Pennsylvania Early Intervention Center (PEIC)/Heads Up, Psychosis and Neurodevelopment Section, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Psychosis Evaluation and Recovery Center (PERC), Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Early Interv Psychiatry. 2021 Oct;15(5):1395-1408. doi: 10.1111/eip.13084. Epub 2020 Dec 6.
Pennsylvania (PA) first-episode psychosis (FEP) program evaluation is a statewide initiative, supported by the PA Office of Mental Health and Substance Abuse Services (PA-OMHSAS) and administered by PA Early Intervention Center/Heads Up, which evaluates fidelity and outcomes of PA Coordinated Specialty Care (CSC) programs. Programs participate in standard computerized measures of CSC outcomes using centralized informatics. The aims of the current report are to describe implementation of this core battery for program evaluation in PA and to present 6- and 12-month outcomes.
Participants (n = 697) from nine PA CSC programs completed the core battery at admission. The battery was re-administered at 6- and 12-month follow-up, and data were analysed for individuals (n = 230) who had completed 12-months of treatment. Domains assessed via clinician report and/or self-report included symptoms, role and social functioning, self-perceived recovery and service utilization.
PA FEP CSC participants showed improvement over time in several domains, including decreased symptoms, higher role and social functioning, decreased hospitalizations, and improved self-perception of recovery, quality of life, and services satisfaction. Trends towards improvements were observed for participant happiness, hopelessness, and school-enrolment. Nearly all improvements were observed at 6-month follow-up, with earlier gains maintained at 12-months.
PA FEP CSC programs demonstrate the ability to assess and improve critical outcomes of coordinated specialty care in PA. Improved outcomes by 12 months in treatment provides evidence of an effective treatment model and supports the continuation of these programs in pursuit of our goal of reducing schizophrenia disease burden on individuals and society.
宾夕法尼亚州（PA）首发精神病（FEP）项目评估是一项全州范围的计划，由宾夕法尼亚州心理健康和药物滥用服务办公室（PA-OMHSAS）提供支持，并由宾夕法尼亚州早期干预中心/头脑清醒（PA Early Intervention Center/Heads Up）管理，该计划评估宾夕法尼亚州协调专科护理（CSC）计划的保真度和结果。各计划通过集中信息学使用标准化计算机化的 CSC 结果措施参与其中。本报告的目的是描述该核心电池在 PA 的计划评估中的实施情况，并介绍 6 个月和 12 个月的结果。
来自 9 个 PA CSC 计划的 697 名参与者在入院时完成了核心电池。在 6 个月和 12 个月的随访中重新进行了测试，并对完成 12 个月治疗的 230 名个体进行了数据分析。通过临床医生报告和/或自我报告评估的领域包括症状、角色和社会功能、自我感知的康复和服务利用。
PA FEP CSC 参与者在几个领域表现出随时间的改善，包括症状减轻、角色和社会功能提高、住院次数减少，以及自我感知的康复、生活质量和服务满意度提高。参与者的幸福感、绝望感和入学趋势也观察到改善。几乎所有的改善都在 6 个月的随访中观察到，12 个月时的早期收益得以维持。
PA FEP CSC 计划证明了在 PA 评估和改善协调专科护理的关键结果的能力。治疗 12 个月后的结果改善提供了有效治疗模式的证据，并支持继续开展这些计划，以实现我们减少个人和社会精神分裂症疾病负担的目标。
