We get ink!

UW-Eau Claire campus news featured an article (above) that describes some of our experiences.

In public and community health nursing practice, care extends beyond a single patient and includes the family and community as well.

Some theorists recommend approaching the community as "a disciplined stranger." Because a stranger will pay attention to aspects of the environment that others (more comfortable and familiar with the environment) may ignore or overlook.

In our case, we are all "strangers in a strange land" ~ and thus, we hope that our view of the community is fresh and full of meaningful insights.

A "community" may be variously defined as a place (such as the community of Eau Claire) or as a collection of people (such as the community of graduate family health practitioner students).

We have chosen to examine a little of both ~ the community of homeless persons and the area around inner city Washington, DC, where we served.

We will be using a standard nursing approach to community assessment that views the community as a client. Just as a client may be pregnant or not pregnant, a community is ALWAYS about 2% pregnant. And, although we are examining an aggregate rather than an individual, we are focusing upon the aggregate with the goal of deriving a diagnosis(es) for the community and to improve the health of the community.

We look at the physical features of the community first, and then we progress to some of the social aspects. The physical features may include signs, boundaries, age of the community, and so forth. The social features of the community may include persons, such as key informants, who can share information about patterns of behavior in the community.

A comprehensive, careful, and complete community assessment can drive policy, alerting others to the need for social change.

Although we were immersed in the culture for only 5 days, we will endeavor to enlighten you about our perceptions of the community with regard to inner city homelessness. Stay tuned for our community assessments.

Bethany's Blog ~ Day 5

Thursday March 18th.....our last day. Today we got to spend some time working directly with the homeless. At Thrive DC, a program that serves meals, offers showers, use of washer and dryer, and hygiene supplies, we prepared food and served the morning meal. Although I was in the kitchen the majority of the time, I did get a glimpse of the prevalence of mental illness within the homeless population. I was amazed at the amount of food that gets prepared and served every single day. When thinking of donating food to the homeless, we realized the importance of really knowing the barriers and needs of the people. They can't be given canned foods such as pasta and sauce because they don't have anywhere to prepare it. I've noticed that often people donate the foods they don't like, or extra foods from their pantries. After seeing and learning what I have in DC, I will picture an individual who might need the food when I donate, and I will donate from the heart. I feel it's important to treat homeless with respect and dignity (like the mission of N Street Village); not like someone who is sub-human who should be happy with every one's unwanted items.

In the afternoon we did some teaching on exercise and nutrition at Christ House, which is a health care facility for homeless individuals who are not sick enough to be kept in the hospital, and not well enough to be out on the streets. The men we met were amazing people. Some are dealing with addiction issues, most had recent surgeries they were recovering from. They are treated very well by staff, and allowed the time they need to recover. The men were very interactive with us, and were happy to share their stories with us. One man talked about how his sense of humor had returned since he has been clean from drugs. He really enjoys seeing people laugh. It makes me wonder how sad it must be living on the streets and dealing with all the troubles that come with it. Everything about being homeless just seems so unhealthy; physically, mentally, emotionally, spiritually. And how ironic that they live such unhealthy lifestyles, and don't have any health insurance to pay for health care. I believe homeless people don't ask to be homeless, and they wouldn't be there if they could help it. It takes a strong person to struggle and suffer the way they do on an ongoing basis. I have learned to acknowledge the homeless, not ignore them or pretend they don't exist, to treat them like equal human beings, and to take the time to learn what their needs are so I can help in an effective way.

Bethany's Blog ~ Day 4

Wednesday March 17th. Today was another eye-opening day. Kelly and I had spent the night last night upstairs in the shelter, so we woke the ladies up, helped them with their meds, and made sure everyone was ready and out by 7:30 am. I was pleasantly surprised to see that most all the women were very good about getting themselves ready to go, and several of them were all dressed up and on their way to work. Part of me was worried during the night that maybe the ladies would take advantage of us, since they knew there were new volunteers up there every night. I was also nervous about having to make sure everyone left by 7:30; especially since some of them didn't have anywhere to go. Many go across the street to N Street Village for the day, as they keep opposite hours as the shelter and offer meals, showers, warmth, and activities. The night went smoothly, and I learned so much about the lives of some of the women. One person's story stuck out to me. She is an older Hispanic woman from who has diabetes. She has been coming to the shelter for several months now. Before becoming homeless she lived with her sister and her husband; her only family in the US. She was forced to leave her sister's and not allowed any contact with her after she attempted to stand up for her sister when her husband repeatedly abused her. Her sister chose to stay with the abusive husband. I learned that so many of the women come from situations like this and have no family or friends to help them.

