scholarly journals Blended Digital and Face-to-Face Care for First-Episode Psychosis Treatment in Young People: Qualitative Study

10.2196/18990 ◽  
2020 ◽  
Vol 7 (7) ◽  
pp. e18990 ◽  
Author(s):  
Lee Valentine ◽  
Carla McEnery ◽  
Imogen Bell ◽  
Shaunagh O'Sullivan ◽  
Ingrid Pryor ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Young People ◽  
First Episode Psychosis ◽  
First Episode ◽  
Model Of Care ◽  
Face To Face ◽  
Design And Implementation ◽  
Episode Psychosis ◽  
Blended Treatment

Background A small number of studies have found that digital mental health interventions can be feasible and acceptable for young people experiencing first-episode psychosis; however, little research has examined how they might be blended with face-to-face approaches in order to enhance care. Blended treatment refers to the integration of digital and face-to-face mental health care. It has the potential to capitalize on the evidence-based features of both individual modalities, while also exceeding the sum of its parts. This integration could bridge the online–offline treatment divide and better reflect the interconnected, and often complementary, ways young people navigate their everyday digital and physical lives. Objective This study aimed to gain young people’s perspectives on the design and implementation of a blended model of care in first-episode psychosis treatment. Methods This qualitative study was underpinned by an end-user development framework and was based on semistructured interviews with 10 participants aged 19 to 28 (mean 23.4, SD 2.62). A thematic analysis was used to analyze the data. Results Three superordinate themes emerged relating to young people’s perspectives on the design and implementation of a blended model of care in first-episode psychosis treatment: (1) blended features, (2) cautions, and (3) therapeutic alliance. Conclusions We found that young people were very enthusiastic about the prospect of blended models of mental health care, in so far as it was used to enhance their experience of traditional face-to-face treatment but not to replace it overall. Aspects of blended treatment that could enhance clinical care were readily identified by young people as increasing accessibility, continuity, and consolidation; accessing posttherapy support; strengthening the relationship between young person and clinician; and tracking personal data that could be used to better inform clinical decision making. Future research is needed to investigate the efficacy of blended models of care by evaluating its impact on the therapeutic alliance, clinical and social outcomes, cost-effectiveness, and engagement.

scholarly journals Blended Digital and Face-to-Face Care for First-Episode Psychosis Treatment in Young People: Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Lee Valentine ◽  
Carla McEnery ◽  
Imogen Bell ◽  
Shaunagh O'Sullivan ◽  
Ingrid Pryor ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Young People ◽  
First Episode Psychosis ◽  
First Episode ◽  
Model Of Care ◽  
Face To Face ◽  
Design And Implementation ◽  
Episode Psychosis ◽  
Blended Treatment

BACKGROUND A small number of studies have found that digital mental health interventions can be feasible and acceptable for young people experiencing first-episode psychosis; however, little research has examined how they might be blended with face-to-face approaches in order to enhance care. Blended treatment refers to the integration of digital and face-to-face mental health care. It has the potential to capitalize on the evidence-based features of both individual modalities, while also exceeding the sum of its parts. This integration could bridge the online–offline treatment divide and better reflect the interconnected, and often complementary, ways young people navigate their everyday digital and physical lives. OBJECTIVE This study aimed to gain young people’s perspectives on the design and implementation of a blended model of care in first-episode psychosis treatment. METHODS This qualitative study was underpinned by an end-user development framework and was based on semistructured interviews with 10 participants aged 19 to 28 (mean 23.4, SD 2.62). A thematic analysis was used to analyze the data. RESULTS Three superordinate themes emerged relating to young people’s perspectives on the design and implementation of a blended model of care in first-episode psychosis treatment: (1) blended features, (2) cautions, and (3) therapeutic alliance. CONCLUSIONS We found that young people were very enthusiastic about the prospect of blended models of mental health care, in so far as it was used to enhance their experience of traditional face-to-face treatment but not to replace it overall. Aspects of blended treatment that could enhance clinical care were readily identified by young people as increasing accessibility, continuity, and consolidation; accessing posttherapy support; strengthening the relationship between young person and clinician; and tracking personal data that could be used to better inform clinical decision making. Future research is needed to investigate the efficacy of blended models of care by evaluating its impact on the therapeutic alliance, clinical and social outcomes, cost-effectiveness, and engagement.

