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dc.contributor.advisorLepnurm, Reinen_US
dc.contributor.advisorKeegan, Daviden_US
dc.creatorNeufeld, Marianne Morrisonen_US
dc.date.accessioned2007-09-14T18:12:50Zen_US
dc.date.accessioned2013-01-04T04:58:20Z
dc.date.available2008-09-24T08:00:00Zen_US
dc.date.available2013-01-04T04:58:20Z
dc.date.created2007en_US
dc.date.issued2007en_US
dc.date.submitted2007en_US
dc.identifier.urihttp://hdl.handle.net/10388/etd-09142007-181250en_US
dc.description.abstractThis 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.en_US
dc.language.isoen_USen_US
dc.subjectmental healthen_US
dc.subjectprogram evaluationen_US
dc.subjecthealth administrationen_US
dc.titleEvaluating the structure, process and outcome of an early intervention in psychosis program : a case study of the Saskatoon Health Regionen_US
thesis.degree.departmentInterdisciplinary Studiesen_US
thesis.degree.disciplineInterdisciplinary Studiesen_US
thesis.degree.grantorUniversity of Saskatchewanen_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Philosophy (Ph.D.)en_US
dc.type.materialtexten_US
dc.type.genreThesisen_US
dc.contributor.committeeMemberPeternelj-Taylor, Cindyen_US
dc.contributor.committeeMemberMuhajarine, Nazeemen_US
dc.contributor.committeeMemberGoering, Paulaen_US
dc.contributor.committeeMemberCrossley, Margareten_US
dc.contributor.committeeMemberBackman, Allenen_US


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