For the most part the foreign workers we have had have gained a certain facility in handling the general run of cases, but there is a discouraging lack of initiative or daring in their efforts. They seem to go just so far. It has seemed hard, too, to strike the happy medium in their att.i.tude toward their own people; they seem either blindly sympathetic or peculiarly indifferent. In part I feel that this is an impression they give as a result of their lack of power of self-expression, and lack of confidence in themselves--this would undoubtedly be remedied by further education.

As a result of my efforts with about ten foreign workers I have traveled a complete circle in my way of thinking. I have come back to the conclusion that we cannot get satisfactory results if we accept very much less in the way of scholastic training or life experience, than is required of other workers.

Most of the agencies that have tried foreign-speaking visitors feel that in spite of these disadvantages it is a gain to the agency to have such visitors on the staff. This is especially true with those agencies that have or have had visitors with educational equipment that is comparable with that of most of their English-speaking visitors. One agency, for example, has only one foreign-born visitor, a Russian who speaks several languages and had a teacher's-training course in Russia. The superintendent reports her "gratifyingly successful in her work with foreign families."

The Charity Organization Society in another city is divided in opinion about the foreign-born visitor. During the panic of 1914-15 they had a Russian man who had had a good technical education at the University of St. Petersburg, and two years in a medical school in this country.

The a.s.sistant case supervisor of that organization reports that he not only accomplished a great deal with the unemployed men in the district, but also helped the district workers to understand the Russian, Slavic, Lithuanian, and Bohemian families in the district, and "demonstrated what the possibilities might be if we could have foreign-speaking people with requisite training and the proper spirit to work intensively with the families." On the other hand, the superintendent of this organization, who was not with them in 1915, says that their experience with foreign-born case workers has not been successful, and suggests as an alternative the instruction of American case workers in foreign languages.

The New York society agrees that better results are obtained by having native-born case workers learn the language of the group with which they are to work. They have found it possible to have native-born workers learn Italian, and have found them better workers than any Italians they have employed who were people of less background and training.

STANDARDS OF LIVING

Secondly, there is the problem of building up in the family asking and receiving aid, domestic standards appropriate to the life in the community. This raises, first, the question of the responsibility of the case-work agency for the adjustment of the family life to such standards in household management and in child care as might be formulated on the basis of expert knowledge of community needs; secondly, the question as to ways in which such adjustment may be accomplished if the agency feels under an obligation to undertake it.

A number of the thirty-three case-work agencies which discussed this subject indicated that they thought this task one that should not be a.s.sumed by the case-work agency. Four agencies said they were doing nothing in this direction, though one of these was looking forward to the employment of a visiting housekeeper. One agency said that there was no difference in this respect between the care of native born and foreign born, and that all families were given such instruction as occasion demanded.

Seven agencies met the problem by co-operating with some of the public-health nursing organizations, especially the baby clinics, and one of the agencies said that the nurses were doing all the educational work possible. Four other agencies supplied milk and co-operated with the public-health organizations of the community and also with visiting housekeepers in the service of settlements.

Two supplied milk where it seemed necessary, and three co-operated with agencies teaching food conservation. One of these supplied interpreters, organized cla.s.ses, and helped the agent of the County Council of Defense to make contact with women in their homes. Another co-operated with a cla.s.s of college students who were making a dietary study. The third had its own organization, which taught the use of subst.i.tutes and their preparation, in war time. Its work differed from that of others in that it was not organized for war-emergency purposes and was under the control of the case-work agency.

Several agencies mentioned the fact that their visitors gave advice as the case required, and it is probable that this is done in other cities also. Such advice, of course, would not necessarily conform to the standards formulated by home economics experts, but rather to the common-sense standards of the community at large, or rather that circle of the community from which the majority of charity visitors come. The difficulties inherent in such a situation were recognized by the secretary of one society, who wrote, "Our staff has made an effort to become somewhat familiar with dietetics, but is having difficulty with foreign families because of failures thoroughly to understand their customs and the values of the food to which they are accustomed."

Other agencies are not so definite in their view of the problem. Thus one reports that they are not successful in their work on the diet problem because "the Italians, Polish, and Lithuanians prefer their own food and methods of preparing it." Another says, "They seem to know their own tastes and _will_ do their own way mostly."

