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Developing a universal enrollment system for all Memphis public schools

NNPA NEWSWIRE — “I started in 1995 when I was asked to help open a Family Resource Center in a high school and students without involved parents in their lives took to me. Parents would stop me and say, ‘They are passing my son on to High School and he can’t even read.” — Sarah Carpenter

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“I am fighting for my four daughters, thirteen grandchildren + ALL KIDS. I live in the North Memphis community. I attended Treadwell High School. My heroines are my mom, Maggie Carpenter, and Harriett Tubman.”

New Tri-State Defender, Memphis

On any given day, you can find Sarah Carpenter organizing parents in the Memphis area. A single mother of four daughters and 13 grandchildren, Carpenter was an advocate long before becoming co-founder and CEO of The Memphis Lift, which she describes as “a parent organization run by parents, for parents.”

Born and raised in North Memphis, Carpenter says her experience as a single parent prepared her to lead The Memphis Lift. “I have always been an advocate for my daughters and for other’s kids,” she says. “I started in 1995 when I was asked to help open a Family Resource Center in a high school and students without involved parents in their lives took to me. Parents would stop me and say, ‘They are passing my son on to High School and he can’t even read.”

Carpenter and her fellow co-founders met during the training component of a public advocate fellowship funded by the Memphis Education Fund, which educated parents about the landscape in Shelby County Schools (SCS). At the time, SCS had the highest number of “priority schools” –those in which student scores on state exams ranked in the bottom five percent – in Tennessee.

Carpenter and her colleagues have since visited more than 10,000 homes to educate others on the state of Memphis’s schools. SCS students can attend four categories of schools: traditional neighborhood schools, charter schools, charter schools in the state-run Achievement Schools District, and schools in the district’s Innovation Zone.

For Carpenter and her organization, ensuring that all parents – regardless of income – have access to all the options SCS has to offer is paramount. In January 2018, the district launched a scorecard to help parents compare schools based on student achievement, growth, attendance, and suspension rates. The Memphis Lift helps parents interpret the scorecard and navigate their options, so they can make the best choices for their children.

Carpenter is intimately acquainted with the many options parents have: all of her daughters attended neighborhood schools, yet all but one of her grandchildren attend charter schools.

Charter schools are public schools operated by independent organizations—mostly nonprofits—typically on five-year “charters,” or performance contracts. They are free from many of the bureaucratic rules that stifle innovation in district schools, but in return they are accountable for their performance: if their students are falling too far behind grade level, their charters are not renewed and they must close.

Carpenter’s granddaughters are not unusual. Charter enrollment in SCS has increased every year for the past four years; currently, 15,200 students—15 percent of the district–[1]are enrolled in 51 charter schools. In spite of the increased enrollment, enrolling in charter schools in SCS is no easy feat, even for the most engaged parent. Enrolling in the highest performing charters, which use lotteries to select their students because so many apply, is even more difficult. First families must[2] visit their zoned school or approved school choice location to get a PowerSchool account, then they must register online, then visit charters they are interested in, then apply and hope they win the lottery. For parents with multiple children in multiple schools, the process can be difficult, expensive, and time-consuming.

The topic of charter schools in SCS was highlighted in The Memphis Lift’s Annual Parents Summit, last October. This year’s summit was done in collaboration with the Memphis Education Fund and the Progressive Policy Institute’s Reinventing America’s Schools project.

Charters in Tennessee are authorized either by districts or by the state Board of Education. In cities and states where authorizers close failing charters, their performance is usually far better than that of district schools. Where authorizers fail to close lagging schools, charter performance is far less impressive. Unfortunately, Shelby County Schools has not been rigorous about closing its charters, and their quality varies.

In the most recent SCS scorecard[3], SCS secondary charter schools perform better than K-8 charter schools when compared to district-managed schools. SCS secondary charter schools outperformed district-managed secondary schools, with 54 percent rated as “good” or “excellent,” compared to only 46 percent of district-managed schools.” District-managed K-8 schools outperformed K-8 charter schools with 41 percent rated as “good” or “excellent,” compared to only 33 percent of K-8 charter schools.

Parents attending the summit supported replacing underperforming charter and district schools with stronger operators, both charters and district school leaders. This can usually be done without disruption to the students, who remain in the school under new leadership.

But for parents at the summit, a quality charter school didn’t mean much without access to it. So The Memphis Lift’s highest priority is a universal enrollment system for all Memphis public schools, through which parents can use a single application to rank their top choice schools. The system then uses a lottery algorithm to match students to schools based on availability and preference. For low-income parents, universal enrollment systems help ensure equal access to quality schools. New Orleans, Denver, Indianapolis, Washington, D.C., Newark, and several other cities have adopted such systems, which include virtually all traditional and charter schools.

The third priority summit participants chose was improving transportation to schools, because many families simply cannot get their children to quality schools

Carpenter is excited about the future of The Memphis Lift, but she understands how much work still needs to be done. “We have made an impact on waking parents up about how this system is run…but we haven’t moved the needle enough,” she says.

Meanwhile, Carpenter has received multiple requests for advice on how to replicate The Memphis Lift model in other cities. Currently the organization is mentoring parent groups in St. Louis, Nashville, Atlanta, and Newark.

Despite her national notoriety and popularity with those in the education reform community, Carpenter is quick to remind us that, “Before I heard the term ‘ed reform,’ I was already advocating for kids in my community and my own kids, too!”

Her advice to parents with children in underperforming school districts is to first “get educated on the landscape of education…You can’t fight for anything if you don’t know what you’re fighting for.”

