Tayfur Sümeyra N, Sykes Laura A Yoviene, Tek Cenk, Srihari Vinod H
Program for Specialized Treatment Early in Psychosis (STEP), Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
medRxiv. 2025 Apr 22:2025.04.21.25324324. doi: 10.1101/2025.04.21.25324324.
In February 2024, the Program for Specialized Treatment Early in Psychosis (STEP) in Connecticut launched the STEP Learning Collaborative (STEP-LC), a statewide learning health system. As part of this initiative, STEP-LC introduced a free consultation service to support clinicians, administrators, and healthcare leaders in the continuing care of young people with recent-onset psychosis (ages 16-35). As the only coordinated specialty care (CSC) clinic in the state offering this provider-to-provider service, STEP aims to address clinical and systemic challenges by providing expert guidance on medication management, psychotherapy, family engagement, and program development. Consultations are requested through a brief online form publicly available on the STEP-LC website (link). Experts at STEP aim to respond within one business day to initiate discussions regarding the identified case. The service is designed to be flexible, offering one-on-one meetings, integrating consultations into existing team meetings at the requesters' agencies, and allowing outside organizations to observe STEP operations. To date, 26 consultations have been completed: 24 within the state and 2 from out-of-state. Within-state requests primarily involved direct clinical issues, such as treatment planning, transitions of care, and family support strategies. Out-of-state consultations focused on broader systemic needs, including the development of new early psychosis programs and collaborative networks. Feedback from consultees highlights the value of the service in enhancing the quality and accessibility of psychosis care. This initiative underscores the importance of leveraging specialized expertise to support both individual and systemic efforts in early psychosis intervention.
2024年2月，康涅狄格州的早期精神病专科治疗项目（STEP）启动了STEP学习协作组织（STEP-LC），这是一个全州范围的学习型健康系统。作为该倡议的一部分，STEP-LC推出了一项免费咨询服务，以支持临床医生、管理人员和医疗保健领导者对近期发病的精神病患者（16 - 35岁）进行持续护理。作为该州唯一提供这种提供者之间服务的协调专科护理（CSC）诊所，STEP旨在通过在药物管理、心理治疗、家庭参与和项目开发方面提供专家指导，来应对临床和系统方面的挑战。咨询是通过STEP-LC网站（链接）上公开的简短在线表格进行申请的。STEP的专家旨在在一个工作日内做出回应，以启动关于所确定病例的讨论。该服务设计得很灵活，提供一对一会议，将咨询融入请求机构现有的团队会议中，并允许外部组织观察STEP的运作。到目前为止，已经完成了26次咨询：24次在该州内，2次来自州外。州内的请求主要涉及直接的临床问题，如治疗计划、护理过渡和家庭支持策略。州外的咨询则侧重于更广泛的系统需求，包括新的早期精神病项目和协作网络的开发。咨询对象的反馈突出了该服务在提高精神病护理质量和可及性方面的价值。这项倡议强调了利用专业知识来支持早期精神病干预中个人和系统努力的重要性。
