1 00:00:00,520 --> 00:00:05,560 Speaker 1: O La Latino USA listener gomestas, here's a great show 2 00:00:05,720 --> 00:00:12,000 Speaker 1: from the archives. 3 00:00:12,400 --> 00:00:13,920 Speaker 2: Look look come here. 4 00:00:14,440 --> 00:00:21,960 Speaker 3: That was always like his days. Look at him. This 5 00:00:22,400 --> 00:00:25,800 Speaker 3: was in October of twenty seventeen. 6 00:00:26,520 --> 00:00:30,520 Speaker 1: This is Darry Lugones Latino USA producer Maggie Freelin is 7 00:00:30,560 --> 00:00:33,280 Speaker 1: with her in her living room in Brownsville, one of 8 00:00:33,280 --> 00:00:36,560 Speaker 1: the poorest neighborhoods in New York City. It's the summer 9 00:00:36,920 --> 00:00:39,279 Speaker 1: and they're sitting on the couch in front of them. 10 00:00:39,560 --> 00:00:42,560 Speaker 1: A large fan is buzzing and water is puddling under 11 00:00:42,600 --> 00:00:46,880 Speaker 1: a dripping clothesline strung across the room. It's eleven AM 12 00:00:47,040 --> 00:00:49,479 Speaker 1: and Darry is half asleep in a robe and underwear. 13 00:00:49,920 --> 00:00:52,920 Speaker 1: She rubs her eyes as she talks about her younger 14 00:00:52,960 --> 00:00:54,200 Speaker 1: brother Edward. 15 00:00:54,600 --> 00:00:57,960 Speaker 2: Oh, look I found one has wrapping things, has music. 16 00:00:58,160 --> 00:01:01,160 Speaker 2: Okayquems out blue car. 17 00:01:02,040 --> 00:01:07,160 Speaker 3: So see how volunteers. So I'm saying that that's the wayte. 18 00:01:09,000 --> 00:01:11,800 Speaker 2: And this is his inspiration, little UZI like he just 19 00:01:11,959 --> 00:01:13,880 Speaker 2: I can't even listen to that man no more because 20 00:01:14,360 --> 00:01:16,440 Speaker 2: it's just like I guess had and it reminds me 21 00:01:16,440 --> 00:01:17,240 Speaker 2: of him so much. 22 00:01:20,080 --> 00:01:22,320 Speaker 3: And he's like, when I get older, I'm gonna be working. 23 00:01:22,120 --> 00:01:29,760 Speaker 4: With him, and then yeah, you don't find him here 24 00:01:29,800 --> 00:01:32,400 Speaker 4: in the living room, no more wrapping, reading his rhymes 25 00:01:32,400 --> 00:01:33,280 Speaker 4: and none of that. 26 00:01:33,280 --> 00:01:36,240 Speaker 3: That's weird, Like, you know, all I see is a ghost. 27 00:01:36,000 --> 00:01:37,400 Speaker 2: Now when I come to the living room or to 28 00:01:37,480 --> 00:01:40,560 Speaker 2: the kitchen, it just feels so empty without him here, 29 00:01:40,640 --> 00:01:41,200 Speaker 2: Like it's. 30 00:01:41,040 --> 00:01:42,640 Speaker 3: Just he was not the same. 31 00:01:44,440 --> 00:01:47,520 Speaker 2: I don't really care you. I'm very attached to him, 32 00:01:47,600 --> 00:01:50,000 Speaker 2: like very I don't care what we went through, how 33 00:01:50,040 --> 00:01:52,440 Speaker 2: many downfoad we have. I mean, at the end of 34 00:01:52,480 --> 00:01:54,720 Speaker 2: the day, not only because he's my brother, but in 35 00:01:54,760 --> 00:01:57,360 Speaker 2: the house that was my best friend. 36 00:01:58,440 --> 00:02:02,000 Speaker 1: The oldest girl and oldest boy of six kids were 37 00:02:02,320 --> 00:02:06,080 Speaker 1: very close until a year ago, when Edward was eighteen 38 00:02:06,160 --> 00:02:14,480 Speaker 1: years old. Court records show that on January third of 39 00:02:14,560 --> 00:02:18,720 Speaker 1: twenty eighteen, Edward Cordero was on a busy subway platform 40 00:02:18,800 --> 00:02:23,560 Speaker 1: in Brooklyn. Sixty five year old Jacintos Suarrez was also 41 00:02:23,639 --> 00:02:30,919 Speaker 1: there waiting for the train. According to witnesses and Edward's 42 00:02:30,960 --> 00:02:36,000 Speaker 1: own statement to the police, Edward was talking about God, spirits, 43 00:02:36,120 --> 00:02:39,560 Speaker 1: and the devil, and he believed Swatis was the devil. 44 00:02:40,520 --> 00:02:44,359 Speaker 1: At two twenty five pm, Edward punched Swatz from behind, 45 00:02:44,760 --> 00:02:48,040 Speaker 1: causing him to fall onto the train tracks. Swatis suffered 46 00:02:48,080 --> 00:02:52,960 Speaker 1: a heart attack and died. A New York Daily News 47 00:02:53,080 --> 00:02:59,400 Speaker 1: video captured Edward moments after his arrest. Do you mean I, Oh, God, 48 00:03:01,160 --> 00:03:01,840 Speaker 1: who died? 49 00:03:02,080 --> 00:03:02,800 Speaker 3: He says. 50 00:03:04,800 --> 00:03:08,120 Speaker 2: He's completely confused. He keeps saying, like, what did I do? 51 00:03:09,160 --> 00:03:11,120 Speaker 2: They keep telling me that I killed the man, but 52 00:03:11,400 --> 00:03:12,120 Speaker 2: I don't remember. 53 00:03:12,800 --> 00:03:16,239 Speaker 1: What happened on that subway platform is tragic and it's 54 00:03:16,280 --> 00:03:19,960 Speaker 1: extremely rare. Studies show that most people with mental illness 55 00:03:20,280 --> 00:03:24,840 Speaker 1: are not violent, but the subway attack is also emblematic 56 00:03:24,880 --> 00:03:27,480 Speaker 1: of something far too common in New York City, and 57 00:03:27,560 --> 00:03:33,560 Speaker 1: beyond serious mental illness that goes untreated. Edward's sister, Dorry, 58 00:03:33,800 --> 00:03:37,880 Speaker 1: says he was diagnosed with schizophrenia and bipolar disorder, and 59 00:03:38,080 --> 00:03:41,480 Speaker 1: although we can't independently confirm that, she says he was 60 00:03:41,560 --> 00:03:44,280 Speaker 1: in and out of hospitals and on and off medication 61 00:03:44,480 --> 00:03:47,280 Speaker 1: for years. She told us that at the time of 62 00:03:47,280 --> 00:03:50,040 Speaker 1: the subway attack, he had recently been released from a 63 00:03:50,080 --> 00:03:52,440 Speaker 1: hospital and may have gone off his medication. 