Development and Pilot Testing of a Nurse Care Manager Role in Coordinated Specialty Care for Early Psychosis

Coordinated specialty care (CSC) improves mental health and functional outcomes among individuals with first-episode psychosis but lacks a standardized approach to addressing chronic disease risk. The authors used community-based participatory intervention mapping with nine CSC teams to implement a...

Full description

Saved in:
Bibliographic Details
Published inPsychiatric services (Washington, D.C.) Vol. 74; no. 11; pp. appips20220583 - 1203
Main Authors Chwastiak, Lydia A, Cheng, Sunny Chieh, Brenner, Carolyn, Michels, Cameron, Christiansen, Matthew, Monroe-DeVita, Maria
Format Journal Article
LanguageEnglish
Published United States American Psychiatric Publishing, Inc 01.11.2023
Subjects
Intervention
Mental health
Mental health care
Nurses
Psychosis
Care management
Psychiatric nursing
Coordinated speciality care (CSC)
Medical morbidity
Early psychosis
Online AccessGet full text

Cover

More Information
Summary:Coordinated specialty care (CSC) improves mental health and functional outcomes among individuals with first-episode psychosis but lacks a standardized approach to addressing chronic disease risk. The authors used community-based participatory intervention mapping with nine CSC teams to implement a nurse care manager role for the team in order to identify and address chronic disease risk factors. The role was piloted at one CSC site to explore its feasibility and acceptability. The nurse care manager role was highly acceptable to clients, team members, and leadership. More than one-quarter of the nurse's time was spent on nonbillable activities, and lack of a clear plan for financial sustainability was the primary barrier to implementation.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1075-2730
1557-9700
DOI:10.1176/appi.ps.20220583