Carers Research Project Report


Supporting CALD Carers

The service needs of culturally and linguistically diverse carers of people with disabilities
February 2003

Ethnic Disability Advocacy Centre

320 Rokeby Road

Subiaco, WA 6008

Ph: (08) 9388 7455

Email: admin@edac.org.au

www.edac.org.au


 

CONTENT

 

ACKNOWLEDGMENTS                                                                                          

ACRONYMS                                                                                                               

ABSTRACT                                                                                                                 

EXECUTIVE SUMMARY                                                                                         

                                                                                                                                   

Chapter 1        PROJECT OVERVIEW

 

Background                                                                                                                 

Project objectives

Literature Review                                                                                                        

·        Western Australian Research

·        Rural and Regional Areas

Disability Statistics and utilisation of services                                                                 

·        Western Australia Data

·        Centrelink Benefits                                                                                  

Legislative Obligation, Policy and Practice                                                                      

·        Multicultural Policy and Government Services

·        Disability Services and People with Disabilities

                     from CALD backgrounds            

 

Chapter 2        METHODOLOGY

 

Introduction                                                                                                                 

Participating communities and process                                                                          

Confidentiality                                                                                                               

Definitions                                                                                                                    

·        Disability

·        Culturally and Linguistically Diverse (CALD)

Limitations of this study                                                                                                

 

Chapter 3        FINDINGS AND DISCUSSION

 

Profile of CALD Carers and issues                                                                               

·        CALD Carers of elderly persons with disability

·        CALD Carers of children with disability

Cultural perspective of caring                                                                                       

Emotional responses to caring

·        Vulnerability                                                                                               

·        Stress

·        Stigma

·        Isolation

·        Positive experience of caring

 Service provision and access                                                                                        

·        Language

·        Information

·        Individualised co-ordination of ongoing support

·        Carer support groups

·        Flexibility of services

·        Respite care

Service Providers’ Issues                                                                                             

·        Policy

·        Difficulties faced by service providers                                                         

·        Respite services and institutional care

·        Cultural and disability awareness

 

Chapter 4 RECOMMENDATIONS

 

CONCLUSION                                  

 

REFERENCES                                                                                                           

APPENDICES

People Born Overseas (OMI)                                                                       

Useful Multicultural contacts                                                                          

Service Providers involved in Consultations                                                    

CALD Carers Interview Question                                                                  

 

LISI OF TABLES AND FIGURES

Table 1:   Centrelink benefits                                                                          

Table 2:   Carers by region and ethnicity                                                         

Table 3:   Total number of service providers by region                                    

 Figure 1:  Holistic Approach to Service Provision for CALD Carers


                             

 ACKNOWLEDGEMENT

 

The Ethnic Disability Advocacy Centre wishes to express its gratitude to the many people and organisations who contributed their invaluable information, skills and expertise to this project.  It would also like to acknowledge the Disability Services Commission for providing the funding which enabled this report to be undertaken.

 

The paper was researched and written by Eversely Ruth and Harry Picket with support from the staff of EDAC: Jenny Au Yeong, Fiona Pui San Whittaker, Luba MacMaugh, Jasbir Mann and Veronica Fitzgerald. Their contributions were very much appreciated.  Duc Dau kindly read and commented on drafts.

 

Members of the Steering Committee met at regular intervals to provide guidance and input. They included Dr Anne Atkinson (Chair),  Jenny Au Yeong (EO, EDAC), Thankam Abraham (Carer) and David Colvin (LAC, DSC).  

 

The Multicultural Carer’s Support Group gave freely of their personal experiences and advice which helped to shape the report. The contributions of bi-cultural workers who worked alongside the researchers are also very much appreciated. These workers included Raqiya Hassan Ali (Somali Community), Maimunah Mosli (Muslim Women’s Support Group). Anna Harrison (Polish Centre) and Sister Thai (Buddhist Temple). EDAC also wishes to thank Sophie Jasinski who interpreted and participated in community sessions.

 

EDAC is particularly grateful to all those carers and service providers who participated in the project and shared their stories. Without them, this report would not exist.

 

Thank you.


 

ACRONYMS

 

ABS                      Australian Bureau of Statistics

ACAT                   Aged Care Assessment Team

ADEC                   Action on Disability within Ethnic Communities, Victoria

AIHW                   Australian Institute of Health and Welfare

CALD                   Culturally and Linguistically Diverse

CSDA                   Commonwealth/State Disability Agreement

DIMIA                 Department of Immigration, Multicultural and Indigenous Affairs

DSC                     Disability Services Commission

EDAC                   Ethnic Disability Advocacy Centre

ECDN                  Ethnic Communities Disability Network, Queensland

ESB                      English Speaking Background

HACC                  Home and Community Care

HREOC               Human Rights and Equal Opportunity Commission

MALSSA             Multicultural Advocacy and Liaison Service of SA

MDAA                 Multicultural Disability Advocacy Association, NSW

NESB                   Non-English Speaking Background

NEDA                  National Ethnic Disability Alliance

(members are MALSSA, MDAA, EDAC and ECDN)

OMI                     Office of Multicultural Interests

OSB                    Overseas Born

TIS                       Translation and Interpreting Service

 


 

ABSTRACT

 

This research was funded by the Disability Services Commission (DSC), and was conducted by the Ethnic Disability Advocacy Centre (EDAC), Perth, WA, an independent non-government organisation.  Its data was collected between July and December 2002 in metropolitan Perth as well as selected regional centres in the state.

 

By means of focus groups and individual interviews, the project consulted culturally and linguistically diverse (CALD) carers of people with disabilities. The project provides an insight into their views regarding barriers to service access and presents their suggestions on overcoming them. Their insights and suggestions were supplemented with those of service providers.

 

Carers consistently conceptualised their concerns and suggestions within a critique of the current service model for CALD people with disabilities. Outcomes suggest the need to revise disability and aged care policies, practices and priorities to make more explicit the service needs of CALD carers.  Moreover, there is a need for more effective data collection to enable better planning of programs and allocation of resources. Outcomes also called for greater prioritisation of resources to ethnic communities to address issues for CALD carers and the people they are caring for.

 

Areas for collaborative development include appropriate information for CALD carers and communities on disability benefits and services, as well as a holistic and coordinated approach to services for consumers.  This development relies on the enhanced flexibility of services, as well as networking between CALD community agencies, the Disability Services Commission and other service providers.

 

The recommendations of the project should assist a revision of government and non-government policies to implement more culturally appropriate strategies in disability services. The project should also assist in establishing disability support for CALD communities in consultation with carers.


 

EXECUTIVE SUMMARY         

 

This report provides an overview of the experiences and suggestions of culturally and linguistically diverse (CALD) carers of people with disabilities regarding their access to health, aged care and disability services in WA.  It also provides secondary viewpoints of service providers on the issues and difficulties faced by CALD consumers.  Sixty-six (66) CALD Carers and thirty-seven (37) service providers took part in this study, in the form of focus groups and personal interviews.

 

The report is divided into 4 chapters: introduction, methodology, findings and discussion, recommendations and conclusion.  In addition there are several tables exploring quantitative data and frameworks for integrated, culturally appropriate service provision.