Integration of Care Committee Meeting June 16th, 2021

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INTEGRATION OF CARE COMMITTEE

Danielle Beiling & Donald Powell, IOC Co-Chairs

Wednesday, June 16th, 2021, 10a-12p

Zoom Meeting

https://zoom.us/j/4708943670

MINUTES

Attendance: Ronnie Fortunato (acting co-chair), Donald Powell (co-chair), Leo Ruiz, John Schoepp, Bill Gross, Mitchell Caponi, Dorothy Farley, Randall Bruce, Micheal Ealy, Joel Zive,Matt Lesieur, Christopher Joseph, Billy Fields, Brenda Starks-Ross

Staff/PHS: Kimbirly Mack, Ashley Azor, Anisha Gandhi, Jennifer Carmona, Andrea Feduzi, David Klotz, Cristina Rodriguez-Hart

Agenda Item #1: Welcome/Introductions w. Pronouns/Moment of Silence/Review of Minutes

Conducted. Icebreaker: Earliest memory. Moment of silence led by Randall Bruce. Minutes were accepted with no corrections.

Agenda Item #2: Public Comment

Ms. Carmona related that reviewing the chat and participating in the chat is difficult, and Ms. Lawrencerelated that the suggested process involves the co-chairs lifting up relevant information from the chat.

Agenda Item #3: Line-by-line Editing of the Framing Directive

Ms. Lawrence led the line-by-line editing for the sake of time, and to ensure that key parts of the directive were clarified. Mr. Schoepp noted technical issues with the google document version of the file.

The following bullets represent highlights of the discussion:

  • Important to recognize the work being done in the department and the bureau to address health inequities and address racist structures
  • Trainings have been put in place to address trauma and LGBTQ sensitivity
  • Idea that department has made great strides – better if it is listed out, to better understand if they department has actually made great strides
  • Need to acknowledge work that has been done since 2016 with Race to Justice
  • Noted data collection burden on the clients – the duplicative nature is the issue
  • Programs cannot extract data in eSHARE themselves which limits ability to be responsive
  • Rigorous discussion on how to describe the role and presence of stigma in service delivery.  
    • Positives were that staff acknowledged stigma and wanted to address it, even without funding
  • Government contracts do not cover the full cost of delivering services
  • Only way to address implicit bias is to have buy-in from leadership that lends itself to an examination of privilege
  • Question of how to have these difficult conversations about race and bias – people often do not feel they have the skills or tools
    • At Ryan – engaged in a long process, involving multiple surveys and trainings
  • There are alternatives to 911, but they have a 24-48 hour response time. 
  • Characterizing providers as over reliant on 911 may not be accurate
    • Coming up with an suitable characterization was difficult – in thinking about the issue of culture/privilege when providers choose to call the police
    • If someone is endangering staff, then what do you do but call 911
  • Ms. Carmona noted for the record that she is uncomfortable with citing the behavioral health survey
  • Outer Setting pulls heavily from the Situational Analysis that was developed for the End the HIV Epidemic federal funding
  • Included need for more trauma informed care in Characteristics of Individuals
  • Where is the Planning Council acknowledged in the directive, including the costs associated with the work required
    • How do we represent the Planning Council’s “hand” 
  • Created a bullet about the dedication of staff to bettering the lives and health outcomes of PWH
  • of anti-oppression sex positivity and harm reduction into “characteristics of individuals”

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