The Measure Of A Man

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East Texas was never the same once Pierre de Wet arrived and put his heart and soul into the community. Little did we know, when Pierre made Tyler his home, with his larger-than-life personality and heart big enough for Texas, he would bless the community of Breckenridge Village of Tyler (BVT) with his overwhelming generosity and loving spirit.

As an immigrant, Pierre came to the United States from South Africa in 1984 bringing with him two young daughters, ages two and four. He grew up on a farm where he learned at a young age the value of hard work. The experience, without a doubt, cultivated a man of many talents and embedded in him an undeniable strength to prevail – a trait that would become his trademark.

Starting out in California as a tractor driver in a rice operation, Pierre worked in a variety of laborious jobs until he made his way to Texas in 1990, where he put down roots in the rose capitol of the world, Tyler, Texas.

Pierre was a visionary and an entrepreneur to the core. He founded several local companies including Agtoprof, a national farm management company, and Kiepersol Enterprises, a vineyard and winery destination south of Tyler.

Although Pierre had left South Africa to work and build a life in the U.S., members of his family remained abroad, including his father and sister, Suzanne. It was in 1997 Pierre received word his father had passed away. Amid the grief of this sudden loss, Pierre wondered, what would this mean for Suzanne?

Suzanne was the first born, Pierre’s older sister. She was a happy, healthy child, whose baby jabbering quickly turned into words as she grew. However, one night, Suzanne developed an uncontrollable, dangerously high fever. Malaria. The walls of their one-room home closed in on them as they desperately sought God throughout the night, rashly promising anything for the chance their daughter might survive.

She did live, but things were never the same again. Suzanne didn’t speak as much after that night. She was joyous and beautiful, but the fever had burned away something within the child that never returned. Over the years, her father diligently made sure she had the care she needed at special schools and convents for those with developmental disabilities.

At age 46, Suzanne was alone in South Africa with no support system after her father’s death. Pierre brought Suzanne to live with him in Tyler, nearly ten thousand miles away. Shortly after Suzanne arrived, Breckenridge Village of Tyler opened, a residential community for adults with disabilities. A whole new “home” became available.

Showing compassion to people close to home, in his own community, was important to Pierre. Breckenridge Village is a place built on hope and freedom, and that was right up Pierre’s alley. His core beliefs were built on freedom and living the American dream. However, the kind-hearted folks at Breckenridge Village and many people with developmental disabilities must find a different path to that American dream.

Part of our freedom includes the honored responsibility that we must share the dream with those who need help to pursue it. Sharing that dream builds hope. And in Pierre’s words, you should “make every seed positive, and positive will grow.”

Pierre de Wet passed away in January of 2016, but his compassion lives on in the lives he touched at Breckenridge Village, across East Texas, and beyond.

Through Breckenridge Village, Pierre had contact with so many of the residents and came to appreciate their live-in-the-moment view of the world. Seeing how they helped each other and filled in the gaps for their friends’ abilities inspired him to write:

“We cannot all be the same and will never be the same. Each of us knows what is wrong and right. We know what’s good and evil and we know our talents. All we need to know beyond that is we all are parts of the body of Christ. Some of us are the ears that need to hear all of the other parts. Some of us are the eyes that see the need of the other parts. Some of us are the lips and need to speak positively and show kindness to the other parts. And some of us might be the fist that has to fight the physical battle for all the parts. Thy neighbor is the one that you can feel and touch. Love them so that circle can grow. There’s no growth in loving people so far away that you cannot hold hands.”

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BCFS Hill Country Resource Center: Where Collaboration Meets Compassion

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For someone who needs help in the Texas Hill Country – whether it’s counseling, crisis intervention, or education and employment assistance – traveling to multiple nonprofit offices around town to meet basic needs can be difficult, especially without transportation or the flexibility to miss work.

That’s why BCFS gathered local nonprofits under one roof at the BCFS Hill Country Resource Center Model is an innovative way to connect several nonprofit organizations and maximize their combined talents and resources. For the community, this means that those who are struggling have easy convenient access to a wide array of programs, services, and resources in one central location.

Services Available:

  • Counseling
  • Case Management
  • Emergency shelter placement
  • Literacy programs and educational support
  • Job training and job placement
  • Parenting support groups
  • Help for military veterans
  • Creative art therapy
  • Computer lab access

Adoption Days Are The Best Days

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BCFS Health and Human Services-San Antonio Foster Care and Adoption Program Call (210) 208-5629 or visit DiscoverBCFS.net to learn how you can build your “forever family”

BCFS Health and Human Services has celebrated hundreds of joyful Adoption Days, building loving families across Bexar County.

