I. These housing units championed function over comfort and health, which set a dangerous precedent for housing developments to come. Seventeen years later, the National Housing Act of 1934 sought to address housing and mortgage issues during The Great Depression. This act created many of the housing complexes still in use today, especially for lower income communities.

Low-income communities have a number of difficulties associated with them, from financial distress to lower job prospects. However, it is often easy to overlook the impact of the inadequate housing on both the physical and mental health of these populations.

Housing and Cancer

 To keep costs down during the rise of cheap housing due to the National Housing Act of 1934, builders utilized asbestos. Asbestos was a common inclusion in construction materials because of its resistance to flames and chemical reactions, sounds absorption, and low cost. The low cost made asbestos a popular choice for large scale projects like schools, offices, and apartment buildings. Usage of this mineral peaked in the U.S. between 1930 and 1980. Asbestos containing materials (ACMs) become harmful once damaged, which can happen when materials get older, are exposed to weather, or are subjected to demolition or construction.

Undisturbed ACMs pose little threat, but any sort of disruption can have catastrophic consequences because there is no safe level of asbestos exposure. This disruption can be caused by construction, accidents damaging walls, water or fire damage, and general aging over time. Once disturbed, microscopic asbestos fibers are released into the air. At this point they are at risk for inhalation and ingestion by people and animals.

After they enter the body, asbestos fibers settle into the linings of internal organs including the lungs, heart and abdomen. These particles are microscopic, and rubbing against the sensitive tissue of internal organs can cause tiny nodules to form around the fibers. This irritation can cause tumors and mesothelioma cancer to develop. Symptoms such as chest pain, coughing, and fatigue are vague, and easily attributable to a number of other ailments, which makes early diagnosis very difficult.

Exposure at any point can be dangerous and lead to mesothelioma down the road, which can take up to 50 years to appear. Individuals who are worried about mesothelioma should inform their doctor of any of these symptoms, and of any possible asbestos contact. Exposure can occur from housing, construction materials, working on shipyards, working around fire retardant materials, or in mines. After diagnosis and forming a treatment plan with your doctor, you can pursue options in financial compensation if exposed on the job.

Elderly people are most at risk for mesothelioma because they have a higher likelihood of exposure to asbestos at some point in their lives. Exposing them to even more asbestos in the home can exacerbate irritation and lead to further health complications. Sixteen percent (16%) of residents in public housing are seniors, and more than half of those seniors rely on Social Security as their primary source of income. The only safe way to deal with the concern of asbestos is to hire an abatement professional to take care of the situation. However, building owners, and even the government, are not required to do so if they feel any ACMs present are in good enough repair to not be a danger to health.

Many LIH options are still owned by private property owners, which puts the cost of abatement on them. These proprietors may be loath to shell out money to abatement professionals, but they are required to maintain livable conditions on their properties, even if they aren’t specifically mandated to get rid of asbestos. For poorer individuals, the best course of action is to keep an eye around their housing, to see if anything appears to be in disrepair. If it is, they can ask their property owners to have the building tested for dangerous asbestos. If property owners refuse, they can be at risk for lawsuit for not maintaining healthy living standards.

Southside Chicago 1973
South Side Black Community In Chicago With Small Businesses And Apartments Over The Stores In The Older Buildings Near 43rd And Indiana Avenue, 06/1973. Source: The US National Archives, Creative Commons

Impacts of Housing on Wellbeing

From 1954 to 1967, the Chicago Housing Authority built more than 10,000 public housing units. However, only 63 of these were built outside of poor and racially segregated areas. In 1966, community activist Dorothy Gautreaux, along with the support of ACLU lawyers, sued the CHA in federal court. Gautreaux’s case set a precedent that there is a serious difference between urban and suburban housing. The Gautreaux Project refers to an experiment the court set up after Gautreaux won her case. The U.S. Supreme Court ordered the CHA to randomize the placement of families with Section 8 housing vouchers. Participants were placed in either suburban or urban neighborhoods regardless of race. After many years, the outcomes of these families were measured against each other.

The families placed in urban situations were more likely to have lower performing children, remain on welfare, and have lower graduation rates than the suburban participants. The Gautreaux project was hailed as definitive proof that a person’s housing situation has a strong correlation with their overall wellbeing. Sociologist James Rosenbaum testified before Congress on the Gautreaux Project’s results, which helped inspire the Moving to Opportunity (MTO) program. The MTO emulated the Gautreaux project on a larger scale with 4,600 low-income families in Baltimore, Boston, Chicago, Los Angeles, and New York City. The official MTO report found that moving to lower areas of poverty lowered risk of diabetes and obesity for women, proving that concentrated and irresponsible low-income housing is undeniably bad for health and wellbeing.

