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Early Psychosis Intervention-Spreading Evidence-based Treatment (EPI-SET): protocol for an effectiveness-implementation study of a structured model of care for psychosis in youth and emerging adults
INTRODUCTION: While early psychosis intervention (EPI) has proliferated in recent years amid evidence of its effectiveness, programmes often struggle to deliver consistent, recovery-based care. NAVIGATE is a manualised model of EPI with demonstrated effectiveness consisting of four components: indiv...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282307/ https://www.ncbi.nlm.nih.gov/pubmed/32499262 http://dx.doi.org/10.1136/bmjopen-2019-034280 |
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author | Kozloff, Nicole Foussias, George Durbin, Janet Sockalingam, Sanjeev Addington, Jean Addington, Donald Ampofo, Augustina Anderson, Kelly K Barwick, Melanie Bromley, Sarah Cunningham, Jasmyn E A Dahrouge, Simone Duda, Lillian Ford, Catherine Gallagher, Sheila Haltigan, John D Henderson, Joanna Jaouich, Alexia Miranda, Dielle Mitchell, Patrick Morin, Josette de Oliveira, Claire Primeau, Valerie Serhal, Eva Soklaridis, Sophie Urajnik, Diana Whittard, Krista Zaheer, Juveria Kurdyak, Paul Voineskos, Aristotle N |
author_facet | Kozloff, Nicole Foussias, George Durbin, Janet Sockalingam, Sanjeev Addington, Jean Addington, Donald Ampofo, Augustina Anderson, Kelly K Barwick, Melanie Bromley, Sarah Cunningham, Jasmyn E A Dahrouge, Simone Duda, Lillian Ford, Catherine Gallagher, Sheila Haltigan, John D Henderson, Joanna Jaouich, Alexia Miranda, Dielle Mitchell, Patrick Morin, Josette de Oliveira, Claire Primeau, Valerie Serhal, Eva Soklaridis, Sophie Urajnik, Diana Whittard, Krista Zaheer, Juveria Kurdyak, Paul Voineskos, Aristotle N |
author_sort | Kozloff, Nicole |
collection | PubMed |
description | INTRODUCTION: While early psychosis intervention (EPI) has proliferated in recent years amid evidence of its effectiveness, programmes often struggle to deliver consistent, recovery-based care. NAVIGATE is a manualised model of EPI with demonstrated effectiveness consisting of four components: individualised medication management, individual resiliency training, supported employment and education and family education. We aim to implement NAVIGATE in geographically diverse EPI programmes in Ontario, Canada, evaluating implementation and its effect on fidelity to the EPI model, as well as individual-level outcomes (patient/family member-reported and interviewer-rated), system-level outcomes (captured in provincial administrative databases) and engagement of participants with lived experience. METHODS AND ANALYSIS: This is a multisite, non-randomised pragmatic hybrid effectiveness-implementation type III mixed methods study coordinated at the Centre for Addiction and Mental Health (CAMH) in Toronto. Implementation is supported by the Provincial System Support Program, a CAMH-based programme with provincial offices across Ontario, and Extension of Community Healthcare Outcomes Ontario Mental Health at CAMH and the University of Toronto. The primary outcome is fidelity to the EPI model as measured using the First Episode Psychosis Services—Fidelity Scale. Four hundred participants in the EPI programmes will be recruited and followed using both individual-level assessments and health administrative data for 2 years following NAVIGATE initiation. People with lived experience will be engaged in all aspects of the project, including through youth and family advisory committees. ETHICS AND DISSEMINATION: Research ethics board approval has been obtained from CAMH and institutions overseeing the local EPI programmes. Study findings will be reported in scientific journal articles and shared with key stakeholders including youth, family members, programme staff and policymakers. TRIAL REGISTRATION NUMBER: NCT03919760; Pre-results. |
format | Online Article Text |