In Chicago some of the superintendents explain their difficulties in raising housekeeping standards by characterizing the women as "stubborn," "indifferent," "inert," "obstinate," "lazy," "difficult but responsible," "easy but shiftless, and not performing what they undertake." It is only fair to state that these were usually given as contributing causes of difficulties. Most of the superintendents saw clearly that the main difficulties were in the circ.u.mstances under which the people had to live, and the defects in their own organization, which was handicapped by lack of funds and workers.

[Ill.u.s.tration: A CASE-WORK AGENCY FOUND FOUR GIRLS AND EIGHTEEN MEN BOARDING WITH THIS POLISH FAMILY IN FOUR ROOMS]

There is little that need be said about the work of these agencies as to other phases of the problem of housekeeping. Only one does anything to help the women buy more intelligently, except in the way of such spasmodic efforts as are made by visitors who have only their own practical experience to guide them. Similarly, little is done to teach buying or making of clothing except that in some instances women are urged to join cla.s.ses in sewing. One agency speaks of teaching the planning of expenditure by the use of a budget.

Most of the agencies that leave the problem of diet to the public-health nurse leave to her also the problem of cleanliness, personal hygiene, and sanitation. The majority of the agencies report, however, that their visitors are continually trying to inculcate higher standards. One agency says it is the stock subject of conversation at every visit. No agency reports any attempt to reach the women in a more systematic way than by "preaching." One agency only, that in Topeka, Kansas, reports anything that shows a realization of the peculiar problems of the foreign-born woman in this subject. In Topeka, American methods of laundry are taught to Mexican women in the office of the a.s.sociated Charities.

VISITING HOUSEKEEPERS

On the other hand, there are twelve agencies that approach the problem, or at least attempt to approach the problem of household management from a scientific standpoint, so that the work done shall be a serious attempt to adjust the standards of the foreign-born women to the standards formulated by the home economics experts for families "under care." There are several methods used in this work.

The first and most common is the employment of visiting housekeepers by the case-work agency; another is that of referring families to another agency especially organized to give instruction in the household arts, such as the Visiting Housekeepers' a.s.sociation in Detroit; a third is the one used in New York City, that of a Department of Home Economics within the organization, and still another, used in Boston, is a Dietetic Bureau.

The cities in which there are visiting housekeepers in connection with the case-work agency are Chicago, Cleveland, Pittsburgh, Worcester, Fall River, Cambridge, Stamford, and Springfield, Illinois. In Brooklyn the visiting housekeepers are not employed by the case-work agencies, but are student volunteers from Pratt Inst.i.tute. The visiting housekeeper in Springfield has worked almost exclusively with English-speaking families, and the one in Worcester "has had at different times foreign-speaking families." In other words, in two cities with large foreign-speaking populations the visiting housekeepers only occasionally helped immigrant families to adjust their standards and methods of housekeeping to the new conditions found in this country.

The work that is expected of a visiting housekeeper has been frequently described. As it demands the combined qualifications of a case worker and a skilled worker in home economics, an attempt was made to learn the education and training of the various workers in the field. Information was available in only a few cases, but these cases seem to point to the fact that the visiting housekeeper is usually trained for one phase of her work only--either as a case worker or as a home economics expert. In either case she can be expected to give the type of service her position demands only in the field in which her interest and training lie.

Interviews with the five visiting housekeepers employed by the two largest relief agencies in Chicago in general bear out the impressions obtained from the statements of the agencies in other cities. None of those in Chicago speaks the language of the people with whom she works, though one agency is now training a young Italian girl to be a visiting housekeeper.

Most of the visiting housekeepers claimed very slight knowledge of what the diet of the family was in the old country, although they had considerable knowledge as to what was customarily eaten here. They had made very little study of the habits and tastes of their group; and although they were agreed that in most families the diet was inadequate, they had apparently not looked far for the cause.

Ignorance of food values and ways of preparing food seemed to them the chief reason; poverty, racial prejudice, and laziness might be secondary features.

Since the visiting housekeepers deal almost entirely with dependent families under the care of a relief agency, their work in helping the women provide for the clothing needs of the family is quite largely concerned with making over old clothing.

