2. PAGE 6C/THE CALL AND POST/WEDNESDAY, JANUARY 9, 2008
From Page 1A
inability to quickly adapt to sud-
den accelerated change caused
by rapid shifts from a manufac-
turing culture to an information,
high-tech culture. The inability
to adapt to change too rapidly
will cause many to suffer mental
stress by having to make too
many unexpected decisions.
Future Shock, Toffler
warned, will likely be the result
of numerous persons diagnosed
with unprecedented physical
and mental health-related ill-
nesses by the new millennium.
One example of what may
be a cause of Future Shock in
Greater Clevelanders is the
recent shift in favor of outsourc-
ing American jobs to countries
overseas. According to Policy
Matters, 44,000 manufacturing
jobs alone were lost in Greater
Cleveland from November 1999
to November 2003.
In turn, unprecedented fami-
ly disintegration due to loss of
so many jobs may have been a
consequence causing Future
Shock mental health-related ill-
nesses. Hopelessness and low
self-esteem, perhaps due to job-
lessness, may have also con-
tributed to so many adults abus-
ing chemical and alcohol sub-
stances to cope with realities of
a society passing them by at
super-sonic speed.
Thus, many of their children
who enter the foster care sys-
tem, are diagnosed with anxiety
disorders and emotional depres-
sion, and consequently need
prescribed pharmaceutical
drugs.
Mental health-related symp-
toms associated with Future
Shock also may be due to the
inability of Black leadership to
solve many of the structural
economic new problems facing
Black Clevelanders since the
millennium. Their failure may
be the cause of too many Black
residents succumbing to wide-
spread suspicion and mistrust of
role model institutions – like
religious, political, education
and family institutions.
Looking for further evidence
of Future Shock leads us to con-
sider recent shocks to the social
security of the underclass poor
in Cleveland. We conclude that
a major shock, perhaps, is the
abrupt dismantling of the wel-
fare “social safety net” pro-
grams, which may have caused
a lot of psychological uncertain-
ty in the wake of so many indi-
viduals unable to meet basic
human needs.
Did Black city residents dis-
proportionately suffer mental
disorders due to stress often
associated with worrying about
what’s going to happen once
they lose much needed public
assistance? Did competition
over limited available low-wage
jobs (without medical benefits)
contribute to their dispropor-
tionate mental disorders often
associated with schizophrenia,
schizoaffective, and bipolar dis-
order?
According to Dr. Steve
Friedman, executive director of
Mental Health Services,
“Mental health-related illnesses
may be diagnosed in two dis-
tinct categories: 1) medical bio-
logical, and 2) other mental
health problems. Medical
Biological is defined as neuro-
logical disorders caused by
schizophrenia, schizoaffective,
and bipolar disorder.”
Schizophrenia is a severe
brain disease causing hallucina-
tions, delusions and paranoia.
Schizoaffective is psychotic
symptoms in the absence of
mood changes. Bipolar disorder
is extreme mood changes from
very high energy to extreme
lows of depression.
“Other mental health prob-
lems may be caused by too
much psychological stress often
associated with domestic vio-
lence, the loss of employment
and substance abuse,” Friedman
said. “They affect the individ-
ual’s state of mind even though
they are non-neurological dis-
eases.”
Having defined Future
Shock and its consequences as a
possible explanation for so
many people with mental health
issues, we now turn to describ-
ing who those people are in the
city and county.
Homelessness accompanied
by mental health problems is a
countywide problem. Carolyn
Nabakowski of the Cuyahoga
County Office of Homeless
Services provided “Point-in-
Time” information that classi-
fies homelessness by three par-
ticular groups when seeking
federal aid for continuing their
care: 1) Severe Mental Illness
(SMI), 2) Chronic Substance
Abuse (CSA) and 3) Chronic
Homelessness. Regarding sub-
stance abuse and associated
homelessness, CSA alone made
up 50 percent of all county
homelessness in 2007. SMI and
Chronic Homeless made up the
remaining 50 percent.
Headquartered in downtown
Cleveland, MHS keeps public
records of all registered clients
receiving mental health servic-
es. Figure 1, “Percent of Clients
by Race 2006,” shows that
Black clients alone make up 51
percent of all clients in need of
MHS treatment for mental
health services. This is followed
by Whites at 46 percent, Asians,
2 percent, Latinos, 1 percent,
and Native Americans, 1 per-
cent.
