![]() The investigators expect the multimedia TEC to generate referrals to the Correctional Health Services (CHS), and to reduce DUP-1 (psychosis onset to antipsychotic initiation). To detect FEP and reduce DUP among detainees in a large, urban jail, the investigators propose to implement: a Specialized Early Engagement Support Service (SEESS) in 3 jails on Rikers Island in New York City (NYC): Anna M. provides an opportunity for partnership with the CJ system-one that has the potential to reduce the duration of untreated psychosis (DUP) and thus improve outcomes. Expansion of CSC programs across the U.S. Yet, no documented interventions currently exist specifically to identify/engage such individuals while in jail and connect them to Coordinated Specialty Care (CSC) in the community upon release. Criminal justice (CJ) involvement, including jail detention, is common among those with first-episode psychosis (FEP) and frequently precedes psychiatric treatment engagement. Persons with serious mental illnesses are overrepresented in jails. ![]() Condition or diseaseīehavioral: Specialized Early Engagement Support Service The study team will design and implement the intervention, thoroughly study its feasibility and acceptability, and prepare an intervention manual for broader use in diverse jails and future formal research. This intervention offers a novel and potentially high impact approach for reducing DUP in jail settings: a jail-based Specialized Early Engagement Support Service that receives referrals, engages detainees, and serves as a bridge to community-based CSC. Thus, despite the expansion of Coordinated Specialty Care (CSC) programs that improve outcomes through early, multi-component care, there is a need to establish early detection services in the criminal justice system and create pathways from justice involvement to CSC. Longer DUP (or treatment delay) is linked to poorer outcomes in first-episode psychosis and there is evidence that justice-involved young adults with first-episode psychosis have an alarmingly long DUP. The investigators are studying a jail-based intervention to reduce the duration of untreated psychosis (DUP) among young adults with previously undetected first-episode psychosis who are detained in jail. Why Should I Register and Submit Results?.The services of Beyond Words were paid for by Spectrum Health. Although Beyond Words supplied paid professional editing services, this does not indicate its endorsement of, agreement with or responsibility for the content of the article. Editorial assistance in the preparation of this article was provided by Beyond Words, Inc. We would also like to acknowledge John Byrnes, MD, and the instructors in the “Spectrum Health – Health Care Performance Improvement” course for giving us the tools to make this transformation possible. Acknowledgments: We would like to thank Kim Hamilton and Kristine Solomon, who were instrumental in implementing this referral process. Author disclosure: no relevant financial affiliations disclosed. David Dool is a senior process engineer with Spectrum Health Medical Group. Jarve is a practicing primary care physician and a champion for workflow improvement at Spectrum Health Medical Group in Grand Rapids, Mich.
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