1) Recovery: A Community Forum and Panel Discussion
I attended a panel put on by UnityPoint Health Des Moines Behavioral and Powell Chemical Dependency Center Services with Drake University on September 5 th at Drake University in the Sussman Theater. The presentation and discussion lasted for a little over an hour. The members on the panel were David Mee-Lee, M.D., a board-certified psychiatrist and mental health and co-occurring recovery expert; State Senator Jack Hatch; Barb Blass from NAMI Greater Des Moines; Jeffery Kramer, associate director of Eyerly Ball community mental health center; Sara Lockner, psychiatric ARNP Powell Chemical Dependency Center; and Kevin Dalin, Drake rehab student who brought the consumer perspective. I really enjoyed attending this panel and discussion and found that I learned a lot. I did have knowledge that mental health and substance abuse can be intertwined and need to be looked at from a co-occurring perspective. Each member of the panel made points that I can see myself embracing and using when I become a counselor. Senator Jack Hatch said that mental health is an invisible illness. I found this to be very interesting because there are definitely times that someone is dealing with a mental illness, but the people around them may not be aware of it because they do not show any physical symptoms. He also discussed the idea of the Integrated Health Homes and how mental and physical health are being brought together. I also found this to be extremely important because I believe that treating a person holistically will be the best way to get them healthy and keep them that way. Dr. David Mee-Lee described recovery as a process, not an event. I think that when it comes to substance abuse especially, people expect someone to get clean and then that is the end of it. I have learned that it is not that easy and people are constantly dealing with recovery. It can be the same way for people dealing with mental health issues as well. He also said that mental health and substance abuse treatment look very different right now. I had never looked at it that way, but I can 100% see that is the case. People who have mental health problems are treated in centers and agencies, while people with substance abuse problems are often locked up. Finally, Dr. Mee-Lee discussed the importance of language. He talked about how people first language is important. Rather than referring to a client as schizophrenia it is better to refer to them as a person suffering from schizophrenia. I can see how this separates the person from the disease rather than making the disease the only piece of their identity. Going along with the idea of language, he talked about the terminology issues in substance abuse and recovery. How talking about someone as having a dirty or clean UA can make the person feel as if that language is also describing them. I hope to be mindful of the language I use when dealing with clients to help give them hope and an identity apart from their struggles. Kevin talked about how people can get caught up in their label and that this reduces them. This speaks to Dr. Mee-Lees thoughts about language. Kevin then talked about how the process of recovery is painful and not a straight line. This is important for mental health practitioners to remember so they do not get frustrated with clients or give up on them when they are not changing right away or have slip-ups. Sara Lockner said that the relationship between mental health and substance abuse is profound and they should be dealt with together. I can see that substance abuse and mental health can occur at the same time with clients and need to be addressed together rather than separately for the best results. Finally, she said, recovery is rooted in hope, respect, and individual control. I really like this idea want to help my clients be hopeful about the future, feel respected by me and for them to respect themselves, and for them to be in control of their lives and choices. Overall, I learned a lot from this panel and will remember many pieces of it when I am a therapist in the future. 09/25/13 2) Change Agent Team Meeting I work at Orchard Place and on a monthly basis a group of employees from each of the four branches gets together to discuss any agency-wide problems or ways to improve the services we are providing. The meeting is open to anyone who wants to attend, but I had never gone before. For the purposes of Advanced Practicum, I decided to attend to see what it was all about. The meeting lasted for approximately two hours. In attendance were the Vice Presidents of Care Coordination Services and Orchard Place Campus, the associate vice president of Child Guidance Center, therapists, functional family therapists, BHIS caseworkers, Substance Abuse Case Managers, Admissions people from Orchard Place Campus and Care Coordinators. At the meeting we talked about Care Coordination Services, which is the newest Orchard Place branch that has only existed for three months. We also talked about how we use a trauma informed perspective in our job on a daily basis. It was amazing to me to see how much collaboration is done in a meeting setting. The therapists had the opportunity to ask questions about what other branches are doing things and how they can help out. This was particularly important because with Care Coordination being a new branch, the therapists help and is extremely important in getting everything up and running. The therapists were also open to answering questions about how it is best to communicate with them to make things a little easier. It was extremely helpful for me to see how collaboration can happen through different venues. There is one-on-one collaboration that could be about a particular case that two people are working together on. As I saw in this meeting, collaboration can also happen within an organization by getting different people