MHACONF20 Day 1: COVID-19, Mental Health, and Underserved Populations, with Dr. Luz Maria Garcini

Hi everybody, welcome back.I am America Paredes, I am the Associate Vice President for Partnerships andCommunity Outreach now at MHA. My pronouns are she, her, hers and I am soglad to be with you today. I am very pleased to be moderating ournext segment and discussing the mental health impacts of Covid on underserved populations.Our next patron is an expert in this topic and I am so pleased to have her here with me Dr. Luz Maria Garcini is the AssistantProfessor at The Center for Research to Advance Community Healthat the University of Texas health Science Center San Antonioand a module academic at the Baker Institute for Public Policy at Rice University the primary goal of her investigate is toinform plan and best rules among providers, as well as to develop and disseminate interventions for individuals andfamilies facing adversity.Doctora Garcini , thank you for coming in for meeting us. We’re going to dive liberty in becausethis topic is something that is so important to discuss and I want tobe able to have as much era as possible to chitchat with you.So, Dr. Garcini, welcome! Hello America , thank you for asking pardon us the gap to talk about like you just mentioned this important topic. I’m so happy to have you here not only because of the job that you’re doingbut because of what it means to have individuals like yourselfdoing this important work and be representative of individuals whoidentify as black indigenous and people of color. So, I’m going to dive freedom into ourconversation, so tell us Dr. Garcini, a little about the creation that you are doing Yes, so specially focus on Covidone of the things that we try to reach out and anatomy it outis how is the current environment affecting the mental health and thewell-being at all different levels, physically, mentally, and spiritualof underserved parishes, such as the latino society across the U.S.Mexico border, you know, “weve had” other underservedpopulations, such as our black communities that are alsostruggling, we have native American parishes that have alsoyou know knew a lot of the uncertainty that has come with theunprecedented times.So in trying to find out what aresome of these mental health stressors we can develop a better understanding as tohow do we prepare to fight the Covid pandemicnow and beyond and as well as to understand howthese mental health concerns can impact other behaviors such asthose that involve prevention tries like engaging in testing for Covid 19 engaging in the use of protective measurements, even when one becomes available, what is, how is this gonna impact the use of vaccinations and things of that sort.That’s very powerful and you know when you think about the impacts across all of these communities, one of the things I think that really persists out is the unprecedented needthat exists for addressing the mental health which many communities often don’t talkabout these issues, right, so with the pandemic we’ve had to face the impacts of it without actually understanding that it wascoming, we had MHA knew it was coming but the general public may not have reallyunderstood that, and what we value in the handiwork that you’redoing is helping others understand it’s not just because of the pandemic, right, the pandemic has aggravated theseissues but, tell us a little bit about what you have found around the mental healthissues related to the pandemic and precisely broadly.Absolutely, so one thing that is importantto emphasize is that the United District has knowledge a mental health crisisfor a long time, we recognize high rates of feeling sadnes, suicidal, you are familiar with, suicidal ideation has been onthe rise for some time now so I thoughts the current pandemic is acompounded stressor that is magnifying difficulties that we were already recognizing. That combined with the currentsocio-political context in which there is a lot of confusion where the rhetoric that is being used, that is being targeted to attackminority people is causing a lot of mistrust in ourcommunities and anxiety and fright. So, we’re encounter a lot of civil unrestyou know that is affecting a lot of the pitch-black communities and everybodyso I think it’s a lot of stressors mixed at a momentwhen it’s difficult to access business in the traditional mode and ofcourse you know for human populations it’s always been traditionallydifficult to access services and most importantly to find works that are tailored to meet their specific needs, you know, the work requires cultural and context modifications to medicines to better meet the needs of our beings and many times they are not there.You know, one of the things that I evaluate around the work that you’ve done particularly around undocumentedcommunities and something that’s heightened because of the pandemic and the social political framework in which we’re living is thefear that is associated with getting assistance and what have you concluded relevant to that in your work. Yes, I think that is a top concernthat has come out in their focus groups and research that we’ve been doing, there is widespread fear in the immigrant society and it extends beyond the undocumentedcommunity, you know, we sounds a lot of law resident familieswho are concerned of even endeavouring services because they don’t know how those records are going to be used in thefuture and settlement their migration law status, so the distrust that imbues in our communities with the fearthat, you know, if they diagnose positive with Covid 19, they’re going tobe separated