Integration of Care – Minutes – 6/1/22

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INTEGRATION OF CARE COMMITTEE

Veronica Fortunato & Donald Powell, IOC Co-Chairs

Wednesday, June 1st, 2022, 10a-12p

Zoom Meeting

https://health-nyc-gov.zoom.us/j/9831410930

Attendance:

Billy FieldsChris JosephGraham Harriman[1]Leo Ruiz
Brenda Starks-RossDeborah J. GreeneGuadalupe Dominguez Plummer[2] Raffi Babakhanian
Cassandra MooreDorothy FarleyJanet Goldberg 

Guests: Mirnelly Fernando, Kyron

DOHMH/DOH/PHS Staff: 

Cristina Rodriguez-HartGiovanna NovoaJohanna Acosta Roland Torres
Deb NobleKimbirly MackKimbirly MackScott Speigler

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

Introductions were conducted and Leo Ruiz led the moment of silence. Icebreaker: Where do you go or what do you do for a day of restoration?

Minutes were not prepared and so not reviewed. 

The committee has shifted to line by line editing of the housing directive due to a change in the timeline required to renew contracts.

Agenda Item #2: Line-by-Line Editing of the Housing Directive

Key points of the discussion include:

  • Is financial literacy a different concept than financial management education?
  • Financial literacy actually deals with the very, very basics of the terminology and how, whereas financial management is more about how you manage your own personal finances.
  • Should say 30% towards the monthly housing costs – rent is not the only housing cost
    • then that includes electric and everything else
  • People on public assistance, meaning that all they have is just a shelter allowance and food stamps – in that case they are not required to pay the 30% 
  • we should separate out that first sentence, because what we want to do is want to provide financial literacy financial management, education, access to life skills
  • things that are already core parts of the housing services so anything new, we would move to implementation strategies
  • programs will operate on a congregate or scattered site housing model with private sleeping areas never shared and shared or private bathrooms
  • Using NYC HIV (ETE, EHE) plans to guide the directive because they are the most updated
  • How are clients with severe behavioral issues managed: Severe behavior problems that actually destroy the property that will take sheet rock down off the walls and put glue in locks and take the plumbing apart.
    • there might not be clients that are coming out from you know shelters that are ready for even transitional housing, they may need a higher level  of care, in which case they would make the proper referrals for that and also if they do place climbs into the units and.
  • programs will screen all clients, with support from age issue to determine and appropriate housing placement
  • Need to promote a health equity approach in the language of the directive: https://www.ama-assn.org/about/ama-center-health-equity/advancing-health-equity-guide-language-narrative-and-concepts-0
  • wellness checks are a minimum of once a month more often, when needed
  • Agencies that house clients with MH and SU disorders could ask for additional funding
  • Some landlords are really pleased with their tenants, but there is not path to permanency
    • Can be an implementation strategy
  • To address vacancies: work with contracted programs to efficiently manage vacant units in the housing inventory, with the goal of informing housing within five days of vacancy.
  • HASA can be incredibly bureaucratic

Timeline:

IOC approval  Executive Committee for approval  Planning Council for approval

Agenda Item #4: Public Comment 

n/a


[1] Director and Governmental Co-Chair of the NY Health & Human Services Planning Council

[2] Represents the Recipient, the Mayor of the City of New York