1. A Forum on Immigration: Implications for Funders The California Endowment November 9, 2006

2. The California Endowment 1996 to 2006 Support to Immigrant and Refugee Serving Organizations Support to Immigrant and Refugee Serving Organizations Statewide: 578 Grant AwardsStatewide: 578 Grant Awards San Diego Region: 76San Diego Region: 76 (San Diego, Orange and Imperial Counties)

3. Three Goals Access to Health Access to Health Health Consumer AllianceHealth Consumer Alliance Survivors of Torture InternationalSurvivors of Torture International Cultural Competent Health Systems Cultural Competent Health Systems Hmong Health ProjectHmong Health Project Somali Bantu Community of San DiegoSomali Bantu Community of San Diego Community Health and Elimination of Disparities Community Health and Elimination of Disparities Agricultural Worker InitiativeAgricultural Worker Initiative Social Advocates for Youth San Diego, Inc.Social Advocates for Youth San Diego, Inc. The key is: funding support has been varied

4. Access to Health Health Consumer Alliance Health Consumer Alliance www.healthconsumer.org Mission of the Organization: Mission of the Organization: Help consumers establish / maintain health coverageHelp consumers establish / maintain health coverage Ensure low-income consumers with health coverage get access to essential services, including through managed care plansEnsure low-income consumers with health coverage get access to essential services, including through managed care plans California Endowment support to SD Legal Aid Society (local HCC site): California Endowment support to SD Legal Aid Society (local HCC site): Counsel and Administrative AdvocacyCounsel and Administrative Advocacy Medi-Cal/Medicare DualityMedi-Cal/Medicare Duality Outreach WorkshopsOutreach Workshops

5. Access to Health Survivors of Torture, International Survivors of Torture, International www.notorture.org Mission of the Organization Mission of the Organization To provide healing resources for survivors of torture and their familiesTo provide healing resources for survivors of torture and their families Educate the public about torture and its acute and long-term health consequencesEducate the public about torture and its acute and long-term health consequences California Endowment support: California Endowment support: Estimate the number of torture survivors in CaliforniaEstimate the number of torture survivors in California Communicate to the state the existence of the population and the population’s health needsCommunicate to the state the existence of the population and the population’s health needs Advocate for desired changes to health systems with support of decision-makers at the state and local levelAdvocate for desired changes to health systems with support of decision-makers at the state and local level

6. “We don’t know how to make change happen: Please help us with that!” -TCE North State Hmong Grantee

7. Cultural Competent Health Systems Hmong Health Project (2 Phases) Hmong Health Project (2 Phases) Project Overview Project Overview To create a coordinated strategy to support community-based responses to address health- related needs of the refugees and their families Phase I Phase I Support the immediate health needs of arriving refugees Phase II Phase II Support the development of greater systems change

8. Cultural Competent Health Systems Somali Bantu Community of San Diego Somali Bantu Community of San Diego Mission of the Organization Mission of the Organization To provide health and education resources to this newly arrived refugee communityTo provide health and education resources to this newly arrived refugee community California Endowment support: California Endowment support: Conduct health needs assessment of communityConduct health needs assessment of community Document needs and approaches to reach marginalized community with health services and messagesDocument needs and approaches to reach marginalized community with health services and messages Funded in coordination with Alliance Healthcare FoundationFunded in coordination with Alliance Healthcare Foundation Long-term goal is to support this organization’s efforts to improve the cultural competency of health providers and systems in City Heights, San Diego.Long-term goal is to support this organization’s efforts to improve the cultural competency of health providers and systems in City Heights, San Diego.

9. Community Health and Elimination of Disparities Central Coast Alliance for a Sustainable Economy Central Coast Alliance for a Sustainable Economy www.coastalalliance.com www.coastalalliance.com www.coastalalliance.com Program Overview Program Overview To empower farm workers to develop leadership skills to advocate for improved local public policy and practices to create a healthier work and living environment for agricultural workers and their families California Endowment support includes: California Endowment support includes: Train farm workers to serve as a neighborhood health resourceTrain farm workers to serve as a neighborhood health resource Develop action plans to support organized action and socio- political action among farm workersDevelop action plans to support organized action and socio- political action among farm workers

10. Community Health and Elimination of Disparities Social Advocates for Youth San Diego, Inc. Social Advocates for Youth San Diego, Inc. www.saysandiego.org Mission of the Organization Mission of the Organization To plan and implement programs and services to strengthen the social and emotional well-being of San Diego’s children, families and communitiesTo plan and implement programs and services to strengthen the social and emotional well-being of San Diego’s children, families and communities California Endowment support includes: California Endowment support includes: To improve the health status of immigrants and refugee families by supporting an advocacy project that promotes changes in housing standards in City Heights, San DiegoTo improve the health status of immigrants and refugee families by supporting an advocacy project that promotes changes in housing standards in City Heights, San Diego Recruit and train residents to conduct home health assessments and understand tenant legal rightsRecruit and train residents to conduct home health assessments and understand tenant legal rights Teach community members how to advocate for change and not fear eviction, based on tenant rightsTeach community members how to advocate for change and not fear eviction, based on tenant rights Develop partnerships with other organizations to effectively advocate for improvements to the quality of local rental housing units.Develop partnerships with other organizations to effectively advocate for improvements to the quality of local rental housing units.

11. Review California Endowment Support California Endowment Support Multiple Needs, Different Approaches Multiple Needs, Different Approaches Direct Services and System Changes Direct Services and System Changes Support for refugees and immigrants focus on the family and not just the individual Support for refugees and immigrants focus on the family and not just the individual Engage broader community to understand the needs and concerns of refugees and immigrants Engage broader community to understand the needs and concerns of refugees and immigrants