TY - JOUR
T1 - Early Intervention in Psychosis in the United States
T2 - From Science to Policy Reform
AU - Breitborde, Nicholas J.K.
AU - Moe, Aubrey M.
N1 - Funding Information:
In response to the growing evidence in support of the efficacy of early intervention for psychosis and to support the continued growth and evaluation of such programs in the United States, the National Institute of Mental Health (NIMH) funded two simultaneous projects of multi-component care for first-episode psychosis in 2009 as part of the Recovery After an Initial Schizophrenia Episode (RAISE) project. These two projects (i.e., RAISE Implementation and Evaluation Study [RAISE-IES] and RAISE Early Treatment Program [RAISE-ETP])—were designed to explore issues related to CSC—the name assigned to multi-component treatment programs for first-episode psychosis in the United States (Azrin, Goldstein, & Heinssen, 2016).
Publisher Copyright:
© The Author(s) 2017.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Available data have demonstrated the clinical benefits and cost-effectiveness of multi-component treatment packages for individuals early in the course of psychotic-spectrum disorders. In response, an unprecedented effort aims to disseminate such multi-component treatment programs—referred to as Coordinated Specialty Care (CSC)—throughout the United States. We review the evidence in support of CSC care for first-episode psychosis and highlight specific policy reforms that may facilitate the successful dissemination and eventual improvement of CSC programs for first-episode psychosis. Among proposed reforms are novel financing strategies for CSC services and incentivizing of continued collaboration between academic and community agencies to facilitate sustained dissemination and refinement of CSC.
AB - Available data have demonstrated the clinical benefits and cost-effectiveness of multi-component treatment packages for individuals early in the course of psychotic-spectrum disorders. In response, an unprecedented effort aims to disseminate such multi-component treatment programs—referred to as Coordinated Specialty Care (CSC)—throughout the United States. We review the evidence in support of CSC care for first-episode psychosis and highlight specific policy reforms that may facilitate the successful dissemination and eventual improvement of CSC programs for first-episode psychosis. Among proposed reforms are novel financing strategies for CSC services and incentivizing of continued collaboration between academic and community agencies to facilitate sustained dissemination and refinement of CSC.
KW - Coordinated Specialty Care (CSC)
KW - Recovery After an Initial Schizophrenia Episode (RAISE)
KW - community–academic partnerships
KW - early intervention
KW - first-episode psychosis
UR - http://www.scopus.com/inward/record.url?scp=85046347237&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85046347237&partnerID=8YFLogxK
U2 - 10.1177/2372732216683965
DO - 10.1177/2372732216683965
M3 - Review article
AN - SCOPUS:85046347237
SN - 2372-7322
VL - 4
SP - 79
EP - 87
JO - Policy Insights from the Behavioral and Brain Sciences
JF - Policy Insights from the Behavioral and Brain Sciences
IS - 1
ER -