The impact of COVID-19 on coordinated specialty care (CSC) for people with first episode psychosis (FEP): preliminary observations, and recommendations, from the United States, Israel and China
program; community; covid-19; 1st-episode psychosis; first episode psychosis; coordinated specialty care; treatment recommendations
In the wake of COVID-19, mental health providers and treatment programs are adapting rapidly to the challenges in engaging people and delivering treatment with limited guidance. This paper will explore the challenges associated with delivering treatment within coordinated specialty care (CSC) programs for people with first episode psychosis. Suggestions for treatment will take into consideration experiences with stress, changes to the pursuit of work and school, and increased time spent with families. Drawing on the experience of several CSC programs in the United States, Israel, and China, we describe the impact and modifications to the core treatment elements in CSC including medication, family interactions, supported employment and education, individual therapy, peer support and the way they are delivered. The paper includes recommendations based on experiences from CSC programs to help staff members, participants, and family members better identify, prepare, cope and respond to the unique new challenges and suggests modifications that can be made during various stages of the coronavirus pandemic.
Meyer-Kalos PS; Roe D; Gingerich S; Hardy K; Bello I; Hrouda D; Shapiro D; Hayden-Lewis K; Cao L; Hao X; Liang Y; Zhong S; Mueser KT
Counselling Psychology Quarterly
2020
2020-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
journalArticle
<a href="http://doi.org/10.1080/09515070.2020.1771282" target="_blank" rel="noreferrer noopener">10.1080/09515070.2020.1771282</a>
Epidemiology of trauma: Childhood adversities, neighborhood problems, discrimination, chronic strains, life events, and daily hassles among people with a severe mental illness
1st-episode psychosis; adults; Childhood trauma; community; Health; national comorbidity survey; posttraumatic-stress-disorder; prevalence; Psychiatry; quality-of-life; schizophrenia; Serious mental illness; stress; symptoms; world-trade-center
Trauma during childhood and adolescence is a common event among people with a serious psychological disorder. Few studies assess a wide range of stressors for this population. This is surprising given that these stressful events are implicated in poorer outcomes related to course and treatment of mental health problems. This study of 214 people with serious mental illness examines the prevalence of childhood traumas, perceived neighborhood problems, discrimination, chronic strains, negative life events, and daily hassles. We use regression analyses to determine if these stressors are associated with quality of life. Results show that 95% of the sample report at least one childhood adversity. Perceived neighborhood problems, experiences of discrimination, chronic strains, life events, and daily hassles were also common. Examining the relationship between demographic factors and stressors suggests that older respondents, Whites, those who have never been married, and people diagnosed with Schizophrenia reported fewer stressors compared to those who are older, non-White, ever married, or suffering from other types of mental health problems. Finally, three of the six types of stressors were related to lower quality of life and depression. We discuss the implications of these findings for the treatment of severe psychological problems. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
Adams R E; Ritter C; Bonfine N
Psychiatry Research
2015
2015-12
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1016/j.psychres.2015.10.012" target="_blank" rel="noreferrer noopener">10.1016/j.psychres.2015.10.012</a>