from their families and, then, I represent, we, all of ushave witnes the pictures of kinfolks being separated at the border and tourism cage but I remember now it has escalatedto a position that even if you have a legal status, you don’t trust, you knowpeople are afraid and we’re passing this to our children so there is a lot of fearanxiety and distrust that is affecting our communities.Our screening data must surely shownthat, you know, an increase in both sadnes and anxietybut one of the things that I think that is very relevant to this discussion is this, it’s not unjustified, right, the fear thatindividuals is available in accessing services because there is information out there that says if you do go access servicessomething may happen and that, in many ways, relates to the trauma that individuals may have experienced prior tocoming to the United Government during the migration process and the post-migration process, right, where they’re just trying to figure out what they can do to improve their lives and at the same time being traumatized and recently, you are familiar with, the death of George Floyd and the unrest that has happened from that also is another trigger to all the trauma that individuals may haveexperienced both as immigrants undocumented and underserved populationswhat about, you are familiar with, the trauma facet of all of this what does your work and your research tell you? Yeah, utterly, well we have seen that there’s a definitely a high amount oftrauma that is embedded in underserved parishes, you are familiar with, and we know that in order to be able to address or give pain the first step is to give people a sense of safety, you cannot treat trauma unless parties feel safe and, unfortunately, within the current context you know, due to the pandemia, and again, due to the current civil unrest and socio-politicalenvironment that we’re seeing that seems far from reality, sohow do we address or how to even escape or develop beings not to re-traumatizeindividuals when they aim services because it is as simple as even a tone of voice that might trigger a damage memory, right, it’s the hue, the cadence, the manner in which people treat you.Discrimination has been found to be a huge trigger for parties withpast records of trauma, so I think we now started being awareof what is going to be the long-term consequences of this potential exposureto re-traumatization in a context where services are limited and what is it that we can do to better prepare ourselves to address this issues.The other important thing to mention is that traumain minority communities might not inevitably present in the same wayas we traditionally contextualize it, for example post distressing stress ailment, you know, there are different ways inwhich manifestations might present so it might be in the form of overactivity, you are familiar with, it might be in the form of you know, depersonalization, obsessive compulsivethoughts, you are familiar with, they might not report functional disorder because at thispoint, you are familiar with, committing and overworking might be the way to distract yourselffrom having to experience that pain so, how are we going to account for those experiences of damage in these marginalized communitiesis essential and we need to move to attain that possible to avoid the consequences of it.You speak to so many issues that are so important that I would be pleased to time have a conversationwith you that could last hours, but one of the things that you said is very relevant to this conversation in that you know the way inwhich our communities, underserved communities and black, indigenous and people of color communicate around the issues that we knowledge may be very different than what isrecognized in the westernized medical framework of illness, right? So where we have a post-traumatic stress screener or an distres screener and the realityis that our communities is no longer able actually present those symptomsand it certainly asks the professionals working with individualsacross spheres , not just in the behavioral health communityto ask very relevant questions around their racial contextand the nuances may come to fruition, right, are certainly rise if theindividual is very willing to share what their experiences have beenyou too touched a little bit around this information that many individuals are not inevitably one they’re not presenting in the same way but likewise do you think that something that hashappened in communities is that we have found ways to address these issuesamongst ourselves, among trusted spouses and I think that’s something that speaksto the resiliency of our communities which oftentimes is not spoken about rightit’s the vitriol is all negative, and we at MHA, “weve been” believe in the fact thatwe also have to highlight the positive and could you speak a little bit about thatin your experience and your work? Absolutely, one of the most fascinating things that I have found in my research with theundocumented society and a lot of underserved communitiesis the strength and the resilience that comes that even in the face ofmultiple and chronic trauma they continue to be resilientand they continue to even report that life is not as badyou know, so there is a lot that we need to learn and I think that there’s also it’sso important how you mentioned that we need to address that because maybe alot of the times our therapies need to address strength located approachesthat maybe we stop stigmatizing beings and looking at them from apsychopathology perspective but why not explode those strength-basedapproaches