V Interesting

Technocrats, Teddy Bears, Hospice for the Unhoused

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Happy Giving Tuesday! Today we’re giving you a lot to think about, from how the U.S. government has found ways to bridge a divided Congress to why we care about some animals more than others. Plus, can technocracy save society? Then, V talks to Jillian Olmsted, the executive director of The INN Between. Her organization offers medical care and hospice services to the unhoused population, leading the fight in Salt Lake City and inspiring similar efforts around the country.

Keep up with The INN Between on Instagram and Twitter at @_theinnbetween and online at https://tibhospice.org/. And give to your favorite organization this Giving Tuesday — and every day!

Follow V on TikTok at @underthedesknews and on Twitter at @VitusSpehar. And stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia.

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V Spehar & Jillian Olmsted

V Spehar  00:00

Hey friends, it’s Tuesday, November 29th, 2022, welcome to V INTERESTING, where we break down the viral and very interesting news you might have missed. I’m V Spehar and today, we’ll talk about the way the government is supposed to run. And a big idea that some say should replace the government. Plus what’s up with the headlines about monkeys in Thailand? Then we’ll be joined by the executive director of the In Between. A nonprofit that’s making end of life care more humane for the unhoused, all that more on today’s V INTERESTING from Lemonada Media. Let’s be smart together. Happy post-Thanksgiving everyone. Did you guys make it home? Okay, did you leave a lot of people didn’t travel and they did like a small stay at home Thanksgiving. And honestly, I love that you have to protect your peace. And I want to thank everyone who tuned in to watch my coverage of the Macy’s Thanksgiving Day Parade for NBC. We got up to 300,000 Viewers, which was huge, they couldn’t believe it. But honestly, I knew you would be there. And seeing your comments really kept me going. It is now time to get started with a headline. So let’s dive back in and get caught up. Here in the United States before our presidents our presidents, most of them hold other political offices. Nearly half were previous governors 18 came from the House of Representatives, with a few serving as party leader, even some were cabinet secretaries, others were Senators. In other words, the vast majority of them have understood and been a part of democratic institutions before they take on high office of presidency. But just because the leader respects the integrity of elections and public opinion, doesn’t mean that everything is peachy. At the end of the day, democracy is based on the will of the people and we the general public are flawed. So recently, some folks have called for the government to just stop listening to us. Here’s an example, back in 2016, England was voting on whether or not to stay in the European Union. That decision was known as Brexit. And the vote showed that the public was split almost evenly between wanting to stay and wanting to leave. With general opinions so divided, many people were really upset. They wished someone in an apolitical position had stepped in taking control had just done what was quote unquote best for the country, instead of leaving it up to its people. Fast forward to now, and England has a different set of problems, but the sentiment is pretty darn similar. To fix the flailing economy, the ruling party ousted the prime minister that they elected after just 45 days you may have seen. She didn’t last as long as the head of lettuce. And then they elected someone who lived and breathed money. The Prime Minister is now Rishi Sunak. Before he started working in government in 2015. He was an analyst at Goldman Sachs. And he’s worked at hedge funds. And he is very rich.

V Spehar  03:23

The thought is, he’ll do what the economy needs, technically speaking, even if it’s unpopular, because I mean, he’s rich, he must be good at money rights. Because of this approach, his appointment has been described as technocratic. A technocrat is someone who knows a subject really well. So they get put in charge of it. Think about like the central banker for a country, okay, like the head of the Federal Reserve here in the United States. They’re an economic expert that sets policy, but they do that largely independently driven by their expertise, without too much oversight from the politicians we elect who I always thought were supposed to be the ones that were doing the policies and laws. But I don’t know I guess that. Let’s take that idea just a little further. The idea that experts could make choices that affect the people without the will of the people factored in? What if an entire government were set up as a technocracy if everyone were appointed only because they were a subject matter expert? Would that be smart? A full on technocracy stands in contrast to the idea of democracy. An elected politician might come with expertise of their own, but ultimately, it’s supposed to be their job to listen to the public. It is not their job to rule entirely by logic or what they think they know is best. Democratic government isn’t an equation and yes, that means things get messy. With Brexit for example, some people said, of course, voters choose to leave the European Union. They weren’t smart enough to understand the consequences. And that my friends is slippery slope. Like it or not, voters vote, even people you think aren’t smart vote, even people who are unfit to rule get elected. People who aren’t clear on the issues cast ballots; people who aren’t even clear on their own values cast ballots. That is the risk we take by having a democracy. And of course, as is always important to point out, there are still lots of barriers to voting in the United States. And that’s a real problem. And broad strokes though democracy is anyone and everyone’s game. technocracy doesn’t give credence to public opinion at all. There’s no representation, no opportunity to dissent, you’d be managed by people who don’t listen to you. And if you go take a peek at Twitter, yeah, that is exactly what you would get Elon Musk firing off 24 hour polls to his followers and then granting amnesty to folks who don’t technically break the law, but do break the social contract we keep with each other as a civilized society that exists beyond the logic, that exists to factor in the way we feel about each other. That stuff matters.