This morning we participated in a Homelessness Simulation. At first it was hard to understand what we were learning from the simulation, but we soon got a glimpse of what it's like for a person to lose their job, home, etc. and how difficult it is to navigate the system to try to get assistance. It's not difficult at all to quickly lose everything; all it might take is an injury that prevents a person from working (lost job), no health insurance (huge debt), no money saved for emergency expenses (no food, utilities, lose home). There are services available such as unemployment, housing assistance, food pantries, etc., but most of them have pages of paperwork that require certain information (many don't have their social security card, drivers license, etc.), to be completed entirely (some don't speak English well, or can't read), long waiting lists, have imcome limits (many people make just over the cut-off limit and therefore do not qualify for assistance), and send people on what seems like an impossible "wild goose chase". Many people don't have the means for transportation and have a difficult time making it to places during hours they are open. This simulation really helps me to be aware of barriers that exist for people who are or are at risk for becoming homeless. I feel people just assume the homeless are simply not trying hard enough, or somehow put themselves in the positions they are in. If something were to happen in my life, I have friends and family I can count on to help me. Many homeless come from abusive or traumatic situations. Many also deal with mental health and/or addiction problems that add yet another layer to their difficulties.

The Letter "L"

We began our immersion on a note of gratitude and we end our immersion on the same.

After returning home, the attached card of thanks arrived on my desk.

Though we brought a great many donated items to the homeless women of Washington, DC, we also GAINED a great deal from the experience.

We extend our thanks to the donors from Wisconsin, to the many Washington, DC agencies who opened their doors to us, to the Steinbruck Center (and to Sarah Rossing who helped organize experiences for us) and to the homeless persons who shared their stories with us.

The Letter "L"

I like the poem "Where I'm From" (above, center) because it reminds me that this young woman from Washington, DC has a strong sense of pride in her city and in her roots in the city. The poet, Sharri, is a 4th grade student from one of the inner city public elementary schools in Washington, DC.

Throughout our cultural immersion, it has been tempting to compare "what we have" and "what others don't have"....

Well, what we don't have is an inner city background. Most of us are from small Midwestern towns. And, while each of us holds our background in some degree of esteem, it is important to be reminded of the pride that others have in theirs.

Enjoy Sharri's proud song (reprinted below):

Where I'm from is my mother.

I look out at the city and all I see is the light

shining on me

and the buildings smiling at me

and the people saying hello to me

and the wind blowing at me

and I know I'm in a happy city

Do you know too?

I pick yes for my answer

because cities like DC are somewhere to live

somewhere to do something fun

and have something to say and somewhere to come

and that's the story of where I'm from.

The Letter "L"

Enjoy the picture at the left called, "The Purple Hat." It was painted by a 5th grade student from one of the public elementary schools in Washington, DC.

There seem to be many issues with the educational system in DC. Persons with wealth tend to send their children to private schools or they live outside of the District and their taxes support schools in Virginia or Maryland.

We visited two inner city public schools, and we were all made aware of the importance of standardized test results to the faculty who work there. At one location, parents were actually told that if their children did NOT score well (for whatever reason), the school might be closed and faculty could lose their positions. No pressure, eh?

The Letter "L"

http://www.commondreams.org/views/022000-104.htm

Follow the link above for a spirited article (written by my late husband~ and you know it's powerful) from 2000 that suggests *gasp* mainstream media IGNORES the poor!

While in DC, we learned about a newspaper called "Street Sense" featured above. This paper costs $1.00 and homeless persons are vendors. Poor and homeless persons earn $.65 for each dollar and $.35 goes into production of the news. Articles in the paper are written by and for persons who are poor and needy.

Some of the issues presented in the papers I purchased and perused were pretty surprising. For example, Martin Luther King Library (in the center of the city) is going to be closed on Monday mornings. While this sort of information wouldn't have even caused me to blink (prior to the immersion); following our immersion, I am aware that closure of the library will directly affect homeless persons because they frequent the library in the morning (to get warm, check the computers for job listings, and to read).

In other large cities (such as LA), there are even regulations that prevent persons who smell (of alcohol, body odor, etc) from frequenting libraries. Regulations such as these target homeless persons and restrict their access to libraries, which means even fewer places for them to find safe havens.

The Letter "L"

We walked to most all of our destinations, though we also took the Metro. In Washington, the Metro is a fast and a relatively inexpensive way to travel, unless you are homeless and have no money at all. Here is some information about the cost:

Metro fares vary based on the distance traveled and the time of day at entry. During regular hours (weekdays from opening until 9:30 a.m. and 3–7 p.m., and Friday and Saturday nights from 2:00 a.m. to closing), fares range from $1.75 to $4.60, depending on distance traveled. At all other times, fares are $1.45, $1.95, or $2.45, based on distance traveled.

Discounted fares are available for school children, the disabled, and the elderly. Metro charges reduced fares on federal holidays except those during which it provides rush hour service, including Columbus Day, Veterans Day, Martin Luther King, Jr. Day, and Presidents Day.

