TY - JOUR
AU - K. A. Woodberry
AU - E. Bernier
AU - K. M. Elacqua
AU - D. M. Weiss
AU - S. M. Ouellette
AU - J. Fanburg
AU - D. Q. Hagler
AU - K. A. Herlihy
AU - P. L. Hyman
AU - R. B. Jaynes
AU - S. Yerlig
AU - A. M. Mayhew
A1 - 
AB - OBJECTIVE: This study aimed to assess the feasibility of the screening for early emerging mental experiences model, which is designed to screen for psychosis in settings with integrated primary and mental health care. METHODS: Psychosis screening, triage, and engagement processes (July 2021-June 2022) were implemented in four integrated care practices serving approximately 7,000 patients in the targeted age range (14-26 years). Practice and community stakeholders participated in the project's design and development. Psychosis care specialists provided training and case consultation to general medical providers and behavioral health clinicians (BHCs). The BHCs screened all patients referred for selective screening. One practice aimed to universally screen patients ages 14-26 attending well visits. RESULTS: Training sessions were attended by 100% (N=6) of the BHCs and by 79% (N=27 of 34) of the primary care providers. The BHCs selectively screened and triaged 266 patients (89% of their new patients). Providers conducted universal screening of 606 patients (67% of that site's well visits). The screening samples were >90% White and >55% rural, consistent with the clinics' populations. Rates of positive selective screens were consistent with published rates in similar populations. Of the recorded screening-related activities, 92% (146 of 159) were completed within the billable intake time, and 11% (N=17) of these patients were engaged in a psychosis-relevant discussion. The providers reported that the project was important and positive. CONCLUSIONS: Systematic assessment of psychosis symptoms, followed by triage and engagement, appeared to be feasible and acceptable to patients and providers in integrated care settings.
AD - Center for Clinical and Translational Science, MaineHealth Institute for Research, Portland (Woodberry, Bernier, Elacqua, Weiss); Department of Psychiatry, Tufts University School of Medicine, Boston (Woodberry); Department of Psychology, State University of New York, Binghamton, Binghamton (Elacqua); Behavioral Health Integration, MaineHealth Behavioral Health, Portland (Ouellette); MaineHealth Pediatrics and Young Adult Medicine, South Portland (Fanburg); MaineHealth Mid Coast Hospital, Brunswick (Hagler); MaineHealth Stephens Hospital, Norway, Maine (Herlihy); MaineHealth Primary Care-Family Medicine, MaineHealth Mid Coast Hospital, Brunswick (Hyman); Child Psychiatry, Maine Medical Center, Portland (Jaynes, Yerlig, Mayhew).
AN - 40264339
BT - Psychiatr Serv
C5 - Healthcare Disparities; Measures
CP - 6
DA - Jun 1
DO - 10.1176/appi.ps.20240244
DP - NLM
ET - 20250423
IS - 6
JF - Psychiatr Serv
LA - eng
N2 - OBJECTIVE: This study aimed to assess the feasibility of the screening for early emerging mental experiences model, which is designed to screen for psychosis in settings with integrated primary and mental health care. METHODS: Psychosis screening, triage, and engagement processes (July 2021-June 2022) were implemented in four integrated care practices serving approximately 7,000 patients in the targeted age range (14-26 years). Practice and community stakeholders participated in the project's design and development. Psychosis care specialists provided training and case consultation to general medical providers and behavioral health clinicians (BHCs). The BHCs screened all patients referred for selective screening. One practice aimed to universally screen patients ages 14-26 attending well visits. RESULTS: Training sessions were attended by 100% (N=6) of the BHCs and by 79% (N=27 of 34) of the primary care providers. The BHCs selectively screened and triaged 266 patients (89% of their new patients). Providers conducted universal screening of 606 patients (67% of that site's well visits). The screening samples were >90% White and >55% rural, consistent with the clinics' populations. Rates of positive selective screens were consistent with published rates in similar populations. Of the recorded screening-related activities, 92% (146 of 159) were completed within the billable intake time, and 11% (N=17) of these patients were engaged in a psychosis-relevant discussion. The providers reported that the project was important and positive. CONCLUSIONS: Systematic assessment of psychosis symptoms, followed by triage and engagement, appeared to be feasible and acceptable to patients and providers in integrated care settings.
PY - 2025
SN - 1075-2730
SP - 540
EP - 546+
ST - Screening for Early Emerging Mental Experiences: Feasibility of Psychosis Screening in Integrated Care Settings
T1 - Screening for Early Emerging Mental Experiences: Feasibility of Psychosis Screening in Integrated Care Settings
T2 - Psychiatr Serv
TI - Screening for Early Emerging Mental Experiences: Feasibility of Psychosis Screening in Integrated Care Settings
U1 - Healthcare Disparities; Measures
U3 - 10.1176/appi.ps.20240244
VL - 76
VO - 1075-2730
Y1 - 2025
ER -