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State Partnerships for First-Episode Psychosis Services
Susan M Essock1, Howard H Goldman1, Michael F Hogan1
1Dr. Essock and Dr. Dixon are with the New York State Psychiatric Institute and the Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York City (e-mail: se2176@columbia.edu ). Dr. Goldman is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore. Dr. Hogan was formerly the commissioner of the New York State Office of Mental Health, Albany. Dr. Hepburn is with the Mental Hygiene Administration, Department of Health and Mental Hygiene, Catonsville, Maryland. Dr. Sederer is with the New York State Office of Mental Health, New York City. Fred C. Osher, M.D., served as guest editor of this column. This column is part of a special section on RAISE and other early intervention services.
The Recovery After an Initial Schizophrenia Episode (RAISE) Connection Program partnered state mental health authorities with researchers to implement team-based services for early schizophrenia. This initiative aims to improve recovery and reduce disability for individuals experiencing first-episode psychosis.
Area of Science:
- Psychiatry
- Public Health
- Health Services Research
Background:
- Schizophrenia significantly impacts individuals and society, necessitating early intervention.
- First-episode psychosis (FEP) services are crucial for maximizing long-term recovery and minimizing disability.
- State Mental Health Authorities (SMHAs) are increasingly interested in developing robust FEP services.
Purpose of the Study:
- To describe the development and implementation of the RAISE Connection Program, a partnership focused on FEP services.
- To explain the rationale behind state interest in FEP services.
- To outline financing mechanisms and expansion plans for FEP teams.
Main Methods:
- A collaborative partnership between SMHAs in Maryland and New York and the National Institute of Mental Health.
- Implementation of a team-based approach for individuals with newly emerged schizophrenia.
- Analysis of the program's development, financing, and future plans.
Main Results:
- The RAISE Connection Program established a successful partnership model for FEP services.
- The program demonstrated the feasibility and benefits of a team-based approach.
- SMHAs identified key factors for successful implementation and expansion.
Conclusions:
- State-level partnerships are effective in delivering specialized FEP services.
- Early intervention through team-based care can significantly improve outcomes for schizophrenia.
- The RAISE model provides a framework for expanding FEP services nationwide.
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