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The Journal of Behavioral Health Services & Research

Published in:

01-07-2019

Treatment Retention Among Patients Participating in Coordinated Specialty Care for First-Episode Psychosis: a Mixed-Methods Analysis

Authors: Jane E. Hamilton, PhD, MPH, Devika Srivastava, PhD, Danica Womack, BS, Ashlie Brown, MEd, Brian Schulz, MEd, April Macakanja, MEd, April Walker, BA, Mon-Ju Wu, PhD, Mark Williamson, MD, Raymond Y. Cho, MD, MSc

Published in: The Journal of Behavioral Health Services & Research | Issue 3/2019

Abstract

Young adults experiencing first-episode psychosis have historically been difficult to retain in mental health treatment. Communities across the United States are implementing Coordinated Specialty Care to improve outcomes for individuals experiencing first-episode psychosis. This mixed-methods research study examined the relationship between program services and treatment retention, operationalized as the likelihood of remaining in the program for 9 months or more. In the adjusted analysis, male gender and participation in home-based cognitive behavioral therapy were associated with an increased likelihood of remaining in treatment. The key informant interview findings suggest the shared decision-making process and the breadth, flexibility, and focus on functional recovery of the home-based cognitive behavioral therapy intervention may have positively influenced treatment retention. These findings suggest the use of shared decision-making and improved access to home-based cognitive behavioral therapy for first-episode psychosis patients may improve outcomes for this vulnerable population.

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Title: Treatment Retention Among Patients Participating in Coordinated Specialty Care for First-Episode Psychosis: a Mixed-Methods Analysis
Authors: Jane E. Hamilton, PhD, MPH
Devika Srivastava, PhD
Danica Womack, BS
Ashlie Brown, MEd
Brian Schulz, MEd
April Macakanja, MEd
April Walker, BA
Mon-Ju Wu, PhD
Mark Williamson, MD
Raymond Y. Cho, MD, MSc
Publication date: 01-07-2019
Publisher: Springer US
Published in: The Journal of Behavioral Health Services & Research / Issue 3/2019
Print ISSN: 1094-3412
Electronic ISSN: 2168-6793
DOI: https://doi.org/10.1007/s11414-018-9619-6

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Springer Medicine

Treatment Retention Among Patients Participating in Coordinated Specialty Care for First-Episode Psychosis: a Mixed-Methods Analysis

Abstract

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Springer Medicine

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