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Coordinated Specialty Care Transition Study

As Coordinated Specialty Care (CSC) programs expand, teams are increasingly faced with decisions on how to sustain gains achieved in early intervention programs once clients are no longer receiving intensive services. This project seeks to review the current landscape through an environmental scan and case studies of nine sites to understand the scope, structure, implementation and policy challenges and opportunities in providing continuing care to people experiencing early psychosis after graduating from a CSC program. Under a contract from ASPE, Westat produced an environmental scan, a report and an issue brief that include a typology of transition services, highlight existing approaches to transition services after participation in CSC programs and avenues for integration of transition services within programs and organizations.

This research was conducted under contract #HHSP233201600025I between HHS/ASPE’s Office of Behavioral Health, Disability, and Aging Policy (BHDAP) and Westat. Please also visit the ASPE Behavioral Health page for additional research.

Available Reports:

  • Continuity of Care Services Following Coordinated Specialty Care: An Environmental Scan provides an overview of transition services for clients graduating from Coordinated Specialty Care (CSC). The environmental scan is the first publication in a series of products published from the Continuity of Care Services Following Coordinated Specialty Care study. The environmental scan documents trends and gaps in processes for continued care, introduces typology of transition services in CSC programs, and reviews current federal programs relevant to transition services as well as state policies that affect continued care after discharge.
  • The Coordinated Specialty Care Transition Study: Final Report. The final report is a synthesis of findings from an environmental scan of programs and case studies of nine CSC programs. This is the second publication from the Continuity of Care Services Following Coordinated Specialty Care study. Based on interviews with nearly 90 respondents, the featured case study sites highlight the variability in transition services after participation in CSC programs, whether they are provided through step-down or extended length models of care. The report describes how services are structured and sustained, how teams facilitate transitions and what challenges they face, and how organizations and states can support transition processes. A review of financing approaches to continued services is included as well as policy challenges and opportunities in continuity of care such as outreach to community-based providers, staffing capacity, disengagement and telehealth.
  • Transition Options, Opportunities for Integration, and Funding Considerations Following Coordinated Specialty Care Issue Brief. This brief is the third publication from the Continuity of Care Services Following Coordinated Specialty Care study. It provides a short overview of the different approaches to continuity of care for young adults who have attended CSC programs and explores avenues for integration within programs and organizations as a way to support young adults following a completion of a CSC program. This issue brief also includes a review of financing challenges and opportunities for transition services after CSC participation.

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