INTEGRATION OF CARE COMMITTEE. The LGBT Center 208 West 13 th St, Room 101 New York, NY April 4 th, :00 am-12:00pm MINUTES

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INTEGRATION OF CARE COMMITTEE The LGBT Center 208 West 13 th St, Room 101 New York, NY April 4 th, 2018 10:00 am-12:00pm MINUTES Members Present: Danielle Beiling, Lauren Benyola, Randall Bruce, Blaz

1 INTEGRATION OF CARE COMMITTEE The LGBT Center 208 West 13 th St, Room 101 New York, NY April 4 th, :00 am-12:00pm MINUTES Members Present: Danielle Beiling, Lauren Benyola, Randall Bruce, Blaz Bush, Bettina Carroll (SUB), Michael Ealy, Dorothy Farley, Billy Fields, Bill Gross, Janet Goldberg, Deborah Greene (phone), Graham Harriman, Christopher Joseph (Co-chair), Peter Laqueur (phone), Jan Carl Park, Donald Powell (phone), Saul Reyes (consumer-at-large), John Schoepp, Brenda Starks- Ross (phone), Claire Simon, Dorella Walters (Co-chair), Joel Zive Members Absent: Mark Brown, Ronnie Fortunato, Bobby Rallakis Other Council Members Present: Paul Carr Staff Present: Ashley Azor, Jose A. Colon-Berdecia, Melanie Lawrence, Cristina Rodriguez- Hart, David Klotz, Kaity Lloyd-Styles, Darryl Wong Other Attendees: Katrina Trisko (Heritage House), Maryland Toney (AIDS Institute), Connie Dukes (GMHC), Almarie Thompson, Charmaine Graham, Manuela Albeya-Domoso (NYC Dep t of the Aging), Michelle Honan (PHS), Jose Luis Sanchez (City Meals), Jospeh Ruiz, Juan Tevar, Paola Viteri, Annette Roque (La Nueva Esperanza), Joaquin Ramos, Mary Mindzal, Jennifer Sara, Gregg Gary Gilbert, Kim Jackson, Billie, Tyrell Garton Agenda Item #1: Welcome/Introductions/Moment of Silence/Minutes Mr. Joseph opened the meeting, welcomed everyone, and asked providers of FNS services to identify themselves for the record. Mr. Park led us in a moment of silence in honor of Dr. King and. Agenda Item #2 & #3: Review of Meeting Minutes, Schedule & Packet Ms. Lawrence introduced the meeting packet and asked if there were any changes to the minutes. The minutes were accepted. The packet was quickly reviewed. A copy of the AIDS Institute presentation is included at the end of the digital version of these minutes. The meeting packet also included: Meeting Agenda, March 28th Meeting Minutes and Calendar Agenda Item #4: AIDS Institute (AI) FNS Presentation The Nutrition Health Education (NHE) and Food & Meal program assists PLWHA who are at nutritional risk learn how to choose, prepare, and eat healthy nutritious foods and is meant to 1 P a g e

2 reduce food insecurity and/or limited access to food, until other community food resources and/or government entitlements are in place. More males than females access services. Institute solely funds vouchers and pantry bags. To receive food assistance, clients must be enrolled in nutritional education. Fourteen meals are provided in a pantry bag. Food vouchers are up to $100. Pantry bags from different programs vary. Programs can be funded by multiple sources which is why the bags look different. Registered dietitians are relied upon to determine serving sizes, as well as ensuring that bags are medically appropriate. The bags were described as relatively heavy, but it is difficult to make 14 meals out of the contents. At GMHC vouchers are only for new clients and there is a 6 month waitlist for the pantry. Different programs may have funding with different objectives than AI. Pantry bags are really meant to be a supplement. It seems that clients are not clear on what they are receiving, and why. Initial clarification, when a client is enrolled, should be made. Clients frequently have misconceptions about nutrition when they enter education programs; they may not know medical terms that relate to nutrition. Clients have issues understanding food labels, finding appropriate substitutes, i.e. sugar or salt. It is difficult to change long time habits. Generally there is a lack of knowledge, education and exposure. There is no basic nutritional guidance for the AI program. Call to review MOU with regard to access to contract info. Important to learn about the existence of waiting list for Ryan White programs this is an indication of need. Need to take into consideration where the waiting lists are, and if they indicate a need to move money between service categories. Part A and Part B differ in how services are reimbursed. Fee for service rates are very low make it difficult to provide for clients. Programs are held to service size. Important for clients to understand the differences in funding stream. Agenda Item #5: Provider & Consumer Roundtable Ryan White has one program with a waiting list and it is a large congregate meals program. City Meals (CM): Serves over 16,000 home bound seniors (over 65). Flexible with home bound definition. Guarantee on meal per day, 3 oz protein, 1 oz starch, vegetable meals must meet 1/3 daily required intake. City Meals supplements DIFTA s (Dep t for the Aging) funding. Meal can be hot, chilled or frozen. Traditional pantry model fails CM clients. Pantry bags have 9 meals, and are shelf stable. No wait lists, have a case management aspect. But it typically takes just 3 days 2 P a g e