Standard self-service vending machines for passes and farecards are located at each station. Riders enter and exit the system using a stored-value card in the form of a paper magnetic stripe farecard (shown above) or a proximity card known as SmarTrip. The fare is deducted from the balance of the card upon exiting the system. Farecards are purchased primarily at vending machines in each station.

On January 7, 2010, the WMATA board approved hearings to consider a temporary 10-cent fare increase on rail and bus fares to take effect in April through July 2010 in order to make up for a budget shortfall. The increase was approved, took effect on February 28, 2010, and will last through June 26, 2010 (unless the board takes further action to extend or increase it). We just missed the increase.

It is unlikely that homeless persons would find much comfort in the rules of the Metro. There is no eating, drinking, or smoking allowed and no public restrooms. There is warmth, however, and several homeless persons could be seen regularly ~ either sleeping, visiting together, or selling newspapers~ at the exit or entrance end of Metro stations thoughout the city.

Bethany's Blog ~ Day 3

Tuesday March 16th. Today we visited an elementary school where we offered teaching on stress management to a group of parents. The majority of the group was Hispanic and required a translator to communicate with them. One mother in the group expressed to us her high level of stress raising her teenage children alone and recently losing her job. These stories really help me to be thankful for everything in my life. It could so easily be me in a similar situation. It was very difficult trying to give information on stress management when I really have no idea what these people go through every day. I really wanted to help them improve their situations, but managing stress is also important because so much depends on how they cope with their situations; their health, the health of their children, their relationships with family, friends, and community, etc. It was difficult communicating with a group of people who don't speak the same language.

Today we also visited a middle school. This was a true inner-city school, complete with security guards and inspections for weapons at each entrance. This experience really affected me. I am a person who has a large heart for adolescents who come from troubled homes/situations, but after being placed in a 7th grade math classroom to help students, I was shocked by the behavior of the kids. I had never seen such awful behavior in my life! I did have conversations with several of the kids to try to get an idea of why they were behaving that way (not listening to the teacher, being very disrespectful, etc.). When asking one of the girls what she does after school she told me "I go see my man." As a mother of a 14 year old daughter, this really bothered me. The teacher told me there is a lot of pregnancy (in middle school!), abuse at home, and drug and alcohol use/abuse by parents and students. I'm used to dealing with kids in similar situations, but on a one-at-a-time basis. This was very overwhelming for me, considering most of the students come from difficult home situations. Where does a person even start to help these kids? It would really be difficult to be a teacher in these classrooms, so I'm sure it is difficult to recruit quality teachers; which are essential in reaching these kids. It makes me sad that the kids attending this and similar schools often do not have a safe place to grow up. One child from the area was recently a victim of a homicide. I was honestly horrified that such pockets of inequality exist in the United States.

Bethany's Blog ~ Day 2

Today (Monday) consisted of a Civil Rights scavenger hunt, a visit with Sharon at the wellness center, and a blood pressure clinic at N Street Village. During the scavenger hunt we walked to several different sites in DC and learned why each site is important in addressing civil rights issues. Some of the places we visited were the African-American Civil War Memorial which is dedicated to the African American Union army, Ben's Chili Bowl (the only building that survived the riots following the 1968 assassination of Martin Luther King Jr.), Bus Boys and Poets (a coffee shop/library that attracts a diverse population of people who believe in social justice and peace), and house where Lincoln died, and more. During the walk we passed through neighborhoods that I wouldn't dare walk at night.

There was graffiti, broken windows, and run-down homes and buildings. Other areas, often only a block away, there were beautiful buildings and renovated businesses and homes. We also picked up a book listing apartments for rent in the city. It was the size of the entire phone book in Eau Claire. The least expensive apartment was almost $900/ month for a small 1 bedroom. Compared to housing in the Midwest, I was appalled by the cost of housing in DC. It is no wonder people can't afford housing here, considering minimum wage is the same nationwide.

Later we were given a tour and learned the history of N Street Village and Luther Place. These places provide shelter and homes for homeless women without children. Here we met with Sharon, a nurse in the Wellness Center. This meeting really opened my eyes to how to interact and communicate with the women in the shelter, and homeless in general. Many of the women are eager to tell their stories to those who ask. Some are untrusting and have come from very difficult situations; sometimes traumatic situations (65%). Sharon pointed out the importance of the community to be trauma informed and learn how the homeless have experienced life. 80% of the women are African American. While many homeless people do suffer from addictions and/or mental health issues, many have had difficult life circumstances that brought them to where they are now. Many have jobs and work hard to improve their situations. One thing that really struck me about N Street Village is the level of respect that is shown to the women; respect for freedom of choice as well as self-respect. They are specific with their donations so they are able to give the women new items. Showing this respect to the women improves their level of self-respect, which is important in their long-term success. I was pleased to learn there is no time limit for the amount of time the women can stay; they stay until they are well prepared to be on their own. They offer a very low-barrier service. One floor of the building is specifically for women with drug and alcohol addictions, and treatment is a large part of their programing. Sharon taught us to be aware of the internal, external, and physical aspects of working with the homeless population. Internal includes things such as personal biases, stereotypes, perceptions, and the need to ask "what happened". External includes access to services, and physical aspects can include mental illness, addictions, and abuse. This learning session with Sharon was one of the most beneficial interactions of the week. Much insight was learned today!

