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Evaluation ViewAttendees 8

Clinical Round Table

Schizophrenia / Psychotic Disorders

Engaging clients, providers, and systems of care in early psychosis treatment: Lessons learned from community-based research

Clinical Round Table 12 - Engaging Clients, Providers, and Systems of Care in Early Psychosis Treatment: Lessons Learned from Community-based Research

Saturday, November 16, 2024
12:30 PM – 2:00 PM EST
Location: Regency Ballroom A, Second Floor Mezzanine, Loews Hotel
Earn 1.5 Credit
Keywords: Psychosis / Psychotic Disorders, Treatment, Community-Based
Recommended Readings: Dixon, L.B., Goldman, H.H., Bennett, M.E., Wang, Y., McNamara, K.A., Mendon, S.J., Goldstein, A.B., Choi, C.J., Lee, R.J., Lieberman, J.A., & Essock, S.M. (2015). Implementing coordinated specialty care for early psychosis: The RAISE Connection Program. Psychiatric Services in Advance, March 16, 2015; doi: 10.1176/appi.ps.201400281,   Kopelovich, S. L., Maura, J., Blank, J., & Lockwood, G. (2022). Sequential mixed method evaluation of the acceptability, feasibility, and appropriateness of cognitive behavioral therapy for psychosis stepped care. BMC Health Services Research, 22(1), 1322.,   Wood, H. J., Eisen, K., Hardy, K. V., Reznik, S. J., Shapiro, D. I., Thompson, E. C., ... & Kopelovich, S. (2023). Confronting the dialectic between quality and access in early psychosis care in the United States: Finding the synthesis by leveraging psychological expertise. Psychological Services.,   ,  

    Moderator(s)

  • MB

    Melanie E. Bennett, Ph.D.

    Professor
    University of Maryland School of Medicine
    Baltimore, Maryland, United States

    • Presenter(s)

  • Elizabeth Thompson, Ph.D.

    Research Scientist/Assistant Professor
    Rhode Island Hospital/Alpert Medical School of Brown University
    North Smithfield, Rhode Island, United States

  • Katie Eisen, Ph.D.

    Clinical Associate Professor
    Stanford University School of Medicine
    Stanford, California, United States

  • Sarah L. Kopelovich, Ph.D.

    Associate Professor
    University of Washington School of Medicine
    Seattle, Washington, United States

  • Peter L. Phalen, Psy.D.

    Assistant Professor
    University of Maryland School of Medicine
    BALTIMORE, Maryland, United States

  • Daniel I. Shapiro, Ph.D.

    Associate Professor
    University of California, Davis
    Philadelphia, Pennsylvania, United States

  • NJ

    Nev Jones, Ph.D.

    Assistant Professor
    University of Pittsburgh School of Social Work
    Pittsburgh, Pennsylvania, United States

This clinical roundtable will focus on issues related to engaging young people in early psychosis treatment and delivering evidence-based care in community settings. Mounting evidence supports the importance of early intervention for people experiencing psychosis. Researchers, clinicians, and policymakers have become increasingly concerned with disseminating well-validated evidence-based interventions for this population, such as CBT for Psychosis (CBTp) and the Coordinated Specialty Care (CSC) wraparound model. Indeed, the success of early intervention for psychosis depends upon innovative solutions to pernicious problems, such as equitable access to gold standard psychosis screening and assessment; timely referrals to care; participant and family engagement in care; provision of affirming healthcare for diverse service users; and training and retaining providers skilled in evidence-based practice. Panelists will discuss these and related barriers across different settings and levels of care, presenting quantitative and qualitative data along the pipeline of early community screening through to community treatment.
The panelists, who represent national, state, regional, and hospital-level initiatives, will discuss: - barriers and facilitators along referral and care pathways,- accessibility of CBTp across community settings and within Early Intervention for Psychosis (EIP) settings in particular,- engagement and training of providers in specialty care settings, and - factors related to participant disengagement from treatment based on a national CSC dataset.
Panelists will draw on empirical evidence and clinical experience, as well as a corpus of relevant organizational and clinical theoretical literature. Discussion will highlight areas of progress, identified pain points, and directions for future research, implementation, and dissemination efforts.

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Describe the Coordinated Specialty Care (CSC) wraparound model of care for early psychosis.
  2. Articulate two reasons why early psychosis identification is an important clinical priority.
  3. Identify two barriers to implementing psychosis screening and referral processes in real-world settings.
  4. Describe two barriers to the uptake of CBT for psychosis in community settings and two strategies to support uptake.
  5. Name two factors linked to participant disengagement from early psychosis care and two possible strategies for addressing these factors.