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NY HIV Planning Council's Personal Meeting Room - Shared screen with speaker view
Claire Simon
10:11
Thanks Melanie - its good to be back.
Graham Harriman (He ,Him, His)
10:56
So glad you are back Claire :)
Graham Harriman (He ,Him, His)
12:35
Thanks for being here Adam!!
Cristina (she/her)
13:08
Hi everyone, Cristina from PC staff just joining.
melanie she/her
13:16
@Cristina - please put into in chat w fav color
Cristina (she/her)
14:22
ocean blue
melanie she/her
15:06
Welcome Janet - please put your intro and fav color in the chat
Tim Frasca
15:10
Does “Cross-Part” mean across Ryan White Parts?
Janet Goldberg (she/hers)
16:16
Hi Everyone! I'm Janet Goldberg, she/her, with Mount Sinai Health System Institute for Advanced Medicine. purple -- definitely my fav color!
Karen McKinnon (she/her)
29:13
Some sites screened for additional conditions like anxiety disorder, PTSD, among others…
Donald Powell
29:39
So important to get that trauma screen done.
Billy Fields, PC-HPG, HE, HIM, HIS
30:10
What is PHQ9?
Karen McKinnon (she/her)
30:23
Agree, Donald. NJ funded a separate initiative on trauma-informed care which is why BHIP put less emphasis on trauma.
Donald Powell
30:53
Got it. Thanks Karen.
melanie she/her
31:16
@Billy https://www.mdcalc.com/phq-9-patient-health-questionnaire-9
Karen McKinnon (she/her)
31:45
Billy, PHQ-9 is a tool that’s been tested widely to screen for depression. It has cut-offs so you know what scores mean. On the low end you want to do watchful waiting. On the high end you want to get someone linked to specialized care.
melanie she/her
32:12
Did these interventions interact/overlap @Karen?
Karen McKinnon (she/her)
32:38
Melanie—Not 100%. Adam can say more.
Janet Goldberg (she/hers)
34:14
curious about why it always drops off in October
Donald Powell
37:09
Would’ve been prudent to have a cross reference of the challenges identified and opportunities for T/A to get agencies up to speed.
Donald Powell
39:19
The medicalization of services in the pursuit of volume.
melanie she/her
39:33
Of profit!
Donald Powell
41:08
Crating trauma-informed spaces which is something the committee will be discussing soon!
Donald Powell
46:53
And it’s reactive and not preventative
Donald Powell
51:34
https://motivationalinterviewing.org/ Great resource
Donald Powell
57:14
Can you speak about the challenges of having separate systems for substance use, HIV care and treatment and Mental Health service, particularly around credentialing and training efforts?
Karen McKinnon (she/her)
01:03:46
BRB
Adam Thompson (he/el)
01:04:36
thank you everyone!
Emma Kaywin (they/them)
01:08:59
Can you explain the connection between 311 and 911? Many people are looking for crisis support teams who are not police
Donald Powell
01:10:03
And we must acknowledge that indicators like zip code and ethnicity play into who gets MH intervention and who gets NYPD
Emma Kaywin (they/them)
01:11:05
Yes that’s a critical point Donald
Karen McKinnon (she/her)
01:11:11
Donald, that is so true
melanie she/her
01:11:25
SPOA (and AOT) was used in the match against the NYC HIV Registry -
Emma Kaywin (they/them)
01:11:38
I think there needs to be clarity at the community level of — if a person calls X service for assistance, is there a possibility the cops will show up
Emma Kaywin (they/them)
01:12:23
Because if there’s a possibility of the issue getting escalated to the police force, many people won’t call for assistance
melanie she/her
01:12:26
We can ask Jamie how community input is engaged to inform such processes
Paul Carr He, Him
01:12:30
if a client is in a housing unit and is having a psychotic episode and 911 is called at what point is it acceptable to contact the emergency contact of file or is that for death only?
Cristina (she/her)
01:12:43
To add to these points above, the city has the mental health crisis team pilot in Harlem to divert people in mental health crisis away from police, by sending instead teams of EMT and social workers. It’s called BHEARD. Problem remains though that most of the mental health calls to 911 are still resulting in the deployment of police rather than the mental health crisis teams.
Joel Zive
01:12:57
These seem to be acute interventions. Could you elaborate more on how Care Coordination keeps someone within Mental Health services?
Emma Kaywin (they/them)
01:13:20
@Cristina how can a person request/demand BHEARD?
Karen McKinnon (she/her)
01:14:15
Agree, Joel—even if someone comes through the door with acute needs there are ongoing service needs in many/most cases.