V Spehar  06:08

We aren’t robots, we’re humans, and our humaneness needs to be included when making choices about humanity. And even if you are on the side of this dictator, technocracy authoritarian thing, which I might add, they did try here after World War One before World War Two. Spoiler alert, it did not work. But that is for another episode. If anyone truly thought that technocracy was a legit way to get things done, that people would accept and that they would enjoy. Don’t you think Mark Zuckerberg would have made the metaverse by now, we can’t even get legs and the techno utopia they’re creating, never mind a leg to stand on. Speaking of democracy, we are about to enter a period of divided government here in the United States. Next year, the President will be Joe Biden, and the Senate will be run by Democrats, but Republicans will run the house with a slight majority. So what does that mean? It is not unusual to have a divided government. In fact, since World War Two, the US has had a divided government nearly 70% of the time. But after everyone sworn in this time around the margins of control will be really, really slim. It is almost tied in the Senate, and there are fewer than 10 seats in the house that went to Republicans to give them that slight majority. Historically, a split Congress has actually united us on some things, but it tends to be for really big acute crises like declaring war during World War One. In the 65th Congress, the House had a slight conservative majority like we’re seeing today, but reps from both parties voted overwhelmingly to declare war on Germany, it was seen as the common enemy of the people. That same Congress also came together to pass the 18th amendment and outlaw alcohol, even though the house was held by Republicans in the Senate by Democrats. So I guess there were actually two common enemies. The 107th Congress built similar bridges across a closely split government. Following 9/11, Congress overwhelmingly passed the Patriot Act, which opened up new pathways of surveillance, and also easily voted to create the Department of Homeland Security. In the time since then, there haven’t been many issues that have united Congress with big clear bipartisan majorities. Think about all the issues that seem to fall along party lines, gun rights, reproductive care, even climate change. So what happens next, the political scientist Alan Abramowitz recently said in The Washington Post, quote, what we’ve seen in divided governments in the past tells us that Republicans now will be less willing to compromise will launch all sorts of investigations, and could very well attempt to impeach administration officials all the way up to the President. We are in for a confrontational two years with the possibility of a government shutdown. There’s data to support this too. In the past few years, surveys from the Pew Research Center have shown that fewer people want their elected officials to compromise with opposing viewpoints. People want their people to stick to their guns, the partisanship is real. But following the midterm results, Biden gave a news conference, he said he’s, quote ready to compromise with Republicans where it makes sense on many issues. And let’s be real, gridlock on budget to the point of a government shutdown isn’t fun for anyone. Odds are they’ll at least agree on that.

