calgary refugee health program settlement division calgary catholic immigration society fariborz...
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Calgary Refugee Health ProgramSettlement Division
Calgary Catholic Immigration SocietyFariborz Birjandian
RAP conference Vancouver February 2007
Airport Reception
Settlement Coordinator
MCRC Resident CaretakerMCRC
Operations Manager
Settlement Counselor Settlement Counselor
HousingAssistant
Reception Staff
HostVolunteer
CIC
Police HealthSchool Board
And ESLEmployment Other
Settlement Program
Health Program History
• Initial dialogue and MSDIF Proposal• Service Launch in summer 2002• Phase 1 - Orientation, Service Model• Phase 2 - Partnership and Program
Development, Operational Data Collection• Phase 3 - ARP and Infrastructure
Development• Phase 4 - Sustainability and Growth
Target Population
• Federally-sponsored refugees destined for Calgary
• Federally-sponsored refugees who relocate to Calgary within 1 year of arrival
• Refugee claimants
• Community-sponsored refugees
• Immigrants from refugee-like situations (family class immigrants)
Vision
A community where immigrants coming from refugee-like situations are supported in their resettlement through the pursuit of
optimal health.
Mission
To optimize the health of our clients through the provision of integrated transitional primary health care and
through enhanced access and coordination within the health system
Goals• To enhance access to and coordination of health system services
for new refugees• To provide transitional primary care to new refugees to Calgary • To increase appropriate disease prevention activities in new
refugees to Calgary • To enhance health protection services for refugees impacted by
public health or communicable disease conditions • To enhance and support health promotion strategies and initiatives
to address important refugee health issues • To advocate for and enhance responsiveness of the health system
to meet the health needs of refugees • To support health and settlement activities through improved
coordination of services and mutual support • To promote and develop the program in order to achieve its mission
Philosophy
• Successful settlement is the goal. Health services are in support of settlement.
• The health services are transitional. Clients are expected to integrate into society and the health system
• The emphasis is on enhancing access to and coordination of existing health system services rather than creating new services
Health Program Funding
– Medical Services Budget (FFS and ARP)
– Interim Federal Health
– Medical Services Delivery Innovation Fund
– Donations and in-kind contributions
Page 1
Calgary Catholic Immigration Society Health Program Organizational Chart
Salim SamananiHealth Program DirectorPhysician Representative
Dr. R. MorrisPhysician
Dr. L. JonesPhysician
Valerie KissHealth Program Coordinator
And Administrator
Resettlement DivisionMargaret Styzynska
Manager
CCISFariborz BirjandianExecutive Director
Finance DivisionShiraz Bhojani
Manager
Debbie HymannManager of Public Health
8th&8th/Forest LawnCalgary Health Region
Sultana AssarResettlement Coordinator
Marylin PittPublic Health Nurse
Rose AbbottLPN Assistant
Providing Services Within MCRC
Thiru GovenderPediatric ARP
2005
Dr. L. CroftPhysician
Pascal UjoukExternal ServicesSupport Person
Calgary Health RegionPrograms
providing direct supportor resources
Grace Women’sTB Services
Sexual and Reproductive HealthThree Cheers
Immigrant Serving NGOs CIWACIASAKHB
Sudanese Chapter
Resettlement Counselors
Administration DivisionGloria Bathen
Manager
Prissy Wai WaiInternal Services Support Person
Diversity ServicesCalgary Health Region
International Medical
Graduates/Volunteer
Interpretors
Dr. J RodriguezDr. N. RashidDr. F. Hamed
Volunteers
U of CResearchers
Pediatric ARPSupport Services(Nutrition, SW)??
