New! First-Episode Psychosis and Co-Occurring Substance Use Disorders

$6.00 | CE Hours:2.00 | Intermediate

 

CE Course Description

The transition to adulthood can be especially challenging for young people who experience an emerging serious mental illness such as first-episode psychosis and who have a co-occurring substance use condition, and research shows that implementing evidence-based practices requires a comprehensive, multi-pronged approach.  This CE course reviews the scientific literature, examines emerging and best practices, determines key components of peer-reviewed models, and identifies challenges and gaps in implementation.

Author:  Substance Abuse and Mental Health Services Administration: First-Episode Psychosis and Co-Occurring Substance Use Disorders. Publication No. PEP19-PL-Guide-3 Rockville, MD: National Mental Health and Substance Use Policy Laboratory. Substance Abuse and Mental Health Services Administration, 2019.

References / Contributions by:

Substance Abuse and Mental Health Services Administration. (2013). Results from the 2012 National Survey on Drug Use and Health: summary of national findings. NSDUH Series H-46, HHS Publication No. (SMA) 13-4795. Rockville, MD: Substance Abuse and Mental Health Services Administration.

Kane, J. M., Robinson, D. G., Schooler, N. R., Mueser, K.T., Penn, D.L., Rosenheck, R. A., Heinssen, R. (2016). Comprehensive versus usual community care for first-episode psychosis: 2-year outcomes from the NIMH RAISE early treatment program. American Journal of Psychiatry, 173, 362- 372.

Ford, E. (2015). First-episode psychosis in the criminal justice system: identifying a critical intercept for early intervention. Harvard Review of Psychiatry, 23(3), 167-175.

Retrieved from:  https://store.samhsa.gov/product/First-Episode-Psychosis-and-Co-Occurring-Substance-Use-Disorders/PEP19-PL-Guide-3

CE Course Objectives

1.  Conclude which medication was found to be superior to other antipsychotics in terms of reducing substance use.

2.  Describe the first task to creating a program culture that supports treatment for substance misuse / disorders within first-episode psychosis services.

3.  Differentiate between substance misuse and a substance use disorder.

4.  Identify which substance is associated with cardiometabolic problems among young adults with first-episode psychosis.

5.  Name five symptoms of psychosis.

6.  Provide three features that are usually part of generalized treatment for first-episode psychosis.

CE Outline with Main Points

1.  Evidence-Based Resource Guide Series Overview

2.  First-Episode Psychosis and Co-Occurring Substance Use Disorders

a.  Background

b.  What is First-Episode Psychosis?

c.  Disorders in Which Psychosis May Occur

d.  What are Substance Misuse and Substance Use Disorders?

e.  First-Episode Psychosis and Co-Occurring Substance Misuse or Substance Use Disorders

f.  Coordinated Specialty Care

g.  Integration of Treatment Approaches for Substance Misuse and Substance Use Disorders in the Context of Treatment for First-Episode Psychosis

h.  Coordinated Specialty Care in Rural Settings

i.  Challenges of Addressing Substance Use Disorders in the Context of First-Episode Psychosis

3.  Effectiveness of Treatment for Substance Use Disorders Among Persons with First-Episode Psychosis

a.  Changes in Substance Use in Response to Generalized Treatment for First-Episode Psychosis

b.  Effectiveness of Targeted Interventions on Substance Use Outcomes

c.  Controlled Trials of Targeted Interventions on Functional Outcomes

d.  Using the Evidence to Guide Practice

4.  Evidence-Based Programs for Implementing Integrated Treatment of Substance Use Disorders and First-Episode Psychosis

a.  Choosing Programs

b.  Model #1: The Early Assessment and Support Alliance (EASA)

c.  Model #2: Early Diagnosis and Preventive Treatment (EDAPT)

d.  Model #3: Portland Identification and Early Referral (PIER) Program

5.  Guidance for Implementing Evidence-Based Practices

a.  Implementation Strategies and Tasks

b.  Common Implementation Barriers and Ways to Address Them

6.  Resources for Implementation, Evaluation, and Quality Improvement

a.  Screening and Assessment

b.  Service Delivery Guides

c.  Coordinated Specialty Care Implementation

d.  Informational Resources for Young Adults and Families

 

 

Not approved for Social Workers

 

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Added On: 2020-01-06

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