V Spehar  09:47

Speaking of shutting down, some food suppliers are being investigated because they’ve been using monkeys for labor. Did you guys see this? This month, PETA claimed that dozens of sites in Thailand were continuing to use captive monkeys to pick coconuts. And that is despite expose’s that PETA had already done on the practice in recent years. PETA’s newest report says that some groups run quote, monkey schools to train them to pick fruit. And then they sell the animals to cook it up farms. It also states that one owner admitted to using kidnapped baby monkeys for their school. Yeah, the videos of monkeys and literal chains really punches you in the gut. But how is this any different than horses being tied up to pull around carriages of tourists in New York City? Where do we draw the line on having animals do work for us? And how do we think about what’s okay and what’s not. The writer John Muallem gave a TED talk on this all the way back in 2014. He explained that there are two big factors that lead us to empathize with animals or not. The first is pretty obvious. We like them if they resemble human babies, which we are hardwired to protect, think kittens or the monkeys at the coconut farms. The other reason for empathy is that one is manmade. It’s the stories we tell about them, not just the way that they look. And let’s be real, a whale is actually pretty freaky looking. Okay? But people overwhelmingly feel a reverence for whales because they’re important to ocean ecosystems. And because we watched a lot of movies about them in the 90s, Free Willy, right, like I’m getting emotional right now. And we know that wills are said to grieve and express other emotions. So like, take your pick of reasons why wills are pretty likable characters. Bears are another great example where these two categories overlap. Bears are fuzzy. They’re mammals. They’re great material for human affection, teddy bears, all that kind of stuff. At one point, though, people thought of them as just another wild menace. Like I’m out in the woods, and I don’t want to get mauled. I am not that excited to see a bear a more favorable opinion took some good old human interference. And I just mentioned the teddy bear. Right. And y’all know the classic teddy bear is attributed to Teddy Roosevelt. The story goes that Teddy was hunting and took pity on a bear he was supposed to kill, someone made a toy version of it, and it caught on as a commercial phenomenon. As John explains in his TED talk, the timing was right. The previously scary bear could be marketed as a cuddly lovable creature, because for many Americans, they weren’t actively a threat. The US was just starting to become more urban and industrialized, people were free to think of them as something other than a predator.

V Spehar  12:38

Same goes for the polar bear. Narratives of polar bears have historically been that they’re vicious, they tear their prey into shreds. They jump into the boats of Arctic explorers. They’re huge monsters growling off the ice cliffs of our nightmares. Okay, but eating and living in the Arctic and even growling, those are all just kind of normal animal things for an animal to do. And it’s little animal life. But from a human’s perspective, it’s a big yikes, it’s a yikes on bikes. It’s terrifying. But then, the early 2000s came, and people started to care about climate change in a more mainstream way. Polar bears by nature of living in the Arctic were being photographed against a changing backdrop. And so they became the poster child of global warming. Nothing changed about how polar bears looked or behaved. It was the narrative that changed, and many other stories have led us to care about animals that have been presented in a certain way and not about others, like the little Mariana fruit bat is likely to be extinct because we poached it to death. Did you even know about that? I didn’t know about that. And as John said best from that TED Talk stage quote, our imagination has become an ecological force. The coconut people claim that there is no monkey labor in their supply chains. But this is something that we have to keep an eye on, and lots of people already are. Because forced labor in any form is deeply upsetting. And whether it’s monkeys or horses or carrier pigeons or petting zoos, quality of life must be respected for all life. Empathy is a powerful, powerful thing. So perhaps it’s no surprise that Giving Tuesday has had so much success during the holiday season. And Giving Tuesday is today. It’s the Tuesday after Thanksgiving that is officially marked as a day to donate to charities. No, you don’t get any discounts or deals like you do for Black Friday or Cyber Monday, but millions of people participate each year anyway. It’s a coordinated event that gets people in the giving spirit and coordinated it is giving Tuesday has become a whole ding dang organization. It started as an idea in 2012 and in the 10 years since it has spread to dozens of countries, Giving Tuesday refuses to trademark its name or visual assets. So that It can be shared and repurposed to raise awareness, and the organization does not take a cut of donations. Since it’s not facilitating the payments, it’s more of an awareness campaign than anything else. Psychologists support the idea that the timing of Giving Tuesday has been just right to be successful, people might be looking to feel better about all the money they spent on Black Friday or Cyber Monday. And donating to a good cause can help balance that all out. And if you’re feeling a little too dinged by the price of your Black Friday spree, don’t worry. Giving Tuesday as an organization encourages donations of all kinds.

V Spehar  15:33

That can mean donating tangible goods or donating your time. Last year, Giving Tuesday was estimated to have raised 2.7 billion with a B dollars, which is wild $2.7 billion in just one day. But the fact of the matter is ongoing. sustained support is one of the best ways to show causes you care about them. If you can, it’s a big help to organizations to know they can count on your financial support throughout the year. I personally am a mutual aid small charity, direct giver, some other folks volunteer or just decide to give your kindness just decide that today, I’m going to do something that is thoughtful and is kind and is considerate. And that’s how I’m going to do giving Tuesday. It’s proven that doing good for others also does good for our sense of purpose and for ourselves. So tell your friends, tell your grandpa, it’s giving Tuesday, or maybe you’re listening to this on a Wednesday or Thursday, they can be giving days, why not? There’s no rules. Just get out there and do what you can because this world could always use a little extra kindness. Next up, I’m going to chat with Jillian Olmsted, the executive director of another very important organization called the Inn Between, they take in people who are unhoused and are in need of medical treatment or end of life care, so that no one dies alone. It’s an incredible place with incredible stories and they are always in need of donations. I’m just throwing that out there. You won’t want to miss this important and emotional conversation and we will have that right when we get back.

