Journal article
Pennsylvania coordinated specialty care programs for first-episode psychosis: 6-and 12-month outcomes
Early intervention in psychiatry, v 15(5), pp 1395-1408
01 Oct 2021
PMID: 33283472
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Aim Pennsylvania (PA) first-episode psychosis (FEP) program evaluation is a statewide initiative, supported by the PA Office of Mental Health and Substance Abuse Services (PA-OMHSAS) and administered by PA Early Intervention Center/Heads Up, which evaluates fidelity and outcomes of PA Coordinated Specialty Care (CSC) programs. Programs participate in standard computerized measures of CSC outcomes using centralized informatics. The aims of the current report are to describe implementation of this core battery for program evaluation in PA and to present 6- and 12-month outcomes.
Methods Participants (n = 697) from nine PA CSC programs completed the core battery at admission. The battery was re-administered at 6- and 12-month follow-up, and data were analysed for individuals (n = 230) who had completed 12-months of treatment. Domains assessed via clinician report and/or self-report included symptoms, role and social functioning, self-perceived recovery and service utilization.
Results PA FEP CSC participants showed improvement over time in several domains, including decreased symptoms, higher role and social functioning, decreased hospitalizations, and improved self-perception of recovery, quality of life, and services satisfaction. Trends towards improvements were observed for participant happiness, hopelessness, and school-enrolment. Nearly all improvements were observed at 6-month follow-up, with earlier gains maintained at 12-months.
Conclusions PA FEP CSC programs demonstrate the ability to assess and improve critical outcomes of coordinated specialty care in PA. Improved outcomes by 12 months in treatment provides evidence of an effective treatment model and supports the continuation of these programs in pursuit of our goal of reducing schizophrenia disease burden on individuals and society.
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Details
- Title
- Pennsylvania coordinated specialty care programs for first-episode psychosis: 6-and 12-month outcomes
- Creators
- Megan B. E. Westfall - University of PennsylvaniaChristian G. Kohler - University of PennsylvaniaIrene Hurford - University of PennsylvaniaCourtney Abegunde - STEP Clinic, UPMC Western Psychiatric Hospital, Pittsburgh, Pennsylvania, USA.Dominick Agosti - Behavioral Health ServicesAaron Brinen - Drexel UniversityMary Lyn Cadman - Behavioral Health ServicesCatherine Conroy - University of PennsylvaniaArielle Ered - Temple UniversityAmanda Fooks - CAPSTONE, Pennsylvania Psychiatric Institute, Harrisburg, Pennsylvania, USA.Olivia Franco - University of PennsylvaniaZeeshan M. Huque - University of PennsylvaniaDenise Namowicz - Helping to Overcome Psychosis Early (HOPE), Children's Service Center, Wilks-Barre, Pennsylvania, USA.Seamus O'Connor - On My Way, Child and Family Focus, Inc., Broomall, Pennsylvania, USA.Molly Oross - Youth & Family ServicesElisa Payne - University of PennsylvaniaDeepak K. Sarpal - STEP Clinic, UPMC Western Psychiatric Hospital, Pittsburgh, Pennsylvania, USA.Lyndsay R. Schmidt - University of PennsylvaniaAlison Swigart - CAPSTONE, Pennsylvania Psychiatric Institute, Harrisburg, Pennsylvania, USA.R. Marie Wenzel - Horizon HouseMonica E. Calkins - University of Pennsylvania
- Publication Details
- Early intervention in psychiatry, v 15(5), pp 1395-1408
- Publisher
- Wiley
- Number of pages
- 14
- Grant note
- Substance Abuse and Mental Health Services Administration; United States Department of Health & Human Services Pennsylvania Office of Mental Health and Substance Abuse Services
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychiatry
- Web of Science ID
- WOS:000596124900001
- Scopus ID
- 2-s2.0-85097246433
- Other Identifier
- 991019168619704721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry