Historically, early intervention services for psychosis in the United States were limited to academic research centers. In 2008, the National Institute of Mental Health (NIMH) launched the Recovery After an Initial Schizophrenia Episode (RAISE) initiative to test the effectiveness and scalability of coordinated specialty care (CSC), a multi-component, person-centered treatment for first episode psychosis. Comparative effectiveness and implementation results from RAISE trials influenced federal and state agencies to support broad implementation of CSC in community settings.
Today, approximately 300 first episode psychosis treatment programs operate in 49 states. NIMH recently established an Early Psychosis Intervention Network (EPINET) to link CSC programs in a national learning healthcare system that promotes effective, high-quality services for first episode psychosis, encourages continuous improvement and innovation in practice, and leverages data collected during routine care to facilitate future scientific investigation.
This presentation describes the current state of first episode psychosis care in the U.S. and scientific opportunities for advancing early psychosis detection, intervention, and recovery.