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Kaiser Mental Health Therapists Strike for Racial Justice on MLK Day

“People of color don’t stop being people of color when negotiations are done,” said Jessica Dominguez, the founder and lead clinician at Kaiser Permanente’s La Clínica. “Racism within the Kaiser system does not end when we ratify a contract. These issues are deeply embedded in this system and will not simply go away. And it is not enough to denounce racism. We must be anti-racist… We will not give up and we will not give in because mental health is a social justice issue.”

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Striking Kaiser workers march for racial justice. Photo courtesy of the National Union of Healthcare Workers web site.
Striking Kaiser workers march for racial justice. Photo courtesy of the National Union of Healthcare Workers web site.

By Matthew Artz

Refusing to let Kaiser pay lip service to racial justice while failing to provide culturally responsive health care for communities of color, mental health clinicians at Kaiser Permanente’s Richmond and Oakland offices held a one-day strike on Martin Luther King Jr. Day.

Nearly 100 psychologists, social workers, addiction counselors and marriage and family therapists picketed outside Kaiser’s Oakland Medical Center at 3600 Broadway and marched through Downtown Oakland, chanting “Therapist! Power!” on their way to a rally outside Kaiser’s corporate headquarters in the Ordway Building at 1 Kaiser Plaza.

“This is my ‘bus boycott.’ This is my ‘sitting at the lunch counter’… This is what MLK would have done,” Sabrina Chaumette, a social worker, who is one of only five Black clinicians on Kaiser’s adult team in Oakland, told colleagues and allies during the rally.

Speaking on the picket line, Assemblymember Mia Bonta, D-Alameda, told the striking clinicians, “When you have people and workers here who want the dignity of celebrating the most sacred and important day in our country… I say, ‘be anti-racist, Kaiser.’”

Clinicians in Oakland and Richmond voted nearly unanimously to strike after Kaiser executives broke their promise to make Martin Luther King Jr. Day a paid holiday in 2022.

In response, Kaiser CEO Greg Adams announced that Kaiser will treat the King holiday as a paid holiday for all Kaiser employees in 2023, but Kaiser executives have still refused to work with clinicians to address structural racism within the HMO, which has resulted in the departure of clinicians of color, further depriving patients of culturally competent care.

Kaiser has rejected proposals aimed at improving recruitment of therapists of color and bilingual therapists, as well as addressing structural racism within the organization.

“Kaiser pays a lot of lip service to racial justice, but when it comes to taking action, it’s always ‘wait till next year,’” said Chaumette, whose schedule is so overbooked that new patients must wait four months for an appointment. “If Kaiser can’t even keep its promise about honoring Martin Luther King Jr. Day this year, how can we trust that it will ever take action to address structural racism in its ranks?”

Besides Bonta, participating elected officials included Alameda County Supervisor Nate Miley and Oakland City Council members Sheng Thao, Nikki Fortunato-Bas and Dan Kalb.

According to a 2019 report from the Substance Abuse and Mental Health Services Administration, Black adults in the U.S are significantly more likely than their white counterparts to report persistent symptoms of emotional distress, such as sadness, hopelessness and feeling like everything is an effort. Despite the need for mental health care, the same report found only one in three Black adults receives it.

At Kaiser, a recent survey of more than 1,500 Kaiser employees represented by the National Union of Healthcare Workers found that 62% of non-white workers reported experiencing racism on the job and 37% of all workers surveyed reported witnessing racism toward their patients.

Additionally, 41% of all respondents reported having patients who struggled to access or maintain treatment because they could not be seen by a culturally competent provider.

“We are living in a time of reckoning, a time when people of color are no longer content with the status quo,” said Jessica Dominguez, the founder and lead clinician at Kaiser Permanente’s La Clínica. “Because (the) status quo has never included people of color. Status quo is white supremacy.”

In response to claims from Kaiser that the clinicians were “weaponizing” the King holiday because they’re bargaining for a new contract, Dominguez said that “structural racism is baked into the Kaiser system.

“People of color don’t stop being people of color when negotiations are done,” Dominguez said. “Racism within the Kaiser system does not end when we ratify a contract. These issues are deeply embedded in this system and will not simply go away. And it is not enough to denounce racism. We must be anti-racist… We will not give up and we will not give in because mental health is a social justice issue.”

Matthew Artz works for the National Union of Healthcare Workers, a member-led movement representing 15,000 healthcare workers, including more than 4,000 Kaiser mental health clinicians in California and Hawaii.

Activism

OPINION: Why the N-Word Should Be Eliminated from Schools: A Call to Educators, Parents and Students

The N-word’s use in schools, intentionally or otherwise, preserves a cycle of racial abuse, degradation, and discrimination which are violations to the dignity of African American students.  Its usage perpetuates a legacy of hate and is a dignity violation that makes it a pressing issue for educators to address. Not addressing use of the N word in school contradicts the principles of equity and inclusion that educational institutions strive to uphold. 

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Zetha Nobles. Courtesy photo.
Zetha Nobles. Courtesy photo.

By Zetha A. Nobles,

The presence and rampant use of the N-word in educational settings poses significant challenges to the social-emotional learning (SEL) and psychological well-being of students and teachers.

The historical and contemporary usage of the N-word carries deep-seated racial connotations and trauma, making it imperative to address its impact in the school environment.

Here’s why the N-word should be eradicated from schools and its detrimental effects on SEL and psychological health.

Historical Context and Significance

The use of the N-word is considered a severe violation of dignity due to its deeply hurtful and dehumanizing nature. The N-word is historically rooted in a long and sordid history of racism, oppression and dehumanization.

It was and is used to dehumanize, degrade, demean and denigrate African American people. Its historical presence is marked by extreme violence and pernicious systemic oppression.