id | pubmed-7282307 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-72823072020-06-15 Early Psychosis Intervention-Spreading Evidence-based Treatment (EPI-SET): protocol for an effectiveness-implementation study of a structured model of care for psychosis in youth and emerging adults Kozloff, Nicole Foussias, George Durbin, Janet Sockalingam, Sanjeev Addington, Jean Addington, Donald Ampofo, Augustina Anderson, Kelly K Barwick, Melanie Bromley, Sarah Cunningham, Jasmyn E A Dahrouge, Simone Duda, Lillian Ford, Catherine Gallagher, Sheila Haltigan, John D Henderson, Joanna Jaouich, Alexia Miranda, Dielle Mitchell, Patrick Morin, Josette de Oliveira, Claire Primeau, Valerie Serhal, Eva Soklaridis, Sophie Urajnik, Diana Whittard, Krista Zaheer, Juveria Kurdyak, Paul Voineskos, Aristotle N BMJ Open Mental Health INTRODUCTION: While early psychosis intervention (EPI) has proliferated in recent years amid evidence of its effectiveness, programmes often struggle to deliver consistent, recovery-based care. NAVIGATE is a manualised model of EPI with demonstrated effectiveness consisting of four components: individualised medication management, individual resiliency training, supported employment and education and family education. We aim to implement NAVIGATE in geographically diverse EPI programmes in Ontario, Canada, evaluating implementation and its effect on fidelity to the EPI model, as well as individual-level outcomes (patient/family member-reported and interviewer-rated), system-level outcomes (captured in provincial administrative databases) and engagement of participants with lived experience. METHODS AND ANALYSIS: This is a multisite, non-randomised pragmatic hybrid effectiveness-implementation type III mixed methods study coordinated at the Centre for Addiction and Mental Health (CAMH) in Toronto. Implementation is supported by the Provincial System Support Program, a CAMH-based programme with provincial offices across Ontario, and Extension of Community Healthcare Outcomes Ontario Mental Health at CAMH and the University of Toronto. The primary outcome is fidelity to the EPI model as measured using the First Episode Psychosis Services—Fidelity Scale. Four hundred participants in the EPI programmes will be recruited and followed using both individual-level assessments and health administrative data for 2 years following NAVIGATE initiation. People with lived experience will be engaged in all aspects of the project, including through youth and family advisory committees. ETHICS AND DISSEMINATION: Research ethics board approval has been obtained from CAMH and institutions overseeing the local EPI programmes. Study findings will be reported in scientific journal articles and shared with key stakeholders including youth, family members, programme staff and policymakers. TRIAL REGISTRATION NUMBER: NCT03919760; Pre-results. BMJ Publishing Group 2020-06-03 /pmc/articles/PMC7282307/ /pubmed/32499262 http://dx.doi.org/10.1136/bmjopen-2019-034280 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Mental Health Kozloff, Nicole Foussias, George Durbin, Janet Sockalingam, Sanjeev Addington, Jean Addington, Donald Ampofo, Augustina Anderson, Kelly K Barwick, Melanie Bromley, Sarah Cunningham, Jasmyn E A Dahrouge, Simone Duda, Lillian Ford, Catherine Gallagher, Sheila Haltigan, John D Henderson, Joanna Jaouich, Alexia Miranda, Dielle Mitchell, Patrick Morin, Josette de Oliveira, Claire Primeau, Valerie Serhal, Eva Soklaridis, Sophie Urajnik, Diana Whittard, Krista Zaheer, Juveria Kurdyak, Paul Voineskos, Aristotle N Early Psychosis Intervention-Spreading Evidence-based Treatment (EPI-SET): protocol for an effectiveness-implementation study of a structured model of care for psychosis in youth and emerging adults |
title | Early Psychosis Intervention-Spreading Evidence-based Treatment (EPI-SET): protocol for an effectiveness-implementation study of a structured model of care for psychosis in youth and emerging adults |
title_full | Early Psychosis Intervention-Spreading Evidence-based Treatment (EPI-SET): protocol for an effectiveness-implementation study of a structured model of care for psychosis in youth and emerging adults |
title_fullStr | Early Psychosis Intervention-Spreading Evidence-based Treatment (EPI-SET): protocol for an effectiveness-implementation study of a structured model of care for psychosis in youth and emerging adults |
title_full_unstemmed | Early Psychosis Intervention-Spreading Evidence-based Treatment (EPI-SET): protocol for an effectiveness-implementation study of a structured model of care for psychosis in youth and emerging adults |
title_short | Early Psychosis Intervention-Spreading Evidence-based Treatment (EPI-SET): protocol for an effectiveness-implementation study of a structured model of care for psychosis in youth and emerging adults |
title_sort | early psychosis intervention-spreading evidence-based treatment (epi-set): protocol for an effectiveness-implementation study of a structured model of care for psychosis in youth and emerging adults |
topic | Mental Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282307/ https://www.ncbi.nlm.nih.gov/pubmed/32499262 http://dx.doi.org/10.1136/bmjopen-2019-034280 |
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