...The community’s perspective on health care in St. Louis City A Crisis of Care A report developed by the Saint Louis University School of Public Health and funded by the Episcopal-Presbyterian Charitable Health and Medical Trust March 2003 ACKNOWLEDGEMENTS This report is the final product of a twoyear project developed and funded by the Episcopal-Presbyterian Charitable Health and Medical Trust. We wish to thank Bishop Hayes Rockwell and the Trust Board, especially Dr. Katherine Jahnige, for their inspiration and support. We also would like to recognize the partnership of the Trust with the St. Louis Community Foundation, led by David Luckes and Linda Aitch, for its contributions to this project. Finally, our thanks go to Dr. James Kimmey, for his insight as to the need for focus group information. B [Introduction] “ We made a home visit on a family in north St. Louis…because they had missed preventive care. And when the home health worker went into the home, she found the mother was there with many children. The mother was suffering from postpartum depression. The baby was on a [respirator] and the house was rat infested. They had no electricity for the baby, so they were stealing electricity from the neighbor to be able to support the baby’s life support. Obviously they were in health crisis in more than one [way]…but she didn’t know where to begin. There were so many layers to peel away from this family that to get to their health care…and they definitely...
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...The city of St. Louis has suffered from a deep rooted history of racial tensions, issues and inequalities for years. Businesses that once thrived within the city have left the city for suburban areas. The events in the Michael Brown case in Ferguson, Mo on August 9, 2014 forever changed the face of the city and a Nation. In this paper, the author would like to delve into the economic effects that the city has dealt with prior to, during and after the events of August 9, 2014. This paper will evaluate and examine the economic effects that the events has had on this city and community. This paper will explore the decisions made by government officials during and after the riots that affected businesses in the immediate and surrounding areas. This paper would also look at how and if the city can recover. History of St. Louis St. Louis is a metropolitan city which has 92 suburbs that make up the St. Louis County. The city of St. Louis is divided up into the north side which is predominately African American, the south side which is predominately Caucasian, the central west end which is a mixed group and East St. Louis which despite the fact that it is in Illinois is predominately African American. The counties of St. Louis are also divided by race with North County being predominately African American, South County predominately Caucasian, and West County predominately Caucasian. There are twenty four county school districts and one large school...
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...several years overall crime in the city of St. Louis has dropped dramatically, almost 30-percent. One particular crime however is way up homicides. The city is averaging nearly one murder every two days. A primary cause of this deadly spike is a rise of gangs and gang culture. St. Louis is home to one of America's most active and aggressive gang cultures, helping make it one of the most violent U.S. cities. In parts of North St. Louis and North St. Louis County gangs wage turf wars that, in some cases, run block to block. The impact this has on people living in these neighborhoods is overwhelming. Webster’s dictionary defines violence as exertion of physical force so as to injure or abuse. It is also defined as intense, turbulent, or furious and often destructive action or force. Within the Saint Louis community, our #1 problem in my personal opinion would be violence. Nowadays it is not only violence, but gang-violence and its impact on our future generations. Our future lies in the hands of those who feel that they cannot express themselves without showing some sort of aggression or agitation. This problem must be tackled within the matter of urgency and commitment towards those who have no knowledge or respect for what they take part in. Gangs are defined as group of people who, through the organization, formation, and establishment of an assemblage, share a common identity. Over the years in urban area of Saint Louis, gangs have lost their true identity....
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...federal government decided it was best to just blow it up. This was the first public housing project in the country that was demolished. Pruitt Igoe became a symbol for not only the failure of U.S. housing program but also the failure of high-rise modernist architecture. The Pruitt Igoe Housing Project was unsuccessful because of various triggers that were ignored. While many believed African Americans were the cause thirty six million dollar project failure; others thought it had to do...