together to discuss what is going on and how things can be made better and easier. I know that collaboration is very important in this field and through it relationships can be made that will useful in serving clients more efficiently. I want to use collaboration regularly when I am a therapist. I want to talk with others about cases we are working together one to ensure that we are working towards the same goals and best serving the client. I also want to collaborate with other members of my organization and the community to serve the targeted population as best we can. 09/27/13 3) Bridges Out of Poverty Training I attended a training called Bridges Out of Poverty. It lasted from 9am to 3pm and was presented by the University of Iowa. I found the training to be extremely interesting and also very useful for my future career. At the training we spent time learning about how it is hard to get out of poverty, hidden rules of the different classes, differing communication styles, and what resources exist outside financial ones. We also had time to do different activities to better understand poverty. In learning about poverty we talked about the differences between situational and generational poverty. Going along with that we did an activity where we identified how the different classes view the police, social workers, institutions, etc. We also identified what types of that stores and resources are in impoverished communities (eg. rent-to-own, convenience stores, liquor stores) versus affluent ones (eg. whole foods, pier one). Since attending the training Ive found myself surveying neighborhoods in the Des Moines area and it has surprised me how accurate this is. We looked at the hidden rules of poverty, middle class, and wealth. These are important to know because many institutions and employers operate using middle class rules. Because of this it is important to make sure people are able to operate using those rules so they can be successful. I will be able to use this in my current line of work and in the future to help families learn the skills to help them keep jobs and get along with institutions in the community. In talking about communication styles we discussed formal versus casual registers. In the formal register, used by middle and upper classes, people go from point A to point B. In the casual register, used in poverty, there are many more tangents taken. To get from point A to B it can take much longer and there will be side-stories. I have found this information useful as I now understand why my families share and talk so much in our meetings. It was helpful for me to look at what resources exist outside financial ones. I hadnt thought about how there are spiritual, emotional, mental, physical, and relational resources as well. These resources can help support people and give them hope that things can change. Overall, I found the training to be very useful. I feel that I have a better understanding now of how my clients think and how to better serve them. I will do my best to implement what Ive learned as I continue in my career. 4) Interview with Alicia Mahlstadt Alum/CADC I had the opportunity to interview Alicia Mahlstadt, an alumni of the Drake program, on October 1 st . Our interview lasted from 5 to about 7pm, but we spent some of the time catching up since we have not spoken in awhile. It was so nice to be able to talk to someone who once walked in my shoes and to hear her perspective as she is now working in the field. I learned so much during this interview. Even though Alicia is not currently working as a therapist, she still loves what she does and uses the skills she learned. This helped me to realize that I do not have to be in a rush, I can take my time and take a little break before changing jobs. Alicia also has a unique perspective as she currently works in a community where there is not an abundance of resources. In talking to her I realized how important it is to be knowledgeable about the resources that are available and how to easily access them. Alicia said something that I really like and it was related to having difficult conversations with people. She said, Try to validate their feelings while staying firm on your position. I liked this because it is important to remember that your clients are entitled to their own feelings and opinions, and you should respect that, but you should not change what you are saying to cater to them. She encouraged me to continue to build confidence as I am working through the program and when I am done. That will help me to become the best counselor I can be. I like that Alicia is working in substance abuse currently, because it means that she is likely seeing some co-morbidity. It will make her a stronger counselor in the future because she will have had experience in that area. Overall, I thought that talking to someone who is an alumni of the program was extremely beneficial. It made me feel more relaxed about finishing the program and moving onto the next stage of my career. Alicia offered some great advice and insight and made me glad to be where I am, doing what I am doing. I just cannot wait to graduate and see where I will be after that. 5) Interview with Nansi Woods LMHC-tl I had the opportunity to interview Nansi Woods on September 26 th . Our interview lasted for an hour. We were not able to get through all of the questions, but she was still very helpful with what we did get through. Nansi is currently the school-based therapist at Moulton Extended Learning Center through Orchard Place. The reason I wanted to interview her is because I know she has taken a similar career path as me (staring in residential work, then working for Systems of Care and now doing therapy). There were several things Nansi said during our interview that caught my attention. The first was, remember that you are not the expert on other peoples children. I found this so interesting