Learning about the programs offered in DC brought to light things that could be brought/advocated for in my own community. Shelters in my community are much different and only allow people to stay for a limited amount of time, regardless if they are back on their feet and ready to be on their own.

Bethany's Blog ~ Day 1

Our first full day in DC brought many learning opportunities. Volunteering at Martha's Table was the 1st experience I had with preparing food at a community table. I was amazed at the number of volunteers we were told they have coming in on a daily basis. Apparently they have volunteers lined up for the next 3 months! Hearing the history of Martha's Table really opened my eyes to the services in DC and the importance of those services for the homeless and underserved population. There is also a daycare and a clothing thrift store associated with Martha's Table. It was promising to learn that the majority of the children that attend the daycare graduate high school, and some go on to college. Without the services offered in the area, those families and children would likely have not been very successful in life.

Later that evening as we were walking through the city I was saddened to see so many homeless people camped out for the night next to the buildings to try to escape the rain. It really tore me apart to think that these people do not have a safe place to sleep, no place to eat, use the bathroom, be warm, or rest, not to mention any of the luxuries I have at home such as bed, blankets, pillows, heat, television, appliances, and the list goes on. I tried to put myself in their shoes and imagine what they must feel like, but that is really impossible unless one has been there. I know it would not feel good and would strip me of my dignity and pride. It was as if they were on display under all the lights, all wrapped up in their few blankets and tarps, with all their belongings held close. They became real people to me; not just an object know as "the homeless". Each of them had a childhood, a history, a story that I would never learn. And the number of them really disappointed me. They were everywhere. In my community there are homeless people, but we never see them. They are not allowed to sleep in public like they do in DC.

Kelly's Thoughts...

Day 3: You all probably know by now what we did on this day, but I will give you a recap. In the morning we went to Community of Hope for a presentation to parents about stress management and how to talk to their children. Then in the afternoon we hoofed our way to Shaw Junior High School. As we entered the school three security guards met us at the door after we had walked through a metal detector. We were briefed about the school in the office and met the principal there as well. We began our work in the library. The library was well put together, but as we talked with the librarian he revealed the struggles the library has faced. He told us that the library was full of books and glass on the floor and was just a complete mess when he began working at the school (one year ago). He also told us that the previous librarian had worked at the school all of three days and then never came back. Our task was to sort through the books and remove the books that were too old for information. Sounds like an easy task, but I am sure most of the books in there were far too old and how do you recommend removing most of the books in their humble little library? Will they have books to replace the old ones? We weren't sure, but as we sorted we used our best judgment in advising which ones to keep and which ones to toss. After our work in the library we were sent out into the classrooms to help the teachers. Jen and I sat in on a science class. The teacher created a highly structured classroom and I was amazed at her skill in keeping the children's attention. After the lesson I helped two boys with their assignments. One of the boys spoke very little english and needed a great deal of help and guidance. The other boy spoke english, but needed help with his spelling. Overall, the kids were well-behaved for me. As I reflect upon this experience I couldn't help but wonder, "where are all the white kids?" My questions was answered by a fellow classmate after we had returned from D.C. She told me that if parents have any money at all they send their kids to private or even boarding schools. Before this trip I honestly believed that racism was all but over with in the U.S. for the most part. This is most definitely not the case. How is it that this school is full of African American and Hispanic children, but no caucasian children? The dynamics of this are complicated, but deserve thought.
Day 4: We began today with a homeless simulation at the Steinbruck Center. Later on in the day we went to Capitol Area Food Bank, but I would like to discuss my thoughts from the homeless simulation. The simulation began with each of us getting a card with a description of who we were, where we worked (or didn't), who was in our family, etc. I was a married male with two kids. I worked at a job and was able to pay my bills with very little space for extra expenses. As the simulation continued we had people at tables around the room who represented several agencies: food bank, unemployment, N Street Village, etc. As the simulation continued our situations changed...jobs were lost, medical bills piled up, and bills were unable to be paid. We all lined up at the unemployment office and were given a 10 page form written in language we didn't understand. We filled the form out anyway making up fake addresses for homes we no longer lived in, making up phone numbers, and sometimes lying about our income. The forms were handed in and then we waited...in the meantime we would attempt to go to the foodbank, but they may have been out of food or we may have made too much to get food. During this time we were expected to pay our bills with our checkbooks...if there was no money we wrote out bad checks. The simulation continued like this and we spent most of our time just standing around waiting for our paperwork to be filed. It occurred to me that I've seen homeless people just standing around and the thought had crossed my mind of "they don't look so busy...why aren't they out there looking for jobs?" Now I realized that they very well could be applying for jobs, unemployment, and trying to pay their bills, but that there is a lot of waiting time involved in this. And why would you want to get a job if that meant you would lose your benefits?
Day 5: This was our last full day in D.C. and it was my favorite. In the morning we went to Thrive DC! We prepared, cooked, and served food. The people who came to get food didn't need identification, all they had to do was sign in. They were offered hot food, a warm shower, and lots of support. Up until this point most of our work had been with homeless women. Thrive DC! had mostly homeless men. As with the junior high, most of the people there were African-American and hispanic, with very few white people present. The disparities are undeniable.
After Thrive DC! we went to Christ House and talked with patients about diet and exercise. Christ House is a 34-bed health care facility where homeless men and women can stay after their illness and get nutritious meals, medical care, and social services. What a wonderful place! We talked with 4 patients and they had several questions about diet and exercise, but what I noticed most what how much each patient just wanted to tell their story. We enjoyed hearing their stories and I am sure it was therapeutic for them to share their feelings and thoughts. The patients also praised Christ House and the staff at Christ House. They felt they had adequate support to get back on their own. Christ House is not only a medical facility, but a facility that helps each patient achieve health, housing, and support.

