Abstract
This study assessed impact of Coordinated Specialty Care (CSC), expanded to include both first episode psychosis (FEP) and severe mental health disorders (e.g., depression, bipolar disorder, trauma) in youths attending Community Mental Health Centers (CMHCs). Eligible youth and young adults (ages 16–26 years, N = 201) were recruited from two CMHCs and assessed every 6 months. Paired sample t-tests were performed comparing pre- and post-treatment observations. Statistically significant decreases from pre to post were found in sad and anxious feelings and in days hospitalized for psychiatric emergency and increases were found in subjective health ratings and employment status. This preliminary assessment supports the effectiveness of expanded inclusion criteria for participation in the CSC model.
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01 February 2021
A Correction to this paper has been published: https://doi.org/10.1007/s10597-021-00784-y
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders DSM-5 (5th ed.). Washington, DC: American Psychiatric Association.
Armstrong, K. H., Dedrick, R. F., & Greenbaum, P. E. (2003). Factors associated with community adjustment of young adults with serious emotional disturbance: A longitudinal analysis. Journal of Emotional and Behavioral Disorders, 11(2), 66–76.
Bello, I., Lee, R., Malinovsky, I., Watkins, L., Nossel, I., Smith, T., et al. (2017). OnTrackNY: The development of a coordinated specialty care program for individuals experiencing early psychosis. Psychiatric Services, 68(4), 318–320.
Benjamini, Y., & Yekutieli, D. (2001). The control of the false discovery rate in multiple testing under dependency. The Annals of Statistics, 29(4), 1165–1188.
Bond, G. R., & Drake, R. E. (2019). Assessing the fidelity of evidence-based practices: History and current status of a standardized measurement methodology. Administration and Policy in Mental Health and Mental Health Services Research, 2019, 1–11.
Breitenstein, S. M., Gross, D., Garvey, C. A., Hill, C., Fogg, L., & Resnick, B. (2010). Implementation fidelity in community-based interventions. Research in Nursing & Health, 33(2), 164–173.
Carroll, C., Patterson, M., Wood, S., Booth, A., Rick, J., & Balain, S. (2007). A conceptual framework for implementation fidelity. Implementation Science, 2(1), 40. https://doi.org/10.1186/1748-5908-2-40.
Castro, F. G., Barrera, M., & Martinez, C. R. (2004). The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit. Prevention Science, 5(1), 41–45.
Clarke, D. E., & Kuhl, E. A. (2014). DSM-5 cross-cutting symptom measures: A step towards the future of psychiatric care? World Psychiatry, 13(3), 314–316. https://doi.org/10.1002/wps.20154.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159.
Cronholm, P. F., Forke, C. M., Wade, R., Bair-Merritt, M. H., Davis, M., et al. (2015). Adverse childhood experiences: Expanding the concept of adversity. American Journal of Preventive Medicine, 49(3), 354–361.
Dixon, L. B., Goldman, H. H., Bennett, M. E., Wang, Y., McNamara, K. A., Menden, S. J., et al. (2015). Implementing coordinated specialty care for early psychosis: The RAISE connection program. Psychiatric Services, 66(7), 691–698. https://doi.org/10.1176/appi.ps.201400281.
Dunn, T. J., Baguley, T., & Brunsden, V. (2014). From alpha to omega: A practical solution to the pervasive problem of internal consistency estimation. British Journal of Psychology, 105(3), 399–412.
Ebel, R. L. (1972). Essentials of educational measurement. Englewood Cliffs, NJ: Prentice-Hall Inc.
Essock, S., & Addington, D. (2018). Coordinated specialty care for people with first episode psychosis: Assessing fidelity to the model. Retrieved January 11, 2021 from https://pdfs.semanticscholar.org/abcb/4950bcc91fcaf3666b1385408b5453750011.pdf.
Federici, S., Bracalenti, M., Meloni, F., & Luciano, J. V. (2017). World Health Organization disability assessment schedule 2.0: An international systematic review. Disability and Rehabilitation, 39(23), 2347–2380.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14, 245–258.
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., et al. (2019). REPRINT OF: Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 56(6), 774–786.
Finklehor, D. L. (2018). Screening for adverse childhood experiences (ACEs): Cautions and suggestions. Child Abuse and Neglect, 85, 174–179.
Finkelhor, D., Shattuck, A., Turner, H., & Hamby, S. (2013). Improving the adverse childhood experiences study scale. JAMA Pediatrics, 167(1), 70–75.
