Connecting FEP Research and Practice through a Learning Health System

项目摘要 国家精神卫生研究所开发了早期精神病干预网络(EPINET)来学习 来自国家对首发精神病(FEP)实施协调专科护理(CSC)。我们建议 EPINET节点[连接学习健康系统(LHS)]，将支持统一的数据收集、分析、 反馈和基础设施发展，以促进14口井持续质量改进的文化 在马里兰州和宾夕法尼亚州建立了CSC计划，每年为市区500多名年轻人提供服务， 郊区和乡村环境。我们将实施核心评估小组，并开发一个管理和 分析不同项目的数据，并向项目提供有关患者结果和对CSC的忠诚度的反馈 模特。基于我们在跨州临床医生培训和咨询方面的经验，我们将扩大现有的 学习协作，将在马里兰州实施CSC转变为跨州和LHS，以识别临床 提出问题、分析数据并应用调查结果，以优化我们所有CSC项目的实践。我们提出了一个 以实践为基础的研究项目对不寻求治疗的重度患者采用激励性访谈干预 大麻--利用青少年瞄准CSC的参与度、服药依从性和降低风险，以改善使用情况， 持续吸食大麻的FEP患者的功能和康复结果。我们将与EPINET合作 国家数据协调中心实施标准措施，共享数据元素答疑 改善青少年FEP患者CSC的临床问题。

Project Summary The National Institute of Mental Health has developed the Early Psychosis Intervention Network (EPINET) to learn from the national implementation of coordinated specialty care (CSC) for first episode psychosis (FEP). We propose an EPINET node [Connection Learning Health System (LHS)] that will support uniform data collection, analysis, feedback, and infrastructure development to promote a cultural of continuous quality improvement across 14 well- established CSC programs in Maryland and Pennsylvania serving over 500 young adult clients per year in urban, suburban, and rural settings. We will implement a core assessment battery and develop a system to manage and analyze data across programs and to provide feedback to programs on patient outcomes and fidelity to the CSC model. Building on our experience in cross-state clinician training and consultation, we will expand our existing learning collaborative for CSC implementation in Maryland into a cross-state an LHS that will identify clinical questions, analyze data, and apply findings to optimize practice across all of our CSC programs. We propose a practice-based research project to adapt a motivational interviewing intervention for nontreatment-seeking heavy cannabis-using adolescents to target CSC engagement, medication adherence, and risk reduction to improve use, functioning, and recovery outcomes in FEP patients who are persistent cannabis users. We will work with the EPINET National Data Coordinating Center to implement standard measures and share common data elements to answer clinical questions to improve CSC for young adults experiencing FEP.