HIV Health Services Planning Council
Community Outreach & Advocacy Committee DRAFT Minutes
Wednesday, June 8, 2005
25 Van Ness, Room 330 B
5:30-7:30 p.m.

Committee Members Present: Darnell Durio (co-chair); Joe McMurray (co-chair); Brian DiCrocco; Wilfredo Ortiz
Committee Members Absent: Lara Sallee (excused), Elyse Graham (excused)
Other Council Members Present: Raymond Banks
Others Present: Dean Goodwin (HHS)
Council Support Present: Leah Crask, Wilhelmina Parker, Joe Lynn, Nicole Matos

1. Introductions


2. Review/Approve Agenda
Committee reviewed and approved the agenda by consensus.

3. Review/Approve Minutes
Minutes from March 9, 2005 and notes from the Community Meeting on April 13, 2005
Group reviewed and approved minutes from the March 9, 2005 Committee meeting, and the April 13, 2005 community meeting. The minutes were approved by consensus.

4. Announcements

CM McMurray announced the final co-chair meeting at the end of the month and his resignation from the Council as he is going to be a pastor in Gainsville Florida.

CM Durio indicated that nominations and elections of new co-chair will take place at the next meeting

CM McMurray nominated CM Ortiz and CM DiCrocco seconded the nomination. Committee agreed that a vote will take place on the next Committee meeting on June 8.

CM Ortiz announced that he will not be at the next meeting due to being on the AIDS Ride.

Council Support, Wilhelmina Parker announced a training tomorrow, and she spoke of the mentor program and asked all to consider becoming a mentor. She indicated that evaluations have been completed and she will email them out to all council members.

5. Public Comment
There were no public comments.


6. Advocacy Report
Including a report on the Client Satisfaction Survey.
Joe Lynn provided a report on the Advocacy Project and indicated that from March 2004 to February 2005 the response rate was low, with a 36% response rate. All clients who receive services will have surveys mailed out to them within 30 days. All results fell between excellent and good. Comments stated wanting a quicker response time but it was taken into context regarding the low response. Most clients were male and lived in the 94102 zip code.

CM Durio requested that the survey be sent out to all council members. Council Support, Wilhelmina Parker, agreed to do that.


7. SRO Report
CM Siron not in attendance, so this agenda item not addressed.


8. Prevention for Positives Report
CM McMurray mentioned that he has represented the Prevention for Positives group and pending his resignation believes that a replacement should be considered. CM Durio will take this issue to Steering. CM McMurray also represents HOPWA, and CM Ortiz has been appointed to that council.


9. Community Forum in Castro
The Committee will discuss the next Community Forum scheduled for May 19, 2005.
CM Durio: Discussed that the same program being done as last time, with box lunches, meals and introductions, announcements, Jack’s presentation, then break out into small groups. The first exercise with discussion then the second exercise followed by wrap-up and participants completing surveys. There will be no incentives this time and space will be limited. Committee discussed whether there will be a need for a translator.
CM DiCrocco stated that Mission Neighborhood Health Center knows of the event but doesn’t think that a translator will be needed.
CM McMurray doesn’t think it will be needed since the last two times translators were hired and not used.
CM Ortiz stated that since the event will take place in the Castro there will not likely be a need for a translator.
CM Durio suggested a head count of Committee members who will attend. CM DiCrocco indicated that he would attend, as well as Wilhelmina. How many council members will attend is still up in the air since the email went out yesterday.


10. Community Events Discussion
The Committee will discuss the structure of future community events and review their events calendar.
CM Durio wants a discussion about how community meetings will be done in the future. He discussed why it was decided to limit the number of those who can attend and remove incentives.
Box meals… no incentives… having more community forums per year, 4-5 with a closer focus on a particular group of people, and smaller groups 50-60 as opposed to 250.

Committee discussed the difference between Community Meeting and Community Forum.

CM Banks stated that black people will not attend activities unless there are incentives, and asked why there is a switch in this policy of incentives, and expressed concern that the Committee was afraid clients will go out and get dope. He suggested this is the only way that you will get real responses. The vouchers that do go out need to be unlimited.

