REPORT TO COUNCIL SPECIAL ADVISORY COMMITTEE ON CULTURAL COMMUNITIES Date: July 4, 1995. RECOMMENDATION 1. Additional Community of Interest Health Advisory Committee for the Gay and Lesbian Community In November, 1991, the Royal Commission on Health Care and Costs released its recommendations, the primary one being the regionalization of health care. The Ministry of Health strategy provides for twenty health regions in the Province, each with its own Regional Health Board. The Royal Commission identified seven population groups that are having difficulty accessing effective health services: aboriginal people, women, children/youth, people with mental illness, people with disabilities, the elderly and ethnic minorities. The Special Advisory Committee on Cultural Communities discussed community of interest advisory health committees (population groups) at its meetings on May 3 and June 7, 1995. On May 3, the Committee received a presentation from Ms. Simin Tabrizi, Co-ordinator, Population Health Advisory Committees, Vancouver Health Board, regarding health advisory committees. The question was raised as to why gays and lesbians were not included as an advisory health committee. Ms. Tabrizi indicated direction was taken from the Royal Commission Report that identified the seven groups outlined above. Public discussion will be held June/July, after which time other advisory committees may be considered. On June 7, 1995, Rev. Tim Stevenson, a member of the Committee, advised he had met with individuals/organizations who identified the health issues of the lesbian, gay, bisexual and transgendered communities and the recognized need for an additional health care committee. There is substantial literature that emphasizes the importance of these people as an identifiable community. The Special Advisory Committee on Cultural Communities recognized the need of these communities to be included as an advisory health committee and authorized Rev. Stevenson to meet with the Chair to prepare a report to Council on behalf of the Committee. Rev. Stevenson and I met several times to discuss the issue, and to review available literature including the June, 1995, December 9 Coalition report entitled "Heterosexism is Bad for Our Health..A critical commentary on the health concerns of the lesbian, gay, bisexual and transgendered communities" (on file in the City Clerk's Office). The above report represents a tremendous community effort to identify the health issues of these communities and to recognize them as a community of interest health advisory committee. It contains statistics that show barriers to adequate health care have resulted in a lower health status for lesbians, gays, bisexuals and transgendered people. The report recommends these communities be recognized as a community of interest health advisory committee by the Vancouver Regional Health Board. The advisory committee will advocate and be accountable to its communities. As public discussions are being held with respect to the representation on various advisory health committees, it is imperative - 2 - the request for an additional community of interest health advisory committee be forwarded to the Ministry of Health as soon as possible. On behalf of the Special Advisory Committee on Cultural Communities, I hereby RECOMMEND THAT Vancouver City Council urge the Ministry of Health to add a Community of Interest Health Advisory Committee for lesbians, gays, bisexuals and transgendered people to the Vancouver Regional Health Board. "Eleanor Atienza" _______________________________ Eleanor Atienza, Chair Special Advisory Committee on Cultural Communities. COMMENTS FROM CITY MANAGER Noting that Vancouver City Council has declined to accept appointments to the Regional Health Board, Council may not wish to advise the Board on how it structures its representation from many communities of interest. The City Manager puts forward an alternate recommendation: THAT Vancouver City Council submit the concerns of the Special Advisory Committee on Cultural Communities, by way of this report, for consideration by the Ministry of Health.