The Back Road: The Recurring Nightmare of Anti-Asian Bias. By Andrew Malekoff, Published in Blank Slate Media/The Island Now, March 15, 2021

The Back Road: The Recurring Nightmare of Anti-Asian Bias. By Andrew Malekoff, Published in Blank Slate Media/The Island Now, March 15, 2021

Note: The Guidance Center received permission from Andrew Malekoff to post this commentary which he authored independently.

“We have seen this terrible nightmare before.”

So said Chinese-American activist Helen Zia during a forum on anti-Asian racism hosted by the Washington Post on March 8th. What she was referring to is the disturbing uptick in verbal and physical assault against Asian-Americans of all ages ever since the onset of the COVID-19 pandemic.

Zia and historian Erika Lee, reviewed some of the historical markers in this recurrent nightmare, beginning with the establishment of Japanese internment camps from 1942 to 1945, in reaction to Japan’s 1941 bombing of Pearl Harbor and America’s entry into WWII. The interning of Japanese-Americans has long been considered one of the most dreadful violations of American civil rights in the 20th century.

Some 70 years earlier on October 24, 1871, in what some have labelled the largest mass lynching in American history, up to 20 innocent Chinese immigrants were beaten, murdered and hanged by an enraged mob after a police officer and rancher had been killed, supposedly as the result of a conflict between two rival Chinese gangs.

Ten assailants were prosecuted and eight were convicted of manslaughter. The convictions were later overturned on appeal due to technicalities.

Eleven years following the Chinese Massacre of 1871, the Chinese Exclusion Act of 1882 became law. It was aimed at curtailing the influx of Chinese immigrant laborers into the United States.

This marks the only time in American history that a specific law was passed that prohibited all members of a particular ethnic or national group from settling in the United States.

One hundred years later, in 1982, Vincent Chin, a Chinese-American draftsman was beaten to death in Detroit by two white men – a Chrysler plant supervisor and a laid-off autoworker.

Asian-Americans of all backgrounds became prime targets, as automakers from Japan who were producing more fuel-efficient cars were blamed for layoffs at “The Big Three” – Ford, General Motors, and Chrysler. Chin’s murderers got off on probation.

Looking back, “people knew from personal experience that we were lumped together,” said Helen Zia. “But in terms of identifying as pan-Asian, the key thing was that a man was killed because they thought he looked like a different ethnicity.”

In her latest book Caste: The Origins of Our Discontents Pulitzer-prize winning author Isabel Wilkerson cites anthropologists Audrey and Brian Smedley who explain, “We think we ‘see’ race when we encounter certain physical difference among people such as skin color, eye shape and hair texture.

What we actually ‘see’ are the learned social meanings, the stereotypes that have been linked to those physical features by the ideology of race and the historical legacy it has left us.” Indeed, most of the attacks against people of Asian descent in American are not against Chinese but anyone who looks East Asian.

Fast forward to 2021. The public health crisis we have been facing for a full year now has put a bullseye squarely on all people of Asian descent living in the U.S. According to reports by the Anti-Defamation League, “Go back to China” has become a familiar taunt against anyone who looks to be Asian and thought to be a source of contagion and disease.

Historically, immigrant communities have been singled out in times of public health crises. Their passage to the U.S. has been given pejorative labels such as plague and invasion, objectifying them as if they are riddled with infection or akin to swarms of insects carrying disease.

Here we are in the opening decades of the 21st century and the nightmare is back with a vengeance. In recent months it was brought to my attention that a 5-year-old Asian-American child was on the receiving end of a coronavirus-driven tirade while playing in a park in Nassau County. The verbal assault left him shaken and stunned that someone would yell such things at him.

On February 10th, USA Today reported that “in one week in February, a 91-year-old man in Oakland Chinatown was brutally assaulted, a Thai man was attacked and killed in San Francisco and a Vietnamese woman was assaulted and robbed of $1,000 in San Jose.”

Law enforcement can and should help, but nothing less than empathy will ultimately make the difference – “radical empathy” as Isabel Wilkerson advised, “the kindred connection from a place of deep knowing that opens your spirit to the pain of another as they perceive it.”

We all – all of us, bear the moral responsibility to stand up, as opposed to sitting by silently when we witness this terrible nightmare come to life.

Staff Profile: Vanessa McMullan

Staff Profile: Vanessa McMullan

Since the beginning of her career at North Shore Child & Family Guidance Center 15 years ago, Vanessa McMullan’s work has focused on bringing healing to the youngest of our clients. 