Personality and coping in first episode psychosis linked to mental health care use

2016 ◽  
Vol 238 ◽  
pp. 218-224 ◽  
Author(s):  
Anne Neeltje Scholte-Stalenhoef ◽  
Sacha la Bastide-van Gemert ◽  
Gerard van de Willige ◽  
Rianne Dost–Otter ◽  
Ellen Visser ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
First Episode Psychosis ◽  
Health Care Use ◽  
First Episode ◽  
Episode Psychosis ◽  
Mental Health Care Use ◽  
And Coping

scholarly journals Patterns of Health Care Utilization Before First Episode Psychosis in Racial and Ethnic Groups

2019 ◽  
Vol 29 (4) ◽  
pp. 609-616
Author(s):  
Karen J. Coleman ◽  
Bobbi Jo Yarborough ◽  
Anne Beck ◽  
Frances L. Lynch ◽  
Christine Stewart ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Ethnic Groups ◽  
First Episode Psychosis ◽  
Research Network ◽  
Care Utilization ◽  
First Episode ◽  
Asian Patients ◽  
Episode Psychosis

Objective: To compare patterns of health care utilization associated with first presen­tation of psychosis among different racial and ethnic groups of patients.Design: The study was a retrospective observational design.Settings: The study was conducted in five health care systems in the western United States. All sites were also part of the Nation­al Institute of Mental Health-funded Mental Health Research Network (MHRN).Participants: Patients (n = 852) were aged 15 – 59 years (average 26.9 ± 12.2 years), 45% women, and primarily non-Hispanic White (53%), with 16% Hispanic, 10% non-Hispanic Black, 6% Asian, 1% Native Hawaiian/Pacific Islander, 1% Native Ameri­can/ Alaskan Native, and 12% unknown race/ethnicity.Methods: Data abstracted from electronic medical records and insurance claims data were organized into a research virtual data warehouse (VDW) and used for analysis.Main Outcome Measures: Variables exam­ined were patterns of health care utilization, type of comorbid mental health condition, and type of treatment received in the three years before first presentation of psychosis.Results: Compared with non-Hispanic Whites, Asian patients (16% vs 34%; P=.007) and non-Hispanic Black patients (20% vs 34%; P=.009) were less likely to have a visit with specialty mental health care before their first presentation of psychosis.Conclusions: Early detection of first episode psychosis should start with wider screening for symptoms outside of any indicators for mental health conditions for non-Hispanic Black and Asian patients. Ethn Dis. 2019;29(4):609-616; doi:10.18865/ ed.29.4.609

scholarly journals Fifteen years on – early intervention for a new generation

2016 ◽  
Vol 209 (3) ◽  
pp. 186-188 ◽  
Author(s):  
Steven Marwaha ◽  
Andrew Thompson ◽  
Rachel Upthegrove ◽  
Matthew R. Broome
Keyword(s):  
Mental Health ◽  
Early Intervention ◽  
Young People ◽  
Policy Implementation ◽  
First Episode Psychosis ◽  
First Episode ◽  
Ongoing Debate ◽  
Implementation Guideline ◽  
Episode Psychosis ◽  
New Generation

SummaryEarly intervention for psychosis (EIP) is a model of service delivery that aims to support young people with first-episode psychosis by providing the best available treatments, supporting recovery and preventing relapse. In this editorial, we review the evidence for EIP, how the model has developed since its inclusion in the NHS policy implementation guideline for mental health in 2001, challenges and areas of ongoing debate, and future development.

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