Monday, May 23, 2011

A new family...a new challenge




Often, we work with families that challenge us and stretch our resources thin. This is a story about one of those families.

B.D. is married with three girls, ages 13, 9 and 7. They were resettled to the US in August 2010 to the state of Rhode Island. B.D.'s brother lives in Dallas so B.D. decided to move his family to Dallas in April 2011.

Some quick side notes about refugee resettlement.

Refugee families have a choice for the country they will be resettled. Although, about 90% of refugees resettled are resettled to the US. The families do NOT, however, get a choice of where in the US they are resettled. Even though B.D. had family members living in Dallas, they were not given the choice of states therefore they ended up being resettled to Rhode Island
.

Another idiosyncrasy about refugee resettlement, the federal government is not directly resettling these families. The federal government awards grants, or contracts, with local voluntary agencies (called Volags). The federal government gives a set amount of monies to the volags to provide services to the recently resettled. These volags use this money to provide resettled families with the goods and services they need until they become "financially self-sufficient." In general, "financially self-sufficient" means that members of the family are working. Practically speaking, the families receive assistance from their volags for 6 months or so.

(Editorial comment - it's clear to us that having a job and being "financially self-sufficient" are not the same. Many families of 6 or more are deemed "financially self sufficient" when one family member is working at a job paying $8/hour. Employed? Yes!! Financially self-sufficient? Not even close!!)

The volags (in Dallas - International Rescue Committee, Catholic Charities and Refugee Services of Texas) use the federal dollars to pay for rent, utilities, case management services, employment services, etc. These agencies do amazing work with the resources they are provided. In working with these agencies, it's clear that all of them would like to continue providing services, however the financial restraints prevent them from continuing to assist these families. After the family is employed, services are discontinued - the volags must move on to new families and the previous family are often at a loss for what comes next. To put it in context, if I were to move to Burma, I would need some help. Giving me 6 months of assistance is great....I plant my crops, build a house, etc. But what should I do next, when do I harvest my crops? What do I do when my child is sick?


To take it one more step, the federal dollars provided to assist these families are given to volags that provide services to the geographic location where they are resettled. This means, if you choose to move from one place to another.....you no longer have formal case management services to assist you. You are on your own, you must find your way...or find someone willing to help even though there is no financial reimbursement for the assistance provided.

Because D.B. moved from Rhode Island to Dallas, he and his family lost all formal assistance. One of the cultural liaisons we work with told us about this family and we set off to see how we could help. We found D.B. and his family living at his brother's apartment. They had already signed a lease with an apartment complex, planning to move to their new apartment in a week or two.
As I had written previously, D.B. is married with 3 girls. The oldest (13 years) and the youngest (7 years) both have a rare genetic disorder called Osteogenesis Imperfecta. In short, Osteogenesis Imperfecta
is a genetic disorder causing extremely fragile bones. Both of these girls require a wheelchair to be able to move about.

Over the course of the past three weeks, these are the things we've done to help this one family:

School
We enrolled all three girls in school, which was a process that involved a total of seven visits to the schools for academic placement testing, meetings with teachers and special education services, and arranging for bus transportation.  Two of the girls are required to wear uniforms, so we purchased two sets of uniforms for each child.

Healthcare
All three children had to have additional shots to attend school in Texas, so we made two trips to the free clinic to attain the necessary vaccinations.  This involves arriving at the clinic at 7 am.  One day we waited until 12 noon to be seen; the next day it was 1:30 pm.  Because of the girls' medical condition, we contacted the genetics clinic at Children's Medical Center to enroll them in a special clinical trial so that they will receive state of the art medical care.  Their first appointments are not until August, but we were relieved that they were accepted as new patients.

Medicaid and Food Stamps
Because Medicaid and Food Stamps are state run programs, not only do new applications need to be completed and submitted here in Texas, but in order to qualify we must prove that the family is no longer receiving these benefits in Rhode Island. This, apparently, can only be done in the form of a letter from the Social Services Department in Rhode Island.  I won't even go into how difficult it is to actually talk to a live person on the phone there, much less attempt to have a letter sent to us.  Instead, we must wait two months and then apply using the family's new address, foregoing the letter requirement.  So for two months the family will rely on donations and food from friends until their Food Stamp application can be submitted.

Settling in
D.B. and his family have an empty two bedroom apartment.  We've been working with our church and others to try to find donations of furniture, housewares, clothing, and toys to help the family piece their lives back together now that they're here in Dallas.

Last week when we showed up, the apartment was full of people.  We learned that 19 additional people--three more families--had just arrived from Rhode Island and were staying with D.B. and his family until they could find apartments of their own.  They had heard, like D.B., that the cost of living was lower in Texas and that job prospects are better here.  And so our work continues...

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