peer support

Peer service reinvented

To say that COVID-19 has wreaked havoc on British Columbians would be an understatement. The virus has disrupted anything that we would call the normal activities of daily life. Most of us have had to make major compromises: where we go, what we do and how we can avoid getting the terrible virus. These adjustments have had a major impact on Jewish Seniors Alliance clients, who are already compromised by loneliness and isolation.

How we serve our clients and how we support our volunteers has undergone major changes – let’s give it the label “reinventing peer services.” In order to better understand what has taken place, I interviewed Charles Leibovitch, JSA senior peer support services coordinator, and Grace Hann, JSA trainer of volunteers of senior support services.

In the beginning

By mid-March 2020, the first sign of COVID-19 began to show its ugly head. The lockdown left clients and volunteers absolutely unprepared. Persons who were already isolated and lonely found themselves even more isolated and lonelier. As time progressed, clients were cut off from family members who might have supported their relatives through personal contact and social events. This was especially devastating for persons without family.

In many situations, volunteers were their primary contact; their lifeline! Being alone undermines one’s mental health. Being alone exaggerates one’s fear of COVID-19. Most of the clients were cut off from community programs, like adult day care. Spouses who usually spent time with their spouse in a long-term care facility were also cut off. Simple activities like going for a walk and sitting on a bench were curtailed. Elders had depended on having that human connection – having that human touch makes us feel needed and whole.

Volunteers meet challenge

The changing scene called for quick action, initiated by Grace and Charles. Instead of personal visits, the telephone would become the prime instrument of contact between volunteers and their clients. It was necessary to contact the volunteers quickly. Support for the volunteers would be provided by Zoom. This necessitated a steep learning curve for volunteer and client. After all, making and keeping the connection was critical. The three services – peer support, friendly visits and friendly phone calls – had to be reassessed in terms of the neediest clients. Each of the three services’ volunteers had different levels of training by Grace.

In some situations, a certified peer support volunteer was assigned to a person who ordinarily would have had contact with a friendly visitor or a friendly phone caller. Moving from in-person contact to impersonal contact was a major transition – almost like reinventing how support was to be provided. The JSA volunteers made the transition like veterans, with the extraordinary help of Grace and Charles. There was an increase in the contacts between volunteers and clients and an increase in Zoom online meetings to support the very special work being carried out by the volunteers.

Supporting the volunteers

Grace and Charles organized many activities, including outdoor picnics, weekly webinar seminars, a Chanukah party with a singalong and group support meetings every three weeks. The spirit and esprit de corps by the volunteers has been amazing. Volunteers will send cards to their clients as an additional way to keep in contact. Who doesn’t like to receive mail?

Next steps

Challenging times require challenging solutions. Charles and Grace rose to the challenge and proved that, with dedication, imagination and determination, obstacles can be overcome. When the COVID-19 vaccine has been fully distributed, we will establish a “new normal.” This will present JSA, Grace, Charles and the volunteers with a new set of issues and situations. And, as the song goes, “we shall overcome” – they will face these challenges with creativity, empathy and caring.

Ken Levitt is a past president of Jewish Seniors Alliance, former chief executive officer of Louis Brier Home and Hospital, and a past chair of Camp Miriam. In 1985, he co-edited The Challenge of Child Welfare, the first textbook on child welfare in Canada. A version of this article originally appeared in the March 2021 issue of Senior Line.

Similar needs across cultures

On Oct. 30, members of different cultural groups gathered to discuss issues facing seniors. (photo from JSA)

Aging Across Cultures Dialogue Tables included an Oct. 30 gathering hosted by Jewish Seniors Alliance of Greater Vancouver at the Unitarian Centre.

The B.C. Ministry of Tourism, Arts and Culture has provided funding for a focused review of services, concerns and challenges faced by organizations providing help to multicultural seniors in the Lower Mainland. In addition to the JSA, Jewish Family Services and the Kehila Society were among the groups represented, which also included ASK Friendly Society, B.C. Community Resources Network, Kitsilano Neighbourhood House, United Way-Better At Home, Collingwood Neighbourhood House, COSCO, 411 Seniors Centre Society, Gordon Neighbourhood House, Marpole Neighbourhood House, Simon Fraser University Gerontology Research Centre, Vancouver Seniors Advocate, Seniors Brigade Society of British Columbia, Seniors First B.C., South Granville Seniors Centre, Tonari Gumi, Vancouver Native Health Society, and West End Seniors Network.