“It’s a misconception that little kids only have little problems,” says McMullan, LCSW, Supervisor at our Marks Family Right from the Start 0-3+ Center. “Some children have difficulty regulating their emotions and behavior, and some have had to deal with very difficult circumstances” such as divorce or loss of a loved one.

Additionally, the pandemic has impacted youngsters in profound ways. “They may not fully understand what’s going on, but their lives have changed dramatically,” she says. “They’ve lost their pre-school routines, visits with grandparents and more. The anxiety level is very high for both kids and their parents.”

In her work with children, McMullan—mom to Riley, 4, and Addison, 2— incorporates a variety of tools, including games, music, books and the Guidance Center’s organic garden. “Youngsters can’t necessarily sit still and just talk to process problems,” she says. “Using creative methods to engage them is really the hallmark of what we do at Right from the Start. It’s woven into all our work.”

Another important part of McMullan’s work is her role as Coordinator of our Diane Goldberg Maternal Depression Program, where she has helped numerous mothers experiencing postpartum depression and other perinatal mood and anxiety disorders. 

“Maternal mental health and early childhood health are so connected,” she explains. “We help these moms realize that they are not alone, they are not to blame and there is help!”

McMullan is grateful to her coworkers, both current and past. “Everyone on the team is dedicated to the work that we do,” she says. “It makes dealing with these difficult times so much better. We all really do have each other to lean on.”

Covid Questions: A Q&A with Dr. Leana S. Wen

Covid Questions: A Q&A with Dr. Leana S. Wen

Washington Post contributing columnist Dr. Leana S. Wen answered reader questions on the coronavirus in a recent interview in the newspaper. Below are excerpts from that column that most directly relate to children and families. To read the full transcript, which covers many more topics, click here.

Q: My spouse and I just received our second vaccine. Can we visit our children and grandchildren even though they are not vaccinated?

Wen: My answer here is yes: if the main reason you were not visiting the rest of your family was out of concern for your health, if you are now fully vaccinated (and it’s been 14 days to allow for optimal immunity), you should be able to visit them. Just remember that you could still, in theory, carry coronavirus and be a danger to them, so try to reduce your risk as much as possible before seeing them (i.e., do not also have other social gatherings), and make sure you are wearing a mask during travel. Longer answer about dos/don’ts after vaccination are in my latest column here .

Q: When will teenagers be allowed to get the vaccine?

Wen: Teens 16 and above are able to receive the Pfizer vaccine when it’s their turn, and those 18 and above are authorized for the Moderna vaccine. Studies are now being done for children 12 and above. Those should have results by the summer.

Q:  My 5- & 6-year-old children have been doing remote learning since last March, however their friends have been back in school for a while now. Is it ok for us to have playdates either indoor or outside with them? None of their families feel that it is necessary for the kids to wear masks on playdates, which has made it pretty awkward for us. We pretty much just stick to ourselves, but I am wondering if that is totally necessary? It is getting harder to explain to them why so many of our friends and family members are back to normal life, while we are definitely not.

Wen: I would not have playdates with families who are not taking the same type of precautions as you. If you do have playdates, make sure there are masks on at all times from all involved and that they are outdoors. Remember that most infections are not arising in formal settings (like schools), but in informal social settings. Your family and so many others have given up so much during the pandemic. We are not far from the end–let’s hang on for a little longer!

Q: Should pregnant women be vaccinated? Does the answer change if the otherwise healthy woman developed gestational diabetes during a previous pregnancy?

Wen: The vaccines were not tested in pregnant women, so they aren’t explicitly recommended for them, but there is also no recommendation against it either. There is no known adverse effect in pregnant women, and the vaccine does not contain a live virus, so there’s no physiological reason as to why it can’t be given. Multiple groups of OB/GYNs have said that this decision should be left up to the woman, in consultation with her doctor. Pregnant patients are at higher risk for severe disease from covid-19. Someone who is in at high-risk for exposure (i.e., essential worker) and/or has underlying medical conditions may decide that the risk of contracting covid-19 outweighs any theoretical risk of the vaccine.

Q:  We live in MD and have a son who is a young adult with autism. The best place for him to receive the vaccine is at our PCP’s practice because they know him. He will not wear a mask and will be very afraid. So why are these doctors not being allocated vaccines? Ours has the necessary storage for either one.