The disproportionate num-
ber of Blacks in need of mental
health services is equally dis-
turbing when Black males are
compared to Black females. In
2007, Black males to females
made up 53 percent of MHS
total client population at an
average 32 to 35 years of age.
In 2004, Black females
made up 44 percent of all
clients. However, in 2007, their
client population was 46 per-
cent, which suggests the gap
between rising high rates of
Black females is closely nar-
rowing high client rates of
Black males. In 2007, Black
females averaged 32 years of
age (up from 29 in 2004).
Figures 2 and 3, “MHS
Clients Needing Homeless
Assistance Programs” and
“MHS Clients Needing
Crisis/Trauma Intervention
Programs” 2004-2007, identify
the need for services to help the
mentally challenged and home-
less.
For homeless assistance, the
need for services such as case
management, outreach and
emergency shelter has steadily
grown since 2004. But what is
disturbing is the increase in the
need for crisis and trauma inter-
vention programs, which have
also steadily grown.
In 2007, the need for a
“Children Who Witness
Violence” program was up by
89 percent since 2004; the need
for an adult mobile crisis team
increased by 92 percent.
Community gang violence,
domestic violence and family
disintegration helps to create a
widespread need for a “Children
Who Witness Violence” pro-
gram. Moreover, information
provided by the Cuyahoga
County Board of Health shows
that suicide is a growing prob-
lem for children suffering poor
mental health. From 1999 to
2007, the average age of chil-
dren in Cleveland and surround-
ing suburbs who committed sui-
cide was 14, on a scale of 11 to
17 years of age.
Black children make up 12
percent of all reported suicides
and White children make up 22
percent. When comparing same-
race males to females, young
Black males are reported more
likely to commit suicide, 24 per-
cent higher than young Black
females. The high rate of young
Black males killing themselves
is unprecedented in the history
of Black youth in the city.
Regardless of which mental-
ly-challenged group we identify
downtown, i.e., children or
adults, former Public Safety
Director William L. Denihan,
CEO Cuyahoga County
Community Mental Health
Board, speaks about public safe-
ty.
“Contrary to isolated acts of
violence involving the mentally
ill in downtown, overall the
public is not in danger,” said
Denihan. “People with mental
illness will commit crimes to get
arrested as one way of getting
out of the cold.”
He also discussed how they
are more likely to be victims of
crime instead of the average
downtown citizen.
“Women suffering mental
issues are more likely to be
raped and males robbed because
they have difficulty identifying
suspects and filing police
reports,” he said.
In part two of this report I’ll
explain why so many of the
mentally challenged and home-
less are downtown and we show
where they come from.
Dr. Jeffrey Perkins, Jr., has a
Ph.D. in Public and
International Affairs from the
University of Pittsburgh. He is a
research investigator and part-
time staff member at Myers
University. For responses to this
report please e-mail
jperkins@myers.edu.
Coping With Mental Illness
Part I: Downtown’s highly visible
homeless – who are they, really?
One of the hundreds of homeless persons who walk the streets
of downtown Cleveland looking for a place to help keep them
warm.
der it started sprinkling, then
raining, then snowing like crazy.
At a point the blizzard got so
bad, I finally had to pull over ad
get a hotel over night.
The next morning I finally
got to Chicago to pick up my
16-year-old, Jamel, who was
riding shotgun with me for the
journey into history.
When leaving Chicago, I
missed one turn. It took me two
hours to get back on track.
In effect, a trip that usually
takes 10 hours took more than a
dog-gone day.
At the end of the process,
however, when I finally made it
to the Barack Obama victory
rally in Des Moines, they moved
me past hundreds of other
reporters and photographers
right in front of Obama for that
masterful victory speech next to
photographers from some of the
leading newspapers in the coun-
try.
All this because I was deter-
mined to get there and get it
done.
I guess all this means that in
2008 I am resolved to be highly
productive through relationships
that are, themselves, wonderful
experiences for myself and oth-
ers, by intentionally maximizing
those relationships with great
determination to get outstanding
results.
And that’s how it is …
according to James.