Follow Carpenter and The Memphis Lift on their website www.memphislift.org or on Twitter @memphis_lift.

[1] https://www.scsk12.org/charter/files/2018/2018-CHARTER-REPORT.pdf?PID=1283

[3] https://www.scsk12.org/charter/files/2018/2018-CHARTER-REPORT.pdf?PID=1283

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Black Press

A $2.1 Trillion Wellness Industry Never Built a Daily Practice for Black Children. So This Atlanta Family Did.

BLACKPRESSUSA NEWSWIRE — As Black parents strive to raise resilient, confident, brilliant children within systems that too often underestimate them, an Atlanta-based company launches an app that delivers a five-minute daily wellness practice, backed by forty years of research, to help build the identity, confidence and self-worth their children carry into every room.

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A young Black girl in a school uniform meditates on her bedroom floor beside a phone running the Bright Crowns app.
A young girl starts her day with Bright Crowns, a daily wellness practice built for Black children. (Photo: Bright Crowns)

As Black parents strive to raise resilient, confident, brilliant children within systems that too often underestimate them, an Atlanta-based company launches an app that delivers a five-minute daily wellness practice, backed by forty years of research, to help build the identity, confidence, and self-worth their children carry into every room.

ATLANTA — October 6, 2026 — Every morning, Black children walk into classrooms and spaces that weren’t designed with them in mind. They carry a quiet, daily weight most adults never see. There is no shortage of national conversation about the challenges they face; there has been far less discussion about what actually helps. Yet the research has pointed to answers for decades: a grounded sense of who they are, the steadying power of breath, and the pride that comes from knowing their history and their own worth. What was missing was a way to deliver those answers to Black children, consistently and easily, every single day. Until now.

Bright Crowns, the first daily wellness practice built specifically for Black children, launched and is available now on the Apple App Store. The morning practice takes just five minutes and fits easily into a busy day.

“As much as we’d like to, we can’t always lighten the load our children carry each day,” said co-founder and CEO Tia Harley. “But we can help make them strong enough to carry it — with their heads held high.”

Here is what the Bright Crowns wellness practice delivers. Each morning, a child opens the app and hears a voice that sounds like home. The breath comes first, to help them settle and notice what they’re feeling. Then an affirmation that names who they are and the people they come from. Then the story of someone from Black history whose life is proof of the strength being built in them that day. A new figure every day, all year long, not just in February. Not a history lesson, but evidence of what they already carry inside. They start each day steady, certain, and ready for whatever it holds.

The arc is deliberate: Breathe. Belong. Become. That five-minute morning session is called Crown Time, and Bright Crowns doesn’t stop there. Its practices carry a child through the whole day. Crown Ready steadies a child before a hard test or a game. Crown Reset meets a big feeling the moment it rises. Crown Together is a weekend reflection a parent reads aloud. And Bedtime Crown carries them into sleep with folktales from the African diaspora. Instead of points or badges, children earn crowns drawn from real African kingdoms — an inheritance, not a reward. A badge says good job; a crown says this was always yours.

“Bright Crowns isn’t about making a child feel better for five minutes,” said Tia Harley. “It’s about giving them tools that compound: steadiness, identity, and resilience they carry long after the session ends, into the classroom, under pressure, and into rooms where they may be the only one.”

Built on joy. Backed by forty years of science. Husband-and-wife team David and Tia Harley built Bright Crowns out of love for their own children. Then they discovered that every piece of what they had built had already been supported by research. A landmark study in the journal Science found that a brief, culturally grounded practice measurably narrowed the racial achievement gap for Black students, without any change to the school itself. Research has since identified ethnic-racial identity as a key protective factor for Black youth mental health in the Annual Review of Clinical Psychology, and a meta-analysis of 76 mindfulness programs for young people found significant improvements in stress, attention, emotional regulation, and academic engagement. Psychologists have a name for what these build together: hardiness, the inner architecture that lets a person meet difficulty without breaking. It has been studied since 1979, when psychologist Suzanne Kobasa first identified it, and the research is clear that it is teachable, built through brief, consistent daily practice. “The research showed that while the school didn’t change,” Tia Harley said, “what those children carried into it did.”

A category built, not borrowed. Wellness has grown into one of the largest industries in the world, worth roughly $2.1 trillion in the U.S. alone, with apps for sleep, focus, breathing, and meditation. Yet when the Harleys went looking for a daily wellness practice built for their own Black children, they found none. What existed was generic: polished and useful, but spoken in voices and settings that never felt like home, and asking a Black child to set part of themselves aside just to belong there. “A Black child’s identity isn’t separate from their wellness. It’s part of it,” said Tia Harley. Bright Crowns wasn’t adapted for Black children after the fact. It was built with them in mind from the very beginning, the first of its kind, and one this community has long deserved.

David Harley, an award-winning creative director, began building a morning wellness routine at their family’s kitchen table, and he and Tia joined forces to grow it into what Bright Crowns is today. The two brought professional rigor to a labor of love: David, with two decades leading multicultural campaigns for major brands, and Tia, who led business development and partnerships at Google. They built Bright Crowns to a standard they’d trust with their own children. Then they used it with their two kids every morning for more than a year before it reached anyone else. “We built it for our children first,” Tia Harley said. “We watched them change: quicker to recover from tough moments, more willing to try hard things, holding their heads a little higher. Then we realized every Black family we knew needed the same thing.” The launch arrives as Black families across the country are thinking hard about how to prepare and educate their children in schools and spaces that weren’t always designed with them in mind. Bright Crowns speaks to the part that travels with a child into any classroom: the certainty of who they are.

