Core competencies for front-line complex care providers [nationalcomplex.care]

According to: The National for Complex Health & Social Needs

Core competencies for front-line complex care providers [nationalcomplex.care]

Delivering effective complex care requires an understanding that the human experience is complicated; poor health and inadequate living conditions have multiple causes including an interplay of physical and behavioral health, structural and social conditions, and bias


Human complexity and context

Delivering effective complex care requires an understanding that the human experience is complicated; poor health and inadequate living conditions have multiple causes including an interplay of physical and behavioral health, structural and social conditions, and bias.


1. Obtain and apply foundational knowledge in:

a. Physical and behavioral health knowledge relevant to the discipline and context

b. Social drivers of health

c. Interplay and compounding effects of multiple health and social needs

d. Frameworks used in the care of people with complex needs such as recovery model, strengths-based practice, resilience, and person-in-environment

e. Trauma-informed care, including the impact of historical trauma and structural oppression (e.g. racism, sexism, ableism, colonialism)

f. Philosophy and practice of harm reduction

g. Models and techniques of behavior change

2. Evaluate, respect, and incorporate the diversity of values, strengths, culture, and personal preferences among individuals, families, and colleagues.

3. Apply tenacity, ingenuity, and divergent thinking to disrupt complex and deeply ingrained individual and community-level health disparities.


Personal and professional commitment and ethics Complex care practitioners are deeply and ethically committed to improving the lives of the most vulnerable, believe in transformative change at the individual and system levels, engage in continuous learning and self-improvement, and serve as examples of hope and ingenuity.

1. Develop, implement, and evaluate innovative approaches to supporting individuals and families.

2. Champion hope and optimism for individuals, families, communities, teams, and systems.

3. Identify and develop strategies of self-care to avoid provider burnout and foster joy in work.

4. Employ the skills and perspective of self-reflection, cultural humility, anti-racism, and unconditional positive regard to mitigate personal biases and stigmas.

5. Understand and maintain appropriate professional boundaries and limitations within relationship delivered care.

6. Educate individuals after evaluating the risks and benefits of gathering and sharing sensitive personal information, including health and social data and personal stories.


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