On Oct. 30, Gyda Chud, co-president of JSA, welcomed participants, emphasizing advocacy, reflection and rejuvenation as illustrated in a new JSA video outlining its community services. Grace Hann and Charles Leibovitch, from JSA’s peer support services, were the facilitators for the multicultural dialogue tables. Liz Azeroual of JSA documented on flip charts the ideas and concepts put forth by the participants.

Whatever the needs of seniors in general, discussants agreed that the situation is worse for immigrants and for women; many must choose between either eating or taking their medications. Immigrant women are less likely to be accepted for financial aid. Literacy is an issue, especially when applications for help are online, and navigating the system is more difficult when English is not your first language.

Without family advocacy, many seniors are left to fend for themselves. They need places to meet other seniors who have similar language, customs and experiences. In care facilities, many immigrant seniors are forced to eat unfamiliar foods. Immigrant seniors, especially women, need advocates to get their needs met, but community-based organizations working with seniors often are not well-funded, so help is minimal. The medical system is not structured to treat the multiple problems of seniors.

Loneliness and isolation are among those issues. Family groupings are now much smaller, and young families do not live in the same area as their parents or grandparents. Some seniors are abandoned by their families, or by the death of friends and colleagues. There is a lack of social support, transportation and financial aid to address these problems. Health issues such as depression, fractures that limit mobility, and degenerative hearing and sight increase isolation. LGBTQ+ seniors may also be underserved and isolated. There is a need for better communication all round.

Low-income seniors often move into single-room facilities, if they are available, or some become homeless, living in cars or couch surfing, as they cannot afford higher rents.

Paid caregiver turnover and the deteriorating quality of some care facilities has led families to care for their loved ones at home without adequate financial support. Caregiver burnout is a major concern and accessing certain types of care is a huge challenge: palliative care, for example, requires a physician’s referral.

Population movement and growth, and changes in the healthcare industry, are taking place without adequate planning for the changing needs of the senior population. For all workers, including professionals, who come from a non-English-speaking country, language training is necessary and difficult. Families need paid work in stable jobs and so do seniors. Volunteers are hard to recruit and retain, even though it is meaningful work and can lead to other jobs. In addition to language, many new Canadians need to learn more about technology and Canada’s corporate and general culture. In many areas, discrimination is an issue faced by new Canadians.

All Canadians need to plan for retirement, which is becoming costlier, as the population ages and services become more expensive. Various healthcare agencies need adequate funding to keep the elderly out of hospitals, and the links between different levels of health care and social services (clinics, hospitals and nonprofit agencies) need to be strengthened in order to keep this population from falling through the cracks. Access to transportation is a big part of this, and caregivers should be remunerated for providing home care for seniors. Cultural and ethnic care facilities could play a larger role in reducing isolation, offering spaces where language, food and culture are familiar and where families of seniors can meet.

Seniors housing was considered the highest priority. The need for more single-room affordable housing units, more cooperatives, more roommate pairing services and stricter legislation for affordable-housing vacancy rules were discussed. It was also believed that immigrants and 55-to-65-year-old seniors needed more access to Canada Pension Plan and Old-Age Security.

At the end of the discussion, Dr. Gloria Gutman, from Simon Fraser University’s Gerontology Research Centre, stressed the needs for groups to keep communicating at all levels to help resolve these major seniors’ issues.

Pamella Ottem, MSN, worked for many years in the field of gerontology. As a retired nurse, she has volunteered in the Fraser Health Authority hip replacement program. At Jewish Seniors Alliance, she is a member of the board and chairperson of the peer support services committee.

Giving is a way to live well

Graduates of the Jewish Seniors Alliance peer support program, and teachers. (photo by Binny Goldman)

On June 11, I walked into a room filled with givers – of themselves. It was the special occasion of the graduation ceremony of the fifth class of peer counselors, which took place at the Peretz Centre for Secular Jewish Culture.

They were 13 men and women of various ages who had met as strangers and quickly become an extended family of friends. Through 11 weekly five-hour sessions in which interactive role-playing was used, they were taught how to listen, comprehend and use their newly acquired techniques.

