Improvements in Adaptive Functioning Over the First Year of the PARC Coordinated Specialty Care Program

Poster B118, Friday, October 21, 11:30 am - 1:00 pm, Le Baron

Nicole Mehdiyoun1,2, Ashley Overley1,2, Michael Francis1,2, Emily Liffick1,2, Kristen Ratliff2, Spencer Lourens1, Kelsey Benson1,2, Alan Breier1,2; 1Indiana University, 2Eskenazi Health Midtown Prevention and Recovery Center for Early Psychosis

Introducing clinical services at the earliest stages of a psychotic disorder has been shown to positively impact outcomes. The Prevention and Recovery Center for Early Psychosis Coordinated Specialty Care (PARC CSC) Program was established in 2014 upon receipt of a SAMHSA Block Grant to expand initiatives for early psychosis treatment. This study’s aim is to report changes in adaptive functioning for patients enrolled in PARC CSC Program. Ninety-nine patients with early phase psychosis were enrolled (68% AA, 74% male, mean age of 21.8 years, 62% unemployed/not enrolled in school). Level of illness was assessed using the Clinical Global Impression Scale–Severity (CGI-S) at baseline and monthly intervals and various domains of functioning were assessed at baseline and quarterly intervals utilizing the Mental Illness Research, Education, and Clinical Center Global Assessment of Function (MIRECC GAF) subscales. All analyses were conducted as change from baseline. A linear model for repeated measures with time as a categorical covariate was used for all continuous variables. Post hoc change from baseline was determined for each assessment point. Global improvement was seen over time, based on CGI-S scale scores (F= 12.57, p<0.0001), and furthermore statistically significant improvement as measured by CGI-S was noted at month 1 (t = -2.36, p = 0.0121). Patients also showed improvement in all MIRECC GAF subscales: Symptom (F=32.76, p<0.0001), Occupational (F=10.91, p<0.0001), and Social (F=11.38, p<0.0001). Clients enrolled in the first year of the PARC CSC Program demonstrated improvement in adaptive function, symptoms, employment or school enrollment status, and social function.

Topic Area: Psychosocial Interventions

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