Effective teamwork is the cornerstone of the development and promotion of interprofessional collaboration. When teams come together, their ability to work toward health and wellness for service participants, families, and communities are stronger than any individual efforts. Supervision can further optimize the work of the team. COVID-19 and the ensuing social unrest brought to light the long-standing inequity in access and treatment across all health and behavioral health providers demonstrating all too clearly that BIPOC communities had many more deaths from COVID-19 than white communities. While there is growing interest in understanding how social factors drive poor health outcomes, behavioral health providers responsible for defining and responding to how this impact community of BIPOC, identification of structural racism as a root cause of racial health inequities have largely been neglected. 

 Clinicians are often trained in treatment models and systems steeped in a long history of white supremacy. Moreover, supervisors along with team members are not exempt from enactments of racial and social injustice, prejudice, power and privilege embedded in our social environment and institutions. Negative consequences impede learning not only between the supervisee and supervisor but also the exchange among team members. As such it can affect clinical understanding of service participant and perpetuate injustice based on power and social locations. Thus, is not an easy task to shift cultural norms entrenched across individual, organizational and institutions and move towards an antiracist practice. During this unpresented time, having difficult and at times uncomfortable conversation presents unique challenges when this dialog have to take place on online platforms. 

 This presentation will discuss ways in which teams and supervisors can develop brave spaces both physically or online for dialog and critical analysis to identify and alter dynamics of power, privilege, and social oppression. We will present models for constructing facilitated team discussions and supervision dialog, Critical Conversations (CC), to unpack discriminatory beliefs, values, and distribution of resources associated with social, behavioral, and economic outcomes for individuals receiving services. Lessons learned from the ACT Institutes work will be presented.

Format

Recorded webinar, non-interactive, self-paced distance learning activity with post-test.

This presentation was recorded on November 12, 2020 at the virtual conference, Third National Conference on Advancing Early Psychosis Care in the United States: Addressing Inequities - Race, Culture, and COVID. 

Learning Objectives

• Identify current social justice issues impacting our work today.
• Explain challenges and opportunities for teams and in supervision when addressing white supremacy and white privilege.
• Describe how critical conversations (CC) model provides a framework to illuminate and examine power dynamics in order to produce change with parallel insight and action—across teams, supervisee, supervisor—towards an anti-racist practice.

Outline

• Current social justice issues impacting our work
• Interprofessional team: Establishing a vision
• Creating safe spaces: Keeping it real
• Transforming our programs/agencies

Target Audience

Psychologists, Social Workers, and Other Mental Health Professionals

Instructional Level

Introductory, Intermediate, Advanced

Estimate Time to Complete

Estimated Duration: 1.0 hour
Program Start Date: March 15, 2024 
Program End Date: March 15, 2027

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit™, CE credit for psychologists, CE credit for social workers, or a certificate of participation may do so by completing all sections of the course, including viewing the full video (≥60 minutes) and submitting an evaluation. A multiple-choice quiz is provided based on the content. A passing score of 75% must be achieved. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), CE certificate (psychologists), CE certificate (social workers), or certificate of participation (other disciplines) showing the completion date and hours/credits earned.

Continuing Education Credit

Physicians

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Psychologists

The American Psychiatric Association is approved by the American Psychological Association to sponsor continuing education for psychologists. American Psychiatric Association maintains responsibility for this program and its content.

Social Workers 

American Psychiatric Association, provider #1743, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. American Psychiatric Association maintains responsibility for this course. ACE provider approval period: 05/18/2020 – 05/18/2021 and 05/18/2021-05/18/2024. Social workers completing this course receive 1.0 (clinical) continuing education credits.

Continuing education requirements vary from state to state. Many state boards grant reciprocity with national accrediting organizations and other state boards. It is the responsibility of each professional to understand the requirements for license renewal or check with the state or national licensing board and/or professional organization to become more familiar with their policies for acceptable continuing education credit. Social workers and Psychologists should contact their regulatory board to determine course approval.

