Results of a Coordinated Specialty Care Program for Early Psychosis and Predictors of Outcomes

Nossel, Ilana; Wall, Melanie M.; Scodes, Jennifer; Marino, Leslie; Zilkha, Sacha; Bello, Iruma; Malinovsky, Igor; Lee, Rufina; Radigan, Marleen; Smith, Thomas E.; Sederer, Lloyd I.; Gu, Gyojeong; Dixon, Lisa B.

doi:10.1176/appi.ps.201700436

Cited by 68 publications

(38 citation statements)

References 35 publications

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“…We then estimated linear probability models controlling for physician, patient, and visit characteristics known to be associated with use of preventive services. 24 , 25 , 26 , 30 , 31 Visit characteristics include Medicaid payment and a linear trend for year of visit. Patient characteristics include age, race/ethnicity, and indicators of 5 comorbidities (asthma, diabetes, depression, hypertension, and obesity).…”

Section: Methodsmentioning

confidence: 99%

Association of Insurance Status With Provision of Recommended Services During Comprehensive Postpartum Visits

et al. 2020

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IMPORTANCEImproving care during the postpartum period is a clinical and policy priority. During the comprehensive postpartum visit, guidelines recommend delivery of a large number of assessment, screening, and counseling services. However, little is known about services provided during these visits. OBJECTIVE To examine rates of recommended services during the comprehensive postpartum visits and differences by insurance type. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study included 20 071 093 weighted office-based postpartum visits (645 observations) with obstetrical-gynecological or family medicine physicians from annual National Ambulatory Medical Care Surveys from December 28, 2008, to December 31, 2016, and estimated multivariate regression models to calculate the frequency of recommended services by insurance type, controlling for visit, patient, and physician characteristics.

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Section: Methodsmentioning

confidence: 99%

Association of Insurance Status With Provision of Recommended Services During Comprehensive Postpartum Visits

et al. 2020

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“…(8,9) For example, early intervention via illness and medication management, family psychoeducation, and education/employment support (Navigate) in the "Recovery After an Initial Schizophrenia Episode -Early Treatment Program" (RAISE-ETP) improved quality of life and reduced depression symptoms, with larger effects in patients with shorter duration of untreated psychosis. (8) Early interventions increased academic enrollment, course completion and employment measures in patients with SMI, (10)(11)(12) and adolescents in general. (13) Educational attainment may also be increased by interventions that delay the onset of mental disorders and thereby increase the opportunity for a person to obtain a degree.…”

Section: Introductionmentioning

confidence: 99%

Measuring The Lifetime Costs Of Serious Mental Illness And The Mitigating Effects Of Educational Attainment

Seabury

Axeen²,

Pauley

et al. 2019

Health Affairs

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Serious mental illness (SMI) is a disabling condition that develops early in life and imposes substantial economic burden. There is a growing belief that early intervention for SMI has lifelong benefits for patients. However, assessing the cost-effectiveness of early intervention efforts is hampered by a lack of evidence on the long-term benefits. We address this by estimating the lifetime burden of SMI for those diagnosed by age 25 using a dynamic microsimulation model. We estimate that the per-patient lifetime burden of SMI is $1.85 million dollars. We also find that a policy intervention focused on improving the educational attainment of SMI patients reduces the average per-person burden of SMI by $73,600 (4.0%), driven primarily by higher lifetime earnings, totaling over $8.9 billion in reduced burden per cohort of SMI patients. These findings provide a benchmark for the potential value of improving educational attainment for SMI patients.

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“…Through its participation as an EPINET regional hub, the OnTrackNY LHS will continue to innovate [18][19][20][21][22][23][24][25][26][27], while emphasizing and enhancing two critical foundational componentsproactively engaging stakeholders to optimize understanding of key problems and their solutions at every LHS phase and developing data systems with enhanced standardized data collection, informatics, and analytics. By including multilevel stakeholder input with shared leadership, we will continue to build the ongoing communication channels required for a highly effective LHS.…”

Section: Resultsmentioning

confidence: 99%

OnTrackNY’s learning healthcare system

Humensky

Bello

Malinovsky

et al. 2020

J. Clin. Trans. Sci.

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Worldwide, early intervention services for young people with recent-onset psychosis have been associated with improvements in outcomes, including reductions in hospitalization, symptoms, and improvements in treatment engagement and work/school participation. States have received federal mental health block grant funding to implement team-based, multi-element, evidence-based early intervention services, now called coordinated specialty care (CSC) in the USA. New York State’s CSC program, OnTrackNY, has grown into a 23-site, statewide network, serving over 1800 individuals since its 2013 inception. A state-supported intermediary organization, OnTrackCentral, has overseen the growth of OnTrackNY. OnTrackNY has been committed to quality improvement since its inception. In 2019, OnTrackNY was awarded a regional hub within the National Institute of Mental Health-sponsored Early Psychosis Intervention Network (EPINET). The participation in the national EPINET initiative reframes and expands OnTrackNY’s quality improvement activities. The national EPINET initiative aims to develop a learning healthcare system (LHS); OnTrackNY’s participation will facilitate the development of infrastructure, including a systematic approach to facilitating stakeholder input and enhancing the data and informatics infrastructure to promote quality improvement. Additionally, this infrastructure will support practice-based research to improve care. The investment of the EPINET network to build regional and national LHSs will accelerate innovations to improve quality of care.

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Results of a Coordinated Specialty Care Program for Early Psychosis and Predictors of Outcomes

Cited by 68 publications

References 35 publications

Association of Insurance Status With Provision of Recommended Services During Comprehensive Postpartum Visits

Association of Insurance Status With Provision of Recommended Services During Comprehensive Postpartum Visits

Measuring The Lifetime Costs Of Serious Mental Illness And The Mitigating Effects Of Educational Attainment

OnTrackNY’s learning healthcare system

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