Accelerating Access to Early Intervention Through Hospital-Wide Outreach and Enhanced Referral Support.

IF 2.2 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2026-04-01 DOI:10.1111/eip.70174

Hyun Jung Kim, Tamara Welikson, Julie M McCarthy, Zachary B Millman, Alexa Rivas, Dost Öngür, Emily E Carol

{"title":"Accelerating Access to Early Intervention Through Hospital-Wide Outreach and Enhanced Referral Support.","authors":"Hyun Jung Kim, Tamara Welikson, Julie M McCarthy, Zachary B Millman, Alexa Rivas, Dost Öngür, Emily E Carol","doi":"10.1111/eip.70174","DOIUrl":null,"url":null,"abstract":"Aims: Detection and intervention of psychosis-risk states are typically delivered through clinical high risk for psychosis (CHR) clinics grounded in CHR research frameworks. However, real-world implementation is limited by major challenges, including clinical efficiency, comorbidity, and transdiagnostic presentations. At McLean Hospital, we launched the Outreach and Enhanced Referral Support project to address these challenges and extend early detection and intervention beyond traditional CHR clinic settings. Here we describe the project and report interim findings.Methods: This pilot project comprises three phases: needs assessment, outreach training, and enhanced referral support. Surveys assessed feasibility, acceptability, and selected clinical outcomes.Results: Ten referral support cases were completed between July 2024 and April 2025. Feasibility ratings ranged 80%-100%, and acceptability was 91.7%. The mean wait time for support services was 3 days (95% CI 2.11-3.89, SD = 1.25; range, 0-7).Conclusions: Preliminary findings indicate that the Outreach and Enhanced Referral Support model is feasible and acceptable in a large psychiatric hospital setting, warranting larger-scale evaluation of its clinical impact.","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"20 4","pages":"e70174"},"PeriodicalIF":2.2000,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Early Intervention in Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/eip.70174","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Aims: Detection and intervention of psychosis-risk states are typically delivered through clinical high risk for psychosis (CHR) clinics grounded in CHR research frameworks. However, real-world implementation is limited by major challenges, including clinical efficiency, comorbidity, and transdiagnostic presentations. At McLean Hospital, we launched the Outreach and Enhanced Referral Support project to address these challenges and extend early detection and intervention beyond traditional CHR clinic settings. Here we describe the project and report interim findings.

Methods: This pilot project comprises three phases: needs assessment, outreach training, and enhanced referral support. Surveys assessed feasibility, acceptability, and selected clinical outcomes.

Results: Ten referral support cases were completed between July 2024 and April 2025. Feasibility ratings ranged 80%-100%, and acceptability was 91.7%. The mean wait time for support services was 3 days (95% CI 2.11-3.89, SD = 1.25; range, 0-7).

Conclusions: Preliminary findings indicate that the Outreach and Enhanced Referral Support model is feasible and acceptable in a large psychiatric hospital setting, warranting larger-scale evaluation of its clinical impact.

查看原文本刊更多论文

通过全院推广和加强转诊支持，加速获得早期干预。

目的：精神疾病风险状态的检测和干预通常通过基于精神疾病研究框架的临床高危精神疾病（CHR）诊所进行。然而，现实世界的实施受到主要挑战的限制，包括临床效率、合并症和转诊表现。在麦克莱恩医院，我们启动了外展和加强转诊支持项目，以应对这些挑战，并将早期检测和干预扩展到传统的CHR诊所之外。在这里，我们描述了这个项目并报告了中期发现。方法：该试点项目包括三个阶段：需求评估、外展培训和加强转诊支持。调查评估了可行性、可接受性和选定的临床结果。结果：在2024年7月至2025年4月间完成10例转诊支持。可行性评分范围为80%-100%，可接受度为91.7%。支持服务的平均等待时间为3天（95% CI 2.11-3.89, SD = 1.25；范围0-7）。结论：初步研究结果表明，外展和强化转诊支持模式在大型精神病医院环境中是可行和可接受的，需要对其临床影响进行更大规模的评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

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.