64 00:03:52,880 --> 00:03:54,880 Speaker 3: He was a dotty. That wasn't mean, like, that was 65 00:03:54,920 --> 00:03:56,920 Speaker 3: not mean like I thought. That was a devil. And 66 00:03:56,960 --> 00:03:58,760 Speaker 3: that's why I punched him the way I did. 67 00:04:02,000 --> 00:04:05,480 Speaker 1: Edward is now in jail at Riker's Island, awaiting trial, 68 00:04:06,000 --> 00:04:08,680 Speaker 1: and while his name is no longer in the headlines, 69 00:04:09,160 --> 00:04:12,600 Speaker 1: his case points to the challenges of treating people with 70 00:04:12,800 --> 00:04:22,240 Speaker 1: serious mental illness. From Fudromedia and PRX, It's Latino USA. 71 00:04:22,440 --> 00:04:26,359 Speaker 1: I'm Maria Josa. Today we look at how and why 72 00:04:26,520 --> 00:04:30,200 Speaker 1: someone like Edward Cordero falls through the cracks of the 73 00:04:30,200 --> 00:04:39,880 Speaker 1: mental health system. Latino USA producer Maggie Freeling is going 74 00:04:39,920 --> 00:04:40,679 Speaker 1: to take it from here. 75 00:04:42,320 --> 00:04:45,560 Speaker 5: Edward's case is complicated and we're not able to confirm 76 00:04:45,640 --> 00:04:48,640 Speaker 5: all the details of his past. After Darry spoke with 77 00:04:48,720 --> 00:04:52,160 Speaker 5: us last summer, she and Edward's public defender stopped communicating 78 00:04:52,160 --> 00:04:54,839 Speaker 5: with us. I reached out to Edward in jail, but 79 00:04:55,360 --> 00:04:58,479 Speaker 5: I got no response, and due to medical privacy laws, 80 00:04:58,839 --> 00:05:02,320 Speaker 5: we don't know exactly how doctors tried to manage Edward's illness, 81 00:05:02,920 --> 00:05:05,839 Speaker 5: but we do know that Edward's situation is similar to 82 00:05:05,960 --> 00:05:07,880 Speaker 5: so many others in New York and beyond. 83 00:05:08,440 --> 00:05:10,040 Speaker 2: It was like terrible, have we been going through the 84 00:05:10,080 --> 00:05:20,039 Speaker 2: swim since he was littone? As long as I came Momer, 85 00:05:20,040 --> 00:05:21,720 Speaker 2: I wouldn't be able to tell you like the age, 86 00:05:21,720 --> 00:05:23,679 Speaker 2: but I know he was very young. 87 00:05:25,720 --> 00:05:28,320 Speaker 5: Darian Edward grew up in New York. They moved around 88 00:05:28,320 --> 00:05:31,080 Speaker 5: from Staten Island to Brooklyn, and Daria now lives in 89 00:05:31,120 --> 00:05:35,520 Speaker 5: public housing in Brownsville. The vast majority of Brownsville residents 90 00:05:35,560 --> 00:05:38,159 Speaker 5: are people of color, and the area is notorious for 91 00:05:38,240 --> 00:05:42,679 Speaker 5: crime and poor health outcomes. According to Drry, when Edward 92 00:05:42,720 --> 00:05:45,560 Speaker 5: was a little boy, his father landed in prison and 93 00:05:45,640 --> 00:05:47,440 Speaker 5: ultimately died by suicide. 94 00:05:47,520 --> 00:05:50,240 Speaker 2: My mother was only six years old and he found 95 00:05:50,240 --> 00:05:53,040 Speaker 2: out that his father has strangled himself in jail. 96 00:05:53,279 --> 00:05:55,680 Speaker 3: That's not something you know, a six year old want 97 00:05:55,720 --> 00:05:55,919 Speaker 3: to know. 98 00:05:56,800 --> 00:05:59,960 Speaker 5: As Edward aged, Dorry says she watched his behavior change. 99 00:06:00,279 --> 00:06:03,800 Speaker 5: He would get aggressive and violent, hitting and biting people. 100 00:06:04,440 --> 00:06:05,360 Speaker 3: We didn't know what was wrong. 101 00:06:05,400 --> 00:06:07,680 Speaker 2: We thought it was just like you know, teenage behavior 102 00:06:07,760 --> 00:06:11,000 Speaker 2: basically like oh, you know, him going through a boy face. 103 00:06:11,080 --> 00:06:13,279 Speaker 2: We never took it as a whole thing up until 104 00:06:13,520 --> 00:06:16,160 Speaker 2: he got older, I would say, like sixteen, because that's 105 00:06:16,160 --> 00:06:18,960 Speaker 2: when everything like basically started like that. We started noticing 106 00:06:19,000 --> 00:06:22,520 Speaker 2: that he had issues when he started getting. 107 00:06:22,200 --> 00:06:23,680 Speaker 3: Like really into this church thing. 108 00:06:24,200 --> 00:06:29,080 Speaker 2: He just kept talking about, Oh people was Satans, We 109 00:06:29,120 --> 00:06:32,360 Speaker 2: was warlocks because we wasn't married and we'd have kids 110 00:06:32,360 --> 00:06:34,160 Speaker 2: and I'm like, what the hell, Like, what is this? 111 00:06:34,440 --> 00:06:36,720 Speaker 2: And that's when like my mom finally decided, you know, 112 00:06:36,760 --> 00:06:38,480 Speaker 2: you need to be in a hospital. 113 00:06:40,960 --> 00:06:42,520 Speaker 6: And so the cycle began. 114 00:06:43,480 --> 00:06:47,040 Speaker 5: Edward would rotate in and out of hospitals during psychotic episodes, 115 00:06:47,520 --> 00:06:49,920 Speaker 5: but his circumstances did not improve. 116 00:06:49,960 --> 00:06:51,320 Speaker 2: And then he had to go in and out of 117 00:06:51,320 --> 00:06:54,880 Speaker 2: the hospitals. He eighteen, and they just like, oh, like okay, 118 00:06:55,080 --> 00:06:56,760 Speaker 2: you were allowed to go by yourself. 119 00:06:56,720 --> 00:07:00,480 Speaker 5: Allowed to leave the hospital alone because at eighteen, Edward 120 00:07:00,640 --> 00:07:02,560 Speaker 5: was legally an adult. 121 00:07:04,480 --> 00:07:04,960 Speaker 6: Darry says. 122 00:07:05,000 --> 00:07:08,719 Speaker 5: One time Edward was released from the hospital without supervision and. 123 00:07:09,000 --> 00:07:11,040 Speaker 3: They were released his medicine to him, as that are 124 00:07:11,040 --> 00:07:11,840 Speaker 3: released in his house. 