Capstone Exercise

Developing Your Role-Specific Mini Action Plan

Throughout this programme, you have explored structural roots of homelessness, examined complex health needs, learned IHSC principles, applied them clinically, and reflected on system readiness. Now you translate insight into action.

This is not about large-scale reform — it is about realistic, structured progress within your sphere of influence.

Step 1 –Identify One Priority Area

Choose either one SCIROCCO dimension that appears weakest in your context, OR one recurring fragmentation pattern you observe in practice.

Examples: weak discharge coordination · poor data sharing · no formal multidisciplinary meetings · misaligned funding streams · low client involvement.

Step 2 –Define the Problem Precisely

Describe the problem in 2–3 sentences.

Precision increases feasibility.

Avoid general statements such as:

“Integration is weak.”

Be specific:

“Hospital discharges for people experiencing homelessness occur without structured communication with housing services, resulting in repeated emergency visits.”

Step 3 –Define a Realistic 3–6 Month Goal

What is realistically achievable within 3–6 months?

Avoid goals dependent on national legislative reform. Focus on feasible leverage.

Examples:

Establish monthly multidisciplinary case meetings
Introduce discharge checklist including housing status
Pilot shared care planning template
Present economic impact data to municipal leadership
Initiate cross-sector coordination working group

Step 4 –Identify Key Actors

Who must be involved?

Possible:Clinical colleagues · Social services · Municipal representatives · NGO partners · Data specialists · Managers.

Step 5 –Define One Measurable Indicator

Integrated care must be visible. Choose one indicator to monitor progress.

Even small indicators create accountability.

Examples:

Number of coordinated discharge plans per month
Frequency of multidisciplinary meetings
Reduction in repeated emergency department visits
Percentage of clients with named case coordinator
Client-reported satisfaction with coordination

Step 6 –Anticipate Barriers

Identify one likely obstacle — and one mitigation strategy. Anticipating barriers increases realism.

Barriers may include:

Limited time
Legal uncertainty
Resource constraints
Resistance to change
Competing priorities

Step 7 –Link to System Maturity

Reflect: Which SCIROCCO dimension does your action strengthen?

For example:

Governance
Funding
Citizen Empowerment
Evaluation Methods
Capacity Building

Your mini action contributes to system readiness.