Connection Learning Healthcare System Hub of the Early Psychosis Intervention Network: Program and Participant Characteristics

IF 2.1 4区 医学 Q3 PSYCHIATRY
Monica E. Calkins, Megan Jumper, Arielle Ered, Fanghong Dong, Deepak K. Sarpal, Krista K. Baker, Donna J. Bencivengo, Russell L. Margolis, Robert W. Buchanan, Yasmine Boumaiz, Elizabeth Burris, Philip D. Campbell, K. N. Roy Chengappa, Catherine Conroy, Akinyi Cooke, Faith Dickerson, Nyasia Flowers, Mandy Fauble, Richard W. Goldberg, Alexander Harvin, Carolyn Howell, Christian Kelly, Julie Kreyenbuhl, Lan Li, Alicia Lucksted, Jill A. Marsteller, Alexander Moxam, Denise Namowicz, Swati Nayar, Jamie Oko, Jessie Riggs, Arunadevi Saravana, Rachel Scheinberg, William R. Smith, Richard States, Timur Suhail-Sindhu, Jerome Taylor, Crystal L. Vatza, Max Wolcott, Christian G. Kohler, Melanie E. Bennett
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引用次数: 0

Abstract

Aim

Connection Learning Healthcare System, one of the eight hubs of the National Institute of Mental Health funded Early Psychosis Intervention Network, supports uniform data collection, analysis, feedback and infrastructure development to promote a culture of continuous quality improvement across 25 Coordinated Specialty Care programs serving young people experiencing first episode psychosis and their families in Maryland and Pennsylvania. This first report describes the hub and its constituent programs, the approach for developing and implementing a hub-wide core assessment battery harmonised with the national battery, and preliminary program and participant characteristics.

Methods

Our hub developed and implemented a computerised core assessment battery, administered every 6 months and developed an integrated system for managing and analysing data.

Results

Between 1 January 2021 and 27 November 2023, 1059 participants were newly admitted to a hub program. The entire cohort (N = 1381) included newly admitted participants and those already in a program as of 1 January 2021. A total of 1245 complete assessment batteries were collected across all time points from 797 participants, with an additional 1920 partially completed batteries collected from 1319 participants. Data are uploaded to the National Data Coordinating Center, where our hub is the third largest data contributor. Descriptive information on programs and participants is provided.

Conclusions

As part of our learning healthcare system to improve clinical services and outcomes across two states, we have successfully implemented a standardised, computerised core assessment battery of essential characteristics and clinical outcomes. Successes, challenges and recommendations for data collection are provided. This paper will serve as a vital methodological resource for users of the unprecedented Early Psychosis Intervention Network national research database seeking to accelerate and improve early psychosis research.

Abstract Image

早期精神病干预网络的连接学习医疗保健系统中心:项目和参与者特征
Aim连接学习医疗保健系统是国家精神卫生研究所资助的早期精神病干预网络的八个中心之一,支持统一的数据收集、分析、反馈和基础设施发展,以促进25个协调专业护理项目的持续质量改进,这些项目为马里兰州和宾夕法尼亚州经历首发精神病的年轻人及其家庭提供服务。第一份报告描述了该中心及其组成项目,制定和实施与国家电池协调一致的中心范围核心评估电池的方法,以及初步计划和参与者特征。方法本中心开发并实施了计算机化核心评估系统,每6个月进行一次评估,并开发了一个综合系统来管理和分析数据。在2021年1月1日至2023年11月27日期间,1059名参与者新进入中心项目。整个队列(N = 1381)包括新入学的参与者和截至2021年1月1日已经在一个项目中的参与者。在所有时间点从797名参与者中收集了1245个完整的评估电池,另外从1319名参与者中收集了1920个部分完成的电池。数据上传到国家数据协调中心,我们的中心是第三大数据贡献者。提供了项目和参与者的描述性信息。作为我们的学习医疗保健系统的一部分,以改善两个州的临床服务和结果,我们已经成功地实施了一个标准化的、计算机化的基本特征和临床结果的核心评估系统。提供了数据收集的成功案例、挑战和建议。本文将为前所未有的早期精神病干预网络国家研究数据库的用户提供重要的方法论资源,以寻求加速和改善早期精神病研究。
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来源期刊
Early Intervention in Psychiatry
Early Intervention in Psychiatry 医学-精神病学
CiteScore
4.80
自引率
5.00%
发文量
112
审稿时长
6-12 weeks
期刊介绍: Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.
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