PASEO Program Adventure: Day 3 in Huanchaco y Trujillo

Today was officially the start of my new adventure. Upon waking up in the morning, it took me a few seconds to remember where I was. But after the initial shock of forgetting I just traveled abroad settled down, I quickly realized that I was in Huanchaco, Peru- a place I will eventually come to call my home. 

In my short time here, I’ve come to appreciate one of life’s treasures that I believe so many of us take advantage of back in the States. Yes, I’m talking about Charmin Ultra Soft. I’ll just leave it at that and let that resonate for some time. I’ve also come to find out that maybe more people are actually reading this than just my mother and possibly my grandmother too. That adds a whole new level of pressure, seeing as I’ll have to write more than just what I’m eating and how I’m keeping safe every second of every day.

To really push myself into this new adventure ordeal, I went for a run this morning alongside the beach. (I know- I’m just as surprised writing that as you probably are reading this). Not only is Huanchaco known as a fisherman city and for its seafood, but it is also known as a surfing town as well, since the waves appear to always be in full flight. In fact, we can even hear the sound of the waves crashing down from the house we’re staying in. Sometimes you have to make sacrifices in life, and I guess sacrificing Charmin for an oceanside view will have to do. 

This afternoon, I had a pre-evaluation to assess my current knowledge of the Spanish language. I read aloud a case study and was asked to answer questions solely in Spanish regarding how I could help normalize a teenage pregnancy, how to explain depression to a teenager, and an example of a technique I would use to help a teenager calm down from nerves at any given moment during a session. My responses were recorded and will be heard by four of our professors as well as the owner of our house who is not in the counseling field and who does not speak English. The purpose is to assess each student’s needs and to see if a local would understand our explanations and techniques. This will set the foundation of our learning goals throughout the upcoming weeks. 

I had lunch at a local restaurant, where I paid 10 soles (less than four dollars) for a tamale, pollo saltado con arroz y papas, and a sweet drink made from a local fruit. I wanted to take pictures, but my hunger got the best of me. 

Our evening was spent in Trujillo (what you are looking at in the pictures), where we had our first class- Psicología en Perú with a local psychologist. I’ll have to provide more concrete details once the PowerPoints are shared with us, but we learned about mental health care in Peru, and how while even though there are laws that entail for mental health care to be accessible for all, this most certainly is not the case. For someone seeking mental health care in a hospital setting, the psychologist only has 10-20 minutes with that individual to provide an initial intake. 

The initial intake covers basic information about the person, as well as a brief assessment, in which only one question really matters. Have you thought about or attempted suicide within the last three months? If the individual answers yes to that, and apparently only that, only then will he or she return for services. However, services entail follow-ups consisting of taking other assessments each session. And you only have 10-20 minutes total for your session, if even that. Imagine any time you describe a difficult day you had at work to a loved one, or the last time you complained about a coworker or someone who cut you off on your way home. Now imagine trying to get all of that out in 20 minutes at most. And now imagine trying to discuss symptoms and issues you are experiencing pertaining to your mental health in about 10 minutes.

There are 20 inpatient agencies and 21 community agencies (focusing on medical and mental health together) throughout the country that are meant to serve the millions of individuals living here. One newspaper article showed a lady who attempted suicide three different times, but was unable to be hospitalized due to a lack of beds in the agencies. Imagine that for just a moment. 

With regards to substance abuse, the main modality of treatment here appears to be through the church. If you can put your faith into a higher power, and a higher power alone, your addiction will be “fixed.” Social workers can be found giving brief prevention-based education in the schools to that it can be said that the material has been “covered.” And if you want to talk about an individual with a severe and persistent mental illness, let’s say schizophrenia, for example, such an individual would be asked to go in for medication once a week. He or she would then be expected to continue to go in for more medication on a weekly basis. And that is your mental health care, in a condensed version. As a side note, there are great providers trying to make a difference here, just like in other countries as well. But this is the general sense of how mental health functions throughout the country.  

