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What Happens After CSC? Challenges and Opportunities Associated with Transitioning from Early Psychosis Care

Activity Type:

  • On Demand

Release Date: 2/1/2020

Expiration Date: 2/1/2023

  • AMA PRA Category 1: 1
  • Participation: 1



There is substantial data that supports the effectiveness of early intervention in psychosis CSC services. As CSC services begin to mature in the United States a key developmental question has emerged – how best to support young people transitioning out of CSC? One challenge faced by such programs is that initial gains may be lost over time when CSC supports are removed. There are promising indicators, however, that extended services and a step-down phases of care approach may contribute to fundamentally altering the trajectory of psychosis experience and allow for a sustaining of gains over a longer period. A panel discussion will highlight various approaches to stepped down care that aim to address the challenges of reducing intensity of service in FEP programs.

* This presentation was recorded at The Second National Conference on Advancing Early Psychosis Care, October 2, 2019


FREE - $0

Funding for this initiative was made possible (in part) by Grant No. 1H79SM080818-01 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. 

Learning Objectives

  • Describe challenges associated with transitioning young people out of Coordinated Specialty Care (CSC).
  • Name practical resources that can be implemented to support transition from CSC.
  • List key recommendations for supporting young people, and their families, in transitioning from CSC.

Target Audience

Psychiatrists, psychologists, counselors, nurses/nurse practitioners, peer support specialists

Estimated Duration

Estimated Duration: 1.0 hour 
Program Start Date: February 1, 2020
Program End Date: February 1, 2023

Instructional Level


How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit™ or a certificate of participation may do so by completing all sections of the course, including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned.

Continuing Education Credit


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 event 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.


  • Kam, S. M., Singh, S. P., & Upthegrove, R. (2015). What needs to follow early intervention? Predictors of relapse and functional recovery following first-episode psychosis. Early Intervention in Psychiatry, 9(4), 279-283.
  • Pollard, J.M., Hoge, M.A. (2018). Transitioning Clients from Coordinated Specialty Care: A Guide for Clinicians. Alexandria, VA: National Association of State Mental Health Program Directors.
  • Jones, N. (2016). “What Comes After Early Intervention? Step-Down, Discharge and Continuity of Care in Early Intervention in Psychosis Programs for First Episode Psychosis.” Alexandria, VA: National Association of State Mental Health Program Directors

Faculty and Planner Disclosures


  • Kate Hardy, PhD, Stanford University. Disclosure: Grant Research Support - Pear Therapeutics; Speakers Bureau/Speaker Honoraria - Pfizer


  • Catherine Adams, LMSW, ACSW, CAADC, ETCH. Reports no financial relationships with commercial interests.
  • Irene Hurford, MD University of Pennsylvania. Reports no financial relationships with commercial interests.


  • Tristan Gorrindo, MD, American Psychiatric Association.  Reports no financial relationships with commercial interests.

Accessibility for Participants with Disabilities

The American Psychiatric Association is committed to ensuring accessibility of its website to people with disabilities. If you have trouble accessing any of APA’s online resources, please contact us at 202-559-3900 for assistance.

Hardware/Software Requirements

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This website requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.

Optimal System Configuration

  • Browser: Firefox (latest version), Internet Explorer 8.0+, Safari 7.0+, Microsoft Edge (latest version) or Google Chrome (latest version)
  • Operating System: Windows XP+ or Mac OS X 10.4+
  • Flash Player: Adobe Flash Player 10.3+ 
  • Internet Connection: 1 Mbps or higher

Minimum Requirements

  • Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Macromedia Flash Player 10.3 or higher; Sound Card at least 16-bit; audio playback with speakers for programs with video content
  • Macintosh:Mac OS X 10.4+ or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit; audio playback with speakers for programs with video content

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