Coordinated Specialty Care teams have a unique ability to deliver specialized care for early psychosis utilizing tools that underscore and facilitate client and family engagement. Teams are able to deliver services in a flexible, person-centered, cohesive and culturally competent manner. Typically teams are able to meet with clients and families in the office, their homes, communities and school. The level of coordination across team members to have discussions regarding service delivery, provide joint meetings with several providers, and share information about client interactions that affect treatment decisions, is a fundamental component of the CSC approach.

However, the emergence of COVID-19 led to a rapid shift to the use of telehealth as a primary method for service delivery and technology became the primary vehicle for team communication. Activities that were normally performed in person had to be rapidly adapted to be delivered online and via telephone. Furthermore, the negative social, health and economic impact of COVID-19 on team members and services recipients added another dimension of collective uncertainty, trauma and loss. Team leaders had to grapple with how these issues impacted their team members, and how they impacted the ways in which the team related to program participants. The negative impacts were exponential in communities of color and added a focus on explicitly considering the effects of racism and culture on individual's lives. In parallel, team functioning changed dramatically. Team members had to develop new ways to communicate and coordinate with each other remotely and brainstorm mechanisms for engaging participants and families. Specifically, team meetings, supervision and other forms of team integration were also performed remotely with little preparation or training.

This talk will examine the concrete changes that teams underwent when shifting from in-person to remote service delivery and factors that team leaders had to consider for effectively supporting and promoting a positive team dynamic and effective team functioning. We will describe specific strategies that team leaders implemented to: 1) boost team morale, 2) emphasize self-care and reduce compassion fatigue, 3) facilitate dialogue within the team about trauma, grief and considerations of racial inequities, 4) manage and encourage team communication and cohesion, and 5) supervise role functioning to ensure fidelity to the CSC model during a stressful and rapidly changing environment.

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

• Describe changes in team functioning associated with 1) the use of technology, 2) managing the impacts of COVID-19, and 3) integrating explicit discussion on race and culture.
• Identify strategies that team leaders can employ to 1) support team members as they try to deliver coordinated services via telehealth, 2) facilitate dialogue within the team on the impacts of COVID-19, trauma, culture and 3) oversee that team members are utilizing principles of cultural humility when delivering services.
• Explain supervisory strategies that can help with team building and team cohesion during times of uncertainty and stress.

Outline

• Challenges and context of team functioning during COVID-19
• Building team cohesion and support around stress, grief, and trauma
• Cultural humility in Coordinated Specialty Care (CSC) teams

Target Audience

Psychologists, Social Workers, and Other Mental Health Professionals

Instructional Level

Advanced

Estimate Time to Complete

Estimated Duration: 1.0 hour
Program Start Date: May 3, 2021 
Program End Date: May 3, 2024

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

• Catherine Adams, L.M.S.W., A.C.S.W., C.A.A.D.C., received her M.S.W. from Michigan State University. She worked for over 30 years for the Clinton-Eaton-Ingham Community Mental Health Board in Lansing, Mich. as a senior clinician and clinical manager serving consumers with mental illness and their families. Ms. Adams has served as Project Director for multiple national research endeavors exploring the benefits of early intervention following a first episode of psychosis. Ms. Adams is also the Co-Owner and Clinical Director of ETCH: Early Treatment and Cognitive Health which provides RAISE-NAVIGATE Coordinated Specialty Care interventions, CBTp and CFT to young adults experiencing a first episode of psychosis and their families. Ms. Adams is the Consultant/Trainer for First Episode Psychosis programs in the state of Michigan. Ms. Adams is a frequent speaker on the topic of early intervention for first episode psychosis. Reports no financial relationships with commercial interests.

• Iruma Bello, Ph.D., received her doctorate in clinical psychology from the University of Hawaii at Manoa and completed her clinical internship and post-doctoral training at the Massachusetts General Hospital, Harvard Medical School. She has a broad background in public sector clinical psychology with specialized training in evidence-based practices and CBTp. Her is focused on research and practice aimed at improving outcomes for individuals diagnosed with first episode psychosis and has published on this topic. She is responsible for developing effective implementation strategies to support the dissemination of the OnTrackNY treatment model both in New York and across the United States. 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

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