Through My Eyes

Our last day in D.C. started out at Thrive DC which is a soup kitchen for the homeless and low income. Volunteering at Thrive DC really showed me what a soup kitchen is/does. Before this experience when I thought of a soup kitchen I would think of it as a place that the homeless and poor go to get a hot meal, once a day or just on the weekend, boy was I wrong.

Thrive DC had to move the middle of last year to a new location and a church stepped up to let them use their basement. Thrive DC doesn’t just offer a hot meal to the homeless they also offer hot showers, laundry services, case managers (to assist people who want help for housing, health care, jobs, etc.), personal hygiene products, food bags, and a evening meal/program for women and children.

Below Beth and Erin cutting onions.

A few of us helped out in the kitchen myself included, I don’t understand how I was always in the kitchen I don’t like to cook and my kids can verify that:)! While in the kitchen the chef explained to us how this program works and said he has been the chef for the past three years and really enjoys it the recipients of the meal really seemed to respect him and all of the other volunteers. While serving the people I was surprised by some of the people whom came through the line. I thought four of these people whom were very well dressed and had no belongings with them worked at the soup kitchen I was wrong…these people were on the verge of homelessness. All of the people whom came through the line for a meal were very thankful for their meals and thanked us for volunteering, what a rewarding personal experience.

Above Kelly mixing meat and sauce and Jen interacting with a gentleman at the soup kitchen.

Our afternoon was spent at Christ House, which is a health care recovery facility for homeless persons. Hospitals treat homeless people for emergencies, but they are often discharged early and must return to the street where they cannot rest and recuperate. Christ House is a 34-bed health care facility where homeless men and women may stay as long as their illness requires them to recuperate; some never end up leaving due to their diagnosis. Medical services, case management, day treatment programs, patient activities, and food services are offered to all patients. Of the $3million dollars that it cost to run Christ House ¾ of the funding comes from fund raising and ¼ comes from government grants. Many, many volunteers help out daily to keep cost as low as possible. Thank God for volunteers.

Some fun stuff!

Cherry Blossoms starting to pop on the last day!











Reflections.....













The White House











If I push hard enough might I move it?










Kelly VERY excited about the ear plugs she just purchased...I knew better and brought my own ;)













Lost but never forgotten....

Erin's Events ~ Day 5

Day 5

Thursday was one of the best days I experienced in Washington D.C. After Angelique and I returned from the Luther Place night shelter we quickly got ready and headed to Thrive DC. Thrive DC is a non-profit organization that provides services to less fortunate individuals. Bethany and I were in the kitchen washing dishes, cutting onions and boilings pounds and pounds of noodles for spaghetti that was going to be served that evening. This was also a great opportunity to serve these individuals breakfast and witness how important these organizations are.

Although Thrive DC was great, my favorite place was Christ House. Christ House is a health care recovery facility for homeless persons. It is a 34 bed facility where homeless men and women may stay as long as their illness requires. It has been running successfully since December 24, 1985 when the first patient came through the doors.

We were assigned to teach these patients about eating a healthy diet and the importance of exercise. As we began to discuss these topics the patients were very enthusiastic and eager to engage in the conversation. They discussed a few things about their diet and exercise but they always ended by telling THEIR STORY. Although we may not have covered all of the topics we wanted to discuss, you could sense that just by listening to each of their unique stories that this was a very therapeutic and effective dialogue. It was very intriguing to understand how each person became who they are today.

