PREP West Clinical Data Measurement: Findings from the current MAPNET Assessment Battery data collection process
John Knutsen, PhD (1,2), Cassidy Lewis, BA (2), Betty DeAngelis, LICSW (2), Melissa Weise, LICSW, PhD (2, 3)
1. Department of Psychology, Harvard University, Cambridge, MA
2. ServiceNet Inc., Northampton, MA
3. School of Social Work, Smith College
Abstract
Background: The Prevention and Recovery in Early Psychosis West (PREP-W) program is a Department of Mental Health (DMH)-licensed, and McLean Hospital’s Laboratory for Early Psychosis (LEAP) Center affiliate, coordinated specialty care (CSC) program for individuals living with early psychosis. Located in Holyoke, MA, PREP-W provides intensive, comprehensive, evidence-based outpatient milieu treatment for young adults to stabilize their lives, recover, and resume developmentally appropriate social and role functioning in their communities. PREP-W also practices clinical measurement-based care by collecting and sharing standardized data as a Massachusetts Psychosis Network for Early Treatment (MAPNET) partner using baseline and routine six-month follow-up assessments with clients until discharge. Here we provide updates on collecting client assessment data at PREP-W over the past 12 months, highlighting successes and challenges of collecting these data in a large underserved rural community setting.
Methods: Descriptive analyses were used to explore data from electronic health records for all PREP-W clients who received services in the past year. As we are at the 11-month mark for assessment collection, we specifically examined client demographics and who received the MAPNET assessment battery at baseline, and 6-months.
Results: Of the 54 active clients between 09/01/2021 and 09/01/2022, no clients have received the 12-mo follow-up assessment. Ten (19%) received a baseline and 6-mo, 10 (19%) clients received the baseline only, and 34 (62%) have not been given the baseline or 6-mo.
Conclusion: PREP-W has successfully continued to perform clinical measurement-based care, using an in-depth quantitative assessment battery to help measure client progress. However, the program was recently further challenged with assessment collection as a rural CSC clinic due to collection protocol changes, limited resources, and reduced clinician time to support data collection efforts. Increased resource efforts, development with local and regional academic partners, and staff support will help improve collection outcomes and subsequent care.