Availability. Bright Crowns is available now on the Apple App Store with a free 7-day trial. Families who join by December 31, 2026 lock in the Founding Family rate of $69.99 for the first year; one subscription includes every child in the home. Learn more and download at hellobrightcrowns.com.

“Our children are already brilliant,” said co-founder and chief product officer David Harley. “We don’t teach them to survive. We teach them they were born to thrive. Their crowns are already on — we just help them remember.”

###

About Bright Crowns
Bright Crowns is a five-minute daily wellness practice built for Black children, available now on the Apple App Store. It is the first daily practice of its kind, grounded in decades of research on identity, mindfulness, and resilience. Founded by husband-and-wife team David and Tia Harley, parents of two, Bright Crowns pairs deep cultural fluency with the quality families expect and deserve. It helps Black children feel steady in themselves, certain of who they are, and ready to show the world what they’re made of. Learn more at hellobrightcrowns.com.

Media Contact
Tia Harley, Co-Founder
[email protected]
(404) 491-9637
Digital Press Kit: hellobrightcrowns.com/press
hellobrightcrowns.com



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Black History

Listening as a Lifeline: A Doula’s Witness to Black Maternal Health

OAKLAND POST — Maternal mortality and pregnancy-related mortality use different time frames and methods and are not interchangeable. Finalized 2024 CDC data recorded 649 maternal deaths nationally. The overall rate was 17.9 deaths per 100,000 live births, but for non-Hispanic Black women it was 44.8, compared with 14.2 for White women and 12.1 for Hispanic women.

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Antoinette Stewart-Eneh.
Antoinette Stewart-Eneh.

Word Count: 1058

Note: Client A, B & C, names are withheld for privacy; these accounts reflect my recollections as theirDoula.

Client A rocked her hips on a birthing ball, surrounded by pale wood and warm textiles in a softly lit Scandinavian-style office. I was her doula through a Southern California maternal health company combining nurse-led care, technology, and wraparound support.

She was a healthy Black woman in her thirties. Her baby girl was doing well; her partner took notes as we discussed labor and advocacy.

Then we turned to their chosen hospital. I knew it well—and remembered a phrase from another client’s experience: “Policy of Sovereignty.”

Client B had been told she needed a repeat cesarean as a precaution, though the reasoning was unclear. Her obstetrician, who performed her first cesarean two years earlier, had assured her throughout pregnancy that she was healthy, healed, and ready for a vaginal birth. We asked staff to review her chart, consult her obstetrician, and reconsider immediate surgery. Instead, they invoked the “Policy of Sovereignty.”

The physician on duty, we were told, had final authority, regardless of her established care plan. I asked whether an ultrasound or reassessing the baby’s position could offer clarity. Cesareans can be lifesaving. But were Client B’s history, informed consent, and circumstances guiding this decision—or was routine overriding individualized care? We kept asking for her obstetrician. Beneath every request was a deeper question: Was she being heard?

The Numbers Behind the Stories

Statistics arrive in clean columns. The experiences behind them do not.

Maternal mortality and pregnancy-related mortality use different time frames and methods and are not interchangeable. Finalized 2024 CDC data recorded 649 maternal deaths nationally. The overall rate was 17.9 deaths per 100,000 live births, but for non-Hispanic Black women it was 44.8, compared with 14.2 for White women and 12.1 for Hispanic women.

In California, Black birthing people experienced 56.5 pregnancy-related deaths per 100,000 live births during 2020–2022—3.8 times the White rate and four times the Asian rate.

As a doula serving Los Angeles and San Bernardino Counties, I see faces behind those numbers. I remember concerns raised softly, then firmly, then desperately. I am tired of watching Black families enter spaces meant to protect them, only to discover they must defend themselves while laboring, bleeding, trembling, or recovering.

Returning to Client A

Client A’s labor stretched nearly 48 hours. As her condition worsened, she, her partner, and I asked whether a cesarean should happen sooner. A provider questioned my place as a doula, then said she was next.

Six more hours passed.

She entered surgery visibly ill with a serious uterine infection, her baby malpositioned and stuck. Her partner later recalled the provider saying, “This baby would never have made it through the birth canal.”

Those words landed like a blow. Our urgency had been treated as ignorance. With Client B, we questioned why surgery was inevitable. With Client A, why it was delayed. Doula advocacy is not about one kind of birth. It is about informed consent, individualized care, and timely action. Hospital routine should never outweigh the person carrying the risk.

Survival Cannot Be the Standard

The Black maternal health crisis includes unequal care, untreated conditions, racial bias, delayed referrals, poor communication, and inadequate postpartum support. It is about birth plans respected only until a hospital becomes less busy and postpartum care that asks whether a mother survived, not whether she has what she needs to recover.

Survival cannot be the standard. Technology can support care, but it cannot replace human connection. An algorithm cannot detect fear in a patient’s eyes, and a mission statement alone cannot ensure adequate staffing or culturally responsive care.

The Story of Client C

Before I arrived, I heard the chaos through Client C’s phone. Staff struggled to locate her baby’s heartbeat on an external monitor as her fear and blood pressure rose. I pleaded for an internal electrode before surgery.

“There’s not enough time,” a nurse said.

“I would like to wait for my doula,” Client C called out.

But she was medicated, hurried through consent, and wheeled away while I listened.

In the operating room, after a shift change, another nurse placed an internal electrode and said, “The previous monitor wasn’t working.”

No one responded.

According to her father, the obstetrician avoided eye contact: “We need to move forward.”

Surgery may still have been necessary; that was not mine to determine. But if faulty equipment helped create the emergency, the family deserved acknowledgment and explanation—not silence. No family should have to wonder whether major surgery followed an unavoidable crisis or a machine failure no one recognized in time.

