The Brief

Todd Nelson could feel it coming on. And he began to run. He was going dark again, retreating to a place where he would curl into a fetal position with his thumb in his mouth, watching from behind closed eyes as his personal reel of horror unspooled. Sights and sounds from three decades of firefighting cued up — shrieks from behind an impenetrable wall of flame, limbs severed in car accidents and the eyes of the terrified and the dead he was meant to save.

Nelson was running on the Foresthill Bridge, the highest in California, fleeing cops and firefighters after his wife reported that he was suicidal. He hurdled a concrete barrier and straddled the railing of the bridge in the Sierra Nevada foothills, staring down at a large rock 730 feet below. As the rescuers closed in, Nelson leaned precariously over the chasm. His strategy — making the fatal plunge appear accidental, allowing his family to collect his life insurance.

It was not Nelson’s first suicide attempt — the former Cal Fire captain had tried to take his life many times before. But that 2021 ordeal, which led to an involuntary 72-hour psychiatric hold, something in him shifted. He was ready to admit that he had a problem and seek medical help.

The incident began the firefighter’s arduous, years-long journey toward wellness, threaded through a bureaucratic labyrinth strewn with more obstacles than he’d ever encountered on a California wildfire: finding qualified medical help, battling an insurance company to pay for it and navigating the tangled morass of California’s workers’ comp. All without going broke or returning to his dark place.

No one tracks how many of Cal Fire’s 12,000 firefighters and other employees suffer from mental health problems, but department leaders say post traumatic stress disorder and suicidal thoughts have become a silent epidemic at the agency responsible for fighting California’s increasingly erratic and destructive wildfires. In an online survey of wildland firefighters nationwide, about a third reported considering suicide and nearly 40% said they had colleagues who had committed suicide; many also reported depression and anxiety.

California’s workers’ comp — which is supposed to help people get medical treatment for workplace illnesses and injuries — can be a nightmare for firefighters and other first responders with PTSD.

Claims filed by firefighters and law enforcement officers are more likely to involve PTSD than claims by the average worker in California — and they have been denied more often than claims for other medical conditions, according to the research institute RAND.

From 2008 to 2019 in California, workers’ comp officials denied PTSD claims filed by firefighters and other first responders at more than twice the rate of their other work-related conditions, such as back injuries and pneumonia, RAND reported. About a quarter of firefighters’ 1,000 PTSD claims were denied, a higher rate than for PTSD claims from other California workers.

“It’s a fail-first system. You have to get a broken leg to show you are in need of support. With mental illness, we are constantly having to prove to everybody why we were ill. You have to get to the point of suicide,” said Jessica Cruz, the California chief executive officer of the National Alliance on Mental Illness.

Jennifer Alexander, Nelson’s therapist, said patients in acute crisis simply don’t have the mental capacity to ride herd on stubborn workers’ comp claims. Alexander said she was once on hold for more than six hours with Cal Fire’s mental health provider attempting to get one of her bills paid, and she has waited years to get paid for treating firefighters.  

“People give up. It’s a battle… They are not fully functional,” said Alexander, who for 21 years has specialized in treating first responders with trauma and PTSD and has spent an estimated 25,000 hours treating them. “You are not talking about healthy individuals who can sit on the phone for hours.”

Cal Fire firefighters and other workers also have trouble finding qualified therapists, especially outside major cities in rural areas, where many are based. In 2021, less than half of people with a mental illness in the U.S. were able to access timely care. Therapists are reluctant to take workers’ comp, or sometimes any type of insurance. because they often have to wait months or years to be reimbursed.

Therapist Jennifer Alexander listens to Nelson during a treatment session. She called workers’ comp a “total system breakdown.”

(

Cristian Gonzalez

/

CalMatters

)

Michael Dworsky, a senior economist at the research institute RAND and one of the study’s project leaders, called workers’ comp “challenging and bureaucratic.”

“Even if the claim is accepted, there can be disputes about the medical necessity of individual bills. Just because your claim is accepted, doesn’t mean you are done fighting with the insurance company,” he said.

