October 2020 – PAT Meeting #25

Participants 

• 6 UB backbone staff (Kassa Belay, David Harrington, Athenia Rodney, Danielle Augustine, Dionne Grayman, Briona Clark)

• 10 FAB members

• 30 PAT members

Takeaways

• Because of FAB feedback, UB will be creating a new part-time or full-time role of Early Intervention Ambassador to fill the referral and evaluation gap between providers and parents for Black and Hispanic children

• The group discussed the value of the Community Care Rubric Project in the creation of equity along with possible provider incentives for participation. This project includes two assessments for the provider and the client/patient respectively to record the level to which the community care guidelines previously outlined by the FAB were met.

Meeting Notes

Objectives:

• Continue Community Care Conversation

• Give updates on home delivery partnership with Rydehails, the Family Co-Op, EI Ambassador Position, and Checklist Tool Data

Opening Reflection

• Icebreaker led by Athenia R. asking the question: Where and how have you seen the PAT Values for Collaboration from 12/07/2018 demonstrated recently?

  • Eunice – that active listening has become more important during online sessions

  • Nia – validation of multiple perspectives at work is refreshing

  • Sue – empathy in the workplace

  • David – mindfulness

  • Cynthia – open mindedness

News and Updates

• Welcome UB Intern Briona Clark

• PAT at Zero to Three

  • Collaborating for Systems Change: Early Intervention in Brownsville, Brooklyn

  • Monday October 5th, 3:30 – 4:15pm

  • Organized by HealthySteps Brookdale and will include representation from Brooklyn College, Bureau of Early Intervention, and UB

• Home delivery project in collaboration with RydeHails

  • Uses local drivers to deliver food and goods to residents who cannot physically get to food banks

  • 4 delivery dates/4weeks, 168 drivers shifts, 32 FAB packing shifts

  • Delivery spots are almost full!

  • Sign up here: http://bit.ly/ubfooddelivery

• Family Co-op launching tomorrow (10/3)

  • 8-week virtual sessions

  • 15 families from 11-12 and 15 families from 1-2

  • Registration full and closed

  • There will be a waitlist for Session 2 registration available here: https://bit.ly/FC2021

• Brooklyn Covid 19 & Community Resource Guide is live on unitedforbrownsville.org

• Early Intervention Ambassador Position

  • UB will be introducing a role to serve families and providers to help close the early intervention referral and evaluation gap for Black and Hispanic children

  • Original hiring date has been pushed back due to the pandemic

  • Because of FAB proposal, the role will be either part time or full time

  • More information on the role here: https://community-solutions.breezy.hr/p/571281c80e88-early-intervention-ambassador

Discussion Topics

•  Family Wellbeing Checklist

• • Data dashboard is being used to track data from the family wellbeing checklist for later use

  • Lenny P discusses how to data dashboard tracks website visits, what people click on most

  • Economic well-being is the most clicked category with the question about loans and grants being the most clicked question

  • Dashboard will be updated to reflect return visitors

• Community Care Rubric Project

  • Project to rate provider’s level of care based on community defined standards from 2 years worth of equity conversations

  • Two assessments

1. Self reflection by providers

2. Client assessment of provider

• • PAT Values Question: Which values do you believe are present in this project?

  • Answers include: trust, respect, integrity, understanding, belief in validity of community, honor, cultural competence, humility, active listening, commitment, engagement, vulnerability, consistency, communication

• Discussion Questions

1. What self assessment or reflective practices does your organization or program already have in place?

2. Do you receive and review feedback from the community about the care you provide?

   1. How do you do this specifically?

   2. What weight does it carry?

3. How might receiving direct community feedback lead to equity

   1. Why don’t we do it?

• Breakout groups answers to these questions are below

1. What self assessment or reflective practices does your organization or program already have in place?

   1. Self-reflection as a part of onboarding or periodically

   2. Some had no self-reflection practices in place

   3. Some have reflections for client assessment of staff but none for self reflection

   4. One organization is currently developing a self assessment strategy

2. Do you receive and review feedback from the community about the care you provide?

   1. Annual and semi-annual surveys (sometimes with low response rates), which are then aggregated, analyzed, and addressed

   2. Client follow up interview

   3.  Some have assessments available to staff but not to clients

   4.  Informal conversations with partners and staff

   5.  Communicating with institutions instead of directly with involved individuals

   6. Negative feedback is limited

   7.  Feedback and review of assessments are highly delayed and feedback should be more regular

   8. More support is needed from supervisors and directors

3. How might receiving direct community feedback lead to equity

   1. Incorporating the opinions of community member makes them feel heard and cared for

   2. Holds organizers accountable

   3. Allows organizers to understand the effect that their work is having and how it can be better tailored to the community for whom they are working

   4.  Does not happen because of arrogance, fear, upholding the status quo and power dynamics, lack of trust, superiority complexes

• Upon reconvening the group discussion was as follows

  • Dionne discussed how organizations play a role in upholding oppressive structures and shared helpful reading material

    • https://publichealthinsider.com/2020/06/11/racism-is-a-public-health-crisis/

  • Mary PT – proud that HealthyStart has been implementing community voices into reporting for 10 years

  • Maggie – the expectation is that the funders responsibility is holding organizers accountable.

  • Kassa – feedback/assessment should involve the whole team and community involvement should be incorporated at multiple levels; providers are also accountable to community members

  • Pamela – communication and accountability should be more cyclical and less unilaterally focused on funders

  • David – how is the community incorporated as an integral part of the organization?

• Possible incentives for providers

  • Testimonials

  • FAB-Approved list

  • Communicate Learning Results (Restaurant-style Grading)

  • Credentials (FAB Certification)

• The group previewed the current working draft of the Community Care Worksheet

  • The document can be viewed here: https://docs.google.com/document/d/1z9TN7IMAdawMjyT_Zc-OUQvlBHAQPbqI13q8pag_5Wg/edit

• • Lindsey asked if there is a follow-up process to implement insights gathered by worksheet to create organizational improvement

  • Georgina asks how we can move past the roadblocks providers may face that could discourage them from participating?

  • Kristen shared that the medical community is already overworked and she is hesitant to ask more of them

  • Dionne – self reflection can be framed as self care

  • David – a bidirectional assessment allows them to work more effectively and is not creating negative feedback but making the negative feedback that already exist actionable/fixable

  • Lindsey expressed concern about the length of the assessment and proposed keeping it under 10 questions

• PAT members reviewed the document and given an opportunity to give their feedback in the comments

Next Steps

• Have PAT give feedback on the Community Care Rubric and possible incentives

Presentation