Charles Leibovitch, coordinator of peer support services, warmly welcomed those gathered – family and friends of those receiving certificates and members of the board of the Jewish Seniors Alliance of Greater Vancouver. He introduced himself and Grace Hann, trainer and supervisor of the peer counseling program, then credited the founder of JSA, president emeritus Serge Haber, for being instrumental in initiating the program and working diligently to ensure that it thrived through continuous and crucial funding issues to meet the ongoing needs of our growing senior community.

Leah Deslauriers, coordinator of seniors at the Jewish Community Centre of Greater Vancouver, informed the audience of the many and varied activities open to all people (Jewish or not) at the centre for a nominal fee. She encouraged all to visit and partake in yoga, swimming, card playing and just general socializing. Expressing the wish for further partnering with the JSA, she extended a mazel tov to the graduates.

Barb Kirby of Community Resource Network said that, in both a personal and professional capacity, she had seen many gaps in the care of seniors over the years. “One of the greatest gaps we see is lack of support causing social isolation of seniors and that is why your job is so important. Your training and expertise provides a lifeline to those who truly are in greatest need,” she said.

“They say it takes a village to raise a child. I believe it take a village to care for the elderly and it takes a special kind of person to care for the elderly. You are that caring voice or the person sitting next to someone who truly needs a caring human connection or to go one step further to help get the further supports they might need.” One individual, organization or government cannot do it alone, said Kirby. “Speaking up, sharing knowledge and best practices will help make our communities a safer, more enjoyable place for those who need our support.”

She thanked Haber and JSA president Marilyn Berger “for providing all the invaluable services to bring awareness through education and support to our communities.”

Becky Herrmann of Angels There For You noted that people want to be needed, sought after and validated. She recommended the book Give to Live, and said there were no side effects to giving of oneself, urging everyone to try doing so. Larry Shapiro, one of the graduates, countered with, “There are side effects, but no negative ones.” Herrmann later presented each of the graduates with a gift.

Shapiro spoke next, sharing with the audience that, having completed the course, he felt prepared to go out and serve as a counselor. He proceeded to give a little history of peer support counseling in British Columbia, which has been present since the 1980s, addressing social isolation and other daily issues affecting seniors. Shapiro felt the course had taught him empathy, as well as the skills and techniques necessary to offer others methods of self-help.

Fellow graduate Neveen Hossameldin said that, as an immigrant, what one missed most were the friendships left behind, and that she didn’t have another 55 years to forge new ones. Yet, after 55 hours as part of this group, she had indeed made new, lasting friendships. Hossameldin appreciated that Haber had told the class that they were not working for JSA but were part of JSA. Echoing what others had said, she praised Hann for making the sessions pleasurable and warm.

Hann, laughing, said that since Shapiro had stolen a good chunk of her speech, she would just thank JSA and its founder, Haber, who deserved a special tribute for his vision, without which the program would not exist. She underscored that self-absorption kills empathy, that focusing on ourselves makes our world contract whereas giving to others broadens our world.

Leibovitch spoke of the ongoing need for peer support services and of the graduates who go out in the community to help combat the loneliness he sees daily. He said that phone calls to the office are often by those who have been guided by others to use the peer services, and that this essential, relevant help has become very valuable in the community. Karon Shear, coordinator of JSA, and Rita Propp were thanked for their constant commitment to excellence and giving of themselves.

Haber said, “Don’t do unto others what you don’t want others to do unto you,” a teaching found in other religions as well. Giving of yourself – so necessary both to the giver and the receiver – helps to alleviate loneliness, isolation and perhaps even remove the tarnish from the gold quite often present but hidden in the “golden years.” JSA is very proud of this program, he said, adding that he, too, had taken the course to familiarize himself with what was being offered and that he, too, had learned to really listen and hear what was being said. He concluded with the wish that all the graduates would go out and spread good will.

Certificates were handed out along with a rose to each graduate, as was a hug from both Hann and Leibovitch.

Ruby Boychuk, one of the graduates, presented Hann with a bouquet of yellow roses, explaining that yellow roses symbolized love and appreciation.

Family and friends proudly took photos of the celebration, while Stan Shear took a video that will be posted on the JSA website. Refreshments shared by all helped bring the evening to a close, leaving a sweet taste in our mouths and in our hearts. Mazel tov, graduates. Mazel tov, JSA.

Binny Goldman is a member of the Jewish Seniors Alliance of Greater Vancouver board.