Screening for Early Emerging Mental Experiences: Feasibility of Psychosis Screening in Integrated Care Settings.
Document Type
Article
Publication Date
6-1-2025
Institution/Department
Psychiatry; Cetner for Clinical and Translational Science; MaineHealth Mid Coast Hospital; MaineHealth Stephens Hospital
Journal Title
Psychiatric services (Washington, D.C.)
MeSH Headings
Humans, Psychotic Disorders, Adult, Feasibility Studies, Young Adult, Delivery of Health Care, Integrated, Adolescent, Male, Female, Primary Health Care, Mass Screening, Mental Health Services
Abstract
OBJECTIVE: This study aimed to assess the feasibility of the screening for early emerging mental experiences model, which is designed to screen for psychosis in settings with integrated primary and mental health care.
METHODS: Psychosis screening, triage, and engagement processes (July 2021-June 2022) were implemented in four integrated care practices serving approximately 7,000 patients in the targeted age range (14-26 years). Practice and community stakeholders participated in the project's design and development. Psychosis care specialists provided training and case consultation to general medical providers and behavioral health clinicians (BHCs). The BHCs screened all patients referred for selective screening. One practice aimed to universally screen patients ages 14-26 attending well visits.
RESULTS: Training sessions were attended by 100% (N=6) of the BHCs and by 79% (N=27 of 34) of the primary care providers. The BHCs selectively screened and triaged 266 patients (89% of their new patients). Providers conducted universal screening of 606 patients (67% of that site's well visits). The screening samples were >90% White and >55% rural, consistent with the clinics' populations. Rates of positive selective screens were consistent with published rates in similar populations. Of the recorded screening-related activities, 92% (146 of 159) were completed within the billable intake time, and 11% (N=17) of these patients were engaged in a psychosis-relevant discussion. The providers reported that the project was important and positive.
CONCLUSIONS: Systematic assessment of psychosis symptoms, followed by triage and engagement, appeared to be feasible and acceptable to patients and providers in integrated care settings.
ISSN
1557-9700
First Page
540
Last Page
546
Recommended Citation
Woodberry, Kristen A; Bernier, Elizabeth; Elacqua, Katherine M; Weiss, David M; Ouellette, Stacey M; Fanburg, Jonathan; Hagler, Deborah Q; Herlihy, Kathleen A; Hyman, Paul L; Jaynes, Rebecca B; Yerlig, Saras; and Mayhew, Amy M, "Screening for Early Emerging Mental Experiences: Feasibility of Psychosis Screening in Integrated Care Settings." (2025). MaineHealth Maine Medical Center. 4310.
https://knowledgeconnection.mainehealth.org/mmc/4310
