Expanding Early Psychosis Care across a Large and Diverse State: Implementation Lessons Learned from Administrative Data and Clinical Team Leads in Texas.
Expanding Early Psychosis Care across a Large and Diverse State: Implementation Lessons Learned from Administrative Data and Clinical Team Leads in Texas.
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DOI：
10.1007/s10488-023-01285-8
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发表时间：
2023-11
影响因子：
2.6
通讯作者：
Lopez, Molly A.
中科院分区：
文献类型：
--
作者：
Cohen, Deborah A.;Klodnick, Vanessa V.;Reznik, Samantha J.;Lopez, Molly A.
关键词：
美国正面临前所未有的青少年心理健康危机。将心理健康干预试验的结果转化为大规模的、可获得的社区服务带来了巨大的挑战。作为研究知情的联邦政策，以改善青年获得高质量的精神保健的结果，检查国家的行动是必要的。这项混合方法的研究探讨了在德克萨斯州实施循证多学科协调专科护理（CSC）的首发精神病（FEP）服务。本研究探讨了CSC服务模式的组成部分，网站的位置和参与者的特点，以及实施的障碍。这项横断面研究分析了2015年至2020年德克萨斯州公共精神卫生管理数据，包括CSC站点（n = 23）特征和CSC参与者（n = 1682）人口统计数据。将德克萨斯州CSC现场合同与美国领先的CSC模型OnTrackNY进行比较，以进行CSC服务元素比较。深入访谈CSC团队领导（n = 22）进行了分析，以进一步了解CSC的服务元素和实施障碍，使用定性内容分析。CSC在2015年、2017年和2019年分三次实施，为1682名参与者和家庭提供服务。CSC网站位于成人心理健康计划;大约三分之一的CSC参与者是18岁以下。团队领导报告的社区支助服务实施方面的挑战包括：工作人员的作用澄清、协作和更替、社区外联和转介、儿童和成人服务计费问题以及青少年和家庭参与。研究结果对全州范围内的大型循证实践在过渡到成年社区心理健康方面的实施具有影响。
The U.S. is facing an unprecedented youth mental health crisis. Translating the findings from mental health intervention trials into large scale, accessible community-based services poses substantial challenges. Examination of state actions as a result of research-informed federal policy to improve youth access to quality mental healthcare is necessary. This mixed-methods study examines the implementation of evidence-informed multidisciplinary coordinated specialty care (CSC) for first-episode psychosis (FEP) services across Texas. The study explores CSC service model components, site location and participant characteristics, and implementation barriers. This cross-sectional study analyzes State of Texas public mental health administrative data from 2015 to 2020, including CSC site (n = 23) characteristics and CSC participant (n = 1682) demographics. Texas CSC site contracts were compared to OnTrackNY, a leading CSC model in the U.S. for CSC service element comparison. In-depth interviews with CSC Team Leads (n = 22) were analyzed to further understand CSC service elements and implementation barriers using qualitative content analysis. CSC was implemented across three waves in 2015, 2017, and 2019—serving 1682 participants and families. CSC sites were located in adult mental health programs; approximately one third of CSC participants were under 18 years. CSC implementation challenges reported by Team Leads included: staff role clarification, collaboration and turnover, community outreach and referrals, child and adult service billing issues, and adolescent and family engagement. Study findings have implications for large state-wide evidence-based practice implementation in transition-to-adulthood community mental health.
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影响因子：
6.6
作者：
Charlson, Fiona J.;Ferrari, Alize J.;Whiteford, Harvey A.
通讯作者：
Whiteford, Harvey A.
影响因子：
1.6
作者：
Chen E;Bazargan-Hejazi S;Ani C;Hindman D;Pan D;Ebrahim G;Shirazi A;Banta JE
通讯作者：
Banta JE
DOI：
10.1192/bjp.bp.109.074526
发表时间：
2010-11
期刊：
The British journal of psychiatry : the journal of mental science
影响因子：
--
作者：
Bird V;Premkumar P;Kendall T;Whittington C;Mitchell J;Kuipers E
通讯作者：
Kuipers E
DOI：
10.1007/s11414-020-09690-9
发表时间：
2020-02-19
影响因子：
1.9
作者：
Cohen, Deborah A.;Klodnick, Vanessa V.;Baker, James
通讯作者：
Baker, James
影响因子：
3.8
作者：
Davis, Maryann;Geller, Jeffrey L.;Hunt, Bethany
通讯作者：
Hunt, Bethany