“I have worked as a caregiver, a CNA or home health aide since age 18,” says Troi, who grew up in Issaquah, Washington, and moved to Seattle in her early 20s. “I’ve specialized in hospice and developmental disabilities.” When her brother committed suicide early in 2004, Troi, who goes only by the one name, took a year off from work to intern at the Lost Valley Educational Center near Dexter, Oregon. “I was an entrenched urbanite, transplanted to a rustic rural environment,” she says. “It was lifesaving. I realized how much tension I was carrying, living in the city.