Gearing, R. E., El-Bassel, N., Ghesquiere, A., Baldwin, S., Gillies, J., & Ngeow, E. (2011). Major ingredients of fidelity: A review and scientific guide to improving quality of intervention research implementation. Clinical Psychology Review, 31(1), 79–88.
Hamilton, J. E., Srivastava, D., Womack, D., Brown, A., Schulz, B., Macakanja, A., et al. (2019). Treatment retention among patients participating in coordinated specialty care for first-episode psychosis: A mixed-methods analysis. The Journal of Behavioral Health Services & Research, 46(3), 415–433.
Heinssen, R. K., Goldstein, A. B., & Azrin, S. T. (2014). Evidence-based treatments for first episode psychosis: Components of coordinated specialty care. White paper. Bethesda: National Institute of Mental Health. Accessed 11 January 2021.
Humensky, J. L., Essock, S. M., & Dixon, L. B. (2017). Characteristics associated with the pursuit of work and school among participants in a treatment program for first episode of psychosis. Psychiatric Rehabilitation Journal, 40(1), 108–112.
Institute for Safe Families. (2013). Findings from the Philadelphia Urban ACE Study. Public Health Management Corporation, Research and Evaluation Group Report. Retrieved January 11, 2021 from https://www.rwjf.org/en/library/research/2013/09/findings-from-the-philadelphia-urban-ace-survey.html.
Jones, P. B. (2013). Adult mental health disorders and their age at onset. The British Journal of Psychiatry, 202(54), 5–10.
McGorry, P. D., & Mei, C. (2018). Early intervention in youth mental health: Progress and future directions. Evidence-Based Mental Health, 21, 182–184.
McDonald, R. P. (1999). Test theory: A unified treatment. Mahwah: Lawrence Erlbaum Associates Publishers.
Moynihan, D. P., & Kroll, A. (2016). Performance management routines that work? An early assessment of the GPRA Modernization Act. Public Administration Review, 76(2), 314–323.
Nossel, I., Wall, M. M., Scodes, J., Marino, L. A., Zilkha, S., Bello, I., et al. (2018). Results of a coordinated specialty care program for early psychosis and predictors of outcomes. Psychiatric Services, 69(8), 863–870.
Olfson, M., Druss, B. G., & Marcus, S. C. (2015). Trends in mental health care among children and adolescents. New England Journal of Medicine, 372(21), 2029–2038.
Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007). Mental health of young people: A global public-health challenge. The Lancet, 369(9569), 103–1313.
Powell, A. L., Hinger, C., Marshall-Lee, E. D., Miller-Roberts, T., & Phillips, K. (2020). Implementing coordinated specialty care for first episode psychosis: A review of barriers and solutions. Community Mental Health Journal. https://doi.org/10.1007/s10597-020-00644-1.
Settersten, R. A. (2012). The contemporary context of young adulthood in the USA: From demography to development, from private troubles to public issues. Early Adulthood in a Family Context, 2, 3–26. https://doi.org/10.1007/978-1-4614-1436-0_1.
Shanahan, M. J. (2009). Pathways to adulthood in changing societies: Variability and mechanisms in life course perspective. Annual Review of Sociology, 26, 667–692.
Von Korff, M., Crane, P. K., Alonso, J., Vilagut, G., Angermeyer, M. C., Bruffaerts, R., et al. (2008). Modified WHODAS-II provides valid measure of global disability but filter items increased skewness. Journal of Clinical Epidemiology, 61(11), 1132–1143.
Wade, R., Cronholm, P. F., Fein, J. A., Forke, C. M., Davis, M. B., Harkins-Schwarz, M., et al. (2016). Household and community-level Adverse Childhood Experiences and adult health outcomes in a diverse urban population. Child Abuse & Neglect, 52, 135–145.
World Health Organization. (2000). World Health Organization disability assessment schedule: WHODAS II. Phase 2 field trials. Health Services Research.
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These data were collected with assistance from a grant from the Substance Abuse & Mental Health Services Administration, grant number SM061885.
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Research did involve human participants, but not animal participants. Participants were briefed on study protocols and solicited for informed consent in compliance with the University of Rhode Island IRB.
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Tanzer, J.R., Redding, C.A., Mikhalyuk, I. et al. Implementing Coordinated Specialty Care in CMHC Youth and Young Adults with Severe Mental Illness: Preliminary Outcome Assessment. Community Ment Health J 57, 1348–1359 (2021). https://doi.org/10.1007/s10597-020-00763-9
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DOI: https://doi.org/10.1007/s10597-020-00763-9