125 00:07:12,320 --> 00:07:14,320 Speaker 5: Edward was left in charge of his own medicine and 126 00:07:14,360 --> 00:07:16,640 Speaker 5: instead of taking it, darry says, he flushed it down 127 00:07:16,640 --> 00:07:17,080 Speaker 5: the toilet. 128 00:07:17,160 --> 00:07:20,840 Speaker 3: So I'm like, what the like, this is just so unpropression. 129 00:07:21,520 --> 00:07:23,119 Speaker 6: And his behavior was getting worse. 130 00:07:23,360 --> 00:07:25,400 Speaker 3: He was attacking me for no reason. 131 00:07:25,720 --> 00:07:33,200 Speaker 5: The family felt helpless, and at this point we should 132 00:07:33,240 --> 00:07:35,560 Speaker 5: just sidestep for a minute to lay out what exactly 133 00:07:35,600 --> 00:07:37,600 Speaker 5: we mean by serious mental illness. 134 00:07:38,040 --> 00:07:42,640 Speaker 7: We're typically talking about illnesses that include psychosis. 135 00:07:42,960 --> 00:07:44,000 Speaker 6: This is John Snook. 136 00:07:44,280 --> 00:07:47,480 Speaker 5: He runs the Treatment Advocacy Center, a nonprofit that pushes 137 00:07:47,480 --> 00:07:50,360 Speaker 5: for better treatment for people with serious mental illness. 138 00:07:50,240 --> 00:07:55,520 Speaker 7: So things like schizophrenia, schizo effective disorder, and bipolar disorder. 139 00:07:55,800 --> 00:07:59,240 Speaker 7: They're typically the illnesses that are the most severe, hence 140 00:07:59,280 --> 00:08:03,040 Speaker 7: the name, and really is one of the most debilitating 141 00:08:03,080 --> 00:08:05,160 Speaker 7: diseases we have right now. 142 00:08:05,040 --> 00:08:05,520 Speaker 6: As a nation. 143 00:08:06,360 --> 00:08:09,000 Speaker 5: Serious mental illness is hard enough to handle if you're 144 00:08:09,040 --> 00:08:12,240 Speaker 5: wealthy and have access to the best care. For someone 145 00:08:12,320 --> 00:08:15,200 Speaker 5: like Edward, it's the worst kind of slippery slope. 146 00:08:15,360 --> 00:08:17,680 Speaker 7: And mental illness is like any other illness, So if 147 00:08:17,680 --> 00:08:20,600 Speaker 7: you don't provide the sort of care that that person needs, 148 00:08:21,080 --> 00:08:23,720 Speaker 7: they're going to get worse and eventually you're dealing with 149 00:08:23,720 --> 00:08:24,640 Speaker 7: the crisis. 150 00:08:25,080 --> 00:08:28,640 Speaker 5: And that's what happened with Edward. Several months before the 151 00:08:28,680 --> 00:08:32,760 Speaker 5: alleged subway attack, Edward was arrested in his neighborhood for robbery. 152 00:08:33,800 --> 00:08:36,800 Speaker 5: Court records and a police report state that Edward ripped 153 00:08:36,800 --> 00:08:38,640 Speaker 5: a purse from the shoulder of a twenty five year 154 00:08:38,679 --> 00:08:42,000 Speaker 5: old woman. He was arrested and charged with seven offenses, 155 00:08:42,440 --> 00:08:47,040 Speaker 5: including menacing, harassing, and robbery in the second degree, a felony. 156 00:08:47,800 --> 00:08:51,079 Speaker 5: He was arraigned and the judge ordered him released without bail, 157 00:08:52,040 --> 00:08:54,600 Speaker 5: so Edward was back on the street, and Darry says 158 00:08:54,800 --> 00:08:57,560 Speaker 5: at some point after that he was once again hospitalized. 159 00:08:58,240 --> 00:09:00,959 Speaker 2: He was just recently in there. I remember on Thanksgiving 160 00:09:01,000 --> 00:09:03,679 Speaker 2: he wasn't here with the family. We were speaking to 161 00:09:03,760 --> 00:09:06,079 Speaker 2: him over the phone. And then next thing you know 162 00:09:06,120 --> 00:09:07,920 Speaker 2: already but like I would say, like the d of 163 00:09:08,000 --> 00:09:10,559 Speaker 2: November to like the beginning of December, he was out again. 164 00:09:11,280 --> 00:09:13,120 Speaker 2: The new year came, he was home with us, and 165 00:09:13,160 --> 00:09:16,360 Speaker 2: then that night before he had like a relapse over here, 166 00:09:16,600 --> 00:09:18,480 Speaker 2: like now, I'm just cleaning my room and he just 167 00:09:18,840 --> 00:09:21,160 Speaker 2: I don't know where. It was like, oh, like your 168 00:09:21,280 --> 00:09:24,440 Speaker 2: devil child and throws something and I'm like, are you serious? 169 00:09:24,520 --> 00:09:24,800 Speaker 3: Right now? 170 00:09:24,880 --> 00:09:26,839 Speaker 2: That was the last I've seen for him. And then 171 00:09:27,800 --> 00:09:30,160 Speaker 2: the next day come and that's when it happened. 172 00:09:30,800 --> 00:09:34,719 Speaker 8: Investigators believe Edward Caderro Sucker punched the grandfather, causing him 173 00:09:34,720 --> 00:09:37,600 Speaker 8: to fall onto the tracks. Saus died at the hospital. 174 00:09:38,000 --> 00:09:40,480 Speaker 5: The day after Edward fought with dari was when he 175 00:09:40,520 --> 00:09:45,480 Speaker 5: allegedly killed hecinto Suarez. In Edward's own statement after his arrest, 176 00:09:45,679 --> 00:09:48,320 Speaker 5: he says, I wanted the guy to see my face. 177 00:09:48,720 --> 00:09:53,920 Speaker 5: End quote see Jesus Christ defeats evil. Jacinto Suarez was 178 00:09:53,960 --> 00:09:55,920 Speaker 5: a father and grandfather. 179 00:09:56,000 --> 00:09:59,200 Speaker 8: His oldest son, barely finding the words to express his grief. 180 00:10:00,559 --> 00:10:02,240 Speaker 3: Just stop, stump, tired man. 181 00:10:03,520 --> 00:10:04,840 Speaker 8: Can't believe this happened, you. 182 00:10:04,840 --> 00:10:11,080 Speaker 3: Know, definitely not definitely not gone to song. It's my daddy. 