دورية أكاديمية
Preliminary Evaluation of Washington State's Early Intervention Program for First-Episode Psychosis.
| العنوان: | Preliminary Evaluation of Washington State's Early Intervention Program for First-Episode Psychosis. |
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| المؤلفون: | Oluwoye O; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson)., Reneau H; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson)., Stokes B; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson)., Daughtry R; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson)., Venuto E; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson)., Sunbury T; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson)., Hong G; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson)., Lucenko B; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson)., Stiles B; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson)., McPherson SM; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson)., Kopelovich S; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson)., Monroe-DeVita M; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson)., McDonell MG; Behavioral Health Innovations (Oluwoye, Reneau, Stokes, McDonell) and Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine (Oluwoye, McPherson, McDonell), Washington State University, Spokane; Youth and Family Behavioral Health Section, Washington State Health Care Authority, Olympia (Daughtry, Venuto); Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia (Sunbury, Hong, Lucenko); Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle (Stiles, Kopelovich, Monroe-DeVita); Providence Medical Research Center, Providence Health Care, Spokane (McPherson). |
| المصدر: | Psychiatric services (Washington, D.C.) [Psychiatr Serv] 2020 Mar 01; Vol. 71 (3), pp. 228-235. Date of Electronic Publication: 2019 Dec 18. |
| نوع المنشور: | Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Psychiatric Association Country of Publication: United States NLM ID: 9502838 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-9700 (Electronic) Linking ISSN: 10752730 NLM ISO Abbreviation: Psychiatr Serv Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Washington, DC : American Psychiatric Association, c1995- |
| مواضيع طبية MeSH: | Government Programs* , Outcome and Process Assessment, Health Care* , Program Evaluation*, Early Medical Intervention/*statistics & numerical data , Psychotic Disorders/*therapy, Adolescent ; Early Medical Intervention/economics ; Female ; Humans ; Male ; Psychotic Disorders/economics ; Quality of Life ; State Government ; Time Factors ; Washington ; Young Adult |
| مستخلص: | Objective: Early intervention programs are designed to address the needs of youths experiencing first-episode psychosis (FEP). Washington State developed New Journeys, a network of coordinated specialty care programs for FEP. In this study, the authors have outlined components of the New Journeys model and preliminary findings since its initial implementation. Methods: Youths and young adults diagnosed as having psychosis (N=112) completed measures at and after intake on a range of mental health assessments and functional outcomes for the first 12 months of treatment. Administrative data including state-funded emergency department and psychiatric hospitalizations were assessed 24 months before and after intake. Generalized estimating equations were used to assess change over time on multiple measures of mental health status. Results: Compared with their condition at intake, clients had significant decreases in symptoms of anxiety (β=-2.48, p < 0.001), psychotic experiences (β=-3.37, p<0.05), and clinician-rated psychotic symptoms (β = -1.47, p<0.05) during treatment. Additionally, quality of life (β=-5.95, p < 0.001) and school attendance (odds ratio=1.42, p < 0.05) significantly improved during treatment. Administrative data indicated that postintake, clients were less likely to visit the emergency department for psychiatric reasons (β = 0.22, p<0.05), utilize community psychiatric inpatient services (β = 0.31, p<0.001), and utilize public assistance (β = 0.71, p<0.05) compared with 24 months before intake. Conclusions: New Journeys clients experienced improved clinical and functional outcomes during their first year of treatment, and rates of state-funded service utilization decreased during their treatment. |
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| معلومات مُعتمدة: | K01 MH117457 United States MH NIMH NIH HHS; R01 AA020248 United States AA NIAAA NIH HHS |
| فهرسة مساهمة: | Keywords: Coordinated specialty care; Early intervention; First-episode psychosis; New Journeys |
| تواريخ الأحداث: | Date Created: 20191219 Date Completed: 20210114 Latest Revision: 20240922 |
| رمز التحديث: | 20240922 |
| مُعرف محوري في PubMed: | PMC7207512 |
| DOI: | 10.1176/appi.ps.201900199 |
| PMID: | 31847738 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1557-9700 |
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| DOI: | 10.1176/appi.ps.201900199 |