Financing Team Based Coordinated Services: Examples from First Episode Psychosis Programming

This live presentation will take place on August 27th, 2020


Register in advance for this webinar:

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Coordinated Specialty Care (CSC) is an evidence-based practice that has been shown to be effective for serving persons with first episode, non-affective psychosis. Its effectiveness and cost-effectiveness were demonstrated in the NIMH RAISE trial. CSC involves a multidisciplinary team that provides a full range of person-centered care. Certain components and the intensity of services makes it difficult to finance, limiting its implementation.

In this webinar we will describe strategies that can be employed to finance the full cost of a CSC program in both Medicaid and commercial insurance programs. We will present estimates of the marginal costs of including a CSC benefit on insurance premiums of under two dollar per member per year.  We will compare CSC cost with the cost of routinely provided medical procedures and end with an argument for parity in insurance coverage.

Attendees will have an opportunity to participate in Q&A.


FREE - $0

Funding for this initiative was made possible (in part) by Grant No. 1H79SM080818-01 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Learning Objectives

1.       Describe the challenges associated with implementing evidence-based treatment for a serious mental illness. 

2.       Discuss domains and dimensions of cost-effectiveness in early treatment of psychotic disorders. 

3.       Summarize limitations of current fee-for-service funding for comprehensive psychiatric treatment. 

4.       Explain payment models under consideration for comprehensive team-based care in a serious mental illness

Target Audience

Counselor, Psychiatrist, Psychologist, Program Manager

Instructional Level

Introductory, Intermediate

Estimated Time to Complete

Estimated Duration: 1.0 hour
Program Start Date: August 27, 2020 
Program End Date: August 27, 2020

How to Earn Credit

Participants who wish to earn AMA PRA Category 1 Credit™, CE credit for psychologists, or a certificate of participation may do so by attending the live presentation and completing the evaluation. Participants claiming CE credit for psychologists must attend the full presentation to claim credit. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians), CE certificate (psychologists), or certificate of participation (other professions) showing the event date and hours earned.

Continuing Education Credit


The American Psychiatric Association (APA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The APA designates this live event for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


The American Psychiatric Association is approved by the American Psychological Association to sponsor continuing education for psychologists. American Psychiatric Association maintains responsibility for this program and its content.

Faculty and Planner Disclosures


David L. Shern, PhD

From 2006 to 2012 Dr. Shern served as the President and CEO of Mental Health America (MHA), formerly the National Mental Health Association and on an interim basis in 2014 following the departure of his successor.  After leaving MHA Shern joined the staff of the National Association of State Mental Health Program Directors as a Senior Public Health Advisor.  He also has an appointment in the Department of Mental Health at the Johns Hopkins.  

Prior to joining MHA, Dr. Shern served as dean of the Louis de la Parte Florida Mental Health Institute (FMHI) at the University of South Florida, one of the largest research and training institutes in behavioral health services in the United States.  

His work has spanned a variety of mental health services research topics including serving street dwelling individuals with SMI; epidemiological studies of the need for community services; the effects of differing organizational, financing and service delivery strategies on continuity of care and client outcome and the use of alternative service delivery strategies such as peer counseling and self-help on the outcomes of care

Douglas Robbins, M.D.

Douglas Robbins, MD completed his B.A. in English literature at Carleton College, and his M.D. at the SUNY, Downstate Medical Center. He completed his pediatric internship at St. Paul-Ramsey Hospital and the University of Minnesota Hospitals, and residency in general psychiatry and fellowship in child and adolescent psychiatry at the University of Colorado.  He has been on the faculty of the Department of Psychiatry at the University of Michigan, Brown University, at Maine Medical Center since 1996, and the University of Vermont and Tufts University.  Dr. Robbins has led inpatient, day treatment, and outpatient programs.  His continuing focus has been on early identification and treatment, in children, adolescents, and young adults, of early stages of serious mental illness.


· Teri Brister, PhD, LPC, National Alliance on Mental Illness. Reports no financial relationships with commercial interests. 

·  Amy N. Cohen, PhD, American Psychiatric Association. Reports no financial relationships with commercial interests.

· Tristan Gorrindo, MD, American Psychiatric Association. Reports no financial relationships with commercial interests.

· Judith Dauberman, PhD, Stanford University. Reports no financial relationships with commercial interests.

Accessibility for Participants with Disabilities

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For assistance: Contact for questions about this course and for technical assistance.

Hardware/Software Requirements

Supported operating systems

·         macOS X with macOS 10.7 or later

·         Windows 10

·         Windows 8 or 8.1

·         Windows 7

·         Windows Vista with SP1 or later

·         Windows XP with SP3 or later

·         Ubuntu 12.04 or higher

·         Mint 17.1 or higher

·         Red Hat Enterprise Linux 6.4 or higher

·         Oracle Linux 6.4 or higher

·         CentOS 6.4 or higher

·         Fedora 21 or higher

·         OpenSUSE 13.2 or higher

·         ArchLinux (64-bit only)

Supported tablet and mobile devices

·         Surface PRO 2 running Win 8.1

·         Surface PRO 3 running Win 10

·         iOS and Android devices

·         Blackberry devices

Supported browsers

·         Windows: IE 11+,  Edge 12+, Firefox 27+,  Chrome 30+

·         Mac: Safari 7+, Firefox 27+,  Chrome 30+

·         Linux: Firefox 27+,  Chrome 30+