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Sustained Resilience: Immediate Disaster Case Management (IDCM) program operated by BCFS Health and Human Services’ Emergency Management Division

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Katrina’s Landfall

The 29th of August in 2005 would become a day to go down in American history. Hurricane Katrina was making landfall during the early morning hours. The Category 3 storm brought sustained winds of 130 miles per hour to the residents of New Orleans and hundreds of communities located along the Gulf Coast states of Louisiana, Mississippi and Alabama. After several intense hours, the winds subsided, the storm moved inland and weakened, but devastation from the flooding from failed levees had just begun. Thousands would lose their lives and tens of thousands of people would be displaced from their homes in what would become the costliest hurricane in U.S. history and the fifth deadliest.

In the months and years that followed this catastrophic event, the lessons learned were many. Despite the delivery and application of an enormous volume of resources, almost four years after the storm, in April of 2009, thousands of individuals were still in need of social services that would enable their full recovery.

Trailer homes, funded by the Federal Emergency Management Agency (FEMA) and initiated by the Louisiana Recovery Authority (LRA), had been deployed to assist residents that had lost their homes. As these trailer homes were never intended to be a permanent solution, a new pilot program known as the Louisiana Disaster Case Management Pilot (DCMP) was launched to assist people still living in FEMA temporary housing units. The goal of the pilot was to assist displaced residents with aspects related to long term recovery, including the transition to permanent housing and accessing available resources that addressed financial, legal and healthcare needs.

Lessons Learned The Hard Way

According to a 2010 independent study, “Navigating the Road to Recovery,” the efficacy of the Louisiana DCMP pilot program faced many obstacles: “Despite concerted effort by participating agencies, the implementation of the DCMP was fraught with challenges. As a result, the pilot could not be implemented as intended, leaving the needs of many clients not fully met.”

The report went on to document significant problems regarding communication, coordination, and financing of the program. “The stop and start of recovery initiatives led to serious discontinuities in client recovery, so the authors recommend that federal and state governments consider a single, longer-term recovery initiative that seamlessly acknowledges the stages of human recovery. Improvements in how federal and state governments identify and locate affected residents, consider needs and vulnerabilities in planning, and ensure continuity of services are critical to ensure high-quality disaster case management.”

The answer? The creation of a new federal program that leveraged the outcomes of the Louisiana DCMP program. The program came to be known as the federal Immediate Disaster Case Management program, or IDCM.

Inception of ICDM

Working in conjunction with FEMA, the new IDCM program would be administered by the United States Department of Health and Human Services, through the Administration for Children and Families (ACF). Within ACF, a department known as the Office of Human Services Preparedness and Response (OHSEPR) would be responsible for activating the program once certain disaster impact criteria had been met under a Presidential Disaster Declaration.

In 2014, the contract to provide these services for OHSEPR came up for renewal. With a lengthy track record of successful emergency response deployment operations on behalf of state and federal clients, BCFS Health and Human Services’ Emergency Management Division (BCFS EMD) submitted a proposal and was awarded a five-year contract to provide IDCM services.

Preparations Commence

Quickly, the program was off and running. EMD established a management team and within 60 days employed and developed nine case management teams consisting of 30 case managers each. Months of team coordination and distance-based training soon followed. Members of the IDCM team come from across the country and represent all ten ACF regions.

In late summer of 2015, a full-scale IDCM disaster exercise was held at Silver Cliff Ranch, the BCFS-owned and operated wilderness camp in Nathrop, Colorado. Case managers were provided a mock “activation order” by EMD. Hundreds of designated case management personnel were then flown to Denver from across the country on a single day and were transported by EMD buses on a three-hour journey into the mountains. Over the following four days, the “ACME” exercise, which was scenario-driven and included real-world examples of actual client situations, the IDCM team was able to effectively implement disaster case management training at a higher level than any delivered training in the program’s history.

The exercise was attended by representatives from FEMA, ACF, and uniformed members of the United States Public Health Services (USPHS), a government agency that operates under the leadership of the Surgeon General’s office to ensure public health functionalities during major disasters. The exercise was an incredible success.

The BCFS IDCM team was now ready for action. All that was needed was a mission assignment. In the spring of 2016, that opportunity came.

