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MHSA SLC Planning Meeting #14: Summary of Recommendations - Shared screen with speaker view
Juan Miguel Munoz-Morris
25:07
IF you are an SLC member and haven't been introduced yet please raise your hand
Juan Miguel Munoz-Morris
26:59
You do not have to wait until the end to submit a question. Feel free to drop them into the chat and we will answer your questions on a first-come basis.
Juan Miguel Munoz-Morris
27:55
After each section we will pause and take questions. You may use the raise hand feature at that time and we will call on you in order.
Jules Chyten-Brennan (they/he)
33:14
Hello. I won’t be able to stay for the duration of the meeting, but as the Medical Director for the Gender Health Center, I wanted to express my strong support for an ideally transgender specific clinic, and LGBTQ specific services in general. We see this need daily at the Gender Health Center. Thank you for considering this request.
Juan Miguel Munoz-Morris
34:08
Thank you, Jules, for your comment. We will share it when we open for Q&A.
SLC Mary Gloner she/her/siya
39:04
How and where intersex individuals receive their care? Will it also be at Gender Health Clinic?
Alicia Anderson (she/her)
43:44
People with variations in their physical sex characteristics, which some folks refer to as intersex, don’t necessarily identify as part of the LGBTQ+ community - many do but not everyone does, as an intersex identity is not a sexual orientation or gender identity. With that being said, folks who identify as intersex should be getting services anywhere they request, like anyone, however they would also be welcome to come to a specialized clinic focused on supporting sexual and gender identity minorities, such as this one, if they were interested.
SLC Mary Gloner she/her/siya
47:11
Thanks Alicia. Since intersex community members biologically are living as "two spirits" does the county have specialized services tailored to them or are they referred out to other healthcare systems, if so...where are they?
Aricka Arana O'Hara (she/her)
54:55
Hi. I am the Medical Social Worker at the Gender Health Center. I did raise my hand but it was overlooked. I wanted to address the need for a Trans mental health clinic.
Aricka Arana O'Hara (she/her)
55:00
I appreciate the inclusion and understanding the needs of the trans community, but I do want to clarify or emphasize the ask that the GHC has presented was a specific clinic for Trans, non binary and gender diverse folks.We are concerned that creating a general LGBTQ will leave gaps in care for our trans community. Many agencies have shared that they are capable of providing LGBQ services, however, confirm they do not have clinicians or supervisors in most programs that understand what it means to provide gender affirming care.
Kathleen King
55:02
I am not a SLC member but I don't understand why more is not being done to add support in school districts that have SLS. I do plan to constantly bring this up if we are screening 5th graders and may not be able to get them provider support.
SLC Mary Gloner she/her/siya
55:49
Thank you Margaret. +Dr. Chyten-Brennan & Aricka comments regarding for transgender clinic - Please also integrate resources and services to support young children (pre-tay) and their families.
Aricka Arana O'Hara (she/her)
56:38
Agreed. We are also requesting an all ages mental health clinic to support trans and gender diverse folks as that is the population we support at the GHC. All ages.
Juan Miguel Munoz-Morris
56:43
Sorry we missed your raised hand, Aricka! We will get back to you shortly
Kathleen King
01:01:00
Is there public input or questions allowed?
Juan Miguel Munoz-Morris
01:01:33
Yes. Kathleen. We will get to your comment shortly, and you can also use the raise hand feature if you wish to speak
Kathleen King
01:01:46
Thank you
Alicia Anderson (she/her)
01:01:50
@Mary - absolutely agree on need for all ages. Margaret and I were speaking on that earlier and I believe that this the plan. Margaret can confirm.
SLC Mary Gloner she/her/siya
01:07:40
I appreciate and want to validate Aricka's comments. This is not a new challenge/barrier and has been raised as early as 15 years ago, especially among immigrant and BIPOC transgender. In light of increasing visibility and power of transgender community and to build upon the movement to address race and health disparities, the timing is prime to strengthen the healthcare system to better serve transgender and intersex community.
Juan Miguel Munoz-Morris
01:10:00
@Wes, we will be getting to the raised hands in order as soon as Margaret wraps up this slide. We see you are looking to speak
Juan Miguel Munoz-Morris
01:19:23
*Friendly Reminder: ANYONE can share their comments and ask questions during this meeting (you don't need to be an SLC member). Please participate in the conversation!
Kathleen King
01:19:26
Yes, we got called to help the Afganistan immigrants with housing 2 weeks ago and we couldn't find any places to help in our county. Armina, you have my sympathy.
LouMeshia Brown
01:20:16
Please speak to what the plan is to improve Behavioral Health Services for the BIPOC residents throughout the county across all age ranges? Also please speak to what are the penetration rates currently and what is the goal for this three year plan?
SLC Mary Gloner she/her/siya
01:21:35
Thanks LouMeshia for posing question.
