November NC PIC Meeting Review
November 7 Practice Improvement Collaborative Meeting on Early Identification and Treatment of First-Episode Psychosis
On November 7, 2014, the North Carolina Practice Improvement Collaborative sponsored a conference on Early Identification and Treatment of First Episode Psychosis (FEP), with three leading experts in the field. Robert Heinssen, Ph.D., Scientific Executive and Director of the Division of Services and Intervention Research at the National Institute of Mental Health (NIMH), is widely recognized as a scientific leader in the areas of prodromal schizophrenia research, first episode psychosis, and neuroscience approaches for improving assessment and remediation of cognitive deficits in schizophrenia. In his presentation, Recovery After an Initial Schizophrenia Episode (RAISE) and the North American Prodrome Longitudinal Study (NAPLS), he made the case for early intervention, stating that it led to rapid remission of positive symptoms; lower rates of psychiatric re-hospitalization; decreased substance use; improved social and vocational functioning; and increased quality of life. He discussed the RAISE clinical trial and its implications for individuals and their families in North Carolina and elsewhere and introduced the Coordinated Specialty Care (CSC) model.
Cathy Abshire, Acting Director of the Center of Mental Health Services, Division of State and Community Systems Development, Substance Abuse and Mental Health Services Administration (SAMHA) is responsible for implementation of the State Mental Health Block Grant (MHBG), which provides comprehensive community mental health services. Ms. Abshire provided an Overview of SAMHSA/CMHS Block Grant and 5% FEP Set-aside. SAMHSA and NIMH have been collaborating to develop resources and technical assistance promoting the usefulness of the CSC model in improving functioning for individuals with FEP illnesses. The OASIS (Outreach and Support Intervention Services) program was specifically named as one of the CSC models that SAMHSA endorses.
Diana Perkins, MD, Professor of Psychiatry at the University of North Carolina School of Medicine and Medical Director of the UNC OASIS program. OASIS is an innovative clinical program aimed at enhancing recovery from a first psychotic episode, or preventing psychosis in persons with high risk symptoms. Dr. Perkins presented on the Early Intervention in Psychosis: Why and How and discussed the causes and course of schizophrenia and evidence-based interventions to address different aspects of the disease. OASIS staff will provide technical assistance, coaching, and mentoring to Alliance Behavioral Healthcare LME/MCO, Coastal Care LME/MCO, and the provider agencies that they select.
A four-person panel—Cathy Abshire; Dr. Perkins; James McCracken, MSW, LCSW, Program Coordinator, UNC OASIS; and Elizabeth Zeman, family member—presented on the Implications for North Carolina. They presented two cases, which illustrated the benefits of early identification and treatment. Ms. Zeman discussed the impact of the disease on her son and family.
Presentations from the Meeting:
Recovery After an Initial Schizophrenia Episode (RAISE) and the North American Prodrome Longitudinal Study (NAPLS)
Presented by: Robert Heinssen, Ph.D.
Evidence-Based Treatments for First Episode Psychosis:Components of Coordinated Specialty Care
Overview of SAMHSA/CMHS Block Grant and 5% FEP Set-aside
Presented by: Cathy Abshire
Early Intervention in Psychosis: Why and How
Presented by: Diana Perkins, MD
If you missed the meeting, you can view the video here:
Part 1 – Welcome, Background, and Robert Heinssen, PhD Presentation
Part 2 – Cathy Abshire Presentation
Part 3 – Diana Perkins, MD Presentation
Part 4 – Panel Discussion