School of Occupational Therapy, College of Health Professions, Pacific University, Forest Grove, OR, USA.
Department of Clinical Research & Leadership, School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA.
Community Ment Health J. 2022 Jul;58(5):835-846. doi: 10.1007/s10597-021-00891-w. Epub 2021 Sep 14.
Coordinated Specialty Care (CSC) is a multidisciplinary team approach to providing care for young and emerging adults having their first episode of psychosis. CSC programs have expanded rapidly throughout the United States going from 12 programs in 2008 to over 160 programs a decade later. The purpose of this historical review is to document the process and conditions that led to the accelerated dissemination of these programs across the country. CSC models began in the US in the early 2000s, but nationwide expansion followed the 2008 Recovery After an Initial Schizophrenia Episode trial. As programs have grown, debates have risen about fidelity to CSC models. The challenges facing CSC programs today include lack of evidence on what are the core components of CSC and how fidelity monitoring relates to positive client outcomes.
协调专科护理（CSC）是一种多学科团队方法，用于为首次出现精神病症状的年轻和新兴成年人提供护理。CSC 项目在美国迅速扩展，从 2008 年的 12 个项目扩展到十年后的 160 多个项目。本历史回顾的目的是记录导致这些项目在全国范围内加速传播的过程和条件。CSC 模式始于 21 世纪初的美国，但全国范围的扩展是在 2008 年首次精神分裂症发作后康复试验之后。随着项目的发展，关于对 CSC 模式的保真度的争论也随之出现。CSC 项目目前面临的挑战包括缺乏关于 CSC 的核心组成部分是什么以及保真度监测与积极的客户结果有何关联的证据。
