Implementation of Early Psychosis Intervention Program ... - EENet

55rate is lower for community agency sponsored sites. A further challenge is that clients maynot see the value of visits for physical health monitoring.o Creative approaches for physical health monitoring were suggested – such as home healthvisits by EPI team nurses, nurse medical assessment at every psychiatric visit, accessing PCphysicians in local clinics when no family physician is available to take on the client.o Active efforts are needed to help clients understand need for health monitoring and adopthealthy behaviors.o Using health tracking sheets or shared electronic health information may help establishregular and consistent communication between EPI staff and PC physicians.Chart 9: Physical health monitoring: Implementation* relative to other elementsPublic educationEarly referralWellness plansGraduat ionOutreach andFamily educationPhysical healthFamily supportWorking with IP unitsCrisis managementFamily role in assessmtClient psycho-educationAccess to psy assessmtResponse timesAntipsychotic meds useRelapse preventionstandard elements0 20 40 60 80 100% of sites reporting implementation 'most of the time'* % programs reporting implementation ‘most of the time’ versus ‘some of the time’ or ‘not too often’.Table 17: Physical health monitoring: Implementation by program typeSurvey Question Response All Large Small Hospital CommunitySitesQ89: How often able % sites implementing ‘most 75 87 57 73 76implement this elementof the time’Large: catchment area population > 100,000 population (31 program sites)Small: catchment area population < 100,000 population (21 program sites)Hospital: hospital is parent organization (30 program sites)Community: community agency is parent organization (22 program sites).Approaches to physical health monitoring noted by programs (Table 18):o Across all sites, physical health monitoring was most often conducted by primary carephysicians. Team nurses were also involved, suggesting that physical health monitoring maybe shared between the team staff and family physicians.o However, small sites do not have the same opportunity to arrange for physical healthmonitoring from within the team; only 38% noted use of a team nurse.