Everyone of these patients were so grateful. They took us in with open arms and made us feel comfortable in their environment. They also praised Christ House numerous times throughout the conversation. They discussed how the staff that cares for them are just wonderful. They also enlightened us on all of the exciting opportunities that Christ House has given them such as going to a baseball game or to a movie. These activities help to build their self-esteem. Although they may be homeless, each one of these patients were still treated with respect. It was so nice to see all of the great things that the Christ House does for their patients.

A Christ House Patient states, "This is the best care I could get this side of heaven."

Erin's Events ~ Day 4

Day 4

After a nice long walk and a ride on the metro we arrived at the Capital Area Food Bank. It was founded on Martin Luther King Jr.'s birthday in 1980. They distribute over 1.9 million pounds of food each month through over 700 partner agencies. They also serve over 383, 000 residents and distribute approximately 23 million pounds of food each year.

After a short introduction we started sorting out canned goods, boxed foods and other items. For example, all tomato paste or sauce went into a designated bin and all canned vegetables went into another. It seemed like the boxes of donated food was never ending, which was reassuring to see though. The Capital Area Food Bank had several quotes displayed around the room for inspiration.



I loved this quote because it just emphasizes the fact that EVERYONE can volunteer. After sorting all these food items into their designated bins I felt good that they are one step closer to reaching people in need. Although I played a small part compared to the thousands of pounds of food, I feel like I made a difference. I even thought to myself that I should volunteer more often. It leaves you feeling energized and in high spirits!

Later that night, Angelique and I stayed over night at the Luther Place night shelter where the women resided. I have to admit that I was very nervous because I did not know what to expect. We received a brief orientation. At 11p.m. we turned off the communal TV, locked the doors, turned off the lights and then headed to our room to try and get some sleep. To be honest it was not the best sleep of my life because of questions like, "What if the women start fighting?" or "What if they get really sick?" that I pondered in my head. However, despite a few less hours of sleep the night went great!

We were instructed to wake the women up at 6a.m. and to our surprise one of the women came into our room and told us that is was 6a.m. (even though we were up and ready to go, hehe). All of these women were very motivated and ready to go. We administered medications to the women. All of them were respectful and well put together. If I saw these one of these women walking down the street the day before I would not believe they were homeless because they looked, well, just like everyone else. This helped me realize that the homeless do not fit into one stereotype but could be people just like you and me - They all have a unique story.

Erin's Events ~ Day 3

Day 3

Our Tuesday started off with a rocky start. We walked from the Steinbruck Center and headed to Community of Hope - Marie H. Reed Community Learning Center. The walk took longer than we anticipated so we were late. We also encountered a few more bumps along the way but when all was said and done we worked as a team and got through it. Although our morning was a bit stressful the weather was on our side as it was finally not raining today!

When we finally arrived to the learning center we led a discussion on stress management to the parents of students attending the learning center. Most of the parents that arrived were mothers. However, there was two fathers present. We discussed several things like what causes stress and how to effectively manage it. One woman began crying and explained that she just lost her job and this was most stressful to her at this time. I feel that just by listening to this woman and her story it was worth every stressor that we experienced in the morning to get to the learning center.

The ironic thing about these stressors was that at the end of our discussion everything was OK. We worked together and got through it. However, with the homeless population their stressors such as shelter or food are much more worrisome. In some circumstances they may not be OK at the end of the day. This helped to keep in perspective on what I think is a bad day, is nothing compared to what the homeless population goes through on a day to day basis.

Also, in these stressful situations it reminded me of the importance of the support of others. As I was walking around Washington D.C. I noticed in one area a group of homeless people with all their belongings which consisted of only shopping carts, blankets, etc. were all clustered together. Then a half mile down the road I did not see any of the homeless population. They may have developed a support systems of family and friends just to survive through each day. Things may not always go as planned but with the support of others you are able to push through it a bit easier.

Later that afternoon we arrived at Shaw Jr. High. As we entered there were two security guards at the entrance as well as metal detectors. This was very different to the middle school that I went to. I think the only thing close to a security officer was the D.A.R.E officer for adolescents to resist drugs and violence. All of us visited with students in each of their classrooms.

That evening I was able to visit the Holocaust museum which was absolutely amazing and then also the Arlington National Cemetery. I would highly recommend those two places if you ever plan a trip to Washington D.C.

Erin's Events ~ Day 2

Day 2

On Monday we started the morning off with a civil rights scavenger hunt. This was a great way to become more familiar with the history that Washington D.C. encompasses. It was raining and chilly outside but our coffee from Caribou warmed us up as we began walking. : )

After returning from our scavenger hunt we met with Sharon Watkins, RN who is the wellness center director at N. Street Village. Sharon is an extremely fascinating woman. Her knowledge and character regarding the homeless is captivating. We all discussed what motivated us to come to Washington D.C and interact with the homeless population. Personally, I wanted to be a part of this clinical immersion because of my lack of knowledge regarding the homeless population. I wanted to be immersed in a culture that could show me this population at face value. As our discussion continued, Sharon enlightened me to so many powerful ideas.

