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We Got You

Posted Friday, October 30, 2026

Marissa and client
Cleveland and Marissa

Support Can Change Everything

For Cleveland, navigating homelessness, health challenges, and a maze of services became a little easier when two community health workers refused to let him navigate it alone.

Cleveland’s face changed when he saw Marissa. His smile widened. His posture changed. He opened the door to his new apartment at St. Joseph’s, revealing a space that was sparsely furnished. A TV sat on the floor, mismatched end tables flanked a loveseat, and a camping chair stood in for an armchair.

Cleveland had only recently exited homelessness. 

After a year on multiple waitlists—HANDS, Section 8, and Erie Housing Authority—he had finally secured stable housing at St. Joseph’s. It was a stark difference from where he’d been staying. At a local shelter, he described sleeping “with one eye open” most nights.

It was during this time living in the shelter that he ventured into the UPMC Health Plan Neighborhood Center on East Avenue one day in January. There, he met Chase Rowland and Marissa Dewey-Ramos, BUILD CDC community health workers. With their assistance, Cleveland acquired a new Social Security card, switched his health insurance to a Pennsylvania plan, applied for the Supplemental Nutrition Assistance Program, arranged doctor’s appointments at Wayne Primary Care, and got new prescription eyeglasses.

“Marissa had my back,” Cleveland said. “If you’re willing to help yourself, she’s there. Her and Chase.”

Cleveland explained how they would call to check in on him even on the weekends. 

They’d ask how he was doing and if he’d made it to church that day. And they showed up for him—again and again—when they said they would. 


“There were times I was stressed out. Wanted to run the other way. But they told me, ‘We got you.’ That made me feel like I mattered, like I was important."

— Cleveland


For Marissa and Chase, Cleveland’s epilepsy was one of the most pressing concerns. 

They’d been working with him for several months when, this spring, that concern became frighteningly tangible.

Cleveland awoke at a local shelter in the throes of a seizure. A bad one. His feet kicked uncontrollably, slamming into the bunk above him. The metal bed frame sliced them open. Sarah Prylinski, BUILD CDC’s Street Outreach nurse, was there the next morning, tending to his wounds.

“Epilepsy changed my whole life,” Cleveland said. “I always had a job. I always worked. I always stayed busy.” But since his diagnosis six years ago, life has looked much different. “I was lost until these people came into my life,” he said, gesturing to the BUILD team.

Plant

Cleveland’s apartment is still a work in progress. 

Large windows bathe the living room in natural light, making it feel homier, brighter. Small houseplants perch in red solo cups along the windowsills, drinking up the sunlight in their makeshift planters.

When I asked Cleveland what he had learned through his struggles, he responded, “When life gets hard, don’t be a quitter.”


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