because I can imagine that families would not appreciate having a stranger act as though they are an expert on their children. I do think the therapist can offer suggestions and try to help out, but if they approach is different I am sure it goes a long way. I also like how Nansi talked about inviting parents to participate in sessions with their children. This would be a good way to get the parents involved and to show the child that they are supportive of them. Finally, Nansi said that her approach to having difficult conversations with clients of their family members is so never, ever let them see you upset and always remain calm. I like this because if you are in control and calm, it is modeling that for the client/their family. As soon as you start to get escalated, they will likely do the same and that could go and go until it gets out of control. Overall, I really thought Nansi had a good perspective as she has just recently started counseling and she has gotten there through the same channels I am working through. I really enjoy working with Nansi on the cases we share and I know that I will have many more opportunities to learn from her in the future. 6) Interview with Kristin Rodenberg LMSW I had the opportunity to interview Kristin Rodenberg on October 3 rd . Our interview was a little over an hour long. It was interesting to get the perspective of someone who went the LMSW route rather than the LMHC route. Kristin is currently the school-based therapist at Edmunds Elementary School. I wanted to interview her because we went to undergrad together and now work together on several cases. Kristin said several things that stuck out to me. She said that she would want to work with someone who balances her out and is good at the things she is not, but also has the same thought process and idea of how therapy should go. It makes sense to me that you would want to work with someone who agrees with your mindset about therapy, but also someone who is able to balance you out. That way you can learn from each other and hopefully avoid stepping on each others toes. Kristin also said that when using evidence-based practices, she makes sure it is something that makes sense for her clients. She said that its important to have lots of eggs in your basket because you never know which technique is going to work for which client. I think this is important because chances are you will work with a variety of people and you want to be able to serve each of them as best as possible. Finally, Kristin said the skills she has found most helpful is being optimistic. She said the field can be challenging due to hours, pay, and the population we work with, but that staying positive helps greatly. I was happy to be able to spend time with Kristin talking about what she does. I look forward to being able to work with her on cases so that I can continue to ask questions and learn from her experiences. 7) Observing Psychotherapy Group I observed an psychotherapy group for teenage girls at House of Mercy on October 9 th . The group lasted from 4 to 4:50pm and was facilitated by the Lead Resident Counselor, Kacie Jensen. It was very interesting for me to observe this group because I used to be the Lead Resident Counselor and I used to lead this group myself. All of the clients are new since I have left House of Mercy and I think it was good to observe the group. It gave me a different perspective on things. The first thing they did was check in sharing their current feelings. During this time several of the girls were having side conversations, one was doing her homework and one was distracted playing with her baby. I had a hard time just sitting there watching it go like that and I wish Kaci would have redirected them sooner. She did prompt them to pay attention when she started going through the curriculum with them. I also found myself wishing that Kacie had done some sort of icebreaker activity to get all of the girls involved and interacting with one another before group started. The intervention of the group was about feelings. Each girl was given a piece of paper and a writing utensil. Kacie then read three positive feelings (interested, excited, and surprised and three negative feelings (fear, anger, and humiliation) one at a time. For each word the girls came up with some synonyms and antonyms and then wrote three things that make them feel that way. To close the group, they did the word proud. For that word the girls were encouraged to list as many things as they could. It seemed as though the girls enjoyed the group as they were able to apply the different feelings to their own thoughts and experiences. They also seemed to like sharing the things that make them proud and the things they hope to accomplish in the future to make them proud. Overall, it was good to see someone elses style when leading a group. At first I found myself criticizing and thinking things like I would not do it that way or Why is she doing that? After I was able to put that aside and just take everything in I was able to get more from it. I realized that there is not only one way to do things. 8) PACE Tour I had the opportunity to tour PACE Juvenile Center. I used to work at PACE, but while I was there, our team was located away from the main building. I had an idea of all of the programs PACE had, but I never really took the time to learn about them all. Since Ive moved to a new position, this was a good chance for me to learn about the programs since I may be referring clients there in the future. During the tour I was told about each of the programs PACE has (Substance Abuse, Day Program, Walnut Creek, Behavioral Health Intervention Services, Juvenile Court Liaisons, Early Services Project, Court Based Intervention, and Sanctions). I went into more detail about each of these programs in my presentation, which is attached to this entry. All of these programs have so much to offer to the community. I believe that in my current position, and if I become a therapist in the Des Moines area, I will refer clients to these different programs as it is appropriate. If the client can have as many supports as possible in place (ie. Therapy + BHIS), it will help them to be successful. I always knew that Orchard Place had a lot of beneficial programs, but hearing more about each of the ones at PACE (one of four branches of Orchard Place) helped me to be even more proud of what I do and how I can help children in the community. 