V Spehar  17:28

Okay friends, welcome back. I am here with my friend Jillian Olmsted from the Inn Between which is an organization that provides medical respite and end of life care for those experiencing homelessness. Hospice is something you guys know my mom was a hospice nurse, I really grew up in this community, I think the work that these folks do is so incredibly important, but it’s not often talked about. So today we’re going to learn all about what Jillian is up to, and how you could maybe even gain some inspiration from the work she’s doing and make sure that folks in your part of the world are taken care of. So Jillian, welcome to the show. Thank you so much for being with me.

Jillian Olmsted  18:03

Thank you for having me, V.

V Spehar  18:05

So in your own words, tell us what the in between does.

Jillian Olmsted  18:09

Yes. So it’s a play on words. So if you’ll notice, it’s the Inn, our founder was a hospice nurse up at a cancer hospital here. And she was having a very difficult time discharging patients that were too well to be in the hospital, but too sick to go back on the streets. So she helped develop the Inn Between, which is the bed for people to receive end of life care. Or if they’re not end of life, they can receive medical treatment such as dialysis, cancer treatment, wound care, all of the things that will not get better if you’re on the street without shelter. Three Meals a Day, and people looking after you.

V Spehar  18:56

And about how many beds does the facility have?

Jillian Olmsted  18:59

We have 50 beds and there’s two sides to our program. We are in assisted living type two facility with 25 beds and then we have the independent or recuperative care side. That side operates like the Ronald McDonald House, which is zoned as LMI scenary. Those are the individuals that are able to take care of themselves on a daily basis, and just need a place to stay to receive their medical treatment, the assisted living side, people are needing assistance with what is called ADLs, assistance of daily living or assistance with activities of daily living. That’s medication management toileting, getting dressed. So we have two sides of our program and we can move people as needed depending on if they’re improving or declining.

V Spehar  19:44

So in traditional hospice care, and I really only know from what my mom would tell us, right, I mean, it wasn’t something that lasted a terribly long time. A lot of my mom’s patients were there maybe like two months was considered a really long time. It was usually like 7 to 14 days that she would be with somebody about how long is someone in your care?

Jillian Olmsted  20:05

It definitely varies. The average stay for our recuperative care patients is 90 days. For hospice patients, they’re not your typical hospice patients, most of them are extremely young and have been out in the elements. So sometimes they may be hospice eligible when they’re coming in here, but we technically see a great improvement. Some people go off of hospice on to palliative care for a period of time and then back on hospice. It really varies. We’ve had individuals who come in and they have passed away hours later. And then we have someone with us right now who has been back and forth between hospice and palliative for the past year.

V Spehar  20:45

Wow. And for folks who maybe don’t know what a hospice diagnosis is, can you just kind of give us the updated version of like, what that means for somebody?

Jillian Olmsted  20:55

Yeah, so typically, that means they’ve estimated that you have six months or less to live, and you’re stopping any treatments that would cure the disease, or possibly cure the disease. So more of comfort, care, management of pain, yeah, with the expectation that you have less than six months to live.

V Spehar  21:15

And a lot of folks associate hospice with, you know, a terminal illness, like they got a cancer diagnosis, and it’s gone too far, or AIDS or something like that. What type of hardships are the residents coming to you with is it those same kinds of diseases or a little different?

Jillian Olmsted  21:31

it’s the same kind of diseases, it’s a lot of heart disease, a lot of uncontrolled diabetes, that can lead to someone losing a limb, which on the streets, right can easily turn into a major infection that can lead to death. So it’s a variety, there’s obviously a lot of cancer, which we see all over. But those are the three main things.

