Hospitalization Rates for Individuals Participating in an Early Psychosis Coordinated Specialty Care Program in Western Massachusetts
Ashley Papineau, LICSW, M.Ed. (1), Alex O'Pray, LCSW (1), Jordyn Vandergrift, MSW (4), John Knutsen, PhD (1,2)
1. ServiceNet Inc., Northampton, MA
2. Department of Psychology, Harvard University, Cambridge, MA
Background: As a Department of Mental Health (DMH)-licensed coordinated specialty care (CSC) program for individuals experiencing early psychosis, Prevention and Recovery in Early Psychosis-West (PREP) is a partner of the Massachusetts Psychosis Network for Early Treatment (MAPNET). PREP helps individuals recover, rebalance, and regain individually appropriate social, educational, and occupational functioning in their lives by providing inclusive, integrated, evidence-based outpatient individual and group treatment. PREP uses data-informed care and supports statewide early psychosis collaboration with MAPNET through clinical measurement-based care by collecting and sharing a standardized assessment battery at baseline and six-month follow-ups across treatment. This abstract proposes to present findings from the past twenty months of PREP client assessment data collection efforts, underscoring both accomplishments and setbacks in a large outpatient program that supports disadvantaged and vulnerable populations in Western MA.
Methods: Descriptive analyses will examine electronic health record data for all PREP clients who received services from 01.01.2025, through 09.31.2026. At the 20-month point in assessment collection, we will examine client demographics and completion of the MAPNET assessment battery at baseline and semiannual follow-ups.
Results: Currently, 92 clients have been enrolled and 46 have been discharged at PREP between 01/01/2025 and 08/31/2026. MAPNET assessment completion findings will be presented across four timepoints: baseline (n and %); 6-months (n and %); 12-months (n and %); and 18-months (n and %). We will also report the number and percentage of active clients who have not completed the MAPNET battery at any point in time.
Conclusion: PREP continues to deliver clinical measurement-based care using a comprehensive assessment tool to monitor client progress. Data collection, however, continues to be constrained by limited resources, reduced clinician time, and staffing challenges. Greater resource allocation, continued collaboration with established and new academic partners, and increased staff support could strengthen data collection and improve ensuing care.