Friends of Refugees

A U.S. Refugee Resettlement Program Watchdog Group

Archive for the ‘foster care’ Category

Refugee parents find themselves in morass when key facts are lost in translation; then buried in bureaucracy

Posted by Christopher Coen on June 13, 2011

The Roanoke Times has an article about the subject of refugee parents trying to deal with the system when their children are suffering from a disorder – in this case Attention deficit hyperactivity disorder (ADHD). ADHD is a problem with inattentiveness, over-activity, impulsivity, or a combination, affects about 3 – 5% of school aged children, and specialists diagnose it much more often in boys than in girls. Depression, lack of sleep, learning disabilities, tic disorders, and behavior problems may be confused with, or appear with, ADHD. Most children with ADHD also have at least one other developmental or behavioral problem, and may also have another psychiatric problem, such as depression or bipolar disorder.

In the case illuminated in Roanoke the system (county social services, county attorneys) compounds the problem via their inability or unwillingness to competently manage the cultural and language barriers that new Americans have, and the power that refugee children with behavioral health issues can have. (This is yet another reason that adults should not use minors as interpreters – not only can a minor manipulate the communication but, more importantly, acting as a go-between with adults often places undue stress on a minor). In this case no amount of warning and explanation to county social workers did the slightest good — officials simply blamed the messenger — a community volunteer — because her style/approach didn’t satisfy them.

Melva Belcher is a formidable school administrator, determined and unafraid to forge her own path. When low-performing schools get into trouble, she’s often the go-to taskmaster to whom Roanoke City Public Schools turn to shake things up.

As principal of Westside Elementary School, it’s what she did in 2006 when she first encountered the likes of 10-year-old Ibrahim Kromah, a troubled refugee from war-torn Liberia who came to the United States angry and determined to wreak havoc wherever he went, fighting at school, showing disrespect to his mother at home — and even stealing the money she’d put aside for rent.

Belcher put him on a rigid discipline plan, and she visited regularly with his mom, 44-year-old Makagbe Toure, with whom she became friends.

But Belcher has been stymied by what happened to the family once Ibrahim left her school. She’s found herself face to face with a system that even she can’t stare down.

Now 64 and a semiretired administrator on assignment, Belcher watched powerlessly as Ibrahim bounced from his home in the Indian Village public housing project to four different foster-care homes in the region before finally landing, in January, at Keystone Newport News Behavioral Health Center, a residential mental-health treatment center for teens…

…This is a story about the morass that immigrant families find themselves in when key facts aren’t just lost in translation; they’re also buried in bureaucracy…

…Most service providers are well-meaning, added Liberian-born Danielle Taana Smith, a Rochester Institute of Technology sociologist who studies refugee assimilation. “But they lack cultural understanding.”

What Taana Smith used to hear murmured occasionally, she now perceives as a steady drumbeat: “People are saying they were better off in the refugee camps because they may not have had much, but they had hope.

“Now, they’re realizing it’s easier to escape from a refugee camp than it is from an urban ghetto,” she said…

…the situation exploded in August 2009 when Toure thought she was signing paperwork to have Ibrahim placed at Sanctuary, the crisis intervention facility for youth.

Because interpreter services weren’t provided at that time, it wasn’t until later that she learned she had actually signed away her custodial rights, Toure said. She also didn’t realize that she’d been charged with abuse and neglect at the same time — until she was terminated from her school housekeeping job following a background check, she said.

“They said I hit him,” Toure said. “I didn’t hit him, but we always argue, and he always threatens to call his caseworker.”

The situation so angered Belcher, who had become like a mother to Toure — opening her mail and taking her to doctor appointments — that she hired lawyer Onzlee Ware to represent Toure. (The case is currently being reviewed by a regional social services administrator.)

Thus began the shuffling of the boy amid four different sets of foster parents, all of whom complained about the same disruptive behaviors that his mother had, according to documents provided by Belcher and Toure.

While cases involving legal action always require interpreters, Department of Social Services Director Jane Conlin said it’s not always clear during home visits when an interpreter is needed. As for immigrant parents communicating with social workers, she added: “I think it’s more difficult when parents may not speak English and where there may be some fear in general of the government… Read more here

But what about the basic responsibility that refugee resettlement
contractors and county social workers have to provide interpretation/translation? That probably would have made all the difference in the world in this case. (If it’s not “clear” to officials that an interpreter may be dispensed with, then isn’t it clear that they need an interpreter?) At the end of the day these public servants don’t care because its simply a nuisance to them, and they don’t suffer all the damages that result from this lack of accountability – only the immigrant parents and children do.

Note: 1) Social services working with the courts took away the six children of a Burundian refugee woman in Idaho, also apparently due to lack of interpretation, and bureacratic mistakes and misunderstandings.; 2) Combining poor social work and poor prosecution work with love of power has also driven people from their home countries – causing them to become refugees.

Posted in child protective services, children, Commonwealth Catholic Charities (Virginia), court, foster care, language, Liberian, mental health, teenagers | Tagged: , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a Comment »

Burundian Refugee Woman In Boise – Court Places Six Kids Into Adoption Proceedings

Posted by Christopher Coen on February 27, 2010

A Burundian refugee woman client of World Relief is the subject of a case in which a judge terminated her parental rights, and placed her six kids into adoption proceedings (here).

Members of a local World Relief-affiliated church, as well as its pastor, claim the woman’s home was not a safe place for her children. The Court, as well, would supposedly have had to see proof of serious abuse and/or neglect (Court records remain sealed). One claim was that she left the children home alone, but a World Relief-affiliated church previously moved her to a place outside Boise, where no one from her ethnic community lived. How would she have been able to, e.g. drag all six kids to the grocery store with her? (Did she leave them in the care of the oldest child? I’m speculating.) Yet, the refugee woman should have been able to show the Court some change or improvement — assisted by social services, classes in child care, mental health services, and/or other help. What happened?

