Implementation of Community Participation Practices in Coordinated Specialty Care: Insights from a Qualitative Study.
Community participation is critical for health, particularly during young adulthood. Coordinated Specialty Care (CSC) programs for young adults with early psychosis aim to promote community participation; however, research on practices beyond those focused on employment, education, and family relati...
| Publicado en: | Community Mental Health Journal Vol. 62; no. 4; pp. 595 - 611 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Springer Nature
May2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=193493448&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 193493448 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: May2026 vid: 62 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 193493448 10.1007/s10597-025-01554-w ppf: 595 ppct: 16 formats: tig: atl: Implementation of Community Participation Practices in Coordinated Specialty Care: Insights from a Qualitative Study. aug: au: Thomas, Elizabeth C Shern, David Slanzi, Crystal M. Surratt, Zahrah Bertolami, Nina Salzer, Mark S. affil: https://ror.org/00kx1jb78 College of Public Health, Temple University, Philadelphia, PA, USA https://ror.org/01xd1rz53 National Association of State Mental Health Program Directors, Alexandria, VA, USA https://ror.org/0294hxs80 Department of Psychology, California State University Los Angeles, Los Angeles, CA, USA https://ror.org/04bdffz58 College of Medicine, Drexel University, Philadelphia, PA, USA su: United States Community health services Corporate culture Human services programs Psychiatric treatment Qualitative research Mental health services Interviewing Rural health services Professions Motivation (Psychology) Spirituality Social skills Social support Interpersonal relations Employment Social stigma Medical care use Research funding Judgment sampling Surveys Thematic analysis Research methodology Videoconferencing sug: subj: Community health services Corporate culture Human services programs Psychiatric treatment Qualitative research Mental health services Interviewing Rural health services Professions Motivation (Psychology) Spirituality Social skills Social support Interpersonal relations Employment Social stigma United States Community health centres All Other Outpatient Care Centers Residential Mental Health and Substance Abuse Facilities Other Individual and Family Services Other local, municipal and regional public administration Psychiatric and Substance Abuse Hospitals Offices of Mental Health Practitioners (except Physicians) Professional Organizations All Other Business Support Services Medical care use Research funding Judgment sampling Surveys Thematic analysis Research methodology Videoconferencing keyword: Education First-episode psychosis Implementation science Management Medical and Health Sciences Public Health and Health Services Commerce Recovery Tourism and Services Business and Management Young adults Education First-episode psychosis Implementation science Management Medical and Health Sciences Public Health and Health Services Commerce Recovery Tourism and Services Business and Management Young adults ab: Community participation is critical for health, particularly during young adulthood. Coordinated Specialty Care (CSC) programs for young adults with early psychosis aim to promote community participation; however, research on practices beyond those focused on employment, education, and family relationships is limited. This qualitative study explored CSC programs' community participation practices across a broad range of areas and the factors influencing their implementation. Following a national survey, individual semi-structured interviews were conducted with 11 CSC program leaders to examine ten specific practices. Recorded responses were transcribed and qualitatively analyzed using an integrated thematic analysis approach. Findings revealed that programs implemented a range of practices, including outreach to mainstream organizations, fostering mutual support among clients, facilitating independent community participation, and providing targeted support in spirituality/religion, intimate relationships, and civic engagement activities. Effective leadership, organizational culture, and staff factors (e.g., knowledge, skills, supportive attitudes and behaviors) emerged as key facilitators, while primary barriers included limited resources, staff challenges (e.g., lack of training), and environmental challenges (e.g., stigma, rural settings). Client-level factors, such as motivation and interference from symptoms, and the perceived effectiveness and acceptability of various practices, also impacted implementation. Recommendations include enhancing leadership buy-in, staff training, and creative resource use to overcome barriers and sustain community participation efforts. This study highlights variability across CSC programs and provides actionable strategies to strengthen community participation practices for young adults with early psychosis. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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