Mental Health and Housing

 In 2015, the MacArthur Foundation released a report entitled The Link Between Housing, Neighborhood, and Mental Health which identified three linking factors between mental health and living situations. The study used a cross-section of 371 low-income Latino families living in the Bronx, with eligibility determined based on their income. The three factors identified in the report were housing quality, neighborhood cohesion, and policy. They found that poor housing conditions contribute to depression and hostility, but contravened by neighborhood cohesion and improvements to housing.

These issues are interconnected since social cohesion is less present in groups of people experiencing mental health issues, which can then contribute to further mental health issues and spiral out of control. A 2016 study in Britain found similar links between housing and mental health. The research concluded that when exposed to unstable housing conditions for more than a year at a time, children are three times as likely to experience depression and anxiety. Women are also more likely to develop these issues, though at a lower rate of 10 percent.

These connections are apparent, but can be difficult to measure since any mental health issue may have predated the move into low-income housing. Additionally, the effects of an unstable living situation can compound on each other.

Closing Thoughts

No matter the difficulty with which these effects are measured, the importance of responsible housing practices cannot be overstated. The biggest barrier to fixing this problem is the intricacy of the situation. Policy changes, shifts in public opinions, political attention, and development of alternatives can all stand in the way. The results of the studies cited above illustrate steps that could be taken to create a successful model of public housing. As these reports prove, an improvement in housing situations can also result in overall quality of life and contribution to society. By taking these factors into account, populations in need of housing assistance can be provided options for safe and healthy living, at the lower cost that they need.

For residents renting from a privately owned property that exhibits any of the risk factors for decreased health and well-being, you will need to prove that conditions are unlivable. To do this take documents and photographs that support your claim and force landlords to fix them or risk having rent withheld. For residents of public housing, the government is subject to the same rules, and if you are displeased, you can consider the MTO program as an alternative.

 

 October is Healthy Lung Month. Toxins in the home can cause harm to anyone exposed. To avoid these dangerous health risks, educate yourself about how you can avoid exposure, and what your rights are. The Mesothelioma Cancer Alliance is dedicated to seeing asbestos eradicated worldwide and ending toxin pollution for people everywhere. 

What is Gender-Based Violence?

Growing up, I was resentful of the social freedoms my male friends naturally enjoyed. Unlike the parents of my male friends, my parents were very strict about things like curfews, not being outside at night alone, and avoiding certain neighborhoods. My dad would always say, “We trust you, but we don’t trust the people around you”. Although I was still resentful, I know my father enforced those stringent rules because he was trying his best to protect me from gender based violence (GBV). GBV is defined as violence towards an individual that is motivated based on his or her gender identity, biological gender, “or perceived adherence to socially defined norms of masculinity and femininity”. The term ‘violence’ encompasses physical, sexual, and psychological abuse along with coercion, threats and compromised liberty. Examples of GBV include sexual violence like rape, domestic violence, and human trafficking. Both men and women are affected by GBV; however it is recognized women and girls are at most risk for exposure due to the imbalanced power relations between men and women “which have led to domination over and discrimination against women by men … and that violence against women is one of the crucial social mechanisms by which women are forced into a subordinate position compared with men.”

Violence against women and girls is a prevalent human rights violation resulting in disproportionate negative consequences on females’ physical, mental and sexual and reproductive wellbeing including but limited to including, but not limited to: “i) fatal outcomes; ii) acute and chronic physical injuries and disabilities, iii) serious mental health problems and behavioral deviations increasing the risk of subsequent victimization and iv)  gynecological disorders, unwanted pregnancies, obstetric complications and HIV/AIDS .”

International Womens Day Strike. Source: Molly Adams. Creative Commons

Some troubling statistics on GBV:

  • In 2014, a UNICEF study projected that ~120 million girls (almost 1 in 10) under the age of 20 have been forced to perform sexual intercourse or other sexual acts during some point of their lives.
  • Almost half of the women killed in 2012 were murdered by a family member or intimate partner.
  • Globally, the WHO estimates 35% of women worldwide have experienced either physical and/or sexual intimate partner or non-partner violence or sexual violence. Other national studies have estimated up to 70% of women experience GBV.
  • “Women and girls together account for 71 per cent, with girls representing nearly three out of every four child trafficking victims. Nearly three out of every four trafficked women and girls are trafficked for the purpose of sexual exploitation.”

Although a pressing issue, it wasn’t until 1992 when the Convention on the Elimination of All Forms of Discrimination against Women (CEDAW) formally adopted General Recommendation No. 19: Violence against Women (GR 19), which legally categorized violence against women a distinct form of discrimination. Likewise, it wasn’t until 1993 the United Nations General Assembly adopted the Declaration on the Elimination of Violence against Women (DEVAW), forming the first ever internationally-recognized definition of GBV. Both documents explicitly outline how GBV violates basic human rights mentioned throughout the UDHR such as the right to life, dignity, and health.

