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Abstract

Objective:

Learning health care networks can significantly improve the effectiveness, consistency, and cost-effectiveness of care delivery. As part of a data harmonization process, incorporation of the perspectives of community partners to maximize the relevance and utility of the data is critical.

Methods:

A mixed-methods focus group study was conducted with early psychosis program providers, leadership, service users, and family members to explore their priorities regarding data collection in early psychosis care. Focus group transcripts were analyzed through thematic analysis.

Results:

Twenty-two focus groups comprising 178 participants were conducted across 10 early psychosis programs. Participants considered functioning, quality of life, recovery, and symptoms of psychosis as key outcomes to assess, although variation by participants’ roles was also evident. Participants emphasized the clinical utility of assessing a broad range of predictors of care outcomes, favored a broad conceptualization of the constructs assessed, and indicated a preference for client-reported measures. Participants also emphasized the importance of surveys adopting a recovery-oriented, strengths-based approach.

Conclusions:

Large-scale aggregation of health care data collected as part of routine care offers opportunities for research and may have a positive impact on care delivery and quality improvement activities. However, these benefits are contingent on the data being both relevant and accessible to those who deliver and receive such care. This study highlights an approach that may inform the development of core assessment batteries used, optimizing the utility of such data for all community partners.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Pages: 854 - 862
PubMed: 38595117

History

Received: 7 September 2023
Revision received: 11 December 2023
Accepted: 1 February 2024
Published online: 10 April 2024
Published in print: September 01, 2024

Keywords

  1. Schizophrenia
  2. Community consultation
  3. Early psychosis
  4. Psychiatric assessment

Authors

Details

Mark Savill, Ph.D. [email protected]
Department of Psychiatry and Behavioral Health Sciences, University of California, Davis, Davis (Savill, Banks, Tryon, Ereshefsky, Nye, Botello, Padilla, Muro, Niendam); Weill Institute for Neurosciences, University of California, San Francisco, San Francisco (Loewy).
Lindsay M. Banks, M.A.
Department of Psychiatry and Behavioral Health Sciences, University of California, Davis, Davis (Savill, Banks, Tryon, Ereshefsky, Nye, Botello, Padilla, Muro, Niendam); Weill Institute for Neurosciences, University of California, San Francisco, San Francisco (Loewy).
Valerie L. Tryon, Ph.D.
Department of Psychiatry and Behavioral Health Sciences, University of California, Davis, Davis (Savill, Banks, Tryon, Ereshefsky, Nye, Botello, Padilla, Muro, Niendam); Weill Institute for Neurosciences, University of California, San Francisco, San Francisco (Loewy).
Sabrina Ereshefsky, Ph.D.
Department of Psychiatry and Behavioral Health Sciences, University of California, Davis, Davis (Savill, Banks, Tryon, Ereshefsky, Nye, Botello, Padilla, Muro, Niendam); Weill Institute for Neurosciences, University of California, San Francisco, San Francisco (Loewy).
Kathleen E. Nye, B.A.
Department of Psychiatry and Behavioral Health Sciences, University of California, Davis, Davis (Savill, Banks, Tryon, Ereshefsky, Nye, Botello, Padilla, Muro, Niendam); Weill Institute for Neurosciences, University of California, San Francisco, San Francisco (Loewy).
Renata M. Botello, M.A.
Department of Psychiatry and Behavioral Health Sciences, University of California, Davis, Davis (Savill, Banks, Tryon, Ereshefsky, Nye, Botello, Padilla, Muro, Niendam); Weill Institute for Neurosciences, University of California, San Francisco, San Francisco (Loewy).
Viviana Padilla, B.A.
Department of Psychiatry and Behavioral Health Sciences, University of California, Davis, Davis (Savill, Banks, Tryon, Ereshefsky, Nye, Botello, Padilla, Muro, Niendam); Weill Institute for Neurosciences, University of California, San Francisco, San Francisco (Loewy).
Karina Muro, Ph.D.
Department of Psychiatry and Behavioral Health Sciences, University of California, Davis, Davis (Savill, Banks, Tryon, Ereshefsky, Nye, Botello, Padilla, Muro, Niendam); Weill Institute for Neurosciences, University of California, San Francisco, San Francisco (Loewy).
Rachel L. Loewy, Ph.D.
Department of Psychiatry and Behavioral Health Sciences, University of California, Davis, Davis (Savill, Banks, Tryon, Ereshefsky, Nye, Botello, Padilla, Muro, Niendam); Weill Institute for Neurosciences, University of California, San Francisco, San Francisco (Loewy).
Tara A. Niendam, Ph.D.
Department of Psychiatry and Behavioral Health Sciences, University of California, Davis, Davis (Savill, Banks, Tryon, Ereshefsky, Nye, Botello, Padilla, Muro, Niendam); Weill Institute for Neurosciences, University of California, San Francisco, San Francisco (Loewy).

Notes

Send correspondence to Dr. Savill ([email protected]).

Competing Interests

Ms. Nye serves as a consultant for ChatOwl, Inc., a digital mental health company. Dr. Niendam is founder of and a shareholder in Safari Health, Inc.

Funding Information

This research was funded by One Mind and NIMH (R01 MH120555) and Los Angeles County, Napa County, Orange County, San Diego County, Solano County, Sonoma County, and Stanislaus County, California.The content is solely the responsibility of the authors and does not necessarily represent the official views of their funders, including the NIH.

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