183 00:10:15,840 --> 00:10:19,760 Speaker 5: Tragic events like this one fuel fear and stigma, and 184 00:10:19,800 --> 00:10:22,640 Speaker 5: they raise the question why is it so hard to 185 00:10:22,679 --> 00:10:26,160 Speaker 5: provide care to someone with a serious mental illness like Edward? 186 00:10:26,760 --> 00:10:29,800 Speaker 5: Care that might have prevented this tragedy. 187 00:10:36,040 --> 00:10:39,880 Speaker 1: Coming up on Latino USA, we dig into the problems 188 00:10:40,240 --> 00:10:59,920 Speaker 1: and look at some solutions. Stay with us. Hey, we're back, 189 00:11:00,320 --> 00:11:03,320 Speaker 1: and we're going to zoom out now to understand how 190 00:11:03,440 --> 00:11:07,439 Speaker 1: the failure to treat Edward Gordedo's mental illness connects to 191 00:11:07,640 --> 00:11:11,400 Speaker 1: larger systemic problems. Let's go back now to let you 192 00:11:11,440 --> 00:11:13,319 Speaker 1: know USA producer Maggie Freeling. 193 00:11:15,480 --> 00:11:18,439 Speaker 5: To be clear, tackling everything that's wrong with the mental 194 00:11:18,440 --> 00:11:22,080 Speaker 5: health system in one episode is pretty impossible. So we're 195 00:11:22,120 --> 00:11:24,320 Speaker 5: going to focus on a few common problems that we 196 00:11:24,400 --> 00:11:28,480 Speaker 5: believe directly affected Edward. One of them is the nationwide 197 00:11:28,520 --> 00:11:35,640 Speaker 5: shortage of inpatient hospital beds for psychiatric care. Emergency hospitalization 198 00:11:35,960 --> 00:11:38,200 Speaker 5: is one way to provide urgent care to someone in 199 00:11:38,240 --> 00:11:40,800 Speaker 5: a mental health crisis, as you heard about with Edward. 200 00:11:41,200 --> 00:11:44,120 Speaker 5: People are monitored and may receive new or different medication 201 00:11:44,480 --> 00:11:45,480 Speaker 5: or other treatments. 202 00:11:45,800 --> 00:11:48,559 Speaker 6: But as John Snook, the Mental health Advocate. 203 00:11:48,160 --> 00:11:52,800 Speaker 7: Explains, unfortunately New York's standard for getting into a hospital 204 00:11:52,840 --> 00:11:57,520 Speaker 7: bed is very high. It typically requires that a person 205 00:11:58,040 --> 00:12:02,280 Speaker 7: evidence that they're dangerous to themselves or someone else. And 206 00:12:02,400 --> 00:12:05,520 Speaker 7: most states have recognized that that's a that's a dumb 207 00:12:05,559 --> 00:12:08,559 Speaker 7: way to provide medical care. But the standard is are 208 00:12:08,559 --> 00:12:12,760 Speaker 7: they dangerous not do they need help? Hopefully their illness 209 00:12:12,960 --> 00:12:15,680 Speaker 7: is manifesting in such a way that they seem violent 210 00:12:15,800 --> 00:12:18,240 Speaker 7: or they seem suicidal, which is a terrible thing to 211 00:12:18,400 --> 00:12:20,760 Speaker 7: hope for, but that's how you get into care. 212 00:12:21,320 --> 00:12:23,800 Speaker 5: And Edward did make it into a hospital bed and 213 00:12:23,840 --> 00:12:26,920 Speaker 5: on multiple occasions, as his sister Darry told us, but 214 00:12:26,960 --> 00:12:30,680 Speaker 5: it was only temporary and hospital beds are being cut 215 00:12:30,720 --> 00:12:35,240 Speaker 5: across the country. In twenty sixteen, John Snook's organization, the 216 00:12:35,280 --> 00:12:38,240 Speaker 5: Treatment Advocacy Center, published a report on the number of 217 00:12:38,280 --> 00:12:42,240 Speaker 5: state hospital beds available for psychiatric patients. It found that 218 00:12:42,240 --> 00:12:44,520 Speaker 5: the number of beds had fallen to an all time 219 00:12:44,559 --> 00:12:48,199 Speaker 5: Low and John Snook says the shortage of beds forces 220 00:12:48,280 --> 00:12:50,640 Speaker 5: doctors to make difficult decisions. 221 00:12:51,000 --> 00:12:54,560 Speaker 7: What you end up with is situations where, unfortunately doctors 222 00:12:54,600 --> 00:12:59,480 Speaker 7: have to triage, and so they aren't able to think about, well, 223 00:13:00,360 --> 00:13:03,400 Speaker 7: how can I ensure that this person is in an 224 00:13:03,400 --> 00:13:07,199 Speaker 7: impatient facility long enough to really get well and recover. 225 00:13:07,920 --> 00:13:10,400 Speaker 7: They're thinking about how do I prevent the next headline, 226 00:13:11,160 --> 00:13:14,240 Speaker 7: who is the most seriously ill person that I need 227 00:13:14,240 --> 00:13:16,679 Speaker 7: to get into this bed right now? And how can 228 00:13:16,720 --> 00:13:18,559 Speaker 7: I get them out of that bed as quickly as 229 00:13:18,559 --> 00:13:20,800 Speaker 7: possible because I need it for someone else. 230 00:13:21,400 --> 00:13:23,160 Speaker 5: And so to put this all in context, we have 231 00:13:23,240 --> 00:13:29,679 Speaker 5: to go back to the nineteen sixties. Before then, people 232 00:13:29,720 --> 00:13:32,520 Speaker 5: with serious mental illness would typically go to state run 233 00:13:32,520 --> 00:13:36,000 Speaker 5: psychiatric hospitals. But by the middle of the twentieth century 234 00:13:36,160 --> 00:13:39,760 Speaker 5: these institutions were on the decline, and books and movies 235 00:13:39,840 --> 00:13:43,240 Speaker 5: like One Flew Over the Cuckoo's Nest didn't help their reputation. 236 00:13:43,840 --> 00:13:46,480 Speaker 8: You guys do nothing but complain about how you can't 237 00:13:46,520 --> 00:13:48,240 Speaker 8: stand it in this place here, and then you haven't 238 00:13:48,240 --> 00:13:48,600 Speaker 8: got the. 239 00:13:48,559 --> 00:13:49,800 Speaker 6: Guts just to walk out. 240 00:13:49,880 --> 00:13:51,000 Speaker 3: How do you think you are for. 241 00:13:51,120 --> 00:13:54,560 Speaker 5: Pricing after years of scandals at state run psychiatric institutions. 