CM McMurray indicated that it is not necessarily an issue of what the vouchers are ultimately used for but instead the decision was based on the last function. He discussed that too many people showed up and had to be turned away and many were not even HIV+; they were just there for free food and a voucher. He added that the incentive needs to only bring in people that are actually the ones that need to be heard from. Community meetings may be the better option for the incentives because they will naturally be smaller and more focused and have them every other month in order to get data that can truly be used
CM Banks apologized for jumping the gun and agreed with CM McMurray’s statements.
CM Ortiz stated that he is completely against incentives or vouchers because it attracts the wrong people, and from the recent example suggested that it skewed everything and was not productive.
CM Durio stated that he has always been against the use of vouchers and does not want to have them because if people are truly interested in what you are talking about and how it helps them then that’s on them. He would rather have a handful of fully completed surveys with info that is useful as opposed to receiving unfinished surveys.
CM DiCrocco stated that it was unfortunate that he saw people in line that should’ve been allowed in but couldn’t because there were so many people there and people had to be turned away. He felt that his group was productive and stated that there are a lot of homeless people that are HIV+ and that is the group that pretty much showed up. He asked how the word got out in the first place about the forum.
Leah Crask, Council Support indicated that the notices were sent to providers.
CM Banks stated that he did a lot of outreach on the streets by handing out flyers.
CM Durio wants to have a general discussion about all of this and continue the discussion in future meetings and then have a vote of how things should be run in the future.
CM Banks suggested doing outreach to Hunters Point and Visitation Valley agencies to see if there is interest and then if there is possibly offer incentives after that interest is solidified.
CM McMurray stated that a relatively large group did come to the event with a service provider and did not get in, therefore if the group can communicate with service providers to work together to focus better on specific clients who really have something to say and would want to be included.
CM McMurray added that this is why the smaller groups are more focused on the specific populations.
CM Ortiz commented that at the Asian Pacific Islander meeting there was ownership by the providers and it was very productive but not at the Mission meeting. He thinks that it is really effective to go out into the community for these meetings.
CM DiCrocco has tried to do some recruiting in the Mission to service providers and it seems as though there are providers that would be interested in participating; it’s just a matter of finding them.
CM Durio suggested partnering with providers as opposed to just inviting them makes a huge difference, pointing out very different dynamics of whoever gets the Center of Excellence in Bayview would be the obvious group to approach
CM DiCrocco would rather push the meeting back until partnerships are established.
CM Banks stated that Asian, Latino, Gay White Men are targeted, but black people don’t seem to be on the list. He indicated that he will take the initiative to make contact with the Bayview to make this meeting happen faster.
CM Durio added that it will be a lot of work to make the Bayview meeting work as opposed to putting something together in the Castro.
CM Banks suggested going outside of blacks in San Francisco for input, and considered East Palo Alto or somewhere else?
CM Durio added that $1.7 million is going into the Bayview not into East Palo Alto.
CM Ortiz pointed out that there is outreach and attendance from African Americans.
CM Banks believes that the Council needs to go out to the communities and not always expect them to come to the Castro. He would like to see something in Marin County or the Fillmore area.
CM Durio replied that those aren’t the populations that are being focused on so it can’t be something.
CM Durio asked if everyone was okay with boxed lunches.
The Committee generally agreed. CM Ortiz insists that box meals be given out as opposed to serving food because that is too labor intensive
CM McMurray emphasized the need to ensure that voices are heard beyond provider’s clients.
CM DiCrocco stated that if a service that has to be eliminated then inviting those providers won’t necessarily be productive.
CM Banks inquired into the need for a letter of diagnosis.
No one agreed with having people bring those.
CM Durio discussed the difference between community meetings and forums.
CM Ortiz stated they are different because the forum is for recruiting.
CM McMurray feels that they can serve the same focus so why have both, and use the smaller group model that seemed to work and just replicate that instead of working on two different kinds of meetings.
CM Durio did not see it as a recruiting tool, and suggested more outreach to the communities to give out info and if people want to join that would be up to them.
CM McMurray stated the importance of returning and suggested that they want us back, so it is possible to do both.
CM Durio doesn’t feel that you can do both that the first meeting is more of an introduction, building blocks and then at some point when you go back you build on that and it’s a lot easier to recruit then.
