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Out of service?

By Elizabeth Drozd - posted Wednesday, 29 May 2002


One of the biggest challenges facing the Polish community in Australia is the provision of adequate care for our elders that is also culturally and linguistically appropriate.

In my presentation I will provide you with actual examples of inappropriateness and inequity in service provision that exists for older Australians of various ethnic backgrounds, including Polish older persons.

Demographics (an overview)

You may be surprised to learn that the Polish community has the third largest number of older persons of all ethnic groups in Australia. Between 1947 and 1953 almost 50,000 Poles came to settle here. The majority were Displaced Persons who had been forced into slave labour camps in Nazi Germany during the Second World War. Some were as young as 15 and 16 years of age. Many never saw their families again. Of those 50,000, today we have a population of 28,000 who are over 65 years of age, the majority being in their late 70s and early 80s.

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Discrimination, Past & Present

Based on my own experience and that of my colleagues in working with our Polish elders, I am pleased to stand here and say that older Polish citizens living in this country are not discriminated against intentionally. This could not have been said at the time when the majority of them came to Australia. Some of the examples they have shared with us include: someone spat on a Polish newspaper a man was reading on a tram; banks had signs near the cashiers which read: "SPEAK ENGLISH".

Present-day discrimination takes another form: we as a community are not being treated fairly with regard to service provision - to be more exact, with regard to aged care.

Cultural Considerations

Older people of Polish background, in a snapshot, could be described as a quiet community, conforming rather than standing out. I believe that because of this, the current pressures on the service system, and the limited lobbying of elected members of parliament and government departments by the Polish community itself, the funds received for aged care within our community are inadequate and disproportionate.

Delayed Delivery

At the beginning of 2000, Polish older persons in the western region of Melbourne had to wait, on average, five years to access a Commonwealth funded service called Community Aged Care Packages which enables the provision of individualised and holistic care based on each person's needs. I am pleased to say that the situation for our community regarding that particular program has improved and the waiting list is now about six months, which is comparable to the general community. It took us 14 months to achieve this remarkable change.

There are almost 1500 elderly Poles living in the western suburbs of Melbourne and currently some have to wait up to three years for a service known as Day Care, which is part of the Home and Community Care Program funded by the Commonwealth and State governments.

To the best of my knowledge, no Australian-born counterparts, have to wait so long for this type of service. One of my staff conducted a brief research on waiting lists for this program managed by the so called mainstream organisations in that region. Again it appears that Polish older persons have to wait the longest to receive care, according to their service choice and that is: a service provided the Polish way.

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Resource Distribution

As I mentioned earlier, Polish older persons do not consider themselves a group discriminated against because of their ethnicity or because of their age. But rightly and understandably, many are disappointed that after living here for 50 years - paying taxes, contributing to this society, rarely asking for help in the past - they cannot get access to a service that is linguistically and culturally appropriate for them.

Inappropriate service response and unevenness in resource distribution on the part of government departments seem to be the two main reasons for elderly Polish people not being treated fairly or as well as their Australian-born counterparts.

It seems to me that this unevenness in resource distribution is unintentional, and it is not targeted specifically at the Polish community. I believe it is a result of the current system of funds distribution, political and bureaucratic processes, and the lack of close monitoring and evaluation of access and equity in service provision.

The Polish community is not an exception in this regard. The Italian community, which has by far the largest number of older persons from all ethnic groups in Australia, faces similar challenges and often there is an inadequacy of funds to meet the basic needs of their older members. The Greek community, which has the second largest number of older persons, shares similar concerns and issues.

Communication Barriers

Our experience of working daily with the ageing Polish community shows that they experience high levels of service disorientation; have limited access to information about the range of services available and how to get access to services that may be relevant to them: they are often not aware of their rights and responsibilities.

There are two other factors which also impact on their treatment as service users and they are: the attitudes of the practitioners versus cultural practices, and the degree of confidence and assertiveness a client has when dealing with staff in various organisations.

In addition to the unacceptable waiting lists for support services, some of the examples of situations that we have dealt with include:

  • Doctors not organising interpreters because it is too expensive.
  • Staff in a nursing home located in country Victoria being unable to communicate with a female, older Polish resident. As a result of an audit by the Aged Care Standards Agency, a Polish interpreter was called and found that the battery in the woman's hearing aid was flat and she could not hear anything.

Recommendations

Nevertheless, service provision regarding people from non-English speaking backgrounds has come a long way in the last 15 years, although areas for further improvement continue to exist, and I would like to make the following recommendations:

  • Making interpreters available and employing bilingual staff where possible.
  • Staff training in the area of cultural sensitivities and understanding.
  • Commitment to adequate and appropriate aged care by governments and senior management in service organisations.
  • Effective information strategies to promote better understanding and acceptance.
  • Inclusion of contract compliance provisions in funding agreements.
  • Monitoring and evaluation of service agreements' implementation so that policies and practices continue to improve.

Conclusion

We as a community support the development of the Age Discrimination Act on the condition that public education regarding its aims and complaint processes is part of this initiative. Older Polish people, like many other people, are reluctant and in some cases afraid of making complaints due to possible repercussions. The adoption of the suggested minimum national standards for the provision of essential goods and services, especially in health care, would be a very good start. This would help improve services which tend to neglect cultural differences and special requirements.

Let me finish with a quote by Anthony Powell who said in 1969:

Growing old is like being increasingly penalised for a crime you haven't committed.
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This is a speech given to the "Beyond Racism" Conference at the Sydney Opera House, March 12-13 2002. The original speech can be found here.

Elizabeth Drozd is Director of Australian-Polish Community Services Victoria.



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About the Author

Elizabeth Drozd is Director of Australian-Polish Community Services Victoria.

Related Links
Australian-Polish Community Services Victoria
Beyond Racism Conference
Displaced Persons Camps - Australia
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