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Those impacted by foster care argue for an alternative approach that’s already working
The Foster Care system is not broken.
That’s the provocative claim in the opening pages of the groundbreaking work, “Life Changing Choices: The 7 Essential Choices at the Heart of Transformational Change for Foster Youth and Your Community“ by staff members of Just in Time for Foster Youth.
Five of the seven co-authors have lived experience/expertise in the foster care system and deliver a thought-provoking critique of the outdated child welfare system in the United States. The book challenges efforts to change the current system through reforms and initiatives that fail to address the underlying mental model established over a century and a half ago, which has left countless young people adrift in a system focused on placements and short-term problem solving rather than a sense of belonging and empowerment for the long-term.
Or as the book puts it “Without clarity of intention, we might be unable to course correct and change our work because we don’t see outside the system we’re steeped in or have the vision to recognize that different ways of thinking, not just new ways of working, are necessary to achieve different outcomes.”
Life Changing Choices not only questions the traditional narrative that sees broken children emerging from broken homes in need of fixing but also presents a tangible alternative based on demonstrated and measurable impact. Using firsthand accounts of how their lives were adversely affected by systemic assumptions and attitudes that too often led to displacement and disempowerment, and drawing on the remarkable 20-year legacy of the Just in Time for Foster Youth community, the authors introduce a paradigm shift through seven essential choices that promise empowerment, connection, and community.
The pivotal Choices outlined in the book include:
Unlike conventional guides, Life Changing Choices doesn’t simply instruct “how-to” do things differently. It also engages readers in a compelling narrative that explores the “why-do” behind critical decisions. The book navigates the complexities of reversing the alarming societal outcomes of homelessness, hopelessness, and disconnection, linking readers to powerful stories that create personal perspectives with universal application. In the process, it suggests a bridge closes the gap between resigned despair and empowered hope.
At its heart, the book is a rallying cry for individuals and communities to reevaluate their stance on foster care. It challenges prevailing norms and beckons readers to consider an actionable alternative approach to serve any marginalized community.

Rooted in tangible success stories, Life Changing Choices is an essential read for anyone invested in effecting enduring changing in the lives of foster youth and fostering a positive transformation within our communities.
About Just in Time for Foster Youth:
Just in Time engages a caring community to help transition age foster youth achieve self-sufficiency and well-being. They envision a future in which every youth leaving the foster care system has a community of supportive adults waiting for them after 18. They believe consistent, long-term help from the heart is the foundation for the success of youth so they can thrive and enjoy productive, satisfying lives. By mobilizing the San Diego community as an extended family for youth, they provide access to an empowering ecosystem of resources in the areas of: meaningful employment, essential education, financial literacy, safe, stable housing, transportation equity, positive social environments, and mental wellness.

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The San Diego home remodeling company works on full homes, kitchens, bathrooms, home additions, ADUs, garages, landscapes, and hardscapes.
Most homeowners want two things before they commit to a remodel: a realistic sense of cost and a clear picture of what the finished space will look like. Milan Design + Build helps deliver both through its online remodeling estimator and personalized design consultations, supported by a showroom experience and 3D renderings.
“The online estimate gives homeowners a starting number in about a minute, and the showroom and 3D renderings let them see materials and layouts before anything is built,” says David Noriani, CEO of Milan Design + Build. “Keeping design, permits, and construction with one team helps us manage expectations and keep everyone working toward the same vision.”

Modern design is a particular focus for Milan, with an emphasis on clean lines, natural light, functional layouts, and carefully selected materials. The team adapts each design to the homeowner’s lifestyle and the character of the property. Milan Design + Build combines thoughtful design with construction expertise, creating spaces that are as functional as they are beautiful.
The online estimator covers kitchen remodels, bathroom renovations, full-home remodels, and ADU construction. At Milan’s showroom on Carroll Road, visitors can review real materials, finishes, and design options, meet the design-build team, and discuss project scope, budget, and timing. Consultations can also be held virtually for homeowners who prefer to start remotely.
At Milan Design + Build, one integrated team works on the entire project. Design and construction aren’t divided between separate firms. The process begins with a consultation and feasibility review, followed by design, space planning, and 3D renderings developed from detailed measurements and digital scans. The team also coordinates architectural plans, structural engineering, city approvals, and material selection, with construction overseen by a dedicated project manager.
Homeowners can explore their remodeling options, get an initial estimate, or request a design consultation at MilanBuild.com.

