SUPPORTS ITEM NO. 1  
                                                      CS&B COMMITTEE AGENDA
                                                      JUNE 13, 1996        


                              ADMINISTRATIVE REPORT


                                                        Date:  May 21, 1996


     TO:       Standing Committee on City Services and Budgets

     FROM:     Director of Community Services, Social Planning

     SUBJECT:  Grant Request:  Vietnamese Family Worker



     RECOMMENDATION

          THAT Council approve a grant of $29,100 (part-year funding) to
          MOSAIC for a Vietnamese family support worker position, to be
          developed in conjunction with Strathcona Community Centre;
          sources of funds to be $20,000 from funds reserved from the 1995
          Community Services Grant budget and $9,100 from the 1996
          Community Services Grant budget.


     GENERAL MANAGER'S COMMENTS

          The General Manager of Community Services submits the foregoing
          for CONSIDERATION.


     COUNCIL POLICY

     Approval of grant recommendations requires eight affirmative votes.


     PURPOSE

     This report recommends approval of a grant to strengthen support
     services for Vietnamese families.  The program will be managed by
     MOSAIC and Strathcona Community Centre and will focus initially in the
     Strathcona area (Appendix A: applicants' proposal).

     A summary of staff findings regarding the availability of family
     support and counselling services for people who need services in
     languages other than English, is provided in Appendix B.  This summary
     provides a context for the proposed Vietnamese family support
     position.




     BACKGROUND

     Council approved reserves in both the 1995 and 1996 Community Services
     Grants budgets, for family support services for Vancouver residents
     who require assistance in languages other than English ($20,000 in
     1995 and $30,000 in 1996).  Over the past 6-7 months, staff have
     reviewed the availability of family support/counselling services,
     identified service gaps, and developed strategies to begin to address
     some of what we see to be the most critical areas.  In our preliminary
     discussions with other funders, several have expressed interest in
     participating in some of the proposed strategies.

     The review showed very limited and spotty availability of family
     supports for people with no or limited English.  There are some
     support groups available at the community level, and various forms of
     one-to-one "counselling", ranging from fairly informal to professional
     family therapy.  Their availability to those who need them, varies
     widely.  Different cultural communities also have quite different
     needs.

     To address some of what we see as the key immediate needs, and to
     begin to develop a coherent service network, we are recommending 3
     strategies:

        - to support partnership projects between agencies which have
          cultural expertise and connections, and professional counselling
          resources, with the goal of broadening the availability of
          professional counselling;

        - to augment and co-ordinate community-based outreach and support
          services for selected high-need communities; and

        - to provide early family support to smaller, newer groups, with
          the goal of preventing more severe family problems and helping
          these groups connect with other community resources.

     As opportunities have presented, we have recommended actions on two of
     these strategies: a small Cross-Cultural Expertise grant to SUCCESS
     and Family Services, to work on the professional counselling issue
     (approved February, 1996); and a grant to Immigrant Services Society
     to provide family support services to people from former Yugoslavia
     (approved April 2, 1996).

     The third strategy, involving community-based support services for
     selected high-need communities, has taken some time to develop.  It
     was clear early on in the review that the Vietnamese community is a
     high priority for service development and coordination.  We took some
     additional time to meet with agencies and people who are working with
     this community, to determine needs in the family support area.  The
     recommendation for a new Vietnamese family outreach worker is the main
     subject of this report.


     DISCUSSION

     Some communities such as South Asian, Latin- and Central-American, and
     Vietnamese, have had significant numbers of arrivals in the past 10-15
     years.  They are past the "settlement" stage but do not necessarily
     have access to the various social services which other Vancouver
     residents can use.  While the longer term goal is that most people
     become able to access services in English, the shorter term reality is
     that some key supports -- outreach to youth, family support services,
     and seniors' services -- need to be in languages other than English in
     order to be effective.

     Some work has gone on in service development and coordination for
     Spanish-speakers, and an initiative is currently underway to re-orient
     and co-ordinate services for the South Asian communities.  Some
     services have also been developed for Vietnamese-speaking people but
     the intensity of family problems indicates a need for more support and
     a more stable, co-ordinated approach.

     Two needs assessment reports co-ordinated by MOSAIC have identified a
     variety of needs in the Vietnamese community. Some, such as
     alcohol/drug counselling, are not within the City's mandate.  However,
     many of the issues identified related to families and children, and to
     issues affecting youth.

     At present, the key resources for Vietnamese families are two Family
     Advancement workers (1-1 counselling for families with children); and
     3-4 support groups for women.  There is no affordable professional
     family therapy and this does not seem to be a current priority.  There
     is also one youth outreach worker who focuses on older males (15 to 20
     years).

