The RAISE connection program: Psychopharmacological treatment of people with a first episode of schizophrenia

Julie A. Kreyenbuhl, Deborah R. Medoff, Joseph P. McEvoy, Thomas E. Smith, Ann L. Hackman, Ilana R. Nossel, Lisa B. Dixon, Susan M. Essock, Robert W. Buchanan

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Objective: This study examined the adherence of psychiatrist to the Schedule of Recommended First and Secon Line Antipsychotic Medications ("Antipsychotic Schedule") which was implemented in two Recovery After an Initia Schizophrenia Episode (RAISE) Connection Program Implementatio and Evaluation Study clinics Methods: Sixty-five individuals with a first episode of psychosi were enrolled in the RAISE Connection Progra clinics. Two psychiatrists received training and ongoin consultation on use of a shared decision-making approac to prescribing antipsychotic medications according to th Antipsychotic Schedule. Information about participants prescribed antipsychotic medications, and completion o side-effect assessments were obtained from standardize research assessments and chart extractions. Descriptiv statistics were used to characterize the extent to whic patterns of antipsychotic prescribing and side-effect monitorin were consistent with the Antipsychotic Schedule Results: Ninety-Two percent of participants were prescribe an antipsychotic medication and received the medication o 76%635% of the days they were in treatment. Seventy-seve percent of participants were prescribed at least one Antipsychoti Schedule first-line antipsychotic, 20% were prescribe olanzapine, and 10% received a trial of clozapine Regarding monitoring for metabolic side effects, 92% o participants had at least one weight recorded, 72% had a least one blood glucose measure recorded, and 62% had a least one lipid profile recorded Conclusions: In the context of a study in which training an ongoing clinical supervision by experts was provided t psychiatrists and shared decision making was encouraged antipsychotic prescribing patterns closely adhered t recommendations established by the RAISE Connectio Program.

Original languageEnglish (US)
Pages (from-to)1300-1306
Number of pages7
JournalPsychiatric Services
Volume67
Issue number12
DOIs
StatePublished - Dec 1 2016

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ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Kreyenbuhl, J. A., Medoff, D. R., McEvoy, J. P., Smith, T. E., Hackman, A. L., Nossel, I. R., Dixon, L. B., Essock, S. M., & Buchanan, R. W. (2016). The RAISE connection program: Psychopharmacological treatment of people with a first episode of schizophrenia. Psychiatric Services, 67(12), 1300-1306. https://doi.org/10.1176/appi.ps.201500438