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...of sentencing between the white majority and the black minority juvenile offenders. During the course of this research, additional insights were gained from an internship at a youth correctional center as well as drawing on my own personal experience as a refugee from Gabon. The findings of my research demonstrate that minority offenders do receive harsher sentences than the whites, and that there are several factors contributing to higher rates of juvenile delinquency among African Americans; primarily education and community. To consider the struggle of minorities is important because it creates awareness that the maltreatment of a minority group by the dominant majority often ends in violence and destruction. If we can understand what cause the inequality better, then mankind can live more peacefully and prosperously. ACKNOWLEDGEMENTS I am grateful to have a mentor and a RC like Mr. Doug Brown and an advisor Dr. Jackie Burns to help me write my capstone. Mr. Brown served as a facilitator helping to clarify the process and helping to keep me on track with my...
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...that criminal behavior was independent of individual characteristics and much more dependent on disruptive social forces” (23). Park’s social disorganization theory forms the basis for several other theories in contemporary criminology. For example, the theories that have come to be known as strain theories. Sociologist Robert Merton believed that “social conditions, especially poverty and ethnicity, are powerful factors in determining the adaptations that individuals make to socially prescribed goals and the lifestyles that develop as a result” (25). Focusing on social disorganization and strain theory, I can attempt to explain why people commit the crimes of juvenile delinquency, methamphetamine use, and prostitution. Shaw and McKay’s theory of social disorganization asserts “that delinquency emerges in neighborhoods where the neighborhood relationships and institutions have broken down and can no longer maintain effective social controls” (Bernard, Snipes, Gerould, 2010, p. 65). Agnew’s general strain theory focuses on negative relationships with others that generate negative emotions which “then cause crime” (Bernard et al., 2010, p. 164). Although Agnew used this general theory of crime to explain juvenile crime and drug use, I believe this general strain has impact on adults also; specifically female-headed households in rural areas. For single mothers, autonomy can be hard to achieve, creating strain which results from being unable to...
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...“The social determinants of health are the circumstances in which people are born, grow up, live, work, and age, as well as the systems put in place to deal with illness. These circumstances are in turn shaped by a wider set of forces: economics, social policies, and politics” (Centers for Disease Control and Prevention, 2014). These factors contribute to the development of illness through their influence on health-promoting behaviors (CDC, 2014). For example, if a person lives in poverty, they will be less likely to maintain health seeking behaviors, putting them at greater risk for illness. The communicable disease chain includes a causative agent, vector or object, mode of transmission, and human (Maurer, & Smith, 2013). The causative agent is the organism that causes the disease, the vector or object is the carrier of the disease, the mode of transmission is how the disease is transferred from person to person, and the human is the host (Maurer, & Smith, 2013). Nurses can break the link within the communicable disease chain by educating their patients and their families. There are precautions that should be maintained for all communicable diseases. Nurses should use standard precautions and have a clear understanding of when to initiate airborne, droplet and contact precautions. The nurse must educate the patient and their families on the spread of their particular disease and the ways to prevent transmission. A good example would be for respiratory infections,...
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...To show the impact that two of my meals have on our world from an ecological and economic perspective, I chose to research the breakfast and dinner I ate yesterday. Yesterday for breakfast I had two hard boiled eggs, two slices of wheat toast and a glass of orange juice. For dinner I had baked chicken, a roll, and a bottled Sam’s Choice water. The origins of the hard boiled eggs were Jackson, MS, the orange juice that I drank was from Atlanta, GA, the chicken I had was from Pittsburgh, TX, the wheat toast I had was made in Chicago, IL, and the Sams Choice water was from St. Louis, MO. All of these products were purchased from Wal- Mart super center in my hometown. The chain of events that took the product to get form the farm to my table will be explained. The hard boiled eggs come from hatchery houses and a flock of thousands of chickens. When the hens are ready to lay, they seek shelter in the coop. The eggs are collected from the coops and taken into the packaging house where they are placed into containers. The whole wheat bread is milled and turned into flour. The basic process involves mixing of ingredients until the flour is converted into a stiff paste or dough, followed by baking the dough into a loaf. This is followed by the measurement of ingredients, mixing, and kneading them properly by baking and then cooling off the bread. The orange juice ripen on the tree. The juice is squeezed from the sample fruit and the juice is tested for two main attributes, brix and...
