Serving Early Psychosis Populations: Evidence-Based Practices and Systems Welcome and Introductions


So good morning everybody. We’re going to go ahead and get started. We already took a little bit longer to start because we were having so much fun talking to one another. I’m Cam Carter, I’m the director of the behavioral health center for excellence. This is the UC Davis chapter of the two Center behavioral health centers for excellence that was established by the legislature in 2014. This particular event fits in with one of the key goals of the behavioral health centers. So our goals are basically to take the innovative and research expertise that exists at these two UCs, UC Davis and UCLA, and put them to work such that we can– using those specialized skills that you have in a world-class research university– actually not just develop new therapies, but take them to the real world. So our goals include developing novel and innovative therapies, but also disseminating them. In the case of California this involves developing communication and relationships and partnerships with the counties. Because as you all know, implementation of mental health services in California really happens at the county level. We were funded through Prop. 63 funds. A big part of our goal is to put the research and assessment expertise of the UCs to work for the counties in the service of the goals of Prop. 63. I’m really here today just to introduce the introducer, Carolyn Dewa. But I did want to make a special shout out to the people who’ve traveled across the country to join us today from New York and Oregon and Maryland, sorry, and Arizona, and welcome you to sunny California. So I’d like to introduce Carolyn Dewa. Carolyn has done all the work involved in putting this workshop together today. Again our goal is to establish communication and relationships with you, the audience, the counties, the consumers, the advocates. So that we can actually get this job done. Over the last 20 years evidence-based therapies for early psychosis care become well validated. They’ve become comprehensive and they’ve become implemented on a rather large scale in other countries and to some degree different parts of the United States. So we want to figure out how to make that happen in California. Carolyn Dewa is the director of the outcomes core of the Center for Excellence. One of the first things we did in terms of building our research capacity at the Center was to recruit Dr. Dewa. I’m not sure, Carolyn, have you told them that you’re leaving yet at the University of Toronto? That’s a joke. She has been here two years, but anyway, Carolyn is a health economist and mental health services researcher, an outcomes researcher. She was tasked with putting together this second statewide conference on dissemination of early psychosis specialty care. She’s got a fantastic group of speakers together and we’re thrilled to have her here and I’m looking forward to her introduction. Carolyn? [applause] Hi everyone, thanks for coming. My name is Carolyn Dewa and I’m a health services researcher health economist. So today, the perspective that we’re taking is a health services research perspective. And for those of you who aren’t familiar with health services research, what we study is how programs and systems are delivered, how these programs and systems are used, and how they’re financed. So when you hear all these things that we’re studying, one of the things that probably comes to mind is like, how? Because it’s very complex and there are a lot of players and one of the things that we’re hoping today is we have many of the players or representatives of the different stakeholders here. So we’re going to start with research today and the evidence base. We’re fortunate enough to hear about what happened in New York and Oregon from our first two speakers and learn from them and their experiences. The second part of the day we’re going to hear about the stakeholders. The service users, their families, the counties who are tasked with providing these services and implementing these programs, and the insurers who finance part of our programs and the services. So then the next piece of it is really we’re going to end with hopefully a discussion. A discussion with the researchers, but with the audience as well. So if you look on your tables you have three by five cards. Now this is a university and it’s not a quiz, but we’re hoping that it makes you start, makes you start thinking. And if we’re doing our jobs right it’s going to make you ask questions, and so as those questions arise please write them down on the paper and at the end of the day you can either read out your question or you could give it to me and if you’re shy I’ll read them for you and we’re going to put our researchers on the spot and the researchers will probably will hopefully put our audience pose some questions to them as they listen to what goes on today. So it really is the goal to have dialogue and discussion. If you look at the program we also have a lot of time in there that it gives a chance for people here to interact, especially during lunch and so we hope that you’ll take advantage of it and build your networks and strengthen your networks here. It’s really quite exciting because not only do we have people from across the state we have folks from across the nation. We’ve got Arizona here I think with their students, so students please ask questions. We have folks from Ohio and I think Tennessee. We have somebody from overseas as well, I think. If you’re here raise your hand. Not yet. Some people say New York is overseas. [laughter] Well New York is its own country. So we hope that you enjoy it and that you really do participate and feel comfortable to ask questions and to talk. So I’m very pleased. Well the other cool thing about today is, and since the health services research focus, we have two of the editors for Psychiatric Services which is our premier journal in Mental Health Services Research in the U.S.. Howard Goldman and Lisa Dixon, the past and present editors. So ask them a lot of questions! I really am pleased today to be able to introduce Lisa Dixon who is going to start us off talking about the New York experience. She’s a professor of psychiatry at Columbia University and she also directs the division of behavioral health sciences and policy research at the New York State Psychiatric Institute and Lisa has a lot of experience with implementing the program and also as a clinician researcher the study of the program for early psychosis. So, Lisa.

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