9) Professional Staffing I attended a professional staffing at Child Guidance Center. This was an opportunity to get all of the professionals who are working on the same case in the same room so they could talk about the best way to move forward. In attendance were: the therapist, the behavioral health intervention services caseworker, the department of human services worker, the guardian ad litem, and the care coordinator (from the integrated health home). The Family Safety, Risk and Permanency worker had also written a long e-mail with her perspective since she could not be there. The meeting lasted approximately one hour, but seemed as though it could have gone much longer if members did not have other places to be. I thought this was the perfect opportunity for collaboration. All of the people in the room were there for the benefit of the family. The case was very complicated and the professionals were there to come up with possible solutions and ways to move forward that would be best for everyone involved. It was encouraging for me to see everyone communicating their thoughts and ideas openly. It also sounds like they communicate via e-mail as well when they need to. Overall, I enjoyed the opportunity to see how these professionals took time out of their day to get together in an attempt to best serve this family. I hope that when I am a therapist, I will do the same. It is so important for everyone who is working with a child/family to communicate and collaborate in order to get the best results possible. 10) Review Call Magellan for PMIC I attended a review phone call with Magellan at Orchard Place Campus on October 31 st . The phone call lasted for approximately an hour and a half. The purpose of the call was that a resident at Orchard Place was supposed to be discharged in early September, but the date kept being pushed back because she was struggling significantly to transition to her home school. Present for the meeting were: the girls mom, the Campus therapist, the Targeted Case Manager from DHS, an intensive case manager from Magellan and a help desk person (Im not sure where theyre from). The purpose of the call was to come up with a plan for how to help get the client transitioned home since shes been in PMIC for such an extended period of time. This was a great chance for collaboration. The therapist, mom, and targeted case manager were able to share what they thought would be best and brainstorm ideas that could help move the process along. They talked about passes, alternative school ideas, BHIS services and in-home individual and family therapies. There will be a home-based therapist seeing the client once she moves home, so the Campus therapist took notes to share with them so they could all be on the same page. It was refreshing to see so many people working toward the common goal of moving this girl to a least restrictive environment. I hope to have open communication like this when working with my clients in the future. I think it is the best for the client to have a team that is behind them, working together for their, and their familys, best interest. 11) Arlington House in St. Paul On October 14 th , I was able to tour my sisters workplace, Arlington House in St. Paul. It is an emergency shelter in Ramsey County for kids 11 to 17 years old. It is separated into houses, one for males and one for females. There are beds for 10 kids in each house. One of the most interesting things I found out while there is that almost everything is destructible. The curtains are hung up using Velcro and the chairs are unbreakable. This is because the population they serve can be aggressive and destructive. If they end up trying to destroy property, it can be easily repaired. The number of staff that work at Arlington House is not very large so it is very easy for them to communicate and collaborate. It is also very important for the staff to communicate with other people involved in the teens life. The staff are constantly communicating with families and Juvenile Court officers for this reason. It is important that they communicate about the childs progress and their planned length of stay. I do not think I would like to work as a therapist in a setting like this. It is a residential program for teens, which is something I have always wanted to do, but the length of stay is so short. The teens are only in the shelter for up to 90 days and I hope to work in a setting where there is more time to develop rapport with the client to assist them with making lasting change. 