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. * * * * *