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Coordinated Specialty Care (CSC) for Early Psychosis:

Financing and Fidelity

Virtual
On Demand
1.5 CE Hour On Demand
Clinical
Free

Presented By

Recorded On

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Location

  • On Demand
    Sessions will be available On-Demand
Description

In this workshop, the panelists will discuss recent changes in policy and financing strategies as well as future directions for Coordinated Specialty Care (CSC) for First Episode Psychosis (FEP). We will also review the evidence base for CSC and discuss how it is being implemented. This workshop will cover fidelity and the impact assessed in different contexts.

Target Audience
  • • Social Worker
  • • Psychologist
  • • Marriage & Family Therapist
  • • Counselor
  • • Substance Use Disorder Professionals
Educational Goal

The educational goal of this workshop is to increase knowledge about CSC financing and fidelity.

Learning Objectives

At the end of this course, participants will be able to:

  • Identify at least one barrier to appropriately funding the evidence-based practice of Coordinated Specialty Care (CSC).

  • Describe the difference between the team-based HCPCS billing code and typical fee-for-service billing approaches.

  • Name at least one barrier to fidelity in CSC implementation.

  • Identify at least one way in which psychologists can contribute professionally and/or as advocates for CSC and the people it serves.

References

  • Bao, Y., Papp, M. A., Lee, R., Shern, D., & Dixon, L. B. (2021). Financing Early Psychosis Intervention Programs: Provider Organization Perspectives. Psychiatric services (Washington, D.C.), 72(10), 1134–1138. https://doi.org/10.1176/appi.ps.202000710

  • Correll, C. U., Galling, B., Pawar, A., Krivko, A., Bonetto, C., Ruggeri, M., Craig, T. J., Nordentoft, M., Srihari, V. H., Guloksuz, S., Hui, C. L. M., Chen, E. Y. H., Valencia, M., Juarez, F., Robinson, D. G., Schooler, N. R., Brunette, M. F., Mueser, K. T., Rosenheck, R. A., Marcy, P., … Kane, J. M. (2018). Comparison of Early Intervention Services vs Treatment as Usual for Early-Phase Psychosis: A Systematic Review, Meta-analysis, and Meta-regression. JAMA psychiatry, 75(6), 555–565. https://doi.org/10.1001/jamapsychiatry.2018.0623

  • Heinssen, R. K., & Azrin, S. T. (2022). A National Learning Health Experiment in Early Psychosis Research and Care. Psychiatric services (Washington, D.C.), 73(9), 962–964. https://doi.org/10.1176/appi.ps.20220153

  • Hirschtritt, M. E., Staglin, B., Buttlaire, S., Ahearn, K., Oglesby, S., Dixon, L. B., Shern, D., Ewing, T., & Niendam, T. A. (2024). Reimbursement for a Broader Array of Services in Coordinated Specialty Care for Early Psychosis. Psychiatric services (Washington, D.C.), appips20230551. Advance online publication. https://doi.org/10.1176/appi.ps.20230551

  • Smith, T. E., Kurk, M., Sawhney, R., Bao, Y., Nossel, I., Cohen, D. E., & Dixon, L. B. (2019). Estimated Staff Time Effort, Costs, and Medicaid Revenues for Coordinated Specialty Care Clinics Serving Clients With First-Episode Psychosis. Psychiatric services (Washington, D.C.), 70(5), 425–427. https://doi.org/10.1176/appi.ps.201900039

  • Substance Abuse and Mental Health Services Administration (2023). Coordinated Specialty Care for First Episode Psychosis: Costs and Financing Strategies. HHS Publication No. PEP23-01-00-003. https://store.samhsa.gov/sites/default/files/pep23-01-00-003.pdf

Introductory
Clinical
Social Worker

Trusted Provider Network, LLC is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0654.

TPN.health is approved by the California Association of Marriage and Family Therapists (Provider #1000101) to sponsor continuing education for LCSWs. TPN.health maintains responsibility for this program/course and its content. Course meets the qualifications for 1.5 hours of continuing education credit for LCSWs as required by the California Board of Behavioral Sciences.

TPN.health, #1766, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. TPN.health maintains responsibility for this course. ACE provider approval period: 03/31/2022 – 03/31/2025. Social workers completing this course receive 1.5 General continuing education credits.

Psychologist

Trusted Provider Network is approved by the American Psychological Association to sponsor continuing education for psychologists. Trusted Provider Network maintains responsibility for this program and its content.

Marriage & Family Therapist

Trusted Provider Network, LLC is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0097.

TPN.health is approved by the California Association of Marriage and Family Therapists (Provider #1000101) to sponsor continuing education for LCSWs. TPN.health maintains responsibility for this program/course and its content. Course meets the qualifications for 1.5 hours of continuing education credit for LCSWs as required by the California Board of Behavioral Sciences.

Counselor

Trusted Provider Network, LLC is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0220.

TPN.health is approved by the California Association of Marriage and Family Therapists (Provider #1000101) to sponsor continuing education for LPCCs. TPN.health maintains responsibility for this program/course and its content. Course meets the qualifications for 1.5 hours of continuing education credit for LPCCs as required by the California Board of Behavioral Sciences.

TPN.health has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7267. Programs that do not qualify for NBCC credit are clearly identified. TPN.health is solely responsible for all aspects of the programs.