Contact Hollingsworth at
(216) 791-7600, ext. 240, at
religion@call-post.com or blog
him at
according2james.blogspot.com.
Three
From Page 5B
6CCle1-9-08.qxd 1/8/2008 1:41 PM Page 1
3. In Part I of Dr. Perkins’ series, which ran in the Jan.
9, issue of the Call & Post, the recently released, men-
tally challenged ex-offender in Cleveland Heights
who allegedly stopped taking his psychotic medica-
tion and was hearing voices, and consequently shot
and killed a veteran Cleveland Heights police officer,
was a Black male. He was misidentified as a White
male in Part I of the series.
PAGE 6B/THE CALL AND POST/WEDNESDAY, FEBRUARY 13, 2008
By Dr. JEFFREY
PERKINS Jr.
Contributing Writer
Part I of our special report
described who the mentally
challenged and homeless are
that we see so often downtown.
Our observations were dis-
cussed in the context of “Future
Shock,” a concept coined in
1970 by futurist/sociologist
Alvin Toffler. It was in 1970 that
he predicted many people would
not adapt to the accelerated
change as our society rapidly
went from a manufacturing to a
high-tech information society.
He believed that their failure to
adapt would result in many
being diagnosed with physical
and mental illness related prob-
lems.
Our research shows that
since 2000 the Black poor in the
city of Cleveland are likely can-
didates for Future Shock with so
many being diagnosed with
mental health problems often
associated to mental stress due
to long-term unemployment,
lack of marketable skills, sub-
stance abuse, family disintegra-
tion and run-ins with the law.
Where help is available, Part
II will identify the locations of
downtown homeless facilities,
substance abuse counseling
facilities, and facilities provid-
ing free breakfast, lunch and
dinner. It also illustrates the
proximity of these facilities to
Public Square.
Facilities that provide hous-
ing shelter to the homeless can
be described by two major
types, emergency shelters and
transitional housing. For exam-
ple, Lutheran Metropolitan
Ministries operates a men’s
emergency shelter located at
2100 Lakeside providing 350
beds to homeless adult males.
Mental Health Services pro-
vides homeless females a 180-
bed emergency shelter located
at East 22nd and Payne Avenue; MHS also provides a 50-bed
emergency shelter for disabled
men located at 1710 Payne Ave.
The newly-renovated North
Point Transitional Housing
Center was recently opened to
provide double occupancy tran-
sitional housing of 160 beds to
working homeless men. North
Point’s located at 1550 Superior
Ave.
The Salvation Army Harbor
Light Complex provides three
transitional housing programs.
The Pass program has 75 beds
located at 1710 Prospect Ave.;
the Share program has 32 beds
located at 22nd and Community
College; and at Railton House,
there are 56 beds located at
6001 Woodland Ave. Also,
Harbor Light operates the
Zelma George Shelter for
Homeless Women and Children,
with 87 beds located at 1710
Prospect Ave.
Most emergency and transi-
tional homeless shelters have
policies that require residents to
leave during early morning
hours. They must leave presum-
ably to seek employment, attend
drug and alcohol counseling,
vocational or college education.
They may return to the shelters
during select evening hours.
For those with mental prob-
lems and unable to work, they
roam the downtown area as the
daytime “visible invisibles”
according to Officer Linda
Sealey of the Cleveland Police
Department.
“We visibly see them down-
town yet psychologically we
deny eye contact making them
invisible when we see them in
the library, Terminal Tower,
asleep on the steps of the
Soldiers and Sailors Monument,
and panhandling from street to
street and corner to corner,”
Sealey said.
For non-shelter services,
there are numerous facilities
that will help them in the down-
town area offering drug and
alcohol counseling at Recovery
Resources, located at 3950
Chester Ave., or at Mental
Health Services, 1744 Payne.
Breakfast, lunch, and evening
meals can be obtained at the
William Bishop Cosgrove
Center, 1736 Superior Ave.; the
Salvation Army, 1710 Prospect
Ave., and Trinity Cathedral,
2230 Euclid Ave.
In Part III of our series, men-
tal health policy makers, advo-
cates and others will discuss
what’s being done to help the
mentally challenged and home-
less to be independent, get job
training and find permanent
housing.
