“Today’s work at yesterday’s prices”
by Andrew Malekoff © 2012
One of the oldest, largest and most well-respected community-based human service agencies closed on January 27, 2012. Some 300 employees at Chicago’s Jane Addams Hull House Association were handed layoff notices and final paychecks and were notified of the immediate discontinuation of their health care benefits. This is a tragedy and an ominous sign.
Hull House was founded in 1889 by social worker and Nobel Peace Prize winner Jane Addams and her lifetime friend and community-activist Ellen Gates Starr. Hull House began as a home for disenfranchised citizens. The organization’s mission was “neighbors helping neighbors.” In its early years Hull House was organized to help immigrants to learn English and the principles of democratic citizenship and to improve the lives and working conditions of many of those living on the west side of Chicago. In recent years Hull House’s focus was on foster care, child care, domestic violence counseling and job training.
Hull House was a beacon for social justice. It was guided by three basic principles: (1) active and side-by-side participation with community residents in addressing local issues, (2) respect for the dignity of all individuals regardless of ethnic background, socioeconomic status, gender or age and (3) belief that poverty and lack of opportunity breed ignorance, crime and disease that are the result of financial desperation and not due to a flaw in moral character.
Hull House’s demise was the result of its over-reliance on government financing. Margaret Berglind, president of Child Care Association of Illinois, commented that “The government is asking you to do today's work at yesterday's prices." I agree.
At North Shore Child and Family Guidance Center we have not seen an increase in our government contracts for a quarter-of-a-century. We are not alone. As with Jane Addams over 100 years ago, we depend on private citizens to invest in our mission - to restore and strengthen the emotional well-being of children and families. Our donors understand what is at stake. They are more than do-gooders, despite the good that they do. They understand that what we do is cost effective, saving tens of millions of taxpayer dollars by keeping troubled young people at home and out of emergency rooms and costly institutional settings.
I have reported extensively on what I believed would be the devastating outcome of New York State’s plan to restructure the financing of outpatient community-based mental health centers. Although I agreed that the over-reliance on Medicaid financing had to change, I strongly disagreed with the planners’ neglecting to provide reasonable local assistance for underinsured middle class and working poor children. State officials told me that that these families could seek help privately. My argument, based on first-hand experience, was that private practitioners would turn away troubled children that only a community-based agency had the culture, resources and wherewithal to serve effectively.
We are beginning to see the consequences of clinic reform on Long Island. In recent years several major community-based mental health clinics have either closed their doors, been taken over by New York City-based conglomerates with no community roots or transformed their outpatient operations into per-diem factories with no salaried employees. Much of this has happened under the radar.
Was it the intention of the New York State Office of Mental Health to shrink the system of care? Although it is not their job to keep providers in business, it is their responsibility to ensure ample access and consumer choice and to make sure our most vulnerable citizens - our children - get care, regardless of their family's economic status.
I am certain that Jane Addams would have agreed.
To be published in the Anton chain of 18 Long Island, NY newspapers in February 2012.
Saturday, February 11, 2012
Wednesday, February 1, 2012
OCCUPY THE BOYS' ROOM
OCCUPY THE BOYS’ ROOM
By Andrew Malekoff © 2012
The “Occupy Movement” has been greeted with mixed sentiment ranging from admiration to revulsion. On the plus side, the movement shows young people that folks of any age can come together around their own vision of the world they want. However, one does not have to attain revolutionary goals to work toward social change, as I learned some years ago when I was working with a group of troubled boys.
At the time, I was involved in developing an innovative school-based mental health program. I was filling in at the school, for a few weeks, for one of the social workers who had taken a leave. I agreed to work with her boys’ group. The boys in the group were teenagers with significant emotional difficulties, ranging from depression to explosive behavior.
In my first meeting with the boys, the discussion took an interesting turn. They complained that there were no doors on the boys’ bathroom stalls and that there was yellow soap in the dispensers. It was a bit of a detour, but I encouraged them to say more about their objections.
As I recall, Keith was the first to speak out: “Do you think they have any idea how humiliating it is to go to the bathroom with no doors on the stalls? There’s no privacy; it’s embarrassing. It’s like they don’t trust us; they’re treating us like little boys.”
Sam added, “It’s disrespectful, that’s what it is – it’s disrespectful.”