3 to begin receiving meals. No medically tailored meals. Offer Kosher and culturally sensitive food. Fundraising is a huge challenge, serve 2,000,000 meals each year. Admin and overhead is funded by a City of NY grants. A lot of oral health neglect looking to start modifying our meals. Want to make sure meals are eaten. HungerFree America is a great resource. Department of the Aging: Contract with senior centers of NY ensure that they meet all the state and federal regulations. Serving senior centers 5 days a week, and serving home based meals 7 days a week. Lunch is most popular. Work with commercial caterers to deliver home meals. Depend on some senior centers to cook and deliver to home bound seniors. Able to do hot meals, kosher meals (hot, chilled, frozen). 60 years and above are entitled to a meal. No waitlists for senior centers. Home delivered meals depend on case management agencies and social workers. Working on providing Halal, diabetic and renal friendly meals. We will need to train staff to make this happen. We subcontract to City Meals. Serve about 6,000,000 home delivered meals per year and another 3-4,000,000 congregate meals (senior centers). Therapeutic meal plans are a challenge. Dietary requirements, combined with city purchasing limitations create a challenge for providing therapeutic meals. Not able to provide nutritional supplements. Meals are 3oz protein, 4oz starch, 1-2 vegetables and fruits. Have a lot of problems meeting the fiber requirement, especially at breakfast. Conduct surveys to evaluate meals. Provide nutritional counseling for home delivered meal recipients for high risk clients. Try to visit everyone. Started a pilot program - nutritional hotline for seniors. SNAP: Help people to fill out SNAP applications and walk them through the process. Counselors are based in community centers, and are culturally competent. Help about 4,000 people apply per year. Recently expanded to hospital sites. We focus on seniors they have lower enrollment rates specifically targeting them. ICE has created a lot of fear people asking to cancel benefits. Five year waiting period for legal residents. Gap in services for that population. Would like to see better coordination between programs stronger referral network. Stigma, isolation and lack of awareness are also barriers to senior enrollment. Discussion: Younger people fall into the cracks age out of youth services, struggle to make a decent living, make ends meet have no support. Often go and access multiple pantries to make ends meet. Lack education and a network to find resources. Can be dangerous to go into different neighborhoods. Prices are different in different parts of the city. Farmers markets are great, but are only for a few months each year. Cooking facilities may be inadequate, or missing entirely. Need help affording things like the gym. Food often runs out, because the amounts are not adequate. Gift cards are really helpful, but not all programs have gift cards. Consumers need help food helps consumers stay healthy. It is especially difficult for immigrants we need assistance with metrocards we need transportation to get to the food. We all have needs, and we all need assistance. There is a lot of discrimination. Sometimes programs give expired food. 3 P a g e

4 Metrocards are not affordable NYPD only recently stopped arresting people for asking for courtesy swipes. Is it possible to provide weekly or monthly metrocards to consumers it would improve their quality of life. Metrocards are very expensive to programs the budget doesn t allow for two-trip metrocards. Ensure has been difficult for senior programs to access not willing to donate product. Exercise would be a needed enhancement to food services. Probiotics and other supplements are really helpful. Nutritional supplements are very expensive. When a client is severely malnourished will write a recommendation to their doctor. Agenda Item #6: Public Comment Really great to see so many consumers, please encourage your peers and people in your community to come we need to hear your voices. Meeting Adjourned. 4 P a g e

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INTEGRATION OF CARE COMMITTEE. NYU McSilver Institute 41 East 11 th Street in Room 741 June 22, 2016, 9:40am-12:00pm M I N U T E S

INTEGRATION OF CARE COMMITTEE. NYU McSilver Institute 41 East 11 th Street in Room 741 June 22, 2016, 9:40am-12:00pm M I N U T E S INTEGRATION OF CARE COMMITTEE NYU McSilver Institute 41 East 11 th Street in Room 741 June 22, 2016, 9:40am-12:00pm M I N U T E S Members Present: Christopher Joseph (Co-Chair), Lisa Zullig (Co-Chair),