It will show innovations in
housing developments other
than emergency shelters and
transitional housing with recom-
mendations to the public. If our
downtown is truly to emerge a
vibrant economically developed
renaissance, do not miss what
they have to say and especially
their recommendations on how
the average citizen can help.
Dr. Jeffrey Perkins Jr., holds
a Ph.D. in public and interna-
tional affairs from the
University of Pittsburgh. He is a
research investigator and part-
time staff member at Myers
University. For responses to this
report please e-mail him at
jperkins@myers.edu or phone
Myers University’s Cleveland
Heights Academic Center at
(216) 397-0360.
The Empowerment Center of Greater
Cleveland
Creating positive outcomes in the lives of people living on low
incomes, since 1966.
Project B.R.E.A.D., A Food Stamp Entitlement Program
The Empowerment Center of Greater Cleveland, formerly The
Welfare Rights Organization, provides advocacy, community
organizing, and programs stimulating personal development of
individuals living with low incomes. One of The Empowerment
Center of Greater Cleveland's major programs is to act as a
contact for individuals in need of food assistance. Funded by and
working in collaboration with the USDA-FNS, Ohio Department
of Jobs and Family Services and Cuyahoga County Department of
Employment and Family Services, The Empowerment Center of
Greater Cleveland manages Project B.R.E.A.D., an outreach
project regarding the Food Stamp Program. Staff from The
Empowerment Center of Greater Cleveland is available to assist
individuals with the process of making applications for Food
Stamp Benefits. To find out more information or to make an
appointment to complete a preliminary application for the Food
Stamp Program, contact The Empowerment Center at 216-432-
4770.
Contact us at:
The Empowerment Center of
Greater Cleveland
3030 Euclid Avenue, Suite #100
Cleveland, Ohio 44115 ------216-432-4770
www.ecgccleveland.org
#S#S#S#S #S
#S ÆW ÆW
ÆW
ÆW
ÆW
ÆW
ÆW
ÆW
ÆWÆWÆW
ÆW
ÆW
ÆW
ÆW
ÆW
1 MILE RADIUS FROM PUBLIC
SQ
UARE
2 MILE RADIUS FROM PUBLIC SQUARE
Detroit
Superior
Lakeside Payne
Chester
Euclid
CarnegieProspect
Woodland
Community College
East22nd
East18th
Lorain
West25th
n
PUBLIC
SQUARE
6 BEDS
50 BEDS
18 BEDS
75 BEDS
32 BEDS
11 BEDS
50 BEDS
20 BEDS
71 BEDS
28 BEDS
87 BEDS
350 BEDS
180 BEDS
160 BEDS
108 BEDS
RADIUS OF SHELTERS AND OTHER SERVICES FOR THE HOMELESS
AND MENTALLY CHALLENGED IN DOWNTOWN CLEVELAND
1000 0 1000 2000 Feet
SERVICES PROVIDED
#S FOOD OR COUNSELING
HOMELESS SHELTERS
ÆW 1 - 50 BEDS
ÆW 50 - 100 BEDS
ÆW 100 - 150 BEDS
ÆW150 - 350 BEDS
DATABASE: JEFFREY PERKINS, JR., PH.D., CALL & POST SPECIAL RESEARCH PROJECT
INFORMATION PROVIDED BY: CUYAHOGA COUNTY OFFICE OF HOMELESS SERVICES AND MENTAL HEALTH SERVICES FOR HOMELESS PERSONS, INC.
Coping With Mental Illness – Future Shock
Part II: Where are the mentally challenged and homeless downtown?
Correction:
6bCle13.qxd 2/12/2008 5:56 PM Page 1
5. THE CALL AND POST WEDNESDAY, FEBRUARY 27, 2008PAGE 9A
increase access to permanent
housing for low-income home-
less persons. Recently in a ven-
ture with the city of Cleveland,
it opened the North Point
Transitional Housing Center,
located at 1550 Superior Ave.
North Point is part of a $5 mil-
lion appropriation to reduce
homelessness and provide more
support services.
Natoya Walker, special
assistant to the mayor for public
affairs, discussed that since the
mayor’s election, an integration
of public services to help the
homeless and ex-offenders has
been his goal. The recent open-
ing of North Point is one of sev-
eral proposals designed to help.
