First-Episode Psychosis and Co-Occurring Substance Use Disorders

First-Episode Psychosis and Co-Occurring Substance Use Disorders is organized by Quantum Units Education.

Release Date: 01/03/2020
EXpire Date: 01/03/2023.

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.

CE Course Objectives:
• Conclude which medication was found to be superior to other antipsychotics in terms of reducing substance use.
• Describe the first task to creating a program culture that supports treatment for substance misuse / disorders within first-episode psychosis services.
• Differentiate between substance misuse and a substance use disorder.
• Identify which substance is associated with cardiometabolic problems among young adults with first-episode psychosis.
• Name five symptoms of psychosis.
• Provide three features that are usually part of generalized treatment for first-episode psychosis.

CE Outline with Main Points:
• Evidence-Based Resource Guide Series Overview
• First-Episode Psychosis and Co-Occurring Substance Use Disorders
? Background
? What is First-Episode Psychosis?
? Disorders in Which Psychosis May Occur
? What are Substance Misuse and Substance Use Disorders?
? First-Episode Psychosis and Co-Occurring Substance Misuse or Substance Use Disorders
? Coordinated Specialty Care
? Integration of Treatment Approaches for Substance Misuse and Substance Use Disorders in the Context of Treatment for First-Episode Psychosis
? Coordinated Specialty Care in Rural Settings
? Challenges of Addressing Substance Use Disorders in the Context of First-Episode Psychosis

• Effectiveness of Treatment for Substance Use Disorders Among Persons with First-Episode Psychosis
? Changes in Substance Use in Response to Generalized Treatment for First-Episode Psychosis
? Effectiveness of Targeted Interventions on Substance Use Outcomes
? Controlled Trials of Targeted Interventions on Functional Outcomes
? Using the Evidence to Guide Practice

• Evidence-Based Programs for Implementing Integrated Treatment of Substance Use Disorders and First-Episode Psychosis
? Choosing Programs
? Model #1: The Early Assessment and Support Alliance (EASA)
? Model #2: Early Diagnosis and Preventive Treatment (EDAPT)
? Model #3: Portland Identification and Early Referral (PIER) Program

• Guidance for Implementing Evidence-Based Practices
? Implementation Strategies and Tasks
? Common Implementation Barriers and Ways to Address Them

• Resources for Implementation, Evaluation, and Quality Improvement
? Screening and Assessment
? Service Delivery Guides
? Coordinated Specialty Care Implementation
? Informational Resources for Young Adults and Families