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...June 23, 2016 Human Trafficking Defining the Problem Modern day slavery has hit like never before. Actual slavery is flourishing in our own backyards. The buying and selling of human beings for profit is a crime against humanity which still exists. A lot of the trafficking in America is done right under our noses, without us even knowing about it. It is a multi-billion dollar enterprise. Human Trafficking is defined as the recruitment, transportation transfer, harboring or receipt of persons, by means of the threat or use of force or other forms of coercion of abduction, of fraud, of deception, of the abuse of power or of a position of vulnerability or of the giving or receiving of payments or benefits to achieve the consent of a person having control over another person for one of three purposes: involuntary servitude, debt bondage, slavery or sexual exploitation. Trafficking has three basic elements: The Act (meaning what is done) The Means (meaning how it is done) The Purpose (meaning why it is done) The Trafficking Victims Protection Reauthorization Act (TVPA) is a very vital bill which will replace the Trafficking Victims Protection Act of 2000, which established the State Department Office to Monitor and Combat Trafficking in Persons. The original legislation was designed to combat trafficking in the US and the new Act builds upon the original Act to improve it in many different ways. The TVPA provides both international and domestic provisions. (FIGHTSLAVERYNOW...
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...filled with confidence. I rejoice in her strength. I applaud her for standing up for herself and others that have gone thru the same suffering. I love how she states an insult that she has received and comes back with self assurance and a relentless stance: "still I'll rise." The wittiness is comical and clever: "'Cause I walk like I've got oil wells Pumping in my living room," "'Cause I laugh like I've got gold mines Diggin' in my own back yard," and " That I dance like I've got diamonds At the meeting of my thighs?" Historical Context Angelou, a Postmodernism poet, wrote "Still I Rise" in 1978. Maya Angelou was born in St. Louis, Missouri in 1928 as Marguerite Johnson (Biography.com). Angelou grew up during an age with racial prejudice and gender inequality in the United States. African Americans did not get the right to vote until 1965. Even to this day, there are still racial tensions in the United States, particularly in the southern states. Biographical Context According to Current Biography Obituaries, Angelo lived with her grandmother in Stamps, Arkansas from the age of three to seven. There, she experienced racial discrimination. She then moved to St. Louis, Missouri at the age of seven to live with her mother where she was raped by her mother's boyfriend. The...
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...understand how to promote sustainability, it is my aim to identify its most critical challenges. Overpopulation It is human nature to expand and reproduce; however, when humans invade an open space, they tend to lose the free services that nature provides. This population growth is viewed as the fundamental cause of environmental decay. While it is an important source of development, it can also be devastating to the environment. (Variety 3). In many places throughout the world population is exceeding its means in which the environment cannot sustain a healthy habitat for all. The ratio of humans to resources is becoming unbalanced, thus causing the scarcity of nature before it can replenish itself. Take China for example, overpopulation has become a serious concern since the end of World War ll. An article by Riviera relays her experience in Beijing in 2013 during its worst pollutant pandemic since 1954. She describes, “The acrid smell of pollution permeated the air.” Another Article by Gioietta Kuo reveals a startling statistic from a study led by scientist Mathis Wackernagel that concluded “...it would take 1.5 earths to sustain our current consumption” (24). Poverty When people are poor and unable to obtain the proper means of dealing with the resources around them it can be destructive to the environment. Poor...
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...narrative of this paper will take a closer look at the health of Hispanics or Latino population. The topics addressed will be the health status of Hispanics or Latino, Barriers to health and influencing factors, disparities that exits, and a health promotion approach. The Hispanic or Latino group is by “The OMB definition of Hispanic or Latino origin refers to a person of Cuban, Mexican, Puerto Rican, South or central American, or other Spanish culture or origin regardless of race.” (Edelman, 2014). Hispanic/Latino make up for being one of the largest ethnic minority and quickly growing in the US. Poverty and lack of education or some crucial factors that affect the ability to provide health promotion within this culture. In 2009 the poverty rate for Hispanics increased to 25.3%, from 2008 which was at 23.2%, (Edelman, 2014). Poverty can cause poor health. Poverty can result in depression, high stress which can affect a person’s long term health. Lack of money decrease a diet of nutrition and healthy food choices. The percentage of Hispanics without health insurance in 2012 is at 29.1% in comparison to white non-Hispanic who have a 12.7% no health insurance, (CDC). The lack of health insurance can contribute to the higher prevalence of chronic conditions found within this ethnic population. There is no health management or regular physician checkups to prevent chronic illness or to follow up...
