We all can do better for Iowa’s children and families

Nov 27, 2019

These remarks were shared at Mid-Iowa Health Foundation’s HealthConnect Fellowship Launch Celebration on November 18, 2019.

I was asked to speak here today, because like all of you here in this room, I am an advocate for children. My intentionality and passion for advocating for children stems from my own childhood and my own need for advocates.

My story starts when I was born to a drug-addicted, promiscuous and abusive woman who was the product of her own failed childhood. The result of the right needs not being met.

The first few years of my life were spent under abuse and neglect while in my biological mother’s and her sister’s care. I finally was placed into foster care and was adopted into a family a week before I turned 7.

This was supposed to be my permanent shot at a loving and caring family. This, however, was not the case.

At the age of 14, this family had me removed. I spent the remainder of my adolescence in foster homes, institutions, and shelters. I aged out of the system on my high school graduation day at the age of 18, exiting into homelessness.

I spent the summer after aging out and before college move-in day on couches of some of the kindest but most troubled people or in my car in the Wal-Mart parking lot. I went to college, not because I was ready to get an education, because if you think of Maslow Hierarchy of needs, my own basic needs weren’t being met. I went to college, because I need somewhere to live, a bed to sleep on, a dresser to put my clothes in, and a door I was responsible for locking.

Once my own basic needs of food and shelter were met, I began to thrive. I made personal and professional relationships with wonderful people and I began to be just Kayla, a college kid. Not Kayla, the foster kid.

I used to say the system failed me, but I’m no longer content with that. People make up systems. People control and protect systems. Many people failed me as a child.

I choose to do this work because I believe every child—no matter their experiences, their childhoods, the lack of initial opportunities—deserve the absolute best the world can offer. No child is too traumatic to be loved and cared for. I believe strong communities empower strong families. And I believe, our world, our state, has the people with the capacity and skills to shift narratives for children, for all children.

I want to be a part of that.

I choose to use my lived experiences to do the best that I can. Currently, I am my YMCA’s Youth Director, where I oversee all school-age programming, social-emotional initiatives, diversity, equity and inclusion work, and community engagement. I also do child welfare advocacy. Federally, I get to work with the government to collect data on older youth in foster care and I get to help states and stakeholders figure out how best to collect that data and use it to better outcomes. Nationally, I get to advocate for new and better policies to ensure all youth are getting the narrative they deserve. I get to help with adolescent brain science work, so teenagers in foster care aren’t being punished just for being teenagers. On the state level, I get to work with others to ensure that Iowa has the best practices and policies in place to ensure that all youth in foster care, especially older youth, are being heard, seen and their needs are being met. Locally, I am a Court Appointed Special Advocate for three teenagers in the child welfare system, ensuring that they find the permanency, the family they deserve.

So I am here today, with all of you, joining this brave movement towards a system of people who value well-being for all children. And when reflecting on the things that I truly wanted everyone here, in this space in this moment, to understand, I came up with 3 things.

First, we must confront and disrupt status-quo.

Status-quo practices, status-quo interventions, status-quo outcomes. It is dangerous and it is not productive. In order to progress, to change, to actually change narratives for children in Iowa, we have to do things differently. We have to do things better.

Too often, I notice people getting in the routine of the day-to-day. Talking to the same people, in the same way every day. Doing things in the same way every day. Talking about the same things in the same way every day. And it’s not productive. It is keeping children behind. It is failing children.

My childhood is a child of status-quo. Of people doing the same things in the same way year after year. Status-quo is why I was repeatedly placed in unloving foster homes. Why I woke up day after day in institutions when friends my age were going to Prom or to football games. It’s what ultimately contributed to me aging out of the foster care system when I turned 18.

To combat the status quo, we have to understand it. And first, we have to reflect and truly envision what we want for children in Iowa and examine the interventions we are doing now that are and aren’t working.

We must always ask ourselves, “why?” when we do things. And we must keep asking ourselves why until the answer satisfies us and if the answer never satisfies us, we must stop that practice, that approach, that way of thinking.

We must invite those with the lived experience to be a part of the work, and not just on focus groups, but part of redesigned systems and structures that actually work for people.