I think one of the most powerful ideas was the right of independence and choice that EVERYONE is entitled to. We discussed how frustrating it may be if a homeless person is given $10.00 and uses every cent to purchase cigarettes or alcohol. Regardless of your opinions or even persuasion and education not to do this, they still have the right to choose what they want to do with that money. This is also so applicable as health care professionals because we can talk until we are blue in the face on how important it is to avoid salt in your diet, exercise or take this medication. However, what is important to us as health care professionals may not be as important to your patient. They still have the right to choose what is best for them based upon their specific circumstances. As Angelique mentioned in an earlier blog, we should base our success more on the efforts we put into the situation and what our patients decide at the end of the day is out of our hands. It is so important to put 100% effort into assisting the patient. It is also equally as important to put a biased ideas or judgements aside when the patient makes a decision because it is ultimately THEIR choice not OURS.

Sharon also discussed the impact that a health care professional can have on the homeless. She explained that if a homeless person has a negative experience it may hinder them from receiving any type of medical help in the future. This was important to know as we prepared for our blood pressure clinic later that afternoon. Some advice she offered is to not crowd the patient or stand at angle when talking with them versus square with their body and up close to their face. This will allow the experience to be less threatening. These are just a few simple things that we can do to allow every person to have a more positive experience with a health care professional.

As we started the blood pressure clinic, I was nervous because I have not really interacted with a lot of homeless people before. I became more comfortable as the day progressed. Many of the women were very eager to share their feelings and were so appreciative that we were there. Throughout the clinic, I kept thinking to myself how rewarding this opportunity is becoming and the wealth of knowledge that I have already gained. THANKFULNESS!

Erin's Events ~ Day 1

Day 1

We all arrived safely to Washington D.C. late on Saturday night and were greeted by Lee Ellen and her daughter Amelia. We ate at a terrific restaurant called Thai-Tanic. After eating, we were exhausted from a full day of traveling and headed back to the Steinbruck Center to get some much needed rest. As I was falling asleep I was filled with anticipation and excitement for all of the wonderful things we will be experiencing through this cultural immersion.

Sunday was our first full day in Washington D.C. That morning we walked down 14th street to a soup kitchen called Martha's Table. It is a non-profit, tax-exempt organization that feeds over 1200 homeless and hungry people in many locations throughout Washington D.C. Their mission is to "help at-risk children, youth, families and individuals in our community. Improve their lives by providing educational programs, food, clothing, and enrichment opportunities." It was such a wonderful opportunity to be a part of their honorable mission. We arrived at Martha's Table early and I was struck by how kind the citizens of the community were as we waited outside. They talked with us and ensured us that Martha's Table will be opening soon. Maybe we looked like real tourists, walking around aimlessly (haha) but they were so willing to reach out to others. This was a great start as we began to interact with the community.



Martha's Table was such a neat experience. The Obama family volunteered there last November. It was fun to hear that we were at the same place that the president was! With a lot of excitement we washed our hands, put on our gloves, hairnets and aprons. We were ready to be immersed within this experience! We bagged several bakery items and placed them into specific bins for the other volunteers to distribute throughout the community. We prepared salads and cut up potatoes as well. It was such a rewarding feeling to know that someone who is in need of food will eat because of this wonderful organization.

Later that afternoon we took a tour of the N. Street Village which provides a variety of services such as housing, food and clothing to homeless and low income women. They offer services to 800 women which would account for 1/3 of the total number of homeless women in Washington D.C. Syndi who is the community outreach coordinator explained that their main focus is respect. This is why they only accept new donations and not old or used. It was nice to hear that these women are treated no different than anyone else. Through respect their goal is to provide these women with the right tools towards a more stable lifestyle.

Their mission states, "N Street Village empowers homeless and low-income women to claim their highest quality of life by offering a broad spectrum of services and advocacy in an atmosphere of dignity and respect. The Village also provides affordable rental housing for low and moderate-income individuals and families."

For more information regarding Martha's Table visit: www.marthastable.org
For more information regarding N. Street Village visit: www.nstreetvillage.org

We also fit in some time do some site seeing. Here a couple of pictures:

Jen's Journal

Day 5

Our morning was spent volunteering in a local church basement with an organization called “Thrive DC.” This was truly my favorite experience during our week long journey for many reasons. Not only did we provide help to upwards of one hundred individuals, but we also were able to interact with and make connections with people on several levels rather than doing behind the scenes work. Some people drifted about the room displaying their obvious mental illnesses shouting and instigating. Others quietly sat at a table only moving when their table number was called to proceed to the food line. Many came over to my station to get everyday supplies such and a comb, lotion, tooth paste/brush, and they would then ask to be signed up to take a shower. Initially many asked for their supplies and returned to their table to wait, but as time passed and they realized we were “the new kids” and they wanted to know as much about us as we wanted to learn about them.