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Record-Breaking Rainfall

The night of April 17, 2016 began with heavy rain forecast in the southeast part of Texas. On this night and for several consecutive nights, Harris County and the many other counties that make up the greater Houston metropolitan area were situated within a steady stream of upper level moisture coming in from the Gulf of Mexico. As this tropical air mass intermingled with cooler air approaching from the northern portions of Texas, thunderstorms developed rapidly. Instead of quickly exiting the area as they usually do, these clusters of storms seemed to maintain a constant, almost static, presence over the region. As the thunderstorms intensified, their eastward motion slowed almost to a dead stop. As the storms remained, they dumped several million gallons of rain on unsuspecting residents of a 14-county area.

As the initial rains fell, many residents thought the storms would pass and things would go back to normal soon. Little did they know that within 12 hours the water from the nearby Brazos River, Colorado River, and numerous local bayous would swamp thousands of homes. The following day, after being rescued from swift moving waters by teams of first responders in special flood response watercraft, many of these same homeowners would be sleeping on cots in emergency shelters set up in nearby schools. Some watched the contents of their homes – their life’s belongings – washed into a river of debris that only a few hours earlier had been the roadway through their neighborhood. Other flood survivors in rural areas were left helpless as their livestock perished or were stranded by the floodwaters.

The flooding was record-setting for the Houston area. As a result, the federal government issued a Presidential Disaster Declaration for dozens of counties across the region. While the state of Texas does have significant local case management capacity, as time passed and the demand for case management services reached record levels, the local case management capacity was outstripped. It was at this point, several weeks after the floods subsided, that state officials determined federal case management assistance would be needed.

The BCFS IDCM team received a 90-day Mission Assignment task order on May 26, 2016. By June 5, nearly 60 BCFS personnel were providing desperately needed services to residents of the counties impacted by the storms. Using a combination of centralized case management services and deployable case management strike teams, the IDCM group fanned out into a dozen communities that were most impacted by the floods. Sixty total personnel were initially deployed; an additional twenty personnel would be deployed a few weeks later.

It would become an IDCM deployment operation that would alter the face of the federal IDCM mission profile. 

Changing The Mission Profile

The cyclical phases of emergency management include Preparedness, Response, Recovery, Mitigation and Prevention.

In the emergency management world, the Response phase of any incident is usually short-lived. Response operations include application of response resources. An Incident Command Post is established as a location where response operations are coordinated. Supplies, equipment and personnel are organized and utilized in a manner that is designed to save lives and protect property. Incident Action Plans are drafted and distributed daily in order to capture required response objectives, organizational structure and personnel assigned to specific tasks. Situation Reports are also created and distributed daily, as a means of tracking operational success toward the established mission objectives outlined in the Incident Action Plan.

The Recovery phase, on the other hand, is where the heavy lifting begins. It is generally characterized by a slower pace, as recovery operations can continue for several years. Recovery operations rarely utilize the same tools as the Response phase. True to form, during previous IDCM deployments a different contractor had applied a typical recovery approach to their recovery efforts on behalf of OHSEPR. The results were disappointing and ineffective.

The BCFS IDCM team would take a much different approach. BCFS would, for the first time, apply a response-oriented approach to recovery operations. The results? A vast improvement in the coordination and application of IDCM case management resources, which allowed BCFS to assist thousands of affected residents in a much shorter time frame.

Powerful Results

EMD disaster case managers spread out across the Houston-area and 11 surrounding counties, helping flood survivors on a daily basis for months at a time. For each flood survivor, some experiencing their darkest hour, their disaster case manager served as a single point of contact for all their questions, advocating for them with multiple social service organizations and government partners, to help them achieve the best possible outcomes in their individual recovery process.

EMD disaster case managers were the go-to resource for flood victims to receive assistance meeting their needs for housing, furniture, appliances, utilities, employment services, transportation, health and wellness, senior services, access and functional needs services, legal assistance and more.

The positive impact on the affected communities was tremendous. Based on the results listed above, feedback from our federal partners has been very positive.

The highly successful work performed by BCFS Health and Human Services’ Emergency Management Division to ensure sustained resilience for the Houston-area will have a lasting impact for years to come.charlie-rosenberg-3-2

Breckenridge Village of Tyler goes FULL THROTTLE WITH NASCAR

 

2016 NASCAR PoconoNo. 95 Chevrolet at Pocono Raceway in the NASCAR Spring Cup Series

The owner of Circle Sport-Leavine Family Racing team, Bob Leavine, calls Tyler, Texas home, along with his wife, Sharon and daughter, Melynda. Mr. Leavine’s 21-year-old grandson Tanner is autistic. Tanner attends BVT’s day enrichment program that helps adults with disabilities develop spiritually, physically, mentally, emotionally and socially in a loving, family atmosphere.

