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Erschienen in: The Journal of Behavioral Health Services & Research 1/2024

28.11.2023

Policy Complexities in Financing First Episode Psychosis Services: Implementation Realities from a Home Rule State

verfasst von: Kyle J. Moon, BS, Sandra Stephenson, MSW, MA, Kathryn A. Hasenstab, BS, BME, Srinivasan Sridhar, PhD, Eric E. Seiber, PhD, Nicholas J. K. Breitborde, PhD, Saira Nawaz, PhD, MPH

Erschienen in: The Journal of Behavioral Health Services & Research | Ausgabe 1/2024

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Abstract

Over the past decade, significant investments have been made in coordinated specialty care (CSC) models for first episode psychosis (FEP), with the goal of promoting recovery and preventing disability. CSC programs have proliferated as a result, but financing challenges imperil their growth and sustainability. In this commentary, the authors discuss (1) entrenched and emergent challenges in behavioral health policy of consequence for CSC financing; (2) implementation realities in the home rule context of Ohio, where significant variability exists across counties; and (3) recommendations to improve both care quality and access for individuals with FEP. The authors aim to provoke careful thought about policy interventions to bridge science-to-service gaps, and in this way, advance behavioral health equity.
Literatur
1.
Zurück zum Zitat Breitborde NJK, Moe AM, Ered A, et al. Optimizing psychosocial interventions in first-episode psychosis: Current perspectives and future directions. Psychology Research and Behavior Management. 2017;10:119-128. https://doi.org/10.2147/PRBM.S111593. Accessed 10 May, 2023. Breitborde NJK, Moe AM, Ered A, et al. Optimizing psychosocial interventions in first-episode psychosis: Current perspectives and future directions. Psychology Research and Behavior Management. 2017;10:119-128. https://​doi.​org/​10.​2147/​PRBM.​S111593. Accessed 10 May, 2023.
7.
Zurück zum Zitat Ferrari AJ, Santomauro DF, Mantilla Herrera AM, et al. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry. 2022;9(2):137–150. https://doi.org/10.1016/S2215-0366(21)00395-3. Accessed 10 May, 2023. Ferrari AJ, Santomauro DF, Mantilla Herrera AM, et al. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry. 2022;9(2):137–150. https://​doi.​org/​10.​1016/​S2215-0366(21)00395-3. Accessed 10 May, 2023.
9.
Zurück zum Zitat Birchwood M, Todd P, Jackson C. Early intervention in psychosis: The critical period. British Journal of Psychiatry. 1998;172(S33):53–59. Accessed 10 May, 2023. Birchwood M, Todd P, Jackson C. Early intervention in psychosis: The critical period. British Journal of Psychiatry. 1998;172(S33):53–59. Accessed 10 May, 2023.
10.
Zurück zum Zitat Hastrup LH, Kronborg C, Bertelsen M, et al. Cost-effectiveness of early intervention in first-episode psychosis: Economic evaluation of a randomised controlled trial (the OPUS study). British Journal of Psychiatry. 2013;202(1):35–41. https://doi.org/10.1192/bjp.bp.112.112300. Accessed 10 May, 2023. Hastrup LH, Kronborg C, Bertelsen M, et al. Cost-effectiveness of early intervention in first-episode psychosis: Economic evaluation of a randomised controlled trial (the OPUS study). British Journal of Psychiatry. 2013;202(1):35–41. https://​doi.​org/​10.​1192/​bjp.​bp.​112.​112300. Accessed 10 May, 2023.
11.
Zurück zum Zitat Bertelsen M, Jeppesen P, Petersen L, et al. Five-year follow-up of a randomized multicenter trial of intensive early intervention vs standard treatment for patients with a first episode of psychotic illness: The OPUS trial. Archives of General Psychiatry. 2008;65(7):762–771. doi:https://doi.org/10.1001/archpsyc.65.7.762. Accessed 10 May, 2023. Bertelsen M, Jeppesen P, Petersen L, et al. Five-year follow-up of a randomized multicenter trial of intensive early intervention vs standard treatment for patients with a first episode of psychotic illness: The OPUS trial. Archives of General Psychiatry. 2008;65(7):762–771. doi:https://​doi.​org/​10.​1001/​archpsyc.​65.​7.​762. Accessed 10 May, 2023.
