PASEO Program Adventure—Days 53 and 54: Huanchaco, Peru

On Tuesday, our workshop with one of the groups of Líderes Escolares was cancelled, due to a huelga (strike) on behalf of teachers from various schools in Trujillo. Simply enough, the day was spent catching up on homework and preparing for two other workshops scheduled for later this week (which included procrastinating and going for a walk outside), followed by an adventurous dinner with some of the other students. And of course, since it’s my last week, I made sure to take in the sunset once again.

We began Wednesday morning with our Spanish for the Mental Health Setting class. After class, I had my final evaluations and supervision for the program, which consisted of an oral proficiency exam as well as reading a sample case study and deciding how I would work with the client and provide psychoeducation regarding TEPT (trastorno de estrés postraumático, or PTSD in English), as well as psychoeducation and techniques for relaxation. After the evaluation and supervision, we went out for a light dinner and spent the evening listening to music at a bar by the beach, and then sitting by the beach, as we took in the beautiful sights of the city.

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PASEO Program Adventure- Day 4: Huanchaco, Trujillo, y El Porvenir

This morning started with another run, which is still strange to write (and actually do). Every time I write the word run on my phone, autocorrect pops up to suggest “run to the bathroom.” I guess both my phone and I are learning new ways and locations to run. (Give me a break, it’s still early.) I’ve found that I have a love/hate relationship with running, yet I’ve continued to run each morning thus far. (Yes, I’m well aware that I’ve only been here for two mornings.) 

There’s something liberating about being able to run towards something, whether you take that literally or figuratively. Just like trying to attain any goal, making it to the end point tends to be exciting, rewarding, and even motivating. 

However, in our fast paced lives, we don’t usually take the time to enjoy the journey itself. We tend to focus on reaching one goal and moving directly towards the next one. Our achieve all you can/goal-oriented society is one to take pride in, but when will the journey itself start to count? 

Lucky for me, my panting and possibly even wailing during and after the run helped me try to soak in the view and take some time to appreciate my surroundings. Aside from believing I would collapse at any moment, the journey was an exciting one (but of course not as exciting as finishing the run). But I hope that this experience abroad will help me learn to appreciate life’s journey instead of solely focusing on end-goals and accomplishments rather than the process itself. I think this is something so many of us can benefit from, but for whatever reason, we find ourselves doing otherwise. But what do I know? I’m still just trying to catch my breath. 

This morning, we had our second class- Español para salud mental, a course focusing specifically on Spanish for the mental health setting. Roughly sixty percent of Hispanics who go in for an initial counseling session will not return to continue services. As with many other cultures, so many Latin American countries have known roles for men and women, and unfortunately, no where does it say that one of those roles can be to focus on or believe in one’s mental health. 

Many people have their own thoughts and perceptions about counseling, and when you add a language barrier on top of it, why would someone seek out supportive help? Creating rapport with an individual and being able to describe what counseling entails- all in that person’s primary language is truly essential for retention of services, and for that individual to receive the help, support, and services that he or she deserves.  

One of, if not the most important rule in counseling is to meet the client where he or she is at. If we can’t do that, especially in an individual’s primary and native language that he or she feels most comfortable speaking in, what good will we do for that individual?

This afternoon, I started my first day of work at La Fiscalía, located in Trujillo, Peru. I had to take a bus in order to get there, but if the bus doesn’t arrive in time, you can take what is called a “combi,” or a mini bus. This sedan-like vehicle maneuvers all across the road as fast as possible, while making sure that it fits as many people as possible. Today, we were able to fit 20 people at once. I’m sure that’s no world record, but mini clown cars definitely have some competition. 

Upon arriving to La Fiscalía, my supervisor, another student, and I met with the director of the site and discussed what we would be doing in the upcoming weeks. La Fiscalía offers many services pertaining to juvenile rehabilitation through the court, as well as crime prevention in schools. In the upcoming weeks, another student and I will be working with 12 schools in various neighborhoods and neighboring cities, where we will be observing classroom behaviors, reactions/responses from professors, and ways in which positive and negative reinforcement as well as rewards and punishments are utilized. In three weeks, my supervisor, the other student, and I will host two workshops for professors from each school with our findings, recommendations, and opportunities to practice these skills throughout the workshop. The ultimate goal is to help the professors learn ways to reinforce appropriate behaviors (starting in the classroom), all while empowering and motivating their students. 

I completed my first evaluation today in the city of El Porvenir, and while I won’t get into specifics, I will say this: I was truly impressed to find that the professor whose classroom I observed has students clap for one another whenever someone volunteers and answers a question correctly in front of other classmates. And whenever a student responds with an incorrect response, the professor replies with, “Los errores se aprenden,” which is essentially the same as saying you learn from your mistakes. While this may seem minute in the scheme of things, slowly but surely, this is how you help build a child’s sense of self worth. 

When we focus on the end result, we miss out on the journey. And when we miss out on the journey- whether it be filled with mistakes or minor successes, we miss the opportunity to learn, grow, and enjoy the process.

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.)