242 00:13:54,800 --> 00:13:57,640 Speaker 6: There was a shift. The government began shutting them down, 243 00:13:57,760 --> 00:13:58,079 Speaker 6: and we. 244 00:13:58,080 --> 00:14:00,720 Speaker 2: Have to offer something more than crowded because studio care 245 00:14:00,720 --> 00:14:01,959 Speaker 2: and our state institutions. 246 00:14:02,720 --> 00:14:06,080 Speaker 5: In nineteen sixty three, President Kennedy signed the Community Mental 247 00:14:06,160 --> 00:14:10,280 Speaker 5: Health Act. Under this legislation, custodial mental institutions will be 248 00:14:10,320 --> 00:14:13,640 Speaker 5: replaced by therapeutic senates. The new law pushed for people 249 00:14:13,640 --> 00:14:16,760 Speaker 5: with mental illness to be cared for within their own communities, 250 00:14:17,280 --> 00:14:22,000 Speaker 5: not sent away to institutions. It was a process called deinstitutionalization. 251 00:14:23,320 --> 00:14:26,200 Speaker 5: While the law established new ideals for serving people with 252 00:14:26,280 --> 00:14:29,720 Speaker 5: mental illness, it also resulted in many people who needed 253 00:14:29,760 --> 00:14:34,120 Speaker 5: long term care ending up on the streets and homeless. Today, 254 00:14:34,400 --> 00:14:36,400 Speaker 5: while four percent of adults in the US have a 255 00:14:36,440 --> 00:14:40,640 Speaker 5: serious mental illness, they're over represented in the homeless population 256 00:14:40,920 --> 00:14:44,640 Speaker 5: and in correctional facilities. And the cutting of hospital beds 257 00:14:45,040 --> 00:14:47,520 Speaker 5: is not just a problem for patients and their advocates, 258 00:14:48,080 --> 00:14:55,960 Speaker 5: it's a challenge for doctors too. Doctor Iman Finuse is 259 00:14:56,000 --> 00:14:58,840 Speaker 5: a psychiatrist and chair of the Department of Psychiatry at 260 00:14:58,840 --> 00:15:02,120 Speaker 5: Sunny Downstate Medical Center in New York City. He's worked 261 00:15:02,160 --> 00:15:03,960 Speaker 5: in the er treating people like Edward. 262 00:15:04,360 --> 00:15:07,600 Speaker 9: I can tell you that on a personal level, I 263 00:15:07,640 --> 00:15:10,720 Speaker 9: have had a number of situations where we've had a 264 00:15:10,800 --> 00:15:15,600 Speaker 9: patient who really needed hospitation baddling just had nowhere to 265 00:15:15,640 --> 00:15:17,480 Speaker 9: go because we had no beds in the area. 266 00:15:18,000 --> 00:15:21,920 Speaker 5: And so people without family support or other resources have 267 00:15:22,040 --> 00:15:26,600 Speaker 5: few options. It's also important to say how overstretched healthcare 268 00:15:26,640 --> 00:15:30,720 Speaker 5: providers are, especially in neighborhoods like Edwards. According to New 269 00:15:30,800 --> 00:15:33,760 Speaker 5: York City data, Brownsville has the second highest rate of 270 00:15:33,800 --> 00:15:38,280 Speaker 5: psychiatric hospitalizations in the city and the least access to healthcare. 271 00:15:39,200 --> 00:15:42,240 Speaker 5: Doctor Finuse works in Flatbush, a neighborhood in Brooklyn close 272 00:15:42,280 --> 00:15:44,520 Speaker 5: to Edwards, and with similar problems. 273 00:15:44,840 --> 00:15:47,880 Speaker 9: We're dealing with communities that are long suffering, and they've 274 00:15:47,920 --> 00:15:52,760 Speaker 9: been the victims of severe injustice over centuries, and to 275 00:15:52,800 --> 00:15:56,680 Speaker 9: have this sort of perpetuated in these kinds of illnesses 276 00:15:56,760 --> 00:16:00,200 Speaker 9: going untreated as a major sort of tragic situation. 277 00:16:04,960 --> 00:16:08,640 Speaker 5: So when getting stabilized in a hospital fails, there's still 278 00:16:08,840 --> 00:16:11,920 Speaker 5: a backup plan that some of the most extreme cases 279 00:16:12,000 --> 00:16:16,600 Speaker 5: can fall into. And it's controversial. One reason I want 280 00:16:16,640 --> 00:16:18,280 Speaker 5: to tell you about it is because of how it 281 00:16:18,360 --> 00:16:22,280 Speaker 5: came about. It began with a situation eerily similar to 282 00:16:22,440 --> 00:16:23,800 Speaker 5: Edwards in the subway. 283 00:16:24,960 --> 00:16:26,520 Speaker 6: Exactly nineteen years to. 284 00:16:26,480 --> 00:16:30,480 Speaker 5: The date before Edward allegedly pushed Jacinto Suarez onto the tracks, 285 00:16:31,120 --> 00:16:34,120 Speaker 5: Kendra Webdeal was also standing on a New York City 286 00:16:34,160 --> 00:16:39,600 Speaker 5: subway platform. An unmedicated man with schizophrenia pushed her into 287 00:16:39,640 --> 00:16:42,400 Speaker 5: the path of an oncoming train, and he had recently 288 00:16:42,440 --> 00:16:45,920 Speaker 5: been released from a hospital. Kendra was thirty two when 289 00:16:45,960 --> 00:16:50,240 Speaker 5: she died, and after that her family became outspoken about 290 00:16:50,240 --> 00:16:52,400 Speaker 5: care for people with serious mental illness. 