“There is a place in Tyler, Texas – Breckenridge Village of Tyler – that our family has supported for a long time because of the work they do and the people there. They have taken that young man and helped him grow and contribute. Tanner has learned skills from cooking to making candles and selling them. We wanted to put (BVT) on the car so we could make a statement and say, ‘hey we are behind this.’ We need to help our special kids because it takes a lot of resources. People need to know about this, because they can help.” – Bob Leavine, owner of Circle Sport-Leavine Family Racing team.

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Finding Her Way Home: Cassie’s Journey

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Cassie Carmichael’s high school accolades summed up in one word? Impressive.

She was offered academic scholarships by several universities, excelled on three sports teams, and worked as a lifeguard at the Baptist Encampment, all while maintaining strong relationships with family and friends. Her story is a triumphant one, but living that story was not always easy.

Child Protective Services took Cassie away from her mother, a heroin user, when Cassie was 14. While the separation was painful, Cassie says that her mom was “going down a path I didn’t want to be on.”

For Cassie, the hardest part was leaving her older brother. When Cassie entered the foster care system, her brother had just turned 18 and was not eligible to be placed in a foster home.

At first, Cassie rotated through a handful of foster homes in the Abilene, Texas, area. Since her brother also lived in Abilene, they were able to keep in touch. After a few months, Cassie was placed with the Mellings, a new foster family in Galveston – seven hours away. Cassie admits she had “attitude problems” about the move.

“I wasn’t really okay with being that far away from my brother because we’ve always had a great relationship,” said Cassie. “I kind of fought it and I didn’t want to be there.”

Even while Cassie was admittedly standoffish, the Mellings welcomed her into their Galveston home with open arms and lots of loving patience.

During Cassie’s sophomore year in high school, the Mellings decided to move to Brownwood, Texas, to be closer to family. The move also put Cassie 300 miles closer to her brother.

The Mellings made it a priority to help strengthen Cassie’s relationship with her biological family. When Cassie’s mom and brother came to Brownwood for her high school graduation, her foster parents invited them to dinner and made efforts to get to know them. “They really tried to connect with my family because they know how much it means to me,” she says.

Today, Cassie is a doting auntie to her brother’s newborn son. And now that she lives closer, she can visit often. “Every time I go over there, they make me change dirty diapers,” Cassie laughs. Diapers and all, Cassie loves spending time with her growing family. She enjoys taking her nephew to the park and “just having fun with him.”

The Melling foster home is a busy one by any standard: Cassie is the oldest in a household of eight, with four foster sisters and a foster brother.

Cassie is deeply grateful for her foster parents. “I love them so much,” she says. “They’re super cool and they trust me. They believe in all my goals and they know that I can do whatever I put my mind to.”

Cassie’s senior year of high school was packed with college entrance exams and a full academic workload, but she found time to be a member of the basketball, powerlifting and track teams and work as a lifeguard. Prioritizing her classwork while balancing extracurriculars paid off – Cassie was accepted to three universities, each acceptance letter arriving with an attractive scholarship offer.

Faced with a choice, Cassie signed up for college campus tours, starting with Angelo State University (ASU) and the University of North Texas in Denton. BCFS Case Manager Alexzandra Hust accompanied Cassie on the ASU tour. Cassie noticed most of the other students touring with their parents, but with her BCFS mentor Alexzandra by her side, Cassie wasn’t discouraged. “BCFS is part of my family!” she beamed.

Cassie fell in love with Angelo State and committed to attending ASU in the fall, accepting a $10,000 scholarship for her excellent GPA and ACT scores. She also plans on joining Angelo State’s Powerlifting Club.

With her freshman year of college in full swing, Cassie makes sure her busy schedule includes staying in touch with family.

“My foster mom would always joke with me, saying, ‘I’m going to make you take online classes because you’re going too far away!” Cassie recalls.

“It’s great now that I’m going to Angelo – she can come and see me all the time.” Passionate about helping people, Cassie plans to study psychology or social work.