My “ah ha moment” of the trip however came towards the end of session with Thrive DC. The food was nearly gone and seconds had been announced. Many people had already left but others were lingering for emotional support or perhaps a last bit of warmth. When my toiletry station was nearly depleted I joined a nearby table with a young man who was working on “word poetry.” If you are not familiar with word poetry, imagine hundreds of tiny magnetic words mixed in a basket and sorting them out to form sentences, or in our case poetry.

As I sat and helped the young man create a poem, I soon realized it was not about the sentences he struggled to create, but rather, it was about the time, encouragement, and support I gave to him and the acceptance he felt. When they called for clean up time, he was the first one to spring up off his chair and tell me, “we have to clean up.” He started tossing the words back into the box and then proceeded to help me fold up all the tables and chairs. Just when I thought there was nothing left to do, he grabbed the mop and made sure every last bit of the floor was clean. He so badly wanted to help and be accepted but despite his efforts, his life remained a struggle.

After talking with some of the program workers, I found out he was originally from Mexico and had come to America in hopes of a better life. He had recently moved from Atlanta because Washington DC offers more resources. Considering English was his second language and the fact that he had some mild learning disabilities, he needed the additional assistance. He was the type of person that really pulled at my heart and even twisted it a little as he walked out the door. The joy on his face from simple moments we shared made me feel wonderful and I truly believe he made me a better person that Thursday morning. I only wish I had a picture to share with you regarding this powerful day in my heart.

Jen's Journal

Day 4

Passing by an advertisement in the underground metro I snapped a photograph of the going green efforts within Washington DC. The city, much like the rest of our nation, is making strides to rid our streets, lakes, and rivers of harmful plastic bags though encouraged use of reusable cloth bags. Prior to our departure, our group ended up shipping approximately 100 reusable bags to the N. Street Village Shelter for women to use since city stores have started charging for each plastic bag. Between additional costs and advertisements, going green efforts really appeared to be catching on.

The Capital Area Food Bank which we volunteered at on Wednesday afternoon also jumped reuse and recycling band wagon. As we sorted box after box of donated items, nothing went to waste. The items which were damaged but could still be opened were used for distribution. Items where food quality/safety were in question or cans which were too badly damaged to open were placed in a bin labeled “hog food.” Every intact brown paper bag that was used to bring in goods was saved and rather than breaking down cardboard boxes from retailers, they were put back together and reused.

As we sorted through what seemed like never ending bags and boxes of food piled higher than I could reach, I looked up at the walls of the building to find random quotes painted. The quotes filled my mind with thoughts of pride and honor, yet sorrow and disbelief. The shear amount of donated items was overwhelming and made me reflect on Americans and their wonderful ability to give. From donated items to volunteered time, people really do want to help and make a difference. In contrast, how is it that a nation which claims to be the “land of the free” and prides its self in supposed equality has the need for a food bank which contests the size of the largest warehouse in Eau Claire? Given all of DC’s efforts, many people still remain hungry on a daily basis…something just does not seem to add up if you ask me. I’m sure other areas of our country and the world face similar problems but it was defiantly something to ponder as I sorted each can of soup or bottle of water.

This Winston Churchill quote is one of many I enjoyed while working at the food bank. I think it captures American’s generosity and pride to help when needed.

Jen's Journal

Day 3

At 7:45 am Stacie and I returned from spending the night in the Luther Place Night Shelter. With sleepy eyes, a bit of a headache, and an aching back thanks to a cot which dipped so deeply in the middle I didn’t think I would ever get out, Tuesday had started. We as a group were supposed to be at Community of Hope – Marie H. Reed Community Learning Center by 8am but we apparently underestimated the walking time and there was no direct metro to the location. We were also unaware of the fact that spending the night in the shelter meant waiting till 7:30 for the ladies to all leave and then locking up; yet another unexpected delay. Needless to say, we arrived at our location slightly late but no harm was done, other than to our ego’s and pride, as the parents whom we were supposed to speak to were not scheduled to arrive till about 9am.

As the morning progressed, we dealt with several more unexpected moments but fortunately we had the resources and knowledge to deal with each situation. This made me think, how do the homeless deal with all the unexpected situations they encounter? If we were knew our destination was beyond walking distance we could have called a cab. Unfortunately cabs are a luxury which most homeless do not have as an option; the choice between a cab and walking could mean 3 less meals for the week. What if you had planned on taking the metro with the spare change you collected over the past few days to attend a job interview and the metro was delayed due to a crash or you underestimated the time it took to walk there? You then are late or worse yet, miss your interview which in turn makes you late for your next appointment with the food bank…it can be a viscous cycle.

As frustrated as we were Tuesday morning we were able to keep our heads held high because we knew everything would be okay at the end of the day. If we were homeless however, this probably would have been a disastrous day.