to induce them stronger and come up, you are familiar with, they’re extremelyresilient in the way they use their own community sources, in the waythey build their own support groups, their own information networks, sowhat is it that we can bring to these communities to strengthen from withingiven the limited access to services that they have so that we can startusing their hope, their ingenuity, you know, their ability to connect withtheir ancestral or with their ethnic dignity to regain a sense of concentration a sense of self-identity that can keep them moving forward.Completely, you are familiar with, during the month of july, we focused a lot around the issuesconnected to black indigenous and people of color and one of the things that wedid was have an Instagram live with Dr. Cesar Cruz who spoke to us about intergenerational gumption, right, and looking at the dominance thatexists in the people that have come before us to find strengthand I think that is something that is often overlooked in our communities youknow, countless institutions may not realize that, yes, funding is necessary to getall these things into arrange and to assist people, I believe thatwholeheartedly but I too believe that when we go out into communities and tellpeople well you have to show us outcomes within six months and that’s notthe way our communities wreak and giving yourself an outcome that is quantifiable, right, is very different than me beingable to say I actually had a one-hour conversation with this person and shewalked away feeling better, right, and I’d like for you to speak alittle bit about that fortitude based kind of approach and what that could kind of look like.Yes, utterly, and I think this is wherewe go back and and I make medicine is doing it, right, they’re moving intoindividualized remedy where we need to understand that what works for oneindividual might not work for another one you know, and yes, evidence-based traditions is important but we also need to think about that alot of evidence-based practice was not developed with these concealed orhard-to-reach populations in thought so, how do we start learning from them right, even when when we talk about manifestations of the stress I think in some of this interaction weneed to ask them what are your indications of the stress because the indications ofthe stress that might manifest in this community might be very different tothose symptoms of the stress that might evident for another community. Same with initiations, initiations for the stress crisis you knowwhat are some of those provokes for a particular community are going to be very different to those that are for other communities. So, we need to start thinking about itin outside the box, you are familiar with, and carve a channel first with humbleness to learn about what this community needs, I meditate these communities has been marginalized and discriminating for solong that we need to go back to our basics of what Dr.Carl Rogers showed uswhich is absolute positive thought the supremacy of listening to people witha full mettle, the capability of not evaluating, the strength of use collaborative, you are familiar with, in the previous session and that was presented today in yourconference, I heard about the importance of addressing collectivistic positions, howdo we are cooperating to get out of this and I think that is the approach that we can take when we start thinking about strength based approaches. Being the best of you so that I canbring the best of me and we can work together to figure out a mixture. that’s very powerful, I thinksometimes parties be pointed out that we do have the ability to work in that waybecause we oftentimes are siloed, right, and we forgetthat we should be reaching out to collaborators and other organizations thatmaybe already working with these communities maybe aremore representative of these communities than we are, right, instead of just sayingwe’re the ones that have the answers and looking to them to help guide usthrough these efforts.So, do you have any specificrecommendations of what individuals and organizations can really doto kind of delve more into this space and be more proactive around addressing the needs of underserved communities. Perfectly, thank you for that beautiful question first of all, and it is important to emphasize thateverybody has a platform in which they can make a difference, soyou don’t need to have a resulting orientation, you are familiar with, at aorganization or at a hospital everybody can make a difference to thecurrent environment that we’re living in whether as head of household, right, ifyou’re the head of household made to ensure that their own families knows aboutwho these populations are, make sure that they learn to treatpeople with respect, you know, that make sure to learnwhat good and bad rhetoric means and what are some of those core values thatwe want to pass on to generations.If you’re in academia, make sure that you shape your contribution to train future providers scientists andleaders that will help the way in a way that we gain back this beautiful multicultural civilization that the United Commonwealth have have known for so long and that right now it seems like it’s it’s under threatand there’s so much divisiveness around it, you are familiar with, if you’re in a infirmary in healthcare, what can you do for the provision ofservices that can better tailor the needs of everybody especiallyof those left with, what what can we do, who can you collaborate with you know, there’s a lot of notbeautiful, magnificent , non-profit organizations that