From Prevention to Accountability

After supporting nearly 100 families, I have learned that danger often begins before admission. I have urged clients to seek care—and heard why they feared returning: dismissed pain, harsh words, shame for asking questions.

Care cannot be holistic where Black families do not feel safe enough to speak or return. Representation matters, but providers of color cannot repair inequity alone. They need adequate staffing, mentorship, culturally responsive training, reliable equipment, and colleagues that are reflective of all the aforementioned. It’s not the Black providers job to care for just the Black patients, everyone should have the same goal.

The Momnibus Act, California’s Medi-Cal doula benefit, the Transforming Maternal Health Model and the Perinatal Equity Initiative require more than promises; they need sustained funding, reliable reimbursement and accountable implementation.

Birth should be sacred. Yet too many Black birthing people arrive carrying the burden of proving their pain is real. A doula can listen, educate, comfort, and advocate—but cannot repair a system that refuses to listen. The true measure of progress is what happens when a Black birthing person says, “Something is wrong.”

Are they believed? When equipment fails, is that failure acknowledged? Do families leave not merely alive, but safe, respected, supported, and whole?

Until those answers are consistently yes, California’s maternal health success story remains unfinished.

About the Author

Antoinette Stewart-Eneh is a mother of two, holistic maternal wellness advocate, and birth and postpartum doula who has supported families since 2019. She serves as program operations coordinator for Frontline Doulas, a volunteer client coordinator with the Joy in Birthing Foundation and a childbirth educator in South Los Angeles. She is studying to become a midwife and lactation educator.

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Black Press

‘We Don’t Talk Trash — We Pick Up Trash!’

OAKLAND POST — Following the cleanup, Jones talked with Richard Johnson, CEO of Formerly Incarcerated Giving Back (FIGB). Johnson said he wanted to bring formerly incarcerated nonprofits together not only to help clean up the city, but also to bring youth with them to mentor the next generation.

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High Street Coalition volunteers pick up trash on Sept. 26. Left to right are: Jo Ann, Ruben, JoJo, Jess, Jonathan ‘Fitness’ Jones and Linda in front. Photo courtesy of Linda.
High Street Coalition volunteers pick up trash on Sept. 26. Left to right are: Jo Ann, Ruben, JoJo, Jess, Jonathan ‘Fitness’ Jones and Linda in front. Photo courtesy of Linda.

When community activist Jonathan “Fitness” Jones heard concerns from senior residents in East Oakland about illegal dumping, recurring trash issues and the health hazards they created, he decided that watching the problem was not enough. 

Jones, a member of the African American Sports and Entertainment Group (AASEG) and an Oakland Private Industry Council board member, learned that seniors were frustrated by the recurrence of illegal dumping even when trash has been cleared. Recurring trash can contribute to unsanitary conditions, attract rodents and leave residents feeling that their neighborhoods are being overlooked. 

On Saturday, Sept. 26, Mr. Jones joined High Street Coalition volunteers at Dick’s Donuts near High Street and Quigley Street, spending the morning picking up trash and helping beautify the surrounding neighborhood.

High Street Coalition volunteers organize community cleanups on the second and fourth Saturdays of each month. 

Following the cleanup, Jones talked with Richard Johnson, CEO of Formerly Incarcerated Giving Back (FIGB). Johnson said he wanted to bring formerly incarcerated nonprofits together not only to help clean up the city, but also to bring youth with them to mentor the next generation. 

Jones and Johnson discussed developing a community model that brings formerly incarcerated individuals, Oakland youth and nonprofit organizations together to clean and beautify the city. 

The vision is to create opportunities for formerly incarcerated adults to take leadership roles while mentoring young people through hands-on community service. The program could also provide youth with opportunities to develop leadership skills, learn teamwork and responsibility, and potentially gain employment experience. 

The goal is bigger than removing trash from the streets. It is about restoring neighborhoods while building relationships between generations and creating opportunities for people with lived experience to give back to their communities. 

Jones believes the message is simple:  

“We don’t talk trash, we pick up trash.” 

The proposed collaboration seeks to bring Oakland nonprofits, formerly incarcerated leaders, youth, residents, businesses and community organizations together around a shared purpose — cleaning the town, beautifying Oakland and building a stronger community together. 

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Black Press

Zakiya Jendayi Arrested, Locked Out of Home by Sheriff’s Deputies

OALAND POST — On Tuesday, deputies followed Jendayi as she left her residence of 13 years to file documents in her case at the Appellate Court. Deputies arrested her upon arrival and transported her to Santa Rita Jail.

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Court-appointed administrator Philip Campbell outside Zendayi’s home on Randolph Avenue in Oakland. Photo by Tanya Dennis.
Court-appointed administrator Philip Campbell outside Zendayi’s home on Randolph Avenue in Oakland. Photo by Tanya Dennis.

Yesterday, more than 10 Alameda County Sheriff’s deputies arrived to take possession of Zakiya Jendayi’s home on behalf of a court-appointed administrator. Jendayi was arrested at the courthouse and transported to Santa Rita Jail around the same time.

Jendayi, who has been embroiled in a probate court battle to retain the inheritance bestowed on her by a longtime friend and colleague who passed away in 2013, had received a notice of eviction last month.

With help from neighbors, friends and clergy, she was able to fend off the eviction from 3614 Randolph Ave. in Oakland and even obtained a reprieve when her bid to file bankruptcy was approved by a county court.

But Philip Campbell, the court-appointed administrator, had already placed Jendayi’s home in his name in October 2025.

