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Community Mental Health Journal

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29.05.2020 | Original Paper

Implementing Coordinated Specialty Care for First Episode Psychosis: A Review of Barriers and Solutions

verfasst von: Anna-Leigh Powell, Cassandra Hinger, Erica D. Marshall-Lee, Tonya Miller-Roberts, Kayla Phillips

Erschienen in: Community Mental Health Journal | Ausgabe 2/2021

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Abstract

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.

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Titel: Implementing Coordinated Specialty Care for First Episode Psychosis: A Review of Barriers and Solutions
verfasst von: Anna-Leigh Powell
Cassandra Hinger
Erica D. Marshall-Lee
Tonya Miller-Roberts
Kayla Phillips
Publikationsdatum: 29.05.2020
Verlag: Springer US
Erschienen in: Community Mental Health Journal / Ausgabe 2/2021
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-020-00644-1

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