V Spehar  21:57

And in a traditional hospice experience, you know, somebody’s been under medical care, and they’ve gone through the hospital system, and then they’ve sort of exceeded the resources that the hospital the primary care can put into them. So they get put in assisted living, or they get put in a nursing home, or they get put into hospice bed, folks aren’t necessarily taking that same trajectory, if they were on the street previously, how are you finding these people,

Jillian Olmsted  22:18

So we are not a shelter. Shelters allow walkups. So we require a medical referral. So it’s typically coming from a hospital. That doesn’t mean that the hospital is the one that found us a lot of times it’s street outreach through Volunteers of America. And we also have a community clinic called for street. So they are seeing a lot of the unsheltered population and they can refer people to us, but it must come through a medical professional, so that we can really verify their medical needs and ensure that they’re, they don’t need a higher level of care. As an assisted living type two, there is a higher level of facility called a skilled nursing facility. So we can not take people that are too high of a level of care either. So we really have to look at their records and see if we’re able to help them.

V Spehar  23:06

Right. So tell me what the facility looks like. There’s so many folks listening at home who have luckily, in some ways never been to a place like yours. What does it look like in there.

Jillian Olmsted  23:17

So we like to be very homey. But we are also a facility. This was previously a skilled nursing facility that we were able to buy about four years ago. So we definitely upgraded because we were in a convent before this and an elementary school. So we’re now in a official facility that has an elevator and definitely much more ADA accessible. But when you walk in, we have a kind of a traditional lobby. And we have a large dining room. We have an activities room, a community room where we provide musical therapy. We have grief groups, AAA and NA groups. We also do our memorials in there if a resident wishes to have a memorial after they pass away, and also something that you probably wouldn’t think of we’ve had two weddings here. For people who have found love within the facility, there’s been to weddings. And then we have the building is essentially a square with a square in the middle. So there’s the outside set of rooms and an interior set of rooms with interior atriums and outdoor patios. So that’s, it’s definitely I think, much bigger than most people assume. And it is extremely nice. But all of the rooms here are different. They look a lot more like small apartments. The paint is different in each room. The finishes are different, the light fixtures are different, and they’re able to make it their own. So even though some people are only here for a few weeks, you know they’re able to hang up some of their pictures and decorate it as you know, as if it was their own place.

V Spehar  24:55

What made you want to specifically serve the unhoused population?

Jillian Olmsted  25:01

So about seven or eight years ago, when the Inn Between was trying to open in its original facility, it was dealing with the NIMBY, not in my backyard group, it was in a residential neighborhood. And there was a lot of uproar that homeless individuals should not be in a residential area, which is interesting right there people. They don’t belong in an industrial area. I didn’t live too far from the original facility. And I had saw on the papers, the consternation, and around the same time, both my mother and stepfather we were diagnosed with cancer about six weeks apart from each other. And they ended up passing away a year later, about a month apart from each other. And I got to have a crash course in hospice with two of my parents, and I was just going, how are they? How are they able to say these people don’t deserve a place to receive hospice care, because you can not receive hospice care on the streets, if you do not have a physical address and a support system. You can’t receive hospice care, and everyone deserves this not just middle class who have insurance in a nice house and family to take care of them. So I started volunteering, cooking meals, helping them with their fundraising events. And the executive director at the time offered me a very part time position, because I was a stay at home homeschooling mom of two boys and my husband was in the Air Force. So I had to say, very small commitment. So at the beginning, my kids were coming to work with me, because we had a separate area for admin from where our residents stayed. So I was I was doing dual duty for a little bit and then moved to part time pretty quickly. And I’ve been here for close to six years, and I’ve done a little bit of every position from volunteer coordination to HR and operations, and then was moved to the executive director in March.

V Spehar  26:55

It must be hard to get these folks to trust you, right? I mean, this is not a population that the world has been especially kind to, how do you forge that initial bond.

Jillian Olmsted  27:06

So it starts from, you know, the minute they walk in the door, we want to make sure they’re treated like a human not treated like a number or inconvenience, or someone that we have to deal with. So from the time they come in, we make sure that if they’re hungry, they can go get a meal first, if they need something to drink, they can get something to drink. And then we spend some time with them just one on one going through, you know, what do they want to get out of their stay here? If they’re not end of life? Do they want to try and get into housing? Do they need to get benefits? Have they lost their identification? Or if they are end of life, we start the conversation about, you know, do you have any sort of end of life wishes? And how can we help provide those for you. So a lot of times, it’s just really laying it out there all of what we can offer them, if they’re willing to accept it, I think that’s where it starts. When they go into their room, there’s a welcome basket for them, which has some, you know, games, puzzles, snacks, towels, everything they need for their first few days. And, and we really just give them the space, some people come in, and they’re so excited, and they’re social. But there’s others who really want to be left alone for you know, maybe even a week. And as soon as they’re ready to start talking to people, we have a volunteering activities coordinator, and she’ll go in and do an activities assessment, find out, you know, what are they interested in? Here’s what we offer at the facility, do you like bingo, it’s Fridays, come out for that. And if you want to go on an outing, the great festivals next week, so you can sign up for that or haircuts are coming up. So we try and you know, approach it in, in a way that really makes them comfortable. And in a trauma informed way. We definitely don’t want to re-traumatize them, we don’t want to make them continue to tell their story if they don’t want to continue to tell their story. So we it’s really we just put it in their hands, we’re here we can offer you a lot. If you’re willing to put in the work and accept it.