In the effort to raise the standards of cleanliness and sanitation the visiting housekeepers meet with great difficulty. One thinks the greatest difficulty is indifference on the part of the housewife and a lack of anything to which the visitor can appeal; another thinks that her greatest difficulties are that the mothers are usually overworked, that frequently they are kept worn out by having one child after another in close succession, and sometimes a woman has had to contend with a drunken husband. These cases she finds especially difficult to deal with. Some of them lay stress on the economic factor and point to the fact that most of these families are deprived of the conveniences which would make housekeeping a comparatively simple task. As one of the visiting housekeepers has said:

With modern equipment, steam heat, electric utensils, and new and sanitary apartments, it is not a difficult task to keep the quarters fresh and clean, but in rickety, shadowy apartment buildings or houses where the floors are worn and rough, with no hot-water service, and too often without even gas for lighting, we can at once recognize the trials and handicaps which confront the housewife in the poorer districts.[74]

The visiting housekeepers interviewed saw many discouraging features of their work. All stated that improvement came very slowly. One worker stated that she had worked three years in her district and she had some families under care all the time, but that she was just beginning to see the results of her efforts. Others pointed out that their constant supervision was essential, that as soon as they relaxed their efforts at all the families dropped back to their old habits.

There was, however, general agreement that in time, by much expenditure of effort, constant visiting, teaching, and exhorting, they did help some families to a better standard of living.

It was impossible to get an estimate from most of them as to how many families they thought they had helped, but the worker in one district said that for the three years it would not be more than five or six.

Two workers who estimated the number of families with which they could work at one time, put the number at between twenty and twenty-five, and both thought that they could do much better with twenty than with twenty-five. They did not know with how many families they were working at present, but thought they were not trying to do intensive work with many more than that number.

The explanation of failure may be that not enough care was taken to make the Old-World habits of cooking and diet the starting point of instruction in the use of American foods, utensils, and diets. Such procedure would be based on sound pedagogy in starting from the known and familiar and leading to the new and unaccustomed.

However, it may be true that even after sound methods have been given a thorough trial, arduous effort still will fail to bring desired results. Case-work agencies, however efficient, may not be fitted to raise the standards of living in the homes of immigrant dependent families. It may be taken care of by other community forces and only be effected in the way that the independent family's standards are changed and improved. The task for the case worker is to help the family make the natural connections with their neighborhood and community, which are the most effective means for creating and sustaining social standards.

Certain limitations to the present work of the visiting housekeeper appear in the above discussion. These are, the lack of persons with combined training in case work, home economics, and knowledge of immigrant backgrounds, the limited number of families with whom intensive work can be done, especially if the visiting housekeeper tries to do all the work with the families she visits, the hardship to the family in the duplication of visitors if the visiting housekeeper tries to render only specialized services to a larger number of families.

Attempts have been made to overcome these limitations while still retaining the visiting housekeeper. In Cleveland the visiting housekeepers do all the work with the families a.s.signed to them, as well as instruct the other visitors in the elementary principles of home economics and give advice on individual families, as occasion requires. Their work has been materially lightened by the adoption of a standardized budget prepared under the direction of a well-known expert in home economics. The superintendent of the Cleveland organization expressed himself as well satisfied with the work of the visiting housekeepers. It should be noted that one of the visiting housekeepers in that city not only is a skilled case worker with good training in home economics, but also is of foreign-born parentage and speaks most of the Slavic languages.

In other cities, however, notably New York and Boston, case-work agencies have given up the employment of the visiting housekeepers.

In New York there is a Home Economics Bureau and in Boston a Dietetic Bureau. The organization of the two bureaus differs, but the underlying principle is the same. Both are organizations of home economics experts, who give advice to the regular case workers both as to general principles and as to individual problems. They also make studies from time to time of problems in national groups. As its name would indicate, the scope of the New York organization is wider. It takes up problems of clothing and other phases of household management as well as of food.

The advantages claimed for this plan are that the home economics experts can devote their time exclusively to their own field. The visitors are thus enabled to advise the individual families with more effect than can the specialized worker. The question as to the best way of rendering to the family under care this combination of services is by no means yet decided, and it is evident that further experiment in the various methods is necessary. They are, in fact, not mutually exclusive, and perhaps combinations of various kinds of the skill of the home economics expert, of the skilled social worker, and a generalized helper, may yet be developed.