A presumption of pain but still a tangled web

Employers in California must provide workers’ comp insurance that will pay for medical costs when a worker is injured on the job. But in reality, workers’ comp, which serves 16 million Californians, can be ungainly, confusing and, sometimes, no help at all. The system, administered by the state Department of Industrial Relations, is massive: In 2022 almost 750,000 workers’ comp claims were filed statewide.

When a firefighter requests coverage for medical treatment, insurance adjusters review the case to determine if it’s medically necessary. If the claim is denied, delayed or modified, a patient may request an independent medical review by so-called “ghost doctors” who review the case.

Systemwide in California, patients who appeal their denied workers’ comp claims, don’t fare well: Last year 3,238 appeals for mental health claims were filed, but workers’ comp officials rejected three-quarters of them, about the same as the 10-year average, according to data from the Department of Industrial Relations requested by CalMatters. (Agency officials said they could not provide data on claims from first responders.)

For decades, the California Legislature has wrestled with how to fix workers’ comp — in one year alone lawmakers proposed nearly two dozen bills.

In 2020 lawmakers took a major step, adding a legal shortcut or “presumption” to the state labor code, stipulating that firefighters and other first responders are considered at high risk for PTSD in the course of doing their job.

That means first responders no longer carry the burden of proving their illness is work-related. However, a claims adjuster can still question the diagnosis or assert that the trauma was caused by other factors, such as military service or family events. A law enacted last year extended the presumption to 2029.

This story first appeared on The LA Local.

Imagine MacArthur Park without a road running through the middle. That’s what most residents who live around the park say they want.

This is according to preliminary findings from the Reconnecting MacArthur Park project, an effort studying whether the busy roadway between Alvarado Street and Carondelet Street should be closed off permanently. Under this proposal, the park’s north and south sides would be rejoined to form one large green space.

The idea is to turn the major traffic corridor into usable park space in one of the most densely populated neighborhoods in Los Angeles.

Maria Ortiz, 59, who has lived near MacArthur Park for 30 years, welcomes closing off Wilshire, if it improves the area for families like hers. She is a grandmother to three granddaughters.

“Hopefully they can close it so there’s more space for kids to play, more surveillance and fewer homeless people,” Ortiz said. “Right now, the traffic is also bad, it gets really congested. People also don’t respect when the buses are coming.”

For her, the park is important because it’s the only one she has close by. But she added that changes should go beyond closing the road. 

She remembers a different MacArthur Park when she was raising her children, one that felt more welcoming for families.

“There were a lot more events at MacArthur Park before, there were contests, they would give gifts to kids,” she said. 

She joined her neighbors to participate in a public forum to explore the proposal.

The Central City Neighborhood Partners surveyed more than 1,500 people from August to December and asked them to weigh in on five possible options:

• Remove Wilshire entirely through the park and expand green space
  
• Remove Wilshire entirely and keep the short block between Park View Street and Carondelet Street open to cars
  
• Close Wilshire to all cars and turn it into a public space
  
• Close Wilshire only on weekends
  
• Allow only buses through Wilshire Boulevard

More than six in 10 survey respondents supported removing Wilshire and reconnecting the park. Keeping things as they are drew the least support.

The project now moves into the next phase, where the five concepts will go through an environmental review. The city and project partners will also develop design concepts and estimate costs to build.

At this juncture, there is no available funding for any construction.

“What we’ve been able to hear from the community was really that everyone wants to see a change in MacArthur Park,” said Diana Alfaro, associate executive director of Central City Neighborhood Partners. 

“Everyone in this community is excited or wants to be able to see new amenities,” she said, including better lighting and park infrastructure. 

In a February interview, Councilmember Eunisses Hernandez said the neighborhood doesn’t have enough parks or green space, adding that MacArthur Park alone isn’t enough for a densely populated neighborhood like Westlake.

“And that’s why I’ve been moving with my team and pushing for reconnecting MacArthur Park and closing down Wilshire Boulevard in that area to begin to create more spaces, more pedestrianized spaces, more opportunities for green space,” she said. 