     The priorities we identified are:

        - More family support, which would have an outreach capability and
          use both 1-1 support and group work.  At least two areas of the
          city -- Strathcona and Mount Pleasant -- need more family
          services.  Most of the support groups are focused on women with
          younger children.  Additional groups focusing on the family
          issues with older children, and some predictably-available
          parenting groups are also needed.

        - Better outreach to younger youth (9 - 13 years).

        - Outreach to young women.

        - More networking among the various services and a clearer vision
          of direction.





     The proposed family outreach worker, to be sponsored by MOSAIC in
     cooperation with Strathcona Community Centre, will strengthen family
     support services in one of the high-need areas, providing both
     one-to-one support and group work.  This worker will link with other
     family support programs at Strathcona, and with the Vietnamese support
     groups MOSAIC runs in the Britannia area.  On a yearly basis, the
     program budget will be $50,340 (1996 dollars) and the City grant
     request $38,920.  A pro-rated grant of $29,100 is recommended for the
     first year.  $20,000 will be provided from funds reserved from the
     1995 Community Services Grant budget and the remaining $9,100 from the
     1996 Community Services Grant budget (reserve for support to
     multicultural families).

     As a result of discussions with other funders, BC Settlement has
     funded a part-time youth outreach worker for young women, for 1996. 
     Immigrant Services Society will supervise this new position, which
     will be co-ordinated with the existing City-funded male youth worker. 
     In this year's grant process, the City's ongoing grant to MOSAIC was
     re-oriented to provide community development support to 3 communities,
     including the Vietnamese community.  Several funders have expressed
     interest in the longer-term support to community development and
     service coordination work.


     CONCLUSION

     The recommended grant for a new Vietnamese family support worker is
     part of a larger strategy, involving other funders, to respond to some
     key needs for family support services in languages other than English.



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                                                                 APPENDIX B




     FAMILY COUNSELLING AND SUPPORT IN LANGUAGES OTHER THAN ENGLISH



     Background

     In the 1995 Community Services Grants process, the City received two
     new requests to fund family counselling/support services to immigrant
     families.  This was seen as an important area because support and
     intervention can help to reduce serious family problems.  In addition,
     because this is a type of service which needs to be provided in the
     language of the clients, current resources are very limited.  Council
     reserved a modest allocation for this service area, to allow time for
     a staff assessment of the degree and types of need in various
     communities.  This is a complex area and the City is only one of the
     possible funders for this work.  The intention of the review was to
     begin to develop a strategy through which all involved funders,
     agencies and community groups could address some of the gaps and
     inadequacies in service provision and coordination.

     Social Planning staff have met over the past months with
     representatives from a variety of organizations: Family Services of
     Greater Vancouver, SUCCESS, Immigrant Services Society, North Shore
     Counselling, Greater Vancouver Mental Health Services, Vancouver
     School Board, MOSAIC, and Surrey Delta Immigrant Services, as well as
     several individuals working with different communities.  We have also
     had some initial discussions with most of the funders in this service
     area.

     The discussion of needs was informative and quite consistent regarding
     a general lack of services for immigrant families, and the
     identification of several high-need communities.  One of the central
     service delivery questions which many groups are struggling with --
     and about which there are various opinions -- is how to make services
     truly accessible to people who need support in languages other than
     English.

     The following is the Social Planning staff summary and recommended
     strategies, based on what we heard.


     Social Planning Summary and Recommended Strategies

     Current resources:

     People who need family support services and who speak English have a
     fairly broad choice of options ranging from professional family
     counselling, through school-related programs, to a wide assortment of
     support and self-help groups. 




                                                             Appendix B - 2



     For people who need support in languages other than  English, there is
     nothing resembling a service network and it is almost a matter of
     chance whether any sort of support is available and accessible.  This
     is not to say that there are no resources, but rather that services
     are very limited and spotty, both in the languages served and in
     geographic availability.

     There are currently three key avenues of support for Vancouver
     families who are experiencing problems and who need services in
     languages other than English.  Social Planning staff see these
     services as the potential core of a more coherent service network,
     although at present, none of the three services is adequately or
     broadly available.  They are:

          - professional family counselling
          - support via Family Advancement workers
          - ongoing support groups.


     People also get assistance through home-school workers,
     sporadically-available parenting groups, and on an ad hoc basis from a
     variety of programs which are intended for other purposes, e.g., ESL
     classes, training programs, and settlement workers.  Settlement
     workers, for instance, are not mandated to work in this area, but may
     be called on by clients because there are no other resources available
     in a certain language. A Ministry of Social Services community
     development worker provides links and support to some of the smaller
     cultural communities.  There is also some specialized counselling
     available in some languages other then English, e.g., family violence
     counselling.

     However, the overall picture is that people who need support in
     languages other than English are not as well served as people who can
     receive support in English.  There are definite gaps and inadequacies,
     and barriers to access.  In some cultural communities, there are
     serious and extensive problems and the need for additional family
     support services is high.

