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Exploring Provider Perspectives on Implementing Coordinated Specialty Care: A Qualitative Study.

Bryony Stokes1,2,3, Elizabeth Fraser1,3, Liat Kriegel1

  • 1Elson S. Floyd College of Medicine, Washington State University, 412 E. Spokane Falls Blvd, Spokane, WA, 99202, USA.

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Summary
This summary is machine-generated.

Implementing coordinated specialty care (CSC) for first episode psychosis requires addressing provider and organizational barriers. Successful CSC programs depend on strategic support and retention for mental health professionals.

Keywords:
Coordinated specialty careFirst episode psychosisImplementationProvidersQualitative

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Area of Science:

  • Mental Health Services Research
  • Psychiatry
  • Health Services Administration

Background:

  • Coordinated Specialty Care (CSC) is a model for early intervention in psychosis.
  • Implementing and sustaining CSC programs in community mental health settings presents unique challenges.

Purpose of the Study:

  • To explore clinician roles and experiences in implementing and sustaining CSC programs for first episode psychosis.
  • To identify barriers and facilitators to successful CSC program implementation.

Main Methods:

  • Qualitative interviews were conducted with 20 CSC providers and team members from five programs.
  • A semi-structured interview guide was used to explore implementation experiences.
  • Thematic analysis was employed to analyze interview data, identifying provider and organizational factors.

Main Results:

  • Provider-level factors (e.g., training, buy-in) and organizational-level factors (e.g., funding, staffing) interact to create implementation barriers.
  • A complex web of interconnected barriers influences the successful programmatic implementation of CSC.

Conclusions:

  • Findings highlight the need for tailored policy, funding, and support for CSC programs.
  • Addressing both individual provider and systemic organizational factors is crucial for the sustainability of CSC for first episode psychosis.