DMH UCLA Public Mental Health Partnership

Presented by Jennifer Wisdom, PhD, MPH, ABPP

Intergenerational Communication Challenges introduces generations (from boomers to Gen Z) and identifies how each generation has its own experiences, worldviews, and perspectives. Dr. Wisdom will solicit ideas from attendees on how intergenerational challenges show up in their workplace and describe how these challenges in the workplace can be associated with generational perspectives, such as different views on what it means to show respect or display loyalty. Dr. Wisdom will provide strategies for communicating across the generations, both for older generations (boomers and Gen X) to communicate with younger generations (millennials and Gen Z), and vice versa. This training is intended for field-based mental health and outreach workers in Los Angeles County.

Presented by Danielle Farmer, MSEd, LCSW. Studies show that 83% of U.S. workers suffer from work-related stress, with 25% naming their job as the number one stressor in their lives (The American Institute of Stress, 2022). These rates are even higher for individuals in social service settings due to factors such as emotional labor and the traumatic realities that clients may face. These factors place outreach workers at higher risk for work-related traumatic stress. Therefore, it is vital that field-based outreach workers are equipped with the knowledge and tools needed to understand how work-related stress develops and self-care practices to combat it. This training will define and explore concepts related to work-related stress such as burnout, vicarious trauma, and the physiological impacts of chronic and/or traumatic stress. Participants will discuss the history of self-care, its roots in radical community movements, and how it relates to field-based outreach workers. Participants will learn a plethora of self-care practices using a holistic approach and will have work time to create an individualized wellness plan for themselves using learned self-care practices. This training is intended for field-based mental health and outreach workers in Los Angeles County.

Presented by Elizabeth Mackey, LMSW and Chelsea Simms, LCSW, MSW. This training will 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 the social determinants of health (SDOH) framework, highlighting 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 serious 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.This training is intended for field-based mental health and outreach workers in Los Angeles County.

Presented by Chelsea Simms, LCSW, MSW, Danielle Cameron, ACSW, MSW and Larry Fernandez, LCSW, MSW. Group therapy can be an effective and impactful therapeutic intervention for consumers of community mental health services, providing a space for processing, peer support, and social skills practice. This training will explore both the practicalities of starting and maintaining a group within a community mental health setting, as well as specific evidence-based interventions and modalities that can be used to ensure a group remains helpful and supportive to participants. This training is tailored for community mental health providers working in field-based settings in Los Angeles County.

Presented by Danielle Cameron, ACSW, MSW and Chelsea Simms, LCSW, MSW. Group therapy can be an effective and impactful therapeutic intervention for consumers of community mental health services, providing a space for processing, peer support, and social skills practice. This training will explore both the practicalities of starting and maintaining a group within a community mental health setting, as well as specific evidence-based interventions and modalities that can be used to ensure a group remains helpful and supportive to participants. This training is tailored for community mental health providers working in field-based settings in Los Angeles County.

Presented by Julie Cohen, LMFT and Danielle Farmer MSEd, LCSW. This training will provide Full Service Partnership (FSP) team members with a foundational understanding of assertive engagement principles and strategies when working with parents and caregivers. Participants will learn the core concepts of assertive engagement, including active listening, empathy, and effective communication techniques. The training will focus on building rapport, establishing trust, and collaborating with parents and caregivers to support their child's progress and wellbeing within the FSP program. By the end of the training, participants will have gained essential knowledge and skills to begin implementing assertive engagement strategies in their interactions with parents and caregivers.

Presented by Stacy D. Goldsholl, MA. This training will give field-based mental health service providers an overview of the prevalence of smoking among persons living with serious mental illness (SMI), and review its implications on health. Stacy D. Goldsholl will review the effectiveness of evidence-based practices for smoking cessation for persons with SMI. Goldsholl will also discuss how providers can assess an individual’s smoking status and their willingness to quit. She will do this by providing information on behavioral counseling for individuals who are interested in quitting through a motivational interviewing approach, and offering guidance on how to choose an approach to help someone quit smoking. She will then recommend adaptations for individuals who have cognitive deficits. Additionally, Goldsholl will review smoking cessation pharmacotherapy options, their safety and efficacy for individuals with SMI, and recommendations on treatment duration. She will also discuss treatment recommendations for individuals who are not interested in quitting smoking, and provide treatment options for active smokers.

Presented by Emily C. Dossett, MD, MTS. Pregnancy and postpartum can be joyful, but they can also be full of stress, physical changes, and worsened psychiatric symptoms for people with serious mental illness (SMI). At the same time, reproductive needs in the SMI population have historically been overlooked or ignored. This training will discuss how the perinatal period affects psychiatric symptoms and how providers can address these changes. We will also use a reproductive justice lens to think about pre-pregnancy psychiatric consultation as well as family planning for people with SMI. The target audience for this training is field-based intensive mental health services providers who work with individuals impacted by severe mental health disorders.

Presented by Chelsea Simms, LCSW, MSW. Outreach and Engagement (O&E) is a key phase of treatment across Full Service Partnership (FSP) and Homeless Outreach Mobile Engagement (HOME) teams within Los Angeles County. During this time, it is crucial to begin building a solid therapeutic relationship with clients. We will discuss techniques to reinforce this relationship, including shared decision making and other collaborative strategies. This training will also facilitate a space for reflection on engagement practices from both a clinical and practical lens. Utilizing evidence-based practices from trauma informed care to motivational interviewing, this brief training aims to strengthen providers' skillsets overall. Time will be taken to engage in dialogue and role play for the unique challenges that O&E can present providers and the teams they work within across multiple systems of care.

Presented by Chelsea Simms, LCSW, MSW and Larry Fernandez, LCSW, MSW. Mental illness and co-occurring disorders can influence the length of time in establishing a trusting therapeutic relationship. Assertive engagement involves the use of interpersonal skills and inventiveness to engage clients and interest them in subsequent care. It entails taking multidisciplinary services directly to the people in encampments, streets, sidewalks, alleyways, schools, and other public spaces, followed by the provision of ongoing support. This training will cover assertive engagement strategies that are most helpful with adult clients with mental illnesses that may include co-occurring substance use disorders. Strategies will include evidence-informed modalities (motivational interviewing, harm reduction, strengths-based), informal/creative approaches, as well as opportunities for learners to apply these strategies using case vignettes. The intended audience for this training is field-based community mental health providers and outreach workers.