Dataset Information

Personnel time required for supported employment and education services for individuals in a recent-onset psychosis treatment program.

ABSTRACT:

Aim

Individual Placement and Support (IPS) improves vocational outcomes in first-episode psychosis patients, but policy makers need information on costs (and personnel time required) to conduct effective IPS.

Methods

Using chart records of 42 clients in a first-episode psychosis study, we examined service time for specific activities over 18 months.

Results

The IPS specialist averaged 92 (SD = 62) minutes per client per week: 39% of time was spent in direct client contact, 9% in meetings without the client, 14% in meetings with the treatment team, 14% in supervision and 24% on travel time. Time required was significantly higher when participants were seeking work/school placements, decreased over duration of enrolment and was similar for those using work vs school support.

Conclusions

IPS service time covers numerous activities, is reduced when not seeking work/school placements and required less time over enrolment duration. Financing structures should support the full range of IPS services.

SUBMITTER: Humensky JL

PROVIDER: S-EPMC7606755 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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Publications

Personnel time required for supported employment and education services for individuals in a recent-onset psychosis treatment program.

Humensky Jennifer L JL Turner Luana R LR Dixon Lisa B LB Drake Robert E RE Becker Deborah R DR Subotnik Kenneth L KL Ventura Joseph J Nuechterlein Keith H KH

Early intervention in psychiatry 20200429 2

<h4>Aim</h4>Individual Placement and Support (IPS) improves vocational outcomes in first-episode psychosis patients, but policy makers need information on costs (and personnel time required) to conduct effective IPS.<h4>Methods</h4>Using chart records of 42 clients in a first-episode psychosis study, we examined service time for specific activities over 18 months.<h4>Results</h4>The IPS specialist averaged 92 (SD = 62) minutes per client per week: 39% of time was spent in direct client contact, ...[more]

PMID: 32351048

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Project description:BackgroundWe previously demonstrated that the high heterogeneity of response to computerized Auditory Training (AT) in psychosis can be ascribed to individual differences in sensory processing efficiency and neural plasticity. In particular, we showed that Auditory Processing Speed (APS) serves as a behavioral measure of target engagement, with faster speed predicting greater transfer effects to untrained cognitive domains. Here, we investigate whether the ability of APS to function as a proxy for target engagement is unique to AT, or if it applies to other training interventions, such as Executive Functioning Training (EFT). Additionally, we examine whether changes in APS are durable after these two forms of training.MethodsOne hundred and twenty-five participants with Recent Onset Psychosis (ROP) were randomized to AT (n = 66) and EFT (n = 59), respectively. APS was captured at baseline, after treatment, and at 6-month follow-up. Mixed models repeated measures analysis with restricted maximum likelihood was used to examine whether training condition differentiated APS trajectories. Within-group correlational analyses were used to study the relationship between APS and performance improvements in each of the training exercises.ResultsThe two groups were matched for age, gender, education, and baseline APS. Participants showed high inter-individual variability in APS at each time point. The mixed model showed a significant effect of time (F = 5.99, p = .003) but not a significant group-by-time effect (F = .73, p = .48). This was driven by significant APS improvements AT patients after treatment (d = .75) that were maintained after 6 months (d = .63). Conversely, in EFT patients, APS improvements did not reach statistical significance after treatment (p = .33) or after 6 months (p = .24). In AT patients, baseline APS (but not APS change) highly predicted peak performance for each training exercise (all r's >.42).ConclusionsParticipant-specific speed in processing basic auditory stimuli greatly varies in ROP, and strongly influences the magnitude of response to auditory but not executive functioning training. Importantly, enhanced auditory processing efficiency persists 6 months after AT, suggesting the durability of neuroplasticity processes induced by this form of training. Future studies should aim to identify markers of target engagement and durability for cognitive training interventions that target sensory modalities beyond the auditory domain.

Dataset Information

Personnel time required for supported employment and education services for individuals in a recent-onset psychosis treatment program.

Aim

Methods

Results

Conclusions

Publications

Personnel time required for supported employment and education services for individuals in a recent-onset psychosis treatment program.

Similar Datasets

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