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Improving Care and Reducing Cost (ICRC) Program

Despite advances in schizophrenia treatment, symptom relapses and rehospitalizations impede recovery for many people and are a principal driver of the high cost of care. Technology-delivered or enhanced treatment may be a cost-effective way to provide flexible, personalized evidence-based treatments directly to people in their homes and communities.

Our team is involved in the development of a novel, technology-based approach to prevent relapse after a hospitalization for psychosis, the Health Technology Program (HTP). HTP provides in-person relapse prevention planning that directs use of tailored, technology-based treatment based on CBT for psychosis- and family psychoeducation for schizophrenia, as well as prescriber decision support through a clinician-facing, web-based program that solicits information from clients at every visit. Technology-based treatments are delivered through smartphones and computers. HTP is currently being evaluated in people with schizophrenia who were recently discharged from a psychiatric hospitalization, a period when they are at particularly high-risk for relapses.

Our group is leading the mHealth element of this multi-site implementation project in several states including:

  • Florida

  • Indiana

  • Michigan

  • Missouri

  • New Hampshire

  • New Mexico

  • New York

  • Oregon

Funded by: Center for Medicare & Medicaid Innovation (CMMI)

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