Department of Psychiatry, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Department of Psychiatry, Boston Medical Center, Boston, Massachusetts, USA.
Early Interv Psychiatry. 2022 Jun;16(6):678-682. doi: 10.1111/eip.13207. Epub 2021 Aug 28.
Increasing evidence points to the value of coordinated specialty care (CSC) for early intervention in psychotic disorders. This report characterizes clinical and socio-demographic features of patients at CSC programs in Massachusetts (MA), assessed by a standardized battery incorporated into "real-world" clinical care.
The MA psychosis network for early treatment developed a pilot battery to coordinate assessments across six CSC clinics. Programs reported baseline, 6-month, and 12-month data from a sample of 287 patients with intake dates ranging from April 2015 to December 2020.
Patients showed improvements in functioning, emergency service use and several symptom domains at 6 and 12 months. Missing data proved to be a limitation.
Patients improved on several meaningful domains within the first year of CSC treatment. Future implementation efforts in cross-program data collection should consider strategies to circumvent limitations related to heterogeneity between clinics, patient discharge and clinics' capacity for data collection.
越来越多的证据表明，协调的专业护理（CSC）对于精神障碍的早期干预具有重要价值。本报告通过标准化电池评估了马萨诸塞州（MA）CSC 项目中患者的临床和社会人口统计学特征，该电池纳入了“真实世界”的临床护理。
马萨诸塞州精神病早期治疗网络开发了一个试点电池，以协调六个 CSC 诊所的评估。该计划报告了从 2015 年 4 月至 2020 年 12 月期间纳入的 287 名患者的基线、6 个月和 12 个月的数据，这些患者的摄入量日期各不相同。
患者在 6 个月和 12 个月时在功能、急诊服务使用和几个症状领域均有改善。缺失数据被证明是一个限制因素。
在 CSC 治疗的第一年，患者在几个有意义的领域都有所改善。未来在跨计划数据收集方面的实施工作应考虑避免与诊所之间的异质性、患者出院以及诊所数据收集能力相关的局限性的策略。
