Clinical Round Tables
Schizophrenia / Psychotic Disorders
Daniel I. Shapiro, Ph.D.
Assistant Professor
Department of Psychiatry and Behavioral Sciences; University of California, Davis
Sacramento, California
Khalima A. Bolden, Ph.D.
Health Sciences Assistant Clinical Profressor
University of California Davis Early Psychosis Clinic
Sacramento, California
Katherine Eisen, Ph.D.
Clinical Assistant Professor
Stanford University School of Medicine
Stanford, California
Sabrina Ereshefsky, Ph.D.
Postdoctoral Scholar
University of California, Davis
Sacramento, California
Johanna B. Folk, Ph.D.
Assistant Professor
University of California, San Francisco
San Francisco, California
Victoria Galvez, Psy.D.
Clinician
UCD Psychiatry
Lodi, California
Karina Muro, Ph.D.
Assistant Professor
University of California Davis
Sacramento, California
Early psychosis care is currently impacted by multiple emergencies. This clinical roundtable will describe methods and techniques for providing evidence-based care for “complex” presentations, reflecting these emergencies. Psychotic disorders are associated with enormous cost and burden. Research associating longer duration of untreated psychosis with worse outcomes and findings indicating benefits of earlier intervention have led to large-scale expansion of first-episode and clinical high-risk for psychosis services worldwide. With recent incidence estimates suggesting 200-300 new cases of psychosis per 100,000 people per year, availability of such evidence-based treatments remains overwhelmingly inadequate. This crisis of availability is compounded by other crises which require clinicians to modify their approach. First, ethnoracial minoritized families experience disproportionate barriers to accessible care. Second, those who are or have been involved with the justice system face unique barriers to receiving urgent specialty care. Third, comorbid conditions are the norm rather than the exception in psychosis, with common comorbidities such as trauma and neurodevelopmental disorders calling for their own evidence-based approaches or modifications to typical care. Finally, the covid-19 crisis has exacerbated these existing gulfs and introduced additional barriers. One is the ability to provide evidence-based practice via telehealth. Public health response to covid-19 has also changed referral patterns. Clinicians increasingly need to manage families who seek help at a point of clinical crisis. This experienced panel will address research, techniques, and strategies for modifying evidence-based practice including CBTp in early psychosis for families with comorbid PTSD and Autism Spectrum Disorder. They will describe cultural affirming engagement and care, focusing on Latinx families. Specific strategies for providing this care in individuals who are justice-involved and for addressing clinical crisis via telehealth will also be presented.