V Spehar  29:05

How do you attract talent to work at the in between that’s got to be the like there’s like the folks who are coming to you for services, but then the people who are providing services, it’s such a niche, special group of people who can handle this particular one amount of grief. But also, you know, the unique challenges of working with the unhoused population. What’s the staff like?

Jillian Olmsted  29:28

Yeah, it can be difficult to find individuals that are going to be able to deal with just the circle of grief that can happen here. There’s just, there can be a lot of loss, even if it’s someone moving out, you know, with a happy ending. It’s still someone we can get close to. The majority of our staff came to us as volunteers, which I think is the best way to do it. It’s like we get to have a test run with someone before we bring them on the staff. Similar to myself, I think once you get in here and see what it’s like and see the difference we’re making. It’s hard to not want to sign up for, you know, some a larger commitment than volunteering. So I would say that that is one of the easier parts is recruiting people. The mission really speaks for itself.

V Spehar  30:15

It is one of these things where somebody, I mean, experiences lost themselves, they understand the value that they felt by whoever would cared for them, when it was their turn to be the grieving person or the person who experienced loss, they want to give that back. You are dealing with death nearly every day in some form. How do you kind of steel yourself for that when you’re getting ready in the morning to go into work?

Jillian Olmsted  30:38

So mine is really succinct. And maybe it’s because I’ve just been around a lot of death in my family. But for me, it’s just knowing what the alternative was for these individuals. And it’s still difficult. So a couple of things we do in the facility to help the staff is when someone is actively passing, we put a blue butterfly on their door. And that’s just to signify, you know, have good energy around that room. You know, please be quiet, don’t start having water cooler talk outside of that door and disrupt you know, what’s going on inside. And we have a end of life doula. She’s actually a former resident that stayed with us for a little over a year. And then we hired her as a house manager. And then she wanted to go through schooling to become an end of life doula. So a few months ago, she got that certification. And so it’s really awesome that we have a live in end of life doula, and yeah, she can be talking with them and get to know them in a very non, you know, confrontational way about death, because she’s living with them. So she can learn things about them, and, you know, take notes so that we can, we can use that end of life. And then we have our Noda volunteers, which is the No one dies alone program. And that’s used in a lot of hospitals in the US, and we just adopted it here. And so we train our volunteers in a three hour course, to learn how to sit bedside with individuals when they’re actively passing, just holding space, and whether that’s just sitting even in the other side of the room, if they don’t want someone in there to listen, you know, if they are struggling or sound like they’re in any pain, you know, they can go and get the nurse to come in and help them. And then when someone passes, we asked all of the staff who’s willing, and residents have started joining in as well, to do an honor line. So we lined the hallway, out to the lobby. So when someone leaves the building for a final time, we come together as a community and say goodbye. And then we hold a memorial if that’s what the person wanted. Sometimes people don’t especially because as they’re staying here, they see a memorial happening. And they might say, I don’t want that for myself, I just want you guys to say goodbye. And I don’t want you to do that. So that helps with staff closure. And then we also have grief groups put on by one of the local hospitals. And then also one of our board members who’s a chaplain that can allow, we do it separate for residents and for staff because we have different experiences. But it gives everybody a time to just kind of decompress for the staff maybe debrief, what did we learn from this? What could we have done differently? And, yeah, we have a pretty good support system here. But there are people that it affects, you know, in different ways. And some people need to take a mental health day or maybe two after someone passes that they felt really close to. So we try to just give a lot of space because we know, you know, burnout is a real thing, especially in nonprofits and especially in the social service industry.

