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The STEP Learning Collaborative: A statewide Learning Healthcare System (LHS) for first episode psychosis.

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Connecticut's statewide learning healthcare system (STEP-LC) improves early psychosis care for young adults. It focuses on rapid treatment access, reduced untreated psychosis duration, and better population health outcomes.

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Area of Science:

  • Psychiatry and Mental Health
  • Health Services Research
  • Public Health Systems

Background:

  • Early intervention is crucial for schizophrenia-spectrum disorders.
  • Existing systems often lack coordinated, rapid access to care for young adults.
  • The need for a structured, statewide approach to improve early psychosis treatment outcomes.

Purpose of the Study:

  • To detail the implementation of Connecticut's statewide Learning Healthcare System (LHS) for recent-onset schizophrenia-spectrum disorders.
  • To outline the model, rationale, and workstreams of the STEP Learning Collaborative (STEP-LC).
  • To provide a practical guide for establishing similar LHS initiatives.

Main Methods:

  • Implementation of a statewide Learning Healthcare System (LHS) model.
  • Focus on core workstreams: workforce development, early detection, informatics, stakeholder engagement, sustainability, and care model refinement.
  • Utilizing continuous quality improvement workflows and informatics for enhanced care delivery.

Main Results:

  • Demonstrated initial success in establishing a robust system of care for early psychosis across Connecticut.
  • Implemented comprehensive workstreams addressing workforce and information gaps.
  • Aimed to meet or exceed international benchmarks for access and outcomes in early psychosis care.

Conclusions:

  • The STEP-LC model shows promise for improving early psychosis care statewide.
  • Continuous refinement of care models and integration with state services are ongoing priorities.
  • The initiative offers valuable insights and tools for developing regional LHS.