Arizona Refugee Resettlement Tucson Quarterly Meeting April 2020 - - PowerPoint PPT Presentation

Arizona Refugee Resettlement Tucson Quarterly Meeting April 2020

COVID-19 Update Arizona State Refugee Coordinator, Charles Shipman

Arrival Information

FFY 2019: 30,000 FFY 2020: 18,000

Presidential Determination

Refugees: 7,162 SIVs: 7,323

U.S. Year-to-Date Arrivals

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 Name Refugees Cuban/Haitian Entrants Asylees SIVs Secondary Migrants Victims of Trafficking

CCS 19 8 2 IRC 23 5 LSS-SW 18 Total 60 8 7

Numbers from October 2020 to March 2020

Arrivals By Month - Pima

5 10 15 20 25 Asylee Cuban Refugee March February January

Top Countries of Arrival Pima

5 10 15 20 25 30 Afghanistan Central African Republic Democtratic Republic of Congo Eritrea Pakistan Somalia

Arrivals By Country (January - March)

Intensive Case Management (ICM) Pima

Agency Name Clients Enrolled in ICM

CCS 2 IRC 21 LSS-SW Total 23

▪ 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.

Program Definitions

RA Employment Service Caseload Pima

Agency Name RCA TANF NC MG CCS 9 10 8 IRC 1 10 40 54 LSS-SW 1 17 8 Total 10 21 65 62

Refugee Program Employment Services Pima

Cash Type Outcomes Resettlement Agency Total CCS IRC LSS-SW RCA Employable Caseload 9 1 10 Employed 7 7 Average Hourly Wage 12.00 NA NA $12.00 90- Day Retention 75% NA NA 75%

Refugee Program Employment Services Pima

Cash Type Outcomes Resettlement Agency Total CCS IRC LSS-SW TANF Employable Caseload 10 10 1 22 Employed 7 7 1 15 Average Hourly Wage $12.00 $12.00 $12.00 $12.00 90- Day Retention 67% 90% 100% 86% No Cash Employable Caseload 8 40 17 65 Employed 8 33 17 58 Average Hourly Wage $12.50 $12.14 $12.00 $12.21 90- Day Retention 75% 90% 53% 73%

Matching Grant Program - Pima

Cash Type Outcomes Resettlement Agency Total CCS IRC LSS-SW MGP Employable caseload 54 4 58 Employed 29 9 38 Average Hourly Wage $12.43 $12.00 $12.21 Self-Sufficient in 120 Days Percentage 85% NA 85% Self-Sufficient in 180 Days Percentage 95% 100% 97.5%

Challenges - Pima

Challenge Type Details COVID-19

▪

Clients are concerned about losing income and how to best pay rent.

▪

Challenging to translate direct client services to remote work.

Arizona ID Cards

▪

Prior to January 2020, clients were being issued photo ID cards from the Arizona Refugee Resettlement Program. Since these have been 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 COVID-19

▪

TJ Max company and hotel chains in the valley are sending workers home 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

County Screening Rates (December 1 – February 29) 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

Reference: https://www.cdc.gov/immigrantrefugeehealth/guidelines/lead-guidelines.html https://azdhs.gov/documents/preparedness/epidemiology-disease-control/lead- poisoning/recommendations-refugees.pdf

Lead Screening Recommendations

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

• utcomes

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

Phoenix, Maricopa County Tucson, Pima County

Data Sharing

Refugee Settlement Partnership

Refugee Settlement Partnership

• Results/achievements

○ More cases successfully closed ○ Improved case coordination

• utcomes

Working Together

Resources

References: https://www.azdhs.gov/gis/childhood-lead/ https://www.azdhs.gov/preparedness/epidemiology-disease-control/lead-poisoning/index.php#brochures- handouts

Lead Risk Map by zip code

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 Counted?

The 2020 Census It’s Time to Respond

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?#

Ways you can help get a complete count of your community

Join us in helping us reach hard-to-count members of the community. Be social: Include messages about the Census in your sermon. Host Twitter chats or Facebook Live events on the 2020 Census. Retweet and repost Census Bureau social media content. Tell people that the 2020 Census is safe, secure, and confidential: Responses to the 2020 Census are safe, secure, and protected by federal law. They cannot be used against respondents in any way. Share the www.my2020census.gov website and materials online.

IMPORTANT NOTE ON LANGUAGE LINES: The public can still respond to the 2020 census online, by phone and by mail; however, in response to the health and safety concerns related to COVID-19, reduced staffing of our Census Call Centers is leading to significant delays in some

• instances. These delays are particularly severe in languages other than English and
• Spanish. We apologize for the inconvenience and assure you that everyone’s response

is important to us. We are actively working to address the impact COVID-19 is having

• n our call centers and appreciate your patience.

Please remember that you can also respond online at your convenience in the following languages: English, Spanish, Chinese, Vietnamese, Korean, Russian, Arabic, Tagalog, Polish, French, Haitian Creole, Portuguese and Japanese. We also offer web pages and guides in 59 languages, including American Sign Language, as well as guides in Braille and large print. Visit our Language Support webpage for more information.

