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Reducing Delay From Referral to Admission at a U.S. First-Episode Psychosis Service: A Quality Improvement Initiative. | LitMetric

Reducing Delay From Referral to Admission at a U.S. First-Episode Psychosis Service: A Quality Improvement Initiative.

Psychiatr Serv

Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (Ferrara, Gallagher, Yoviene Sykes, Markovich, Pollard, Imetovski, Cahill, Guloksuz, Srihari); Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy (Ferrara); Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, Connecticut (Li); Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, the Netherlands (Guloksuz).

Published: December 2022

AI Article Synopsis

  • Duration of untreated psychosis (DUP) refers to the time from the onset of psychosis until a person receives care, and longer DUP is linked to worse outcomes.
  • A quality improvement intervention aimed to reduce the wait time between confirming eligibility for care and actual admission to 7 days, resulting in a significant drop in median delay from 13.5 days to just 3 days.
  • Over 4 years, the percentage of admissions meeting the 7-day benchmark rose from 33% to 71%, demonstrating a successful and sustainable model for improving access to coordinated specialty care services.

Article Abstract

Duration of untreated psychosis (DUP), the period between psychosis onset and entry into care, is a time of great vulnerability. Longer DUP predicts poorer outcomes, and delayed treatment access can limit the effectiveness of coordinated specialty care (CSC) services. This column details one component of a broader early detection campaign, a quality improvement intervention focusing on reducing the delay between confirmation of eligibility and admission to care within a benchmark period of 7 days. Median delay significantly fell (from 13.5 to 3 days), and the proportion of admissions that met the benchmark increased (from 33% to 71%) over 4 years. This intervention provides a sustainable model to reduce wait times at CSC services.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9715806PMC
http://dx.doi.org/10.1176/appi.ps.202100374DOI Listing

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