291 00:16:52,840 --> 00:16:54,680 Speaker 10: When Kendra was pushed toward death in front of a 292 00:16:54,720 --> 00:16:58,000 Speaker 10: New York City subway train, we later learned of the 293 00:16:58,040 --> 00:17:01,360 Speaker 10: ongoing hardships encountered by some of the mentally ill themselves, 294 00:17:01,800 --> 00:17:04,520 Speaker 10: and the anguish experienced by their families who have tried, 295 00:17:04,720 --> 00:17:07,960 Speaker 10: often unsuccessfully, to get their loved ones the help they 296 00:17:08,000 --> 00:17:08,800 Speaker 10: desperately need. 297 00:17:10,359 --> 00:17:11,280 Speaker 6: This is Kendra's mom. 298 00:17:11,280 --> 00:17:14,720 Speaker 5: In nineteen ninety nine, her family played a critical role 299 00:17:14,800 --> 00:17:17,960 Speaker 5: in passing Kendro's Law, a state law that created something 300 00:17:18,040 --> 00:17:25,000 Speaker 5: called assisted outpatient treatment, or AOT. The law makes it 301 00:17:25,040 --> 00:17:28,280 Speaker 5: possible for a judge to court order someone treatment without 302 00:17:28,280 --> 00:17:32,480 Speaker 5: putting them in a hospital. The treatment can include medication, therapy, 303 00:17:32,760 --> 00:17:36,439 Speaker 5: and case management, but it's not easy to qualify. A 304 00:17:36,520 --> 00:17:38,639 Speaker 5: judge has to decide that the person who is mentally 305 00:17:38,640 --> 00:17:44,040 Speaker 5: ill is unable to live safely without supervision. Opponents of 306 00:17:44,080 --> 00:17:47,200 Speaker 5: Kendra's law, including the New York Civil Liberties Union, say 307 00:17:47,240 --> 00:17:50,920 Speaker 5: it violates the right to determine one's own treatment, but 308 00:17:51,000 --> 00:17:55,520 Speaker 5: still courts have upheld the law is constitutional. An independent 309 00:17:55,560 --> 00:17:59,920 Speaker 5: evaluation found that AOT reduces the likelihood that recipients will 310 00:17:59,920 --> 00:18:05,359 Speaker 5: be rehospitalized, incarcerated, or end up homeless, and today forty 311 00:18:05,400 --> 00:18:08,600 Speaker 5: seven states have some version of AOT, and. 312 00:18:08,640 --> 00:18:12,160 Speaker 10: Most of all, Kendra's law represents hope that another family 313 00:18:12,400 --> 00:18:15,480 Speaker 10: will never have to experience the heartache of losing a 314 00:18:15,560 --> 00:18:16,960 Speaker 10: cherished member of their family. 315 00:18:17,960 --> 00:18:20,800 Speaker 6: But assisted out patient treatment is not a cure. 316 00:18:21,480 --> 00:18:24,480 Speaker 5: John Snook from the Treatment Advocacy Center says this is 317 00:18:24,520 --> 00:18:27,960 Speaker 5: the crux of the entire problem. AOT is a band 318 00:18:27,960 --> 00:18:30,720 Speaker 5: aid from when people are in the worst possible scenario. 319 00:18:31,119 --> 00:18:35,240 Speaker 7: Because we are in this cycle of letting people fall 320 00:18:35,280 --> 00:18:37,800 Speaker 7: apart and only getting them care when they're at their 321 00:18:38,080 --> 00:18:42,240 Speaker 7: very sickest, we just never catch up. It'd be as 322 00:18:42,240 --> 00:18:45,400 Speaker 7: if we had a cardiac center, but we only provided 323 00:18:45,480 --> 00:18:47,879 Speaker 7: care to people once they had a heart attack. And 324 00:18:47,920 --> 00:18:50,879 Speaker 7: then we were surprised at how expensive and broken the 325 00:18:50,920 --> 00:18:51,520 Speaker 7: system was. 326 00:18:56,280 --> 00:18:59,359 Speaker 5: Although Edward Cordero may have qualified for AOT when he 327 00:18:59,400 --> 00:19:02,800 Speaker 5: became an adult almost a year before the incident, this 328 00:19:02,960 --> 00:19:06,120 Speaker 5: specific safety net does not appear to have caught him. 329 00:19:06,440 --> 00:19:09,760 Speaker 5: Edward's sister darry says she doesn't remember anyone telling her 330 00:19:09,800 --> 00:19:20,359 Speaker 5: about it as an option. Clearly, creating a system that 331 00:19:20,400 --> 00:19:22,639 Speaker 5: can manage care for everyone who needs it is a 332 00:19:22,680 --> 00:19:26,920 Speaker 5: big challenge. It would take years of legislation, funding and training. 333 00:19:27,440 --> 00:19:30,840 Speaker 5: But there is one solution that pretty much everyone agrees 334 00:19:30,880 --> 00:19:34,920 Speaker 5: on that people with serious mental illness need regular monitoring, 335 00:19:35,240 --> 00:19:37,080 Speaker 5: case management, and support. 336 00:19:37,800 --> 00:19:41,800 Speaker 11: We're not of East New York, along with Best, which 337 00:19:41,840 --> 00:19:42,120 Speaker 11: is a. 338 00:19:42,080 --> 00:19:43,280 Speaker 3: Town over we want. 339 00:19:43,400 --> 00:19:45,840 Speaker 5: I'm standing on a street corner in Edward's old neighborhood 340 00:19:45,880 --> 00:19:48,560 Speaker 5: with Ana Miguel. She works with people who have serious 341 00:19:48,560 --> 00:19:52,560 Speaker 5: mental illness, and she herself was diagnosed with schizophrenia and 342 00:19:52,600 --> 00:19:56,159 Speaker 5: bipolar disorder, so she knows firsthand what the people she 343 00:19:56,200 --> 00:19:59,320 Speaker 5: sees are going through. Anna works on an ACT team 344 00:19:59,720 --> 00:20:04,680 Speaker 5: that's ACT for Assertive Community Treatment. Anna's job is to 345 00:20:04,720 --> 00:20:07,080 Speaker 5: go to the homes of people who are too sick 346 00:20:07,119 --> 00:20:10,560 Speaker 5: to seek out care and check in Are they eating? 347 00:20:10,840 --> 00:20:14,400 Speaker 5: Do they need groceries? Are they taking their medications? Are 348 00:20:14,400 --> 00:20:17,040 Speaker 5: they sticking with their treatment plans? I asked her to 349 00:20:17,040 --> 00:20:18,080 Speaker 5: describe a typical debt. 350 00:20:18,800 --> 00:20:24,879 Speaker 11: Oooh not easy. I see eleven, sometimes twelve clients in 351 00:20:24,920 --> 00:20:28,439 Speaker 11: one day. That temperature on Monto Luther King's that it 352 00:20:28,520 --> 00:20:30,879 Speaker 11: was like zero's. I was out here working, I had 353 00:20:30,920 --> 00:20:35,439 Speaker 11: thirteen clients that day. My phone finally froze, went black 354 00:20:35,880 --> 00:20:37,879 Speaker 11: and I couldn't see the last two clients because it 355 00:20:37,920 --> 00:20:38,800 Speaker 11: was in Coney Island. 