ADMINISTRATIVE REPORT


                                                       Date:  July 11, 1995


     TO:       Vancouver City Council

     FROM:     Director of the Gathering Place, Social Planning
               Community Services Group


     SUBJECT:  Funding for Health/Hygiene Service, Gathering Place




     RECOMMENDATION

          A.   THAT  Council  approve  the  receipt of  $77,500  in  annual
               ongoing  funding from  the  Ministry of  Social Services  to
               Provide Health/Hygiene Service at the Gathering Place.

          B.   THAT Council  authorize the Director of  the Gathering Place
               to use  this funding to  start up Health/Hygiene  Service at
               the Gathering Place at no cost to the City.

          C.   THAT Council request the Director  of the Gathering Place to
               report    back   on   the    success/difficulties   of   the
               Health/Hygiene Department in a  full report on the Gathering
               Place due in early 1996.


     GENERAL MANAGER'S COMMENTS

          The General Manager of  Community Services RECOMMENDS approval of
          A, B and C.


     COUNCIL POLICY

     Council,   on   February  3,   1994,  approved   a  motion   that  any
     recommendations for increased staff or enhanced programs be  offset by
     corresponding spending  reductions  or by  increases  in  non-taxation
     revenues, subject to Council discretions.






     PURPOSE

     The purpose of  this report is to provide Council with new information
     about the Downtown  South Gathering Place, to  seek Council s approval
     to  receive $77,500  from  the Ministry  of  Social Services,  and  to
     allocate  these  funds  to   provide  Health/Hygiene  Service  at  the
     Gathering Place.


     PERSONNEL IMPLICATIONS

     The Director  of the Gathering Place will  not be creating any regular
     full-time positions at this  time.  A pool of  auxiliary hours (health
     attendant positions subject  to job evaluation by the  General Manager
     of Human Resource Services) will be operating this service during this
     initial start-up and experimental period.


     FINANCIAL IMPLICATIONS

     This proposal will be fully funded by the Ministry of Social Services.
     The Ministry has  committed to $77,500 on an annual  basis.  This will
     be sufficient  to purchase start up equipment  for the program and for
     the staffing to provide the service  for two or three days a week.   A
     fee  of 3% of personnel  cost is usually  associated with provincially
     funded Health programs.   The administration fee should be  waived for
     this start  up year due to  the experimental nature of  the program at
     this time.


     BACKGROUND

     In an April 30, 1993 report to Council, the Director  of the Gathering
     Place  reported that  the residents  of Downtown  South had  asked for
     their new community centre to offer the following services:

          1.   Recreational and  social space (weight room, gym, games
               room, auditorium, TV lounge, arts & crafts space).

          2.   Low cost  healthy dining  (kitchen and coffee  shop and
               serving area).

          3.   A learning  centre (classrooms, common  space, computer
               classroom).





          4.   "Health"  services  as per  the  Evelyne  Saller Centre
               (including  laundromat,  showers,  delous-ing,  luggage
               storage, therapeutic tubs).

          5.   Library/reading room.


     With the  acceptance of  a June  22,  1994 report,  Council agreed  to
     provide operating costs for 55 to 60 hours per  week of service at the
     Gathering  Place.   This  report covered  the  budgetary needs  of the
     services listed above except for:

          -    a learning centre (to be funded by the
               Vancouver School Board;

          -    therapeutic baths (to be funded by the
               Vancouver Foundation); and

          -    the Health/Hygiene Department (to be operated only upon
               receipt  of  funds  from the  Province,  Ministries  of
               Social Services and Health).


     DISCUSSION

     At the Evelyne Saller  Centre, the Health/Hygiene Services  are funded
     100% by the  Ministry of Social Services.  Therefore,  the Director of
     the Gathering Place, back  in 1993, approached the Ministry  of Social

     Services  Area Manager, Mr. Gerry  Mignault, in regard  to funding the
     same services  at the Gathering Place.   Though aware of  the need and
     supportive  of the proposed  services, Mr. Mignault  insisted that the
     Ministry of Health share 50% of the annual costs.  And so began a long
     (2 year)  negotiation process, complicated by  the decentralization of
     Provincial Health services.  When the Gathering Place opened its doors
     to the  community in late March, the  Health/Hygiene Services remained
     closed, awaiting funding.

