Author: lucymillersu

Wrapping up

Throughout my internship I have learned so many valuable lessons. The most important one is that you have to be flexible, creative, and reflective because everything is a learning process. Working at a relatively new start-up has also reinforced this. The programs OSW runs are extremely new and depend heavily on the audience. For example, the program we run in downtown Oakland is extremely different from the program that we run in Alameda because there are two different, distinct demographic groups that attend each one. The people who attend these events are receptive to different movement coaches, music, and food, so we have to be extremely aware of what different people need and be flexible enough to change our program to fit their needs while still providing the same support.

At the end of one of our programs last week, my bosses came up to me and said, “We’re never letting you go. You have to stay and become head of HR and our operations director. You can’t go back to Boston.” Honestly, that meant so much to me because it showed me that I am actually making a difference. As an intern, I sometimes feel as though I am learning a lot from the organization and the experience, but that I am not giving back as much as they are giving me. This showed me that I was wrong. Now that I am taking this time to reflect, I think I helped the organization branch out and make connections with different providers in the area, find potential new interns for the fall (to replace me), and create a fluid transition when they shifted their main program to a module system earlier this month.

As I have written in previous posts, my internship is not a typical internship. My bosses push all of the interns to step outside of our comfort zones with projects, be vulnerable with them and each other, and be confident in everything that we do (whether or not we feel that way inside). I wish I had known this about the organization beforehand because I believe it would have taken me a lot less time to open up to them and become comfortable doing these things. I think I would have been a better intern from the very beginning instead of half way through.

My advice to any future interns at Open Source Wellness or people seeking an internship in healthcare or nonprofit work is to be open to new experiences and different types of people. A career in social justice or health care both involve working with people who have backgrounds that are completely different from yours and from each other. Be open to them and what you will learn from one another. Also, make connections and be authentic. Oftentimes, when people are struggling with difficult health issues, they are embarrassed or distressed about their situation. It is extremely important to connect with them on a personal level and share your own story and struggles so they know they are not alone and have nothing to be ashamed of. Finally, be passionate. A career in public health or community health is not easy because change happens slowly. Only people who are truly passionate about healthcare and community health will have the patience to make lasting change.

Here are the only two photos I have at work:

(The interns practicing taking each other’s blood pressure)

(Me taking a patient’s blood pressure during our program)

Thank you for keeping up with my summer journey!

My New Skills

Over the past eight weeks my internship at Open Source Wellness has allowed me to grow and learn so much in a short amount of time. I believe this is mainly due to how small and young the organization is. The OSW staff is composed of the two founders, four undergraduate interns, and one graduate student intern, and officially started running programs in October of 2016. Due to this structure, I am given a lot more responsibility than most interns at larger organizations are given. I have gained numerous skills because of the uniqueness of start-up culture.

First, I have strengthened my organizational and leadership skills. During our Tuesday night events, I have been tasked with helping coordinate and organize the event, and with leading the meditation portion for two weeks. Although these tasks were daunting at first, I have seen that I can take on challenges that are typically out of my comfort zone and still succeed. At Brandeis, I am a coordinator for Big Siblings through Waltham Group. As a coordinator, I am in charge of running and leading multiple events. I believe my responsibility to help run OSW events and leading the meditation sessions have helped me gain both the skills necessary to organize the logistical aspects and have the confidence to lead the actual events.

Second, I have strengthened my professional networking skills. One of my main jobs has been to reach out to healthcare providers to form referral partnerships with them. I call, email, and meet with them to explain the program we run at Open Source Wellness, and urge them to refer their patients to us. Through this task, I have gained extremely valuable networking skills. I now know how to speak with professionals on an individual basis, and I have gained more confidence when I speak with people who are much older than I am and who have a lot more experience than I do. This will help me in the future with my networking skills because I will know how to communicate professionally and be Pleasantly Persistent.

Third, I have learned how to understand and relate to people who are different than I am. Many of the individuals I work with live in a low-income, re-entry housing community, and are mainly people of color who have been incarcerated or homeless. This is a very different demographic than I am used to working with and that I, myself, can relate to. Through this experience, I have found ways to connect to people who are extremely different from me. I have seen firsthand that most people struggle with the same health issues, regardless of their backgrounds, socioeconomic status, or ethnicity.