V Spehar  33:54

I wanted to ask you about the folks that you call the 11th hour volunteers because also for people listening who are like, I could never do this. There are lots of people who can’t do this, like there is a special job. Let’s find the people who can do it. And you know, let them take over for this time. But talk to me about your 11th hour volunteers.

Jillian Olmsted  34:11

So the 11th hour volunteers is what we now call the note of volunteers. So we use them interchangeably. So what we do want when someone’s actively passing is we have a program that sends out an alert that says you know, resident in room five because most of our volunteers you know the residents, resident in room five has entered the active dying phase. Please log in and sign up for a shift if you’re available. So our 100 note of volunteers can go and say I can take from 6am to 8am or I can take from two to 4am and they come to the facility they check in with our nurse or CNAs and they go and sit with the resident or there’s instructions for something that the resident wanted. Maybe it’s reading from the Bible or reading poem. was, or not sitting in the room with them, sitting in the adjoining room and just listening. So they’re an amazing group of volunteers, not for everyone, like you said, not everybody is able to do it. But most people surprise themselves and say I wasn’t sure how it was going to be. But you know, once you just settle in and realize the only thing you have to do is be there and be present. So it’s a great experience. And it’s an awesome way to volunteer at our organization. But if they’re not interested in that we have lots of other opportunities.

V Spehar  35:31

How do you approach writing an obituary, calling the funeral home making those final arrangements for a resident who maybe doesn’t have someone?

Jillian Olmsted  35:40

Yeah, so if someone is willing to talk about it beforehand, we get information from them that they would want in our in their obituary. If not, we just get permission to post an obituary from them and we write it ourselves. In our medical record system, we have a bio section. And as we’re caretaking these people or as volunteers or working with them, we start taking notes in there, you know, where are they in the military? Where did they grow up? What are some things that they liked, and then we can pull from that. If someone has a family member that writes an obituary, we ask them to post it, and we will then just post that obituary so that we’re not having, we don’t ever want to be the ones telling someone’s story, if there’s someone that was much closer to them, that can do it. When someone passes away, it’s relatively rare that there’s next of kin with our residents. As much as we try and reunite them with people, not everybody is ready to mend fences. So if there is someone, it’s our administrator and nurse supervisor who reaches out to them to let them know that their loved one has passed, and then we try and ship them any of their belongings, or they can come and pick them up. And they can also participate in the memorial. If they would like we have had several families that asked us if we will put the memorial on for them. And we’re happy to do that. And then they can bring their friends and family to the facility for that memorial.

V Spehar  37:03

Now you are fairly new as the executive director here, what are your dreams for the facility?

Jillian Olmsted  37:09

My biggest dream has just been to use this building to its capacity, which doesn’t sound very dreamy. But for me, this facility can hold more than 50 people. It’s a zoning restriction that’s prohibiting us from getting more people in here. So it’s very difficult for me to walk the halls, see where someone could be, here about their referral on our waiting list and that they need to be here, but we can’t put them in here. So my dream would be to revisit the zoning and try and get a zoning change, hopefully in the next year, and increase our beds to you know, somewhere in the 70s, I really feel that we would be able to operate without a waitlist and take everyone that qualifies to fit in our facility. That’s one of my dreams. Another dream would be for someplace here locally, where we could permanently housed the aging homeless individuals who fit more into the long term care. So say someone with dialysis, do they need to be here to get dialysis? Yes. Will they be more successful? Yes, but they could be on dialysis for 20 years. And we could fill our facility with dialysis presidents and then not be able to serve anyone else. So for us, the discharging someone without a place to go is heartbreaking. But we have to stick with our mission of short term medical respite stay or end of life care. So my dream would be making sure we use this place to its capacity and then have access to more safe discharges. In previous years, it’s been very difficult to find permanent housing for our residents. Last quarter, we exited 15 of our 63 residents into permanent housing. And that’s huge. I don’t know if we’re always going to be able to make it happen for our residents. But we’ve been working on increasing our case management within the facility, working with people right outside of the gate saying you may only have four weeks here, but what can we do while we’re here? Do you want permanent housing? Can you put in the work, get all your documentation and you know, you need to want it and we might be able to make it happen. And that’s a really big percentage of the people we’re serving, right? Because a handful of those 60 individuals passed away. But for 15 of them to go to permanent housing that they can call their own is awesome. A lot of other people are, you know, connected with family members. So not you know, not the remainder of those aren’t discharges to the street, but like I said, some of them are and so some of them that’s what they choose is to go back out to the street. But I would love to have you know, zero discharges out to the street.