SLC Leah Hodge
01:23:08
I second some of Wes’ comments. I believe that as a CBO that serves an ethnic specific community we need more autonomy to be able to outreach and bring our communities in for treatment.
Kathleen King
01:24:09
School students in Santa Clara County, 3 out of 4 are kids of color.
LouMeshia Brown
01:26:20
Thank you for sharing the programing. It is important.
SLC (alternate) Brian Rector
01:30:15
I complete agree with you LouMeshia. We are currently outreaching the BIPOC community of all ages.
SLC (alternate) Brian Rector
01:31:19
*completely
Juan Miguel Munoz-Morris
01:32:34
The INN 16 project, which is currently out for RFP, will address trauma and stigma among the African American/African Ancestry community, as well as the Vietnamese community. This project includes a multi-generational approach in order to reach people of all ages.
Juan Miguel Munoz-Morris
01:32:39
https://bhsd.sccgov.org/sites/g/files/exjcpb711/files/documents/mhsa-INN16-Ethnic-Specific-Plan.pdf
Cheryl Engelstad
01:35:41
This is Cheryl from Starlight. Good points, Evelyn. Might be helpful for this group to research what all the programs do and what programs are available.
Roshni Shah
01:36:24
As we continue to improve our data, please also refer to our FY2020 annual update to review the data and outcomes of our MHSA funded programs at this link: https://bhsd.sccgov.org/sites/g/files/exjcpb711/files/Documents/MHSA-SCC_Ann_Plan-Update_FY21-22_redlined.pdf
Juan Miguel Munoz-Morris
01:36:59
We will take another pause for comments after the next slide. Please continue to drop your comments into the chat. Great conversation so far, thank you for your active participation!
Roshni Shah
01:37:12
The data are from FY2020, but the report shared above is part of our FY2022 annual plan update.
SLC Leah Hodge
01:37:26
I would suggest figuring out a way to challenge questionable data.
Kathleen King
01:38:37
441 pages. Good weekend reading. Thank you.
Christophe Rebboah
01:39:14
How is WET going to compete with the for profit sector’s aggressive push to fully compensate employees for all education expenses (Target, Walmart and Amazon)
SLC Peggy Cho
01:42:08
Which language of staff is planning to hire for Consumer and Family Affairs?
Mikelle
01:45:08
Vietnamese and Spanish. We have no Spanish speaking staff at Zephyr
Kathleen King
01:45:50
Can Elisa's comments get into the minutes?
SLC Leah Hodge
01:46:45
I couldn’t agree with Elisa more. I do not feel like we made any difference at all.
Mikelle
01:46:48
No Vietnamese staff at Family Affairs and consumer Affairs (Zephyr)
SLC Peggy Cho
01:47:31
@Mikelle, sounds like a good plan to have Vietnamese and Spanish speaking staff! Thank you!
Kathleen King
01:51:06
My experience is that Santa Clara County thinks big and makes great improvement. We are known to be progressive. We need to think big. I like the incremental improvements but we should be thinking 10X.
Mikelle
01:51:53
You are very welcome Peggy! Thank you!
SLC Mary Gloner she/her/siya
01:54:35
Promatores came from community, especially community health centers and health advocacy agencies
SLC Mary Gloner she/her/siya
01:55:01
Cindy Chavez became our Board Supervisor champion
Christophe Rebboah
01:55:12
TRUST was a product of coming together collaboratively
SLC Mary Gloner she/her/siya
01:55:48
Lay health workers, community outreach workers, paraprofessionals are all iterations of promatoras
Elisa Koff-Ginsborg
01:58:37
Evelyn, thank you for your openness to feedback.
Wesley Mukoyama
02:02:10
We need more collaboration and bringing sectors together knowing what we can do and what is needed.
Roshni Shah
02:04:10
As we shared at the beginning, we do review and share your survey comments. Please continue to provide your input through the survey link for today's meeting: https://www.surveymonkey.com/r/Sept10_SLCRefinement_Feedback
Wesley Mukoyama
02:08:50
Think faith based inclusion.
SLC Mary Gloner she/her/siya
02:10:36
Of the many community/stakeholder groups that I am a member of, MHSA is one of the few groups that I appreciate through the easy and difficult discussions/decisions. Most importantly, seeing impact especially trying to move a large institutional system as the county.
LouMeshia Brown
02:11:10
Thank you MHSA Team!!! You are appreciated greatly!!
SLC Mary Gloner she/her/siya
02:11:22
Yes... see those midnight email stamps from Evelyn!
Elisa Koff-Ginsborg
02:11:27
Thank you MHSA team! Your hard work shows!
Juan Miguel Munoz-Morris
02:11:27
Thank you all for your comments and questions. This has been a great discussion, and the end result feels like the labor of collaboration. Enjoy the weekend!