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EPINET-TX Research

Publications

  • McCormick, K. A., Sevillano, L., Klodnick, V. V., Lopez, M. A., & Cohen, D. A. (2022). Virtual Technology’s Critical Role in Sustaining Coordinated Specialty Care in Texas During the COVID-19 Pandemic. Psychiatric Services. DOI: https://doi.org/10.1176/appi.ps.202100429
    • This report examined challenges and adaptations to sustaining multidisciplinary team-based coordinated specialty care (CSC) for early-onset psychosis during the COVID-19 pandemic in Texas.
  • Cohen, D. A., Klodnick, V. V., Reznik, S. J., & Lopez, M. A. (2023). Expanding Early Psychosis Care across a Large and Diverse State: Implementation Lessons Learned from Administrative Data and Clinical Team Leads in Texas. Administration and Policy in Mental Health and Mental Health Services Research. https://doi.org/10.1007/s10488-023-01285-8
    • This paper describes CSC implementation in Texas State between 2015-2020. Implementation challenges were explored through qualitative interviews with Team Leads.
  • Myers, N., Hutnyan, M., Daley, T., Bello, I., Chacon, M., Currie, A., Davis, B., Dixon, L., George, P., Giannicchi, A., Kwashie, A., McCormick, K., Meyer-Kalos, P., Nagendra, A., Nayar, S., Sarpal, D., Sepahpour, T., Shapiro, D., & Taylor-Zoghby, J. (2023). Pathways through early psychosis care for ethnically and racially minoritized youth in the U.S.: A systematic literature review. Psychiatric Services. https://doi.org/10.1176/appi.ps.20220121
    • This literature review paper was a cross-hub collaboration among EPINET national sites and summarizes literature on pathways through care for ethnically and racially minoritized youth.

Presentations

  • Collazo, A.* Guthrie, D.*, Reznik, S.J. (Oct 2022). Implementing Coordinated Specialty Care (CSC) in Rural Texas: Considerations and Future Directions. Presentation for the Mental Health Technology Transfer Center (MHTTC) First Episode Psychosis (FEP) National Workgroup.
    • EPINET-TX hub staff and CSC Team Leads in rural areas co-created presentation on implementation of CSC programs in rural Texas. Team Leads Ana Collazo, LPC, and Dominique Guthrie, BA, QMHP-CS discussed specific considerations of CSC in their rural communities, including cultural considerations, telehealth, travel, and resources.
  • Lopez, M., Reznik, S.J., Macakanja, A.*, Flory, M.* (May 2022). Using evidence-based tools to improve clinical care of early psychosis. Webinar hosted by the MHTTC Network, in collaboration with NIMH, EPINET, PEPPNET, and SAMHSA.
    • Team Leads, April Macakanja, MS, LPC-S, and Maryam Flory, MA, LPC, LPHA, partnered with EPINET-TX hub staff to discuss implementation of standardized outcome measures for quality improvement. The recording is available on the MHTTC website.
  • Lopez, M. A. & Reznik, S. (April 2023). Promoting Suicide Prevention through Learning Health Systems in Early Psychosis Care. Presented at the 2023 American Academy of Suicidology Conference, Portland, OR.
    • This paper presentation summarizes early findings on suicide risk in early psychosis programs and opportunities to use data to inform quality improvement.
  • Myers, N., Klodnick, V., Cohen, D., Lucksted, A., Bennett, M., Ventling, S.K. (July 2023). The Shifting Landscape of Cannabis Use and Early Psychosis: Challenges and Approaches for Youth Involved with Coordinated Specialty Care Teams. Symposia submitted to International Conference on Early Intervention in Mental Health.
    • This symposia offered perspectives on cannabis use from mixed methods research and lived experience in settings where cannabis use is illegal and legal in for youth participating in CSC.
  • Scherer, R.*, Reznik, S., Cohen, D. A., & Lopez, M. A. (June 2023). A Culture of Innovation: Moving Beyond Measuring to Learning. Presented at the Texas Council Conference, Houston, TX. Download the slides.
    • This panel presentation highlighted the experiences of creating a learning health system within EPINET-TX and the opportunities to use those lessons within the state’s community mental health system.
  • Tarvin, H., Myers, N., & SMU Mental Health Equity Lab Team (April 2023). “It could be bad, it could be good” Substance Use Ambiguities During Early Psychosis. Poster presented at the Joint Conference for the Society for Psychological Anthropology & Society for the Study of Psychiatry and Culture, San Diego, CA. Download the poster.
    • This poster presented selected results from qualitative interviews of young people participating in early psychosis programs, highlighting individual reasons for using and/or stopping use of substances.

* Reflects community partners in EPINET-TX.

Planned Studies

  • Substance Use Treatment in CSC. This study will use a chart review approach to examine whether standard CSC-model interventions are successful at engaging participants in behavior change and the extent to which diverse participants (e.g., African American, Latinx) directly identify reduced substance use as a goal. 
  • Understanding the Perspectives of CSC Participants and Peers. Qualitative studies will examining the perceptions of CSC participants and CSC peer specialists on the feasibility and acceptability of peer-led interventions for supporting substance use recovery.
  • Peer Approaches to Substances in Early Psychosis Programs. After partnering with peer specialists and individuals receiving CSC services to develop the intervention, Peer Approaches to Substances in Early Psychosis Programs (PAS-EPP), a pilot study will be conducted to examine the feasibility of deployment, study recruitment, retention, and other study procedures.