December
10, 2003
More
Cuts to the Most Vulnerable
Just
in time for Christmas, Minister of Children and Family Development
Gordon Hogg has had his minions warn dozens of social service
agencies that they can love Scrooge or go out of business.
Hogg is responsible not only for the protection of children,
but also for the care of adults with developmental difficulties.
His ministry has budgeted $577 million to provide services
to 9,143 adults in the Community Living Services Program (CLS).
In the words of the Ministry, "Most of the ministry's
high needs CLS clients have both developmental difficulties
and complex health and behavioural issues such as autism,
mental illness, FASD, severe aggression or lack of impulse
control. Some are a danger to themselves and others."
Budget
cuts could pose a danger to those very vulnerable adults.
A letter from his Deputy Minister to the agencies advised
that another $35 million had to be cut from their budgets,
threatening that if they couldn't achieve that, there would
be "Additional pursuit of re-tendering strategies to
obtain lower cost providers or to reduce the number of service
providers."
The
$35 million represents just a portion of the budget cuts to
Community Living services. The Ministry's own central and
regional operations, including front line social workers who
monitor the safety and well being of these adults, were cut
significantly in the fall. This followed two years of staff
reductions already achieved through early retirement incentives.
Many more of the agencies serving adults had already absorbed
two earlier rounds of budget cuts in 2003 before the latest
onslaught.
In
order to "help" agencies make cuts to the Community
Living services, Hogg has lowered standards as outlined in
a "resource kit" posted to his Ministry's website
(http://www.mcf.gov.bc.ca/transformation/pdf/resource_kit_nov24.pdf).
The introduction to the kit says that "The ministry has
identified a series of key initiatives to achieve the sustainability
of community living services and its 2004/05 budget."
That is bureaucrat speak meaning the ministry has told them
what to cut.
The
nature of the challenges faced by adults in Community Living
raise health and safety concerns for themselves and others.
A caring society must respect their right to live with basic
dignity and well being - factors that have lost relevance
under the new policy. The policy outlined in the kit limits
funding to all but the most severe cases. It states:
"The
risks (consequences) of not providing a service to an
individual and their
family must be significant. They include the following:
- circumstances
that may result in a person being a danger to self or
others;
- circumstances
that may result in potential adult guardianship concerns;
- requirements
of a monitoring body e.g., licensing or WCB;
- children-In-care
turning 19 where there is no possibility of family involvement;
- circumstances
where the capacity of the family to continue to support
an
individual is severely limited." (emphasis added)
The
Ministry's basic approach is to cut costs by offloading developmentally
disadvantaged adults on to family members who may be able
to catch them, and when they are not available, into low-cost
adult foster care arrangements. Aging parents often suffer
agony over what will happen, once they are gone, to their
50 year old son or daughter. The existing Community Living
system of care, though not perfect, offers a range of options
to meet varying needs through group homes, private care, family
care, day programs and one-to-one supports. Under funding
has meant that it has taken many families years to establish
their loved ones in a stable and satisfying arrangement. The
Campbell government is now tearing all that down, dashing
dreams that loved ones will be safe when their families pass
on, and pressuring aging parents to assume responsibility
for these often challenging individuals.
A
new
section on the Ministry's website claims to provide examples
showing that the cuts are supported by "evidence-based
practices". Nothing on his new website supports any of
the cuts in any part of his Ministry, let alone those to Community.
Maybe that is why the Ministry is intimidating agencies by
forcing them to sign a letter of support for the cuts! Agencies
have been told that failure to sign could result in their
contracts being re-tendered. At a meeting Monday (Dec 8),
agencies were asked to sign a form letter drafted by Hogg's
people, addressed to the Assistant Deputy Minister for Community
Living Services, which begins:
"As
a service provider contracted to support individuals and
families, we support the proposal to the Ministry of Children
and Family Development presented by the budget reference
group on December 2nd [the "Proposal"] and jointly
agreed between the Minister, the Executive of the Ministry,
the Interim Authority and the budget reference group on
December 5th [the "Agreement"]. "
"With
this letter we reaffirm our commitment to the Proposal and
our commitment to the Agreement and further to work with
the Ministry to accomplish the strategic shifts through
the various service transformation initiatives including
those tied to budget objectives and initiatives within the
parameters of the Proposal."
The
Campbell government is not only cutting services to the most
vulnerable members of our society, but they are squashing
advocates and demanding that they sign what amounts to loyalty
oaths.
|