Prevention and Recovery in Early Psychosis West (PREP-W): Early-Stage Outcomes from the Psycho-Social Well-being Scale (PSWS)
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: Prevention and Recovery in Early Psychosis West (PREP-W), located in Holyoke MA, is a rural community-based coordinated specialty care (CSC) clinic for young adults living with early psychosis. PREP-W’s comprehensive and recovery-oriented program includes routine standardized multidisciplinary global assessment of clients using the Psycho-Social Well-being Scale (PSWS). The PSWS is a reliable and valid multidimensional tool to help monitor and evaluate client wellbeing and inform the treatment process (O’Hare et al., 2002). The clinician rated five-point 12-item scale, conducted at client intake and routinely thereafter, includes the following domains: cognitive functioning, emotional functioning, impulse control, substance abuse, coping skills, health, recreational activities, living environment, immediate and extended social networks, activities of daily living, and work satisfaction. We propose to present findings on the first 12 months of PSWS assessment for all current PREP-W clients who have participated in the program for at least one year.
Methods: Descriptive analyses will be used to explore demographic data and statistical analyses will be used to examine PSWS data, focusing on outcomes across three timepoints: T1 intake (baseline), T2 (first assessment after intake, ~6-mo), and T3 (second assessment after intake, ~12-mo).
Results: Approximately 50 active clients between 09/01/2021 and 09/01/2022 have the PSWS at three timepoints. Multiple analyses will be conducted to help answer the following questions: Are the T1 global scores on the PSWS at the group and individual level different from T2 and T3? Are the T1 individual domain scores on the PSWS at the group and individual level different from T2 and T3?
Conclusion: Findings will inform clinicians and clients about client psychological and social wellbeing at intake and after approximately 6- and 12-months of treatment, and further support the treatment process and program evaluation at PREP-W.