This training is designed to be an overview of the topic delivered over three, half-days. The first day will introduce what systems-oriented care is by familiarizing participants with the socio-ecological model or SEM (Bronfenbrenner, 1979). It will clarify that the SEM is a conceptual model for understanding how a person’s health and wellbeing are impacted by the nested systems they live within — including the micro- (individual-level), meso- (organizational-level), exo- (community-level), and macro- (societal/cultural/political-level) systems. It will underscore that by considering the SEM, providers may be better able to understand how different, social, cultural, and economic forces across all levels of the socio-ecological system can interact with and influence one another in ways that impact a person’s overall wellbeing (Metzl & Hansen, 2014). The training will seek to highlight important considerations for the Full-Service Partnership (FSP) client at the organization-, community-, and societal levels by discussing effective organizational approaches in the delivery of FSP care, focusing on the importance of aspects like well-integrated, multidisciplinary, and team-based work, reflective management and leadership styles, and continuous quality improvement. 

In the second half of the first day, we will focus on collaborative teamwork as the cornerstone of effective service delivery while working with individuals with severe mental illness in public mental health service systems (Tomizawa, Shigeta, & Reeves, 2017). Working well as a team can be challenging since mental health providers are often trained to focus on distinctions among professional fields. This training will identify strategies for developing a shared team mission and vision and review practices for team coordination and communication to work well in complex service systems of care.

The second day will expand on Day 1’s exploration of the trans-disciplinary team with a specific focus on team functioning, effective use of team meetings, and quality assurance strategies through the lens of the aforementioned focal areas. The second half of Day 2 will focus on the FSP team approach/model and team supervision considerations and strategies including types of supervision (educational, administrative, and supportive) as well as contexts (group or individual).  

The third day will lastly focus on models of integrated care, including integrated, coordinated, and co-located care models, and related skills for practicing care coordination across systems. The importance of coordinated care will be explained through a social determinants of health framework (SDOH) and highlight integrated care/care coordination as an intervention that mitigates the impacts of SDOH. This training will teach providers how to identify key care partners within systems as well as advocacy and collaboration best practices. Attendees will be given an overview of chronic health conditions common within populations experiencing severe mental illness (SMI) and being unhoused and how non-medically trained providers can support access to and continued engagement in primary and specialty medical care.