Exploring Provider Perspectives on Implementing Coordinated Specialty Care: A Qualitative Study

This study aimed to explore clinician roles and experiences related to the implementation and sustainability of coordinated specialty care (CSC) programs for first episode psychosis. Qualitative interviews were conducted with 20 CSC providers and team members, recruited from five CSC programs. Using...

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Bibliographic Details
Published in:Community mental health journal 2022-10, Vol.58 (7), p.1321-1328
Main Authors: Stokes, Bryony, Fraser, Elizabeth, Kriegel, Liat, Oluwoye, Oladunni
Format: Article
Language:English
Subjects:
Community and Environmental Psychology
Hiring
Implementation
Interviews
Medicine
Medicine & Public Health
Mental health
Original Paper
Psychiatry
Psychosis
Qualitative research
Teams
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Summary:This study aimed to explore clinician roles and experiences related to the implementation and sustainability of coordinated specialty care (CSC) programs for first episode psychosis. Qualitative interviews were conducted with 20 CSC providers and team members, recruited from five CSC programs. Using a semi-structured guide, interviews explored experiences with the delivery of CSC in the context of community-based outpatient mental health agencies and the challenges with implementation. Interviews were audio recorded, transcribed, and analyzed using thematic analysis. Themes were parsed into two overarching categories, provider, and organizational-level factors, and further distilled into subthemes which interacted with one another to form an interacting web of barriers to successful programmatic implementation for CSC programs. Study findings have important implications for development of future policy for financing mental health agencies, the creation of additional materials, supports for the model, and hiring and retention of staff for future implemented CSC programs.
ISSN:0010-3853
1573-2789
DOI:10.1007/s10597-022-00939-5