12) House of Mercy On October 9 th , when I observed a psychotherapy group at House of Mercy, I was also given a rundown/tour of their teen floor. I used to work there, but there have been many changes since then, so it was interesting to hear them. It houses up to 12 clients and their children. The program used to only be only for adjudicated girls that were either pregnant or parenting. Now, the program only requires adjudication. There are 5 full time direct care staff, several part-time and as-needed direct care staff, a case manager, therapist and supervisor. Each week there is a 3 hours long team meeting. This gives the full time staff, therapist, case manager and supervisor a chance to discuss announcements, expectations, schedules, and each client. I like the idea of a residential setting because everyone is able to communicate fairly easily. The staff have processes between shifts to catch the next shift up to speed. The case managers office is on the unit where the clients live, so she is easy to track down and always knows what is going on. The therapist is on a different floor, but she can be reached by phone and can run down easily if it is necessary. The supervisor of the program has an office just outside the unit and she is always on call. There are people outside of House of Mercy to communicate with (families, JCOs, DHS workers, etc.), but it would be so nice to have the current care team all there. Eventually, I hope to be a therapist in a setting like this, and then the supervisor of a program like this! 13) Iowa City for work I was able to go to Iowa City for a work opportunity on December 11 th . The meeting lasted from 10am until 3pm. The focus of it was to get all of the Pediatric Integrated Health providers together to discuss how things have been going. I wanted to attend because I thought it would be a good example of how to collaborate across agencies and how to work together toward a common good. I was very glad I went. The director or Vice President from each of the programs got up and said a little bit about what has been successful for them, what has been a barrier for them, and what they hope to do in the future. It was obvious that everyone in the room was learning from the experiences of others and hoping to hear something they would be able to use in their own program. I hope to have relationships with other providers in my service area when I become a therapist. I know it can get competitive, but I think it is better for everyone if the therapists work together. They can talk about resources that are helpful for them, techniques that are working or ideas about how to best serve the current population. While this meeting was not specifically related to being a therapist, I think it did give me a glimpse into how collaboration across agencies can work for the greater good of everyone involved. 14) Interview Shelby On November 14 th , I interviewed my friend, Shelby Ridley, who is a case manager at Primary Health Care. She works with homeless people in Des Moines area, most of them being Veterans. She helps to find housing for homeless people, and once they are housed, she helps them to become stable so they can stay there. Shelby taught me a lot about the homeless population that I did not know before. I had a preconceived notion about homeless people and she opened up my eyes to seeing them and their situation in a different light. I never thought I would be willing to work with this population, but after speaking with her it is something I would consider. Shelby told me that she collaborates and communicates with people all the time. There is an LISW in her office that she will consult with if she has general questions about mental illness. She said she also speaks with her clients therapists (if they have one). Many times these therapists are from the Des Moines Vet Center or the VA. She said it is very important to understand PTSD and the challenges that come along with it when working with Veterans. After realizing that the homeless population has an equal need for quality counselors, I have decided that it is something I would be interested in doing. I even think it would be interesting to do some therapy for homeless teens. 15) Chaos to Calm Presentation On November 7 th , I had the opportunity to attend a presentation at Orchard Place given by Courtney Ackerson and Harmony Linden (therapists on Campus). The training was called Chaos to Calm: Emotional Regulatory Healing in Residential Treatment. I was very interested in this training because I hope to work in a residential setting someday. I learned a lot from this presentation. One thing I learned is that stress or dysregulation becomes trauma. Going along with that, negative behavior comes from stress. They defined trauma as any state in which you have no control. This can be from big or little events as long as they cause an individual stress or anxiety. They also talked about creating an environment that encourages brain development that was interrupted by early trauma rather than only using behavior modification techniques. I like this idea because if the child does not have the proper brain development, they will likely never learn to cope with stressful situations or move on from the trauma they experienced. Finally, they offered some techniques to enhance emotional regulation. These included daily calming activities (yoga, brain gym, meditation), daily 1:1 time with each child (caregiver shows attention, affection and attunement), and creating a safe and calm space for each child. These are all techniques that I hope I am able to implement one day when working as a therapist in a residential setting. 16) Webinar PTSD I wanted to attend a Webinar on PTSD because I have interest in trauma and how it affects individuals as they grow and develop. The Webinar was put on by Magellan Health Services and the presenter was Steven J. Lari, M.D. I learned many things from this webinar, here is a list of the biggest things I took away: - Were all exposed to trauma (little and big), even in our work day - It can be hard to diagnose in children - Not everyone exposed to trauma develops PTSD (10 to 14%) o Higher in combat-exposed soldiers - There are factors that influence vulnerability to PTSD (genetics, longer exposure to stressor, hx of childhood abuse, high social support less risk of PTSD) - Lots of co-morbitity with PTSD (substance abuse, nervous/sensory and digestive problems, other physical problems, depression, suicide, disturbed immune function, eating disorders, somatization disorders, relationship problems, increase in high-risk behavior in proportion to degree of exposure to extreme stressors) - Psychotherapy is used for fear extinction repeated exposure to conditioned stimulus without the fear response - Memory plays a large role in PTSD o Lots of brain stuff - Many medications used to treat - Psychotherapy (debriefing, TR-CBT, Exposure therapy, Virtual reality therapy, EMDR, stress inoculation, psychodynamic psychotherapies) I guess I never realized how complex PTSD is and how much of the brain is involved in the responses. I hope to take this knowledge and continue to learn more as I want to work with people affected by trauma. 