Health Equity & Social Justice

Reporter Alayna Shulman profiles two women living with mental illness in rural northeast California, where services can be scarce. “You’ve just got to keep going, and you’ve just got to cling to the hope that things are going to get better," one woman says.

The roster of mental health workers in the rural areas is alarmingly small. And with too many people seeking help and few professionals to offer it, experts say the results are predictable: lengthy wait times, fragmented care and — in some cases — patients giving up hope of finding treatment.

To Campbell Park. To Fairmount Park. To Lakewood, Maximo, or Melrose. The five worst elementary schools in Pinellas County­ — all among the very worst schools in Florida — have seats with their name tags on them.

Violence is a part of daily life in the most segregated elementary schools in Pinellas County, Florida. Five elementary schools had more violence than all 17 high schools combined.

First the School Board abandoned integration, leaving the schools overwhelmingly poor and black. Then they broke promises to help and stood by and did nothing as black children started failing at outrageous rates.

With a dramatic flourish, a longtime education activist recently unfurled a Confederate battle flag in front of Pinellas County School Board members, saying they had failed black students in five neighborhood schools in south St. Petersburg.

Social workers at Rhode Island’s Department of Children, Youth, and Families say they have too many cases to really make a difference in children’s lives. The agency is already facing criticism for other problems, including one of the nation’s highest percentages of foster children in group homes.

Black leaders in Florida's Pinellas County say the school district broke promises they made to settle a lawsuit accusing them of shortchanging black students. The criticism comes in the wake of the publication of "Failure Factories," a yearlong investigation by the Tampa Bay Times.

There has been a lot of rhetoric about the value of community health workers, but such programs don't always work as well as they could. Some basic guidelines could go a long way toward ensuring such workers contribute to the health of patients, particularly those with chronic diseases.

"As a journalist and as a person, there’s something therapeutic about being entrusted with someone’s personal rock bottom, and being a vessel for their story," writes journalist Jazelle Hunt. "There’s something therapeutic and powerful about standing with someone in his or her pain."