Wen: Good question. I really think it’s critical for primary care doctors to have access to the vaccine. Many patients prefer to go to their PCPs. PCPs are also trusted messengers, and it would make sense for PCPs to recommend the vaccine and then have the vaccine right there and then for their patients, instead of having to refer them to mass vaccination sites or pharmacies. I think this will change as there is more vaccine supply. Having the Johnson & Johnson vaccine will also help, as it’s one (like AstraZeneca’s) that can be stored for months at normal refrigerator temperatures. Best wishes to you and your son!

Q: Thinking ahead to the late spring/early summer – what is the possibility that large gatherings will be safe if held outside and everyone attending is vaccinated? What about the necessity of masks?

Wen: There’s a good chance that we can get together with others by the summer if everyone there is fully vaccinated. Whether this happens will depend on several factors, including if vaccines are found to offer excellent protection against emerging variants, if vaccine verification can be done reliably for all attendees, and if data continue to show that vaccines will reduce likelihood of being a carrier for coronavirus. Depending on the answers to these questions and the size of the gathering, masks may still be advised, but I’d predict–based on what we know thus far–that outdoor events like weddings and such can probably be held by the summer.

Q: Once I’ve had my second vaccination shot and the appropriate amount of time afterwards has passed, what freedoms do I now have? Can I be around other people who have not had their vaccinations? Do I still need to wear a mask? Basically, how should I behave now?

Wen: The short answer is that we don’t know yet. That’s because the vaccines are so effective at preventing you from getting sick from coronavirus yourself, but we don’t yet know whether it prevents you from being a carrier and transmitting it to others. The CDC recommends that you continue wearing a mask and practicing social distancing for this reason. It has not given guidelines for interacting with others. Here’s what I’d say. I think you should be able to see others who are fully vaccinated, because the chance of you infecting the others involved and vice versa, and getting sick from it, is pretty low. I also think that grandparents who are eager to see grandkids should be able to do, with some precautions.

Q: Why is there not more guidance on ineffective face coverings like bandanas and gaiters? Even employees in drug stores and groceries often use them. Can you please further redefine face covering to masks and described how they need to fit. Clarity does not necessarily lead to public resistance, just as likely to better cooperation.

Wen:  The CDC has come out with updated guidance on facial coverings . I like their new guidance on double-masking too, especially in higher-risk areas (i.e., surgical mask on first, then tighter-fitting cloth mask on top).

Q: After having had Covid-19 and if you are exposed to someone else who has it should you quarantine?

Wen: The CDC issued new guidance about this last week: if you’re fully vaccinated and/or have recently recovered from covid-19, you do not need to quarantine after being exposed to someone with covid-19.

Guidance Center CEO Announces Retirement, Leadership search underway

Roslyn Heights, NY, February 23, 2021 — After 45 years of dedicated service, Andrew Malekoff has announced his retirement from North Shore Child & Family Guidance Center, Long Island’s premiere children’s mental health agency.

Malekoff, who joined the Guidance Center as an intern in 1977, has been the organization’s Executive Director/CEO for 15 years. He has a distinguished record of leadership and innovation, creating many of the agency’s most successful programs.

Malekoff provided administrative leadership in the development of the Guidance Center’s substance use treatment and prevention program, which made it the first organization on Long Island to be awarded an Outpatient Chemical Dependency for Youth License to treat adolescents.

As a leading voice in advocating for parity, Malekoff has testified in Albany calling for timely and affordable access to mental health and substance use care. His dedication led to a partnership with Long Island University on a research study called Project Access, which revealed massive inequities and roadblocks inherent in accessing mental health care. The study has been cited as an important tool in advocating for essential systemic change.

Malekoff is a prolific and highly respected author whose articles have appeared in local and national outlets. He is a renowned expert in group therapy and wrote the definitive book on the subject: Group Work with Adolescents: Principles and Practice, which has been published internationally. 

In partnership with Nassau B.O.C.E.S., Malekoff developed the Guidance Center’s Intensive Support Program (ISP), a school-based mental health program serving children from ages 5 to 21 years of age from all 56 Nassau districts. The program, now in its 25th year, provides students who are experiencing serious emotional problems an alternative to institutional or more restrictive settings. 

During his tenure as Executive Director/CEO, Malekoff spearheaded the Guidance Center’s efforts in childhood mental health research in partnership with major research institutions including the New York State Psychiatric Institute at Columbia University, NYU Child Study Center and Northwell Health.

