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Public-Academic Partnerships: Early Intervention for Psychotic Disorders in a Community Mental Health Center

With the exception of Dr. Frisman, who is affiliated with the Connecticut Department of Mental Health and Addiction Services, Hartford, the authors are affiliated with Connecticut Mental Health Center and Yale University School of Medicine, New Haven. Send correspondence to Dr. Srihari, Connecticut Mental Health Center, 34 Park St., 2nd Floor, New Haven, CT 06519 (e-mail: vinod.srihari{at}yale.edu). Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.

Early intervention may improve long-term outcomes for psychotic illnesses. Early-intervention services in other countries have focused on reducing the duration of untreated illness and adapting interventions for younger patients. This column describes the process of building such a service, called specialized treatment early in psychosis (STEP), at the Connecticut Mental Health Center. This effort is rooted in a long-standing collaborative relationship between the Connecticut Department of Mental Health and Addiction Services and Yale. The authors describe the critical contribution of such partnerships in evaluating the cost-effectiveness of early intervention in a "real-world" U.S. setting.

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