Cristina (she/her)
01:15:06
@Emma You can’t which is a problem advocates are pointing out. One calls 911 for a mental health crisis situation and they either triage it to NYPD or to mental health crisis teams. NYPD can also request these crisis teams to come to a scene. But I don’t believe the public can directly request them. I’ll find the FAQ links for the program.
Emma Kaywin (they/them)
01:15:44
Gotcha that’s good to know and seems like a broken stair, but great to know this program even exists!
Cristina (she/her)
01:16:14
From B-HEARD FAQ:”No. Callers cannot specifically request a B-HEARD Team. Based on a description of the circumstances and need, 911 operators and EMS are trained to triage and assign calls to B-HEARD Teams based on the call location, dispatch criteria and availability of B-HEARD Teams.” https://www1.nyc.gov/assets/nypd/downloads/pdf/public_information/b-heard-public-faqs-5-27-2021.pdf
melanie she/her
01:16:44
Has BHEARD been expanded and funded for the whole city at 24 hours?
Cristina (she/her)
01:17:53
I’m not sure. De Blasio put an expansion into the city budget last year, but as to whether it’s happening is not on the B-HEARD website
Emma Kaywin (they/them)
01:18:04
As an aside, it would be incredible to pilot B-HEARD with nightlife-heavy locations such as the after hours zone in Bushwick
Karen McKinnon (she/her)
01:21:36
OnTrack is here with me in an OMH facility—is it 100% funded by OMH?
Dorothy Farley
01:21:38
I think the elephant in the room is timely access for clients in need at POS --these programs look wonderful but our staff often report real problems in actually getting clients in to care
Dorothy Farley
01:23:44
what is the date of the roll out of 988
Cristina (she/her)
01:24:42
Perhaps B-HEARD is expanding to the Bronx https://gothamist.com/news/nyc-tried-to-remove-nypd-from-911-mental-health-emergenciesbut-its-had-little-success
Joel Zive
01:24:55
Are there any pilot programs that have a high success rate in retaining homeless MH patients?
Paul Carr He, Him
01:28:39
When is it acceptable to contact the emergency contact??? Why do we bother to collect this info then?
Graham Harriman (He ,Him, His)
01:33:19
Given the bottleneck for Medicaid funded services we should think about funding transitional mental health care while a person is waiting to be eligible for Medicaid funded services.
Karen McKinnon (she/her)
01:33:39
For those who are interested, I just posted the program and registration info for a free conference on March 4 related to housing instability, food insecurity, and behavioral health needs in NY.
melanie she/her
01:34:51
Our very own Council member Micheal Rifkin is featured at the conference Karen posted!
Karen McKinnon (she/her)
01:36:04
Michael is awesome
John S ( Just Me)
01:36:42
It should be treated like the home medical alert system
melanie she/her
01:36:46
I am so sorry Bryan that we have gone off the agenda - please let us know if you can stay over by 10-15 minutes
Bryan Meisel (he/they)
01:37:01
I am available, yes
melanie she/her
01:37:05
Thank you!
Bryan Meisel (he/they)
01:37:21
Cullen will be presenting the first few slides as well
melanie she/her
01:37:57
IOC can you stay for 10 extra minutes?
jneckles
01:38:16
thank you all! happy to answer follow-up questions. be well!
Joel Zive
01:44:07
What does AOD mean?
Graham Harriman (He ,Him, His)
01:44:21
Alcohol or other drug
Guadalupe Dominguez Plummer
01:44:29
Alcohol or other drugs (AOD)
Joel Zive
01:44:47
Thanks, Graham and Guadalupe
Cristina (she/her)
01:48:08
what is meant by “project for services”?
Guadalupe Dominguez Plummer
01:51:36
Thank you, to Cullen and Bryan for an informative presentation on behavioral health services to the PC. Great work, team! 🙂
Graham Harriman (He ,Him, His)
01:52:44
Excellent presentations today! Thank you Cullen and Bryan, great overview of existing services :)
Bryan Meisel (he/they)
01:53:22
Thank you Guadalupe and Graham :)
Cullen Hunter (he/him/his)
01:54:03
Thank you both! :D
Tim Frasca
01:58:27
very informative, thanks
Claire Simon
01:58:49
This was great!!!
Karen McKinnon (she/her)
01:58:56
It’s excellent company to be in!
Claire Simon
01:59:05
take care
Mitchell Caponi (he/him)
01:59:07
Found all of th9is very infomrative