Due to the COVID-19 pandemic, services for those experiencing new onset of mental health concerns and psychiatric crises have rapidly shifted to be conducted almost entirely remotely through telehealth. Coordinated Specialty Care (CSC) for early psychosis is a team-based, evidence-based treatment approach for those in the early phases of psychotic disorders, a population associated with increased incidence of emergency service utilization. The CSC approach includes evidence-based assessment and crisis services among other elements. We will present an overview of best practices for early psychosis assessment and crisis services. We will then describe past practices and present recommendations for transitioning to telehealth using examples and data from a well-established and thriving early psychosis clinic: the SacEdapt Clinic in Sacramento, CA. The impact of remote work and the Covid-19 pandemic on these components of CSC care will be discussed in the context of systemic issues in mental health services including early detection, inter-system care coordination, and racial and cultural inequities.

Format

Recorded webinar, non-interactive, self-paced distance learning activity with post-test.

This presentation was recorded on November 12, 2020 at the virtual conference, Third National Conference on Advancing Early Psychosis Care in the United States: Addressing Inequities - Race, Culture, and COVID. 

Learning Objectives

• List two evidence-based assessment measures for early psychosis.
• Describe two recommended adaptations from in-person to remote assessment.
• Identify two approaches for addressing system issues that have impacted remote assessment and crisis services during the COVID-19 pandemic.

Outline

• Coordinated Specialty Care (CSC) crisis management.
• Crisis management and telehealth adaptations in the era of COVID-19.
• Cultural and remote considerations for assessment and screening of early psychosis.

Target Audience

Psychologists, Social Workers, and Other Mental Health Professionals

Instructional Level

Introductory, Intermediate

Estimate Time to Complete

Estimated Duration: 1.0 hour
Program Start Date: March 15, 2024
Program End Date: March 15, 2027

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit™, CE credit for psychologists, CE credit for social workers, or a certificate of participation may do so by completing all sections of the course, including viewing the full video (≥60 minutes) and submitting an evaluation. A multiple-choice quiz is provided based on the content. A passing score of 75% must be achieved. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), CE certificate (psychologists), CE certificate (social workers), or certificate of participation (other disciplines) showing the completion date and hours/credits earned.

Continuing Education Credit

Physicians

The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Psychologists

The American Psychiatric Association is approved by the American Psychological Association to sponsor continuing education for psychologists. American Psychiatric Association maintains responsibility for this program and its content.

Social Workers 

American Psychiatric Association, provider #1743, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. American Psychiatric Association maintains responsibility for this course. ACE provider approval period: 05/18/2020 – 05/18/2021 and 05/18/2021-05/18/2024. Social workers completing this course receive 1.0 (clinical) continuing education credits.

Continuing education requirements vary from state to state. Many state boards grant reciprocity with national accrediting organizations and other state boards. It is the responsibility of each professional to understand the requirements for license renewal or check with the state or national licensing board and/or professional organization to become more familiar with their policies for acceptable continuing education credit. Social workers and Psychologists should contact their regulatory board to determine course approval.

Faculty and Planner Disclosures

Instructors

• Rachel Loewy, Ph.D., is an Associate Professor of Psychiatry and licensed clinical psychologist. She has been conducting research in the area of early psychosis for over 20 years, with a focus on early detection through screening and assessment. She has also conducted training and supervision of assessment in early psychosis as well as program development in university and community settings. Reports no financial relationships with commercial interests.

• Daniel Shapiro, Ph.D., is an Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the University of California Davis and serves as Director of Operations for UC Davis Early Psychosis Programs (EDAPT, SacEDAPT clinics). He is a clinical psychologist specializing in the identification, treatment, and implementation of programming for serious mental illness—particularly in early stage psychotic disorders—and in the teaching and practice of Cognitive Behavioral Therapy for diverse concerns. His research investigates how culture, stress, and the way we understand mental illness/wellness affect pathways to, barriers in, and models of care for early psychosis locally and globally. Discloses the following relationships: Grant/Research: CO-PI on NIMH funded research

Program Planners

• Steven Adelsheim, M.D. Reports no financial relationships with commercial interests.
• Catherine Adams, L.M.S.W., A.C.S.W., C.A.A.D.C. Reports no financial relationships with commercial interests.
• Susan T. Azrin, Ph.D.  Reports no financial relationships with commercial interests.
• Iruma Bello, Ph.D.  Reports no financial relationships with commercial interests.
• Gary Michael Blau, M.S., Ph.D.  Reports no financial relationships with commercial interests.
• Teri S. Brister, Ph.D., L.P.C.  Reports no financial relationships with commercial interests.
• Nybelle An-Vi Caruso, B.S.  Reports no financial relationships with commercial interests.
• Amy N. Cohen, Ph.D.  Reports no financial relationships with commercial interests.
• Robert O. Cotes, M.D.  Dr. Cotes discloses the following relationships: Consultant: Saladax Biomedical, American Psychiatric Association Grant/Research: Ostuka, Lundbeck, Roche, Alkermes
• Judith Dauberman, M.A., Ph.D.  Reports no financial relationships with commercial interests.
• Steven P. Dettwyler, Ph.D.  Reports no financial relationships with commercial interests.
• Lisa B. Dixon, M.D., M.P.H.  Reports no financial relationships with commercial interests.
• Melissa Edmondson Smith, Ph.D.  Reports no financial relationships with commercial interests.
• Chantel Garrett. Ms. Garrett discloses the following relationships: Stock: Invitae, stockholder Livongo, stockholder Color, private equity holder Consultant: Maine Health Northwell Health One Mind Grant/Research: One Mind National Institute of Health
• Tristan Gorrindo, M.D.  Reports no financial relationships with commercial interests.
• Kate Hardy, ClinPsych.D.  Ms. Hardy discloses the following relationships: Consultant: SME for Click Therapeutics
• Robert K. Heinssen, Ph.D., A.B.P.P. Reports no financial relationships with commercial interests.
• Brian Hepburn, M.D.  Reports no financial relationships with commercial interests.
• Patrick Kaufmann, B.S.  Reports no financial relationships with commercial interests.
• Sherin Khan, L.C.S.W. Reports no financial relationships with commercial interests.
• Steven R. Lopez, Ph.D. Reports no financial relationships with commercial interests.
• Ted Lutterman.  Reports no financial relationships with commercial interests.
• Tushita Mayanil, M.D.  Reports no financial relationships with commercial interests.
• Ryan Melton, Ph.D.  Reports no financial relationships with commercial interests.
• Oladunni Oluwoye , Ph.D.  Reports no financial relationships with commercial interests.
• Abram Rosenblatt, Ph.D.  Reports no financial relationships with commercial interests.
• David L. Shern, Ph.D.  Dr. Shern discloses the following relationships: Grant/Research: Through my employment at NASMHPD, I co-chair the dissemination function of the Early Psychosis Intervention network as part of the national data coordinating center at Westat. Westat was awarded the coordinating center grant by NIMH Other: serve on the Board of Livanta

• Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests. (Reviewed on 3/14/2024)
• John Torous, MD, MBI, Beth Israel Deaconess Medical Center. Reports no financial relationships with commercial interests. (Reviewed on 3/2/2024
• Amy N. Cohen, Ph.D, American Psychiatric Association. Reports no financial relationships with commercial interests. (Reviewed on 3/8/2024)
• Sherin Khan, LCSW, Thresholds. Reports no financial relationships with commercial interests. (Reviewed on 3/14/2024)

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