17) Crisis Nursery My sister (who works at the Emergency Shelter) also works part time at a crisis nursery in Minneapolis. I took some time to talk with her about their services. I was surprised to see how much they offer. I expected it to be a nursery where kids stay for short periods of time during a family crisis, but I learned that it is so much more than that. There is a 24-hour crisis helpline that families can call. They speak to a Family Advocate and if needed, brings their child in for an intake. If the child comes in for an intake, the Family Advocate creates an action plan with the family to help them address their crisis. The children can stay in the nursery for 3 nights. When the child is discharged the Family Advocate connects the family with resources in the community. They also follow up with the family to be a continued support. While the kids are there they can also get medical care. There are also parent education and support group programs. I know there is a program similar to this in Des Moines, but I have never had the opportunity to visit or talk to anyone from there. I think this is a wonderful resource for families who need it. I have worked with children in the past who have parents with their own mental health struggles. It is good to know that a child has a safe place to go if their family member needs to take sometime to care for themselves. I hope to be able to refer families I work with in the future to places like this if it seems as though they could benefit from it. 18) Zion Lutheran Church I did not plan on doing this as one of my activities, but on November 4 th I was supposed to attend a meeting at Zion Lutheran Church in Des Moines about Trauma Informed Care to present about Orchard Places Care Coordination Services. It turned out that no one attended the meeting, so I ended up speaking with one of the members of the church (Vicki) about what they have to offer families in the area. I was SO impressed at everything they offer. The church assists with transporting kids to and from school because their parents cannot get them there due to working. There is a community meal on Wednesday nights where they serve approximately 400 meals! Some children get sent home with backpacks with a meal in the so that they are able to eat a healthy meal at home over the weekend. There is a clothing closet on site. The teach English to kids on Wednesday nights. They do street outreach for the homeless. One Monday night a quarter they serve supper at Children and Family Urban Movement. There is a furniture ministry. Community gardens for new immigrants and refugees. ESL classes for adults are offered two days a week (with child care and transportation provided). The list could go on and on. I have heard from many different people that churches can be a great resource for families, but I guess I did not realize how much they can do. I was excited to hear about all this church has to offer. I hope that I am lucky enough to be a therapist in an area that has community partners like this! 19) Wraparound Meeting On October 1 st I was able to attend a Wraparound Meeting that was held at Cattell Elementary. This was similar to the professional staffing that I journaled about earlier, except that the parents were present as well. The purpose of this meeting was to discuss a client that was transitioning out of Orchard Place PMIC and to her home school at Cattell. The people present were those who had worked with her in PMIC and those who would be working with her once she was out. There was: her PMIC therapist (who brought information from unit staff and the PMIC psychiatrist), her school-based therapist, her teacher, her resource room teacher, her BHIS worker, a case manager from the Integrated Health Home program, her mom, her step-dad and the principal. I found this meeting to be very beneficial to attend as it gave me a good glimpse into how a successful transition should look. This girl had all of her supports in one room to talk about what was working at PMIC and to brain-storm things to try in her public school setting and at home. I was very interested to see how many people took time out of their busy schedules to sit down for an hour and a half to make this transition smooth. I have seen in the past that a client leaves a placement without much communication or a plan, and that only seems to set them up for failure. I hope that when I am a therapist I am always looking out for my clients best interests and giving them a leg up through times of transition. 20) Freedom for Youth I spoke with Hayley Patton, a former intern at Freedom for Youth Ministries. I wanted to talk with her about what services are offered there and what her experience was like while interning there. Hayley told me that there are after school programs for elementary, middle, and high school aged kids where they can work on some school work, eat a meal and have a Bible lesson. There are also opportunities for them to go on trips and do different activities. There are two transitional living houses as well. Freedom For Youth also teaches job skills through their Freedom Blend Coffee business and Employment Training Center. Hayley reported that she loved her internship because she got to spend time with great kids and was able to show them Gods love at the same. I think it would be nice to work at a place where my faith can be openly shared as part of my job.