Table 1.

Core Skills of NAVIGATE Team Members

Skill Area/Goals	Key Elements
Shared Decision Making Skills Facilitate active engagement in treatment Establish and maintain good working alliance between client and team members Support self-determination and personal autonomy	Information provided about treatment options and likely consequences Client preferences elicited and respected Treatment decisions negotiated and made jointly Family members involved (with client permission)
Strengths and Resiliency Focus Improve positive feelings and self-esteem Instill hope for the future Promote use of all available resources for achieving goals Help person move forward in life after disruption of psychotic episode and any persistent difficulties	Identify personal qualities, knowledge, skills, and resources Draw attention to strengths, and consider how to capitalize on them to achieve goals Explore how person coped with and bounced back from previous challenges Build upon and enhance skills for dealing with stress and rebounding from setbacks
Motivational Enhancement Increase effort to work on personal goals Enhance desire to improve illness management Resolve ambivalence about behavior change Help find a sense of purpose in one’s life	Empathic listening Elicit goals and support self-efficacy for achieving them Explore how improved illness management could help achieve goals Instill hope for achieving goals
Psychoeducational Skills Provide important information to enable shared decision-making Ensure relevant information is understood and retained Facilitate ability to access/use information when needed Help individual learn practical facts about illness and its treatment	Provide information in different formats (e.g., handouts, discussion, whiteboard) Break up information into small “chunks” Interactive teaching and discussion format, with frequent breaks to ask and answer questions, check understanding, and explore person’s experience Adapt language, special terms (e.g., diagnosis), and amount of detail to the individual Seek common ground when there are disagreements about topics such as symptoms and diagnosis
Family Collaboration Skills Enlist family support for client goals and participating in treatment Improve monitoring of client’s disorder Reduce stress in the family	Broad definition of “family” based on client’s wishes Outreach to engage family members Provide information to family about illness and treatment Elicit and respond to family members’ questions and concerns Avoiding judgment and expressing empathy about challenging experiences Ensure that treatment team members are accessible to family Responsive to family requests for help Information provided parallels much of the standard IRT work Resiliency focus