Publications by authors named "M Savill"

Background: A prolonged first episode of psychosis (FEP) without adequate treatment is a predictor of poor clinical, functional, and health outcomes and significant economic burden. Team-based "coordinated specialty care" (CSC) for early psychosis (EP) has established effectiveness in promoting clinical and functional recovery. However, California's CSC program implementation has been unsystematic and could benefit from standardizing its processes and data collection infrastructure.

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Objective: Expanded funding to support care across the crisis continuum is intended to improve behavioral health outcomes. A greater understanding of how to effectively implement and integrate local crisis care systems has been identified as a research and policy priority. The aim of this study was to explore provider perceptions of the barriers and facilitators associated with implementing effective behavioral health crisis services.

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Article Synopsis
  • A longer duration of untreated psychosis (DUP) leads to worse treatment outcomes, so early detection through screening in primary care is essential but its acceptability is unclear.
  • * A qualitative study involving 12 providers and 8 service users revealed overall support for psychosis screening in integrated behavioral health primary care (IBH-PC) but highlighted concerns about brief appointment times and the low prevalence of psychosis.
  • * Challenges like leadership support, staff training, turnaround, and organizational changes influence the implementation of screening, indicating that while acceptable, careful planning and consideration of barriers is necessary for success.
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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.

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Screening for psychosis spectrum disorders in primary care could improve early identification and reduce the duration of untreated psychosis. However, the accuracy of psychosis screening in this setting is unknown. To address this, we conducted a diagnostic accuracy study of screening for psychosis spectrum disorders in eight behavioral health services integrated into primary care clinics.

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