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is not among strangers. There is recognition of the impact of cultural background and awareness of the patterns of emotional behavior characteristic of the nationality group, all of which make the transference from family and community life to institutional care an easier, happier adjustment.

Of 17 nationality organizations in Allegheny County with national headquarters in Pittsburgh, 7 support or maintain their own institutions for the aged and are planning their own health and welfare facilities. These organizations not only recognize the continuing need for such a facility but also are looking toward the expansion or modernization of their programs. While it is their prerogative to support such projects if they feel the need, the real crux of the problem lies in why they feel the need in view of existing community resources with similar functions. Therefore, the beneficial organizations can make an important contribution to the welfare community by interpreting the special needs of foreign among the aging in the community as well as in institutions. Their leadership should be involved in the research, study, and planning of overall health and welfare programs if the needs of all in the community are to be effectively and adequately met.

In summary, the American Service Institute recommends that in the consideration of any studies or planning affecting health, welfare and recreation services for the aged:

1. Recognition be given to the strong impact of cultural factors and ethnic patterns on the foreign born and their children which affect their ability to make effective use of community resources.

2. The beneficial societies of nationality organizations, because of their knowledge and experience, should be used as a resource in interpreting and meeting the special needs and problems of foreign-born aged.

3. The leadership of nationality groups and organizations should be involved in the planning of health and welfare services. These organizations can make an important contribution to the welfare community by sharing ideas and working jointly with social welfare planners in developing effective programs for meeting needs in the community.

4. Intensive research should include a study of the effect of ethnic culture on the aging and their problems.

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LABOR AND PUBLIC WELFARE

UNITED STATES SENATE

EIGHTY-SIXTH CONGRESS

FIRST SESSION

43350

PART 4.-SAN FRANCISCO, CALIF.

OCTOBER 28 AND 29, 1959

Printed for the use of the Committee on Labor and Public Welfare

UNITED STATES
GOVERNMENT PRINTING OFFICE

WASHINGTON: 1960

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SUBCOMMITTEE ON PROBLEMS OF THE AGED AND AGING
PAT MCNAMARA, Michigan, Chairman

JOHN F. KENNEDY, Massachusetts
JOSEPH S. CLARK, Pennsylvania
JENNINGS RANDOLPH, West Virginia

EVERETT MCKINLEY DIRKSEN, Illinois
BARRY GOLDWATER, Arizona

SIDNEY SPECTOR, Staff Director
HAROLD L. SHEPPARD, Research Director

UNITED STATES OF AMERICA

CONTENTS

STATEMENTS

Armstrong, Dr. Barbara, University of California, Berkeley, Calif--
Berke, Mark, administrator, Mount Zion Hospital, San Francisco, Calif
Prepared statement__

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Borchardt, Marjorie, president, Senior Citizens Association of Los Angeles
County, Inc__

902

Prepared statement__.

899

Born, Ronald H., director, Department of Public Welfare, City and County of San Francisco, Calif..

933

Prepared statement..

931

Breslow, Lester, M.D., chief, bureau of chronic illnesses, State Department of Public Health, Berkeley, Calif..

968

Prepared statement_.

965

Brown, Robert A., housing director, California Institute of Social Welfare, Los Angeles, Calif., prepared statement-

834

Burcham, Ruth E., Visiting Nurse Association, San Francisco, Calif.......

945

Prepared statement__.

940

Burton, Hon. Philip, assemblyman, State of California--

775

Butler, Gen. Frederic B., U.S. Army (retired), chairman, Catholic Committee for the Aging, San Francisco, Calif_

816

Prepared statement---.

815

Chamberlain, Selah, president, United Community Fund, San Francisco,
Calif

789

Coliver, Norman, chairman, Social Planning Committee, United Givers
Fund, San Francisco, Calif.

784

Prepared statement---.

778

Corrie, John E., supervisor of employment services for older people, California Department of Employment....

809

Culver, Elsie Thomas, chairman, Commission on the Churches' Responsibility to Older Persons, Northern California-Nevada Council of Churches, prepared statement__

989

Cumming, Gordon, chief Bureau of Hospitals, Department of Public
Health, Berkeley, Calif.

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Dittmar, C. F., Oakland, Calif., prepared statement-

994

Ferguson, Russell S., M.D., health officer, Santa Cruz County, Calif..

962

Prepared statement..

956

Freedman, Dr. Donald K., chairman, medical care section, American
Public Health Association..

949

Prepared statement__

947

Geddes, Samuel R., member of the assembly, California State Legislature_
Prepared statement----

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Haggerty, C. J., secretary-treasurer, California Labor Federation, San
Francisco Calif., prepared statement_

790

Hirt, Mrs. Eloise S., San Francisco, Calif., prepared statement_
Jackson, John A., executive director, Leonard Stovall Home, prepared
statement___.

866

1000

Kuchel, Hon. Thomas H., a Senator from the State of California, prepared statement__

838

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