Immigrant & Racialized Women s Issues in Home and Community Care. Dipti Purbhoo Toronto Central CCAC February 21, 2014

Transcription

1 Immigrant & Racialized Women s Issues in Home and Community Care Dipti Purbhoo Toronto Central CCAC February 21, 2014

2 The World of the TC-CCAC 8000 hospital to home transitions clients served in their homes 8 core service programs 500 staff Multiple Work Environments 2

3 Serving a diverse community. 42% of population comprised of immigrants and visible minorities from 169 countries 51.5% do not speak English or French as first language 170 languages spoken in Toronto 12% of population are new immigrants Highest rates of low income and single parent families 20% of children live below poverty line 36% of Toronto households have low incomes 40% of homeless in Ontario live in Toronto Largest gay population in Canada TB rate is triple (3.1 times) the provincial average HIV/AIDS rate 11.3 times higher than Ontario average Highest rates of completed post-secondary education and some of the wealthiest Canadians live in Toronto 3

4 What We Do Information & Referral Services Helping callers find their way & supporting CCR website hits for information Community Independence Connecting seniors to care & supporting them to remain independent in the community Adult Supportive Care Supporting 1100 adults & their caregivers to manage their long term conditions Urban Health Supporting 1200 marginalized clients with mental health issues, or homeless to access services & be supported to live in their community Palliative Care Supporting 1600 clients to die at home with dignity Hospital Transitions Supporting patients to safely transition from hospital Child and Family Helping 5000 kids get the right support in schools; 382 children who have complex medical needs & 1000 children with post acute & rehab needs Seniors Enhanced Care Intensive support to 6400 seniors & their caregivers to remain at home with dignity Post Acute & Rehab Care Providing 13,000 clients with post acute & rehab care 4

5 Excellent Care for All Act Means care for everyone 5

6 Diversity and Equity are key pillars.. Core values that embraces and values diversity (Part of the fabric of our organization) Intentional hiring practices to ensure our staff reflect the community we serve Mandatory cultural competence training for everyone in the organization Code of conduct that sets out expectations of behaviour Access and Equity framework to guide program planning and decision making 6

7 Meeting needs of the diverse communities we serve. Understand the unique needs of the diverse communities we serve and design programs to meet their needs: o Urban Health Program o Inner City Access Program (ICAP) o Services for people who are homeless/under-housed o Services People with HIV/AIDs Build capacity in the community through employment, education and research o Education and support of newcomer/immigrant organizations o LGBTQTTI Home Care Access Research York University Rainbow Health Ontario 7

8 Immigrant Women in Home Care Toronto Star Jan 4, 2014 Home care personal support workers used as cheap labour Immigrant women make a up significant majority of Personal Support Workers in Home Care Better wages, pensions and benefits are needed Current debate in Health Care and commitment by the Minister to this issue 8

9 Accepting people for who they are.. 9

10 Meeting the unique needs of sub-populations Many immigrant women as informal caregivers of older adults, children with medical and physically disability and other individuals that need care Designing programs and supports for subpopulations of immigrant women: o South Asian immigrant women in Thorncliffe Park Improving Diabetes management o Tamil Women in St. Jamestown Enhancing access to services and supports 10

11 Some Key Considerations In home care need to consider all immigrant women those that are formal and informal care providers and those that need care Need to address the subtle and not so subtle issues of race and discrimination Understanding the needs of sub-populations of immigrant women and co-designing programs to meet their needs Organizations need to have a strong culture, leadership and commitment to diversity & equity