On Tuesday, deputies followed Jendayi when she left her residence of 13 years to go to the Appellate Court to file documents in her case. Deputies arrested her upon arrival and transported her to Santa Rita jail.

Undersheriff April Luckett-Fahini said Jendayi was arrested for “safety reasons.” At this time, it is unknown what charges were used for the arrest.

In Jendayi’s absence, Campbell came to her residence accompanied by deputies, had the property taped off with yellow crime tape, and had the locks changed.

 Afterward, Campbell requested a police escort to his car amid several angry neighbors who had been advocating that officials pause the eviction pending Jendayi’s appeal.

“Zakiya Jendayi is a respected Black elder in our community,” said Alameda County Supervisor Nikki Fortunato Bas, who has been working with Jendayi to prevent her eviction. “It’s outrageous that she was arrested.  There needs to be more justice and equity in our probate system.” 

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Black Press

CalAIM Helped Alfred Flores Rebuild His Life. Why Can’t More Californians Access Its Benefits?

BAKERSFIELD NEWS OBSERVER — “Under CalAIM, there has been this incredible ability to pay for certain things that are helpful to anyone experiencing homelessness,” said Margot Kushel, Professor of Medicine, UCSF Director of UCSF Benioff Homelessness and Housing Initiative. “We can pay for things like street medicine. We can pay for enhanced case management, housing tenancy support services to keep people in their housing, and things like first and last month’s rent to help people.”

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California’s largest Medi-Cal transformation—California Advancing and Innovating Medi-Cal, or CalAIM—was designed to connect residents experiencing homelessness, trauma, and chronic illness directly to health care and social services. The statewide initiative allows healthcare providers to bill Medi-Cal for intensive, field-based care coordination, bringing doctors, social workers, and housing navigators directly to unsheltered residents where they live.
California’s largest Medi-Cal transformation—California Advancing and Innovating Medi-Cal, or CalAIM—was designed to connect residents experiencing homelessness, trauma, and chronic illness directly to health care and social services. The statewide initiative allows healthcare providers to bill Medi-Cal for intensive, field-based care coordination, bringing doctors, social workers, and housing navigators directly to unsheltered residents where they live.

CalAIM offers housing and health care support through Medi-Cal, but fragmented health-plan rules, administrative barriers and limited awareness can make those benefits difficult for vulnerable Californians to access.

Marion Apio reported this story while participating in the USC Annenberg Center for Health Journalism’s 2026 California Health Equity Fellowship.

By Marion Apio | California Local News Fellow

California’s largest Medi-Cal transformation—California Advancing and Innovating Medi-Cal, or CalAIM—was designed to connect residents experiencing homelessness, trauma, and chronic illness directly to health care and social services. The statewide initiative allows healthcare providers to bill Medi-Cal for intensive, field-based care coordination, bringing doctors, social workers, and housing navigators directly to unsheltered residents where they live.

Yet despite CalAIM’s ambitious promise to fund care outside clinic walls, health care providers say many unhoused Angelenos still face steep barriers to accessing these services. Health plans have not always been aligned on which services to offer, creating a patchwork of coverage across the state. For patients, those differences can mean delays in approvals, changes in available services or additional paperwork before care or housing assistance can move forward.

“Under CalAIM, there has been this incredible ability to pay for certain things that are helpful to anyone experiencing homelessness,” said Margot Kushel, Professor of Medicine, UCSF Director of UCSF Benioff Homelessness and Housing Initiative. “We can pay for things like street medicine. We can pay for enhanced case management, housing tenancy support services to keep people in their housing, and things like first and last month’s rent to help people.”

“Pathways to housing are highly effective, she added, “but we need more of them. The problem is not so much that it doesn’t work for the people it’s serving; it’s that it’s under-resourced for the people it’s serving, and most people don’t get it.”

Across Los Angeles County, community organizations and street medicine teams report spending significant hours navigating complex enrollment portals and billing hurdles that delay care for residents in critical need.

More than four years after California launched CalAIM to use Medi-Cal funding for nonmedical needs such as housing, food and case management, overall Medi-Cal enrollment has declined from about 15 million in 2023 to 13,910,180 in April 2026, according to the California Department of Health Care Services. CalAIM is not a separate insurance program and does not have its own enrollment or withdrawal process; people enroll in Medi-Cal and may qualify for CalAIM services based on their needs.

For 53-year-old Alfred Flores, connecting with a CalAIM-funded street medicine team along the Los Angeles River proved transformative.

Flores was only 17 when he first entered California’s prison system as an adult.

Raised around family members involved in gang life and without financial resources for a private legal defense, the young Flores cycled through juvenile halls and state prisons, including the California Institution for Men in Chino and a correctional facility in Delano.

“I was tried as an adult and we didn’t have any lawyers or nothing,” Flores said. “So, yeah, I was misjudged, you know. But it is what it is.”

Decades after his release, the consequences of incarceration lingered. Diagnosed with severe post-traumatic stress disorder, Flores struggled to navigate crowded public spaces and complex social service systems. Unhoused and contending with uncontrolled diabetes, his health rapidly deteriorated.

Flores’ path changed when he met Artie Vasquez, a community health worker and case manager with St. John’s Community Health. Vasquez helped Flores navigate and access medical care through case management services provided under CalAIM’s Enhanced Care Management benefit — and, just as importantly, helped him secure an apartment in Inglewood using Medi-Cal dollars.

Enhanced Care Management (ECM) — a Medi-Cal benefit that provides intensive, individualized care coordination for members with complex needs — pairs members with a care manager who coordinates physical, behavioral and social services, while Community Supports address needs such as housing instability, nutrition and chronic-condition management.

