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Saperstein AM, Medalia A, Bello I, et al. Addressing cognitive health in coordinated specialty care for early psychosis: Real-world perspectives. Early Interv Psychiatry. 2020;15(2):374-379doi: 10.1111/eip.12966.
Saperstein, A. M., Medalia, A., Bello, I., & Dixon, L. B. (2021). Addressing cognitive health in coordinated specialty care for early psychosis: Real-world perspectives. Early intervention in psychiatry, 15(2), 374-379. https://doi.org/10.1111/eip.12966
Saperstein, Alice M, et al. "Addressing cognitive health in coordinated specialty care for early psychosis: Real-world perspectives." Early intervention in psychiatry vol. 15,2 (2021): 374-379. doi: https://doi.org/10.1111/eip.12966
Saperstein AM, Medalia A, Bello I, Dixon LB. Addressing cognitive health in coordinated specialty care for early psychosis: Real-world perspectives. Early Interv Psychiatry. 2021 Apr;15(2):374-379. doi: 10.1111/eip.12966. Epub 2020 Apr 20. PMID: 32307919; PMCID: PMC8237375.
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Early Interv Psychiatry. 2021 Apr;15(2):374-379. doi: 10.1111/eip.12966. Epub 2020 Apr 20.

Addressing cognitive health in coordinated specialty care for early psychosis: Real-world perspectives.

Early intervention in psychiatry

Alice M Saperstein, Alice Medalia, Iruma Bello, Lisa B Dixon

Affiliations

  1. Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York City, New York, USA.
  2. Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York City, New York, USA.

PMID: 32307919 PMCID: PMC8237375 DOI: 10.1111/eip.12966

Abstract

AIM: Addressing cognitive health during the early phase of psychosis has the potential to enhance recovery outcomes, yet methods to assess and treat cognitive problems are not a systematic part of Coordinated Specialty Care (CSC) in the United States. We sought to understand how CSC providers perceive cognitive health and gauge the acceptability and appropriateness of cognitive interventions to inform the development and implementation of a cognitive health toolkit for OnTrackNY, a CSC program.

METHODS: Electronic surveys were sent to clinicians from 22 OnTrackNY teams. One unstructured and 10 structured questions assessed knowledge and beliefs about cognition, current cognitive health practices, the likelihood of adopting new practices, perceived facilitators, and barriers to assessing and treating cognitive health.

RESULTS: Fifty-three clinicians responded. Clinicians identified a range of terms associated with cognitive impairment with specific neurocognitive deficits cited most frequently. The majority perceived the evidence for cognitive impairment at the time of first episode to be moderate to strong, that specific interventions for cognition are warranted, and that there is a significant link between cognition and community functioning. While current practices vary, 88% indicated a high likelihood of integrating tools to address cognitive problems if provided. Compensatory approaches to aid cognitive functioning were viewed most favourably.

CONCLUSIONS: Results suggest that addressing cognitive health is acceptable and appropriate for OnTrackNY but there is a need for systematic training to integrate empirically supported interventions with existing recovery-oriented practices. Piloting a cognitive health toolkit will inform the potential uptake of assessment and treatment practices more broadly.

© 2020 John Wiley & Sons Australia, Ltd.

Keywords: cognitive health; coordinated specialty care; early psychosis

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