This study examines, from an administrative perspective, the structures and processes that support positive outcomes in early psychosis. This examination is undertaken by means of a case study across two eras (1991-1998 and 1999-2006) of early intervention in psychosis care in the Saskatoon Health Region, a Canadian health region with a catchment population of about 300,000. This case study was undertaken using a mixed methods approach, including assessments of early intervention clients, a psychiatrist satisfaction survey, a utilization and cost analysis of emergency room and in-patient care, and focus groups of early intervention program stakeholders. In response to the first study question, the study identified two elements of structure that contribute to the effective provision of early intervention services: a diverse inter-professional team and a nested program model. Next, the study identified one element of structure that detracts from the effective provision of early intervention services: staff stress and burn-out. In response to the second study question, the study identified one element of process that contributes to the effective provision of early intervention services: a strong school outreach and programming component. The study also identified one element of process that detracts from the effective provision of early intervention services: co-morbid substance abuse. In response to the third study question, one key administrative outcome was identified: a reduced cost of in-patient hospital care. It is anticipated the results from this study will assist mid-sized health authorities in meeting the needs of low-incidence and complex client groups.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:SSU.etd-09142007-181250 |
| Date | 24 September 2007 |
| Creators | Neufeld, Marianne Morrison |
| Contributors | Peternelj-Taylor, Cindy, Muhajarine, Nazeem, Lepnurm, Rein, Keegan, David, Goering, Paula, Crossley, Margaret, Backman, Allen |
| Publisher | University of Saskatchewan |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://library.usask.ca/theses/available/etd-09142007-181250/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Saskatchewan or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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