And we simply have to stop settling. One of my CASA cases just closed last month because the child was able to remain in the home of her grandmas for a year. This child doesn’t do well in school, gets into fights often, has been through so much trouble, but grandma isn’t taking her to therapy appointments. They fight constantly and grandma lives on $800 a month and they live in a small, one-bedroom apartment together. Did we create good for this child? Did we ensure that this child will end the generational cycle? No, we didn’t. So why are we settling?

Second, diversity, inclusion, and equity has to be a priority in all the work that all of us do.

We all have different dimensions of diversity that help define who we are. I am a married, young, straight, white woman with a college degree who lives in rural Iowa. Those are my dimensions and they play a huge role in how I am perceived and how I am treated. We must understand that everyone has different needs, and in order to meet those needs, we have to truly understand those needs and stop these cookie cutter approaches to living, breathing human beings.

Equity is essential, and it simply means tearing down barriers, providing children what they need to succeed so all people have equal opportunities, thriving childhoods and the future they desire.

Geographically, we know people in rural Iowa aren’t getting the best mental health services they deserve. We know children with disabilities in rural Iowa are making doctor’s appointments a year ahead of time and travelling almost two hours just to see a doctor with that specialty.

We know that racially, our state does not treat kids of color the same as white kids. We know kids of color do not have the same narratives as white kids. We know we are not giving them the childhood, the narrative and the opportunities they deserve. Using an equity lens is absolutely critical when making decisions, policy and practice changes, staffing and hiring decisions. We must all, personally, reflect on our own role in this.

As child advocates are we ensuring that we ourselves are reaching out and connecting with people who are different than us to grow appreciation and understanding? Are we attending meetings and events that expose us to different communities? Are we asking real questions to get at real results? Do we consume a variety of different media? No matter the work you do with children, prioritizing diversity, inclusion and equity must be a part of the daily work, personally and professionally.

Lastly, and I think most importantly, we must value transformational relationships over transactional.

Last summer, I was introduced to a man at a conference that opened me up to a whole new way of thinking and doing. His name is Dr. Shawn Ginwright, and I encourage everyone in this room to look him up. He is a true champion for children, and he does a lot of work around transactional vs. transformational relationships.

Transactional relationships are one-sided, where each person is in for themselves. They are impersonal and they lack transparency. These are often the relationships professional members of our society hold with their consumers. These are often the relationships social workers hold with foster youth. But what we know is that they don’t work.

What does work is transformational relationships. Transformational relationships involve what are known as empathy exchanges, where one person shares something personal about themselves and the other person does the same. This is how bonds and connections are formed. Transparency and equity are necessary, and in transformational relationships, both people know that the other cares and trusts them.

Too often in our society today, people are worried about crossing boundaries and they somehow believe in two extremes. You can still have transformational relationships and be professional.

When I was a teenager, I had one worker who showed up for me every Saturday morning without fail. She texted me when she woke up to let me know that, yes, she is still coming, because she understood my trauma and knew that affirmation was important to me.

No matter where I moved, she would follow. At one point, she was travelling two hours one way to see me on a Saturday morning. And when she showed up to see me, she wasn’t on her phone. She wasn’t shuffling through papers or asking me strategic questions to make her reports easier to write. She talked to me like a human being.

She didn’t show up to just ask me questions about myself, which is one thing I absolutely hated about being a kid in the system. Everyone always wants to talk about you and only you. She told me about herself. That she was a wife of a dairy farmer but didn’t even like cows. She would tell me what her husband and her were doing over the weekend.

One time, we went to Goodwill together and she bought a coat. Later that night, she texted me to tell me she found $5 in one of the pockets, so she essentially got a coat for free and was so excited about it. It was little things like that that made all the difference, and she was the first adult in my life that I completely trusted, that I felt actually cared about me genuinely. Yes, she was my worker, but she never crossed boundaries to the post it was unhealthy and because of that, I am here today. I am successful today.

Everyone deserves an adult like that, deserves multiple adults like that.

