Introduction
The COVID-19 pandemic has forced many healthcare services to pivot to virtual delivery, including early psychosis intervention (EPI) programs. A recent study titled The quick pivot: Capturing real world modifications for the re-implementation of an early psychosis program transitioning to virtual delivery provides valuable insights into how these services can be effectively adapted for online delivery. This blog post explores how practitioners can leverage these findings to enhance their skills and improve outcomes for children.
Key Findings from the Study
The study identified several modifications necessary for the virtual delivery of the NAVIGATE program, a structured approach to team-based EPI. These modifications were categorized into three main areas:
- Technological Adaptations: Providing clinicians with the necessary hardware and software to facilitate remote work, such as laptops and mobile phones, and implementing digital platforms like Cisco Webex for virtual care.
- Procedural Changes: Updating privacy, safety, and confidentiality guidelines for virtual care, including obtaining client consent for virtual appointments and adjusting physician remuneration for virtual services.
- Training Enhancements: Offering training on new software applications and strategies for building client engagement in a virtual setting, as well as addressing crisis management and providing trauma-informed care.
Impact on Fidelity and Outcomes
The study assessed the fidelity of virtual EPI services using the First Episode Psychosis Fidelity Scale (FEPS-FS). Despite the rapid shift to virtual delivery, the core structure of the NAVIGATE program was preserved, and fidelity ratings remained high. This suggests that with appropriate support and resources, virtual EPI services can maintain high standards of care.
Facilitators and Barriers
The study also identified several facilitators and barriers to the successful re-implementation of virtual EPI services. Key facilitators included the adaptability of the NAVIGATE program, external policies and incentives, and strong leadership engagement. However, barriers such as client access to technology and challenges in monitoring side effects in a virtual setting were also noted.
Practical Implications for Practitioners
Practitioners can enhance their skills by implementing the study's findings in their practice. Here are some practical steps to consider:
- Invest in the necessary technology and training to facilitate virtual care delivery.
- Develop clear guidelines and protocols for virtual care, ensuring client privacy and safety.
- Engage clients and families in the transition to virtual care, addressing any concerns and providing support as needed.
- Continuously evaluate and adapt virtual care practices to ensure they meet client needs and maintain high standards of care.
Encouraging Further Research
While the study provides valuable insights, further research is needed to explore the long-term impacts of virtual EPI services on client outcomes. Practitioners are encouraged to engage in research activities and contribute to the growing body of evidence in this field.
To read the original research paper, please follow this link: The quick pivot: Capturing real world modifications for the re-implementation of an early psychosis program transitioning to virtual delivery.