“Under Andy’s tenure, the Guidance Center has been there for families on Long Island during many crises, including the 9/11 attacks, Hurricane Sandy and the pandemic,” said Paul Vitale, Board President. “His leadership has been steady, strong and innovative.”

Nancy Lane, former Board President who has worked with Malekoff for three decades, said, “Over his many years at the Guidance Center, Andy has provided compassionate, expert care to children and 

families experiencing issues such as depression, anxiety, bullying and other serious challenges. His advocacy work and dedication to ending the stigma and discrimination surrounding mental illness is 

unmatched. While I have no doubts that the agency will continue to thrive, Andy will be sorely missed.”

The Guidance Center is working with the recruitment firm The Strategy Group to fill Malekoff’s role. The organization is in search of a leader who can guide the Guidance Center to its next level of development. The ideal candidate will be someone who can build and maintain strong relationships with funders and other community leaders and who has excellent management experience. The candidate should have expertise in mental health and substance use treatment and supervision. Interested candidates can learn more about the position by visiting: www.thestrategygroupllc.org/gcleadershipsearch/.

About Us:

As the preeminent not-for-profit children’s mental health agency on Long Island, North Shore Child & Family Guidance Center is dedicated to restoring and strengthening the emotional well-being of children (from birth – age 24) and their families. Our highly trained staff of psychiatrists, psychologists, social workers, vocational rehabilitation counselors and other mental health professionals lead the way in diagnosis, treatment, prevention, training, parent education, research and advocacy. The Guidance Center helps children and families address issues such as depression and anxiety; developmental delays; bullying; teen pregnancy; sexual abuse; teen drug and alcohol abuse; and family crises stemming from illness, death, trauma and divorce. For more than 65 years, the Guidance Center has been a place of hope and healing, providing innovative and compassionate treatment to all who enter our doors, regardless of their ability to pay. For more information about the Guidance Center, visit www.northshorechildguidance.org or call (516) 626-1971.

Guidance Center CEO Retiring, LIBN, February 24, 2021

Guidance Center CEO Retiring, LIBN, February 24, 2021

Andrew Malekoff, the long-time CEO of North Shore Child & Family Guidance Center, headquartered in Roslyn Heights has announced his retirement.  A search is underway for the center’s next leader.

Malekoff joined the center as an intern in 1977, and served as its executive director and CEO for 15 years. He will retire from the organization in July.

He led the center’s substance use treatment and prevention program, which earned the agency an Outpatient Chemical Dependency for Youth License to treat adolescents.

A long-time advocate for parity, Malekoff testified in Albany calling for timely and affordable access to mental health and substance use care. His dedication led to a partnership with Long Island University on a research study called Project Access, which revealed massive inequities and roadblocks inherent in accessing mental health care. The study serves as a tool in advocating for essential systemic change.

An expert in group therapy, Malekoff wrote “ Group Work with Adolescents: Principles and Practice,” which has been published internationally.

In partnership with Nassau B.O.C.E.S., Malekoff developed the Guidance Center’s Intensive Support Program (ISP), a school-based mental health program serving children from ages 5 to 21 years of age from all 56 Nassau districts. The program, now in its 25th year, provides students who are experiencing serious emotional problems an alternative to institutional or more restrictive settings.

In leading the organization, Malekoff spearheaded center’s efforts in childhood mental health research in partnership with major research institutions including the New York State Psychiatric Institute at Columbia University, NYU Child Study Center and Northwell Health.

“Under Andy’s tenure, the Guidance Center has been there for families on Long Island during many crises, including the 9/11 attacks, Hurricane Sandy and the pandemic,” Paul Vitale, Board President, said in a statement. “His leadership has been steady, strong and innovative.”

“Over his many years at the Guidance Center, Andy has provided compassionate, expert care to children and families experiencing issues such as depression, anxiety, bullying and other serious challenges,”  Nancy Lane, the former board president who worked with Malekoff for three decades, said in a statement.

“His advocacy work and dedication to ending the stigma and discrimination surrounding mental illness is unmatched,” she added. “While I have no doubts that the agency will continue to thrive, Andy will be sorely missed.”

The Guidance Center is working with the recruitment firm The Strategy Group to fill Malekoff’s role. The organization is in search of a leader who can guide the Guidance Center to its next level of development. The ideal candidate will be someone who can build and maintain strong relationships with funders and other community leaders and who has excellent management experience. The candidate should have expertise in mental health and substance use treatment and supervision. 

Interested candidates can learn more about the here.