Artie Vasquez, a case manager with St. John’s Community Health, poses for a photo. Photo by Marion Apio

“I can go in and out of my house. I can shower whenever I want. Use the restroom whenever I want. It’s my house, you know,” Flores said.

Artie Vasquez, who overcame similar life challenges before becoming a case manager, said the program provides the scaffolding needed for individuals leaving incarceration to successfully transition back into society.

Medi-Cal covers close to 14 million residents statewide. In Los Angeles County, where over 70,000 people experience homelessness on any given night, connecting high-need populations to social safety nets remains an operational challenge.

CalAIM addresses these challenges through Community Supports, or non-medical interventions, such as move-in security deposits, housing navigation, and modifications to make housing accessible.

For frontline clinics, the growth in such services represents a massive shift in how care is delivered.

Christina Guevara, an Enhanced Care Management program manager at St. John’s Community Health has watched this safety-net infrastructure expand over six years.

In just the past three years, St. John’s CalAIM caseload has surged from under 1,000 patients to nearly 1,600, serving a community that is roughly 55% Latinos and White as well as 26% Black, according to Monica Cotom, director of CalAIM at St. John’s Community Health.

Guevara noted that language barriers, low health literacy, and a lack of support systems frequently cause low-income patients to drop out of care. She said that is especially true for older patients who may struggle to navigate complex medical instructions or question a doctor’s diagnosis.

In one instance, St. John’s case managers worked with an unhoused domestic violence survivor living in a shelter who avoided medical visits out of fear of being located by an abuser. Through biweekly phone calls, virtual support groups, and accompanied clinic visits, case managers helped the survivor secure permanent housing and reduce his hemoglobin A1C level from a dangerous 14% down to 7% over an 18-month period.

Yet, administrative breakdowns regularly interrupt patient care.

“The health plans have never been quite aligned for this program across the board, and so that’s been the barrier,” said Cotom. “We have to fluctuate with whatever the health plans need, and so that makes it hard.”

Because each Medi-Cal managed care plan operates with its own documentation requirements, billing systems, and approval rules, caseworkers must constantly adapt to conflicting administrative processes. For unhoused patients, these hurdles translate directly into real-world delays. For unhoused clients, bureaucratic errors can pause housing placements for months.

In Inglewood, city officials acknowledge that awareness remains a barrier.

Roberto Chavez, HUD programs manager for the City of Inglewood, called CalAIM an “untapped resource,”  and noted that municipal governments currently lack public education campaigns to connect eligible residents with the state program.

“Not too many people are aware of that,” Chavez said. “Again, that requires some education of the residents and people experiencing homelessness, as well as any staff that’s in charge of identifying resources.”

When asked what the city is doing to publicize CalAIM to unhoused residents, Chavez said the city relies on partner non-profits rather than municipal outreach.

“Nothing at the current moment,” Chavez said. “But we direct folks to the St. Margaret’s Center, and they make folks aware of the CalAIM program, as well as the South Bay Cities Council of Governments.”

Addressing why local agencies struggle to roll out CalAIM seamlessly, Kushel called it a nearly impossible task.

“When you’re frantically trying to plug up holes from 50 years of failed policies at every level of government in a wildly unequal country where there’s rampant income inequality … it’s also really an impossible task,” Kushel said, adding that local authorities are “trying to put fingers into sort of a leaking bucket, and it’s very hard to do that.”

A St. John’s Community Health medical assistant attends to an unhoused patient during a mobile clinic outreach in Los Angeles. Photo by Marion Apio

Ashley Watson was offered CalAIM services in June 2025 while living in her car in Los Angeles. Working with Stephanie Ortiz, a case manager, Watson secured several jobs to raise her monthly rental budget from $1,200 to $2,000. When bad credit led to apartment rental rejections, Ortiz assisted in securing a guarantor.

However, during the application process, an administrative error caused Watson’s Medi-Cal coverage to terminate unexpectedly. It took nearly a month of staff effort to restore her coverage before security deposit and move-in funding could be released. Watson moved into her apartment in November 2025 and officially graduated from the program in June 2026.

Mary Vargas, Community Supports program manager at St. John’s, said administrative gaps leave the most vulnerable clients behind.

“A lot of people don’t understand why and feel powerless in their own care,” Vargas said. “If you’re powerless, have a chronic condition, and are alone with no support, your health significantly declines.”

Guevara reported that rising fears around immigration status and potential scams have led members to decline home visits or ignore phone calls from case managers. To support clients facing these anxieties, St. John’s transitioned many in-person check-ins to virtual appointments.

DHCS acknowledged that some immigrant families are experiencing fear  about data-sharing with federal agencies that might use the information in enforcement actions. The department said it does not track whether people decline CalAIM services because of those concerns, but encouraged eligible Medi-Cal members to maintain their coverage and continue seeking care.

Photo by Marion Apio

Vasquez noted that individuals released from state prisons face delays of 30 to 90 days before their active Medi-Cal status is reinstated.

Those delays force clinics to rely on sliding-scale fees based on income –which many newly released participants do not have –while unhoused individuals without physical addresses often rely on family members’ addresses to keep their mail delivered and avoid losing coverage.

 

But for those who get past the hurdles and receive services, the results can be life changing.

Flores is now enrolled in online business and culinary arts classes through Coastline College, working toward his long-term goal of financial independence.

“Before, I didn’t know how to go about things, but now with my medication, my doctors, and my case manager who always calls to see if I’m doing okay, it has helped me a lot—and I can trust the system,” Flores said.

