Lecture on Integrated Health System for Schizophrenia

Introduction to Joey's Case

• Joey is a 16-year-old with schizophrenia.
• Schizophrenia costs the U.S. $63 billion annually.

Vision for an Integrated Health System

• Aim: Meet Joey where he is.
• Goal: High-quality, stable living at sustainable costs.
• Strategy: Data-driven, holistic, preventative, and supportive services throughout Joey's life.

Early Intervention and Preventative Measures

• Infancy:

  • Genetic testing is used to develop a lifetime care plan.
  • Consideration of family history (e.g., mother's bipolar disorder and schizophrenia).

• Childhood:

  • School providers identify behavioral issues (e.g., aggression, social isolation).
  • Care manager reviews and updates Joey’s care plan.

School Years

• Assessment and Therapy:

  • Joey assessed for cognitive/behavioral disorders.
  • Enrolled in self-guided cognitive behavioral therapy.
  • Financial counseling for Joey’s parents.

• Middle School:

  • Use of therapeutic mobile apps for self-management.
  • Alerts for risky behaviors are sent to care manager.

Crisis Management

• Schizophrenic Episode at 16:
  • Crisis management through care team and crisis psychiatrist.
  • Intervention by mobile crisis team.
  • Admission to inpatient psychiatric facility for stabilization.

Post-Crisis Care and Support System

• Discharge and Ongoing Care:

  • Transition of care records automatically transferred.
  • Multi-team support including nutritionist, fitness coach, and family.

• Programs for Growth:

  • Enrollment in programs for progress and independent living.
  • Joey grows with a system that supports life changes.

Benefits of an Integrated Health System

• Data-Driven Management:

  • Empowers providers, community programs, and support systems.
  • Enhances disease management and reduces episodes.

• Cost-Effectiveness:

  • Sustainable costs for Joey, his family, and the health system.

Conclusion

• Early detection and intervention lead to better management.
• Integrated care system allows for a higher quality of stable living.
• Continues to support Joey into the future.