356 00:20:39,000 --> 00:20:40,840 Speaker 6: Today, I'm going with Anna on a home visit. 357 00:20:41,359 --> 00:20:44,480 Speaker 11: We are going to see a client that's actually receptive 358 00:20:44,520 --> 00:20:45,280 Speaker 11: to this visit. 359 00:20:47,720 --> 00:20:49,800 Speaker 3: We can get off here and walk over. 360 00:20:49,600 --> 00:20:52,760 Speaker 5: There along with us as a nurse practitioner who takes 361 00:20:52,800 --> 00:20:55,399 Speaker 5: care of any medical needs that may arise. And for 362 00:20:55,480 --> 00:20:58,679 Speaker 5: confidentiality reasons, we're not identifying the young man we went 363 00:20:58,720 --> 00:21:05,920 Speaker 5: to visit coffee, the nurse is giving him a shot 364 00:21:06,000 --> 00:21:11,840 Speaker 5: of antipsychotic medication. Anna tells me this particular client has 365 00:21:11,840 --> 00:21:14,360 Speaker 5: been improving steadily since she's been seeing him. 366 00:21:14,560 --> 00:21:15,480 Speaker 3: He's so proud of. 367 00:21:17,119 --> 00:21:17,159 Speaker 8: Me. 368 00:21:17,560 --> 00:21:18,919 Speaker 1: Well, you give me a minute. 369 00:21:19,240 --> 00:21:21,919 Speaker 10: Yes, how was it all right? 370 00:21:22,000 --> 00:21:28,560 Speaker 3: Awesome? I's good to see. 371 00:21:28,160 --> 00:21:29,840 Speaker 6: The check in lasted about twenty minutes. 372 00:21:30,240 --> 00:21:33,159 Speaker 5: After the client got his medication, Anna just chatted with 373 00:21:33,240 --> 00:21:37,000 Speaker 5: him about music, the weather, everyday things, just to make 374 00:21:37,000 --> 00:21:41,880 Speaker 5: sure he seemed okay, A yeah, that's cool. 375 00:21:41,720 --> 00:21:44,080 Speaker 6: And then she left for another apartment. 376 00:21:44,520 --> 00:21:47,359 Speaker 11: We are off to the East flat Bush area. 377 00:21:48,320 --> 00:21:51,040 Speaker 5: In addition to visits like this, one part of Anna's 378 00:21:51,080 --> 00:21:53,719 Speaker 5: job is to simply let people know what services are 379 00:21:53,720 --> 00:21:56,560 Speaker 5: available in their community. She tells me that she walks 380 00:21:56,600 --> 00:21:59,040 Speaker 5: around to spread the word in the neighborhood, a place 381 00:21:59,080 --> 00:22:04,040 Speaker 5: that historically access to health services. In October, a brand 382 00:22:04,080 --> 00:22:06,600 Speaker 5: new health hub opened in East New York. It's run 383 00:22:06,680 --> 00:22:09,840 Speaker 5: by the Institute for Community Living in New York based nonprofit. 384 00:22:10,240 --> 00:22:12,120 Speaker 5: It's a pretty big deal and that's why it made 385 00:22:12,160 --> 00:22:13,080 Speaker 5: local TV news. 386 00:22:13,320 --> 00:22:16,120 Speaker 12: This East New York health hub is offering so many 387 00:22:16,240 --> 00:22:19,560 Speaker 12: services that those who organize it say they want to 388 00:22:19,600 --> 00:22:23,760 Speaker 12: be the primary model for what healthcare can look like. 389 00:22:26,400 --> 00:22:28,760 Speaker 5: Anna's based at the hub, and many of her clients 390 00:22:28,880 --> 00:22:30,880 Speaker 5: come and see her there too, where they can also 391 00:22:30,920 --> 00:22:33,960 Speaker 5: get care for things like general checkups and join group 392 00:22:34,000 --> 00:22:37,560 Speaker 5: programs like art classes and job training. In addition to 393 00:22:37,600 --> 00:22:40,280 Speaker 5: the hub itself, New York City officials say they're spending 394 00:22:40,320 --> 00:22:42,880 Speaker 5: more money to expand the use of these act teams 395 00:22:43,160 --> 00:22:46,159 Speaker 5: like Anna's. In fact, New York City is in the 396 00:22:46,200 --> 00:22:49,720 Speaker 5: midst of a multi year initiative called Thrive and YC. 397 00:22:50,520 --> 00:22:54,280 Speaker 5: It's spending hundreds of millions of dollars on mental health services. 398 00:22:54,960 --> 00:22:57,800 Speaker 5: Doctor Gary Belkin is one of the people leading that charge. 399 00:22:58,359 --> 00:23:00,560 Speaker 5: When I spoke with him in September, he was aware 400 00:23:00,560 --> 00:23:02,880 Speaker 5: of the uphill battle the city's facing to take care 401 00:23:02,880 --> 00:23:04,439 Speaker 5: of people with serious mental illness. 402 00:23:04,840 --> 00:23:10,199 Speaker 13: We're catching up with being satisfied with a system that 403 00:23:10,320 --> 00:23:12,679 Speaker 13: is not performing in the way that we should expect 404 00:23:12,680 --> 00:23:16,000 Speaker 13: it to. Part of that is it's fragmented by design, 405 00:23:16,600 --> 00:23:21,320 Speaker 13: is underfunded by design. It's the source of great stigma 406 00:23:22,000 --> 00:23:25,119 Speaker 13: and avoidance, and all of those things need to be 407 00:23:25,280 --> 00:23:27,560 Speaker 13: faced if we're going to have it work better. 408 00:23:28,280 --> 00:23:30,840 Speaker 5: Belkin is now the chief of Policy and Strategy for 409 00:23:30,920 --> 00:23:34,320 Speaker 5: Thrive MIC. The initiative was launched in twenty fifteen and 410 00:23:34,359 --> 00:23:36,639 Speaker 5: has promised to spend as much as two hundred and 411 00:23:36,640 --> 00:23:40,360 Speaker 5: fifty million dollars a year on dozens of programs. It's 412 00:23:40,400 --> 00:23:43,480 Speaker 5: the largest city based mental health initiative in the country, 413 00:23:43,720 --> 00:23:48,639 Speaker 5: and city leaders have called it a model for communities nationwide. However, 414 00:23:48,760 --> 00:23:52,280 Speaker 5: the initiative is facing criticism. The New York City Council 415 00:23:52,359 --> 00:23:54,720 Speaker 5: and the City's Controller are taking a close look at 416 00:23:54,760 --> 00:23:58,600 Speaker 5: thrive MIC's funding and effectiveness, and many critics say it 417 00:23:58,640 --> 00:24:01,439 Speaker 5: fails to prioritize the people who need help them most 418 00:24:01,880 --> 00:24:04,359 Speaker 5: people with serious mental illness, like Edward. 