14.
Zurück zum Zitat Rosenheck R, Leslie D, Sint K, et al. Cost-effectiveness of comprehensive, integrated care for first episode psychosis in the NIMH RAISE early treatment program. Schizophrenia Bulletin. 2016;42(4):896–906. https://doi.org/10.1093/schbul/sbv224. Accessed 10 May, 2023. Rosenheck R, Leslie D, Sint K, et al. Cost-effectiveness of comprehensive, integrated care for first episode psychosis in the NIMH RAISE early treatment program. Schizophrenia Bulletin. 2016;42(4):896–906. https://​doi.​org/​10.​1093/​schbul/​sbv224. Accessed 10 May, 2023.
17.
Zurück zum Zitat Mojtabai R, Fochtmann L, Chang SW, et al. Unmet need for mental health care in schizophrenia: An overview of literature and new data froma first-admission study. Schizophrenia Bulletin. 2009;35(4):679–695. https://doi.org/10.1093/schbul/sbp045. Accessed 10 May, 2023. Mojtabai R, Fochtmann L, Chang SW, et al. Unmet need for mental health care in schizophrenia: An overview of literature and new data froma first-admission study. Schizophrenia Bulletin. 2009;35(4):679–695. https://​doi.​org/​10.​1093/​schbul/​sbp045. Accessed 10 May, 2023.
24.
27.
Zurück zum Zitat Blume N. Municipal home rule in Ohio: The new look. Case Western Reserve Law Review. 1960;11(4):538–560. Accessed 10 May, 2023. Blume N. Municipal home rule in Ohio: The new look. Case Western Reserve Law Review. 1960;11(4):538–560. Accessed 10 May, 2023.
28.
Zurück zum Zitat Seasongood M. Cincinnati and home rule. Ohio State Law Journal. 1947;9:98–118. Accessed 10 May, 2023. Seasongood M. Cincinnati and home rule. Ohio State Law Journal. 1947;9:98–118. Accessed 10 May, 2023.
29.
Zurück zum Zitat Bremner RH. The civic revival in Ohio: The fight for home rule. American Journal of Economics and Sociology. 1912;11(1):99–110. Accessed 10 May, 2023. Bremner RH. The civic revival in Ohio: The fight for home rule. American Journal of Economics and Sociology. 1912;11(1):99–110. Accessed 10 May, 2023.
31.
Zurück zum Zitat Presskreischer R, Barry CL, Lawrence AK, et al. Factors affecting state-level enforcement of the federal Mental Health Parity and Addiction Equity Act: A cross-case analysis of four states. Journal of Health Politics, Policy, and Law. 2023;48(1):1–34. https://doi.org/10.1215/03616878-10171062. Accessed 10 May, 2023. Presskreischer R, Barry CL, Lawrence AK, et al. Factors affecting state-level enforcement of the federal Mental Health Parity and Addiction Equity Act: A cross-case analysis of four states. Journal of Health Politics, Policy, and Law. 2023;48(1):1–34. https://​doi.​org/​10.​1215/​03616878-10171062. Accessed 10 May, 2023.
33.
Zurück zum Zitat Smith TE, Kurk M, Sawhney R, et al. Estimated staff time effort, costs, and Medicaid revenues for coordinated specialty care clinics serving clients with first-episode psychosis. Psychiatric Services. 2019;70(5):425–427. https://doi.org/10.1176/appi.ps.201900039. Accessed 10 May, 2023. Smith TE, Kurk M, Sawhney R, et al. Estimated staff time effort, costs, and Medicaid revenues for coordinated specialty care clinics serving clients with first-episode psychosis. Psychiatric Services. 2019;70(5):425–427. https://​doi.​org/​10.​1176/​appi.​ps.​201900039. Accessed 10 May, 2023.
35.
Zurück zum Zitat Breitborde NJK, Woods SW, Pollard J, et al. Age and social support moderate the relationship between geographical location and access to early intervention programs for first-episode psychosis. Early Intervention in Psychiatry. 2008;2:A73. Accessed 10 May, 2023. Breitborde NJK, Woods SW, Pollard J, et al. Age and social support moderate the relationship between geographical location and access to early intervention programs for first-episode psychosis. Early Intervention in Psychiatry. 2008;2:A73. Accessed 10 May, 2023.
40.