people can joineven if you don’t have the expertise, volunteering some of these organizations, learn about the people, learn about parties that differ to yourselfwith interest, in with a nature of wanting to find out how towork together to grow together.So, there’s definitely a lot that people can do and I think in that process, you know, we can work together, originate together and get outof the current situation that we’re in. what really brings to your conversationand what you’re talking about, you are familiar with, what I automaticallyautomatically kind of think about is in communities that are oftentimes seenas underserved or marginalized we oftentimes have individuals whoare natural born supervisors and they’ve make on those positionswithout ever certainly recognised that they’ve become those peopleright, where you have the grandmothers or las abuelitas and the tias and the aunties, that are the ones the hell is gatekeepers to these communitiesand are also the ones that are really putting message in front of folks tosay these are the things that are relevant to youand too often those people are not…They’re forgotten, right, and forus and I be talking about myself specific, right, as a latinx being, collectively my parish are not only my immediate category, right, it’s my aunts, my uncles, my cousins, beings that I don’t even know, becausewe’re just naturally connected to one another and if there’s an opportunity, I study, to get involved in people like ourselves, it also draws a sincere kind of point to the conversation, right, it is not aboutother parties coming into our communities and saying these are the things that are going to draw you better, instead, it’s about saying I am coming herebecause I definitely sounds like I can help, promotion me help you, cure me figure out what thatmeans and what that looks like, right, and you speak to that with all of thethings that you’ve mentioned, right, independently when you’re working at universities I think oftentimes beings forget that thereis power in our ability as individuals to push for change and on the toughest dayswe sometimes forget that, but on the best days we have to remember that, right, and embrace that and I think your work certainly is available to that and thework of your colleagues because I know it’s a collective, you are familiar with, contribution that is being made.I wanted to ask you one otherquestion around the work that you are doing, If you spoke a little bitabout undocumented people and underserved people in general, butone of the things that has come to bear with all of the thingshappening with the pandemic is the fact that in our communities weoftentimes experience difficulties asking for help, right, and is there a practice that we were able navigate or help individuals navigatehow to ask for help and have you found something like that related in your work? Absolutely, another super important thingto address in our communities particularly and this is particularly relevant when we talk about gender capacities, right, forexample in the latinx community you know when the idea of machismowhere mortals are supposed to be tough and not sick for help and particularly now they’re the shields of the families, you know, or mummies, you are familiar with, they keep up and seem like everything is fine whenthey’re, you are familiar with, they’re struggling between teenagers and clas and worrying about their husbands.So unquestionably I reckon the way to approachesI would say from a collectivistic position is that you need to takecare of yourself because if you’re okay the people that you love will be okay.So, taken into consideration yourself, seek help so that you can be the best version ofyourself to help those that you love the most. You know, I do believe that it’shard to dominance when the beaker is empty and you are familiar with, we need to go away thatthat looking for help is a sign of weakness I would say is the oppositelike gaping and searching out help is a sign of persuasivenes, it’s a step forward in wanting to be the best version of yourself, wanting tohave and regain the best life that you’re here to haveSo, if we can shift that focus as to why is it important to seek help we can alsofight the stigma that surrounds soldiers that improve medication in the way that we all need it.You know, I always told me to buyers orto beings when they come it might not be the for you, but you have nothing to lose and you have a lot to gain so really give it a try, you know, there’s always new soul talents that you canlearn and it’s important likewise that you can serve as a role model for seeking helpand you really never know whose life you might even save by being thatrole model that say I searched help and I’m fine now, there is treatment, wehave cares for sadnes, therapies for anxiety that work, you know, so medicines for inter-partner violence that work, so in being that role model you can invite beings to too lead the way andto seek help and you might save lives.So it’s absolutely, but I think we needto rethink in the way in which we invite people to seek help. I concur absolutely, we have severalquestions that have come through our chitchat so I was just going to rotated to that, so we have an opportunity to hear from you. The first one is from the black autistand they expect does the fear of getting info overtook to law enforcementalso contribute to fear of beings in marginalized parishes seeking mental health issues riches? Absolutely, any time you have to disclose any source of personal information people are fright, they don’t know what’sgoing to happen with their