“I’m just trying to go where God wants to lead me. I want to do social work so I can help kids like me. Then, I want to do psychology so I can work in drug rehab and try to figure out everything, from what kind of hold drugs have on people to where I can try to forgive my mom for all the stuff she’s done.”

“I feel like God put me here for a reason,” says Cassie. “Everyone has places where things happen to them in their life, and they don’t know if they’re going to make it. I feel like God tests us, and this is what He did: He put me in this situation because He knows what we can handle and that we can get out of it and make something of ourselves.”

The Preparation for Adult Living (PAL) program operated by BCFS Health and Human Services-Abilene helped Cassie transition out of foster care and become the strong, independent young woman she is today. PAL helps youth aging out of foster care learn valuable life skills like building healthy relationships, responsible money management, goal-setting and health & nutrition.

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A House Full of Treasures: A Visit To The Goulet Family Home

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From the long, winding driveway, the Goulet family home looks perfectly serene, nestled in the Texas Hill Country. But step inside their expansive estate, and the quiet country scenery gives way to the joyful commotion of children running, playing and giggling.

Mrs. Jill Goulet sits in the family room, recalling when she and her husband, Denis, contemplated their journey to their fulfilling, exciting lives as foster and adoptive parents with BCFS.

“Six years ago, on the very day we got licensed (as foster parents), we got a call for an emergency placement of a six-week old infant that was being discharged from the hospital. That was Nathan.”

Over the course of just five years, the Goulet family took in six children from foster care, and adopted each of them into the family.

The Goulets welcomed Nathan in September 2010. A month later, two-and-a-half year old Judy joined the family as the second foster child. In November 2011, the family fostered Brian and Katie, a sibling duo, and in March 2015, welcomed the sisters, Autumn and Summer.

A Prayerful Beginning

“We always wanted a big family,” she admits. “My husband comes from a family of nine, I come from a family of five.”

They couple shared how they turned to the Lord for guidance when they struggled with infertility issues.

“We started praying about it, and we felt like God was putting it on our hearts to adopt kids,” Mrs. Goulet says. “Family can look different, and a lot of different situations can be considered ‘family.’”

The Goulet Kids

Today, the first child the Goulets adopted, Nathan, at six years old, is the youngest, along with Katie, also six. Brian and Autumn are both seven, Judy is eight, and Summer, at 10, is the big sister. All at once, all six children bound into the Goulet homestead each day at around 3:20 p.m. The calm, quiet household transforms into a bustling scene as Mrs. Goulet quickly adapts from willing interviewee to attentive mom, lovingly tending to each child as they approach her with updates from school, questions about snack time, the dinner menu and the family pet. It’s beautifully frenetic; it’s family.

Brian, the most talkative, is excited about a toy snake he won at school. “His name is Slinky, because he can do this,” as he bounces the swirled rubber toy off the table.

As the kids hear mom begin to talk about family trips, Summer mentions past destinations Sleeping Bear Dunes in Michigan, Disneyworld and Niagara Falls. Nathan adds excitedly, “and Meemaw’s house!” — Mrs. Goulet’s mother in Pennsylvania.

It’s evident: this energetic, playful group of children enjoys plenty of adventures at home and on the road, and — like most families — they keep a full schedule of hobbies, lessons and sports.

“Autumn and Judy take guitar lessons, and all the girls do ballet and tap dancing. Summer is on the volleyball team at school, and she also does robotics,” Mrs. Goulet says. Before she has time to mention the boys’ activities, Judy asks her mom if she can have candy for snack.

“Nathan is going to be in baseball,” Mrs. Goulet says, before offering Judy a healthier alternative to the treat she requested. “Brian loves to design and build things. He wants to be an inventor.”

The other children have also shared dreams of what they want to be when they grow up and depending on which Goulet child you ask, the answer may vary from day to day (as it tends to for this age group), but their responses are a delightful grab bag of careers: a fashion designer, a chef, a vet and a dancer. Most heartwarming is Nathan’s response. “Without fail, he will tell you he wants to be a dad,” Mrs. Goulet says with pride.

Blessed Beyond Measure

“We’ve never had biological kids, but I can’t imagine loving kids any more than we do… We feel blessed to be a blessing,” Mrs. Goulet says, “and there are so many kids out there that need a home, and we love kids.”

The Goulets adopted all six children through BCFS Health and Human Services-San Antonio Foster Care & Adoption program. The BCFS team was by their side every step of the way, especially BCFS case manager Erika Noriega, who Mrs. Goulet said was instrumental in bringing their family together.

