Implementation of Early Psychosis Intervention Program ... - EENet

57to the lab.o Electronic transmission of information in real time between the client’s partners in care.o Client consent to work with his/her primary care physician on health issues, increasedmedication compliance, and regular attendance at appointments.o Use of a physical health monitoring tracking sheet and process to ensure results go back tothe team (systematic documentation and feedback loop).5. Working with inpatient unitsStandard 3 indicates that in-patient treatment only be provided when absolutely necessary and inage-appropriate locations (where available) that support EPI principles. The EPI team continuesto provide support for clients in the in-patient setting (through in-reach services) and advocateson behalf of the client to ensure she/he receives consistent treatment during the hospital stay.Summary of Results:o Moderate frequency of implementation with 71% of all program sites reporting they are ableto support and advocate for their clients when admitted to inpatient units ‘most of the time’;rates were lower in community agency sponsored sites (52%).o Strategies for working with inpatient units include participation in unit rounds, care planningmeetings and discharge planning.o However, authorizations to visit the client on the inpatient unit are usually required and someunits have low interest in collaborating.o Inpatient psychiatrist views on treatment may differ from EPI program psychiatrists whichcan present challenges to providing consistent treatment.o Collaborations are generally easier to implement when the EPI program and inpatient unit arepart of the same organization.o Some EPI programs face resource limitations for conducting inpatient unit in-reach, forexample related to visit and travel time.Chart 10: Working with inpatient units: Implementation* relative to other elements (Q 94)Public 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’.