Coordinated Specialty Care (Quiet Minds)

The goal of the Quiet Minds program is to facilitate early identification and treatment of psychosis in a collaborative, recovery-oriented approach involving individuals experiencing first episode psychosis, therefore reduce the disruption to the young person’s functioning and psychosocial development.

Last reviewed: 2023


Intended Outcomes:

  • Reduce signs and symptoms of psychosis
  • Improve individual and family functioning
  • Improve the long-term course of the illness
  • Eliminate services gaps
  • Decrease the chance of relapse
  • Decrease the overall cost of treatment

Continuum of Care:
Recovery/Maintenance, Treatment

Topic Areas:
Anxiety, Behavioral Health/Mental Health, Depression, Disruptive Behaviors

Ages:
Adult (25+), Teen/Adolescent (13-18), Young Adult (19-24)

Geographic Locations:
Rural, Urban

Delivery Settings:
Community-Based, Congregate Care Facility

Cultural Considerations:
Significant and well-articulated attention was given to disparities in outcomes

Audience:
Adolescents and young adults ages 14-30 years of age experiencing serious mental disorders such as schizophrenia spectrum and other psychotic disorders, schizophrenoform disorder, schizophrenia, schizoaffective disorder, and bipolar disorders with psychotic features.

Credentials:
This program is provided by doctors and licensed therapists.

Manuals:
Yes

Is Training Required?
Information not available

Who can provide the required training?

Program Costs (materials, training, etc.):
Information not available

Program/Practice Website:
https://quietmindswv.com

Relevant Published, Peer-Reviewed Research:

Correll, C. U., Galling, B., Pawar, A., Krivko, A., Bonetto, C., Ruggeri, M., Craig, T. J., Nordentoft, M., Srihari, V. H., Guloksuz, S., Hui, C. L. M., Chen, E. Y. H., Valencia, M., Juarez, F., Robinson, D. G., Schooler, N. R., Brunette, M. F., Mueser, K. T., Rosenheck, R. A., & Marcy, P. (2018). Comparison of Early Intervention Services vs Treatment as Usual for Early-Phase Psychosis. JAMA Psychiatry, 75(6), 555. https://doi.org/10.1001/jamapsychiatry.2018.0623

Dixon, L. B., Goldman, H. H., Bennett, M. E., Wang, Y., McNamara, K. A., Mendon, S. J., Goldstein, A. B., Choi, C.-W. J., Lee, R. J., Lieberman, J. A., & Essock, S. M. (2015). Implementing Coordinated Specialty Care for Early Psychosis: The RAISE Connection Program. Psychiatric Services, 66(7), 691–698. https://doi.org/10.1176/appi.ps.201400281

Kane, J. M., Robinson, D. G., Schooler, N. R., Mueser, K. T., Penn, D. L., Rosenheck, R. A., Addington, J., Brunette, M. F., Correll, C. U., Estroff, S. E., Marcy, P., Robinson, J., Meyer-Kalos, P. S., Gottlieb, J. D., Glynn, S. M., Lynde, D. W., Pipes, R., Kurian, B. T., Miller, A. L., & Azrin, S. T. (2016). Comprehensive Versus Usual Community Care for First-Episode Psychosis: 2-Year Outcomes From the NIMH RAISE Early Treatment Program. American Journal of Psychiatry, 173(4), 362–372. https://doi.org/10.1176/appi.ajp.2015.15050632

Nagendra, A., Weiss, D. M., Merritt, C., Cather, C., Sosoo, E. E., Mueser, K. T., & Penn, D. L. (2023). Clinical and psychosocial outcomes of Black Americans in the Recovery After an Initial Schizophrenia Episode Early Treatment Program (RAISE-ETP) study. Social Psychiatry and Psychiatric Epidemiology, 58(1), 77–89. https://doi.org/10.1007/s00127-022-02297-9

Nossel, I., Wall, M. M., Scodes, J., Marino, L. A., Zilkha, S., Bello, I., Malinovsky, I., Lee, R., Radigan, M., Smith, T. E., Sederer, L., Gu, G., & Dixon, L. (2018). Results of a Coordinated Specialty Care Program for Early Psychosis and Predictors of Outcomes. Psychiatric Services, 69(8), 863–870. https://doi.org/10.1176/appi.ps.201700436

Srihari, V. H., Tek, C., Kucukgoncu, S., Phutane, V. H., Breitborde, N. J. K., Pollard, J., Ozkan, B., Saksa, J., Walsh, B. C., & Woods, S. W. (2015). First-Episode Services for Psychotic Disorders in the U.S. Public Sector: A Pragmatic Randomized Controlled Trial. Psychiatric Services, 66(7), 705–712. https://doi.org/10.1176/appi.ps.201400236

Well-Supported by Research

WV Rating:
Well-Supported by Research
»WV Ratings Info

Rationale for Rating:

This coordinated specialty care intervention has been implemented in numerous countries including the United States. All peer reviewed articles provided evidence that this service improves quality of life, social and vocational functioning, engagement in services, duration in treatment and decreases hospitalization rates and days hospitalized. RCTs, Metaanalyses all support the efficacy of this model. Coordination of services is the cornerstone of this model. It is imperative that goals and outcomes as determined valuable to the client and treatment team are taken into consideration as there is variation in the menu psychotherapeutic offerings in the different implementations of these models. The psychotherapeutic services provided directly effect the outcome areas for the participant.

Contraindications or Concerns:
Mixed results regarding the mediating effects of duration of untreated psychosis upon the effectiveness of this intervention. Different implementations of this program have different psychotherapeutics offerings. The results of some studies not included within the articles reviewed are indicative of this as the rates of vocational or social functioning was not as signficant as models which provided support to improve those areas.

Other Registries/Ratings

The California Evidence-Based Clearinghouse for Child Welfare:
Not On Registry

Blueprints for Healthy Youth Development:
Not On Registry

Clearinghouse for Military Family Readiness:
Not On Registry

Office of Juvenile Justice and Delinquency Prevention Model Programs Guide:
Not On Registry

Washington State Institute for Public Policy:
Found on the registry. See link for more information.

Washington State Institute for Public Policy Registry Link:
https://wsipp.wa.gov/BenefitCost/Program/673