CM McMurray asked how realistic that is, and how many meetings would that reasonably be.
Wilhelmina suggested not going in with a hard approach but to do an introduction and say who we are.
CM Durio commented that a soft sell seems to work better.
CM DiCrocco pointed to the API meeting as an example.
CM Banks pointed out that the meeting with Bayview in November means that they aren’t going to be part of giving input for prioritization, and their input would not be until 2007.
CM Durio stated that people from Bayview were at the last meeting and filled out surveys.
CM DiCrocco added that this is the first time that a COE is even going to the Bayview, and the first time that money is going into the Bayview.
CM McMurray commented that the forums did not work… and the main agenda is to get good solid information and hear the voices of the people that need to be heard.
CM DiCrocco expressed the need to find a better way to pass the information on, and pointed out the need to generate more excitement about the information so that the Council takes it into more consideration. Going out to the communities is another way to get better data and possibly more council members.
CM Durio indicated that there are too many other factors to believe that the surveys and Reggie data are the whole answer, and added that it is going out into the community and talking to people that is most effective. He stated that each Council Member weighs their decisions differently and with different data and information. He suggested that it will be difficult to ever get a tool that will compare with EPI or anything else because it costs too much.
CM Banks asked if technology be used, such as completing surveys on laptops right in the community.
CM Durio commented that would be a mini-needs assessment, and the people you’ve talked about wanting to focus on would basically be ruled out because they are not familiar with computers. A problem is that people want different information, and asked what the Council wants to get out of these meetings. There is only so much money and we’re already doing it the cheapest way. He asked what are we going to get out of the process and telling Council this is what you’re going to get; small groups will give the council a snapshot of a particular group of people talking about a particular issue.
CM DiCrocco added that there if there is a maximum that can be spent on this sort of thing.
CM Durio indicated there was not, but whatever is used will have to come from somewhere; so what types of information is wanted. He suggested that Committee members think about it and return ready to discuss at the next meeting.
CM DiCrocco felt that the meetings are more about getting those communities involved instead of gathering data… so that they will be interested in coming to the State Building for the once a month meeting.
Leah stated that it is important that some kind of data is pulled out of the meetings, but also agrees with CM DiCrocco’s point about going out to get people involved; the needs assessment data would not be possible at a community event.
Wilhelmina: an all inclusive approach is possible and to talk to people about what they need and how we can serve them… empowerment is key… but also gathering the data is still very important for the council.
CM McMurray suggested that Community Outreach Committee can empower, and indicated another function of ensuring that the Council is doing its job well. The more you open a government and make it transparent the more criticism comes forth but also gives the group and the people the opportunity to step up.
CM Ortiz commented that outreach is still key, and finding a balanced approach is important.
CM Banks added that with funding issues being on his mind… he isn’t sure how to proceed given not wanting anything cut from clients.
Wilhelmina: having the council present in events already seems to be bringing about the human approach, and with more resources and money it seems obvious that it could be better but what we’re doing is a whole lot.
CM Banks suggested trying to persuade the Mayor to make a presence in the Bayview and put forth his views on HIV.


11. Council Policy & Procedures Table of Contents
The Committee will review a draft of the Council Policy & Procedures Table of Contents and discuss adding or changing any pertinent documents to this committee. The committee will review their appropriate documents, if time permits.
CM Durio reported to Committee that Infrastructure and Policy is putting this together and requested input.
CM Banks asked about who is being advocated for and who is giving that advocacy?
Wilhelmenia added that all Council Members who go out and bring back information on behalf of a client are advocating.
CM Banks suggested that the Advocacy Program isn’t supportive to poor clients.
CM DiCrocco agreed that agencies need to be held more accountable.
CM Banks sees things getting worse for clients, not better; he suggested there is a need for the Council to address this as far as advocacy is concerned.
CM DiCrocco pointed out the “consumer rights and responsibilities” section for this committee and maybe that is were this discussion should focus.
CM Durio suggested that grievance procedures are always posted and the AIDS Office will always point you in the correct direction for your grievance.

12. Next Meeting Date and Agenda Items
13. Adjourned: 7:30pm


Meeting minutes are considered to be in DRAFT form until reviewed and approved by Council attendees.

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