If I’m not mistaken, the amount of money that would be required to get Peru to where it should be with regards to mental health care is 800 million soles (less than 245 million dollars). The actual amount being spent on mental health care by the government is roughly 69 million soles (a little over 2 million dollars). The wealthy people in Peru live (viven), while those without money survive (sobreviven). Having started this post talking about a quality of toilet paper, I can’t help but think how fascinating it is what so many of us take for granted.

(P.S.- if any of the information I wrote is incorrect, I will be sure to update it and blame it on jet lag.)

PASEO Program Adventure- Day 2: Leaving Lima for Huanchaco

Seeing as my flight from Fort Lauderdale was delayed (I feel like you can no longer have expectations when using any type of transportation these days), I arrived in Lima, Peru shortly after midnight. By the way, if anyone is actually out there reading this, this post is a day behind- so as to live in the moment. (I figured writing that would be a good, understandable excuse. And if not, stop by tomorrow to see what I’m doing today.)

I was able to spend the morning with family friends from the city, as we shared breakfast together in Moraflores, overlooking a beautiful city and ocean view (top left photo). Since it is wintertime in Peru, the sun doesn’t shine as often in Lima, which explains the cold, overcast weather. 

My flight to Trujillo was scheduled for the early afternoon, so shortly after breakfast, I had to head over to the airport to make it to my final destination. The owner of the house we are staying in picked me and the other students up from the airport, and drove us to Huanchaco, which was a 15 minute drive, at most. 

We took a quick tour of the city, which is known to be a fisherman city with great seafood. (I’ll keep you posted about that). While the size of the city is small, it is seemingly filled with life, as you can hear Celia Cruz, Marc Anthony, and many other classics playing from inside the restaurants by the water. At a time like this, I’d say it’s fitting to hear the words, “La vida es un carnaval.”

The other students (from across the country) and I had dinner at a restaurant called “My Friend,” which offers a variety of Peruvian dishes, as well as hamburgers and pizza for visiting Gringos. I ordered pollo a la plancha con arroz y papas (grilled chicken with rice and French fries) for only 16 soles (around five dollars). The cost for food in the area is pretty inexpensive, so here’s hoping I eat well before any Amazon/Whole Food buyouts and mergers make their way over here. 

Tomorrow starts our first class with a local psychologist in Trujillo- Psicología en Peru. Until then, hasta pronto!

PASEO Program Adventure- Day 1: Flying to Lima, Peru

For anyone who stuck around throughout my hiatus, you probably realize that it’s been a while since I last posted on here, aside from following through with my Simple Quote Sunday challenge. A lot can happen in such a short span of time, but I won’t bore you with minute details. I’ll save those for a rainy day. 

Having recently graduated from a three-year master’s program in clinical mental health counseling and vocational rehabilitation counseling, I’ve found myself stuck between choosing what the next step will entail- pursuing a doctorate degree or joining the workforce. Before making a final decision, I was fortunate enough to come across an exciting opportunity that truly sparked my interest (and helped me postpone my decision making for the time being). 

About a year ago, I was informed about PASEO (Psychology and Spanish Elective Opportunity)- a Spanish for Mental Health Immersion program that focuses on global mental health. This immersion-based language training program is designed to build Spanish skills for use in mental health settings. 

Unfortunately, I wasn’t able to attend the program last summer due to classes and internships, but things seem to have a way of working themselves out. Now that I’ve graduated, the timing couldn’t be better. Besides, I couldn’t think of a greater opportunity, given the fact that there is such a large Spanish speaking population in Miami, and an immense need for mental health services in so many underserved Spanish-speaking countries. 

So, for the next month, I will be living in Huanchaco, Peru, and working in Trujillo, Peru. I’ll be sure to provide information about both cities throughout the upcoming weeks. During this trip, I’ll be taking intensive Spanish classes- mainly focusing on use for the mental health setting. I will also be practicing under a licensed clinician at a site of my choosing. 

I decided to work for the court’s Juvenile Restorative Justice Program (Justicia Juvenil Restaurativa). Again, I’ll be sure to include more information about this program as my time in the program progresses. 

I’d like to think that we should always be open to new adventures, and I’m glad to say that the time has come for me to embark on my newest adventure. I look forward to sharing this exciting journey with you, each step of the way. Cheers to new adventures for all of us. And for now, it’s time to get to Lima!