Abstract How prepared are frontline health providers for dealing with mental illness in patients with multiple, complex health conditions? The aims of this study were 2-fold: (1) to gain insight into the kinds of training and education desired by frontline clinicians and (2) to compile a list of key questions for health service managers and education leaders to address based on our findings. More than 100 care providers responded to a survey. More than half of the respondents (56%) indicated no mental health training and the majority (97%) desired increased training and support. Suggested approaches ranged from regular workshops (eg, case presentations) to systems-level strategies (eg, partnering with mental health organizations). This study provides a critical first look into what frontline service providers identify as being necessary and essential to their skill set in working with a complex population and raises important questions for healthcare managers and educators to consider in addressing this gap.