First-Person Accounts of Change Among Young Adults Enrolled in Coordinated Specialty Care for First-Episode Psychosis

2020 ◽  
Vol 71 (12) ◽  
pp. 1277-1284
Author(s):  
Tamara C. Daley ◽  
Nev Jones ◽  
Preethy George ◽  
Abram Rosenblatt
Keyword(s):  
Young Adults ◽  
First Episode Psychosis ◽  
Specialty Care ◽  
First Episode ◽  
First Person ◽  
Episode Psychosis

scholarly journals Implementation of NAVIGATE Coordinated Specialty Care for First Episode Psychosis: the Michigan Experience

CNS Spectrums ◽  
2021 ◽  
Vol 26 (2) ◽  
pp. 177-178
Author(s):  
Eric D. Achtyes ◽  
Kari Kempema ◽  
Zhehui Luo ◽  
Katharine N. Thakkar ◽  
Catherine Adams ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Symptoms ◽  
The United States ◽  
First Episode Psychosis ◽  
Specialty Care ◽  
First Episode ◽  
Control Group ◽  
Evidence Based ◽  
Block Grant ◽  
Episode Psychosis

AbstractStudy ObjectivesCoordinated specialty care (CSC) is widely accepted as an evidence-based treatment for first episode psychosis (FEP). The NAVIGATE intervention from the Recovery After an Initial Schizophrenia Episode Early Treatment Program (RAISE-ETP) study is a CSC intervention which offers a suite of evidence-based treatments shown to improve engagement and clinical outcomes, especially in those with shorter duration of untreated psychosis (DUP). Coincident with the publication of this study, legislation was passed by the United States Congress in 2014–15 to fund CSC for FEP via a Substance Abuse and Mental Health Services Administration (SAMHSA) block grant set-aside for each state. In Michigan (MI) the management of this grant was delegated to Network180, the community mental health authority in Kent County, with the goal of making CSC more widely available to the 10 million people in MI. Limited research describes the outcomes of implementation of CSC into community practices with no published accounts evaluating the use of the NAVIGATE intervention in a naturalistic setting. We describe the outcomes of NAVIGATE implementation in the state of MI.MethodsIn 2014, 3 centers in MI were selected and trained to provide NAVIGATE CSC for FEP. In 2016 a 4th center was added, and 2 existing centers were expanded to provide additional access to NAVIGATE. Inclusion: age 18–31, served in 1 of 4 FEP centers in MI. Data collection began in 2015 for basic demographics, global illness (CGI q3 mo), hospital/ED use and work/school (SURF q3 mo) and was expanded in 2016 to include further demographics, diagnosis, DUP, vital signs; and in 2018 for clinical symptoms with the modified Colorado Symptom Inventory (mCSI q6 mo), reported via an online portal. This analysis used data until 12/31/19. Mixed effects models adjusted by age, sex and race were used to account for correlated data within patients.ResultsN=283 had useable demographic information and were included in the analysis. Age at enrollment was 21.6 ± 3.0 yrs; 74.2% male; 53.4% Caucasian, 34.6% African American; 12.9 ± 1.7 yrs of education (N=195). 18 mo retention was 67% with no difference by sex or race. CGI scores decreased 20% from baseline (BL) to 18 mo (BL=3.5, N=134; 15–18 mo=2.8, N=60). Service utilization via the SURF was measured at BL (N=172) and 18 mo (N=72): psychiatric hospitalizations occurred in 37% at BL and 6% at 18 mo (p<0.01); ER visits occurred in 40% at BL and 13% at 18 mo (p<0.01). 44% were working or in school at BL and 68% at 18 mo (p<0.01). 21% were on antipsychotics (AP) at BL (N=178) and 85% at 18 mo (N=13) with 8% and 54% on long acting injectable-AP at BL and 18 mo, respectively. Limitations include missing data and lack of a control group.ConclusionThe implementation of the NAVIGATE CSC program for FEP in MI resulted in meaningful clinical improvement for enrollees. Further support could make this evidence-based intervention available to more people with FEP.FundingSupported by funds from the SAMHSA Medicaid State Block Grant set-aside awarded to Network180 (Achtyes, Kempema). The funders had no role in the design of the study, the analysis or the decision to publish the results.

Insurance Status and Continuity for Young Adults With First-Episode Psychosis

2021 ◽  
pp. appi.ps.2019005
Author(s):  
Ezra Golberstein ◽  
Susan H. Busch ◽  
Kyaw Sint ◽  
Robert A. Rosenheck
Keyword(s):  
Young Adults ◽  
First Episode Psychosis ◽  
First Episode ◽  
Insurance Status ◽  
Episode Psychosis

scholarly journals A Brief Mindfulness-Based Family Psychoeducation Intervention for Chinese Young Adults With First Episode Psychosis: A Study Protocol

2019 ◽  
Vol 10 ◽  
Author(s):  
Herman Hay-Ming Lo ◽  
Wing-Chung Ho ◽  
Elsa Ngar-Sze Lau ◽  
Chun-Wai Lo ◽  
Winnie W. S. Mak ◽  
...  
Keyword(s):  
Young Adults ◽  
Study Protocol ◽  
First Episode Psychosis ◽  
First Episode ◽  
Family Psychoeducation ◽  
Episode Psychosis ◽  
Chinese Young Adults

scholarly journals Understanding differences in family engagement and provider outreach in New Journeys: A coordinated specialty care program for first episode psychosis

2020 ◽  
Vol 291 ◽  
pp. 113286 ◽  
Author(s):  
Oladunni Oluwoye ◽  
Bryony Stokes ◽  
Bryan Stiles ◽  
Maria Monroe-DeVita ◽  
Michael G. McDonell
Keyword(s):  
Family Engagement ◽  
Care Program ◽  
First Episode Psychosis ◽  
Specialty Care ◽  
First Episode ◽  
Episode Psychosis

scholarly journals F130. SAMHSA SUPPORTED COORDINATED SPECIALTY CARE FOR FIRST-EPISODE PSYCHOSIS: THE PENN PSYCHOSIS EVALUATION AND RECOVERY CENTER (PERC)

2019 ◽  
Vol 45 (Supplement_2) ◽  
pp. S303-S303
Author(s):  
Monica Calkins ◽  
Lyndsay Schmidt ◽  
LaTonya McCurry ◽  
Bridgette Patton ◽  
Sunny Tang ◽  
...  
Keyword(s):  
First Episode Psychosis ◽  
Specialty Care ◽  
First Episode ◽  
Episode Psychosis

scholarly journals Oral health experiences and needs among young adults after a first-episode psychosis : a phenomenological study

2018 ◽  
Vol 25 (8) ◽  
pp. 475-485 ◽  
Author(s):  
Sonja Kuipers ◽  
Stynke Castelein ◽  
Aaltsje Malda ◽  
Linda Kronenberg ◽  
Nynke Boonstra
Keyword(s):  
Young Adults ◽  
Oral Health ◽  
Phenomenological Study ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis ◽  
Health Experiences

Treatment Retention Among Patients Participating in Coordinated Specialty Care for First-Episode Psychosis: a Mixed-Methods Analysis

2018 ◽  
Vol 46 (3) ◽  
pp. 415-433
Author(s):  
Jane E. Hamilton ◽  
Devika Srivastava ◽  
Danica Womack ◽  
Ashlie Brown ◽  
Brian Schulz ◽  
...  
Keyword(s):  
Mixed Methods ◽  
First Episode Psychosis ◽  
Specialty Care ◽  
Treatment Retention ◽  
First Episode ◽  
Episode Psychosis
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