Zurück zum Zitat Rothbard AB, Kuno E, Hadley TR, et al. Psychiatric service utilization and cost for persons with schizophrenia in a medicaid managed care program. Journal of Behavioral Health Services & Research. 2004;31(1):1–12. https://doi.org/10.1007/BF02287334. Accessed 10 May, 2023. Rothbard AB, Kuno E, Hadley TR, et al. Psychiatric service utilization and cost for persons with schizophrenia in a medicaid managed care program. Journal of Behavioral Health Services & Research. 2004;31(1):1–12. https://​doi.​org/​10.​1007/​BF02287334. Accessed 10 May, 2023.
53.
Zurück zum Zitat Xu J, Wang J, King M, et al. Rural–urban disparities in the utilization of mental health inpatient services in China: The role of health insurance. International Journal of Health Economics and Management. 2018;18(4):377–393. https://doi.org/10.1007/s10754-018-9238-z. Accessed 10 May, 2023. Xu J, Wang J, King M, et al. Rural–urban disparities in the utilization of mental health inpatient services in China: The role of health insurance. International Journal of Health Economics and Management. 2018;18(4):377–393. https://​doi.​org/​10.​1007/​s10754-018-9238-z. Accessed 10 May, 2023.
57.
Zurück zum Zitat Meyer-Kalos PS, Roe D, Gingerich S, et al. The impact of COVID-19 on coordinated specialty care for people with first episode psychosis: Preliminary observations, and recommendations, from the United States, Israel and China. Counseling Psychology Quarterly. 2021;34(3–4):387–410. https://doi.org/10.1080/09515070.2020.1771282. Accessed 10 May, 2023. Meyer-Kalos PS, Roe D, Gingerich S, et al. The impact of COVID-19 on coordinated specialty care for people with first episode psychosis: Preliminary observations, and recommendations, from the United States, Israel and China. Counseling Psychology Quarterly. 2021;34(3–4):387–410. https://​doi.​org/​10.​1080/​09515070.​2020.​1771282. Accessed 10 May, 2023.
58.
63.
Zurück zum Zitat Martin D, Philips M, Greenstone H, et al. Examining the relationship between trauma, post‐traumatic stress disorder and psychosis in patients in a UK secondary care service. Psychiatric Research and Clinical Practice. 2023;5(2):51–59. https://doi.org/10.1176/appi.prcp.20220028. Accessed 10 May, 2023. Martin D, Philips M, Greenstone H, et al. Examining the relationship between trauma, post‐traumatic stress disorder and psychosis in patients in a UK secondary care service. Psychiatric Research and Clinical Practice. 2023;5(2):51–59. https://​doi.​org/​10.​1176/​appi.​prcp.​20220028. Accessed 10 May, 2023.
65.
Zurück zum Zitat Mihelicova M, Brown M, Shuman V. Trauma-informed care for individuals with serious mental illness: An avenue for community psychology’s involvement in community mental health. American Journal of Community Psychology. 2018;61(1–2):141–152. https://doi.org/10.1002/ajcp.12217. Accessed 10 May, 2023. Mihelicova M, Brown M, Shuman V. Trauma-informed care for individuals with serious mental illness: An avenue for community psychology’s involvement in community mental health. American Journal of Community Psychology. 2018;61(1–2):141–152. https://​doi.​org/​10.​1002/​ajcp.​12217. Accessed 10 May, 2023.
66.
67.
Zurück zum Zitat Herman Y, Norouzian N, MacKenzie LE. An integrated substance use treatment model for young adults with first-episode psychosis: A naturalistic pilot evaluation. Early Interventions in Psychiatry. 2022;(June 2021):311–318. https://doi.org/10.1111/eip.13337. Accessed 10 May, 2023. Herman Y, Norouzian N, MacKenzie LE. An integrated substance use treatment model for young adults with first-episode psychosis: A naturalistic pilot evaluation. Early Interventions in Psychiatry. 2022;(June 2021):311–318. https://​doi.​org/​10.​1111/​eip.​13337. Accessed 10 May, 2023.
73.
74.
76.
Zurück zum Zitat Addington D, Birchwood M, Jones P, et al. Fidelity scales and performance measures to support implementation and quality assurance for first episode psychosis services. Early Intervention in Psychiatry. 2018;12(6):1235–1242. https://doi.org/10.1111/eip.12684. Accessed 10 May, 2023. Addington D, Birchwood M, Jones P, et al. Fidelity scales and performance measures to support implementation and quality assurance for first episode psychosis services. Early Intervention in Psychiatry. 2018;12(6):1235–1242. https://​doi.​org/​10.​1111/​eip.​12684. Accessed 10 May, 2023.
