CSC OnDemand: An Innovative Online Learning Platform for Implementing Coordinated Specialty Care

项目总结 为了应对日益增长的干预培训需求，以应对首发精神病，该中心 社会创新(C4)与协调专科护理(CSC)专家合作开发和测试 CSC OnDemand：实施协同专业的创新在线学习平台 关心。该产品建立在最初的精神分裂症发作(RAISE)后的康复结果基础上 这项研究由国家精神卫生研究所(NIMH)资助。提出经过检查的基于团队的模型 照顾精神分裂症病程早期的人。通过这一快速通道小型企业创新 研究(SBIR)拨款，我们将对CSC OnDemand的影响进行原型、测试、改进和评估。这个 平台将带领团队经历四个学习层次：1)计划准备；2)核心知识；3)更深层次， 角色特定的学习；以及4)可持续性。CSC OnDemand将包括自定进度的在线模块、交互式 多媒体案例研究、讲师指导的在线课程、通过在线论坛进行的同行互动以及 多站点案例会议，以及用于整合现有资源和培训材料的中央在线中心 从田野的另一边。 第一阶段将构建一个健壮的在线平台原型，并与来自三个提供商的15到20个提供商一起进行测试 网站。本阶段将探索产品的可行性、可接受性和初步有效性，并将 检查在线平台提供商认为最有用的组件。 根据我们在第一阶段的发现，我们将完善概念并全面构建产品，以便在更大的 随机试验。第二阶段将使用整群随机非劣势设计来评估OnDemand培训 (n=20个站点)与InPerson培训(n=10个站点)相当。使用混合方法，我们将 检查提供者(n=150)的结果(满意度；知识获取/保留；对共享的态度 决策)和客户(n=600)成果(工作/学校参与；参与CSC服务； 住院精神病住院)。 第三阶段将大规模推出CSC OnDemand。CSC OnDemand将传播CSC 广泛培训，确保C4和我们合作伙伴的培训质量和一致性。的首要目标是 该项目旨在创建可扩展的培训模式，以支持跨 美国。这种模式可以为数以万计的年轻人创造强大的康复途径 体验首发精神病并装备CSC团队为这些人提供护理、支持和联系 年轻人和他们的家人。

PROJECT SUMMARY In response to the growing need for training on interventions to address first episode psychosis, the Center for Social Innovation (C4) has partnered with experts in Coordinated Specialty Care (CSC) to develop and test CSC OnDemand: An Innovative Online Learning Platform for Implementing Coordinated Specialty Care. The product builds on the findings of the Recovery After an Initial Schizophrenia Episode (RAISE) studies, funded by the National Institute of Mental Health (NIMH). RAISE examined team-based models of care for people early in the course of schizophrenia. Through this Fast Track Small Business Innovation Research (SBIR) grant, we will prototype, test, refine, and evaluate the impact of CSC OnDemand. The platform will move teams through four levels of learning: 1) program readiness; 2) core knowledge; 3) deeper, role-specific learning; and 4) sustainability. CSC OnDemand will include self-paced online modules, interactive multimedia case studies, instructor-led online courses, peer interaction through an online discussion forum and multi-site case conferencing, and a central online hub to consolidate existing resources and training materials from across the field. Phase I will build a robust prototype of the online platform and test it with fifteen to twenty providers from three sites. This Phase will explore feasibility, acceptability, and preliminary effectiveness of the product, and will examine which components of the online platform providers find most useful. Based on our findings from Phase I, we will refine the concept and fully build out the product to test in a larger randomized trial. Phase II will use a cluster randomized non-inferiority design to assess if OnDemand training (n = 20 sites) is comparable to InPerson training (n = 10 sites). Using a mixed-methods approach, we will examine provider (n = 150) outcomes (satisfaction; knowledge gains/retention; attitudes toward shared decision making) and client (n = 600) outcomes (work/school participation; engagement in CSC services; inpatient psychiatric hospitalizations). Phase III will roll out CSC OnDemand on a large commercial scale. CSC OnDemand will disseminate CSC training widely and ensure training quality and consistency for C4 and our partners. The overarching goal of this project is to create a scalable training model to support increased Coordinated Specialty Care across the United States. This model can create strong pathways to recovery for tens of thousands of young people experiencing first episode psychosis and equip CSC teams to provide care, support, and connection for these young people and their families.