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How Inglewood’s Homeless Seniors Are Finding Relief Through Housing and Trauma-Informed Care

BAKERSFIELD NEWS OBSERVER — For people like Gilbert Ramirez, the dangers of living on the street compound with age. Chronic illnesses become harder to manage, mobility declines and minor health problems can quickly escalate into medical emergencies without a stable place to recover or store medications. Increasingly, this vulnerable population includes seniors falling into homelessness for the first time after a lifetime of low-wage, physically demanding work.

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For some older adults, homelessness comes after decades of low-wage, physically demanding work, while others carry years of trauma that can complicate their path back to stable housing.
For some older adults, homelessness comes after decades of low-wage, physically demanding work, while others carry years of trauma that can complicate their path back to stable housing.

Marion Apio reported this story while participating in the USC Annenberg Center for Health Journalism’s 2026 California Health Equity Fellowship.

For 70-year-old Gilbert Ramirez, the intersection of medical care and supportive housing proved lifesaving.

First sent to prison at 25, Ramirez spent decades cycling through nine separate sentences and three decades of parole supervision before finally completing parole seven years ago.

“I’ve been told what to do, man, for all my adult life,” Ramirez said. “I had nine turns on one number, and finally they gave my life back. So now I’m a free citizen.”

While incarcerated, he and his wife separated. After returning to society, he lost his daughter to cancer, was shot, and was left partially paralyzed and unhoused.

Surviving on the street, Ramirez fell into a heavy fentanyl addiction. For seven years, severe, open wounds flared on both of his legs—wounds he had no way of healing while living unhoused.

As the infections worsened, his weight plummeted to 95 pounds.

Gilbert Ramirez’s wound during cleaning and treatment at the Los Angeles Inn in Inglewood. Photo by Marion Apio
Gilbert Ramirez’s wound during cleaning and treatment at the Los Angeles Inn in Inglewood. Photo by Marion Apio

Compounding challenges for seniors who are unhoused

For people like Ramirez, the dangers of living on the street compound with age. Chronic illnesses become harder to manage, mobility declines and minor health problems can quickly escalate into medical emergencies without a stable place to recover or store medications. Increasingly, this vulnerable population includes seniors falling into homelessness for the first time after a lifetime of low-wage, physically demanding work.

“We have a large proportion of seniors experiencing homelessness—about 43 percent who had never been homeless before after the age of 50,” said Margot Kushel, professor of medicine, UCSFDirector of UCSF Benioff Homelessness and Housing Initiative

Eight months ago, outreach workers with People Assisting The Homeless—a nonprofit housing and social services agency—moved Ramirez into the Los Angeles Inn in Inglewood. They did so under an L.A. County-led initiative that brings unsheltered residents indoors by placing them inmotels converted into interim housing. It also connects clients with wraparound healthcare and case management.The effort primarily receives funding through L.A. County’s Measure A sales tax, which aims to create a direct pipeline from street encampments to permanent housing.

Gilbert Ramirez’s legs during wound cleaning and treatment at the Los Angeles Inn in Inglewood. Photo by Marion Apio
Gilbert Ramirez’s legs during wound cleaning and treatment at the Los Angeles Inn in Inglewood. Photo by Marion Apio

By the time Ramirez connected with Carrie Kowalski last November, a senior physician assistant with Venice Family Clinic, the wounds on both of his legs were deep, painful, and itchy. Kowalski cleaned and wrapped the wounds and provided Ramirez with naloxone nasal spray—an emergency overdose reversal drug – along with fentanyl test strips and buprenorphine starter supplies, a medication used to treat opioid addiction.

“It’s good, I ain’t now underweight,” Ramirez said about the services he receives under Pathway Home. “They offer me medicine. They come and, you know, give you everything. Whatever I need—a doctor, food, a bed, water, and everything I never had before.”

From August 2023 to August 5, 2026, Pathway Homehad moved 2,361 people into interim housing, while 892 had moved into permanent housing, according to Los Angeles County. The county said the biggest barrier to moving people from interim to permanent housing is the shortage of affordable permanent homes.

Pathway Home’s mission is to reach encampments throughout L.A. County and link people to permanent housing, said Courtney Reed, associate director at PATH.

“We operate in what we call a trauma-informed care model,” Reed said.

Courtney Reed, associate director at People Assisting the Homeless, with her team at the Los Angeles Inn in Inglewood. Photo by Marion Apio
Courtney Reed, associate director at People Assisting the Homeless, with her team at the Los Angeles Inn in Inglewood. Photo by Marion Apio

The Los Angeles County’s Pathway Home budget for fiscal year 2026-27 is $59.5 million. The funding includes $24.4 million from Measure A, $19.8 million in Measure H carryover, $13.8 million in state Encampment Resolution Fund carryover and $1.5 million from the county Department of Mental Health, according to information provided by the county in an email. In April 2024, the county also received a $51 million grant from the state of California to expand the Pathway Home program.

Countywide, the number of unhoused adults ages 55 and older rose nearly 5 percent, from 18,212 in 2025 to 19,104 in 2026, accounting for about 26% of the county’s 73,040 unhoused residents. Black residents continue to be disproportionately represented among the people experiencing homelessness, accounting for 21,822 people of the unhoused population within the Los Angeles Continuum of Care, according to the 2026 Greater Los Angeles Homeless Count.

A shortage of affordable housing has limited options for the unhoused in Inglewood

In Inglewood, Pathway Home teams have moved 54 people into temporary housing in motels, according to the mayor’s office. While experts call this placement critical for vulnerable seniors, city officials clarified Inglewood is strictly a logistical partner.

