Coordinated specialty care services are critical for people with first episode psychosis (FEP), but for historically underserved racial and ethnic minority communities much greater attention is needed to overcome the multiple barriers to receiving these services. Given the barriers that underserved communities face when seeking care for early psychosis, this session will emphasize the importance of understanding individuals and family member experiences. In this session, we will begin by examining the pathways to care for a diverse group of individuals from the onset of a FEP to their entry into coordinated specialty care. We will explore how help seeking decisions were influenced by the misattribution of symptoms, stigma and self-reliance, and how contacts with the health care system was a critical juncture in the pathway to care that expedited or delayed entry into care. We will describe and present data on the experiences of several Black families and their points of contact prior to coordinated specialty care and how that can influence individual outcomes, such as quality of life. We will then review the importance of community outreach and campaigns to promote coordinated specialty care, like the campaign designed for the Spanish-speaking Latinx community in California.

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

• Demonstrate ways of exploring individual's and their family's experiences prior to coordinated specialty care.
• Describe the importance of family involvement and how family member experiences prior to coordinated specialty care can impact individual outcomes.
• Describe how community outreach and campaigns can be used to reduce the duration of untreated psychosis and encourage people with FEP and their families to seek timely mental health care.

Outline

• Reducing duration of untreated psychosis.
• experience and utilization of coordinated specialty care by racial and ethnic minority families.
• Effective messaging to underserved communities.

Target Audience

Psychologists, Social Workers, and Other Mental Health Professionals

Instructional Level

Introductory

Estimate Time to Complete

Estimated Duration: 1.0 hour
Program Start Date: May 3, 2021 
Program End Date: May 3, 2024

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

• Leopoldo J. Cabassa, Ph.D., M.S.W., is an Associate Professor and Co-Director of the Center for Mental Health Services Research at the Brown School at Washington University in St. Louis. His research examines physical and mental health disparities in historically underserved minority populations with serious mental illness (SMI). His work blends quantitative and qualitative methods, community engagement, intervention research, and implementation science. His scholarship is making significant contributions in three areas: improving depression literacy and reducing stigma toward mental illness in the Hispanic community; reducing physical health disparities in racial/ethnic minorities with SMI; and 2) improving care for people experiencing first-episode psychosis. Reports no financial relationships with commercial interests.

• Steven R. López, Ph.D., is a professor of psychology and social work at the University of Southern California. His longstanding research goal is to improve mental health services for U.S. communities of color, particularly Latinos. This is best illustrated by an NIMH-funded community campaign to reduce the duration of untreated psychosis in a largely Spanish-speaking Latinx community in the Los Angeles area. Dr. Lopez has also served as a mentor for several Latinx psychologists, in part through a 15-year NIH-funded summer research training program in Mexico in which 131 undergraduate and graduate students participated from across the country. Reports no financial relationships with commercial interests.

• Oladunni Oluwoye, Ph.D., is an Assistant Professor in the Elson S. Floyd College of Medicine at Washington State University and the Co-Director of Washington State Center of Excellence in Early Psychosis. Her research is focused on reducing racial and ethnic inequities in mental health service utilization and family engagement in early intervention programs for psychosis. Reports no financial relationships with commercial interests.

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

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