“Erika gives 110% of her effort,” said Mrs. Goulet. “She really went above and beyond, she was an amazing advocate for the kids.” In many adoption cases, the child’s past experiences and family history can be complicated and upsetting – for a young child, the details may be too intense to understand. For the day when their kids are old enough to comprehend their pasts, Mr. and Mrs. Goulet are ready.

“I have all their case files, all their history,” Mrs. Goulet says. “Everything is packed away so the day they get curious about it, they will be able to read it, because they’re going to wonder. When they’re old enough to understand, we can go through it together. At some point, they may want to reach out (to their biological families), and that’s going to be their decision to make.”

Crazy Fun

While six children may seem like a full house, the Goulets have considered adopting more children. For now, Mr. and Mrs. Goulet focus on nurturing, loving and guiding their own six. More family trips, stay-at-home movie nights and special birthday dinners are penciled in on the calendar for the foreseeable future. The Goulets wouldn’t have it any other way.

“It gets a little crazy sometimes, but it sure is fun,” Mrs. Goulet smiles.

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Moms get a HEAD START In Their Careers from BCFS Education Services’ Head Start

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In Head Start classrooms operated by BCFS Education Services, 3- and 4-year-olds learn the alphabet, practice new vocabulary words and prepare to hit the ground running when they start kindergarten. In addition, learning opportunities outside the classroom – in the lives of Head Start parents – are also making a profound impact on the family’s quality of life and their future.

“We conduct family assessments to discuss the parents’ goals and help improve the family dynamic,” says Jhanirca Velez Ramos, a Family Specialist for BCFS Education Services. “If a parent would like to earn their GED, for example, I provide them directions for how to obtain it. I encourage them to follow through. I make myself available and follow up throughout the school year if needed. My real passion is empowering people.”

The federal Office of Head Start lists family well-being initiatives as one of the program’s three core services, alongside children’s health and early learning. So, when moms in two Spanish-speaking families of Head Start children in Seguin told their Family Specialist Jhanirca they wanted to learn English, Jhanirca was excited to help!

Jhanirca referred Ms. Hernandez and Mrs. Garcia to the local school district where they completed an English as a Second Language (ESL) course.

After working at a local restaurant for 10 years, Ms. Hernandez was finally offered a promotion. Confident in her new bilingual skills, she accepted the promotion to serve as a Team Leader. She doesn’t plan on stopping there.

“At first, I didn’t want to accept the job because I didn’t know much English,” she explains. “I wanted to learn a bit more English first and then accept the position. Now, I want to go back and learn even more, because I’d like to move up to another position at work.” While Ms. Hernandez was settling into her new role as Team Leader at the restaurant’s corporate offices, her 5-year-old son, Sebastian graduated from Head Start and began kindergarten at his local elementary school. Just like his mom, Head Start helped build Sebastian’s skills and cultivated in him a love of learning.

Mrs. Garcia, another Head Start mother of four, had always wanted to learn English. She picked up some phrases from her kids and from hearing other people speak, but had never taken English classes.

“I wanted to be able to help my kids with their homework, and develop myself more, and not struggle so much,” said Mrs. Garcia. “It’s beautiful to know how to speak both languages.” Mrs. Garcia, who works independently as a maid, hopes to use her new English skills to open her own cleaning business. “I want to gain my commercial license so that I can clean government buildings or stores,” she says. “To be able to expand and make my business official.”

Both mothers are grateful for the help that BCFS Education Services has provided.

“Head Start has helped us a lot,” said Mrs. Garcia. “My daughter has learned a lot in the classes, and it helped us learn how to be better parents. Everything (in Head Start) is very good, very organized. (Family Specialist Jhanirca Ramos) is always motivating us and pushing us to go further.”

Mrs. Garcia’s daughter, Paula, has also graduated from Head Start, ready for kindergarten. “She’s more prepared, she knows more about the routines of going to school,” Mrs. Garcia said of her daughter’s first year of elementary school. “She learned a lot, and while some of the other kids didn’t go to pre-K, she is a bit more advanced because she attended Head Start.”

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Prepared For Emergency Management

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With more than a decade of experience responding to natural disasters and humanitarian crises, BCFS Health and Human Services’ Emergency Management Division (EMD) is a recognized nonprofit leader in emergency management, incident management, disaster response, public health and medical emergency response, mass care, medical sheltering and planning for vulnerable populations.