And then Kurt, getting back to basics, pointed out, “Man, it’s a lot of pressure when you gotta go badly and you know you can’t.”
Benji added “It says ‘Boys’ Room’ on the bathroom door! We’re men! Dammit! What kind of crap is this anyway!”
A little later, another group member, Rob, asked the others if it was true that kids peed into the soap dispenser. Jay said that he saw someone do it but no one could really tell until it was too late because the soap was yellow. To which one of the group members declared, “We have to get them to put pink soap in the dispensers! Then we’ll know if anyone pees in there. Then we’ll know.”
Being heard and really listened to was a rare experience for the dozen boys who comprised the group. They knew about what being misunderstood, rejected and isolated was all about; but not in this group where they felt connected to one another. They were angry and united – outraged.
In time their social worker rejoined the group. I filled her in about the boys’ quest for improved bathroom conditions. She then guided them to develop a list of bathroom improvements that would be presented to the principal. She led them through an exercise in which they rehearsed presenting their grievances. Then she urged them to request a meeting with the principal to present their case.
Many weeks later, I came to the high school after the dismissal hour and headed down a long vacant hallway to attend an administrative meeting. I pushed open the “Boys’ Room” door and was pleasantly surprised to find pink soap in the dispensers and doors on the stalls.
This story affirms that, working towards change does not require revolutionary goals. Supporting young people in taking action against social injustices – big and small – is a great way to help them to think critically, take a stand and prepare to become active citizens in community affairs.
To be published in the Long Island, NY Anton chain of 18 newspapers in March 2012.
By Andrew Malekoff © 2012
The “Occupy Movement” has been greeted with mixed sentiment ranging from admiration to revulsion. On the plus side, the movement shows young people that folks of any age can come together around their own vision of the world they want. However, one does not have to attain revolutionary goals to work toward social change, as I learned some years ago when I was working with a group of troubled boys.
At the time, I was involved in developing an innovative school-based mental health program. I was filling in at the school, for a few weeks, for one of the social workers who had taken a leave. I agreed to work with her boys’ group. The boys in the group were teenagers with significant emotional difficulties, ranging from depression to explosive behavior.
In my first meeting with the boys, the discussion took an interesting turn. They complained that there were no doors on the boys’ bathroom stalls and that there was yellow soap in the dispensers. It was a bit of a detour, but I encouraged them to say more about their objections.
As I recall, Keith was the first to speak out: “Do you think they have any idea how humiliating it is to go to the bathroom with no doors on the stalls? There’s no privacy; it’s embarrassing. It’s like they don’t trust us; they’re treating us like little boys.”
Sam added, “It’s disrespectful, that’s what it is – it’s disrespectful.”
And then Kurt, getting back to basics, pointed out, “Man, it’s a lot of pressure when you gotta go badly and you know you can’t.”
Benji added “It says ‘Boys’ Room’ on the bathroom door! We’re men! Dammit! What kind of crap is this anyway!”
A little later, another group member, Rob, asked the others if it was true that kids peed into the soap dispenser. Jay said that he saw someone do it but no one could really tell until it was too late because the soap was yellow. To which one of the group members declared, “We have to get them to put pink soap in the dispensers! Then we’ll know if anyone pees in there. Then we’ll know.”
Being heard and really listened to was a rare experience for the dozen boys who comprised the group. They knew about what being misunderstood, rejected and isolated was all about; but not in this group where they felt connected to one another. They were angry and united – outraged.
In time their social worker rejoined the group. I filled her in about the boys’ quest for improved bathroom conditions. She then guided them to develop a list of bathroom improvements that would be presented to the principal. She led them through an exercise in which they rehearsed presenting their grievances. Then she urged them to request a meeting with the principal to present their case.
Many weeks later, I came to the high school after the dismissal hour and headed down a long vacant hallway to attend an administrative meeting. I pushed open the “Boys’ Room” door and was pleasantly surprised to find pink soap in the dispensers and doors on the stalls.
This story affirms that, working towards change does not require revolutionary goals. Supporting young people in taking action against social injustices – big and small – is a great way to help them to think critically, take a stand and prepare to become active citizens in community affairs.
To be published in the Long Island, NY Anton chain of 18 newspapers in March 2012.
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