“We have no funding obligation, Pathway Home Initiative is funded by the County of Los Angeles,” said Roberto Chavez, Inglewood’s HUD programs manager. “The city is a partner.”

However, transitioning people into permanent housing has also become more difficult in Inglewood, where the city’s housing voucher program is frozen under a “designated shortfall” from the U.S. Department of Housing and Urban Development because federal funding failed to match local rent increases.

“The housing authority has spent its annual allocation, and HUD is monitoring our finances,” Chavez said. “The result is we’re not able to issue more vouchers to families to get housing.”

While homelessness continues to trend downward in Inglewood—where the unsheltered population dropped from a peak of 751 individuals in 2022 to 290 in 2026—countywide data masks a growing crisis among older and Black residents.

Challenges for seniors who are unhoused

By the time outreach workers connected with Jacqueline Thomas last November, the 67-year-old was hauling an oxygen tank across La Brea Avenue while managing a heart condition, chronic obstructive pulmonary disease, diabetes, and a daily regimen of 13 prescription pills—all while living out of her car.

Participants in the Pathway Home initiative gather at the Los Angeles Inn in Inglewood. Photo by Marion Apio
Participants in the Pathway Home initiative gather at the Los Angeles Inn in Inglewood. Photo by Marion Apio

A 1976 graduate of Inglewood High School, Thomas’s life unraveled a decade ago after she lost her job. Faced with fixed income limits and rising housing costs across L.A. County, strain over rent money eventually frayed family ties, leading her to choose the streets over an unstable living situation.

For 10 years, Thomas parked her car outside businesses along La Brea Avenue to sleep. She let other unhoused neighbors stay inside with her for protection, but she could not avoid constant street harassment and theft. During one incident, someone stole $1,000 from her on the sidewalk.

A decade of exposure took a permanent toll on her body.

“All these health issues I have now, I didn’t have,” Thomas said. “I got them all out here in the streets.”

Six months after moving into a private room through Pathway Home, Thomas finally has reliable electricity to power her oxygen machine and blood pressure monitor, store her heart medication in a refrigerator, and manage her health.

Participants in the Pathway Home initiative gather at the Los Angeles Inn in Inglewood. Photo by Marion Apio
Participants in the Pathway Home initiative gather at the Los Angeles Inn in Inglewood. Photo by Marion Apio

“Housing is an intervention to help with vascular problems—like leg swelling and open wounds from sleeping sitting up—because now our patients have a bed to elevate their legs and sleep,” said Kowalski, who has operated a mobile clinic van since December 2020. “From a medical standpoint, we can provide care, but housing is the key intervention to actually get people better.”

Homelessness advocates point to L.A. County’s high cost of living and the severe gap between fixed disability payments and local rents as key drivers fueling the region’s homelessness crisis.

In an emailed statement, the Inglewood Mayor’s Office cited the shelter operation at Hollywood Inn Suites, a converted motel on Century Boulevard, as a key local success in resolving encampments.

The city said its Pathway Home partnership with Los Angeles County housed 54 people who had been living on the streets. It is also exploring motel master leasing and said it would consider adding a homeless services coordinator, funded through Los Angeles County’s Measure A, in June 2026.

When discussing the types of housing initiatives like Pathway Home that place seniors into interim housing, Kushel emphasizes that a standard apartment is not enough since older adults need specific physical adaptations.

“A lot of the issues we’re having is just the physical design of whether there’s infrastructure for people who can’t climb stairs,” Kushel said. “There’s a physical design aspect like, are there grab bars, non-slip surfaces and night lights.”

For Ramirez and Thomas, moving off the streets into stable housing has allowed them to focus on long-term recovery, healthcare, and personal goals.

Gilbert Ramirez poses for a photo beside the Venice Family Clinic mobile van after receiving treatment and medication at the Los Angeles Inn in Inglewood. Photo by Marion Apio
Gilbert Ramirez poses for a photo beside the Venice Family Clinic mobile van after receiving treatment and medication at the Los Angeles Inn in Inglewood. Photo by Marion Apio

Ramirez, who rides his bicycle up to 100 miles a week, said he is rebuilding his strength while gathering the medical records needed to secure a housing voucher for a local senior complex through Pathway.

His dream is to one day reunite with his 23 grandchildren and 12 great-grandchildren.

“I just want to be with my grandkids, raise my great-grandkids, and jam with them, you know what I mean?” Ramirez said. “Being out on the street was rough, just fighting all the time. But since I’ve been here, you know, it’s been all right. I’m home.”

For Thomas, months inside interim housing under Pathway Home have provided a secure environment to manage her health. With her medical needs finally managed and her daily living environment secure, she is now looking toward the future—hoping to acquire a computer and take tax preparation courses to build new job skills.

It is a sharp departure from her years spent struggling just to survive on the streets.

“I’m not a hopeless case,” Thomas said. “This is just my new way of living, and I’m adjusting to it.”

Marion Apio

Marion Apio is a multimedia journalist from Uganda currently based in Inglewood reporting for the Observer Group Newspaper of Southern California in Los Angeles. She pursued journalism to make information more accessible—especially for underserved communities like the one she grew up in. Her reporting focuses on access to basic resources necessary to advance human rights, education, health and with a strong interest in solutions journalism that highlights working models addressing community-level challenges.

She is a California Local News Fellow, USC California Health Equity Fellow and Widening the Pipeline Fellow with National Press Foundation. Marion has reported for Richmond Confidential, Oakland North, Bloomberg, and has also worked with the Investigative Reporting Program at UC Berkeley on issues related to journalist safety and human rights.

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