intelligence they don’t know how their report is going to be used and they don’t know what thatinformation can do in the future, I represent, we have this with, regrettably, I do some working in collaboration with the Dhaka Community the Dhaka recipients, if you’re notfamiliar with them, they’re young adults who were brought to theUnited District as children by their parents and who have a temporary protectivestatus and the protective status have been threatened to be taken away, but they, “when its” undocumented they came forward with all of theirinformation and now that’s their biggest suspicion is like, well, theyknow where we are, they know our families you know, if something were tohappen I is likely to be be deported.So, there are indeed a fear thatpermeates in seeking business even to the point of that islife-threatening because numerous people won’t even go to the ER, I represent, they can be having a heart attack and really the fear of going there anddisclosing their status and rendering their information will prevent them from departing and we’ve known cases of people who have overtook as a result of not searching health services. I know too that there has been datarecently that has highlighted the fact that individuals may not have soughtassistance for Covid referred kind of evidences because of that fear.Yeah, absolutely, and that involves alsonot engaging in contact draw, right, which is essential to protect our families and to protect ourselves because you have to provide information. Imagine, even, let’s say for someone whohas a temporary or even a law permanent status the fact that they have to give out the names of people who have been in contactwith and “whos doing” houses who might be an undocumented, that, you are familiar with, must be avery very difficult decision, so parties don’t want to disclose. You know, identification is required manyundocumented immigrants don’t have driver license, you know, or any root ofidentification to get a copy test, you’re required to have an identification, so, it’s definitely getting in the way of of trying to mitigate the current health crisis that we’re living.Definitely, and and it speaks to some ofthe systemic topics, right, that exist in in our communities where we have notreally thought about, easy access to all of these services but instead havecreated additional obstructions, but that’s a whole different communication. Yeah, and I think that another thing thatis important to emphasize is that you emphasize a lot of theseeking access to services these communities ought to have labeledessential, you know, we receive a lot of marginalized and underserved communitieswho are providing the essential workforce, right, who are at the forefrontof construct business, you are familiar with, of working at collects, but at the same timethey’re not critical when it’s about endeavouring works, so how can we doto clear the crack and not to harm our communities because local communities feel divulged and used.Definitely, I make, you see that currently with the current crisis you know with migrant farmworkers that are still in the fields requiring all of us with the nutrient thatwe chew, right, and they’re still working amidst fire, rain, storms, it doesn’t matter right, they’re still working and oftentimestheir health needs are forgotten. I likewise have another question fromsomebody else, Marcy Timmerman asked what are some non-traditional ways wecan bring mental health education and self-help to immigrant communities since racism xenophobia and public cost are very real and valid concerns? Wonderful question, I would say the first is to look for sources in the community that aretrusted and regarding this issue faith-based make-ups are passing the way.I mean, our communities trust them, so, you are familiar with, learn people who can work, unfortunately, you are familiar with, a lot of ourpastors and our priests and our faith-based presidents are devastated and sometimes they say we need the training, we don’t have enough training to deal with more severe cases orgoing to deal with the volume of concerns, so, how can the mental healthfield work with these organizations, with non-profit community centers todeliver this information and these services to the community that they trust. The other perspective that is important is to start working with community health workers orpromoteras or promotores, so these are relied members in the community that bring out health information or they’re instructed within the medical simulate or the mental health model in to bring out assistances. Regrettably thelimiting barrier that we have there is funding, a lot of epoches there’sno funding for these programs and then they die or parish healthworkers are overburdened and overloaded with act because the communitysee them as trusted members that do a lot of work with very little, they go to them, so it is important that we start reasoning in this wayor America, as you mentioned before, right, start furnishing our communities to buildtheir own support systems, how is impossible to learn them, it’s almost liketrain the teach pattern and wreaking our abilities to them so that members of the community can be trained to help each other in terms of need.You know, what you speak toaround the funding issue I think is very important because many ofthe kinfolks that may be watching today are also working in advocacy and plan referred endeavours, so, recognizing organizations that are working in this kind of frame and then going to themand asks how the funding is implemented and thenintegrating requests for this type