African Americans (AA) Communities Speak

Inclusion Criteria: Aim 1.1 Person with serious Illness: * Self-identified as African American (i.e., born, raised, and lived primarily in the US) * Non-Hispanic or Latino * Age ≥60 years * English-speaking * Has been diagnosed with a condition that fits into one of 3 illness paradigms including cancer, cardiac disease, pulmonary disease, neuro-degenerative disease, renal disease, stroke, sepsis, hepatic disease) * Callahan Six-Item Screener score ≥4 * Able to complete baseline surveys. Bereaved family member: * Self-identified as African American (i.e., born, raised, and lived primarily in the US) * Non-Hispanic or Latino * Age ≥60 years * English-speaking * Loved one dies in the last 12 months and was diagnosed with a condition that fits into one of 3 illness paradigms including cancer, cardiac disease, pulmonary disease, neuro- degenerative disease, renal disease, stroke, sepsis, hepatic disease) * Callahan Six-Item Screener score ≥4 * Able to complete baseline surveys. Exclusion Criteria Person with serious illness: -Cannot be receiving hospice care Bereaved Family Member: -Cannot be a paid "sitter" Inclusion Criteria: Aim 1.2 Bereaved Family member: * Self-identified as African American (i.e., born, raised, and lived primarily in the US) * Non-Hispanic or Latino * Age ≥60 years * English-speaking * Loved one dies in the last 12 months and was diagnosed with a condition that fits into one of 3 illness paradigms including cancer, cardiac disease, pulmonary disease, neuro- degenerative disease, renal disease, stroke, sepsis, hepatic disease) * Callahan Six-Item Screener score ≥4 * Able to complete baseline surveys Pastors: * Self-identifying as African American * White, Non-Hispanic or Latino * Sged ≥18 years old. Inclusion Criteria: Aim 3 Clinician eligibility: * Practice at a University of Alabama at Birmingham (UAB) or Montefiore/Einstein site that provides care to patients eligible for outcomes surveys * At least 3 months of clinical practice at the study site prior to the intervention training to measure pre-intervention patient surveys Exclusion criteria: -Lack of at least 3 months of clinical practice at the study site prior to the intervention training. Patient eligibility: * Self-identified as African American (i.e., born, raised, and lived primarily in the US) * Non-Hispanic or Latino, 3. age ≥60 years * English-speaking * Has been diagnosed with a condition that fits into one of 3 illness paradigms including cancer, cardiac disease, pulmonary disease, neuro-degenerative disease, renal disease, stroke, sepsis, hepatic disease) * Callahan Six-Item Screener score ≥4 * Able to complete baseline surveys. Exclusion criteria include: -Currently receiving hospice care. Family member eligibility: * Age ≥ 18 years * English-speaking * Community-dwelling * Unpaid care provider of a person with a serious illness. Exclusion criteria: 1. Cannot be a paid "sitter".