Faculty and Planner Disclosures

Instructors

• Helle Thorning, M.S., L.C.S.W., Ph.D., is a Clinical Professor of Psychiatric Social Work (in Psychiatry) Columbia University Vagelos College of Physicians and Surgeons. She serves on the leadership team of the Center for Practice Innovations in the Division of Behavioral Health Services and Policy Research at New York State Psychiatric Institute, Columbia University. She is the Director of the ACT Institute. Dr. Thorning has expertise in addressing practice change through workforce development, transformative learning processes, and quality improvement. Dr. Thorning is a licensed clinical social worker, training clinicians and working with people facing mental health challenges and their families. Reports no financial relationships with commercial interests.  
• Luis O. Lopez, M.A., M.S., is a counselor, trainer, consultant, and coach. Mr. Lopez is the Coordinator for Fidelity and Best Practices at the ACT Institute and has been at the New York State Psychiatric Institute since 2013. Mr. Lopez has expertise in the areas of Trauma Informed Care, Motivational Interviewing, Dual Recovery, Group Dynamics, Cultural Humility, Stages of Change, Harm Reduction, WRAP, CBT, Wellness Self-Management, and the ACT Model. He has facilitated workshops in these topics at more than 100 conferences nationally and in Canada. Reports no financial relationships with commercial interests. 
• Pascale Jean-Noel, B.S.W., M.S.W., L.M.S.W., is the Director of Training for the ACT Institute at the Center for Practice Innovations at New York State Psychiatric Institute and Columbia University. In this role, she designs, coordinates and facilitates extensive training curricula in the ACT Model, Person Centered Treatment Planning, and cultural humility and awareness. In collaboration with NY State Office of Mental Health, she oversees training of 108 ACT teams and 1,000 ACT providers. Mrs. Jean-Noel currently serves as a member of the Statewide Multicultural Advisory Committee, advising the New York State Commissioner of Mental Health. Reports no financial relationships with commercial interests.

Program Planners

• Steven Adelsheim, M.D. Reports no financial relationships with commercial interests.
• Catherine Adams, L.M.S.W., A.C.S.W., C.A.A.D.C. Reports no financial relationships with commercial interests.
• Susan T. Azrin, Ph.D.  Reports no financial relationships with commercial interests.
• Iruma Bello, Ph.D.  Reports no financial relationships with commercial interests.
• Gary Michael Blau, M.S., Ph.D.  Reports no financial relationships with commercial interests.
• Teri S. Brister, Ph.D., L.P.C.  Reports no financial relationships with commercial interests.
• Nybelle An-Vi Caruso, B.S.  Reports no financial relationships with commercial interests.
• Amy N. Cohen, Ph.D.  Reports no financial relationships with commercial interests.
• Robert O. Cotes, M.D.  Dr. Cotes discloses the following relationships: Consultant: Saladax Biomedical, American Psychiatric Association Grant/Research: Ostuka, Lundbeck, Roche, Alkermes
• Judith Dauberman, M.A., Ph.D.  Reports no financial relationships with commercial interests.
• Steven P. Dettwyler, Ph.D.  Reports no financial relationships with commercial interests.
• Lisa B. Dixon, M.D., M.P.H.  Reports no financial relationships with commercial interests.
• Melissa Edmondson Smith, Ph.D.  Reports no financial relationships with commercial interests.
• Chantel Garrett. Ms. Garrett discloses the following relationships: Stock: Invitae, stockholder Livongo, stockholder Color, private equity holder Consultant: Maine Health Northwell Health One Mind Grant/Research: One Mind National Institute of Health
• Tristan Gorrindo, M.D.  Reports no financial relationships with commercial interests.
• Kate Hardy, ClinPsych.D.  Ms. Hardy discloses the following relationships: Consultant: SME for Click Therapeutics
• Robert K. Heinssen, Ph.D., A.B.P.P. Reports no financial relationships with commercial interests.
• Brian Hepburn, M.D.  Reports no financial relationships with commercial interests.
• Patrick Kaufmann, B.S.  Reports no financial relationships with commercial interests.
• Sherin Khan, L.C.S.W. Reports no financial relationships with commercial interests.
• Steven R. Lopez, Ph.D. Reports no financial relationships with commercial interests.
• Ted Lutterman.  Reports no financial relationships with commercial interests.
• Tushita Mayanil, M.D.  Reports no financial relationships with commercial interests.
• Ryan Melton, Ph.D.  Reports no financial relationships with commercial interests.
• Oladunni Oluwoye , Ph.D.  Reports no financial relationships with commercial interests.
• Abram Rosenblatt, Ph.D.  Reports no financial relationships with commercial interests.
• David L. Shern, Ph.D.  Dr. Shern discloses the following relationships: Grant/Research: Through my employment at NASMHPD, I co-chair the dissemination function of the Early Psychosis Intervention network as part of the national data coordinating center at Westat. Westat was awarded the coordinating center grant by NIMH Other: serve on the Board of Livanta

• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests. (Reviewed on 3/14/2024)
• John Torous, MD, MBI, Beth Israel Deaconess Medical Center. Reports no financial relationships with commercial interests. (Reviewed on 3/2/2024
• Amy N. Cohen, Ph.D, American Psychiatric Association. Reports no financial relationships with commercial interests. (Reviewed on 3/8/2024)
• Sherin Khan, LCSW, Thresholds. Reports no financial relationships with commercial interests. (Reviewed on 3/14/2024)

Accessibility for Participants with Disabilities

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