Integration of Care Committee Meeting November 18th, 2020



Danielle Beiling & Donald Powell, IOC Co-Chairs

Wednesday, November 18th, 2020, 10a-11:45a

Zoom Meeting


Attendance: Danielle Beiling (co-chair), Donald Powell (co-chair), Janet Goldberg, Leo Ruiz, John Schoepp, Deborah Green, Bill Gross, Mitchell Caponi, Stephanie Serafino, Paul Carr, Ronnie Fortunato, Rob Walker, Billy Fields, Brenda Starks-Ross, Greg Bruckno, Christopher Joseph, Rose Chestnut, Janet Goldberg, Michael Ealy, Dorothy Farley, Randall Bruce, Matt Lesieur, Joel Zive

Staff/PHS: Jose Colon Berdecia, David Klotz, Guadalupe Dominguez Plummer, Graham Harriman (Governmental Chair), Bettina Carroll, Kimbirly Mack, Ashley Azor, Cristina Rodrigues-Hart, Bettina Carrol, Rachel Crowley, Joan Edwards

Agenda Item #1: Welcome/Introductions/Moment of Silence


Agenda Item #2: Stigma & HIV Care

Dr. Cristina Rodriguez-Hart presented on stigma and HIV care. Highlights from the discussion are below.

  • Thinking about stigma as a mark of disgrace is actually stigmatizing. 
  • Solutions to stigma must be multi-level. 
  • Providers and consumers surveyed agree that stigma is common in NYC
    • Concept of intersectionality not well understood
  • Strong need for more staff with lived experience and representative of the community served
  • Integrated services are optimal
  • A learning culture is needed to transform stigma
  • Minimize staff burnout
  • Abstinence based programs are associated with enacted stigma – idea of substance use as “dirty” and associated with shame
  • Importance on non-violent communication – examining our language within ourselves and with others
  • Synergy exists between multiple types of stigma/oppressions – cannot separate them out.`
  • Words matter – how we speak to ourselves and others is very important
  • Coping is an individual level stigma strategy – 
    • Not always effective
    • Seeking out support as a form of coping is useful
    • Educating self is helpful
    • Avoidance and vigilance – can create a lot of stress in the long term
    • Important to help people with positive coping – but must recognize this is an invidial strategy that doesn’t address the larger structural issues 
    • Need to assess coping 
    • Media communications guide during COVID – has been helpful
    • A number of resources are mentioned in the slide set – lengthy references are included
    • Identify how to support Ryan White providers to do this work
    • Hoping the results of the mapping project will provide guidance on best practices:
      • Core things that are very effective:
        • Integrated services
        • Continuous training
        • Representative staff
    • T-Tap has a stigma training and an online accompaniment that looks really good

Mr. Joseph shared a tool that was useful to audit charts and start conversations about the use of stigmatizing language

  • Necessary to recognize that many people in the committee have experienced stigma
  • People who have good coping strategies fare the best
    • Important to have your own way to manage
  • Need to evaluate the Council as an organization
  • The Health Policy Project developed a stigma survey and a checklist for facilities – could possibly adapt that to the NYC process
    • Other organizations have developed organizational assessment tools 
  • Instead of calling people out – can now educate people – moving beyond being impacted by stigma – 
    • Ask GMHC about training where providers have to examine use of language

Agenda Item #3: Review Master Directive & Recent Directives

Guidance for the new NYS plan to end the epidemic has not been released.

Committee read through master directive.

Language from Care Coordination not included in master:

  • Culturally appropriate
  • Accommodations for people with disabilities

Food and Nutrition:

  • Leveraging public private partnerships
  • Utilizing economies of scale
  • CLAS standards
  • Age appropriate
  • Sensitive to physical and sensory impairments

Should be thinking about who our most vulnerable clients are and how services should be delivered


  • Need to use different technology to meet clients where they are
  • Gender affirming
  • Builds self-management skills

Participant vs client vs consumer vs patient

How are technological inequities to be addressed in the master directive?

No public comment.


Please enter your comment!
Please enter your name here