of funding into future kind of efforts, I think is also very relevant, right, instead of just simplyfocusing on what, you know, is there you really have to dig a littledeeper I suppose, for countless kinfolks to identify the resources in the community that are there, because they are there, they just might not be on a poster for you to see, right, another question that has come up from Jessica Pinha or Pina, how wouldyou admonish folks relating to the complexities of damage, especially among marginalized parishes, particularly in a school setting where they are in spaces that traumatizes them daily? Yeah, absolutely, excellent question and Ithink it goes back to course, for example, in “schools “, right, learn the teachers and regrettably right now, you are familiar with, we have alot of that has transitioned with doing everything through the computerbut there’s styles in which we can train beings to look at the behavioral symptomsof pain, you can see in the way beings use the behavioral cues, the direction they they engage in nose contact, you know, theway in which they respond to a authority the manner in which they interact with otherchildren, so I would say the key is first instruct, improve educators civilizing providers to first identifypotential signalings, to second assess if the damage is present, which is essentialto create a sense of safety because then you immediately start moving toputting such person or persons into a safe environment and then how do we go about, trying to figure out how to do the best that we can to provide traumatreatment in environments that are not safe, so that the person cancontinue to cope and find some help in the midst of the adversity that theycontinue to be embedded in.One of the things that in whatyou’re saying various kinds of induces me take pause for a moment is the fact that in some of studies and research that I’ve doneit has been demonstrated that individuals who have higher rates ofacculturation, right, have lived here in the United Mood for much longer periods of time compared to their children may have some, it may come to exhibit some interdictional conflicts because thechild is trying to adapt and more readily oftentimes adapts to the americanculture compared to their parents and when you you are familiar with kind of thrust thatinto the realm of institution that can be very difficult to kind of manage and I think it’s something that maybe is relevant to the discussion. Do you have any estimates around that peculiarly? Oh, perfectly, this is something and youknow the best example that I have also found that is, in my experiment is withdhaka recipients and the families of such, you are familiar with, where we have adolescents that cameto the United Regime and became immediately acculturated, many of them speak English much better than they speak Spanish andsome of their parents don’t even speak English, right, so they become thesechildren, a lot of the times become the culture sailors for the entire family.So, they really never have a time to bechildren, they start having responsibilities of being sailors andbridges to their communities and preaches to their families since very young. There’s a big responsibility, you know, some of the feedback that they open is like they feel thislive this this double life, that for example when they’re in schoolthey are already thinking about the responsibilities they haveat home, but they kind of have to fake, you know, and live in thisless mature environment and when they’re home they have to take charge. So, it’s very stressful and it’s verytiring for them and I think over time we can see the concept the negativeconsequences and bang that that’s gonna have not only on the mentalhealth, but if we look at studies and research on biology now the long-term effects of this type of stress on the healthsystem the development of chronic illnesses such as cardiovascular diseasehigh risk of pain and now with epigenetics we know that there might be a risk to pass on to future generations as well, so I thinkwe need to be careful and pay a lot of attention as to what these dynamics are having, how they’re impacting the way in which familiesfrom different generations interact and how can we create betterenvironments at work, at home and within our organizationsso that we can give them some rest.Definitely, somebody queried avery relevant question too and that they asked how do coaches getthe support they need, some professors have reported trauma orreviews in the home and yet our laws do not protect youth. Some schoolteachers struggle with that, so what the hell is your recommendation be for professors that are kind of struggling through that? Yes, I don’t do child psychology orschool psychology, so I feel very limited in terms of making myrecommendations as to what professors can do specific but Iwould say the first step is going to advocate probably to their places for that type of training, for that type of resources, everything begins with awareness, right, I’ve always believed that anything that can be measured can be managed, so, all take notes of everything that theynotice in their classrooms, of things that they need and reported for and say the work requires this, you know, unionize among yourself to claim for your practice needs to say we have this problem without your eyes and without your learning we can’t do much, so we need to have that expression that represent those students and thatrepresent the needs of coaches to be able to develop interventions and medicines or you know look for non-profit agenciesin the area of education and bring in concerns