Arizona Refugee Resettlement Tucson Quarterly Meeting April 2020
COVID-19 Update Arizona State Refugee Coordinator, Charles Shipman
Arrival Information
Presidential Determination FFY 2019: 30,000 FFY 2020: 18,000
U.S. Year-to-Date Arrivals Refugees: 7,162 SIVs: 7,323 As of March 13, 2020 and March 23, 2020
Pima County Projected Arrivals Refugees with U.S. Ties Refugees without U.S. Ties SIVs FY 19 Total Proposed 430 580 50 1,060
Pima County Projected Arrivals FFY 2020 Agency Name FY 2020 PRM Projection CCS 100 IRC 250 LSS-SW 106 Total 456
Pima County Arrivals Year-to-Date Agency Refugees Cuban/Haitian Asylees SIVs Secondary Victims of Name Entrants Migrants Trafficking CCS 19 8 2 0 0 0 IRC 23 0 5 0 0 0 LSS-SW 18 0 0 0 0 0 Total 60 8 7 0 0 0 Numbers from October 2020 to March 2020
Arrivals By Month - Pima Refugee Cuban Asylee 0 5 10 15 20 25 March February January
Top Countries of Arrival Pima Arrivals By Country (January - March) 30 25 20 15 10 5 0 Afghanistan Central African Democtratic Eritrea Pakistan Somalia Republic Republic of Congo
Intensive Case Management (ICM) Pima Agency Name Clients Enrolled in ICM CCS 2 IRC 21 LSS-SW 0 Total 23
Program Definitions ▪ Refugee Cash Assistance Program (RCA): A federally funded (state administered) cash assistance program for employable single adults and childless couples, otherwise not eligible for TANF. Refugees and eligible beneficiaries may be eligible for RCA benefits for up to eight months from their date of arrival or grant of qualifying status. ▪ Temporary Assistance for Needy Families (TANF): A federally funded (state administered) cash assistance program for families with employable single heads of household (TANF) and two parent households (TPEP). Eligible beneficiaries are required to participate in the State Jobs Program upon receipt of benefits.
Program Definitions ▪ No Cash (NC): Refers to refugees and eligible beneficiaries who are receiving case management or employment services through a resettlement agency, but are not recipients of a public cash assistance benefit. ▪ Matching Grant Program (MGP): A federally funded (resettlement agency administered), early employment and case management program. The MGP is an incentivized program based on voluntary participation, and it is designed to be an alternative to public cash assistance programs. The goal of the program is for eligible beneficiaries to obtain self-sufficiency within 120-180 days from their date of enrollment.
RA Employment Service Caseload Pima Agency Name RCA TANF NC MG CCS 9 10 8 0 IRC 1 10 40 54 LSS-SW 0 1 17 8 Total 10 21 65 62
Refugee Program Employment Services Pima Resettlement Agency Total Cash Type Outcomes CCS IRC LSS-SW 9 1 0 Employable Caseload 10 7 0 0 7 Employed RCA Average Hourly 12.00 NA NA Wage $12.00 75% NA NA 90- Day Retention 75%
Refugee Program Employment Services Pima Resettlement Agency Total Cash Type Outcomes CCS IRC LSS-SW 10 10 1 Employable Caseload 22 7 7 1 Employed 15 TANF $12.00 $12.00 $12.00 Average Hourly Wage $12.00 67% 90% 100% 86% 90- Day Retention 8 40 17 65 Employable Caseload 8 33 17 Employed 58 No Cash $12.50 $12.14 $12.00 Average Hourly Wage $12.21 75% 90% 53% 90- Day Retention 73%
Matching Grant Program - Pima Resettlement Agency Cash Type Outcomes Total CCS IRC LSS-SW Employable 0 54 4 caseload 58 0 29 9 Employed 38 Average Hourly 0 $12.43 $12.00 $12.21 Wage MGP Self-Sufficient in 0 85% NA 120 Days Percentage 85% Self-Sufficient in 0 95% 100% 180 Days Percentage 97.5%
Challenges - Pima Challenge Details Type Clients are concerned about losing income and how to best pay rent. ▪ COVID-19 Challenging to translate direct client services to remote work. ▪ Arizona ID Prior to January 2020, clients were being issued photo ID cards from the ▪ Arizona Refugee Resettlement Program. Since these have been Cards discontinued, clients are no longer able to get State ID cards because they need two forms of picture ID and only have one now, the copy of visa. This delays their ability to open bank accounts and cash checks.