419 00:24:05,200 --> 00:24:08,000 Speaker 6: Doctor Belkin acknowledges that criticism. 420 00:24:07,600 --> 00:24:10,800 Speaker 13: That criticism often comes from a very credible place. These 421 00:24:10,800 --> 00:24:13,760 Speaker 13: are people who have lost loved ones, who have tried 422 00:24:13,800 --> 00:24:16,520 Speaker 13: to get them through this system that doesn't make sense, 423 00:24:17,200 --> 00:24:20,359 Speaker 13: and they want that fext. 424 00:24:21,720 --> 00:24:23,399 Speaker 2: This is not the first time, it is not the 425 00:24:23,480 --> 00:24:26,399 Speaker 2: last time that it happened. Pretty sure thing will be 426 00:24:26,480 --> 00:24:29,719 Speaker 2: so much completely different if they was to open up 427 00:24:29,840 --> 00:24:34,480 Speaker 2: more places that can handle mental people and help them. 428 00:24:34,840 --> 00:24:38,000 Speaker 2: They're also human. They're just you know, people that are 429 00:24:38,080 --> 00:24:41,639 Speaker 2: not in the rest date of mind. They disable and 430 00:24:41,800 --> 00:24:43,080 Speaker 2: all they need is help, honestly. 431 00:24:48,359 --> 00:24:51,440 Speaker 5: Edward Cordero is now in jail at Riker's Island awaiting trial, 432 00:24:52,000 --> 00:24:54,080 Speaker 5: and he's facing up to twenty five years in prison. 433 00:24:55,080 --> 00:24:57,520 Speaker 5: Darry told me she visits and talks to her brother often. 434 00:24:57,920 --> 00:25:01,240 Speaker 5: She says, Edward also misses watching his neph Darry's son 435 00:25:01,640 --> 00:25:02,160 Speaker 5: grow up. 436 00:25:02,560 --> 00:25:04,200 Speaker 2: It doesn't feel right to his talk on the phone 437 00:25:04,240 --> 00:25:05,680 Speaker 2: with him, and then it's like I'm. 438 00:25:05,520 --> 00:25:06,000 Speaker 3: Out to cry. 439 00:25:06,119 --> 00:25:08,359 Speaker 2: Like I speak to him on the phone, he's not 440 00:25:08,440 --> 00:25:10,919 Speaker 2: like a grown man, like speaking of me night. Oh, 441 00:25:11,000 --> 00:25:13,199 Speaker 2: I just want to tell you they're doing such a 442 00:25:13,200 --> 00:25:14,680 Speaker 2: great job of my nephew. 443 00:25:15,600 --> 00:25:17,680 Speaker 3: And like I'm proud of you, like I like the 444 00:25:17,720 --> 00:25:18,800 Speaker 3: way you bring him up. 445 00:25:19,080 --> 00:25:20,719 Speaker 2: They go, oh, I can't wait till I see you, 446 00:25:20,760 --> 00:25:23,359 Speaker 2: like and I love you and like, you know, stuff 447 00:25:23,400 --> 00:25:23,680 Speaker 2: like that. 448 00:25:24,080 --> 00:25:25,560 Speaker 3: Oh my god, I guess we mad emotion. 449 00:25:28,280 --> 00:25:30,280 Speaker 5: A few months ago, I went to watch one of 450 00:25:30,359 --> 00:25:34,320 Speaker 5: Edward's court hearings. He was almost unrecognizable from the angry 451 00:25:34,320 --> 00:25:36,960 Speaker 5: young man in the New York Daily News video. He 452 00:25:36,960 --> 00:25:39,800 Speaker 5: had gained weight, grew his hair out, and looked soft 453 00:25:40,119 --> 00:25:43,359 Speaker 5: and sad. The judge checked in with him and his lawyer, 454 00:25:43,600 --> 00:25:46,000 Speaker 5: and then as he was leaving, Edward turned to his mom. 455 00:25:46,560 --> 00:25:50,200 Speaker 5: She was sitting behind him crying, and he smiled and whispered, 456 00:25:50,600 --> 00:25:53,800 Speaker 5: Hi Mom, and in his handcuffs he tried to wave. 457 00:26:12,680 --> 00:26:15,760 Speaker 1: This episode was produced by Maggie Freeling. It was edited 458 00:26:15,800 --> 00:26:20,040 Speaker 1: by Alison McCadam and mixed by Stephanie Lebau. Fact Checking 459 00:26:20,040 --> 00:26:23,760 Speaker 1: for this episode by Amy Tardiff. The Latino USA team 460 00:26:23,880 --> 00:26:29,119 Speaker 1: also includes Victori Estrada, Renaldo Leanos Junior, Andrea Lopez Crusado, 461 00:26:29,520 --> 00:26:32,800 Speaker 1: Johni mar Marquez, Marta Martinez, Mike Sargent, Nour Saudi and 462 00:26:32,880 --> 00:26:33,760 Speaker 1: Nancy Trujillo. 463 00:26:34,280 --> 00:26:34,560 Speaker 7: Penni. 464 00:26:34,600 --> 00:26:38,520 Speaker 1: Lei Ramirez is our co executive producer. Our senior engineer 465 00:26:38,560 --> 00:26:41,840 Speaker 1: is Julia Caruso, our marketing managers lisnowon up. Our theme 466 00:26:41,920 --> 00:26:45,080 Speaker 1: music was composed by Seger Ruinos. I'm your host and 467 00:26:45,200 --> 00:26:48,680 Speaker 1: executive producer Maria Josa. Join us again on our next episode. 468 00:26:48,720 --> 00:26:51,280 Speaker 1: In the meantime, I'll see all of you on social 469 00:26:51,359 --> 00:26:55,160 Speaker 1: media and on Instagram. Aestel Approxima, Yes Bye. 470 00:26:58,680 --> 00:27:02,000 Speaker 6: Funding for Latino US coverage of a Culture of Health 471 00:27:02,320 --> 00:27:04,399 Speaker 6: is made possible in part by a grant from the 472 00:27:04,520 --> 00:27:09,040 Speaker 6: Robert Wood Johnson Foundation. Latino USA is made possible in 473 00:27:09,160 --> 00:27:14,040 Speaker 6: part by W. K. Kellogg Foundation, a partner with Communities 474 00:27:14,400 --> 00:27:18,400 Speaker 6: where Children Come First, and the TAU Foundation,