V Spehar  39:48

Are there organizations like yours operating and other states. Is this something that’s becoming more popular or is this something that is really difficult for people to get off the ground?

Jillian Olmsted  39:58

It’s difficult to get off the ground, and we’re extremely unique. We’re the only facility providing end of life and medical respite care. Recently, if anybody has seen the LA Times article, there is a facility trying to open called Joshua’s place, it’s just outside of Sacramento. And it would be a place for end of life individuals experiencing homelessness to go. But they’re dealing with the same thing we dealt with when we were opening, there’s, you know, it’s near a school. And so it’s what is it going to do to the children and it’s in, you know, in a neighborhood and what you know, what’s going to happen to the neighborhood. So I would love it, if more of us, more facilities like us would pop up in the US. But there’s just really not that many. There’s some for families and things like that. But it’s it fills a definite need, there really is a gap in the system, for people experiencing homelessness that, you know, hospitals can’t keep them. And they’re never going to get better on the street. So what is the alternative? And what can we do as a society to make the in between a norm and non this anomaly that everybody says, Oh, my, this is amazing. But we had no idea this was a need or that it even existed. So, you know, we don’t want to be the only ones. We want people to look at this model and hopefully duplicate it in other states.

V Spehar  41:18

So as the winter season approaches, we know that there could be an uptick in need, especially in Utah, how can we be helpful? How can folks help the work that you’re doing?

Jillian Olmsted  41:29

Reach out to us if someone isn’t able to make a financial donation, but perhaps they want to do a neighborhood donation, drive or drive in their school, we can give people a list of items that we need, whether it’s winter coats, gloves, that sort of thing. We’re able to help individuals, even if they’re not in the facility, we work closely with the street outreach team. And if there are individuals needing items that we have, we’re willing to help give them. So in kind donations is something we really need to thrive. Also just helping us spread the word is very helpful. Even locally, we need everyone here to know that we exist. We need people to be referring individuals to us so that we can get to them before it’s too late. Yeah, any kind of advocacy that people are interested in volunteering, financial donations, sharing our social media posts, as the winter comes, we will definitely fill up. So a little difference when a community pulls together can change hundreds of people’s lives, right? We’ve had 109 People here pass away with dignity. And we’re probably nearing 1000 individuals who have come through our program, whether they passed away here, or left recuperated from an illness. So I just want everybody to think what can we do in our community to make sure that these people aren’t suffering alone on the streets?

V Spehar  42:54

Absolutely. Jillian, it is such a pleasure to get to chat with you. Thank you so much for taking the time. And thank you so much for doing this work. It’s so important and you just give me hope that humanity is okay. And we’re gonna be okay, we could do more of this.

Jillian Olmsted  43:08

Thank you so much, V.

V Spehar  43:13

Thank you to Jillian, who you guys if you ever have a moment where you start to think that the world is just rotten and cold and hard. Just remember Jillian, and all the things we learned here today and treat people how they want to be treated and know that every single day there is good to do and there is good to be found. And speaking of good people. Why don’t you leave me a voicemail. Tell me how you’re doing? What are you up to? You can leave that voicemail at 612-293-8550 Be sure to tune in this Friday when we are chatting with two of my favorite festive fellas. Bran and Dan from the deck the Hallmark podcast. You can follow me at under the desk news on TikTok and Instagram and YouTube. And guess what friends? There is a lot more be interesting with Lemonada premium subscribers get exclusive access to bonus content like my chat with Secretary Pete Buttigieg who is working on getting you a better deal from the airlines when they cancel or delay your flights. Did you know he could do that? He is a powerful guy. Yeah. Subscribe now in Apple podcasts and I will see you on Friday.

CREDITS  44:18

V INTERESTING is a Lemonada Media Original. Our producers are Rachel Neel, Xorje Olivares, Martín Macías, Jr. And Dani Matias. Executive Producers are Stephanie Wittels Wachs and Jessica Cordova Kramer. Mixing and Scoring is by Brian Castillo, Johnny Evans and Ivan Kuraev. music is by Seth Applebaum. Please help others find the show by rating and reviewing wherever you listen and follow us across all social platforms at @VitusSpehar and @UnderTheDeskNews, also, @LemonadaMedia. If you want more be interesting, subscribe to Lemonada premium only on Apple podcasts.

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