Clinical trials and physician-initiated studies bring new, innovative treatments to patients sooner
At any given time, there are roughly 200 research investigations and clinical trials being conducted at Scripps Health in as many as 25 medical specialties. Research and patient care go hand-in-hand at Scripps. Those studies can be categorized as clinical trials of a medication or device that are conducted by Scripps physicians and studies designed by Scripps’ physicians and clinicians. Click here to learn about three exciting studies underway at Scripps and the benefits to patients.
For more nutrition, wellness, and healthy living tips, sign up for the San Diego Health newsletter here.
New MyScripps mobile app features give patients more options to connect with their provider
Scripps has recently unveiled new features in the MyScripps patient portal and mobile app to help patients connect with their primary care team and simplify the payment process. Among the recent updates is the addition of primary care E-visits for minor conditions. Patients who have an established primary care physician can schedule an E-visit, complete an online questionnaire and, if needed, send a photo. Their doctor can then advise and prescribe medication, when appropriate. Autopay is also now available through MyScripps. Patients can enable or disable autopay, allowing them to more easily manage payments. Learn more about MyScripps and how it helps patients stay connected here.
For more nutrition, wellness, and healthy living tips, sign up for the San Diego Health newsletter here.
A cancer diagnosis forced a Carlsbad woman to prioritize her health. Now she’s using her story to inspire others.
Farrah Adams had a persistent dull ache in her lower back that her massage therapist suggested might be caused by the way she sat or drove. That explanation seemed reasonable, but when coupled with heavy, painful periods led the then 46-year-old to seek answers. When she looks back on it now, she’s beyond grateful she trusted her gut. She made an appointment with a Scripps OB-GYN, who determined she had Stage 3 cervical cancer that had spread to several lymph nodes. Farrah was overwhelmed, but immediately found a “champion” in Scripps Clinic gynecologic oncologist Jo Marie Tran Janco, MD. After undergoing successful treatment at Scripps Cancer Center, Farrah is now using her story to inspire other women to make time for care. Read more of her story here.
For more nutrition, wellness, and healthy living tips, sign up for the San Diego Health newsletter here.
This year’s theme, 'Impact Through Philanthropy,’ spotlights the impact of individuals, businesses and community organizations throughout San Diego County.
On Friday, November 13, 2026, more than 1,000 community, business, nonprofit and philanthropic leaders will gather at the Manchester Grand Hyatt for AFP San Diego’s 54th Annual National Philanthropy Day, presented by PNC Bank.
“Impact through Philanthropy isn’t just a theme; it’s what we see every day in San Diego’s diverse communities,” said Ingrid de Llamas, CFRE, IAP, AFP San Diego chapter president. “The honorees show what’s possible when intention meets generosity, leadership and dedication come together. We’re honored to celebrate the honorees alongside our presenting sponsor, PNC Bank.”
“Philanthropy is one of San Diego’s great strengths—not just because of this community’s generosity, but because of what happens when people unite around the belief that our region can be better,” said Mark Stuart, President & CEO of the San Diego Foundation and Honorary Committee Chair for National Philanthropy Day. “National Philanthropy Day lets us recognize the donors, volunteers, fundraisers, and organizations who turn that belief into action, strengthening lives throughout our community. Celebrating them reminds us all of the extraordinary power we have when we work together.”
Eleven honorees, including eight individuals and three organizations, were selected from scores of nominees submitted from throughout San Diego County. Honorees were selected through a rigorous vetting process by AFP San Diego’s Honorary Committee.
2026 National Philanthropy Day Honorees:
Beyond recognizing local philanthropic leadership, National Philanthropy Day supports the Empower Fund, powered by U.S. Bank, which provides scholarships, educational opportunities and professional development for nonprofit leaders.
In its inaugural year, AFP San Diego raised $28,000 for the Empower Fund through National Philanthropy Day, with a goal of $50,000 in 2026. Contributions directly support educational initiatives for nonprofit professionals throughout the region. Donations are accepted year-round.
AFP San Diego’s National Philanthropy Day is made possible through the generous support of Presenting Sponsor PNC Bank, Empower Sponsor U.S. Bank, Focus Sponsor Sanford Institute of Philanthropy at NU and dozens of partners. View the full list of 2026 sponsors.
Friday, Nov. 13, 2026 | 11 a.m.–1:30 p.m.
Manchester Grand Hyatt, 1 Market Place, San Diego, CA 92101
Tickets and partnership opportunities are available at AFPSD.org – NPD 2026! For more information, contact Fiona King at 619-538-6605 or [email protected].
The Association of Fundraising Professionals (AFP) San Diego Chapter has supported fundraising professionals and nonprofit leaders throughout San Diego County since 1974. Through professional education, mentorship, networking and leadership opportunities, AFP San Diego connects people at every stage of their careers while advancing ethical and effective fundraising practices. With more than 350 local members and connections to a global network of fundraising professionals, AFP San Diego invests in the people behind philanthropy to strengthen nonprofits and the communities they serve. Learn more at AFPSD.org & follow AFPSD on LinkedIn
Oral oncolytics provide certain patients with effective treatment without IV medication
In the last several years, there’s been a surge in FDA approvals for what’s known as oral oncolytics. Oral oncolytics are targeted cancer therapies that come in tablet, capsule or liquid form that patients can take at home, rather than in an infusion clinic. Scripps physicians have seen exponential growth using this approach, with patients citing convenience as a major quality-of-life enhancement in their cancer treatment. This approach also allows treatments to be customized based on specific genetic mutations and a patient’s unique disease biology. Find out more about oral oncolytics here.
For more nutrition, wellness, and healthy living tips, sign up for the San Diego Health newsletter here.