Lastly, I have also learned a lot about myself in the workplace, including my strengths and weaknesses. I have discovered that it is difficult for me to draw boundaries when I am asked to do something that goes beyond my capabilities or job description. I find that when a superior asks me to if I want or can do something I say yes, almost automatically, even if I cannot. I have been pushing myself to stick to my boundaries and communicate with my supervisors when I am unable to do something. Here is an interesting article about crossing boundaries in the workplace. I also found out that it takes me longer than most people to become comfortable in a work environment. It took me a few weeks to get to know the work environment at OSW before I became comfortable, personally and professionally.

Furthering Social Justice

Open Source Wellness officially began running their first event in October 2016 and their second event this past April. Considering it is an extremely young organization, the founders have many goals and milestones they want to achieve. Their main social justice goal is to reach more people in low-income communities.

The organization was founded by two psychologists, Liz and Ben, who came up with the idea behind Open Source Wellness while they worked in different health clinics in Boston. They continuously saw patients who were referred to them by doctors who told the patients that they needed to change their eating habits, exercise more, or reduce their stress to combat the chronic health conditions they were facing. Wealthier patients could hire a nutritionist, personal trainer, or join a meditation group. However, people who lived in low-income communities went back to their same lifestyle because they did not know how and did not have the means to change the way they ate or acted. Through these experiences, Ben and Liz decided to open a “behavioral pharmacy” to help people make major lifestyle changes at little or no cost. Their doctor could write a prescription to go to Open Source Wellness to get support in making lifestyle changes. Even though this is their mission, Ben and Liz have been struggling to reach this demographic.

Below are pictures of Liz and Ben:

 

To combat this issue, the other interns and myself have been reaching out to providers, including clinics, doctors’ offices, and community centers in low-income areas in an attempt to form a referral partnership with them. We have been giving them free spaces that are reserved for their patients in our month-long program upon their referral. By reserving certain spots for their patients, we are creating a scarcity of spaces that they can fill which will incentivize them to fill the spots. Hopefully, once they see how helpful the program is for their patients, they will start sending more people. Some of the clinics we have been speaking with seem extremely interested in our mission, so we started talking with them about running an event in their clinic. These would be solely for their patients or members and would happen in the clinics or centers. West Oakland Health Center and Project Open Hand are two of the groups that we have been meeting with.

If the clinics followed through with their pledge to get their patients to sign up for our July cohort, which starts on July 11th, that is what progress would look like. It would also include one or more of the new clinics or centers allocating money to OSW to begin an event in their building, exclusively for their patients.

Provider outreach has been my main long-term task as an intern at OSW. I have spent countless hours emailing, calling, and meeting with doctors and administrators to tell them about the program that OSW offers, and to speak with them about creating a referral partnership.

Bringing Brandeis Knowledge to Oakland

During the spring semester at Brandeis, I took the course Narcopolitics with Professor Brian Fried. Through this course, I learned about the correlation between drug use and incarceration rates. A recurring issue that we discussed throughout the course was the elevated rates at which children of formerly incarcerated persons are likely to be incarcerated when compared to children whose parents have not experienced incarceration. This comparison shocked me at the time. Currently, I am witnessing the reality of this fact and it is extremely unsettling.

Here is a link to an article that explains the cycle of intergenerational incarceration.

Many of the individuals I work with at Alameda Point Collaborative, a low-income housing community, were previously incarcerated or homeless. The people who attend events through Open Source Wellness are mainly in their fifties and sixties, and many of them have older children who have also been incarcerated. One of the women who regularly attends our events explained her experience with incarceration. She described her long struggle to move past this difficult time in her life because of the legal, social, and emotional restrictions she experienced. Now, her son faces a long prison sentence. She spoke about her inner struggle about the best way to support him, and if she chooses to support him at all. She does not know if she can deal with the responsibility of trying to get him released early or if she is willing to support him when he is released because she feels she put a lot of effort into trying to break the cycle of incarceration. She said she understands that it is more likely for her children to be sent to prison, because she did, but she hoped her children would break the statistic.

