A Forum on Immigration: A Forum on Immigration: Implications for FundersImplications for Funders

The California EndowmentThe California Endowment

November 9, 2006November 9, 2006

The California EndowmentThe California Endowment1996 to 2006 1996 to 2006

Support to Immigrant and Refugee Support to Immigrant and Refugee Serving OrganizationsServing Organizations

• Statewide: 578 Grant Awards Statewide: 578 Grant Awards • San Diego Region: 76San Diego Region: 76

(San Diego, Orange and Imperial (San Diego, Orange and Imperial Counties)Counties)

Three GoalsThree Goals

Access to HealthAccess to Health• Health Consumer AllianceHealth Consumer Alliance• Survivors of Torture InternationalSurvivors of Torture International

Cultural Competent Health SystemsCultural Competent Health Systems• Hmong Health ProjectHmong Health Project• Somali Bantu Community of San DiegoSomali Bantu Community of San Diego

Community Health and Elimination of DisparitiesCommunity Health and Elimination of Disparities• Agricultural Worker InitiativeAgricultural Worker Initiative• Social Advocates for Youth San Diego, Inc.Social Advocates for Youth San Diego, Inc.

The key is: funding support has been variedThe key is: funding support has been varied

Access to HealthAccess to Health

Health Consumer Alliance Health Consumer Alliance www.healthconsumer.orgwww.healthconsumer.org

Mission of the OrganizationMission of the Organization::• Help consumers establish / maintain health coverageHelp consumers establish / maintain health coverage• Ensure low-income consumers with health coverage Ensure low-income consumers with health coverage

get access to essential services, including through get access to essential services, including through managed care plansmanaged care plans

California Endowment support to SD Legal California Endowment support to SD Legal Aid Society (local HCC site):Aid Society (local HCC site):• Counsel and Administrative AdvocacyCounsel and Administrative Advocacy• Medi-Cal/Medicare DualityMedi-Cal/Medicare Duality• Outreach WorkshopsOutreach Workshops

Access to HealthAccess to Health

Survivors of Torture, International Survivors of Torture, International www.notorture.orgwww.notorture.org

Mission of the OrganizationMission of the Organization• To provide healing resources for survivors of torture and their To provide healing resources for survivors of torture and their

familiesfamilies• Educate the public about torture and its acute and long-term Educate the public about torture and its acute and long-term

health consequenceshealth consequences

California Endowment support:California Endowment support:• Estimate the number of torture survivors in California Estimate the number of torture survivors in California • Communicate to the state the existence of the population Communicate to the state the existence of the population

and the population’s health needsand the population’s health needs• Advocate for desired changes to health systems with support Advocate for desired changes to health systems with support

of decision-makers at the state and local levelof decision-makers at the state and local level

““We don’t know how to make We don’t know how to make change happen: Please help us change happen: Please help us with that!”with that!”

-TCE North State Hmong Grantee-TCE North State Hmong Grantee

Cultural Competent Health SystemsCultural Competent Health Systems

Hmong Health Project (2 Phases)Hmong Health Project (2 Phases)

Project OverviewProject OverviewTo create a coordinated strategy to support To create a coordinated strategy to support community-based responses to address health-community-based responses to address health-related needs of the refugees and their familiesrelated needs of the refugees and their families

Phase IPhase ISupport the immediate health needs of arriving refugeesSupport the immediate health needs of arriving refugees

Phase IIPhase IISupport the development of greater systems changeSupport the development of greater systems change

Cultural Competent Health SystemsCultural Competent Health Systems

Somali Bantu Community of San Diego Somali Bantu Community of San Diego

Mission of the OrganizationMission of the Organization• To provide health and education resources to this newly To provide health and education resources to this newly

arrived refugee communityarrived refugee community

California Endowment support:California Endowment support:• Conduct health needs assessment of communityConduct health needs assessment of community• Document needs and approaches to reach marginalized Document needs and approaches to reach marginalized

community with health services and messagescommunity with health services and messages• Funded in coordination with Alliance Healthcare FoundationFunded in coordination with Alliance Healthcare Foundation• Long-term goal is to support this organization’s efforts to Long-term goal is to support this organization’s efforts to

improve the cultural competency of health providers and improve the cultural competency of health providers and systems in City Heights, San Diego.systems in City Heights, San Diego.

Community Health and Elimination of Community Health and Elimination of DisparitiesDisparities

Central Coast Alliance for a Sustainable Central Coast Alliance for a Sustainable EconomyEconomy www.coastalalliance.comwww.coastalalliance.com

Program OverviewProgram OverviewTo empower farm workers to develop leadership skills to To empower farm workers to develop leadership skills to advocate for improved local public policy and practices to create advocate for improved local public policy and practices to create a healthier work and living environment for agricultural workers a healthier work and living environment for agricultural workers and their familiesand their families

California Endowment support includes: California Endowment support includes: • Train farm workers to serve as a neighborhood health Train farm workers to serve as a neighborhood health

resource resource • Develop action plans to support organized action and socio-Develop action plans to support organized action and socio-

political action among farm workerspolitical action among farm workers

Community Health and Elimination of Community Health and Elimination of DisparitiesDisparities

Social Advocates for Youth San Diego, Inc.Social Advocates for Youth San Diego, Inc.www.saysandiego.orgwww.saysandiego.org

Mission of the OrganizationMission of the Organization• To plan and implement programs and services to strengthen the To plan and implement programs and services to strengthen the

social and emotional well-being of San Diego’s children, families and social and emotional well-being of San Diego’s children, families and communitiescommunities

California Endowment support includes:California Endowment support includes:• To improve the health status of immigrants and refugee families by To improve the health status of immigrants and refugee families by

supporting an advocacy project that promotes changes in housing supporting an advocacy project that promotes changes in housing standards in City Heights, San Diegostandards in City Heights, San Diego

• Recruit and train residents to conduct home health assessments and Recruit and train residents to conduct home health assessments and understand tenant legal rightsunderstand tenant legal rights

• Teach community members how to advocate for change and not fear Teach community members how to advocate for change and not fear eviction, based on tenant rightseviction, based on tenant rights

• Develop partnerships with other organizations to effectively advocate Develop partnerships with other organizations to effectively advocate for improvements to the quality of local rental housing units. for improvements to the quality of local rental housing units.

ReviewReview

California Endowment SupportCalifornia Endowment Support

Multiple Needs, Different ApproachesMultiple Needs, Different Approaches

Direct Services and System ChangesDirect Services and System Changes

Support for refugees and immigrants focus on the Support for refugees and immigrants focus on the family and not just the individualfamily and not just the individual

Engage broader community to understand the Engage broader community to understand the needs and concerns of refugees and immigrantsneeds and concerns of refugees and immigrants