However, “North Point is
not an emergency shelter; it is
transitional housing set up to
accomplish three major goals: to
reduce homelessness, to provide
a continuum of services includ-
ing workforce development, and
to provide
c o m f o r t -
able living
a r r a n g e -
ments for
up to six
m o n t h s
while the
w o r k i n g
homeless
save for an
affordable
apartment.”
At the community-based
level, community activists in
partnership with community
development corporations are
experimenting with innovations
and options to provide afford-
able housing for the mentally
challenged homeless and dis-
abled. Housing First Initiative is
gaining momentum in its advo-
cacy. In collaboration with Eden
Inc. (a West Side CDC), hun-
dreds of thousands of dollars in
grants, tax credits and govern-
ment funding have been raised
to renovate several apartments
for them.
According to Executive
Director Kathryn Kazol, Eden’s
most crowning achievement is a
newly-built apartment complex
called Emerald Commons on
West 79th and Madison Ave.
that opened in December 2006.
With 52 efficiency single apart-
ment units, residents are not
considered clients, but tenants,
according to Kazol.
“They are tenants either
diagnosed with mental health
issues or seriously disabled,”
Kazol said. “All were previous-
ly homeless and either residing
at the men’s or women’s emer-
gency shelter downtown.”
Emerald Commons is only
one of 80 properties of Eden
developed with onsite mental
health care and other necessary
services, some funded by the
Cuyahoga County Community
Mental Health Board. Property
Manager Christie Stroh dis-
cussed other necessary services
such as front desk security and
camera monitoring, and fur-
nished single efficiency hous-
ings with
personal
kitchens
and pri-
vate bath-
rooms.
“ T o
help new
t e n a n t s
get started
each effi-
c i e n c y
c o m e s
equipped with an array of
sundry items such as towels,
kitchen utensils and beddings,”
she said. “A walk-in pantry con-
tains other sundries such as
food, clothing, and men and
women hygiene items. There is
an exercise room, a computer
lab with Internet access, a meet-
ing room where tenants discuss
apartment living, and a small
kitchen for special affairs.
Mental Health Services also
provides on-site mental health
treatment and counseling.”
In a roundtable interview
with several formerly homeless
tenants they testified on the
effectiveness of innovative
housing like Emerald Commons
and how it has helped them
mentally. Emma Webster dis-
cussed her personal safety and
the mental health benefits of
having a place like Emerald
Commons.
“I would like to see more
people on the street living in
places like Emerald Commons,”
she said. “I feel safe here, unlike
at the women’s shelter on 22nd
Payne Avenue.”
Tenant Antonio Correa stat-
ed how Emerald Commons has
helped him overcome his delu-
sions. “Being here cuts down
the chaos on your mind; you
don’t worry as much and don’t
have to look behind your back,”
he said. “I feel safe and secure,
and I no longer hear voices.”
Similar apartments are
scheduled to open on the East
Side and south side of
Cleveland. The Liberty at St.
Clair will open this February
with 72 efficiency apartments;
and South Pointe Commons is
currently under construction and
will open 84 efficiency apart-
ments in September.
Since this is new for residen-
tial neighborhoods, Kazol rec-
ommends we “educate the pub-
lic to accept new housing devel-
opments for the mentally chal-
lenged in their neighborhoods.
Develop partnerships with local
community leaders and estab-
lish ‘good neighborhood poli-
cies’ for interacting with resi-
dential developments exclusive-
ly designed for mentally chal-
lenged residents.”
Stroh recommends we
develop “strategies to reach out
to local professionals, such as
chefs, artists, musicians, and
others in the performing and
fine arts, for the purpose of
soliciting their time as volun-
teers. Their volunteer in-kind
services will greatly contribute
by setting up workshops in com-
munity rooms of the newly
developed housing servicing the
mentally challenged. University
students are also welcomed. The
outcomes are expected to con-
tribute immensely to the posi-
tive mental health and recovery
of residents.”
New initiatives like Emerald
Commons, North Point
Transitional Housing and oth-
ers, are constantly besieged by
funding concerns of mental
health policymakers and advo-
cates. William M. Denihan,
chief executive officer of the
Cuyahoga County Community
Mental Health Board, believes
“the county and state are gross-
ly under-funded and problems
continue to rise. The public
needs a proactive solution of
funding designed to meet an
array of needs of the mental
health mentally challenged con-
sumer. Instead, we’re reactive
with most of the money spent on
prisons.”