Above are pictures of the community garden and kitchen where the residents of APC grow and cook the food that they serve at our events.

Many of these individuals have been incarcerated for drug offenses. There are strong genetic links and environmental factors that influence drug use. The children of parents who have drug or alcohol addictions often begin their lives with a hereditary vulnerability in addition to the impact of their parent’s drug addiction. Additionally, the loss of parental role models for long periods of time during a parent’s absence due to imprisonment negatively impacts breaking the cycle of incarceration. I recently read an article about recent research that proposes that 40%-70% of people in the prison system have Antisocial Personality Disorder (APD) which the researchers contest has a strong genetic link, further adding to the cycle of incarceration.

In Professor Fried’s course I learned about the unfairness of U.S. drug laws and the impact they have on the cycle of incarceration. With this knowledge, I am more informed about the challenges facing individuals who were incarcerated, especially the difficulties encountered in breaking the cycle of incarceration. My role at the Open Source Wellness program, is to help run the weekly event by facilitating a group discussion in a weekly women’s circle. I feel as though my increased understanding of incarceration in the U.S. is helping me support these women in a way that is meaningful and helpful to them.

My First Month at Open Source Wellness

Oftentimes I feel this sense of knowing that an opportunity is exactly right for me. In April, as I was looking for internship opportunities, I had that feeling when I found an internship listing at Open Source Wellness.

OSW is a nonprofit located in Oakland, California that aims to function as a behavioral pharmacy, to support patients when their doctors prescribe lifestyle changes to combat chronic health conditions. Patients are often told to make difficult changes in the way they eat, exercise, or manage their stress without any support from the health care system or their community. OSW helps patients make those changes by creating events where participants can practice healthy behaviors through a movement session, mindfulness/meditation session, and a healthy meal while connecting with people who are making similar changes. The picture below describes OSW’s four principles and the new cohort model.

Here’s a quick video introduction: Open Source Wellness in 60 Seconds. Also, their fantastic website.

After interning for a month, I know that initial feeling about OSW was correct. The first day that I went into the office, the co-founders, Ben and Liz, started our day of training with a game of hot seat. Then, they went straight into training us to do customer discovery in low-income neighborhoods to better understand the demographics of the target population. Finally, we (the other intern, Adam and I) attended their public event which left me feeling energized and on top of the world. Ben ended the night by saying, “at OSW you should never be comfortable, coasting is not an option here.” Now, I may have only had one other internship, but I don’t think is how most first days unfold.

Here is a picture of the interns (Adam and I started a month before the other two – Liza and Kelliann – who started on Tuesday!)

Now, I help run the Tuesday night event and for the past two weeks I have been leading the mindfulness/meditation session. Although it seemed daunting at first, I think leading people in an area that is relatively new to my life has pushed me to be more confident doing something out of my comfort zone.

Additionally, I help run two events at a low-income, re-entry housing community called Alameda Point Collaborative. On Thursdays, OSW hosts a “block party” where they blast music to draw people out of their houses and out onto the dance floor. This is followed by a five-minute meditation/mindfulness session and a vegan meal that is prepared by community members, using produce grown in the community garden. On Saturday, I help run a women’s circle that connects women who are struggling with similar issues to create social support to find solutions to those issues. The session includes light movement, mediation, and a salad.

This is the social injustice that Open Source Wellness is addressing. The organization is attempting to help people in low-income, formerly-incarcerated, and formerly-homeless communities find ways to address and prevent chronic health conditions by changing their behavior.

One of my major tasks over the past month has been to research and contact organizations, community centers, and individual health care providers in the Bay Area to create referral partnerships. Through this, I have made a few strong connections, yay! I also accompanied Ben to a meeting at a large health center to discuss a potential partnership. It was an extremely successful meeting and it showed me the importance and benefit of provider outreach. Ben would like me to eventually conduct these meetings on my own!

Being able to have those conversations and make strong connections on my own, and confidently giving people advice about their health and what they can do improve their health are my goals for this summer. Throughout the past month, I have started implementing those skills and am well on my way to accomplish those goals. These past few weeks have showed me that I truly need to keep pushing myself into uncomfortable spaces because great things really.

Lucy Miller-Suchet