SPRING 2015 Outreach Program Improves Guests’ Health New Rosie’s Place Satellite in Dorchester Enhanced Legal Services Our Executive Director on our Community Commitment
NEWS
Anniversary Mural is Dedicated Striking New Mother’s Day Necklace
consistent support for follow-through of medical recommendations.
Beyond Housing, to Health
Q&A
CATHERINE LOUIS
community collaborative manager Catherine Louis has spent more than 15 years in the social service field. Since 2007, she has been a lifeline to the women of Rosie’s Place as an Advocate, providing vital understanding and support to a diverse group of women, with a focus on those from Haiti. Now, Catherine is taking her advocacy skills to the newlyestablished Rosie’s Place satellite at the Franklin Field Public Housing Development in Dorchester as Community Collaborative Manager. What led Rosie’s Place to Franklin Field? In keeping with our mission to meet women where they are, Rosie’s Place is becoming more focused on bringing services to women who aren’t able to come to us at 889 Harrison Avenue. The tenants at Franklin Field are similar in many ways to our guests in that they are mainly female-headed households, juggling multiple priorities, and many are at or below the poverty level. And there are not a lot of services in that area of Dorchester, so we are trying to fill a gap. What will Rosie’s Place offer there? We plan on bringing in one-to-one advocacy assistance to meet the tenants’ self-identified needs; long-term in-home support for those who struggle to maintain their housing; family law services such as a drop-in legal clinic and appointments; and a career counselor. Our goal is to replicate the Rosie’s Place experience in the community. What are your responsibilities as Community Collaborative Manager? My job is to oversee the coordination of services as well as provide direct service to Franklin Field tenants, just as I did at Rosie’s Place. I am also putting together referral resources and will bring on-site some of the groups we already partner with, like Greater Boston Legal Services and Community Works Services. I will work to be visible and make available services better known to the tenants through a variety of methods. For instance, I am organizing a health fair this spring that will include diverse partners providing free health screenings. Such events help build trust and ultimately make tenants more comfortable coming to me for help. Why is this job a good fit for you? This is my field of expertise and I am passionate about helping people meet their needs. I have been given a great opportunity to not only bring essential services to the tenants at Franklin Field, but to support the women who seek them as well. I believe knowledge is power, and by giving women vital information, they can make better choices for themselves. Empowering women and watching them move forward to the next level is very gratifying to me.
Eleven years ago, Rosie’s Place won an award from the Boston Foundation to create a homelessness prevention program that would offer in-home services to women with mental illness who recently found housing after a period of homelessness. Today, these services are thriving. Three housing stabilization workers make monthly visits to 110 women who face special challenges in maintaining their homes. And the program is successful, ensuring that more than 90% of these at-risk tenants keep their housing. Over time, we recognized that some women have needs different from the guests we met at the start of this program–and so one of our newest efforts was born. Increasingly, our staff found that many of the guests we visit at home suffered serious or chronic health conditions. The Community Health Worker (CHW) Program was created to address this. “We knew that some of our guests had very stable housing, and staff members were spending considerable amounts of time dealing with doctors and medical appointments,” says Rosie’s Place Executive Director Sue Marsh. “This program is a way to better match need and resources.”
Advocating for guests
Rosie’s Place partnered with Blue Cross/ Blue Shield volunteers at the outset, who helped with the design of the program by researching similar models to provide ideas and comparisons. Guissela Mariluz, who was acutely aware of this need over her 31/2 years as a stabilization worker, was hired to lead the CHW program about six months ago and currently is seeing 12 guests on a regular basis. “We found that many of our guests have a dual diagnosis–mental health and substance abuse issues–which creates barriers to their medical treatment,” she says. “They might have no connection to the health care system at all, often because they feel they have been previously mistreated, or they don’t speak English, or they don’t have the ability to follow through. I try to help our guests feel more positive about establishing new medical relationships.” The CHW program’s main areas of focus are connecting guests with health insurance and explaining coverage; assisting with the selection of a medical facility, physician and/or behavioral health program/provider; accompanying guests to medical appointments, advocating for them and interpreting information; helping guests obtain prescriptions and follow dosage guidelines; providing translation services and access to transportation to appointments; and, generally, offering
Luciana’s Story Luciana has been a part of the Rosie’s Place community ever since she came to our door seeking a bed in October 2004. A native of the Dominican Republic, Luciana was suffering from severe depression and had recently been separated from her husband and children. She stayed at Rosie’s Place intermittently over the following months until she was able to find an apartment. Quickly, Rosie’s Place became central to her life. “They were an immense help to me,” she says, with her Community Health Worker (CHW) Guissela Mariluz translating. “They helped me get settled in my first apartment, helped with the deposit and furniture, helped with so much.” Guissela adds, “She has virtually no income and depends on Rosie’s Place and agencies likes us for almost
everything,” including meals, groceries from the food pantry and clothing. With low literacy and a limited ability to speak English, Luciana has come to rely on Rosie’s Place to help manage her health needs and housing issues. She is a frequent visitor to the Wellness Center, where the medical staff works in concert with her doctors to manage her diabetes. As Guissela previously was Luciana’s housing stabilization worker, the transition to her new role was seamless. Luciana’s new stabilization worker is now connecting with the Boston Housing Authority to have her apartment moved from the third to the first floor of her building, because she has trouble climbing the stairs. Guissela has now been focused on finding a new medical team to oversee
Guissela’s assistance can be multifaceted. Recently, she spent upwards of 30 hours working with a 51-year-old guest, Luciana, who was not attending to her diabetes. After many phone calls, she learned that Luciana’s MassHealth Limited coverage requires that she get prescriptions from the hospital where she receives care, which is MGH Chelsea. But their pharmacy is located at MGH Boston, which means a trip to another location. So while Luciana is waiting for an appointment to get a new health team at Boston Medical Center, which is nearer her home, Guissela made arrangements and went with her to Chelsea to pick up the scripts, and then headed to MGH Boston to pick up her meds. (Read more about Luciana below.) Guissela also aims to improve interactions between guests and medical professionals. She often finds that women who are severely mentally ill might not make eye contact or speak clearly at appointments, and that can lead to dismissive treatment. At a recent eye appointment, the doctor was short with such a guest and she immediately wanted to leave. Guissela was present to advocate and intervene and was able to diffuse the situation so the guest could complete the visit and take her glasses home. “For a long time, I heard from our guests that they were being stigmatized and mistreated, and I could only help in a peripheral way,” Guissela recalls. “Now I can speak up for a guest and help her get what she needs. And the health results are better when I can encourage our guests to stay connected with their providers. There is so much we can do now, and I believe it will make a positive difference.” not only her diabetes but also her depression and the results of two ministrokes she suffered in recent months. In just the past two weeks, Guissela has been working with Luciana every day to help get her prescriptions filled and to review a schedule they have worked out so she will stay on track. “I heard her tell her doctor that she had been so depressed but now she is feeling hopeful because she knows there are other [medical] people who are going to help her.” She has just started an ESOL class in the Women’s Education Center and we have helped her with transportation for a visit with her son in central Massachusetts. “I don’t know what I’d do without Rosie’s Place,” Luciana says.