Health Effects of Exposure to GBV

Sexual and Reproductive Health
GBV is a major public health concern contributing to mass amounts of mortality and morbidity. Specifically, the relationship between GBV and HIV and other STIs has been recognized as an important pathway for the contraction and spread of such diseases. WHO states that, in some regions, women facing sexual partner violence are 1.5x more likely to contract HIV, and 1.6x more likely to contract syphilis. Here’s how:

First, increased vulnerability to HIV and STI’s stems from sexual violence such as rape. “Violence reduces victims’ abilities to influence the timing and circumstances of sex, resulting in more unwanted sex and less condom use, including situations where women are coerced or pressured not to use condoms.” For example, of the estimated minimum 250,000 women brutally raped during the Rwanda Genocide, 70% of those survivors tragically acquired HIV.

Second, another important pathway from GBV to HIV is men who are physically violent are also more likely to be HIV positive. Studies find violent men are more likely to engage in risky sexual behavior such as having multiple sex partners and utilizing transactional sex, increasing their chances of contracting and spreading HIV and other STIs.

Along with the spread of disease, women and girls experience unwanted pregnancies due to GBV. The WHO states that women with previous exposure to GBV are more likely to account having had a self-induced abortion. Globally, “80 million unintended pregnancies each year, at least half are terminated through induced abortion and nearly half of those take place in unsafe conditions.” A study analyzing the relationship between GBV and sexual and reproductive health among low-income youth in three Brazilian cities, supports WHO’s statement that women in abusive relationships are more likely to experience unwanted pregnancies. The study found adolescent females who became pregnant as teenagers were more likely to have been victims of controlling behavior or physical abuse compared to teenage girls whom have never gotten pregnant. Among the girls who got pregnant as a teenager during the study, “20% reported having suffered physical violence from a partner and 10% reported having been subjected to sexual violence from a partner, compared to 5% and 3% respectively of those who did not get pregnant as teenagers.”

Mental Health:

Along with physical harm, studies highlight women and children face serious mental health problems after enduring traumatic experiences with GBV. “Exposures to traumatic events can lead to stress, fear and isolation, which, in turn, may lead to depression and suicidal behavior.” According to the WHO, women abused by a non-partner are 2.3 times more likely to have alcohol use disorders and 2.6 times more likely to have depression or anxiety. A cross-sectional study based on the Australian National Mental Health and Well-being Survey in 2007 found that of the 4,451 female respondents, 1,218 (27.45%) of the women have experienced one of the four types of GBV analyzed in the study (IPV, stalking, sexual assault, and rape). Of the 139 women who experienced at least three types of GBV, the rates for mental disorders were 77.3% for anxiety disorders, 47.1% for substance abuse disorders, 34.7% for attempted suicide, and 56.2% for PTSD.

Right On. Source: Liz Spikel. Creative Commons

Potential Solutions to Address Gender-Based Violence

In light in of April being sexual assault awareness month, itself a form of GBV, it is essential to break through the culture of silence. Our health care system can be more active is addressing the prevention of GBV, and also the aftermath of GBV. First, providing survivors with mental health services such as counseling is critical for these women and girls to address their psychological trauma and progress with their lives. Mental health services are vital in providing survivors a voice to express themselves. Second, our health care system could potentially be a major stakeholder in identifying and stopping GBV.

“GBV is very common, but most health care providers fail to diagnose and register GBV, not only due to socio-cultural and traditional barriers, lack of time, resources and inadequate physical facilities; but even more so due to lack of awareness, knowledge and poor clinical practices with limited direct communication and failure to do a full physical examination, not to mention register and monitor the effectiveness and quality of care.”

Moving forward, there needs to be a systematic change within in the health sector. The World Bank, amongst other NGO’s, have provided approaches on how to address this issue. Some strategies to consider include, but of course not limited to:

1) Requiring GBV screenings during doctor visits to ensure early intervention
2) Train and educate health care personal about GBV to improve provider’s knowledge, medical services and attitudes towards GBV.
3) Providing survivors access to adequate infrastructure within hospitals which includes private counseling and examination rooms.

Women are approximately 50% of our global population, yet gender-based violence is one of the most prevalent and widespread human rights violations. Gender equity is an inalienable right protected in numerous human rights documents, however change will never be achievable until we break this vicious cycle of violence through education and strict policy changes. Ultimately, women have proven they are just as equally capable as men, and gender-based violence and discrimination over an uncontrollable biological factor is simply unjust.