People often ask me why I was able to become the person I am with the childhood I have. Scientifically, it’s because of the relationships I had, and currently, have that created protective factors and resiliency. But I’m not healed of my childhood. I struggle with the effects of trauma.

I am sensitive and critical. There is one part of the year where I literally lay in bed for multiple days straight and don’t get up except to go to the bathroom. I have to be super intentional with my relationships and address mental models in my head that are so natural because of my trauma.

So while, yes, people can absolutely be successful and still struggle and people who do go through trauma can still be functional members of society, we still must do everything we can to prevent it. Helping a child get through really tough stuff is necessary and critical, but so is creating communities and supports and families that ensure that a child doesn’t have to go through that really tough stuff.

I worry that trauma is becoming normalized. I worry that adversity is becoming normalized. We have to find ways to prevent it.

So with all of that, I challenge all of you in this room to envision the outcomes and narratives you believe all children deserve and reflect on what is and isn’t working. Disrupt what isn’t working.

I challenge all of you here to personally and professionally make a commitment to diversity, equity and inclusion and ensure that all people feel seen and heard and that we are all doing everything we can to remove barriers.

I challenge each of you in here to value transformational relationships and begin practicing them with the children you serve, with the people you work with.

And I urgently challenge all of you to begin inviting the voices of those that are affected by our systems, our interventions, our work, to the table to begin to help transform it to meet outcomes. Matching lived experience with data and policy is powerful, strategic, and necessary.

All of this room, together, can do better by Iowa children and families.

Thank you, endlessly, for being a part of this fight, for choosing to use your intellect and skill sets to advocate for and with children, for being change makers and being relentless in your approach. Thank you, Suzanne, for your fearless leadership and organizing all of this, empowering all of this connection and understanding.

We cannot work in silos when it comes to meeting needs for children.

Thank you.

Related Issues & Ideas

Article

Graphic on Equality vs. Equity

View Graphic on Equality vs. Equity
Article

Q&A: REED partners share the power in holding space for rest, healing, collective learning

View Q&A: REED partners share the power in holding space for rest, healing, collective learning
White Paper

Strengths of Latinx Immigrants Despite Legal Violence

View Strengths of Latinx Immigrants Despite Legal Violence
Article

Why building community power is vital for philanthropy

View Why building community power is vital for philanthropy
Report

Surgeon General's Advisory on Protecting Youth Mental Health

View Surgeon General's Advisory on Protecting Youth Mental Health
Report

A Caring, Connected Community: How Greater Des Moines nonprofits met our needs during the pandemic

View A Caring, Connected Community: How Greater Des Moines nonprofits met our needs during the pandemic
Report

The Intersection of Racial Injustice and Youth Health in Central Iowa

View The Intersection of Racial Injustice and Youth Health in Central Iowa
Report

Champions for Change: A Collective Commitment to Children's Health

View Champions for Change: A Collective Commitment to Children's Health
Report

Why aren't kids a policy priority?

View Why aren't kids a policy priority?
Article

Study: Impact of neighborhood disadvantage on a child’s brain

View Study: Impact of neighborhood disadvantage on a child’s brain
Article

8 Ways People of Color are Tokenized in Nonprofits

View 8 Ways People of Color are Tokenized in Nonprofits
Article

Building a Trust-Based Philanthropy to Shift Power Back to Communities

View Building a Trust-Based Philanthropy to Shift Power Back to Communities
Website

Frameworks Institute: Changing the conversation on social issues

View Frameworks Institute: Changing the conversation on social issues
Website

Framing best practices with Topos Partnership

View Framing best practices with Topos Partnership
Report

Systems Change & Deep Equity

View Systems Change & Deep Equity
Website

Iowa Coalition for Collective Change

View Iowa Coalition for Collective Change
Report

Cultivating Change: How the HealthConnect Fellowship lifted a network of advocates to improve children's health in central Iowa

View Cultivating Change: How the HealthConnect Fellowship lifted a network of advocates to improve children's health in central Iowa
Report

Shifting the Lens: How The ACE Study sparked action to collectively improve our community's health

View Shifting the Lens: How The ACE Study sparked action to collectively improve our community's health

Bridging Gaps: The Crucial Role of Training Medical Students in Culturally Responsive Care

Des Moines University expands current educational offerings related to providing culturally and socially responsive care.

