Coordinated Specialty Care (CSC) is a treatment program for individuals in the early stages of psychotic illness that focuses on recovery, shared decision making, and employs a team of specialty care providers who work with the client to create and implement and personalized treatment plan. Fueled by Mental Health Block Grant set aside funds, CSC programs have proliferated in the U.S.; a national survey in 2018 found that approximately seventy percent of programs started serving clients in 2014 or later (Westat, 2019). As many of these CSC programs mature, teams are increasingly faced with key decisions, including determining optimal program length, what can be done to facilitate a transition when clients leave the program, and what may be the most appropriate services for ongoing care. In addition, research from outside the U.S. has noted the challenge of sustaining gains achieved in early intervention programs once clients are no longer receiving intensive services.

In response to these issues, some programs have established post-CSC programs, usually at a reduced level of intensity of services or have expanded the duration of CSC services. These "step-down" programs and extended-length models are all designed to provide continuity of care and ease the transition into community-based services, though they vary in many aspects. This session will provide four presentations representing federal and local perspectives on continuity of care following CSC services:

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

• Analyze the problems associated with continuity of care for CSC programs.
• Compare strategies to address continuity of care across nine CSC programs for early psychosis.
• Summarize future directions for implementing continuity of care for CSC programs.

Outline

• Continuity of care post-coordinated specialty care (CSC).
• Models of successful transitions.
• Effective community engagement.

Target Audience

Psychologists, Social Workers, and Other Mental Health Professionals

Instructional Level

Intermediate

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

• Kristina West, M.S., L.L.M., is a policy analyst with the Office of the Assistant Secretary for Planning and Evaluation, Office of Behavioral Health, Disability and Aging Policy. Ms. West was the project officer for the initial review of the Mental Health Block Grant (MHBG) set aside for first episode psychosis and its implementation. Subsequently, Ms. West represented ASPE in a tri-agency effort with SAMHSA and NIMH to evaluate the MHBG set aside. Ms. West is currently collaborating with Westat on a project to review transition services for clients graduating from Coordinated Specialty Care (CSC).

• Michael Birnbaum, M.D., is an attending physician in the Department of Psychiatry at The Zucker Hillside Hospital in New York. He works as the Program Director for Northwell Health's Early Treatment Program (ETP), a clinical and research initiative for adolescents and young adults in the early stages of psychosis. Dr. Birnbaum's research has focused primarily on psychotic disorders with an emphasis on the early stages of illness. He is currently exploring the role of social media and the internet in pathways to care for adolescents and young adults with psychotic disorders.

• David Penn, Ph.D., is the Linda Wagner Martin Distinguished Professor of Psychology and Neuroscience at the University of North Carolina at Chapel Hill. He has published over 200 papers in the areas of social cognition, treatment and stigma in schizophrenia. His work has been supported by NIMH, NARSAD and the Stanley Foundation.

• Nicholas Buekea, Ph.D., is a Doctor of Occupational Therapy. He works with the Early Assessment and Support Alliance (EASA). EASA serves transitional aged youth and young adults who have experienced first episode psychosis. Nicholas is a member of EASA's Young Adult Leadership Council, which aims to guide better services from the point of view of its clients. Nicholas enjoys working with peers and building allies of all walks of life. He enjoys the piano, and dancing.

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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