LANGUAGE LINE TOLL-FREE NUMBER English 844-330-2020 Spanish 844-468-2020 Chinese (Mandarin) 844-391-2020 Chinese (Cantonese) 844-398-2020 Vietnamese 844-461-2020 Korean 844-392-2020 Russian 844-417-2020 Arabic 844-416-2020 Tagalog 844-478-2020 Polish 844-479-2020 French 844-494-2020 Haitian Creole 844-477-2020 Portuguese 844-474-2020 Japanese 844-460-2020 English (Puerto Rico ) 844-418-2020 Spanish (Puerto Rico) 844-426-2020 Telephone Display Device 844-467-2020

COVID-19 Update Refuge Health Coordinator, Juliana Davis

COVID-19 Refugee Health Updates

Sources for Accurate and Reliable Outbreak Information

• ADHS – Arizona Department of Health Services –

https://www.azdhs.gov/preparedness/epidemiology-disease- control/infectious-disease-epidemiology/index.php#novel- coronavirus-home

• CDC – Centers for Disease Control

https://www.cdc.gov/coronavirus/2019-ncov/index.html

• AZ Office of the Governor - Executive Orders, daily

briefings, etc. https://azgovernor.gov/

Novel Coronavirus / COVID-19

• “Novel” coronavirus – new to humans, no immunity
• Past coronaviruses in humans: SARS, MERS

https://www.niaid.nih.gov/diseases-conditions/coronaviruses

• Testing

○

People with severe symptoms, admitted to the hospital

○

Health care workers, living in a communal setting

• Arizona COVID-19 Information line: 1-844-542-

8201

○

Press 1, then 6 to speak to a specialist

Messages to Emphasize

▪

CALL AHEAD before you go to any hospital or clinic unless it’s a medical emergency in which case call 9-1- 1

▪ Less essential appointments are being moved to telephonic ▪ If you have COVID-19 symptoms, call your provider before going to the doctor. ▪

If you are told to recover at home, ISOLATE YOURSELF, and reach out to your community & RA for help (grocery delivery, emotional support, etc.)

▪

Manage your symptoms at home, unless they worsen.

Essential Resources

• Ways to Manage Your Symptoms at Home - NCDH

https://www.ncdhhs.gov/divisions/public- health/covid19/materials-and-resources

• Feeling Sick? Facts about the Coronavirus Disease -

IRC http://www.rispnet.com/medical/

• Stop the Spread of Germs – CDC

http://www.rispnet.com/medical/

• Fact Sheets for Children -

https://covid19healthliteracyproject.com/#

Essential Resources

• Valleywise Videos:

https://www.youtube.com/playlist?list=PLm 7yXhXaGwFVTn6RTYELuJxAOX8hfUFlk

○ English, Arabic, May may, Somli, Burmese, French, Karen, Kirundi, Swahili, Spanish.

• CORE Videos

https://corenav.org/en/resources/coronavirus- covid-19-how-to-protect-yourself-and-stop-the- spread-of-the- virus/?mc_cid=2dda8b7611&mc_eid=1b6c2b0 512

Opportunities to Collaborate

▪

Ongoing, weekly health care provider calls: Wednesdays at 12pm

▪

RISPNet facebook – share posts to relevant groups

▪

COVID-19 Task Force calls – Monday at 12pm

Mental Health Self-Care for Providers

• Pace yourself. Things are going to get worse before they get better.
• Continuous stress can have physical and emotional repercussions,

affect the quality of your services, and lead to burnout.

• Have a plan for taking care of yourself and your staff.

For Responders

• Responding to COVID-19 can take an emotional toll on you. There

are things you can do to reduce secondary traumatic stress (STS) reactions:

○

Acknowledge that STS can impact anyone helping families after a traumatic event.

○

Learn the symptoms including physical (fatigue, illness) and mental (fear, withdrawal, guilt).

○

Allow time for you and your family to recover from responding to the pandemic.

○

Take a break from media coverage of COVID-19.

○

Ask for help if you feel overwhelmed or concerned that COVID-19 is affecting your ability to care for your family and patients as you did before the outbreak.

○

Create a menu of personal self-care activities that you enjoy, such as spending time with friends and family, exercising, or reading a book.

• https://www.cdc.gov/coronavirus/2019-ncov/daily-life-

coping/managing-stress-anxiety.html

Working with Others in a High Stress Environment

We are facing uncertainty with COVID-19. This can lead to fear, and fear can activate our stress response system. First, we can take a trauma-informed approach when responding to one another during the COVID-19 pandemic. 4 R’s:

1.

realizing that each person’s history of trauma can affect them today;

2.

recognizing the ways people are thinking, feeling, acting as a normal response to an abnormal situation;

3.

responding with compassion and understanding (while still holding them accountable and practicing healthy boundaries for yourself); and

4.

reducing re-traumatization.

Second, practice getting and staying in our resilience zone. Taken from: https://originstraining.org/resilience-during-a-

pandemic/?fbclid=IwAR0K1BuNB4IjV2pxqzrhcvfGFelUD1M5acrNI_KSBfY7cQVA RNtzrJlQJFU

• Center for the Study of Traumatic Stress - One page

guidehttps://www.cstsonline.org/assets/media/documents/CSTS_FS_Sustaining_Wel

l_Being_Healthcare_Personnel_during.pdf.pdf

• Psychological First Aid – Helping Victims in Disaster -

https://www.cstsonline.org/assets/media/documents/CTC_psychological _first_aid.pdf

https://www.cdc.gov/coronavirus/2019-ncov/daily- life-coping/managing-stress-anxiety.html

SAMSHA – Disaster Distress Helpline

• Phone: 1-800-985-5990 TEXT: “TalkWithUs” to 66746
• Spanish-speakers can call the hotline and press

“2” for 24/7 bilingual support.

• Callers to the hotline can also connect with

counselors in over 100 other languages via 3rd-party interpretation services; to connect with a counselor in your primary language, simply indicate your preferred language to the responding counselor and she/he will connect to a live interpreter (interpretation in less commonly-spoken languages may require calling back at an appointed time). Learn more and download information about the Disaster Distress Helpline in 30 of the most commonly-spoken languages in the U.S.

COVID-19 RISP-Net Demonstration Community Resource Coordinator, Sam Blake

Question and Answers

Announcements