Well, they placed this refugee woman in psycho-social rehabilitation sessions at Mountain States Group in Boise, which works with many refugees (via its EMM-affiliated Agency for New Americans), yet these sessions took place mostly without interpreters, through pantomime. (The woman speaks Kirundi, the national language of Burundi). Pantomime, obviously, would have been useless.

“….at least two federal civil-rights complaints [have been filed] against Idaho health providers for failure to provide adequate interpretation, which the U.S. Department of Health and Human Services is investigating….If those charges are substantiated, they could call into question the validity of her psychological diagnoses and land the case in federal court.Health and Welfare’s Bureau of Facility Standards has already agreed that Niyonzima received inadequate help from interpreters at St. Alphonsus Regional Medical Center and the agency’s Medicaid certification bureau reported to McMillan that psycho-social rehabilitation sessions at Mountain States Group, which provides services to many refugees in Boise, were done in large part without interpreters, through pantomime. Staff at St. Al’s even remarked to the Health and Welfare reviewer that Niyonzima reported hallucinations–at the urging of her church friends–but when an interpreter was eventually called in, it turned out she was complaining of nightmares.

The psycho-social rehabilitation sessions may also have prevented her from visitation with her children while they remained in foster-care. Federal child welfare laws call for termination of parental rights if the children have remained in foster care for 15 out of any 22 consecutive months.

Kathy Tidwell, director at the Child Welfare Center at Boise State’s School of Social Work and founder of Tidwell Social Work Services, which works with Boise’s growing refugee community, said that federal child welfare laws provide strict time limits for terminating parental rights. If children are in foster care for 15 out of 22 months, the case goes to termination. “For many refugees who come here not speaking English, who come as women from countries where the expectations of women are very different, who have trauma histories … 15 months may not be enough time,” she said.

How would this refugee woman have been able to resolve the problems she was having in 22 months if she was receiving incompetent mental health care, and/or was misdiagnosed, and/or if she didn’t even need mental health care?

The question is, why wasn’t World Relief helping to make sure this woman was receiving responsible health care and mental health services? If they had simply monitored her case, they could have identified problems and contacted hospital and mental health services administrators to advocate for proper interpretation services. They also could have monitored the legal proceedings to make sure this refugee woman received competent legal representation. Why did it take someone from a non-World Relief-affiliated church, who met her randomly by just knocking on doors, to step in and help this woman?

The resettlement agencies who give the resettlement program a bad name always say that they are not responsible for refugees after their first 3 months, 4, months, 6 months, or 8 months (take your pick), but the reality is that the resettlement agencies are supposedly the local refugee experts, and after all, they are the ones who resettled her to the area claiming it was an appropriate resettlement site. They should catch these cases where circumstances leave their former refugee clients vulnerable.

The state refugee coordinator is also there to watch what is happening to refugees in the state (in this case Jan Reeves came in the revolving door via Mountain States Group, Inc.). State officials have the power to go into agencies and view their records to find out what is happening to refugees. They can also interview refugees with an interpreter if necessary to find out directly the problems the refugee is experiencing, and not just rely on occasionally looking at agencies’ records and only speaking to resettlement agency staff members.

This case reminds me of the Liberian teenager in Fargo who was meanly mislabeled as aggressive, crazy, and low-intelligence simply because no one bothered to find competent interpretation services for her (see our post here).

By the way, the Burundian refugee woman in Boise should not have lived with church members after initially arriving in Boise. The State Department’s Admissions Office has repeatedly warned World Relief affiliates (here, here and here) that this practice is prohibited. Of course the State Department’s warnings to resettlement agencies, and other slaps on the wrist, have long been ineffective. Most resettlement agencies just do as they wish as there are no real consequences to breaking contract requirements and regulations. Certainly there are no monetary consequences.

Finally, I would like to point out the accountability-shifting in this case that is so rampant in refugee resettlement. In this case the World Relief-affiliated church (a member of the church who was a World Relief volunteer brought the refugee to the church) that worked with this refugee woman claims that their church took no actions; that it was people in the church operating under their own volition.

At [Common Ground Covenant Church in Meridian] –a small evangelical church …several other families, including the pastor, Tom Bowen, began to assist Niyonzima as well….the pastor and three women from the church came to her house and asked her how they could help……..Pastor Bowen said..”[Niyonzima] had approached our church in helping with her kids, and then when she had asked us to no longer do that, we really weren’t involved,”…stressing that it was individuals from the church, not Common Ground, providing the assistance.

But is that really the case since even the church’s pastor was involved? A bigger problem is the resettlement agencies who always blame government oversight agencies. Then we have the State Department that won’t investigate these cases. They claim that we should report problem cases to the VOLAGS or to the state refugee coordinators. Yet, state refugee coordinators in turn tell us that they don’t have to answer to anyone but their governors, the federal oversight agencies, etc. Other state refugee coordinators tell us that we should not ask them to investigate problems, that instead we should ask the board of directors of refugee resettlement agencies to investigate.

So where does the buck ever stop? It seems like just a few people accept accountability in the refugee resettlement field. It is always the responsibility of someone else. This problem is the result of a culture of non-accountability, which I believe is systemic in refugee resettlement. It must change.

Posted in Agency for New Americans (in Mountain States Group, Inc., Boise), Boise, Burundian, child protective services, foster care, Idaho, language, language interpretation/translation, lack of, mental health, revolving door, World Relief | Tagged: , , , , , , , , , , , , | 2 Comments »

 
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