University of SaskatchewanHARVEST
  • Login
  • Submit Your Work
  • About
    • About HARVEST
    • Guidelines
    • Browse
      • All of HARVEST
      • Communities & Collections
      • By Issue Date
      • Authors
      • Titles
      • Subjects
      • This Collection
      • By Issue Date
      • Authors
      • Titles
      • Subjects
    • My Account
      • Login
      JavaScript is disabled for your browser. Some features of this site may not work without it.
      View Item 
      • HARVEST
      • Electronic Theses and Dissertations
      • Graduate Theses and Dissertations
      • View Item
      • HARVEST
      • Electronic Theses and Dissertations
      • Graduate Theses and Dissertations
      • View Item

      Evaluating the structure, process and outcome of an early intervention in psychosis program : a case study of the Saskatoon Health Region

      Thumbnail
      View/Open
      FINALNeufeldPhD2007.pdf (1.915Mb)
      Date
      2007
      Author
      Neufeld, Marianne Morrison
      Type
      Thesis
      Degree Level
      Doctoral
      Metadata
      Show full item record
      Abstract
      This study examines, from an administrative perspective, the structures and processes that support positive outcomes in early psychosis. This examination is undertaken by means of a case study across two eras (1991-1998 and 1999-2006) of early intervention in psychosis care in the Saskatoon Health Region, a Canadian health region with a catchment population of about 300,000. This case study was undertaken using a mixed methods approach, including assessments of early intervention clients, a psychiatrist satisfaction survey, a utilization and cost analysis of emergency room and in-patient care, and focus groups of early intervention program stakeholders. In response to the first study question, the study identified two elements of structure that contribute to the effective provision of early intervention services: a diverse inter-professional team and a ”nested” program model. Next, the study identified one element of structure that detracts from the effective provision of early intervention services: staff stress and burn-out. In response to the second study question, the study identified one element of process that contributes to the effective provision of early intervention services: a strong school outreach and programming component. The study also identified one element of process that detracts from the effective provision of early intervention services: co-morbid substance abuse. In response to the third study question, one key administrative outcome was identified: a reduced cost of in-patient hospital care. It is anticipated the results from this study will assist mid-sized health authorities in meeting the needs of low-incidence and complex client groups.
      Degree
      Doctor of Philosophy (Ph.D.)
      Department
      Interdisciplinary Studies
      Program
      Interdisciplinary Studies
      Supervisor
      Lepnurm, Rein; Keegan, David
      Committee
      Peternelj-Taylor, Cindy; Muhajarine, Nazeem; Goering, Paula; Crossley, Margaret; Backman, Allen
      Copyright Date
      2007
      URI
      http://hdl.handle.net/10388/etd-09142007-181250
      Subject
      mental health
      program evaluation
      health administration
      Collections
      • Graduate Theses and Dissertations
      University of Saskatchewan

      University Library

      The University of Saskatchewan's main campus is situated on Treaty 6 Territory and the Homeland of the Métis.

      © University of Saskatchewan
      Contact Us | Disclaimer | Privacy