Characteristics of Hispanics Referred to Coordinated Specialty Care for First-Episode Psychosis and Factors Associated With Enrollment

2021 ◽  
pp. appi.ps.2020007
Author(s):  
Bess Rose Friedman ◽  
Danielle K. Durán ◽  
Anastasiya Nestsiarovich ◽  
Mauricio Tohen ◽  
Rhoshel K. Lenroot ◽  
...  
Keyword(s):  
First Episode Psychosis ◽  
Specialty Care ◽  
First Episode ◽  
Factors Associated ◽  
Episode Psychosis

Risk factors associated with treatment-resistant schizophrenia in first-episode psychosis

2017 ◽  
Vol Ano 7 ◽  
pp. 8-12
Author(s):  
Ana Beatriz de Oliveira Assis ◽  
Jayse Gimenez Pereira Brandão ◽  
Pedro Otávio Piva Espósito ◽  
Osmar Tessari Junior ◽  
Bruno Berlucci Ortiz
Keyword(s):  
Risk Factors ◽  
First Episode Psychosis ◽  
First Episode ◽  
Treatment Resistant ◽  
Factors Associated ◽  
Syndrome Scale ◽  
Episode Psychosis ◽  
Negative Syndrome

Objetivo: Ainda não está claro quais são os fatores de risco para a esquizofrenia resistente ao tratamento (ERT) em primeiro episódio psicótico (PEP). O objetivo deste trabalho é investigar indicadores de risco para ERT em PEP. Métodos: Foram selecionados 53 pacientes em primeiro episódio psicótico, com diagnóstico de esquizofrenia, que deram entrada à enfermaria de psiquiatria do Hospital das Clínicas Luzia de Pinho Melo entre 2011 e 2015. Ao ser admitido na enfermaria, o paciente era avaliado com a Escala de Sintomas para as Síndromes Positiva e Negativa (Positive and Negative Syndrome Scale – PANSS) e recebia tratamento inicial por 4 semanas. Caso sua resposta fosse inferior a 40% de redução na PANSS, o antipsicótico era trocado, e as escalas eram aplicadas novamente após mais 4 semanas. Após a falha com dois antipsicóticos, em doses plenas, por 4 semanas cada, a clozapina era introduzida, e o paciente era considerado ERT. Uma regressão logística foi aplicada onde sexo, idade de início, tempo de doença não tratada, uso de substâncias, avaliação global do funcionamento inicial e PANSS inicial total foram inseridos como variáveis independentes, e ERT foi inserida como variável dependente. Resultados: Tempo de doença não tratada apresentou significância de p = 0,038 e Exp (B) = 4,29, enquanto que PANSS total apresentou p = 0,012 e Exp (B) = 1,06. Conclusão: Identificar os fatores associados à resistência precoce ao tratamento poderia permitir aos clínicos evitar o atraso na introdução da clozapina e prevenir um pior prognóstico para esses pacientes.

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.

scholarly journals S101. CLINICAL FACTORS ASSOCIATED WITH CANNABIS USE IN A CHILEAN SAMPLE OF FIRST EPISODE PSYCHOSIS PATIENTS

2018 ◽  
Vol 44 (suppl_1) ◽  
pp. S364-S364
Author(s):  
Barbara Iruretagoyena ◽  
Nicolas Crossley ◽  
Alfonso Gonzalez-Valderrama ◽  
Cristian Mena ◽  
Carmen Castañeda ◽  
...  
Keyword(s):  
First Episode Psychosis ◽  
Cannabis Use ◽  
First Episode ◽  
Clinical Factors ◽  
Factors Associated ◽  
Episode Psychosis

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 Examining the Factors Associated with Paid Employment of Clients Enrolled in First Episode of Psychosis Programs

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Carolyn S. Dewa ◽  
Lucy Trojanowski ◽  
Chiachen Cheng ◽  
Desmond Loong
Keyword(s):  
Socioeconomic Factors ◽  
Employment Status ◽  
Educational Development ◽  
First Episode Psychosis ◽  
First Episode ◽  
Future Directions ◽  
Factors Associated ◽  
Paid Employment ◽  
Episode Psychosis ◽  
Psychosocial Programs

Schizophrenia is one of the most debilitating mental disorders. For a significant portion of individuals who suffer from this disorder, onset occurs in young adulthood, arresting important social and educational development that is necessary for future successful labor force participation. The purpose of this paper is to contribute to the literature about clients enrolled in first episode psychosis programs and psychosocial outcomes by examining the factors associated with paid employment among young adults who have experienced their first psychotic episodes. In this paper, we consider the association of socioeconomic factors to employment. Our results suggest that in addition to treatment, socioeconomic factors such as receipt of public disability benefits and educational attainment are associated with employment status. These results can help to inform future directions for the enhancement of psychosocial programs in FEP models to promote paid employment.

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

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
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