     Following the May 19, 1995, City  Caucus meeting held at the Gathering
     Place, the Mayor  instructed the  Director of the  Gathering Place  to
     write  directly  to the  Minister of  Social  Services.   Her response
     (Appendix A)  was received at  the Gathering Place  on July 10,  1995.
     Though unable to fund the entire Health/Hygiene Services, the Ministry
     of Social Services has committed to $77,500 on an annual basis.







     The amount of  $77,500 is not  enough to provide a  fully operational,
     fully staffed, open  daily Health/Hygiene  Services.  But  it is  more
     than enough to  lease equipment, purchase supplies, and fund a pool of
     health attendant auxiliary hours.

     At  the  Saller  Centre, an  early  attempt  to  operate a  self-serve
     laundromat  failed because of abusive  wear and tear  on the machinery
     due  to  difficult, distressed  clientele.    The  Gathering Place  is
     cautiously  optimistic  that,  under  close  supervision,  many  needy
     community members can learn to operate the equipment with no more than
     heavy use wear and tear.  However, there are still many other  elderly
     and ill neighbour-hood  residents who  will require the  kind of  full
     staff  service provided by the  Saller Centre.   In addition, there is
     the  consideration  of the  role of  volunteers  who elsewhere  in the
     Gathering  Place  (kitchen, reading  room, etc.)  make so  many things
     possible. Some  experimentation  in  hours  and types  of  service  is
     required.

     Mr.  Mignault of  Social Services  is fully  supportive of  efforts to
     experiment with the funding, to  discover what the community  actually
     requires and what can actually be provided with available dollars.  He
     is determined, as is the Director of the Gathering Place, that efforts
     must continue to have the Ministry of Health take on its fair share of
     providing this important service to this  disadvantaged community.  He
     is open to purchase or leasing of washers and dryers, and welcomes the
     opportunity  to offer  the  Community Volunteer  Program incentive  to
     social  assistance recipients who volunteer  10 hours per  month at an
     approved site.


     CONCLUSION

     The Health/Hygiene Services  of the  Gathering Place  was amongst  the
     priority  requirements  identified by  Social  Planning  in its  needs
     assessment of Downtown South.

     The fully staffed, fully operational  Health Department at the Evelyne
     Saller Centre, has  a 1995  budget of  $192,000, all  provided by  the
     Ministry of Social Services.

     The  Ministry of  Social Services  has committed  $77,500 towards  the
     running of  similar  Health/Hygiene Services at the  Gather-ing Place.
     This is not  enough to  provide laundry and  delousing services  every
     day, but  it is enough to  operate the Health Department  two or three

     days per week.





     Because the clientele of Downtown South is different from that of  the
     Downtown Eastside, laundry and hygiene requirements may turn out to be
     quite dissimilar at the  Gathering Place.  The  need for staffing  may
     turn out to be more supervisory, less  hands on.  However, there is no
     doubt that the Health/Hygiene  Department in some form is  required at
     the Gathering Place - each day there are a dozen inquiries from street
     kids, the homeless, and people living in  SRO hotels.

     With the grant from  Social Services, the Gathering Place  can provide
     some services and experiment with hours of operation, staffing, use of
     volunteers,  etc.     This  is  a  beginning  for  the  Health/Hygiene
     Department.

     Negotiations will continue with the Ministry of Health  for additional
     funding to allow the hygiene services to be operated  up to six days a
     week.

     Upon his  return from  vacation in  one  month, Mr.  Mignault and  the
     Director of  the Gathering  Place will  work out  the  details of  the
     contract.  At this point, Mr. Mignault has given verbal assurance that
     the funding is annual (as  per the Evelyne Saller Centre) and  that he
     poses  no restrictions re lease or  purchase of washers and dryers, or
     in staffing and scheduling arrange-ments.



                                *   *   *   *   *