Publications by authors named "Belinda R Crissman"

Aim: Clinical practice improvement carried out in a quality assurance framework relies on routinely collected data using clinical indicators. Herein we describe the development, minimum training requirements, and inter-rater agreement of indicators that were used in an Australian multi-site evaluation of the effectiveness of early psychosis (EP) teams.

Methods: Surveys of clinician opinion and face-to-face consensus-building meetings were used to select and conceptually define indicators.

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Article Synopsis
  • The implementation of specialist services for early psychosis intervention (EPI) in Australia is considered inadequate, prompting a national survey of public mental health services to assess their efforts.
  • The survey yielded a 61% response rate from service directors, revealing that very few reported high levels of EPI implementation, with significant differences between regions, particularly affecting rural areas.
  • The findings indicate a need for standardized EPI implementation guidelines nationwide and suggest that tailored strategies are necessary for rural and remote services to improve their EPI efforts.
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The literature that is relevant to evaluation of treatment effectiveness is large, scattered and difficult to assemble for appraisal. This scoping review first develops a conceptual framework to help organize the field, and second, uses the framework to appraise early psychosis intervention (EPI) studies. Literature searches were used to identify representative study designs, which were then sorted according to evaluation approach.

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