In addition to our top-tier incident management expertise, EMD has built an extensive inventory of resources that allows us to provide customized logistical, communications, and mobility support that meets the unique needs of our partners in federal, state and local government and private industry. We maintain a fleet of more than 90 support vehicles and trailers including:

  • Tractor Trailers
  • Commercial Buses
  • Mobile Command Platforms
  • Ambulances
  • Fire Engine
  • Mobile Medical Unit
  • Box Trucks
  • 1-Ton and 1-1/2-Ton Trucks
  • Generators
  • Light Towers
  • Laundry Trailers
  • Shower Trailers
  • Toilet Trailers
  • Forklifts
  • Polaris ATVs
  • Mast Trailers

EMD also provides state-of-the-art communications support for responses of any size. Our communications resources include VHF, UHF, and 700/800 MHz radio equipment, satellite voice and data devices, and cellular voice and data devices.

EMD’s stock of life-saving emergency supplies and warehouse resources are always at-the-ready to be deployed to:

• Erect a self-contained compound the size of a small city with the capability to shelter thousands of disaster survivors simultaneously, complete with sleeping cots, medical triage equipment, hygiene kits, and shower, toilet and laundry facilities

• Care for disaster survivors who need medical care and those that have access and functional needs

• Supplement local first-responder’s capabilities, including fire departments, police departments and search and rescue teams

NO MATTER HOW BIG OR SMALL THE MISSION TASKING, OUR GOVERNMENT AND PRIVATE INDUSTRY PARTNERS REST ASSURED THAT BCFS EMD HAS THE RIGHT TOOLS IN THE TOOLBOX TO RESPOND.

Prenatal Care Along the U.S.-Mexico Border

Situated along the U.S.-Mexico border in South Texas, the colonias (a Spanish word meaning neighborhood or community) of Webb County are some of the poorest areas in the nation. To make matters worse, housing in the colonias is often overcrowded and lacks even basic facilities, like proper plumbing.

Pregnant women living in these isolated communities face additional challenges. Although first trimester prenatal care (FTPN) is associated with improved birth outcomes, Hispanic women living along the U.S.-Mexico border have shown lower rates of FTPN as compared to non-border women or non-Hispanic women, according to a 2014 annual report from the US Department of Health and Human Services.

However, this isn’t the only factor facing pregnant and parenting women locally. Reports from the Texas Department of State Health Services show the rate of fetal deaths, as well as percentages of low birth weights, lack of health insurance, and poverty are higher in Webb County than in Texas as a whole.

For more than 15 years, BCFS Health and Human Services-Laredo has been working to improve maternal and child health outcomes in the colonias of Webb County through the Healthy Start Laredo (HSL) program. Most of the individuals served through the HSL program are immigrants, don’t have a doctor or receive regular medical care, live below the poverty level, and lack health care insurance and transportation. Despite these grim circumstances, BCFS-Laredo staff from the HSL program and the Colonias Promotoras Program (CPP) work tirelessly to enroll clients for services, make sure they receive the earliest possible prenatal appointment at the BCFS mobile medical unit, and help them submit state benefit applications for CHIP Perinate or Medicaid when eligible.

The following accounts offer a brief glimpse into the lives of some of the courageous woman served by BCFS-Laredo. Although each story paints a unique and deeply personal portrait, all of these clients received services through HSL and CPP that have enabled them to obtain a medical provider, health care coverage, quality prenatal care, and the necessary knowledge to live a healthy life. But perhaps most importantly, their babies were given a chance for a healthy in life.

Liliana Caal

liliana-caal-and-familyLiliana Caal was born and raised in the small town of Coban, Alta Verapaz Guatemala. After her father died in an accident when she was only 12 years old, Liliana’s mother struggled but did the best she could to raise her and her four siblings. At the age of 22, Liliana married her husband, both of them hoping for a happy and simple life together. They soon found this was not possible as the violence in her town was escalating and local gangs pressured them to join their ranks constantly. But they refused, deciding the only way out was to move to the United States.

They began their journey to the U.S. with Liliana’s brother and brother-in-law. Each of them had only a few quetzal in their pockets (Guatemalan currency the equivalent of less than $1) and the clothes on their backs. They traveled for several weeks by train and slept in the brush whenever they could, always fearful that they would be kidnapped by other gangs along the way. Barely alive, the couple finally arrived in the U.S. in late November after enduring the cold weather and suffering from hunger and insect bites. After crossing into the U.S., they were picked up by Border Patrol and consequently Liliana was separated from her husband. She was detained for several weeks, during which time she discovered that she was pregnant with her first child.

