Implementing Coordinated Specialty Care for First Episode Psychosis: A Review of Barriers and Solutions
| Autor: | Anna-Leigh Powell, Tonya Miller-Roberts, Kayla Phillips, Cassandra L. Hinger, Erica D. Marshall-Lee |
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| Rok vydání: | 2020 |
| Předmět: |
First episode
medicine.medical_specialty Health (social science) Modalities Public Health Environmental and Occupational Health Specialty Psychological intervention Mental illness medicine.disease Workforce development United States 030227 psychiatry 03 medical and health sciences Psychiatry and Mental health 0302 clinical medicine Psychotic Disorders medicine Humans 030212 general & internal medicine Disengagement theory Psychiatry Psychology Cultural competence |
| Zdroj: | Community Mental Health Journal. 57:268-276 |
| ISSN: | 1573-2789 0010-3853 0048-5713 |
| DOI: | 10.1007/s10597-020-00644-1 |
| Popis: | Specialized early interventions (SEI) for individuals diagnosed with a first episode of psychosis (FEP) are effective treatment modalities (Azrin et al. in Psychiatr Ann 45(11):548, https://doi.org/10.3928/00485713-20151103-05 , 2015). SEI offered immediately or shortly following a first episode improves functional and clinical outcomes for those individuals with, and at risk for, serious mental illness (SMI; Correll et al. in JAMA Psychiatry 75(6):555–565, https://doi.org/10.1001/jamapsychiatry.2018.0623 , 2018). In the United States, SEI programs referred to as Coordinated Specialty Care (CSC), have been utilized to provide a beneficial, team-based, multi-component method of treating FEP. However, despite the success, CSC programming is still met with considerable challenges. This article reviews existing CSC literature to identify and explore relevant barriers to successful implementation of CSC. Identified barriers include stigma, cultural competence, disengagement, measurement and evaluation, workforce development, implementation in rural areas, and financial stability. The ongoing efforts to address these barriers are described and areas for continued improvements are discussed. |
| Databáze: | OpenAIRE |
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