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Implementing First Episode Psychosis Services in the U.S.

Activity Type:

  • On Demand


Release Date: 8/20/2015

Expiration Date: 8/20/2018

  • AMA PRA Category 1 Physician: 2
  • Participation: 2

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Overview

It is estimated that approximately 100,000 adolescents and young adults in the United States experience a first episode of psychosis (FEP) every year. The early phase of psychotic illness is widely viewed as a critical opportunity for indicated prevention, and a chance to alter the downward trajectory and poor outcomes associated with serious mental disorders such as schizophrenia. An abundance of data accumulated over the past two decades supports the value of early intervention; compared to traditional treatment approaches, coordinated specialized services provided early in the course of illness are an effective means for improving clinical and functional outcomes among youth at risk for serious mental illness. In this course we present new information relevant to the opportunities and challenges of implementing FEP specialty care programs in U.S. community treatment settings, including (1) factors that facilitate or impede effective engagement of FEP clients and family members in recovery-oriented care; (2) FEP prescription practices from a nationwide sample of "real world" community clinics, and possible areas for improvement; (3) the core principles of individual therapy and family psychoeducation for persons who have recently experienced a first psychotic episode; (4) methods for adapting supported employment interventions to meet the needs of adolescent/young adult clients; and (5) strategies for creating first episode treatment teams, conducting outreach to reduce the duration of untreated psychosis, and delivering ongoing training to maintain providers' skills. Findings will be summarized in the form of guidance to health care decision makers interested in implementing early intervention services in the near future.

**This content was captured at the 2014 APA Annual Meeting

Pricing

  • General Member - $25.00
  • Resident-Fellow Member - Free
  • Medical Student Member - $25.00
  • Non-Member - $50.00

Educational Objectives

  • Identify factors that facilitate or impede effective engagement of FEP clients and family members in recovery-oriented care 
  • Discuss medication treatment approaches recommended for first episode psychosis and how these differ from guidelines for multi-episode schizophrenia 
  • Identify core principles of individual therapy and family psychoeducation for FEP 
  • Discuss the key features of team-based care for FEP, including strategies for optimizing the effectiveness of the team in addressing the client's recovery goals.   

Target Audience

Residents/Fellows and Psychiatrists

Estimated Time to Complete

2 Hours

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. A multiple choice quiz is provided based on the content. A passing score of 50% must be achieved. Retakes are available for the test. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate showing the date of completion and hours earned. 

Accreditation

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 material for a maximum of 2 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Faculty and Planner Disclosures

Chair:

  • Robert Heinssen, Ph.D., National Institute of Mental Health | Disclosure: Reports no financial relationships with commercial interests

Presenters:

  • Alicia Lucksted, Ph.D., University of Maryland School of Medicine | Disclosure: Reports no financial relationships with commercial interests
  • Delbert Robinson, M.D., Feinstein Institute for Medical Research | Disclosure: Consultant/Advisory Board - Shire|Titan Pharmaceuticals Inc. | Grant/Research Support - Bristol-Myers Squibb
  • Kim T. Mueser, Ph.D., Center for Psychiatric Rehabilitation, Boston University | Disclosure: Reports no financial relationships with commercial interests
  • Keith Nuechterlein, Ph.D., UCLA Department of Psychiatry and Biobehavioral Sciences | Disclosure: Consultant/Advisory Board - Genentech | Otsuka Pharmaceuticals | Grant/Research Support - Genentech|Janssen | Other - Research grant from Posit Science, Inc.
  • Lisa Dixon, M.D., M.P.H., Columbia University/New York State Psychiatry Institute | Disclosure: Reports no financial relationships with commercial interests

Program Planners:

  • Tristan Gorrindo, M.D., Director of Education, American Psychiatric Association | Disclsoure: Reports no financial relationships with commercial interests
  • Ricardo Juarez, Associate Director, Office of International Affairs, American Psychiatric Association | Disclosure: Reports no financial relationships with commercial interests

Hardware/Software Requirements

Hardware/Software Specifications:
This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site 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:
Flash Player: Adobe Flash Player 10.1+
Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+
Operating System: Windows XP+ or Mac OS X 10.4+
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; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera
Macintosh:
Mac OS X 10.3 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

For assistance: Contact educme@psych.org for questions about this course | Contact learningcenter@psych.orgg for technical assistance

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