Despite the evolving societal appropriation and the exploitation of the word in hip hop music and other media forms, its controversial use has morphed or mutated into a word now used to signify friendship or endearment.

In schools its use is complex, representing camaraderie, being cool and defiant while consciously and unconsciously dehumanizing African American students and staff.

The N-word has a long history of being used as a tool of oppression and degradation against Black people. It was employed during periods of slavery, segregation, and ongoing racial discrimination to strip individuals of their humanity and reinforce systemic racism.

Its use is a painful reminder of this history and the ongoing struggle against racism. Its impact:

  • Dehumanization: When the N-word is used, it reduces Black individuals to a derogatory stereotype, stripping away their identity and worth as human beings. It perpetuates the idea that certain groups are inferior and unworthy of respect and dignity.
  • Impact on Self-Worth: Hearing or being called the N-word can have profound psychological and emotional impacts, leading to feelings of shame, anger, and diminished self-worth. It communicates to individuals that they are lesser or undeserving solely because of their race.
  • Interpersonal Harm: The use of the N-word in interpersonal interactions conveys disrespect, hostility, and a lack of regard for the feelings and dignity of others. It undermines efforts to build inclusive and respectful relationships.
  • Symbol of Structural Injustice: The N-word symbolizes larger societal injustices and inequalities. Its continued use reflects ongoing racial prejudice and discrimination, perpetuating harmful attitudes and behaviors.

Given these reasons, using the N-word is not just a matter of inappropriate language; it represents a significant violation of human dignity and reinforces harmful racial stereotypes and hierarchies. It is crucial to reject and actively challenge the use of this word to promote equality, respect, and dignity for all individuals.

In schools, the word retains its harmful and damaging impact and remains a powerful symbol of racial animosity. The N-word’s use in schools, intentionally or otherwise, preserves a cycle of racial abuse, degradation, and discrimination which are violations to the dignity of African American students.  Its usage perpetuates a legacy of hate and is a dignity violation that makes it a pressing issue for educators to address. Not addressing use of the N word in school contradicts the principles of equity and inclusion that educational institutions strive to uphold.

Impact on Social-Emotional Learning (SEL)

Social-emotional learning is crucial for students’ development as it encompasses the skills needed to manage emotions, establish positive relationships, and make responsible decisions. The use of the N-word in schools disrupts this process in several key and critical ways:

  •  Emotional Trauma: The N-word is a trigger for emotional pain, particularly for African American students and teachers.  It can evoke feelings of anger, sadness, shame and humiliation, which hinder the ability to engage fully in the learning process.
  • Hostile Learning Environment: A safe and supportive learning environment is essential for effective SEL. The use of the N-word creates a hostile and unsafe atmosphere, leading to increased anxiety, disrespect, and stress among students and teachers.
  • Relationship Building: One of the goals of SEL is to foster positive relationships. The use of derogatory language such as the N-word fosters division and mistrust among students and staff.

Psychological Impact on Students and Teachers

The psychological effects of the N-word on students and teachers are profound and far-reaching. For students, especially those of African American descent, the word can lead to feelings of inferiority and exclusion. This not only affects their academic performance but also their self-esteem and mental health. Studies have shown that exposure to racial slurs can increase levels of depression, anxiety, and other mental health issues.

For teachers, addressing the use of the N-word in the classroom is a significant challenge. It places an emotional burden on them, particularly for teachers of color who may feel personally targeted. The stress of managing such situations can lead to burnout and affect their ability to provide a supportive learning environment.

Strategies for Eliminating the N-Word from Schools

To effectively eliminate the N-word from schools, a comprehensive approach is necessary. Here are some strategies:

  •  Clear Policies and Consequences: Schools must implement and enforce policies that explicitly prohibit the use of the N-word and other derogatory language. Clear consequences for violations should be established and communicated to all members of the school community.
  • Cultural Competency Training: Providing cultural competency and anti-racism training for teachers, staff, and students can foster a more inclusive and respectful environment. This training should include the historical context of the N-word and its impact on individuals and communities as well as alternative language.
  •  Support Systems: Schools should offer culturally congruent support systems, such as counseling and peer support groups, for students and teachers affected by the use of the N-word. These resources can help individuals process their experiences, mitigate psychological harm and co-create a culture of dignity.
  • Community Engagement: Engaging the broader school community, including parents and local organizations, in dialogue about the impact of the N-word can reinforce the school’s commitment to creating a respectful and inclusive environment.

In addition to the moral and ethical arguments against the use of the N-word, there are also legal and policy considerations that support its prohibition in schools. Many school districts have anti-bullying and anti-discrimination policies that explicitly prohibit the use of derogatory language, including racial slurs. The use of the N-word in schools can lead to disciplinary actions and legal consequences for both students and staff who violate these policies.

Furthermore, federal laws such as Title VI of the Civil Rights Act of 1964 prohibit discrimination on the basis of race, color, or national origin in programs and activities receiving federal financial assistance. Schools that fail to address the use of the N-word and other forms of racial harassment may be in violation of these laws, potentially resulting in investigations and penalties from the U.S. Department of Education’s Office for Civil Rights.

Addressing the N-word in educational settings is not just about prohibiting a word; it is about dismantling a symbol of hate and fostering an environment where all students and teachers can thrive.

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Oakland Post: Week of September 11 -17, 2024

The printed Weekly Edition of the Oakland Post: Week of September 11 – 17, 2024

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Congresswoman Barbara Lee introduced Senatorial Candidate Adam Schiff to the congregants of Allen Temple Baptist Church and to a reception of the California Black Elected Officials organization co-sponsored by BWOPA (Black Women Organized for Political Action). Left to right Wanda Williams, Barbara Lee Adam Schiff, Keith Carson, Lynette Gibson McElhaney, Angela Andrews. Photo by Conway Jones, Jr.

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