Successes - Pima Success Type Details TJ Max company and hotel chains in the valley are sending workers home COVID-19 ▪ but with pay. Employment specialist have quickly utilized unemployment information distributed by RRP to adequately and accurately notify clients of benefits and assist with applications and other employment related needs.
Health Screening Screening Rates (December 1 – February 29) County Maricopa Total screened: 188 ▪ Percent screened within 30 days: 56% ▪ Pima Total screened: 31 ▪ Percent screened within 30 days: 84% ▪
Presentation
Partnering with Refugee Resettlement Agencies to Improve Health Outcomes for Children with Elevated Blood Lead Levels (EBLLS) Childhood Lead Poisoning Prevention Program April 1, 2020 & April 9, 2020 Presenting To Department of Economic Security, Quarterly Meeting| Phoenix, AZ & Tucson, AZ Ca’Lia Harris| Public Health Associate
What is Lead? ● Heavy metal ● Found in soil naturally ● Easy to work with ○ used in pipes ○ paints ○ mining ○ ceramics ○ gasoline Reference: https://www.cdc.gov/immigrantrefugeehealth/guidelines/lead- guidelines.html
Sources of Lead ● Homes older than 1978 with lead based paint ● Imported food ○ spices ○ candy ● Imported makeup ● Imported remedies & medicines ● Glazed pottery (cazuelas pots) ● Handmade imported ceramics ● Occupation related
Adverse Health Effects from Lead Poisoning? ● Highly toxic ● Hand to mouth contact ● Effects nearly every organ system ○ Delays developmental growth ○ Learning disabilities & behavioral problems ○ Memory & hearing loss ● Overall leads to irreversible damage ● Can be prevented
Childhood Lead Poisoning Prevention Program ● Who we are and what do we do? ○ Surveillance ○ Health Education ● Services ○ Case Management ○ Interviews ○ Home Investigation ○ Investigation kit boxes, mailed to families ○ Samples submitted & tested at State Lab References: https://www.azdhs.gov/preparedness/epidemiology-disease-control/lead- poisoning/index.php#health-care-provider
How Lead Poisoning affects Refugee Children ● Refugee children are ○ twice as likely to have elevated blood lead levels ○ likely to be placed in older homes with presence of lead hazards ○ have compromised nutrition Challenges ● Lack of awareness about lead poisoning ● May need additional support to navigate ● Case coordination efforts References: https://www.cdc.gov/nceh/lead/publications/refugeetoolkit/refugee-tool-kit.htm https://azdhs.gov/documents/preparedness/epidemiology-disease-control/lead-poisoning/recommendations-refugees.pdf
Lead Screening Recommendations Reference: https://www.cdc.gov/immigrantrefugeehealth/guidelines/lead-guidelines.html https://azdhs.gov/documents/preparedness/epidemiology-disease-control/lead- poisoning/recommendations-refugees.pdf
Refugee Settlement Partnership: Pilot Project
Refugee Settlement Partnership ● Goals ○ Increase routine testing ○ Increase health education resources provided to families ○ Healthy children & families at peace of mind
Follow-up outcomes for refugee children with EBLLS
Refugee Settlement Partnership Pilot ● conducted for two years Approach ● ADHS Childhood Lead Poisoning Prevention Program ● Refugee Health Coordinator ● Resettlement Agencies
Resettlement Agencies in Arizona Tucson, Pima County Phoenix, Maricopa County
Data Sharing
Refugee Settlement Partnership
Refugee Settlement Partnership ● R esults/achievements ○ More cases successfully closed ○ Improved case coordination outcomes
Working Together
Resources Lead Risk Map by zip code References: https://www.azdhs.gov/gis/childhood-lead/ https://www.azdhs.gov/preparedness/epidemiology-disease-control/lead-poisoning/index.php#brochures- handouts
Questions?
THANK YOU Ca’Lia Harris | Public Health Associate Ca’Lia.Harris@azdhs.gov | 602-542-4137 Amber Asburry | Program Manager Amber.asburry@azdhs.gov | 602-364-3884 azhealth.gov @azdhs (twitter) facebook.com/azdhs
Who’s Getting The 2020 Census It’s Time to Respond Counted? www.my2020census.gov
How is My Community Responding? Are you curious about how many people in your geographic neighborhood/community are responding to the 2020 Census? Stay up to date with a map of self- response rates https://2020census.gov/response- rates.html?#
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