A third task to which some agencies address themselves is that of providing educational opportunities for the immigrant family. This effort often consists first of inducing the mother herself to enter a cla.s.s, and, second, of securing the attendance of the children at the public school rather than at the non-English-teaching parochial school. The difficulties in the way of securing the mothers'

attendance at a cla.s.s have already been described. It need only be pointed out here that the case worker who has won the mother's confidence may often persuade her to go when the stranger will fail.

Where a regular allowance is given and support for a considerable period is contemplated, it has been treated as something in the nature of a scholarship or educational stipend and conditioned on the mother's fulfilling definite requirements in the way of better qualifying herself to use the allowance.

The subject of establishing connections between the members of the families and such educational opportunity has been somewhat confused by the fact that the case-work agency often depends upon the settlement to supply certain recreational facilities for the children in the families, and there is a temptation to use the settlement club or cla.s.s rather than the school for the mother.

With reference to having the children attend the public school or the school in which all instruction is given in English, it would be less than frank to ignore the difficulty often occasioned in the past by the nationalistic and separatist Church. The society may be faced with a real dilemma here, since it desires the co-operation of the Church and is loath to weaken any ties that may help in maintaining right family life. And so, when the Church conducts the school in which the mother tongue is used, and in which English is either inadequately taught or not taught at all, the relief agency may be practically forced into a policy involving the neglect of English in the case of both mother and children.

KNOWLEDGE OF BACKGROUNDS

These have been some of the fundamental difficulties in the relationship between the case-work agency and the immigrant family.

The knowledge of the Old-World background and the impressions made by the experience of emigrating that should illumine all the work of the agency, are generally lacking to the case worker. Of course there are brilliant exceptions. One district superintendent of the Boston a.s.sociated Charities, for example, whose work lies in the midst of a Sicilian neighborhood, will have no visitors who are unwilling to learn the language and to inform themselves thoroughly concerning the history and the habits of the neighbors.

Her office has been equipped so that it takes on somewhat the appearance of a living room. It is made attractive with growing plants; an Italian and an American flag are conspicuous when one enters the room; a picture of Garibaldi and photographs of Italian scenes are on the wall. Books on Italy are to be found in the office, and with the aid of an Italian postal guide the superintendent has made a card index of the home towns from which her families come. From one town in Sicily of seventeen thousand inhabitants, 108 families have come to the district office. Such an index is acquired slowly and must be used with great discretion. It is of a.s.sistance to one who understands how to use it, but it may suggest hopeless blunders to workers unfamiliar with the group.

In making plans for the care of families, leading Italians, such as physicians of excellent standing, with a practice in the district, a member of the Harvard faculty who has unusual interest in his less fortunate fellow countrymen, and others who have special knowledge along certain lines, are consulted.

One of the workers connected with the Vocational Guidance Bureau in Chicago has been trying an interesting experiment in the same direction of establishing contacts with the group among which she works. Many of the children who come to the Bureau for jobs are Polish children. She is, therefore, taking lessons in the Polish language from an editor of one of the Polish papers in the city, and through his interest has secured board and room in a home for working girls that is run by one of the Polish sisterhoods. In a month's time she has learned a vocabulary of some hundred and fifty Polish words, and has gained an insight into the Polish att.i.tudes toward some of their problems that she considers invaluable. She found the Polish people with whom she consulted as to the best means of learning the language very much interested and anxious to be helpful in any way in their power.

It is, in fact, clear that by the interpreter, or the foreign-speaking visitor, or the American visitor who learns the foreign tongue, the language difficulty must be overcome. In the case of the foreign-born visitor it should be noted that workers coming from among the various groups encounter difficulties not encountered by the American visitor.

They seem to the members of their group to enjoy very real power, and they are often expected to grant favors and to exert influence. A Polish visitor in the office of a relief society in Chicago finds it very difficult to explain to her friends why they do not always receive from her fellow workers what they ask.

In another neighborhood three Italian sisters, better educated than their neighbors, have become visitors. One works for the Catholic, one for the nonsectarian, charitable agency, and one for the social-service department of the public hospital. They seem to have a real "corner" on the aid given to applicants from their groups.