     The general picture for the 3 types of service which we see as key
     family supports is as follows:

     For affordable professional counselling, the main agencies are Family
     Services of Greater Vancouver, SUCCESS and North Shore Family
     Counselling.  Jewish Family Services also has profes-sional
     counsellors.  Collectively, they have approximately 17.5 FTE (full
     time equivalent) counsellors working in Vancouver.  (The number is
     approximate because some agencies have addi-tional counselling staff
     in other municipalities, who sometimes serve Vancouver residents.) 
     These agencies provide some resources in Cantonese and Mandarin (4.5
     FTE), and very limited resources in Spanish (0.2 FTE) and Hebrew. 
     There are waiting lists for all counsellors, including those working
     in English.  As far as we know, there is no affordable, professional
     counselling available in Vancouver for people speaking languages other
     than those noted above.

                                                             Appendix B - 3



     The Family Advancement workers (funded by the Ministry of Social
     Services), help to fill some of the deficiencies in other languages. 
     They provide counselling for many of the same issues that professional
     family counselling would address, but the service is limited to
     specific inner city schools and to families who have children in those     schools.  There are 16 Family Advancement workers in Vancouver, 8 of
     whom provide services in languages other than English (3 in Spanish; 1
     in Vietnamese; 2 in Punjabi; 1 in Cantonese; 1 in Khmer).  Family
     Services of Greater Vancouver has one additional Vietnamese staff who
     works with the Family Advancement group but can serve Vietnamese
     families anywhere in the city.  Family Advancement is an effective
     service, but there are many families who cannot access it because they
     live outside of the inner city or lack an attachment to the right
     school.

     The third avenue for family support is via groups run at neighbourhood
     houses and other similar locations.  These tend to be mostly women's
     groups.  It appears that for most cultural groups, the initial opening
     for discussion of family issues comes through the women.  These groups
     are a "safe" way for women to get information about and discuss
     issues, and receive support.  These groups have no stable funding.  At
     present, there are a number of Cantonese and Spanish groups, a few
     Vietnamese, and a scattering of groups in a few other languages. 
     (Resources in Punjabi are currently in transition and have not been
     tabulated.)  One key point about these groups is that some communities
     -- the Vietnamese community is a current case in point -- are much
     more likely to use these less formal supports than they are to access
     formal "professional" counselling.  So for some communities, informal
     outreach/ support is the key needed resource.

     In summary, we have a scattering of un-co-ordinated programs providing
     family support in languages other than English. Despite some progress
     on the issue, "mainstream" professional counselling is primarily a
     service in English.  The Family Advancement program offsets this lack
     to some degree, but is only available to parents who have children in
     certain schools. The informal support groups are also important
     resources but are the least financially stable.  They tend to exist
     thanks to the personal commitment and effort on the part of a few
     individuals or agencies and they depend on  shifting and fragmented
     funding sources.  There are big gaps geographically and for most
     language groups.


     How to proceed from here

     Based on everything we heard, Social Planning staff are of the view
     that no single solution will address the various gaps and needs.  We
     need a more co-ordinated approach by funders, and we need to develop
     several different strategies which take into account the following key
     factors:



                                                             Appendix B - 4



          -    Language/cultural groups vary widely in size, and this
               factor coupled with limitations in resources/ funding,
               affects how and where services can be delivered.

          -    Factors such as newness of arrival, the conditions causing
               immigration, presence or absence of the same/similar
               cultural group in Vancouver, all affect people's needs and a
               response to them.

          -    Different communities need different types of help at
               different moments of time. For instance, although
               professional counselling is a very important service, it
               appears that at this moment in time, it would be less useful
               to establish professional counselling for Vietnamese
               families than it would be to provide additional less formal
               supports.  Five years from now, this may no longer be true.
      
          -    While everyone agrees that understanding cultural factors is
               important, agencies have different degrees of experience and
               sophistication about cultural factors, and these differences
               have an effect on the accessibility of service.


     Proposed Strategies

     Social Planning staff see three areas of intervention which, added to
     existing services, and pursued over time with the support of other
     funders, would provide a more equitable support system for non-English
     speaking families.  In each case, we are suggesting one community as
     the focus for immediate work, and we have recommended a specific City
     action.  This does not imply the exclusion of other communities, or
     that the needs for family support in other communities are adequately
     met.  We have focused on those communities where the combination of
     needs and existing conditions, at this point in time, leads us to
     think that the actions suggested will be effective.