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...situation there may need to be an escalation in police force or there may need to be less. Police are trained to use guns, tasers and clubs in situations to protect themselves and bystanders. “I was trained to fight the war on crime, and we were measured by the number of arrests we made and our speed in answering 911 calls,” said Kathleen O’Toole, the Seattle police chief, who is overseeing the department’s changes as part of a consent decree with the Justice Department (Williams). Police go through a long process of physical, mental, and what to do in certain situational training, to be able to become a cop. Communities with higher crime have higher rates of police brutality. Including 188 homicides, there were 5,762 violent crimes in St. Louis in 2015. Adjusting for population, the city’s murder and violent crime rates, at 59 murders and 1,817 per 100,000 city residents, are each the highest in the country (Stebbins). It is proven that cities with more crime have more allegations of police brutality. Police treat minorities and the poor different from everyone else. Police sometimes injure and kill people. “963 people have been shot and killed by police in 2016” (“Police Shooting”). Just because someone is shot and killed doesn’t mean the police wanted to kill anyone. If they saw them as a threat, an officer would do what they think is necessary to get the situation under control. Police departments use excessive force on those who pose little or no threat. “Last week, there...
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...Ethical Scrapbook Part 1 Johnathan Hendricks CJS/211 October 19th, 2015 Leesa A. McNeil Ethical Scrapbook Part 1 Good Samaritan Acts- Oprah Winfrey The bulk of Winfrey’s giving has gone to educational causes, including charter schools, programs that support African-American students, and the Oprah Winfrey Leadership Academy in South Africa. According to Forbes, Winfrey had given away approximately $400 million to educational causes by 2012, including nearly 400 scholarships to Morehouse College, and more than $40 million in operating support for the Oprah Winfrey Leadership Academy in South Africa. She’s also given at least $10 million to A Better Chance. Its mission is to improve access to quality education for students of color, and has given $1 million or more to at least nine different charter school organizations in a number of different areas throughout the country (insidephilanthropy.com, 2015). Princess Diana Diana’s interests were reflected in the organizations of which she was Patron or President. These included the Great Ormond Street Hospital for Sick Children in London and the Royal Marsden Hospital, which specializes in the treatment of cancer. Her patronages also included Centrepoint, an organization working with the homeless, The National Aids Trust and The Leprosy Mission. The Princess's love of the arts was underlined by her involvement as Patron of the English National Ballet. During her lifetime she was at some time patron...
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...Eric Schocklin 4/16/2012 James Mac Avery Unequal America Savage Inequalities: Children In American Schools Jonathan Kozol began a substitute teaching career in 1964 in a Boston public school. The school was extremely segregated, and was also very crowded. In fact it was so crowd Kozol’s fourth grade class did not even have a class room to work in. They had to share the auditorium with another fourth grade class, the school choir, and the kids rehearsing for the Christmas play. Needless to say their environment was not one meant for studying. Later that year Kozol moved to a new fourth grade class. The problem with this class was that they haven’t had a steady teacher since they were in kindergarten. Kozol was their thirteenth teacher that year alone. He realized that their knowledge was not where it was supposed to be, reading at a second grade level, and at a first grade level in math. It really became a noticeable issue after their first test. He really wanted to find a way to spark the children’s interest in school, so he decided to read them his favorite poetry. He noticed that the kids were really drawn to a poem by Langston Huges called Dreams Deferred. When the school became aware of what Kozol was teaching the children, he was immediately fired. When asked why, the school said because some of the poems he was reading were on the “do not teach” list because it was too difficult and went against the curriculum. After some time out of work Kozol was asked to work...
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