Upon her release, Liliana found herself alone in an unfamiliar country 1,500 miles away from home. She did not understand what was going to happen to her and no one was able to tell her the whereabouts of her husband. She soon learned that the federal government authorized her to remain in the United States and was taken to live with another refugee family in Laredo, Texas. It was then that Liliana found out about the Healthy Start Laredo (HSL) program.

After enrolling in the HSL program, Liliana was able to obtain CHIP Perinate coverage and was referred to a medical provider for prenatal services. She attended several group health education classes that encourage healthy pregnancy, and with the support of her case manager, she was also linked to other social services such as the Women, Infant, and Children program (WIC).

In May, Liliana delivered a healthy baby girl weighing 7.2 pounds. Liliana has since been reunited with her husband. Thankful for the support they received through the HSL program, the couple now feels that their future looks promising.

Daisy Cardenas

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Daisy Cardenas has lived in Laredo since she was 2 years old. She is undocumented but never let that stop her from living a normal life. She has been a hard worker for as long as she can remember. Growing up, her father made a business from buying and selling various items at the local flea market. Daisy recalls how she always enjoyed going to work with her dad and helping him in whatever way she could.

During her first pregnancy, she and her boyfriend worked with her father to make a living and prepare for the birth of the child. For Daisy, that preparation included enrolling in the Healthy Start Laredo program. Through the program, Daisy was able to obtain health care coverage and received first trimester prenatal care and case management. As a result of the support she received, Daisy delivered a full-term 7.5-pound. baby girl.

Now married and pregnant with her second child, Daisy has followed in her father’s footsteps. Little by little, the couple managed to save enough money to buy a vehicle and start their own small business at the flea market. Daisy has expressed pride in her accomplishments, stating, “My dad is a great provider and always ensured we had everything we needed. He has also taught me one of life’s greatest lessons which is to never give up and that hard work always pays off. My family and I have accomplished many goals through determination and perseverance.”

Luisa Sanchez

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Luisa Sanchez enrolled in the Healthy Start Laredo program when she was pregnant a year ago. When she entered the program, she had been struggling to get health insurance due to a lack of stable housing caused by conflicts with her guardian. With the assistance of the HSL program, Luisa eventually got the coverage she needed and was able to see a medical provider for her prenatal care. As a result, she delivered a healthy 7-pound baby girl, Aryanna.

But the support Luisa received through the HSL program wasn’t limited to medical care. She also credits the program with helping her to develop the skills necessary to become confident and independent. Since participating in the program, she has blossomed and managed to overcome her shyness.

“The BCFS program has helped me during my pregnancy by providing transportation to my prenatal care visits as well as instructing me in classes related to pregnancy and parenting skills. The program has also influenced me to set goals which made me realize that I wanted to continue my education and become a radiologist,” shared Luisa. “I’m thankful to BCFS for the assistance I have received and also for my case manager who has encouraged me to pursue my educational and personal goals.”

Luisa is currently enrolled at Laredo Community College and will soon start courses in radiology.

 

Brenda Onofre

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Brenda Onofre enrolled in the Healthy Start Laredo program as a young mother of two young children, with a third on the way. She lives with her husband and two sons on El Primero Ranch, a horse stable where her husband works as a trainer. Brenda estimates that there are around 50 other residents who call El Primero Ranch their home.

Brenda was born and raised in Allende, Coahuila in Mexico. Deplorable living conditions in Allende, compounded by a lack of work or any type of assistance, forced Brenda’s decision to escape to the United States with her husband and their first son.

Although their small home is only five steps away from the stables, Brenda and her husband are grateful to live at El Primero because they have a place to call home and there is plenty of work. Their days start at 4 a.m. as Brenda wakes to make breakfast before her husband goes to work cleaning the stables and grooming and training the horses, while Brenda stays home tending to the family.

Brenda recently gave birth to another healthy baby boy weighing 7 pounds and is grateful to the HSL program for the medical care, case management services, health education classes, and transportation assistance she has received.

“Thanks to the program, I never missed any of my prenatal appointments, laboratory testing, or sonograms but most importantly I thank them because I gave birth to a healthy baby boy,” Brenda explained.

Today, Brenda continues to count her many blessings and thanks God every day because she was given an opportunity to live a happy and healthy life!