Joan M. Englund, director of
Mental Health Advocacy
Coalition, recommends that the
state of Ohio needs to prioritize
mental health funding, because
“when it comes to funding for
mental health, Ohio has fallen in
funding from 17 to 36 per capi-
ta.”
Judith Z. Peters, president
and CEO of West Side
Ecumenical Ministry, recom-
mends “policymakers come up
with economic solutions
designed to close the gap
between meagerly-earned
income and the raising costs of
affordable housing. This will
lessen a lot of people’s mental
health problems caused by
financial uncertainties of day-
to-day living.”
Michael Baskin, executive
director of the National Alliance
on Mental Illness Greater
Cleveland recommends we sup-
port the need to “increase fund-
ing for additional outpatient
services such as assisted outpa-
tient treatment. Mobilize more
public support for mandatory
assisted outpatient treatment.”
Sandy Stephenson, director
of the Ohio Department of
Mental Health recommends a
holistic approach to funding
designed to “support re-entering
ex-offender programs, housing
options, and pediatrics and
health care case workers who
can identify (mental health)
problems in children while very
young in primary school and
secondary high school.”
Finally, if downtown
Cleveland is to be a viable eco-
nomically developed area we
must do something about the
ever-growing presence of so
many homeless, wretched and
mentally ill citizens wandering
aimlessly in downtown and in
public places seemingly with
nowhere else to go.
Helen Jones, president and
CEO of Recovery Resources,
recommends that the
“public/private sector spend
more resources to build up the
downtown district as a vibrant
downtown community with lots
of entertainment, movie shows
and restaurants. Currently it is
not!”
Dr. Jeffrey Perkins Jr. holds
a Ph.D. in public and interna-
tional affairs from the
University of Pittsburgh. He is a
research investigator and part-
time staff member at Myers
University. For responses to this
report please e-mail him at
jperkins@myers.edu or phone
Myers University’s Cleveland
Heights Academic Center at
(216) 397-0360.
Coping
From Page 7A
2008 Honorees
JIM BROWN
AMER-I-CAN
GERALD LEVERT
(IN MEMORIAM)
WW.O.W.O.WALKERALKERSALUTESALUTE TTO COMMUNITYO COMMUNITY EXCELLENCEEXCELLENCE
AAWWARDS CEREMONYARDS CEREMONY & RECEPTION& RECEPTION
RECOGNIZINGRECOGNIZING INDIVIDUALSINDIVIDUALS
WHO HAWHO HAVE MADE SIGNIFICANTVE MADE SIGNIFICANT
CONTRIBUTIONSCONTRIBUTIONS
THROUGH THEIRTHROUGH THEIR WORKWORK
& VOLUNTEERISM& VOLUNTEERISM
TTO IMPROVE THEO IMPROVE THE
QUALITYQUALITY OFOF LIFE FOR OTHERSLIFE FOR OTHERS
IN & THROUGHOUTIN & THROUGHOUT
OUR COMMUNITYOUR COMMUNITY
CCALLALL & P& POSTOST PPUBLISHERUBLISHER 1932 - 19811932 - 1981
DDAATETE:: TTHURSDAHURSDAYY, M, MARCHARCH 6, 20086, 2008
LLOCAOCATIONTION: H: HILILTTONON GGARDENARDEN IINNNN
11100 C100 CARNEGIEARNEGIE AAVENUEVENUE
DDOWNTOWNTOWNOWN CCLEVELANDLEVELAND
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PAMELA M. HOLMES
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JEFFREY D. JOHNSON
OHIO LEGISLATIVE BLACK
CAUCUS
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PAMELA F. SMITH
CLEVELAND MUNICIPAL
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CLEVELAND PUBLIC
LIBRARY
2008 FINANCIAL
MARK ETPLACE SERIES
Our 2008 Financial Marketplace Series will
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Emerald Commons
A typical room arrangement
Workout room
Computer room
Efficiency kitchen
9aCle27.qxd 2/26/2008 12:40 PM Page 1