View Story
View Story

Creating Space for Change

Advocates connect through a shared commitment to improve health outcomes.

View Story
View Story

Launching the Basic Income Pilot with Community

How UpLift's collaboration with many partners led to greater impact

View Story
View Story

Zeroing in on Health Needs

A needs assessment of Oakridge Neighborhood residents is informing ways to improve health and well-being

View Story
View Story

Doula Care Becomes Essential Health Care

An Iowa Doula Project is expanding community-based health care to improve Black maternal health outcomes.

View Story
View Story

Improving Health through Community Advocacy

How AMOS engaged hundreds of advocates to push for a children's mental health crisis response system

View Story
View Story

Latinx Project Tells Story of Strength and Opportunity

New report highlights central Iowa Latinos contributions and disparities and elevates Latinx leaders

View Story
View Story

Re-Imagining How Iowa's Systems Work Together to Best Serve Families

The Vision Council has led conversations on how Iowa's families and children can be safe, secure, healthy, and well in our communities.

View Story
View Story

Champions for Change: A Collective Commitment to Children's Health

Outcomes from Mid-Iowa Health Foundation's HealthConnect Fellowship, October 2019-June 2021

View Story
View Story

Central Iowa Youth Drive Change for Better Health

uVoice high school students commit to learning about and addressing issues, including vaping and racial justice, in central Iowa.

View Story
View Story

The Dream Cube: Art for Social Impact

The Dream Cube, a monolithic structure constructed of pillows piled 8-feet high, popped up in downtown Des Moines late last fall. The provocative piece sparked conversations about the potential of our youth—if they have a safe place to dream.

View Story
View Story

How Youth Are Driving Community Efforts to End Homelessness

dsm Magazine features a unique collaboration that is engaging youth who’ve experienced homelessness in identifying new solutions to address this issue in central Iowa.

View Story
View Story

Protecting Those Who Protect Our Kids

Iowa ACEs 360 shares this story about how supervisors in the Polk County Dept. of Human Services’ Child Welfare Division are addressing trauma in their workforce.

View Story
View Story

A New Approach to Supporting Youth in Juvenile Detention

Teenagers in jumpsuits lying on yoga mats, their eyes closed, their bodies still. This is the image Megan Hoxhalli describes as remarkable for juvenile detention, a place where youth arrive shaken, dysregulated, and scared about their future.

View Story
View Story

Creating a Culture of Inclusivity

View Post

How Community Health Workers Can Improve Heart Health

View Post

How Medical-Legal Partnerships Can Link Systems to Improve Health Outcomes

View Post

Creating a Culture of Sustainability in Helping Professions

View Post

Meet Dr. Daniel Zinnel, Incoming Mid-Iowa Health Foundation Board Member

Foundation news
Aug 2, 2023
View Post

Using Data for Systems-Level Advocacy

Advocacy
Jul 28, 2023
View Post

7 Benefits of a Statewide System Approach to Community Health Work

View Post

Why I Advocate for Heart Disease Preventive Strategies

View Post

4 Ways to Center Youth in Mental Health Conversations

View Post

Economic Burden of Health Inequities: 5 Insights to Inform Action

View Post

Disability Rights Attorney Shares What Iowans Should Know About Medicaid

View Post

Health Equity Work in Action: What Funders Should Know

Funder practices
Apr 5, 2023
View Post

Basic Income: 4 Things to Know

Partnerships
Apr 4, 2023
View Post

Prioritizing Advocacy: How a Nonprofit Created a Full-Time Role

Advocacy
Feb 1, 2023
View Post

Meet the team leading UpLift – The Central Iowa Basic Income Pilot

View Post

HealthConnect Fellows: Engaging authentically in systems change

View Post

7 insights gained through a nonprofit merger

Foundation grants
Nov 17, 2022
View Post

Six Elements to Consider with Community Conversations

View Post

Community-Based Participatory Research: What to Know

View Post

How student research informed the basic income project

Action planning
Sep 20, 2022
View Post