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. * * * * * 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. * * * * *