Substance Use Disorder Professionals

This course has been approved by TPN.health, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #198061, TPN.health is responsible for all aspects of the programming.This course has been approved by TPN.health, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #198061, TPN.health is responsible for all aspects of the programing. Counselor Skill Group: Legal, Ethical and Professional Development

CE Policy
This course is fiscally sponsored by APA Division 18: Psychologists in Public Service. There may be potential biases or conflicts of interest inherent to this relationship, and it must be disclosed to participants. These conflicts of interest have no bearing on the course content and have been resolved.
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Note: Time designated for waiting room cannot be counted toward CE credit.
Marc Fagan, Psy.D.

Marc Fagan, Psy.D is the Plan President for YouthCare, a line of business under Centene. YouthCare provides all Medicaid Health Insurance to Youth in Illinois Foster Care and youth who were formerly in Foster Care. Dr. Fagan has his roots in overseeing comprehensive programs for young adults with serious mental health needs and histories of complex trauma, including Illinois’ first and largest Coordinated Specialty Care programs for First Episode Psychosis. These programs have been described in numerous scholarly journals, books, and research studies. Dr. Fagan also facilitates interactive workshops nationally regarding evidence-informed practices for Transition-Age Youth and supports numerous workgroups and research dedicated to improving youth outcomes.

Robert K. Heinssen, PhD, ABPP

Robert K. Heinssen, Ph.D., ABPP is Senior Advisor for learning health care research at the National Institute of Mental Health (NIMH) and past Director of the NIMH Division of Services and Intervention Research. He is recognized internationally as a leader in science-to-practice initiatives in serious mental illness, including translational research in psychosis risk states, comparative effectiveness and implementation trials in first episode psychosis, and suicide prevention in military and civilian settings. His clinical and policy research contributions have facilitated rapid and substantial growth of science-based early intervention services across the United States. He is the principal architect of the nation’s first learning health care system for persons with serious mental illness, the Early Psychosis Intervention Network (EPINET). Dr. Heinssen has received several prestigious awards, including recognition from the International Early Psychosis Association; the National Alliance on Mental Illness (NAMI); the International Society for CNS Clinical Trials and Methodology; and the U.S. Department of Health and Human Services. He is a graduate of the Catholic University of America and completed internship and residency training at McLean Hospital/Harvard Medical School and Chestnut Lodge Hospital, respectively. Dr. Heinssen is a board-certified clinical psychologist, a Fellow of the American Academy of Clinical Psychology, and a veteran of the U.S. Army Medical Services Corps.

Maria Monroe-DeVita, PhD

Maria Monroe-DeVita, PhD is an Associate Professor in the Department of Psychiatry and Behavioral
Sciences at the University of Washington School of Medicine and a clinical psychologist by training. She has over 20 years of experience training and conducting mental health services and implementation research on evidence-based practices for people who experience psychosis and other serious mental illnesses, including team-based care models like assertive community treatment (ACT) and coordinated specialty care for first episode psychosis.

Dr. Monroe-DeVita leads the training and implementation of 17 New Journeys CSC programs in Washington State. She is also developing a Family Bridger model, focused on providing support, skills, and resources to families of individuals with early psychosis during hospitalization and transition to the community.

Douglas R. Robbins, MD
Douglas R. Robbins, MD has been involved clinically and with research in the work in Maine on screening and treatment of the Clinical High-Risk for Psychosis state and First-Episode Psychosis, in various roles since 1996. He worked to obtain SAMHSA funding for Maine’s First-Episode Psychosis program in 2014. He was the Medical Director for the program from then through 2018, which gave him a good appreciation of the clinical heterogeneity and differing clinical needs of these populations. Dr. Robbins has worked with legislators to develop legislation to create Medicaid and commercial insurance funding for this and other early intervention work. Dr. Robbins is a Child and Adolescent Psychiatrist with interests in the risk of offspring of those with schizophrenia, bipolar disorder, and major depressive disorder and in childhood and adolescent early presentations of illness.
David Shern, PhD

David Shern, PhD has over 40 years of experience working in public behavioral health systems in Colorado, New York and Florida. He conducted mental health services research for most of his career focusing principally on the organization and financing of services for persons with severe mental illnesses. In 2006 he left his position as Professor and Dean at the Florida Mental Health Institute to become President/CEO of Mental Health America helping to pass the Mental Health Parity and Addictions Equity Act and the Affordable Care Act. He joined NASMHPD in 2012 where he has focused exclusively on prevention and early intervention programming. With colleagues he has developed a portfolio of TA products focused on all aspects of Coordinated Specialty Care (CSC) including materials for clinicians, policy makers, families, primary consumers and related fields such as criminal justice and education. He has represented NASMHPD on the PEPPNET TTA workgroup that convenes all the major national purveyors of CSC. For the last 3 years he has chaired the PEPPNET financing workgroup which has focused on developing sustainable, insurance-based coverage for CSC services. Most recently, Dr. Shern prepared an application to the Centers for Medicare and Medicaid services seeking a billing code for CSC services. He currently co-chairs the Dissemination function of the NIMH sponsored Early Psychosis Intervention Network.

Charlie A. Davidson, PhD (Moderator)

Charlie A. Davidson, PhD is a licensed clinical psychologist in Atlanta. He currently runs a private practice focusing on SMI and psychosis and also works at a nonprofit medical clinic for uninsured and unhoused
people in the city. He is also an adjunct professor at Emory University. Charlie is involved in advocacy for
people with SMI and psychosis, for their families and supporters, and for SMI psychology.

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