and highlighting those areas that are dark, that we might need to develop resources.That’s very good, one of the things Iknow that is relevant for our toil we just released our back-to-school toolkit thatis focused around coping with Covid, but it’s not only related for youth butit’s also related for parents and teachers and, you know, teachers are fundamental in the development of our, in the development of our kids, in our communities and I think oftentimes they are forgotten, right, we know they’rethere, but their needs are not addressed as often. So, I would also recommend that you know teaches really focus on reaching out to some of the leaders in the field, whethermaybe it’s participating with the national school boards association, figuring out what that would look like or the PTA, and the unions, right, solidarities have a lot of ability and they’re fundamental in the way that things can get done. I want to make sure that I’m verymindful of time so I’m going to ask a couple of more questions. Somebody has asked, Jay Reynoso askedhow do you recognize safe haven organizations in a super politicizedenvironment? Most religious parties now are aligned with the current governmentmentally of labeling parties as bad folks.Yes, utterly, you have to do a great deal of work behind that, you know, I would say the first thing isto read some of the materials that they have published, predict their mission and their perspectives, have a call with their officials and you willsee or you will hear the rant, you know, look up for now we have theblessing of having technology, right, so, watch out some of the youtube videos that they have put out and entered into with your gutinstinct, usually you can, you can hear when they’re speaking toyour heart and you can hear when if there’s something that is notappropriate, but I will say unfortunately a lot of the work is gonna have to bedone by the consumer, but there are some excellent immigrant organizations.Another key aspect to know between what is a good organization to volunteer or working in collaboration with is look at the resources what create, what are the deliverables that that organization has if it’s anorganization that just asks for gives I would say I willhave my a matter of it but gaze, are there discernible deliverables whether it is educational materials, whetherit’s educational videos where here i am organ things, healthfairs or campaigns or organized acts that they have put out.If they have deliverables that haveserved their own communities and that you feel that itis helping their needs then I would say it’s worth “re looking for” it but I wouldsay look at the deliverables first. Thank you, I am going to ask one final question and then merely chat with you for a moment is what can I do for people of color in predominantly white communities, what kinds of safety or services can I afford? That’s from Sarah Beth Lowe. Yes, beautiful question.I considered that to get out of the environment that we’re inwe need to look beyond hue and start, you know, learning, having that willingness to learn from each other, there’s nothing morebeautiful, I want, when we look at our “schools “, right, there’s a lot ofthe times when we hear a white-hot child, a black boy and a latinx minor, native american kid toy together, so, how does that happen? Why can’t we do that at adult tier and learn you know so, I thinkworking together and showing that desire of learning from each other, right, creating opportunities for dialogue we have heard so much divisivenessand criticizes, you know, we see it in the media all the time, we see it in in even our own organisations or fills, so, how instead of that how can we create exchange in color in communities wheremaybe minority people, you know, could feel more welcome to come and express why they think and taken together solutions, you are familiar with, I can tell you I work with students of all different colorsand it’s so rewarding to see when there’s a collaborative effortthat transcends the color of skin and that works for the common good of how dowe create a better culture that we all move together and learn from each other.Those I think are so valuable, valuable kind of supposes that we have to then focus on, right, whenwe do our work on a daily basis Dr. Garcini we’re almost out of timedo you have a final thought that you would like to share with kinfolks? Yes, utterly, so first of all, America, thank you, you know, you and I do very similar labour, so, thank youto Mental Health America for generating the opening to this important topicand to be, to be open for the discussion. I invite everybody, everybody can make a difference right now, you are familiar with, help people, learn about each other, try tofight stereotypes, help find ways to create peace and let’s stopdividing ourselves, you know, we need to be stronger than ever to fight this thing that we’re living with and let’s all work together to end upmental health stigma because I do “think theres” cares out there that can provide better mental, better man if we’re just open to learning.Thank you, Dr. Garcini, it has been a wonderful, wonderful meter for me to time chat with you and I know everybody that’s watching is also goingto give this information and see how they can implement it in their communities. Gracias por todo su trabajo, thank you forall your work and the continued campaigns that you’re going to do.Our experience has ended but we will be connected again in the future. Thank you all for watching, we’re goingto be right back in a few minutes.

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