     1.   Support the development of accessible professional counselling in
          languages other than English

          The concept of professional counselling is foreign to many
          people, but it appears that at this point in time, addi-tional
          bi-lingual, bi-cultural professional counsellors would be well
          used by people speaking Cantonese/Mandarin and Spanish.  Both
          these communities have qualified professionals with strong
          cultural expertise, but neither community has strong connections
          to the so-called "main-stream" counselling agencies.  The
          Cantonese/Mandarin-speaking community is the only group which has
          developed                                                        

                                                             Appendix B - 5



          its own professional counselling services, via SUCCESS's
          well-known and heavily used family counselling division.  For
          their part, agencies such as Family Services and North Shore
          Counselling have some capacity in other languages, but as
          agencies, are not well known in non-English speaking communities.

          Social Planning staff are of the view that understanding cultural
          issues is crucial to developing accessible counselling services,
          and that the best way to overcome the various barriers within
          both the communities and the agencies, is to involve people with
          this understanding in the development and provision of services. 
          There now appears to be an opportunity for SUCCESS and Family
          Services to undertake this type of work.  Both organiza-tions are
          providing professional counselling, and they have much to share:
          SUCCESS has a depth of cultural understanding and contacts in the
          Chinese community, and Family Services has staff training
          resources and well-developed administrative and management
          procedures.  The two organizations have already done some work
          together on staff training and case conferencing.

          To support this direction, staff recommended a small
          Cross-Cultural Expertise Grant to the two groups (approved by
          Council in February 1996).  We will be watching the progress and
          results of this work with interest.  In the future, it may be
          possible to explore similar partnerships for other languages such
          as Spanish and Punjabi.


     2.   Strengthen and co-ordinate the outreach and support-group network
          for high-need communities.

          There are several cultural communities with fairly substantial
          numbers, who live in various areas of the city, and for whom some
          form of community/inter-agency network would assist in both
          community development and service development and coordination. 
          A service network is currently being developed in the South Asian
          communities,  and considerable community development and service
          planning has been done via the Latin American Co-ordinating
          Committee in the Spanish-speaking communities.

          As noted earlier, there appears to be general agreement that
          among the "mid-size" communities (Punjabi, Vietnamese and
          Spanish-speaking), the Vietnamese community is a high priority
          for additional support, and that strengthening the less formal,
          community-based outreach/support services would be the best
          approach.  Agencies and front-line Vietnamese workers have
          expressed strong concerns about the difficult and intense issues
          Vietnamese families are experiencing, and the need to strengthen
     supports for this 


                                                             Appendix B - 6


          community.  Social Planning staff have met with involved agencies
          and workers to develop a plan and job description for one new
          full-time Vietnamese family outreach worker. This proposal will
          be submitted to Council in the near future.

          We think that the needs in the Vietnamese community easily
          warrant several additional workers, as well as longer-term 
          support for the linking/co-ordination of services, and look to
          other funders for this support.

     3.   Allocate resources to assist smaller, newer groups

          For some smaller cultural groups, e.g., Kurds, Somalis, people
          from former Yugoslavia, there may be very few  resources apart
          from the settlement workers at Immigrant Services Society (ISS)
          and MOSAIC.  For some newly arrived groups, the primary need is
          settlement.  But agencies indicate that some groups very quickly
          come to a point of needing and being able to benefit from some
          form of family counselling/support.

          Like other funders, the City hesitates to fund "stand-alone"
          ethno-specific services, and prefers instead to support
          ethno-specific services which are linked to the broader network
          of community services, e.g., City-funded Vietnamese, Latin
          American and Chinese youth workers are linked to the Park Board
          youth worker system.  While we stand by this approach, it does
          pose difficulties for groups who are unable -- for whatever
          reasons -- to articulate their needs and develop partnerships
          with other agencies.

          In the case of smaller cultural groups who have family issues and
          are ready to deal with them, it appears to us that providing some
          intervention and family support at an early stage would help
          prevent much more serious, entrenched problems later on.  We see
          immigrant-settlement and integration agencies as the logical
          place to house such a resource because they have natural
          connections with new groups and the greatest diversity in
          bi-lingual, bi-cultural staff.

          The general proposal is that agencies/communities identify which
          newer/smaller group(s) are currently at this stage, and allocate
          bi-lingual staff on a time limited basis (1-3 years) to provide
          support to families and help them develop connections with other
          services.  At present, people from former Yugoslavia appear to be
          one of the groups for whom such an approach would be helpful. 
          Council has now approved a 1996 Community Services Grant to
          Immigrant Services Society to provide family support services to
          this group.  With some additional support from other funders,
          Social Planning staff think that it would be possible to augment
          and stabilize family support services at ISS to address issues in
          at least one other newer community. 

                                                             Appendix B - 7



     Summary

     In summary, the three strategies are:

       -  To fund strategic work aimed at building bridges and developing
          partnerships between the agencies which have cultural
          expertise/connections, and professional counsel-ling resources.

       -  To augment and support the co-ordination of community-based
          outreach and support services for selected high-need communities.

       -  To provide some early family support to smaller, newer groups, in
          order to prevent more severe family problems and to help these
          groups connect with other community services.



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