Nuha MajzoubClinical Support
Person
Private Donors
CommunitySpecialists
CommunityPrivate Service Providers
CommunityAgencies and
Services
Calgary Health RegionPrograms
CDCEnvironmental Health
Best BeginningsTB, STD, SAC
Health Program Activities
Access & Coordination
Administration
Clinical Services Disease Prevention
Health Protection
Health Promotion
Program Promotion and Development
Agency Support
Advocacy/Education
Specific Service Examples
Agency Support
• Health-related activities to support other CCIS service divisions
• Workshops and seminars
• Responding to staff and agency concerns and questions
Program Promotion and Development
• Strategic and operational planning
• Management and evaluation
• Quality improvement
• Identifying and recruiting partners
• Infrastructure development
• Program promotion and awareness
Administrative Services
• Data tracking and analysis• Intra and interagency communication• Management, planning, operational,
settlement, agency, and medical meetings• Administration of the program
Access and Coordination
• Engage, partner with and support• Health system
– Providers– Programs
• Immigrant-serving agencies• Clients
• Create new services
• Modify existing services
• Provide instrumental support
Clinical Services
• Triage and management of urgent conditions and client concerns (including after hours call)
• Client health intake and assessment• Follow-up of health concerns identified on
health intake• Follow-up of problems identified through
screening program• Ongoing transitional primary care
Advocacy
• Participating in conferences and workshops
• Raising awareness of issues
• Working towards system improvement and responsiveness
• Supporting the training of international medical graduates
Disease Prevention
• Systematic Screening• History• Physical Examination• Laboratory
» Blood» Stool» Urine
• Increasing Uptake of other Clinical Preventive Measures
• Vaccinations
Health Protection
• Treatment and follow-up of communicable disease conditions
• Coordination with the CDC unit
• Coordination with Environmental Health
• Coordination with TB services
• Coordination with the STD clinic
• Coordination with SAC
Health Promotion
• Health Systems Orientation• Insurance• Vision and dental services• Health system overview
• Women’s Health
• Child Health
Community-based services coordinated through program
Community providers/services that require referral only
In-houseClients
Outside Clients
Resettlement Coordinator
andCounselors
Operations(after hours)
On-CallPhysician
Program Coordinator/
Administrative Assistant
Emergencies
Urgent Care
PharmaciesHospital-based
Diagnostic Imaging
Community-based
Diagnostic Imaging
Community Dentists
Optometrists
Audiology
Family Doctors
Aids to Daily Living
Persons with Developmental
Disabilities
Orthotic/Prosthetic Devices
Regional Public Health
Communicable DiseasesSTD ClinicTB Clinic
Southern Alberta ClinicHospital-based Specialists
Fertility ClinicPediatric Cardiology
NeurologyHand Clinic
Orthopedic Cast ClinicGastroenterologyHepatitis Clinic
Diversity Services
Language Line
Early InterventionFamily PlanningBest BeginningsDental ProgramDiabetes Clinic
Hypertension ClinicPsychiatric Outpt Services
Occupational TherapyMental Health Crisis
Regional Programs
Workshops and Seminars
Contract Physician
Primary CareIntake and Screening
ReferralsTriage
Family PlanningNutrition
Instrumental Support
Family and Children Services
Survivors of Torture Program
Intra-agency Programs
Community Health Nurse
Services
Vaccinations
Community-based
Specialists
Maternity CarePediatrics
DermatologyInfectious Diseases
OtolaryngologyOpthalmology
Others less used
ReferralsAdministrative FunctionsCoordination of Services
Partner Support
Clinical Assistant/Interpreter
10/7/2004
Refugee Health Program Client Flow Diagram
Women’s HealthHealthy Pregnancy
Infant and Child HealthClothing
Sexual Health
8th and 8th Health Centre
Volunteers
Client and Services Coordinator
Alberta Health Care applicationsSchedulingFollow-ups
Client Support
Orange – ClientsBlue – Health Program
Red – The Calgary Health RegionPurple – Community Partners
Yellow – Support Positions
InternationalMedical
GraduatesClient Support Person/Educator
Margaret Chisholm Resettlement CentreHealth ProgramPhone: 265-3410Fax: 265-3411
Challenges to Service Delivery