Evaluation of Case Management for First Episode Psychosis Using the PEPsy-CM Checklist (CHECKLISTPEP)

Psychotic disorders are often chronic conditions that lead to impaired functioning, quality of life and social integration. Current research and recommendations for good practice are moving towards early detection and intervention. It is recognized that this leads to better adherence, alliance to care and knowledge of pathology for the patient, especially in young patients. For more than a decade, early intervention services (EIS) are opened in France over an increasingly large territory. Still too few studies assess the impact of these structures in France. These EIS offer a multimodal intervention (social, professional, psychotherapeutic). The intervention of case managers (or care coordinators in french) seems to be the core of EIS. The case manager has a fundamental role in the process of recovery in coordinating each individual's treatment and ensuring continuity of care.

The PEPsy-CM study aims to evaluate the effectiveness on the relapse rate of a 3 year Program for Early Psychosis based on Case Management (PEPsy-CM) compared to TAU in a population of young people with a FEP.

A qualitative evaluation of case management practice in EIS seems essential to assess the impact of case managers under real conditions.

Based on the Australian Good Practice Recommendations (EPICC integrity tools) and the case management practice manuals, the PEPsy-CM check-list questionnaire was developed to evaluate the practice of case management in the EIS in France. This check-list contains different 35 items. The final score between 1(poor) to 5 (good) is established to determine the quality of the case management. Qualitative data are also collected during the interview with the participants.

Study Overview

• Status: Completed
• Conditions: First Episode Psychosis
• Intervention / Treatment: Other: evaluation of professional practices

• Study Type: Observational
• Enrollment (Actual): 50

Contacts and Locations

Study Locations

• France
  • Nîmes, France, 30029
    • Schandrin

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 70 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Professional working in an early intervention center treating first episodes of psychosis

Description

Inclusion Criteria:

• Professional working in an early intervention center treating first episodes of psychosis
• Professional involved in the organization/management of the center or practicing case management.

Exclusion Criteria:

• Professional not working in the early intervention center
• Professional working in the early intervention center but not having a role in the organization or management of the center or as case manager
• Professional who does not take charge of people who have had a first psychotic episode

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Use of the case management manual (yes or no)	1 year
conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Use of specific and validated tools for Psychoeducation (yes or no)	1 year
conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Use of an information brochure on First Episode Psychosis (yes or no)	1 year
conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Use of specific and validated tools to support families (yes or no)	1 year
conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Use of specific and validated tools for Motivational Interviewing (yes or no)	1 year
conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Presence of Individualized Therapeutic Plan (ITP) supervision system (yes or no)	1 year
conformity to TIDieR checklist in each center and for each case manager interviewed	TIDieR checklist Patient - Use of Individualized Therapeutic Plan (ITP) supervision system (yes or no)	1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
description of the global organisation of each center	Number of staff by trade	1 year
description of their involvement in the early intervention center	number of years experience	1 year

Collaborators and Investigators

• Sponsor: Centre Hospitalier Universitaire de Nīmes

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2023
• Primary Completion (Actual): September 1, 2023
• Study Completion (Actual): September 1, 2023

Study Registration Dates

• First Submitted: December 22, 2022
• First Submitted That Met QC Criteria: February 17, 2023
• First Posted (Actual): February 21, 2023

Study Record Updates

• Last Update Posted (Actual): September 21, 2023
• Last Update Submitted That Met QC Criteria: September 18, 2023
• Last Verified: September 1, 2023

More Information

Terms related to this study

• Keywords: case management; first episode of psychosis assertive community treatment; early intervention in mental health; assertive community treatment
• Additional Relevant MeSH Terms: Schizophrenia Spectrum and Other Psychotic Disorders; Psychotic Disorders; Mental Disorders
• Other Study ID Numbers: LOCAL/2022/RP

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No