At the same time, the city is moving forward with a separate plan to install fencing around MacArthur Park. The plan would add a wrought-iron fence around both halves of the park.  

Officials say the fence will allow the park to close at night and give them time to clean the space overnight. Their goal is to address safety and quality-of-life concerns.

That fencing project is not part of the reconnection study, but Alfaro said it will affect it. According to a report of the survey findings, any redesign of the park will have to factor in where the fence goes, and whether parts of it would need to be removed or rebuilt if the park is eventually reconnected.

City officials have not decided which option, if any, will move forward.

“At the end of the day, there are a lot of changes coming to MacArthur Park,” Alfaro said, “and I think it testifies why there needs to be some more attention around reconnecting or really just adding more green space for the community.”

Alex Lacayo, 35, supports closing Wilshire if it helps improve conditions at the park.

The lifelong Westlake resident often feels the park is “dirty and filthy” when he passes through. 

“If there’s a way to make the park a better place for more people to come, then I feel like it’s a good project,” Lacayo said. “We get a lot of tourists, so improving the park I think will improve the image of Los Angeles.” 

Because of ongoing concerns around homelessness and drug activity, Lacayo often avoids walking through the park. But if conditions improve, he said that could change and he would visit more often.

Alfaro believes the fencing plan and the reconnection project are both responses to those same concerns.

“The purpose of it is to ensure that the park is being well kept and maintained,” she said of the fence.

“I think all of it kind of adds to the same reason why we are doing this project to begin with,” Alfaro added. “Which is to ensure that the park itself is a park that families could use, youth can use, seniors can use.”

Sublime frontman Jakob Nowell recently studied the artifacts of the Grammy Museum's newest exhibit Sublime: Straight From Long Beach.

He wasn't even a year old when his father — the band's founder Bradley Nowell — died from a heroin overdose in 1996.

"It's been a really interesting process getting to know someone posthumously through their work and something that's so emotionally entangled in all of my machinery," Nowell said. " There's just DNA splattered all over everything in this exhibit."

The exhibit opened this week at the Grammy Museum in downtown Los Angeles. It features photos of the band, along with instruments used by the original members, song lyrics, promotional materials and other items.

This summer, Sublime's third, self-titled album celebrates its 30th anniversary. It spawned hits like, "What I Got," and "Santeria" and sold more than nine million copies, redefining Alternative radio with a blend of punk rock, reggae, ska and hip-hop.

Jakob Nowell stepped into his father's role in the band in 2023, a move he said has reconnected him to his family.

"Sometimes our work lives and our careers break us down and rip us apart from the people who matter most," Nowell said. "Getting to be a part of my father's work and my uncle's work, it really has brought together a lot of people in my life that are the most important."

Although the Grammy Museum is celebrating Sublime's past, Nowell and the band are also looking toward the future. The band is releasing a new album Until the Sun Explodes on June 12, and the title track is out now.

It's Nowell's tribute to his late father with lyrics like, "I only hope that you know I owe you my life."

"It's something I've been trying to say for 30 years," he said. "It only came out correctly now. It feels really special to get to share it with people out there. They've been sharing with me their stories my entire life."

At 30, Nowell is two years older now than when his father died at 28, but he has an outlook on their relationship that belongs to someone much older and wiser.

"The permanence of death is an illusion," Nowell said. "It's only temporary and [there's] no more evidence than everything around us here and all of the love and good times.

"It happens at the shows we play," he added. "It's evident to me every single day."

The exhibit is scheduled to run through Sept. 7.

The California Department of Corrections and Rehabilitation has agreed to pay $1.9 million to settle a lawsuit filed by 13 women who say correctional officers injured them during a mass use-of-force incident at the Central California Women’s Facility in 2024.

The plaintiffs say they suffered seizures, respiratory distress and long-term vision problems after officers used batons, physical force and chemical agents on them.