78.
Zurück zum Zitat Read H, Kohrt BA. The history of coordinated specialty care for early intervention in psychosis in the United States: A review of effectiveness, implementation, and fidelity. Community Mental Health Journal. 2022;58(5):835–846. https://doi.org/10.1007/s10597-021-00891-w. Accessed 10 May, 2023. Read H, Kohrt BA. The history of coordinated specialty care for early intervention in psychosis in the United States: A review of effectiveness, implementation, and fidelity. Community Mental Health Journal. 2022;58(5):835–846. https://​doi.​org/​10.​1007/​s10597-021-00891-w. Accessed 10 May, 2023.
79.
Zurück zum Zitat Bond GR, Drake RE. Assessing the fidelity of evidence-based practices: History and current status of a standardized measurement methodology. Administration and Policy in Mental Health and Mental Health Services Research. 2020;47(6):874–884. https://doi.org/10.1007/s10488-019-00991-6. Accessed 10 May, 2023. Bond GR, Drake RE. Assessing the fidelity of evidence-based practices: History and current status of a standardized measurement methodology. Administration and Policy in Mental Health and Mental Health Services Research. 2020;47(6):874–884. https://​doi.​org/​10.​1007/​s10488-019-00991-6. Accessed 10 May, 2023.
80.
Zurück zum Zitat Radhakrishnan M, McCrone P, Lafortune L, et al. Cost-effectiveness of early intervention services for psychosis and fidelity to national policy implementation guidance. Early Intervention in Psychiatry. 2018;12(4):747–756. https://doi.org/10.1111/eip.12481. Accessed 10 May, 2023. Radhakrishnan M, McCrone P, Lafortune L, et al. Cost-effectiveness of early intervention services for psychosis and fidelity to national policy implementation guidance. Early Intervention in Psychiatry. 2018;12(4):747–756. https://​doi.​org/​10.​1111/​eip.​12481. Accessed 10 May, 2023.
82.
Zurück zum Zitat Mascayano F, Nossel I, Bello I, et al. Understanding the implementation of coordinated specialty care for early psychosis in New York state: A guide using the RE-AIM framework. Early Intervention in Psychiatry. 2019;13(3):715–719. https://doi.org/10.1111/eip.12782. Accessed 10 May, 2023. Mascayano F, Nossel I, Bello I, et al. Understanding the implementation of coordinated specialty care for early psychosis in New York state: A guide using the RE-AIM framework. Early Intervention in Psychiatry. 2019;13(3):715–719. https://​doi.​org/​10.​1111/​eip.​12782. Accessed 10 May, 2023.
91.
Zurück zum Zitat Tsai J, Doran KM, Rosenheck RA. When health insurance is not a factor: National comparison of homeless and nonhomeless US veterans who use veterans affairs emergency departments. American Journal of Public Health. 2013;103(SUPPL. 2):225–231. https://doi.org/10.2105/AJPH.2013.301307. Accessed 10 May, 2023. Tsai J, Doran KM, Rosenheck RA. When health insurance is not a factor: National comparison of homeless and nonhomeless US veterans who use veterans affairs emergency departments. American Journal of Public Health. 2013;103(SUPPL. 2):225–231. https://​doi.​org/​10.​2105/​AJPH.​2013.​301307. Accessed 10 May, 2023.
93.
Metadaten
Titel
Policy Complexities in Financing First Episode Psychosis Services: Implementation Realities from a Home Rule State
verfasst von
Kyle J. Moon, BS
Sandra Stephenson, MSW, MA
Kathryn A. Hasenstab, BS, BME
Srinivasan Sridhar, PhD
Eric E. Seiber, PhD
Nicholas J. K. Breitborde, PhD
Saira Nawaz, PhD, MPH
Publikationsdatum
28.11.2023
Verlag
Springer US
Erschienen in
The Journal of Behavioral Health Services & Research / Ausgabe 1/2024
Print ISSN: 1094-3412
Elektronische ISSN: 2168-6793
DOI
https://doi.org/10.1007/s11414-023-09865-0

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