“I couldn’t breathe. My lungs were on fire … I thought I was going to die,” plaintiff Wisdom Muhammad said in a recent interview at her home in Los Angeles.

The women received settlements ranging from $200,000 to $50,000 each, based on the severity of their injuries, according to their attorney Robert Chalfant.

“Sexual abuse of inmates, excessive force, cruel and unusual punishment, retaliation, those things need to stop,” Chalfant said. “And the only way those things stop is through lawsuits and forcing the payment of large amounts of money so that people take notice of what’s happening.”

In an email, CDCR spokesperson Mary Xjimenez said the agency has reviewed the incident and has taken corrective action.

More than 41 staff members were found to have violated policy, making it one of the largest disciplinary actions issued against CDCR staff in a single incident, according to CDCR. Punishment ranged from transfers to termination, CDCR said, but the department has not yet responded to a public records request for disciplinary documents related to the incident.

Incarcerated people stand together in a yard at Central California Women’s Facility in Chowchilla, Madera County.

(

Lea Suzuki

/

The San Francisco Chronicle via Getty Images

)

The Aug. 2, 2024, incident began when officers removed more than 150 women from their cells and locked them in the dining hall while staff conducted a large-scale search of their cells. As temperatures in the Chowchilla facility climbed to more than 100 degrees and time wore on, the women began to ask for water, food and medication.

Prison officials have said that the incarcerated population “became disruptive.” Officers used physical force, batons and chemical agents to “stop the incident,” according to a review from the Office of the Inspector General.

The complaint claims the women were complying with the officers’ orders and that the force was excessive and unnecessary. It also alleges that some women were denied or delayed medical care after being injured, leaving them with lasting physical and psychological harm.

A total of 109 incarcerated persons were medically evaluated, CDCR said, and three were transported to an outside medical facility for a short time. In the wake of the incident, CDCR also said it made mental health staff and resources available to those affected.

Staff were also retrained after the incident on how to respond to alarms and on the appropriate use of force, according to CDCR.

The women involved in the suit have a broader claim about this incident as well, that it was retaliation for sexual assault complaints that they had filed against correctional staff.

The women’s prison in Chowchilla has been plagued by reports of sexual assault for years. In one high-profile case, at least 22 women accused correctional officer Gregory Rodriguez of sexual abuse dating back to 2014. The state ultimately paid millions of dollars to settle those claims. Rodriguez was criminally charged and sentenced to 224 years in prison.

Last year, an audit by the Office of Inspector General found that at least 279 women had sued the department, accusing at least 83 prison employees of sexual misconduct. The audit describes “a wave” of lawsuits filed by currently and formerly incarcerated people alleging staff sexual assault, harassment and misconduct. In response to the lawsuits, the department approved 402 investigations.

The U.S. Department of Justice is also investigating allegations of sexual abuse and staff misconduct at California women’s prisons.

The U.S. Department of Justice has launched a civil rights investigation into staff sexual abuse allegations at two women’s prisons in Chowchilla and Chino, following a series of lawsuits and similar abuses at federal facilities like FCI Dublin, which was closed due to widespread misconduct.

(

J. David Ake

/

Getty Images

)

In the settlement reached this past week, CDCR did not agree to any policy changes or other non-monetary terms, and did not admit to wrongdoing.

“The Department’s focus remains on the safety, security, and well-being of both the incarcerated population and staff,” Xjimenez said.

Another class action lawsuit tied to the Aug. 2 incident is still pending. That case, known as Hooper v. State of California, raises similar claims that medical care was delayed or denied and that the use of force was excessive and retaliatory. It is set to go to mediation in May, according to court filings.

CDCR said it could not comment on pending litigation.

Chalfant said that many of his clients were scared to come forward. The incarcerated woman told him that correctional officers continued to reference the lawsuit and retaliate against them by writing them up for minor infractions and searching their belongings up to the day of the settlement.

“If individuals’ rights are violated in state prisons, lawyers are going to take those cases,” Chalfant said. “[These women] don’t lose their constitutional rights when [they] go into a prison facility.”